By Carlo C. DiClemente
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Additional info for Addiction and change : how addictions develop and addicted people recover
Accomplishing stage tasks, engaging in appropriate processes of change, and shifting markers toward change are affected by the unique constellation of contextual factors. STAGES OF CHANGE By definition, the end-state of an addiction is a well-established way of behaving that is consistent, stable, and resistant to change (see Chapter 1). Change requires dissolution of this established pattern and involves a shake-up or perturbation of the status quo for some period of time until a new pattern can be established that replaces the old.
Finally, placing addiction into the larger context of an intentional, human change process can increase our ability to identify and explore similarities across addictive behaviors and allows us to compare modifying addictive behaviors with modifying other health and mental health behaviors. In the next chapter I examine in greater depth the process of human intentional behavior change and the core dimensions of the TTM. The model has been labeled transtheoretical (across theories) because from its inception over 20 years ago, key elements used in creating the model were derived from different theories of human behavior and diverse views of how people change (DiClemente & Prochaska, 1998; Pro- Models of Addiction and Change 21 chaska & DiClemente, 1984).
This range of processes derived from various theories is what makes the TTM “trans” theoretical. In addition, there are predictable interactions between types of process activity and successful movement through specific parts of the stages of change sequence. Cognitive and experiential processes are more important in negotiating passage through the earlier stages of Precontemplation and Contemplation. Behavioral processes of 36 UNDERSTANDING ADDICTIONS IN TERMS OF CHANGE change are more important in the Preparation, Action, and Maintenance stages of change (DiClemente & Prochaska, 1998).