Toward a Comprehensive Model of Change
Published 1 January 1986
James O. Prochaska, Carlo C. DiClemente
Citations1,785
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Abstract
In 1984, a group of researchers, theorists, and therapists gathered at an international conference in Scotland to contribute to the development of a more comprehensive model of change for the treatment of addictive behaviors. The conference and this book that grew out of the conference are signs of the Zeitgeist; they are part of a new attempt to integrate diverse systems of psychotherapy (Prochaska, 1984). In his classic call for a rapproachment across competing systems of therapy, Goldfried (1980) signaled that it is time to move beyond parochial approaches to treatment. It is time to move toward more comprehensive models of change.
Keywords
Psychology
Psychological ReviewSelf-efficacy: Toward a unifying theory of behavioral change.
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Psychological ReviewSelf-efficacy: Toward a unifying theory of behavioral change.
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An integrative theoretical framework to explain and to predict psychological changes achieved by different modes of treatment is presented and findings are reported from microanalyses of enactive, vicarious, and emotive mode of treatment that support the hypothesized relationship between perceived self-efficacy and behavioral changes.
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Journal of Personality and Social PsychologyDecisional balance measure for assessing and predicting smoking status.
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A brief 24-item paper and pencil measure was constructed to study the decision-making process in smoking cessation and the Decisional Balance Scale appears to be a powerful construct of potentially wide application in behavior change.
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A general pattern emerged in which processes oriented more toward environmental events, such as dramatic relief and social liberation, tended to predict failure or no progress whereas more experientially oriented processes predicted progress.
American PsychologistToward the delineation of therapeutic change principles.
448 Citations1980Marvin R. Goldfried
It is argued that psychotherapy is currently in a state of infancy; anyone desiring therapy nowadays needs to decide which of more than 130 different approaches is likely to be most helpful and that the time is rapidly approaching when more than ever before, the authors have the opportunity to advance the field in the direction of greater maturity.
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The construct of self-efficacy developed by Bandura was operationalized and applied to the problem of long-term maintenance of smoking cessation and demonstrated good internal consistency.
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