Prochaska's model Flashcards

(30 cards)

1
Q

What is Prochaska’s six-stage model of behaviour change?

A

A model that explains the stages people go through to change their behaviour, especially in overcoming addiction - its 6 stages are not necessarily followed in a linear order.

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2
Q

Who developed the six-stage model of behaviour change?

A

Prochaska and DiClemente.

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3
Q

What is the first stage in Prochaska’s model?

A

Precontemplation.

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4
Q

What is the second stage in Prochaska’s model?

A

Contemplation.

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5
Q

What is the third stage in Prochaska’s model?

A

Preparation.

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6
Q

What is the fourth stage in Prochaska’s model?

A

Action.

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7
Q

What is the fifth stage in Prochaska’s model?

A

Maintenance.

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8
Q

What is the sixth stage in Prochaska’s model?

A

Termination.

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9
Q

What happens during the Precontemplation stage?

A

People are not thinking about changing their addiction-related behaviour in the near future, often due to denial or lack of belief that they have a problem.

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10
Q

What is the focus of intervention at the Precontemplation stage?

A

Helping the person consider the need for change.

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11
Q

What happens during the Contemplation stage?

A

The person is thinking about making a change within the next six months, weighing the pros and cons.

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12
Q

What is the most useful intervention at the Contemplation stage?

A

Interventions that help the person see that the pros of overcoming addiction outweigh the cons.

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13
Q

What happens during the Preparation stage?

A

The individual believes the benefits of change outweigh the costs and has decided exactly how and when to change.

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14
Q

What is the most useful intervention at the Preparation stage?

A

Support in creating a plan, or in external actions like seeing a GP or joining a support group.

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15
Q

What happens during the Action stage?

A

The person has made some change to their behaviour in the last six months, using techniques such as behaviour therapies.

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16
Q

What is the focus of intervention at the Action stage?

A

Support and encouragement, as well as teaching coping skills to maintain the change.

17
Q

What happens during the Maintenance stage?

A

The person has maintained some change for more than six months and works to prevent relapse.

18
Q

What is the focus of intervention at the Maintenance stage?

A

Preventing relapse and avoiding situations where the old behaviour is tempting.

19
Q

What happens during the Termination stage?

A

The person has no longer returns to addictive behaviour, and it is no longer a threat.

20
Q

Is the Termination stage always realistic for everyone?

A

No, for some people it may be more realistic to remain in the Maintenance stage indefinitely.

21
Q

What does the model say about relapse?

A

Relapse is seen as normal and part of the process; recovery may require several attempts.

22
Q

What is one strength of the six-stage model?

A

It views recovery as a dynamic process, not a single all-or-nothing event.

23
Q

What is a positive view of relapse in the model?

A

Relapse is accepted as part of recovery, making the model more realistic and face-valid for clients.

24
Q

What is a criticism of the six-stage model?

A

The stages have been criticised as arbitrary, with little research evidence to distinguish between them.

25
What did Taylor et al. find about the model?
Their review and meta-analyses found the model was no more effective than other approaches and could not be validated by available data.
26
What is a counterpoint to the model's usefulness?
Some research suggests Prochaska's model has little usefulness for understanding changes over time or for treatment recommendations.
27
How does the model differ from earlier theories of addiction recovery?
It emphasises the importance of time and ongoing change, rather than viewing recovery as a single event.
28
Can stages be skipped or revisited in Prochaska's model?
Yes, clients may return to previous stages or skip some stages altogether.
29
What is the main insight about readiness in Prochaska's model?
People differ in how ready they are to change their behaviour, which affects the usefulness of interventions.
30
Why is the model considered cyclical?
Because people may progress through the stages, return to previous ones, or miss some out altogether.