AssessmentandTreatmentofAddictiveBehaviors：成瘾行为的评估和治疗.pptVIP

Assessment and Treatment of Addictive Behaviors Lecture 6 Change and Functional Analysis Transtheoretical Model of Change Founders James Prochaska Carlo DiClemente Origin 1979 Systems of Psychotherapy: A Transtheoretical Analysis published in 1979 Factors leading to its development Called trans-theoretical model because it brings together over 18 different forms of psychotherapy Eclectic in nature Instead of finding separate change processes in each of the 18 leading systems of therapy, only 10 processes of change (the mechanisms people use) were identified Process were at both the level of the individual and the environment 10 Processes (1-2) Consciousness Raising? Efforts by the individual to seek new information and to gain understanding and feed-back about the problem behavior / observations, confrontations, interpretations, bibliotherapy. I recall information people had given me on how to stop smoking Self-Reevaluation Emotional/cognitive reappraisal of values with respect to the problem behavior/value clarification, imagery, corrective emotional experience. Binging to maintain my weight makes me feel disappointed in myself 10 Processes (3-4) Environmental Reevaluation ? Consideration and assessment of how the problem behavior affects the physical and social environment / empathy training, documentaries I consider the view that smoking can be harmful to the environment Dramatic Relief Experiencing and expressing feelings about the problem behavior and potential solutions / psychodrama, grieving losses, role playing I react emotionally to warnings about drugs 10 Processes (5-6) Social Liberation ? Awareness, availability, and acceptance by the individual of alternative, problem-free lifestyles in society / empowering, policy interventions I find society changing in ways that make it easier for the nonsmoker Self Liberation? Choice and commitment to change the problem behavior, including belief in the ability to change, New Years resolutions