“…With a few exceptions in previous decades (e.g., Engel & Wilms, 1986), since the 1990s, the interest in motivational dynamics has increased exponentially, presumably because most clinicians and researchers agree with the contention that motivational deficits are pervasive among ED patients (Geller, 2002a;Mizes, 1998;Orimoto & Vitousek, 1992;Touyz, Thornton, Rieger, George, & Beumont, 2003;Vitousek, 2002;Vitousek, Watson, & Wilson, 1998). This increasing interest followed a general trend in the last decade during which motivational issues captured the attention of various researchers in a variety of clinically domains, such as substance use disorders and sexual offenses (Drieschner, Lammers, & van der Staak, in press;Tierney & McCabe, 2002).…”