A MOTIVATIONAL APPROACH TO CONFIRMATION - AN INTERPRETATION OF DYSPHAGIC PATIENTS EXPERIENCES

In this paper we articulate confirmation and disconfirmation as compon ents in human motivation. We develop a theory of motivation on the bas is of a model of human action and we explore aspects of confirmation a nd disconfirmation in the context of the meeting of dysphagic patients with their physicians. We distinguish four central elements in confir mation and disconfirmation and use these and the relations between the m for the purpose of constructing a typology. Finally, on the basis of the results obtained we interpret a small volume of remarks reflectin g the meaning field of some dysphagic patients in relation to their ph ysicians. The underlying motive is to develop tools for understanding health care processes. The ''SAUC-Confirmation-Model'' and the theoret ical framework in which it is embedded should be seen from that point of view.