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"The facts concerning the recent carnival of smoking in Connecticut" and elsewhere.
Ann Intern Med 1991; 115(1):59-63AIM

Abstract

The behavior of health care practitioners toward their patients can greatly affect the patients' motivation for change. Mark Twain's story, "The Facts Concerning the Recent Carnival of Crime in Connecticut," is used to illustrate how traditional strategies for motivating patients to change can have the paradoxic effect of inhibiting change and growth. We use a theory of human motivation, referred to as self-determination theory, to explain this effect and suggest alternative strategies for facilitating patient motivation. Empirical tests of the theory have shown that people will accept more responsibility for behavior change when motivated internally rather than externally. In the doctor-patient relationship, this internal motivation for change can be facilitated when doctors allow choice, provide relevant information, and acknowledge the patient's perspective. We propose a simple, three-question model, consistent with self-determination theory, for physicians to use with patients who smoke and are not yet ready to try quitting.

Authors+Show Affiliations

University of Rochester, New York.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

2048862

Citation

Williams, G C., et al. ""The Facts Concerning the Recent Carnival of Smoking in Connecticut" and Elsewhere." Annals of Internal Medicine, vol. 115, no. 1, 1991, pp. 59-63.
Williams GC, Quill TE, Deci EL, et al. "The facts concerning the recent carnival of smoking in Connecticut" and elsewhere. Ann Intern Med. 1991;115(1):59-63.
Williams, G. C., Quill, T. E., Deci, E. L., & Ryan, R. M. (1991). "The facts concerning the recent carnival of smoking in Connecticut" and elsewhere. Annals of Internal Medicine, 115(1), pp. 59-63.
Williams GC, et al. "The Facts Concerning the Recent Carnival of Smoking in Connecticut" and Elsewhere. Ann Intern Med. 1991 Jul 1;115(1):59-63. PubMed PMID: 2048862.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - "The facts concerning the recent carnival of smoking in Connecticut" and elsewhere. AU - Williams,G C, AU - Quill,T E, AU - Deci,E L, AU - Ryan,R M, PY - 1991/7/1/pubmed PY - 1991/7/1/medline PY - 1991/7/1/entrez SP - 59 EP - 63 JF - Annals of internal medicine JO - Ann. Intern. Med. VL - 115 IS - 1 N2 - The behavior of health care practitioners toward their patients can greatly affect the patients' motivation for change. Mark Twain's story, "The Facts Concerning the Recent Carnival of Crime in Connecticut," is used to illustrate how traditional strategies for motivating patients to change can have the paradoxic effect of inhibiting change and growth. We use a theory of human motivation, referred to as self-determination theory, to explain this effect and suggest alternative strategies for facilitating patient motivation. Empirical tests of the theory have shown that people will accept more responsibility for behavior change when motivated internally rather than externally. In the doctor-patient relationship, this internal motivation for change can be facilitated when doctors allow choice, provide relevant information, and acknowledge the patient's perspective. We propose a simple, three-question model, consistent with self-determination theory, for physicians to use with patients who smoke and are not yet ready to try quitting. SN - 0003-4819 UR - https://www.unboundmedicine.com/medline/citation/2048862/full_citation L2 - https://www.annals.org/article.aspx?volume=115&issue=1&page=59 DB - PRIME DP - Unbound Medicine ER -