Abstract
In this article it is argued that people behave unhealthily or change their unhealthy behaviour, not primarily out of the wish to be healthy, but to feel good and positive about themselves. First it is explained that people continue to perform their health-related behaviours because they feel the need to be self-consistent. Second, it is demonstrated that people are motivated to reduce the self-threat which occurs when they are confronted with the negative health consequences of their own behaviour. People engage in self-maintenance strategies, which may reduce self-threat without the need to change risk behaviour. Next to the wish to feel good about the self and to be self-consistent over time, people are motivated to develop and enhance the self. Mechanisms by which people seek self-improvement are feedback from observing others and through enactive learning. In addition, people adapt their health-related behaviour in response to contextual stimuli in order to preserve or enhance their self. In conclusion, it is demonstrated that most instances of irrationality are related to silent preverbal motives to enhance or preserve a positive self, whether this has healthy or unhealthy consequences. The implications for health promotion interventions are discussed. (Netherlands Journal of Psychology, 62, 42-50.)
Similar content being viewed by others
References
Ajzen, I. (1991). The theory of planned behavior. Organizational Behavior and Human Decision Processes, 50, 179-211.
Albarracin, D., Johnson, B.T., Fishbein, M., & Muellerleile, P.A. (2001). Theories of reasoned action and planned behavior as models of condom use: A meta-analysis. Psychological Bulletin, 127, 142-161.
Alberts, H., Martijn, C., & de Vries, N. (2005). Carrying on or giving in: The role of (implicit) cognition in self-control. Psychology & Health, 20, 12-13.
Alderfer, C. (1972). Existence, relatedness, & growth. New York: Free Press.
Andersen, B.L., & Cyranowski, J.M. (1994). Womens sexual self-schema. Journal of Personality and Social Psychology, 67, 1079-1100.
Bandura. (1997). Self-efficacy: The exercise of control. New York, NY: Freeman.
Bandura, A. (1986). Social foundations of thought and action: A social cognitive theory. Englewood Cliffs, NJ: Prentice-Hall.
Bem, D.J. (1972) Self-perception theory. In L. Berkowitz (Ed.), Advances in Experimental Social Psychology, (Vol. 6. pp. 1-62). New York, NY: Academic Press.
Blanton, H., Gibbons, F.X., Gerrard, M., Conger, K.J., & Smith, G.E. (1997). Role of family and peers in the development of prototypes associated with substance use. Journal of Family Psychology, 11, 271-288.
Blanton, H., VandenEijnden, R., Buunk, B.P., Gibbons, F.X., Gerrard, M., & Bakker, A. (2001). Accentuate the negative: Social images in the prediction and promotion of condom use. Journal of Applied Social Psychology, 31, 274-295.
Brunstein, J.C., & Gollwitzer, P.M. (1996). Effects of failure on subsequent performance: The importance of self-defining goals. Journal of Personality and Social Psychology, 70, 395-407.
Buunk, B.P., & Gibbons, F.X. (1997). Health, coping, and well-being: Perspectives from social comparison theory. Mahwah, NJ: Maybaum.
Carver, C.S., Lawrence, J.W., & Scheier, M.F. (1999). Self-discrepancies and affect: Incorporating the role of feared selves. Personality and Social Psychology Bulletin, 25, 783-792.
Custers, R. & Aarts, H. (2005). Beyond priming effects: The role of positive affect and discrepancies in implicit processes of motivation and goal pursuit. European Review of Social Psychology, 16, 257-300.
Deci, E.L., & Ryan, R.M. (2000). The ‘what’ and ‘why’ of goal pursuits: Human needs and the self-determination of behavior. Psychological Inquiry, 11, 227-268.
Eagly, A.H., & Chaicken, S. (1993). The psychology of attitudes. Fort Worth: Harcourt Brace Jovanovich, Inc.
Festinger, L. (1957) A theory of cognitive dissonance, Stanford, CA: Stanford University Press
Forgas, J.P. (2000). Feeling and thinking: Affective influences on social cognition. New York, NY: Cambridge University Press.
Gaertner, L., Sedikides, C., Vevea, J.L., & Iuzzini, J. (2002). The ‘I’ the ‘we,’ and the ‘when’: A meta-analysis of motivational primacy in self-definition. Journal Of Personality and Social Psychology, 83, 574-591.
Gebhardt, W.A., Kuyper, L., & Greunsven, G. (2003). Need for intimacy in relationships and motives for sex as determinants of adolescent condom use. Journal of Adolescent Health, 33, 154-164.
