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Author | Topic: The Stages Of Change | |||||||||||||||||||||||||
Phat Member Posts: 18348 From: Denver,Colorado USA Joined: Member Rating: 1.0 |
The Stages Of Change Model was developed by Psychologist James Prochaska when he was doing research on how smokers gave up their addictive habit (or not). Prochaska found six basic stages of change that everyone cycles through on the way to quitting an addiction and/or modifying a behavioral change.
The stages of change are:
Each stage is necessary and must be utilized in order to facilitate effective and lasting change. For example, one cannot move directly from a contemplative state to an action state without preparing to do so first. Another thing the researchers found is that relapse is a normal part of change, and that most folks cycle through these processes several times before making lasting changes in their lives. I would like to discuss this theory and the idea of overcoming addictions and addictive behavior.
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Adminnemooseus Administrator Posts: 3976 Joined: |
Can we just try to give the topic some action at Jar's site?
Adminnemooseus
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Phat Member Posts: 18348 From: Denver,Colorado USA Joined: Member Rating: 1.0 |
Cant I have the same topic both places? Most folks here dont visit there
Im getting quite educated about the science of addiction. Edited by Phat, : No reason given.
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Adminnemooseus Administrator Posts: 3976 Joined: |
Thread moved here from the Proposed New Topics forum.
For very minor amusement, see here and the following message. Adminnemooseus Edited by Adminnemooseus, : Add post-promotion message.
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New Cat's Eye Inactive Member |
Relapse (Returning to older behaviors and abandoning the new changes) Each stage is necessary and must be utilized in order to facilitate effective and lasting change.
Seriously!? You have to relapse in order to quit?
Another thing the researchers found is that relapse is a normal part of change, and that most folks cycle through these processes several times before making lasting changes in their lives. So... most folk, not all. I don't think that relapse is a necessity. Actually, I don't think that any of the stages are necessarily a necessity. Like, preparation. I know people who were smokers that just stopped buying them one day on a whim. They quit successfully without relapse and had no preparation. The idea is that if you don't have them, then you cannot smoke them. Over time, you'll eventually no longer be addicted. Another possibility is simple isolation. Take a full fledged smoker by surprise one day and lock them up alone for a year without cigarettes and after that they won't be addicted to nicotine anymore. No preparation, no relapse.
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Phat Member Posts: 18348 From: Denver,Colorado USA Joined: Member Rating: 1.0 |
Catholic Scientist writes: The people who can do this are a definite minority,according to the authors. They also found that people who moved directly from contemplation to action did in fact relapse much more often than people who did some preparation beforehand. The stages are a natural progression. Actually, I don't think that any of the stages are necessarily a necessity. Like, preparation. I know people who were smokers that just stopped buying them one day on a whim. They quit successfully without relapse and had no preparation.Catholic Scientist writes:
The research showed that people move through the stages in a circular fashion rather than just a linear progression. For most people, relapse (or at least a lapse) is common. If you are one of the fortunate few who can quit without awareness, support groups, or counseling...then more power to you! So... most folk, not all. I don't think that relapse is a necessity.Catholic Scientist writes: No. Nobody has to do anything..its just that clinical observation of thousands of people showed that most folks do. You have to relapse in order to quit? In pre-contemplation, folks don't even think they have a problem.In contemplation, folks realize that they have a problem but dont see it as a major problem. In preparation, folks know they have a problem that needs addressing and are preparing to tackle it. The research also touched on nine basic strategies that helped a person change their behavior. Processes Definition: Interventions
1. Consciousness raising ---Increasing information about self and problem: observations; confrontations; interpretations; bibliotherapy. 2. Self-reevaluation ---Assessing how one feels and thinks about oneself with respect to a problem: value clarification; imagery; corrective emotional experience. 3. Self-liberation ---Choosing and commitment to act or believe in ability to change: decision-making therapy; New Year's resolutions. 4. Counter-conditioning ---Substituting alternatives for problem anxiety related behaviors: relaxation; desensitization; assertion; positive self-statements. 5. Stimulus control ---Avoiding stimuli that elicit problem behaviors: adding stimuli that encourage alternative behaviors; restructuring one's environment (e.g., removing alcohol or fattening foods); avoiding high risk ques; fading techniques. 6. Contingency management ---Rewarding oneself or being rewarded by others for making changes: contingency contracts; overt and covert reinforcement; self-reward. 7. Helping relationships ---Being open and trusting about problems with someone who cares: therapeutic alliance; social support; self-help groups. 8. Dramatic relief ---Experiencing and expressing feelings about one's problems and solutions: psychodrama; grieving losses; role playing. 9. Environmental reevaluation ---Assessing how one's problems affects physical environment: empathy training; documentaries. 10. Social liberation ---Increasing alternatives for non-problem behaviors available in society: advocating for rights of repressed; empowering; policy interventions. 11. Interpersonal control ---Avoiding people or social situations that encourage problem behavior: seeking people or situations that encourage healthier behavior; restructuring social relationships (e.g., less socializing around food). 12. Medication---Use of prescribed or non prescribed substances directed at appetite (e.g., suppressants), metabolism (e.g., nicotine), or emotions (e.g., alcohol or anti-anxiety agents).
