Coercion and Motivation: Construct Analysis and Factor Association in Entering Treatment for Substance-Abuse

Informed by the theoretical underpinnings of Self-determination theory (SDT), we aimed to examine relationships between motivation and independent measures of external pressure and explore whether or not a directional association exists between perceived coercion and motivation. Using the Circumstance, and Motivation subscales of the CMR and availability sampling method, we surveyed 63 clients seeking substance abuse treatment under legal coercion, social coercion, and voluntarily. Results suggest that motivation to engage in substance abuse treatment is not reliably inferred from referral source. Treatment seeking groups appear to experience greater external pressures to leave treatment than to enter treatment. Results are consistent with SDT—specifically, treatment motivation appears to be a personal consideration that likely moderates the effect of coercion