Gerrard, M., Gibbons, F.X., Brody, G.H., McBride Murry, V., Cleveland, M.J., & Wills, T.A. (in press). A theory-based dual focus alcohol intervention for pre-adolescents: the strong African American families program. Psychology of Addictive Behaviors.
Gerrard, M., Gibbons, F. X., Lane, D. J., & Stock, M. L. (2005). Smoking cessation: Social comparison level predicts success for adult smokers. Health Psychology, 24, 623-629.
Gerrard, M., Gibbons, F.X., Reis-Bergan, M., Trudeau, L., Vande Lune, L.S., & Buunk, B. (2002). Inhibitory effects of drinker and nondrinker prototypes on adolescent alcohol consumption. Health Psychology, 21, 601-609.
Gibbons, F.X., & Buunk, B.P. (1999). Individual differences in social comparison: Development of a scale of social comparison orientation. Journal of Personality and Social Psychology, 76, 129-142.
Gibbons, F.X., Gerrard, M., & Lane, D. J. (2003). A social reaction model of adolescent health risk. In J. Suls & K. A. Wallston (Eds.), Social Psychological Foundations of Health and Illness (pp. 107-136). Malden, MA: Blackwell Publishing.
Green, J.D., Pinter, B., & Sedikides, C. (2005). Mnemic neglect and self-threat: Trait modifiability moderates self-protection. European Journal of Social Psychology, 35, 225-235.
Higgins, E.T. (1987). Self-discrepancy - a theory relating self and affect. Psychological Review, 94, 319-340.
Hooker, K., & Kaus, C.R. (1994). Health-related possible selves in young and middle adulthood. Psychology And Aging, 9, 126-133.
Janz, N.K., & Becker, M.H. (1984). The health belief model: a decade later. Health Education Quarterly, 11, 74-96.
Kendzierski, D., & Costello, M. C. (2004). Healthy eating self-schema and nutrition Behavior. Journal of Applied Social Psychology, 34, 2437-2451.
Liberman, A., & Chaiken, S. (1992). Defensive processing of personally relevant health messages. Personality and Social Psychology Bulletin, 18, 669-679.
Lockwood, P., Jordan, C. H., & Kunda, Z. (2002). Motivation by positive or negative role models: Regulatory focus determines who will best inspire us. Journal of Personality and Social Psychology, 83, 854-864.
Lockwood, P., Wong, C., McShane, K., & Dolderman, D. (2005). The impact of positive and negative fitness exemplars on motivation. Basic and Applied Social Psychology, 27, 1-13.
Markus, H., & Nurius, P. (1986). Possible selves. American Psychologist, 41, 954-969.
Markus, H., & Ruvolo, A. (1989). Possible selves: Personalized representations of goals. In L. A. Pervin (Ed.), Goal concepts in personality and social psychology (pp. 211–241). Hillsdale, NJ: Erlbaum.
Markus, H., & Wurf, E. (1987). The dynamic self-concept - a social psychological perspective. Annual Review of Psychology, 38, 299-337.
Maslow, A.H. (1954). The instinctoid nature of basic needs. Journal of Personality, 22, 326-347.
Oettingen, G., & Mayer, D. (2002). The motivating function of thinking about the future: Expectations versus fantasies. Journal of Personality and Social Psychology, 83, 1198-1212.
Ouellette, J.A., Hessling, R., Gibbons, F.X., Reis-Bergan, M., & Gerrard, M. (2005). Using images to increase exercise behavior: Prototypes versus possible selves. Personality and Social Psychology Bulletin, 31, 610-620.
Richard, R., van der Pligt, J., & de Vries, N. (1996). Anticipated affect and behavioral choice. Basic and Applied Social Psychology, 18, 111-129.
Rivis, A., & Sheeran, P. (2003). Social influences and the theory of planned behaviour: Evidence for a direct relationship between prototypes and young people's exercise behaviour. Psychology & Health, 18, 567-583.
Rogers, R.W. (1983). Cognitive and physiological processes and attitude change: A revised theory of protection motivation. In J.T. Cacioppo & R.E. Petty (Eds.), Social psychophysiology: A sourcebook (pp. 153-176). New York: Guilford Press.
Sanna, L.J. (1997). Self-efficacy and counterfactual thinking: Up a creek with and without a paddle. Personality and Social Psychology Bulletin, 23, 654-666.
