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Strengths and weaknesses of the transtheoretical model
Strengths and weaknesses of the transtheoretical model
Motivational theory in practice
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Stages of Change The transtheoretical model is a model that theorizes the health behavior changes through a six phase process This paper will examine the stages of process of change: precontemplation, contemplation, preparation, action, maintenance, and termination. The stages of change are outlined with a period and tasks associated with steps forward through that stage (Kennedy, & Gregoire, 2009). This paper will further explore the framework of change influenced by the emergence of the transtheoretical model. Lastly, it will study the process of changes for clients as they go through each phase by examining challenges and interventions of each stage with focus on the Motivational therapy approach theory. Overview of the Model The Transtheoretical Model (TTM) emphasizes on the time …show more content…
Therefore, TTM is not a theory but a model that examines diversified, to be compared to applications of various stages within the model to where they can have the most effectiveness (Kennedy, & Gregoire, 2009). The process of change is further recognized as: precontemplation, contemplation, preparation, action, maintenance, and termination. For one to determine a client’s change during the process of this model is determined by each step the client passes through. In the first stage precontemplation, the client is does not recognize the problem and continues to use drugs and or alcohol. For example, after the therapist has assessed the client the therapist explains their findings to the client and in an empathic way tries to convince the client into stopping the abuse of drugs and or alcohol. Nonetheless the client becomes aware of the impact of drug or alcohol use, but has no plan to discontinue use (James, & Gillilan, 2018). During the contemplation stage the client is still actively using drugs and or alcohol however, has some ambivalence about quitting (e.g a client has been using drugs for years, and is not happy with the effects the drug has on them, but
The term ‘stress’ was generally thought to have been a concept created by Robert Hooke in the 17th century. He worked on the design of physical structures, such as bridges; his concept of stress came from how much pressure a structure could withstand. However, Lazarus (1993) pointed out that the term ‘stress’ has been used as far back as the 14th century, when it meant hardship or adversity. Back then it referred to the external stressor, such as the death of a spouse or financial worry; in the 20th century, there are many different schools of thought on this area. Hans Selye (1956), brought together the work of Cannon and Bernard and devised a comprehensive system of physiological stress; which he termed the ‘General Adaptation Syndrome’, and is a 3-stage process. He theorised that a certain level of stress called ‘eustress’ (Cox, 1978) could actually be beneficial to our overall performance. Later In 1976, Cox & Mackay devised another model called the ‘Transactional model’. This model takes into account the individual differences in the perception of the amount of stress experienced by the person. The main difference between these two models is that Selye’s model only accounts for the physiological side of stress, whereas Cox’s model takes into account both the physiological and psychological aspects of stress. Therefore, both models will have slight similarities and differences in their explanation for how stress occurs in individuals, which is the main focus of this essay.
This section discusses health psychology and behavioral medicine, making positive life changes, resources for effective life change, controlling stress, behaving, and your good life. Health psychology emphasizes psychology’s role in establishing and maintaining health and preventing and treating illness. It reflects the belief that lifestyle choices, behaviors, and psychological characteristics can play important roles in health. The mind is responsible for much of what happens in the body, it is not the only factor, the body may influence the mind as well. Making positive life changes include health behaviors- practices that have an impact on physical well being. The stages of change model describes the process by which individuals give up bad habits and adopt healthier lifestyles. The model has five stages: precontemplation, contemplation, preparation/ determination, action/ willpower, and
A of his current state of health and lifestyle behaviours (Harris, Nutbeam, Wise, 2004). For example, the model explores 6 behavioural stages; pre-contemplation, contemplation, determination, action, maintenance and termination. These stages focus on the individual’s experience, behavioural changes and processes as opposed to an event which has determined a behaviour change. Evidently, the transtheoretical model determines that Mr. A is at the pre-contemplation stage (Prochaska & Velicer, 1997). Due to Mr. A experiencing this stage, he is not planning change to his current lifestyle choices. Although Mr. A is not planning changes in the foreseeable future, the transtheoretical model in conjunction with an education campaign can inform Mr. A about different behavioural stages that he may experience. However, understanding this behaviour change model of health cannot determine why Mr. A’s his current lifestyle and behaviour (Prochaska & Velicer, 1997). Fortunately, inclusion of maslow’s hierarchy of needs psychology theory (Donovan, Egger, Spark, 2005) used in conjunction with the transtheoretical model of health, can identify barriers that are stopping Mr A from actively using information from health education campaigns to change his behaviour (Harris, Nutbeam, Wise,
We discussed methods/ and or techniques that allows organization to learn how to effectively use these stages of Transtheoretical Model of Change and how it relates to change. “This model emphasizes the decision making of the individual and has been applied to a wide variety of problem behaviors including alcohol and drug abuse, smoking, and overeating. The Transtheoretical Model of Change describes change as a process—rather than a single event— that involves progress through a series of stages. The primary organizational constructs of the Transtheoretical Model of Change are the Stages of Change and the Processes of Change.” Tomlin, K., Walker, R. D., Grover, J., Arquette, W. & Stewart, P. (2005). Also, figuring out solutions but using this method of approach to help change the behavior by overcoming their lack of motivation. How will we overcome it? By using the motivational interviewing approach/ and or stages to help guide organizations through
Most people have an aspiration to get rid of a certain unhealthy behaviour or to employ a new health behaviour that would benefit their wellbeing. Some examples include a wish to stop smoking, eating a balanced diet or getting rid of a sedentary lifestyle. Many psychologists have been trying to find a model that would help people fight these kinds of unwanted health behaviours. One of such is the Transtheoretical model of behavioural change (TTM) which will be the main focus of this essay. Specifically, how one’s sedentary lifestyle can be changed by bringing out a systematic exercising routine using TTM.