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iano Member (Idle past 1969 days) Posts: 6165 From: Co. Wicklow, Ireland. Joined: |
Phat writes: The Stages Of Change Model was developed by Psychologist James Prochaska when he was doing research on how smokers gave up their addictive habit (or not). An (apparently) non-Christian, chain-smoking Allen Carr stumbled (as if) upon Gods very own method of addiction breaking.
quote: Allen Carrs entry into this territory took the form of a slim volume and was entitled "The Easyway to Stop Smoking". And it was an easyway. Falling off a log easy. There was no willpower required, no struggling with the urge, no black misery, no pining away, no "just one drag" of a friends cigarette, no missing that [i]favorite one (after food, after a meeting, after love making, after ...) Shoot: you could even smoke like a chimney all the way through reading the feckin book /seminar / cd / dvd. Can't say fairer than that. At the end of the swift process you emerged a non-smoker - and one quite unlike those many non-smokers who spend the rest of their lives miserable and yearning for cigarettes. Allen Carr was no magician. He didn't rely on tricks or hypnosis or anything other than the rational beloved of EvC-ers. All he did was realise the truth about why people smoke. And he tells you what it is (if fairly plain, lowbrow language - which might prove problematic for the snobbish addicts would would suppose this all very complicated). And once you grasp the truth about why you smoke, you find yourself freed from it's clutches. It is trule a remarkable lesson to learn about truth - (indeed, I learned this lesson for the first time long before I became a Christian and it shook me. For it calibrated the "flavour" of truth for me. The non-absolutists were pissing against the wind from then on in as far as I was concerned.) Whatever, it's certainly a lot less complicated sounding than the above process (you'd read through the book in a couple of days). Sounds too good to be true? Well, lots of folk handled the copy handed down by my sister and they all gave up - me included. Millions others have too apparently, including testimony from the rich and famous. He even wrote a companion book "The Easyway to Control Alcohol". I gave it to a friend of mine who had drunk beyond his hearts desire for 32 years. A friend who started out on a life of all-day-long-hash-smoking at 18 years of age - so desparate was he to reduce his drink input. He read this book and 8 months later, he's still free of drink. He just needed to find out about the truth as to why he drank as he did. The truth, it seems, does still set free. Even after all these years.. As to giving up? As Allen Carr himself would say; "giving upplies that there is indeed something to give up. Something to deprive yourself of (which is sure to make you miserable - even if dry). Give up suggests that these drugs actually contribute something beneficial to your life. As if they are so precious. As anyone who is not addicted would tell you. Drugs preciousness is purely subjective. Precious only in the mind of their addicts. As for this?
5. Stimulus control ---Avoiding stimuli that elicit problem behaviors: adding stimuli that encourage alternative behaviors; restructuring one's environment (e.g., removing alcohol or fattening foods); avoiding high risk ques; fading techniques. 6. Contingency management ---Rewarding oneself or being rewarded by others for making changes: contingency contracts; overt and covert reinforcement; self-reward. As everyone who ever pined for (insert your fix of choice here) would say once deprived of access to it - even if self denied: (insert your expletive of choice here) Edited by iano, : No reason given. Edited by iano, : No reason given. Edited by iano, : No reason given. Edited by iano, : No reason given.
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New Cat's Eye Inactive Member |
The research showed that people move through the stages in a circular fashion rather than just a linear progression. For most people, relapse (or at least a lapse) is common. If you are one of the fortunate few who can quit without awareness, support groups, or counseling...then more power to you! Catholic Scientist writes: No. Nobody has to do anything..its just that clinical observation of thousands of people showed that most folks do. You have to relapse in order to quit? If all you are saying is that this method is a common and effective one, then I agree. What struck me in the OP was this:
quote: That's just not true.