Sanna L.J., Chang E.C., & Meier S. (2001). Counterfactual thinking and self-motives. Personality and Social Psychology Bulletin, 27, 1023-1034
Sedikides, C., Gaertner, L., & Toguchi, Y. (2003). Pancultural self-enhancement. Journal of Personality and Social Psychology, 84, 60-79.
Sedikides, C., Gaertner, L., & Vevea, J. L. (2005). Pancultural self-enhancement reloaded: A meta-analytic reply to Heine (2005). Journal of Personality and Social Psychology, 89, 539-551.
Shahar, G., Henrich, C.C., Blatt, S.J., Ryan, R., & Little, T.D. (2003). Interpersonal relatedness, self-definition, and their motivational orientation during adolescence: A theoretical and empirical integration. Developmental Psychology, 39, 470-483.
Sheeran, P., Aarts, H., Custers, R., Rivis, A., Webb, T.L., & Cooke, R. (2005). The goal dependent automaticity of drinking habits. British Journal of Social Psychology, 44, 47-63.
Sherman, D.A.K., Nelson, L.D., Steele, C. M. (2000). Do messages about health risks threaten the self? Increasing the acceptance of threatening health information vai self-affirmation. Personality and Social Psychology Bulletin, 26, 1046-1058.
Simons, J.S., Christopher, M.S., & McLaury, A. E. (2004). Personal strivings, binge drinking, and alcohol-related problems. Addictive Behaviors, 29, 773-779.
Sparks, P., & Shepherd, R. (1992). Self-identity and the theory of planned behavior - assessing the role of identification with green consumerism. Social Psychology Quarterly, 55, 388-399.
Steele, C.M. (1988). The psychology of self-affirmation: Sustaining the integrity of the self. In L. Berkowitz (Ed.), Advances in Experimental Social Psychology (Vol. 21, pp. 261-302). San Diego, CA: Academic Press.
Stein, K.F., Roeser, R., & Markus, H. R. (1998). Self-schemas and possible selves as predictors and outcomes of risky behaviors in adolescents. Nursing Research, 47, 96-106.
Tesser, A., Stapel, D.A., & Wood, J. W. (2002). Self and motivation: Emerging psychological perspectives. Washington, DC: APA.
Van Kesteren, N.M.C., Hospers, H.J., Van Empelen, P., Van Breukelen, G., & Kok, G. (2005). Sexual-decision making in HIV-positive men who have sex with men: How moral concerns and sexual motives guide intended condom use with steady and casual sex partners. Manuscript submitted for publication.
Verplanken, B., & Holland, R. W. (2002). Motivated decision making: Effects of activation and self-centrality of values on choices and behavior. Journal of Personality and Social Psychology, 82, 434-447.
Weinstein, N.D. (1980). Unrealistic optimism about future life events. Journal of Personality and Social Psychology, 39, 806-820.
Wicklund, R.A., & Gollwitzer, P. M. (1982). Symbolic self-completion. Hillsdale, N J: Erlbaum.
White, K.M., Terry, D. J., & Hogg, D.A. (1994). Safer sex behavior - The role of attitudes, norms, and control factors. Journal of Applied Social Psychology, 24, 2164-2192.
Wills, T.A. (1981). Downward comparison principles in social-psychology. Psychological Bulletin, 90, 245-271.
Witte, K. (1992). Putting the fear back into fear appeals: The extended parallel process model. Communication Monograhps, 59, 329-349.
Wood, J.V. (1989). Theory and research concerning social comparisons of personal attributes. Psychological Bulletin, 106, 231-248.
Wood, J.V., Taylor, S.E., & Lichtman, R. R. (1985). Social-comparison in adjustment to breast-cancer. Journal of Personality and Social Psychology, 49, 1169-1183.
Author information
Authors and Affiliations
Additional information
* Department of Clinical and Health Psychology, Leiden University, Leiden
** Department of Social and Organisational Psychology, University of Groningen, Groningen
Correspondence to: Pepijn van Empelen, Department of Clinical and Health Psychology, Leiden University, PO Box 9555, NL 2300 RB Leiden. E-mail: P.vanEmpelen@fsw.LeidenUniv.nl
Submitted 3 April 2006; revision accepted 8 June 2006.
Rights and permissions
About this article
Cite this article
van Empelen, P., Gebhardt, W.A. & Dijkstra, A. The silent need for a positive self: why physical health is not the central human motive in unhealthy and healthy behaviours. NEJP 62, 41–50 (2006). https://doi.org/10.1007/BF03061050
Issue Date:
DOI: https://doi.org/10.1007/BF03061050