In Search of How People Change

Only available on StudyMode
  • Download(s) : 83
  • Published : December 3, 2010
Open Document
Text Preview
How people intentionally change addictive behaviors with
and without treatment is not well understood by behavioral
scientists. This article summarizes research on self-initiated and professionally facilitated change of addictive
behaviors using the key transtheoretical constructs of
stages and processes of change. Modification of addictive
behaviors involves progression through five stages—precontemplation, contemplation, preparation, action, and
maintenance—and individuals typically recycle through
these stages several times before termination of the addiction. Multiple studies provide strong support for these
stages as well as for a finite and common set of change
processes used to progress through the stages. Research
to date supports a transtheoretical model of change that
systematically integrates the stages with processes of
change from diverse theories of psychotherapy.

REFERENCES
Abrams, D. B., Follicle, M. J., & Biener, L. (1988, November). Individual versus group self-help smoking cessation at the workplace: Initial impact and 12-month outcomes. In T. Glynn (Chair), Four National

Cancer Institute-funded self-help smoking cessation trials: Interim results and emerging patterns. Symposium conducted at the annual
meeting of the Association for the Advancement of Behavior Therapy, New York.
Beitman, B. D. (1986). The structure of individual psychotherapy. New York: Guilford Press.
Benjamin, A. (1987). The helping interview. Boston: Houghton Mifflin. Beutler, L. E., & Clarkin, J. F. (1990). Systematic treatment selection. New York: Brunner/Mazel.
Brownell, K. D., Marlatt, G. A., Lichtenstein, E., & Wilson G. T. (1986). Understanding and preventing relapse. American Psychologist, 41, 765-782.
Cashdan, S. (1973). Interactional psychotherapy: Stages and strategies in behavioral change. New York: Grune & Stratton.
Cohen, S., Lichtenstein, E., Prochaska, J. Q, Rossi, J. S., Gritz, E. R., Carr, C. R., Orleans, C. X, Schoenbach, V. J., Biener, L., Abrams, D., DiClemente, C. G, Curry, S., Marlatt, G. A., Cummings, K. M., Emont, S. L., Giovino, G., & Ossip-Klein, D. (1989). Debunking myths about self-quitting: Evidence from 10 prospective studies of persons quitting smoking by themselves. American Psychologist, 44, 1355— ',365.

DiClemente, C. C. (1991). Motivational interviewing and the stages of change. In W. R. Miller & S. Rollnick (Eds.), Motivational interviewing: Preparing people for change (pp. 191 -202). New York: Guilford Press. DiClemente, C. C, & Hughes, S. L. (1990). Stages of change profiles in alcoholism treatment. Journal of Substance Abuse, 2, 217-235. DiClemente, 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 Behaviors, 7, 133-142.

DiClemente, C. C, & Prochaska, J. O. (1985). Processes and stages of change: Coping and competence in smoking behavior change. In S. Shiffman & T. A. Wills (Eds.), Coping and substance abuse (pp. 319- 343). San Diego, CA: Academic Press.

DiClemente, C. C, Prochaska, J. O., Fairhurst, S. K., Velicer, W. F., Velasquez, M. M., & Rossi, J. S. (1991). The process of smoking cessation: An analysis of precontemplation, contemplation, and preparation stages of change. Journal of Consulting and Clinical Psychology, 59, 295-304.

DiClemente, C. C, Prochaska, J. Q, & Gilbertini, M. (1985). Self-efficacy and the stages of self-change of smoking. Cognitive Therapy and Research, 9, 181-200.
Donovan, D. M., & Marlatt, G. A. (Eds.). (1988). Assessment of addictive behaviors: Behavioral, cognitive, and physiological procedures. New York: Guilford Press.
Dryden, W. (1986). Eclectic psychotherapies: A critique of leading approaches. In J. C. Norcross (Ed.), Handbook of eclectic psychotherapy. New York: Brunner/Mazel.
Egan, G. (1975). The skilled helper: A model for systematic helping and interpersonal relating. Monterey, CA: Brooks/Cole.
Ershoff, D. H., Mullen,...
tracking img