1st Edition

Motivating Clients in Therapy Values, Love and the Real Relationship

By Richard L. Rappaport Copyright 1997

    Clients who come to psychotherapy unmotivated, or who become discouraged as treatment progresses, pose a singular challenge to practitioners. Despite the central importance of motivation for the therapeutic healing process, little has been written that addresses this issue. Motivating Clients in Therapy questions the widely accepted assumption of the adequately motivated client.

    Richard Rappaport presents a four-phased model of motivation that emphasizes the fear of loss of what is known and familiar as the central inhibitor to personal growth. The motivation to love oneself and others must by catalyzed by an active psychotherapy relationship. Rappaport offers therapists a practical and theoretical guide to increase treatment effectiveness with a wide variety of clients.

    Word About Words
    Chapter 1: Motivation and Psychotherapy: An Introduction
    Chapter 2: Why Motivation is an Ignored Construct in Psychotherapy: The Myth of Client Motivation
    Chapter 3: An Evolutionary Model of Psychological Health and Motivation: Toward Individuation
    Chapter 4: Motivation in Everyday Life
    Chapter 5: Motivation in Psychotherapy
    Chapter 6: Separating Motivational and Psychopathological Phenomena: The Role of The Theory in Psychotherapy
    Chapter 7: The Therapeutic Basis for Selecting Interventions: The Place of Values in Psychotherapy
    Chapter 8: Motivating Clients in the Beginning of Therapy
    Chapter 9: Motivating Clients in the Midphase of Therapy
    Chapter 10: Motivating Clients in the Endphase of Therapy
    Chapter 11: Post-Therapy Motivation.


    Richard Rappaport is a psychologist in private practice in Philadelphia and is the director of the Center for Comprehensive Therapy in Washington, D.C. He is the co-author of Working with Adult Incest Survivors.