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A Stages-of-Change Therapy Manual
Mary Marden Velasquez, Gaylyn Gaddy Maurer, Cathy Crouch, and Carlo C. DiClemente
I. How to Help People Change
1. How People Change: The Transtheoretical Model
2. Strategies for Facilitating Change
3. Putting It All Together: Setting Up and Carrying Out the Intervention
II. Thinking about Changing Substance Use
P/C/P Sequence: Precontemplation--Contemplation--Preparation
*Session 1: The Stages of Change
Change Process Objective: Consciousness Raising
*Session 2: A Day in the Life
Change Process Objective: Consciousness Raising
*Session 3: Physiological Effects of Alcohol
Change Process Objective: Consciousness Raising
*Session 4: Physiological Effects of Drugs
Change Process Objective: Consciousness Raising
*Session 5: Expectations
Change Process Objective: Consciousness Raising
*Session 6: Expressions of Concern
Change Process Objective: Self-Reevaluation, Dramatic Relief
*Session 7: Values
Change Process Objective: Self-Reevaluation
*Session 8: Pros and Cons
Change Process Objective: Decisional Balance
*Session 9: Relationships
Change Process Objective: Environmental Reevaluation
*Session 10: Roles
Change Process Objective: Environmental Reevaluation
*Session 11: Confidence and Temptation
Change Process Objective: Self-Efficacy
*Session 12: Problem Solving
Change Process Objective: Self-Efficacy
*Session 13: Setting a Goal and Preparing to Change
Change Process Objective: Self-Liberation
*Session 14: Review and Termination
III. Making Changes in Substance Use
A/M Sequence: Action--Maintenance
*Session 1: The Stages of Change
Change Process Objective: Consciousness Raising
*Session 2: Identifying "Triggers"
Change Process Objective: Stimulus Control
*Session 3: Managing Stress
Change Process Objective: Counterconditioning
*Session 4: Rewarding My Successes
Change Process Objective: Reinforcement Management
*Session 5: Effective Communication
Change Process Objectives: Counterconditioning, Reinforcement Management
*Session 6: Effective Refusals
Change Process Objectives: Counterconditioning,
Reinforcement Management
*Session 7: Managing Criticism
Change Process Objectives: Counterconditioning,
Reinforcement Management
*Session 8: Managing Thoughts
Change Process Objectives: Stimulus Control, Counterconditioning, Reinforcement Management
*Session 9: Managing Cravings and Urges
Change Process Objectives: Stimulus Control, Counterconditioning, Reinforcement Management
*Session 10: New Ways to Enjoy Life
Change Process Objectives: Stimulus Control, Counterconditioning, Reinforcement Management
*Session 11: Developing an Action Plan
Change Process Objective: Self-Liberation
*Session 12: Recommitting after a Slip
Change Process Objective: Self-Liberation
*Session 13: Social Support
Change Process Objective: Helping Relationships
*Session 14: Identifying Needs and Resources
Change Process Objective: Social Liberation
*Session 15: Review and Termination
Change Process Objectives: Self-Efficacy, Reinforcement Management
*Appendix: Professional Contacts and Suggested Resources