The stages of change according to the Transtheoretical Model of Change consist of precontemplation, contemplation, preparation, action, maintenance, and termination. The Transtheoretical model of change includes flexible stages. This means that an individual could be in the maintenance stage one week, relapse the next week and be back in the precontemplation stage. The stages of change are not stagnant and an individual could go up/down a stage or stages of change depending on their development of self-efficacy. Ted goes through all of these stages of change on his journey to sobriety.
“Motivational interviewing was introduced by Dr. William R. Miller in 1983, to help problem drinkers prepare for treatment and has been developed in collaboration with Dr. Stephen Rollnick. Motivational interviewing is a client centered directive method of communication for enhancing intrinsic motivation to change by helping people to explore and work through ambivalence. (Miller &Rollnick,2002).” This definition simply means that motivational interviewing is a method that uses the techniques taught by Carl Rodgers, such as empathy, positive regard, and congruence all of which lead to a collaborative relationship between the counselor and the client. This supportive and collaborative relationship will enable the client to open up and have honest discussions with the counselor. Therefore, the counselor will be able to help the client recognize:
The ultimate intention of motivational interviewing and guided change talk is that it will result in a strong commitment to change for the client. There is a higher likelihood of behavioral changes actually occurring (Hettema, Steele, & Miller, 2005). Data from early research completed by Miller on MI with drinking showed how change talk can predict behavioral changes. Resistance is common in motivational interviewing. The data shows that the more than a clients resists changes and positive change talk, the more likely they are to continue with the behavior that needs to be changed, such as drinking, drug abuse, or criminal offending (Miller & Rose, 2009).
The 7 Levels of Change provides a different way of thinking to enhance behaviors and processes. The author demonstrates throughout the book a seven process of change that builds upon the next. He believes that by thinking differently, being creative and stepping out of the norm is the catalyst to solutions and results beyond one’s expectations. Although the author uses the analogy of a new work environment to expound on the level of changes, the fundamentals can be used in both your personal and professional life.
Nobody denies that every client and situation is unique, but there is a general layout out of a treatment plan that can be used thought out the facility to ensure success for the client. The first step in the treatment plan is to screen clients to determine if he/she meets the criteria of the facilities drug, or alcohol program. The facility will use the standard CAGE, of the Substance Abuse Subtitle Screening Inventory questioner as a screening tool. These two screening tools are consist of few questions and require only short answers to determine (American Society of Addiction Medicine, 2012). These tools are easy to use and can be done by any qualified staff according to the ASAM. If more through information is needed then the client will go under an assessment.
Motivational interviewing is an important tool to utilize when assisting clients with the process of change. The goal of motivational interviewing is to help an individual see their own potential and to gain the desire for change. It helps the individual explore their current situation and what their future may look like, from there they can decide whether it is worth making that change. For this assignment, my partner Jenessa and I each took a turn being a interviewer and a client. When I was the motivator, Jenessa acted as a women who was in need to go through a detox program in order to get a new liver. It was a big transition in her life, and she was struggling to come into terms with that. In the interview, we discussed her progress thus far, what her goals are, and how she can implement change.
We are living in an important time in psychotherapy, there is a need for different treatment models show its effectiveness. Through this article I propose to take into account new more flexible experimental designs that combine the research results with the research process. Designs that respect different visions models treatments have on the therapist, clients and the mechanisms that facilitate change. I propose to enhance qualitative research, not only as a precedent for the quantitative, but as a tool in itself that will bring us closer to understanding our customers and their resources, aspects of therapists and techniques that help promote people with we work to approach the ultimate secret of the mechanisms of therapeutic change.
This leads to the question of, “How do people change?” Self-awareness of one’s current plight, whether it is internally or externally, and an intense desire to discover new ways of living are two main ingredients to spur change. People must be fully aware that their current behavior is causing more harm than good in their lives. And on the same token, discovering that there are alternative ways of living can also make people change. However, in order for change to actually occur, people must be willing to live out new ways of behaving and thinking. For people who want to make changes, but find it difficult to make a step, a counselor can help facilitate change through encouragement and various self-empowering
9. Bradshaw, E. I. (2008). When does transformation end? A phenomenological study of sustaining an intended change in behavior through perspective transformation in overweight management Retrieved from http://search.proquest.com/docview/20109872?accountid=11488
The world is constantly changing in many different ways. Whether it is technological or cultural change is present and inevitable. Organizations are not exempt from change. As a matter of fact, organizations have to change with the world and society in order to be successful. Organizations have to constantly incorporate change in order to have a competitive advantage and satisfy their customers. Organizations use change in order to learn and grow. However, change is not something that can happen in an organization overnight. It has to be thought through and planned. The General Model of Planned Change focuses on what processes are used by the organization to implement change. In the General Model of Planned Change, four steps are used in order to complete the process of change. Entering and Contracting, Diagnosing, Planning and Implementing, and Evaluating and Institutionalizing are the four steps used in order to complete the process of change in an organization. The diagnostic process is one of the most important activities in OD(Cummings, 2009, p. 30).