In the article the author sustains that attempts to measure "readiness to change" as a predictor of success or failure in psychotherapy are not warranted. Instead, attention ought to be directed to refining measurements of overall integrative functioning. The concept of motivation is useful if one looks in detail at the hierarchy of causes, from conscious to unconscious, from conflict-free to primitive, drive-determined forces, at any given stage of psychotherapy. Doing so will help to concretely distinguish between desires of experiencing continuosly both the real and the fantasy satisfactions offered by the psychotherapy, from the desire to create a real change within oneself. To describe such concepts, the main phases of an analytic therapy are reported.
Keywords: Motivation for Change; Psychoanalytic Treatment; Psychotherapy; Capacity to Change; Desire to Get Help; Diagnosis; Assessment.