Are patients usually intrinsically motivated when they begin SPEAK OUT! therapy?

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Patients typically begin SPEAK OUT! therapy with extrinsic motivations rather than intrinsic ones. Extrinsic motivation refers to the drive to perform a task due to external factors, such as the desire to meet the expectations of family members, caregivers, or healthcare professionals, as well as the need to regain their ability to communicate effectively.

Many patients may feel apprehensive or doubt their capabilities at the start of therapy, which can hinder their intrinsic motivation—this internal desire to engage in the therapy for personal satisfaction or growth. Initial reluctance can stem from the challenges associated with speech disorders and the emotional burden they carry.

While some patients may eventually develop intrinsic motivation as they progress and witness improvements in their communication skills, the general trend tends to be that patients are more motivated by external influences when they first enter therapy. This understanding is crucial for therapists to tailor their approach in a way that supports patients on their journey to finding personal meaning and joy in their progress.

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