Assessing current concerns and goals idiographically: A review of the Motivational Structure Questionnaire family of instruments.

BACKGROUND: There have been two kinds of methods for assessing individuals' motivation and their goal-striving behavior. The idiographic method obtains respondents' individual descriptions of their behavior or inner experiences. The nomothetic approach uses a standardized questionnaire in which respondents select from a set of alternatives. Idiographic responses provide rich, individualized information, but they make comparisons across different individuals difficult. By contrast, the nomothetic approach loses valuable individualized information, but it readily lends itself to cross-individual comparisons. OBJECTIVE: The present authors have developed a family of motivational assessment instruments within the framework of the Goal Theory of Current Concerns and individuals' goal pursuits. Each of these instruments is a hybrid version of the idiographic and nomothetic methods. Each one obtains individualized information about each respondent at the start of the assessment, but it then utilizes rating scales that allow comparisons across different individuals to be made. The objective of the present article is to present this family of hybridized instruments for potential use in routine outcome monitoring. METHOD: The method used in this article was to review the development of this family of hybrid assessments instruments over the preceding decades and the research on their psychometric properties and clinical applications. These hybrid tools include the Interview Questionnaire, Work Concerns Inventory, Motivational Structure Questionnaire, and Personal Concerns Inventory and their variants. The review includes only the idiographic-nomothetic approaches that are based on the Goal Theory of Current Concerns. RESULTS: The review reveals that for each instrument, motivational indices are calculated, which have been shown to be valid and reliable. Analyses have also revealed adaptive and maladaptive motivational factors. CONCLUSIONS: The measures discussed here have proven useful in clinical applications, when, for example, they are used as components of Systematic Motivational Counseling and the Life Enhancement and Advancement Programme for helping individuals improve their motivational structure. Similarly, the measures hold promise for use in routine outcome monitoring.

Free will in addictive behaviors: A matter of definition.

Certain people are at risk for using alcohol or other drugs excessively and for developing problems with their use. Their susceptibility might arise from a variety of factors, including their genetic make-up, brain chemistry, family background, personality and other psychological variables, and environmental and sociocultural variables. Moreover, after substance use has become established, there are additional cognitive-motivational variables (e.g., substance-related attentional bias) that contribute to enacting behaviors consistent with the person's motivation to acquire and use the substance. People who are at such risk are likely to choose to use addictive substances even though doing so entails negative consequences. In the sense of complete freedom from being determined by causal factors, we believe that there is no such thing as free will, but defined as ability to make choices from among multiple options, even though the choices are ultimately governed by natural processes, addicted individuals are free to choose. Although they might appear unable to exercise this kind of free will in decisions about their substance use, addictive behaviors are ultimately always goal-directed and voluntary. Such goal pursuits manifest considerable flexibility. Even some severely addicted individuals can cease their use when the value of continuing the use abruptly declines or when the subjective cost of continuing the use is too great with respect to the incentives in other areas of their lives. Formal treatment strategies (e.g., contingency management, Systematic Motivational Counseling, cognitive training) can also be used to facilitate this reversal.

Spontaneous Thought and Vulnerability to Mood Disorders: The Dark Side of the Wandering Mind.

There is increasing interest in spontaneous thought, namely task-unrelated or rest-related mental activity. Spontaneous thought is an umbrella term for processes like mindwandering, involuntary autobiographical memory, and daydreaming, with evidence elucidating adaptive and maladaptive consequences. In this theoretical framework, we propose that, apart from its positive functions, spontaneous thought is a precursor for cognitive vulnerability in individuals who are at-risk for mood disorders. Importantly, spontaneous thought mostly focuses on unattained goals and evaluates the discrepancy between current and desired status (Klinger, 1971, 2013a). In individuals who stably (i.e., trait negative affectivity) or transitorily (i.e., stress) experience negative emotions in reaction to goal-discrepancy, spontaneous thought fosters major cognitive vulnerabilities (e.g., rumination, hopelessness, low self-esteem, and cognitive reactivity) which, in turn, enhance depression. Furthermore, we also highlight preliminary links between spontaneous thought and bipolar disorder. The evidence for this framework is reviewed and we discuss theoretical and clinical implications of our proposal.

The motivational basis of cognitive determinants of addictive behaviors.

If a person expects that (a) drinking alcohol or using another addictive substance will enhance positive affect or reduce negative affect, and (b) there is a strong likelihood that these desirable consequences will occur if the substance is used, that person is likely to form a goal of using the substance. The theoretical framework presented here predicts that when that happens, the person will have a current concern for using the substance, with the person thereby sensitized to environmental stimuli related to procuring and using the substance. One indication of the sensitization is selective attention to substance-related stimuli, which is correlated with urges to use and actual use of the substance. Accordingly, interventions have been developed for helping substance users to overcome substance-related attentional bias. The results are promising for reducing both the attentional bias and the substance use. Finally, we discuss other cognitive-modification and motivational techniques that have been evaluated with promising results.

Attentional bias modification for addictive behaviors: clinical implications.

When a person has a goal of drinking alcohol or using another addictive substance, the person appears to be automatically distracted by stimuli related to the goal. Because the attentional bias might propel the person to use the substance, an intervention might help modify it. In this article, we discuss techniques that have been developed to help people overcome their attentional bias for alcohol, smoking-related stimuli, drugs, or unhealthy food. We also discuss how these techniques are being adapted for use on mobile devices. The latter would allow people with an addictive behavior to use the attentional training in privacy and as frequently as needed. The attentional training techniques discussed here appear to have several advantages. They are inexpensive, can be fun to use, and have flexibility in when, where, and how often they are used. The evidence so far also suggests that they are effective.

