The Stages of Change. Almost 20 years ago, two well-known alcoholism researchers, Carlo C. DiClemente and J. O. Prochaska introduced a five-stage model of change to help professionals understand their clients with addiction problems and motivate them to change. Their model is based not on abstract theories but on their personal observations of how people went about modifying problem behaviors such as smoking, overeating, and problem drinking.
The six stages of the model are:
Precontemplation
Individuals in the precontemplation stage of change are not even thinking about changing their drinking behavior. They may not see it as a problem, or they think that others who point out the problem are exaggerating.
Contemplation
Individuals in this stage of change are willing to consider the possibility that they have a problem, and the possibility offers hope for change. However, people who are contemplating change are often highly ambivalent. They are on the fence. Contemplation is not a commitment, not a decision to change.
Determination
Deciding to stop drinking is the hallmark of this stage of change. All the weighing of pros and cons, all the risk-reward analysis, finally tips the balance in favor of a change. Not all ambivalence has been resolved, but ambivalence no longer represents an insurmountable barrier to change.
Action
Individuals in this stage of change put their plan into action. This stage typically involves making some form of public commitment to stop drinking in order to get external confirmation of the plan.
Maintenance
The action stage normally takes three to six months to complete. Change requires building a new pattern of behavior over time. The real test of change is long-term sustained change over many years. This stage of successful change is called “maintenance.
Termination
The ultimate goal in the change process is termination. At this stage, the alcoholic no longer finds that alcohol presents a temptation or threat; he has complete confidence that he can cope without fear of relapse.
Nothing happens in a vacuum. We did not get sick overnight and we don’t get well overnight. Wellness is a process. I hope you engage in the process. Once you have reach termination, I hope you continue in the maintenance to stay changed. These are The Stages of Change
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