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Discuss Prochaska & Diclementen wheel of change model.

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i. Pre-contemplation

a. A person is not considering change, has not contemplated having a problem or needing to make a change. People are very defensive here
b. People seldom present themselves for treatment but they are made under coercion
c. They need information and feedback to raise awareness about the problem and the possibility of change

ii. Contemplation

a. Awareness is already raised but the client considers change and rejects it. They are ambivalent
b. When they talk about self, they go back and forth between reasons for concern and justification for unconcern (caused by pathological personality traits or defense mechanisms)
c. The counselor task at this stage is to help tip the balance in favor for change
d. People come for consultation in the contemplation stage. As a counselor practice motivational interviewing

iii. Determination Stage

This is a window of opportunity. The counselor helps the client to match i.e. helping client to find a change strategy that is acceptable, accessible, appropriate and effective

iv. Action Stage

a. This is what most people think is therapy
b. The person engages in particular actions intended to bring about change
c. These changes may or may not be assisted by formal counseling. the goal during this stage is to produce a change in the area

v. Maintenance Stage

a. the challenge is to sustain the change accomplished by previous action to prevent relapse
b. maintaining change may require a different set of skills and strategies e.g. quitting a drug, reducing drinking or loosing weight is an initial step followed by the challenge of maintaining assistance or moderation

vi. Relapse

Help the client to renew the process of contemplation, determination and action stages without becoming stuck or demoralized because of the relapse

marto answered the question on May 10, 2019 at 06:33

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Discuss Prochaska & Diclementen wheel of change model.

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