THE FIVE STAGES OF CHANGE
James Prochaska and Carlo Diclemente (1982) developed a model of change. The authors contend that it is quite normal for people to require several trips through the five stages to make lasting change. So in this sense relapse is viewed as a normal part of the change process, as opposed to a complete failure.
- PRECONTEMPLATION STAGE. We enter the stages of change from a state of precontemplation-- during which the idea of change is not seriously considered.
- CONTEMPLATIVE STAGE Secondly we contemplate the need for change; but take no active steps. see Miller and Rollnick (1991)
- DETERMINATION STAGE Thirdly we determine to take action. eg we buy walking shoes, join a gym or discover a local swimming pool, but we take no action.
- ACTION STAGE Then action is initiated. We walk regularly; go to that gym, have eggs instead of muesli for breakfast ......
- MAINTENANCE STAGE Finally the action is maintained for several weeks. But most having maintained the change, whether in diet, smoking habit, exercise or whatever, will sooner or later fail and revert to the first or second stage. Then comes the verdict that is most helpful; namely TO FAIL IS NORMAL!!! Next comes the best advice I have found; we should not engage in self recrimination but instead DISCOVER WHY WE FAILED
TRANSTHEORETICAL MODEL/STAGES OF CHANGE by James 0. Prochaska, Ph.D. & Carlo C. DiClemente, Ph.D. as published on the internet by the University of South Florida. James 0. Prochaska, Ph.D. is the Director of the Cancer Prevention Research Consortium and Professor of Clinical and Health Psychology at the University of Rhode Island. He received his Ph.D. in Clinical Psychology in 1969 at Wayne State University. Carlo DiClemente, Ph.D. is Chair and Professor of Psychology at the University of Maryland Baltimore County since 8/95. He is the co-developer of the Transtheoretical Model Dr. Prochaska started. He received his Ph.D. in Clinical Psychology from the University of Rhode Island in 1978. He had his Postdoctoral Fellowship in Houston. Texas in 1979. http://www.med.usf.edu/~kmbrown/Stages_of_Change_Overview.htm
Viz :- med.usf.edu/~kmbrown/Stages_of_Change_Overview.htm
DiClemenet, C.C., & Prochaska, J.O. (1982). Self change and therapy change of smoking behavior: A comparison of processes of change in cessation and maintenance. Addictive Behavior. &: 133-142.
Miller, W.R., & Rollnick, S. (1991). Motivational Interviewing: Preparing People to Change Addictive Behavior. New York: Guilford Publications.
Prochaska, J.O. & DiClemente, C.C. (1982) Transtheoretical therapy: Toward a more integrative model of change. Pscychotherapy: theory, research and practice, 19: 276-288.
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