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Effective Behavior Therapy: Motivational Interviewing

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Effective Behavior Therapy: Motivational Interviewing
Cognitive behavior therapy (CBT) is the same as Motivational interviewing (MI) ,one intervention recommended in recognized guidelines for smoking cessation in the United States. While MI is considered to be effective for those who do not want to quit smoking; CBT is considered to be effective for those who cannot but want to quit smoking, those who repeatedly quit and re-smoke, those who are depressed, and women who are concerned about their weight (Kawai et al., 2013).
In case of Conor, he shows will and motivation to quit smoking like his health that shows signs of being afected by smoking and his girlfriend’s complaints, and also strong relapse factors such as his band colleagues. Assuming that Conor did manage to quit smoking, and is
…show more content…
Their transtheoretical model of behaviour change (the 'Stages of Change ') describes readiness to change as a dynamic process, in which the pros and cons of changing generates ambivalence. Ambivalence is a conflicted state where opposing attitudes or feelings coexist in an individual; they are stuck between simultaneously wanting to change and not wanting to change, which is the case of Conor. Ambivalence is particularly evident in situations where there is conflict between an immediate reward and longer term adverse consequences (eg. substance abuse, weight management) (Prochaska & DiClemente, 1986). The change process is modeled in five parts as a progression from an initial precontemplative stage, where the individual is not considering change; to a contemplative stage, where the individual is actively ambivalent about change; to preparation, where the individual begins to plan and commit to change. Successful progression through these stages leads to action, where the necessary steps to achieve change are undertaken. If successful, action leads to the final stage, maintenance, where the person works to maintain and sustain long term change (Prochaska & Velasquez, 2002). Relapse is considered an important stage in the change process and is used as an opportunity to learn about sustaining maintenance in the …show more content…
F. (2014). Substance abuse and addiction treatment: Practical application of counseling theory. Upper Saddle River, NJ: Pearson. ISBN: 9780132542654.
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Publishing.
Center for Substance Abuse Treatment. Substance Abuse Treatment for Persons With Co-Occurring Disorders. Rockville (MD): Substance Abuse and Mental Health Services Administration (US); 2005. (Treatment Improvement Protocol (TIP) Series, No. 42.) Available from: http://www.ncbi.nlm.nih.gov/books/NBK64197/
Kawai A, Kano M, Sato T. (2013).Motivational interviewing and cognitive behavior therapy for smoking cessation.Nihon Rinsho. 71(3):493-8.
Prochaska J, DiClemente C. (1986).Towards a comprehensive model of change. In: Miller WR, Heather N, editors. Treating addictive behaviours: processes of change. New York: Pergamon.
DiClemente C, Velasquez M. (2002). Motivational interviewing and the stages of change. In: Miller WR, Rollnick S, editors. Motivational interviewing, second edition: Preparing people for change. New York: The Guilford

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