Goal Commitments and the content of thoughts and dreams: basic principles.

A few empirically supported principles can account for much of the thematic content of waking thought, including rumination, and dreams. (1) An individual's commitments to particular goals sensitize the individual to respond to cues associated with those goals. The cues may be external or internal in the person's own mental activity. The responses may take the form of noticing the cues, storing them in memory, having thoughts or dream segments related to them, and/or taking action. Noticing may be conscious or not. Goals may be any desired endpoint of a behavioral sequence, including finding out more about something, i.e., exploring possible goals, such as job possibilities or personal relationships. (2) Such responses are accompanied and perhaps preceded by protoemotional activity or full emotional arousal, the amplitude of which determines the likelihood of response and is related to the value placed on the goal. (3) When the individual is in a situation conducive to making progress toward attaining the goal, the response to goal cues takes the form of actions or operant mental acts that advance the goal pursuit. (4) When circumstances are unfavorable for goal-directed operant behavior, the response remains purely mental, as in mind-wandering and dreaming, but still reflects the content of the goal pursuit or associated content. (5) Respondent responses such as mind-wandering are more likely when the individual is mentally unoccupied with ongoing tasks and less likely the more that is at stake in the ongoing task. The probability of respondent thought is highest during relaxed periods, when the brain's default-mode network dominates, or during sleep. The article briefly summarizes neurocognitive findings that relate to mind-wandering and evidence regarding adverse effects of mind-wandering on task performance as well as evidence suggesting adaptive functions in regard to creative problem-solving, planning, resisting delay discounting, and memory consolidation.

The Personal Concerns Inventory (Offender Adaptation): measuring and enhancing motivation to change.

Measuring offenders' motivation for treatment is important for selection and monitoring treatment engagement, yet few psychometrically robust measures of motivation exist. The Personal Concerns Inventory (PCI) was developed to assess motivation to change in people with addictive behaviours. It focuses on identifying goals in a wide variety of life areas, and two profiles have consistently been identified--adaptive and maladaptive. This study aimed to adapt the PCI for use with offenders and assess its suitability. Following amendment, 11 men serving prison sentences were interviewed using the PCI (Offender Adaptation, OA). Personal concerns related to self-change, and partner, family, and relationships were most commonly identified. Scores suggested that offenders show adaptive and maladaptive profiles, similar to those previously identified. The PCI (OA) has promise for use with offenders, although the issue of whether the PCI (OA) is better viewed as a measure of motivation or a motivational enhancer remains for further research.

Outcomes of systematic motivational counseling for substance use following traumatic brain injury.

The effects of Systematic Motivational Counseling (SMC) on adults following traumatic brain injury (TBI) were assessed. The sample comprised 40 participants in the SMC Group who received 12 individual SMC sessions and 54 participants in the Comparison Group who received no motivational or substance-abuse treatment. Both groups received rehabilitation for their brain injuries. The SMC additionally focused on participants' personal goals and concerns in various areas of their lives, and helped them to formulate and execute concrete and realistic plans for resolving their concerns. To assess changes across time in the SMC Group, motivational structure, positive and negative affect, and substance use were measured at baseline, immediately after the intervention (mean of 10.2 months from baseline), and at a follow-up (mean of 9.1 months later). Because the comparison group had no SMC intervention, only two assessments were taken: at baseline and at a follow-up (mean of 12.8 months later). Across time, the SMC Group showed significant improvements in motivational structure and a significant reduction in negative affect and the use of substances of abuse. There were no corresponding changes in the Comparison Group. The results indicate that SMC improves motivational indices and may help to moderate substance use; hence they suggest a potential role for SMC in the rehabilitation of patients with TBI.

Motivational structure. Relationships with substance use and processes of change.

The motivational model stresses that substance misuse occurs in the context of the satisfactions and frustrations that people derive from incentives in other areas of their lives. Therefore, it is important to assess substance users' motivational structure, that is, the patterns by which they strive for these incentives. This article presents a technique for assessing motivational structure, through which people's motivation to use substances can better be understood. Results of studies using the assessment suggest the following: (a) Unless university students with alcohol-related problems have adaptive motivational structures, they are less able to control their drinking. (b) Alcohol abusers' motivational structure leads them to experience less life satisfaction than does university students' motivational structure. (c) In treatment, substance abusers with more adaptive motivation show less problem denial and more motivation for change than those with a more maladaptive pattern. (d) Alcohol abusers with healthier motivational structures show better immediate responses to treatment and have better long-term outcomes than those with less healthy patterns. (e) Systematic Motivational Counseling (SMC) improves motivational structure and reduces substance use. These results support the motivational model.

Motivational structure and alcohol use of university students across four nations.

OBJECTIVE: The ability of motivational structure and other variables to predict alcohol consumption was assessed in university students (N = 370; 244 women) in the Czech Republic, The Netherlands, Norway and the United States. METHOD: Motivational structure was assessed with the Motivational Structure Questionnaire (MSQ), which inquires about respondents' individual personal concerns in various areas of life and dimensions of their goal strivings related to the resolution of concerns. Alcohol-related problems were measured with the Short Michigan Alcoholism Screening Test. RESULTS: Factor analysis of MSQ indices yielded a two-factor solution, one factor of which reflects an adaptive motivational structure marked by elements necessary for attaining psychologically satisfying resolutions of personal concerns. The other factor reflects a more maladaptive motivational structure marked by feelings of indifference about the achievement of personal goals. As hypothesized, MSQ Factor I was a significant inverse predictor of the amount of alcohol that students drank, but only among those who experienced alcohol-related problems. CONCLUSIONS: The similarity in results across culturally varied samples suggests the robustness of the relationships for understanding the motivational bases for alcohol use.