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Phat Member Posts: 18348 From: Denver,Colorado USA Joined: Member Rating: 1.0 |
picky, picky! OK...I should have said most and not all! Let me ask you this: Are you one of the fortunate few who can quit any addiction cold turkey on the first try?
If so, you still invariably had to move through the stages of change. There was a period of time that your attitude towards your addiction was one of ambivalence.(contemplation) You then decided to do something about it. (preparation/determination) even though your time spent in this stage was brief...and again, the research shows that successful change requires counting the costs and making a plan to substitute desirable countering behaviors for the undesirable habit. You then quit the behavior. (Action) and have maintained it without relapse if you are part of the 15% who can do so.... Most of us experience relapse at least once. Thats just how life is. Edited by Phat, : title Edited by Phat, : No reason given.
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New Cat's Eye Inactive Member |
picky, picky! OK...I should have said most and not all! Yes, you should. It just reeks of the attitude that the 12 step program has where you have, I repeat have, to do certain things to advance. I just think its bogus. Effective? Sure. True? No. For example, the whole submitting to a higher power thing isn't necessarily a necessity. I just think its dumb to force people into things like that. The people I have known that went to rehab just "went through the motions". They were forced into the whole higher power things and just with along with a nod and a smile and said "yeah, "yeah " to the leaders so they could move on with the program. They were lying to the leaders because there was no point in resisting or arguing. They didn't believe it but they had to be there and they wanted out so they lied. I just think that is bad practice to have the program be like that where people aren't going to be honest about it.
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Phat Member Posts: 18348 From: Denver,Colorado USA Joined: Member Rating: 1.0 |
This isn't 12 step. Its the Stages Of Change Model.
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New Cat's Eye Inactive Member |
This isn't 12 step. Its the Stages Of Change Model. Yeah, but just like the 12 step, they're making things out to be necessities that really aren't. My position is that it is a bad practice to do that. Both belittle people into succumbing to the "Steps", the steps themselves, which themselves cost money to attend. "You can't quit on your own, you have to use the program that we are selling." I call bullshit. Granted, their program is effective. But they should NOT have to resort to "tricking" poeple into it. Edited by Catholic Scientist, : added the much needed "NOT"
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Phat Member Posts: 18348 From: Denver,Colorado USA Joined: Member Rating: 1.0 |
quote: CS writes: Yeah, but just like the 12 step, they're making things out to be necessities that really aren't. My position is that it is a bad practice to do that. Both belittle people into succumbing to the "Steps", the steps themselves, which themselves cost money to attend. "You can't quit on your own, you have to use the program that we are selling." OK, Buster. You like to argue for some vague reason, so I will oblige. First, 12 step programs are usually free. Nobody has to pay for anything. Second, your friends who laughed at the program were a perfect example of folks stuck in the precontemplation stage. They had no desire to change. They were only pretending because it was court ordered. We know that many court ordered programs are ineffective for this very reason. Third, as I said before, a minority of people can quit on their own. The Stages Of Change model was thoroughly researched. Thousands of people were observed, including the minority who could quit without programs. The research focused on how they did it. The stages of change are not "necessities that really aren't." They are the way the process works....be you in a program or be you quitting on your own.
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Artemis Entreri  Suspended Member (Idle past 4257 days) Posts: 1194 From: Northern Virginia Joined: |
Both belittle people into succumbing to the "Steps", the steps themselves, which themselves cost money to attend. "You can't quit on your own, you have to use the program that we are selling." I call bullshit.
not sure what you mean by 12 steps, but if you are refering to AA or NA then you are mistaken. both of those are free. Edited by Artemis Entreri, : No reason given.
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Phat Member Posts: 18348 From: Denver,Colorado USA Joined: Member Rating: 1.0 |
I continue to learn more and more about this stuff.....
Lets discuss some questions. 1) Why is the relapse rate so high in these types of programs? Some would argue that it proves that the program itself is ineffective.I would argue, however, that the process of change costs a lot emotionally and that an individual who spent many years forming addictive patterns and behaviors cannot in most cases simply will themselves to stop without some sort of strategy in place. Relapse occurs precisely because addictions serve as painkillers and allow us to avoid facing the issues within us that need to be unraveled and understood by our adult selves.
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