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.