Prochaska in search of how people change

For example, did you set yourself short-term and longer-term goals? Top of page Identifying the stage of change Case study - Sarah, James, Sammie and Gracie Sarah is a year-old girl who has been using speed for about two years. She uses speed intravenously, having originally snorted it for the first 12 months.


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On assessment, Sarah tells you that she has been trying to cut down on her speed use and has even had a period of two weeks where she didn't use it. She appears to be 'speeding' when you meet with her.

Understanding Health-Related Behavior

James is a year-old boy who smokes cannabis and tobacco. On assessment of his cannabis use, he states that he can 'take it or leave it'. He tends to smoke with friends on the weekend.

Prochaska,DiClemente, & Norcross, 1992

James smokes cigarettes whenever he can afford them. He also drinks alcohol to the point where he 'blacks-out' about once a month. Sammie is an year-old male who has been using heroin for about three years. He smokes heroin on a daily basis and also takes Valium or Normison if he can't get any heroin.

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Sammie has been caught breaking and entering on a number of occasions. His family are very worried about his drug use and the trouble he is in. Sammie has no desire to detox from heroin use. He states 'It's a hassle sometimes, but at least I don't inject it'.

James tweakcampbrid.tkska - Google Scholar Citations

Gracie is a year-old female who is involved in a Drug Court program. She has a history of poly-drug use and has worked as a sex worker. Gracie has been trying to stay off cocaine and speed. She continues to drink heavily a couple of times a week and also takes street benzos as she says this helps her to sleep. Gracie's latest urinalysis reveals cannabis, benzodiazepines and amphetamines. She is pretty worried that she will be taken off the Drug Court Program and she states she really wants to stay out of trouble.

Question - Which stage of readiness for change seems to fit each young person? Answer - Write your answer, then check the possible answers page. Comments will be used to improve web content and will not be responded to.

The five stages of change

Thank you for taking the time to provide feedback. It will be used to make improvements to this website. Table of contents Section A.

Section B. Topic 2: Introduction to AOD interventions. Topic 3: Understanding change.

In search of how people change. Applications to addictive behaviors.

Topic 4: Motivational interviewing. Topic 5: Some motivational interviewing techniques for working with young people. Topic 6: Brief interventions. Topic 7: Working with young people to determine a plan of action. Feedback Provide feedback If you would like a response please complete our enquiries form. Comments Comments will be used to improve web content and will not be responded to. Enter the second , fifth and last digits of CrossRef Google Scholar. Brownell, K. Understanding and preventing relapse.

American Psychologist , 41 , — DiClemente, C. Self-efficacy and smoking cessation maintenance: A preliminary report. Cognitive Therapy and Research , 5 , — Self-change and therapy change of smoking behavior: A comparison of processes of change in cessation and maintenance. Addictive Behaviors , 7 , — Self-efficacy and the stages of self-change of smoking. Cognitive Therapy and Research , 9 , — Donovan, D. New York: Guilford Press.

In Search of the Structure of Change

Ershoff, D. Self-help interventions for smoking cessation with pregnant women. Goldfried, M. Toward the delineation of therapeutic change principles. American Psychologist , 35 , — Coverging themes in psychotherapy. New York: Springer. Janis, I. Decision making: A psychological analysis of conflict , choice , and commitment. New York: Free Press. Lam, C. Deficit awareness and treatment performance among traumatic head injury adults.

Brain Injury , 2 , — Marlatt, G. Relapse Prevention: A self-control strategy for the maintenance of behavior change. Medieros, M. Messer, S. Eclecticism in psychotherapy: Underlying assumptions, problems, and tradeoffs.

Stages of Change in Financial Counseling

Norcross Ed. Norcross, J. Handbook of Eclectic Psychotherapy. Psychotherapist heal thyself-I. The psychological distress and self-change of psychologists, counselors, and laypersons.

Psychotherapy , 23 , — Psychotherapist heal thyself-II. The self-initiated and therapy facilitated change of psychological distress. Psychotherapy , 23, — Ockene, J. Orleans, C. Health promotion in primary care: A survey of U. Effectiveness of self-help quit smoking strategies. Penny, D. Prochaska, J. Systems of Psychotherapy: A transtheoretical analysis. Chicago: Dorsey Press.

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