Stages of Change

Action - stimulus control

client takes steps to remove "any stimuli associated with the problem behavior and replace it with prompts to participate in healthy behaviors." E.g. restructure environment, self-help groups, avoidance.

Relapse

fall back into old patterns of behavior.

Preparation

intent upon taking action

Precontemplation

no intention of changing behavior.

Maintenance

sustained change, new behavior replaces old

Action

active modification of behavior.

Contemplation

aware that a problem exists, but there is no commitment to change.

Maintenance - self-efficacy

bandura's work on self-efficacy has taught us that how a person perceives his or her abilities is a big predictor of success.

Comtemplation - self reevaluation

Client explores thoughts and feelings about his or her self image without the problem behavior. E.g. value clarification, healthy role models, correct cognitive distortions, imagery.

Precontemplation-dramatic relief

Client needs to identify, experience, and express feelings of related to the problem behavior, e.g. life events, role-playing.`

Precontemplation-raise consciousness

Client will need to increase awareness of the problem by negative consequences, causes, and curses of the problem. Counselors can increase awareness by feedback, education, confrontation, and interpretation.

What are the 5 stages of change?

Precontemplation, contemplation, preparation, action, maintenance, and relapse.

Precontemplation-environmental reevaluation

Process whereby the client begins to assess "how the presence or absence of problem behavior affects his or her social environment." E.g. Explore how other people may view them, increase empathy training, documentaries, family interventions.

Preparation - self-liberation

The client believes he or she can change and begins to take steps to make this change happen. E.g. new years resolution, public testimonies, logo therapy techniques, commitment enhancement techniques.

Action - contingency managment

client receives consequences for engaging in the problem behavior. Rewards are abstaining, e.g. reinforcements, group recognition, self-reward.