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CLINICALFEATURE<br />

by Drs Fanny Young & Ricky Wong<br />

The Use of<br />

Motivational Theories<br />

in Dentistry<br />

This article reviewed the theories of<br />

motivation and suggested their applications<br />

in dentistry. These included Maslow’s<br />

hierarchy of needs theory, McGregor’s<br />

Theory X and Theory Y, Motivation-hygiene<br />

theory, Three-needs theory, Goal-setting<br />

theory, Reinforcement theory, Equity theory<br />

and Expectancy theory. An understanding of<br />

each theory can evolve a combined strategy<br />

that can motivate the most difficult patients.<br />

All dentists want to motivate their patients, for example, to improve the<br />

oral hygiene, to proceed to a certain treatment or to wear a certain<br />

appliance. Besides, as an employer or team leader, dentists would like<br />

to motivate their employees, subordinates or team members. In other<br />

words, understanding motivation can be a half way to success. Motivation is the<br />

process by which a person’s efforts are energized, directed, and sustained<br />

towards attaining a goal. It is the result of an interaction between the person and<br />

a situation; it is not a personal trait. In this article we would like to explore the<br />

theories of motivation in an attempt to improve our effectiveness in motivating<br />

others. We start with early theories of motivation, and then the more<br />

contemporary ones.<br />

Early Theories of Motivation<br />

Three early theories of motivation, namely: Maslow’s Hierarchy of Needs;<br />

MacGregor’s Theories X and Y; Herzberg’s Two-Factor Theory provide the bestknown<br />

explanations for motivation, even though their validity has been<br />

questioned.<br />

Maslow’s hierarchy of needs theory<br />

This was developed by psychologist Abraham Maslow 1 . This theory states that<br />

there is a hierarchy of five human needs, from bottom to top: physiological (basic<br />

food, drink, water, shelter, and sexual needs); safety (security and protection<br />

from physical and emotional harm); social (affection, belongingness, acceptance,<br />

and friendship); esteem (internal factors such as self-respect, autonomy, and<br />

achievement, and external factors such as status, recognition, and attention);<br />

24 <strong>Dental</strong> <strong>Asia</strong> • May / June 2008

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