The first reaction of other people to persistent negative behaviours is to restrict or eliminate the supplies they used and contain the person. The person is to blame for any negative consequences. Their lack of insight and inability to learn from errors can be quite disruptive, and it does test anyone's patience. The maximum use of this approach is to be locked-up in an isolated room for weeks, which is currently used in US jails. The core attitude that willpower and blaming develop is mean and adversarial when taken to the extreme.
In health care facilities where staff members have used motivation as an explanation for noncompliance with treatment methods, replacing will not do with can do is a revolutionary attitude change that takes about a year. Formal teaching and persistent, daily conversations are needed.
Compassionate assistance is needed from staff members because the person shares a universal need for dignity and a special need for respect for their value as a human being. Within ACL 5.0, people are vulnerable because they are unable to pay attention to and correct many of the mistakes they make.