motivation and physiotherapy

One of the major things which is a factor in a patient's recovery is a deep rooted ability to motivate themself. What I am talking about here is the fact that some patients seem to lack the ability to aim towards a goal and then keep going until they have achieved it. Presumably all patients have some motivation to get over a health problem otherwise they would not have comsulted in the first place. What some seem to lack despite encouragement, explanation and persuasion is the ability to help themselves. This will be associated with an endless number of barriers and excuses as to why they cannot make the necessary changes which will help their health improve. The bottom line is that they have an outlook which is very similar to a young child who on the one hand wants something but lack the emotional maturity to understand the requiremets on themself to gain what they desire. For these emotionally immature individuals the greatest attraction in physical therapy is the "passive quick fix" where all they have to do is lie there and the clinician will solve the problem but rarely are they able to become an active paticipant because this would require them to accept responsibility for the health problem rather than blaming it on someone or something else.