I find fear can be a great patient motivator

“The most exquisite pleasure in the practice of medicine comes from nudging a layman in the direction of terror then bringing him back to safety again.” Kurt Vonnegut, God Bless You, Mr Rosewater


I have had some amazing successes in motivating patients to change their behaviour using fear. I have never subscribed to the five-stage 'readiness to change' model.

If such a theoretical model ever existed outside the ivory tower, I would have to say that I just condense the first four stages. Precontemplation, contemplation, preparation and

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