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Stages of Change
Stages of Change [1]
- Pre-contemplation (resisting change)
- How to Recognize: Avoiding the subject, ill-informed, defense mechanisms: denial (I don’t have a problem), rationalization (making excuses), intellectualization (avoids engaging emotionally), projection (others have the problem), displacement (blame on other people)
- How to Move on: think about subject, become well informed, take responsibility, become aware of defenses, coping: concentrate on problem, proper logical analysis, empathy, sublimation.
- Contemplation (change on the horizon)
- How to Recognize: seriously thinking about doing something, may procrastinate about change, may insist on perfect solution before acting
- How to Move on: get emotional arousal, vividly imagine problem and bad effects it has, make decision using rational decision making process (pros/cons).
- Preparation (getting ready)
- How to Recognize: have decided on action, making steps necessary to prepare for action
- How to Move on: commit to change, counter anxiety by taking small steps, setting a time frame, telling people about your decision and making an action plan
- Action (time to move)
- How to Recognize: taking first steps required for change
- How to Move on: find healthy responses to cope with the benefits of the problem (e.g. if smoking reduces anxiety, find other ways to reduce anxiety), exercise, relax, control your environment
- Maintenance (staying there)
- How to Recognize: this stage is entered after several months of action
- How to Move on: look out for social pressures, internal challenges, review list of negative aspects of problem regularly, avoid people/places that compromise change, make crisis card to help deal with occasions when tempted
- Termination (if no relapse) or Recycling (learning from relapse)
- How to Recognize: New self image, no temptation OR relapse
- How to Move on: relapse is taking two steps forward, one step back. Learn the lessons of relapse: most people need more than one attempt, budget more time/energy/money, be prepared for complications, be aware of small decisions leading to large ones, be aware that distress precipitates relapse
[1] Prochaska et al. http://www.timlebon.com/stagesofchangemodelprochaska.html
Emotion Wheel by Geoffrey Roberts
