Although the concept of treatment motivation is generally regarded as highly relevant, it has since long been surrounded by conceptual confusion, resulting in miscommunication, ambiguous measures, and contradictory conclusions of research. This article provides an analysis of three major sources of confusion in the conceptualization of treatment motivation: (a) negligence of the concepts' intrinsic relationship with behavior, (b) entanglement of the concept with its determining factors and behavioral consequences, and (c) conceptualization in a stage model. Following the conceptual analysis, causes of the problems and implications for clinical praxis and research are considered. Finally, a more adequate conceptualization of treatment motivation is proposed and suggestions for future research are made.

中文翻译：

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治疗动机：试图澄清一个模棱两可的概念。

尽管治疗动机的概念通常被认为是高度相关的，但长期以来一直被概念上的混乱所包围，导致沟通不畅，措施含糊以及研究结论相互矛盾。本文分析了治疗动机概念中的三个主要混淆源：（a）概念的内在行为与行为的疏忽；（b）概念与决定因素和行为后果的纠缠；以及（c）阶段模型中的概念化。在进行概念分析之后，考虑了问题的原因以及对临床实践和研究的意义。最后，提出了一种更充分的治疗动机概念，并提出了进一步研究的建议。