Prochaska’s Model Flashcards
who proposed the six stage model
Prochaska and DiClemente (1983) explains the stages people go through to change their behaviour.
suggest a six-stage model in which overcoming addiction is a cyclical process.
what is the model based on
two insights
1) People differ in how ready they are to change their behaviour.
2) The usefulness of a treatment intervention depends on the stage the person is currently in.
what is stage 1
Precontemplation - people are not thinking about changing their addiction-related behaviour within the next six months.
due to denial or demotivation
Intervention focus on helping the addicted person to consider the need for change.
what is stage 2
Contemplation - thinking about making a change to their behaviour in the next six months
aware of both the benefits of change and the costs
Intervention at stage 2 should focus on helping the person see that the pros outweigh the cons.
what is stage 3
Preparation - the individual believes the benefits are greater than the costs and decides to make a change within the next month.
But they don’t know exactly to do this.
Intervention in stage 3 is support in constructing a plan (e.g. make a GP appointment, call a helpline).
what is stage 4
Action - done something to change their addictive behaviour in the last six months
intervention focus on developing the coping skills the client will need to quit.
what is stage 5
Maintenance - the person has maintained some behaviour change for more than six months.
intervention should focus on relapse prevention by encouraging application of coping skills and offering support.
what is stage 6
Termination - abstinence is automatic and the person no longer returns to addictive behaviours to cope with anxiety, stress, or loneliness.
may not be realistic for everyone to reach this point.
No intervention is required at this stage.
