title: The change process in alcoholics: client motivation and denial in the treatment of alcoholism within the context of contemporary nursing.
abstract: Despite being constantly cited as a critical intervening variable in the recovery from alcohol problems, there is a paucity of literature on client motivation. This paper reviews the current literature which impacts on motivation and its importance in treatment and develops in a stepwise manner the revised expectancy/motivation hypothesis, tentatively explaining both motivation and denial as a natural process in behavioural change. Because of the revised expectancy/motivation hypothesis' distinctly defined stages which closely relate to the process of nursing and the qualitative and quantitative measurement it entails which the nursing process demands, it offers a particularly appropriate model for treatment within nurse practice.
authors.affiliation: Alcohol Unit, Gartnavel Royal Hospital, Greater Glasgow Health Board, Scotland.
authors.forename: J
authors.initials: J
authors.lastname: McMahon
authors.forename: B T
authors.initials: BT
authors.lastname: Jones
mesh_terms: D000223:Adaptation, Psychological; D000437:Alcoholism / Q000451:nursing / Q000523:psychology* / Q000628:therapy; D001521:Behavior Therapy / Q000592:standards; D003073:Cognitive Dissonance; D003717:Denial, Psychological; D005260:Female; D006801:Humans; D008297:Male; D008960:Models, Psychological; D009042:Motivation; D009730:Nursing Assessment; D010349:Patient Compliance; D010358:Patient Participation