1982 paper. James O Prochaska & Carlo C Diclemente [[28-06-2023]] - Why am I reading this? I want to find out what are the process of change. Does it mention raising Self-Awareness? > [! My Takeaway] > What is the process of change? One of the most frequently applied processes of change is "consciousness raising" - helping clients know more about themselves. Transtheoretical therapy emerged from a comparative analysis of 18 leading therapy systems (Prochaska, 1979) Original model: 1. Preconditions for Therapy 2. Processes of Change 3. Content to be changed 4. Therapeutic relationship P**ositive expectations for therapy is a precondition for therapy to proceed but do not appear to be the critical process that produces change once therapy is in progress**. The more client has positive expectations for change, the more successful the therapy is. But the results are mixed. PROCESSES OF CHANGE - There are five central processes of change (Prochaska, 1979) - Among 18 different systems of therapy, there are agreement on what are the important process needed for change. - ==**Consciousness Raising** was the most frequently applied process of change, with 16 of the 18 systems of therapy utilising this class approach (Prochaska, 1979)== - London (1964) labels "verbal psychotherapies" being by working to raise the individual's level of awareness - verbal therapies work with consciousness. - What is "consciousness raising"? - Therapies that raise information available to individuals so that they can make the most effective responses to the stimuli impinging on them - Feedback - Feedback about their behaviour and its consequences. - Education - This is providing individuals with knowledge and skills related to change. - **Therapists need to help clients become aware of their defences against change** - "The rather consistent agreement across verbal therapies of the importance of defense mechanisms in maintaining psychopathology (Prochaska, 1979) suggests that a minimal requirement for an effective psychotherapist is the ability to help clients become aware of their defenses against change." - p279 - The Transtheoretical Model is more of a process-focused therapy, not content-focused. - It assume that every patient have different content of therapy. - The client is the expert of that content, while therapist is the expert of the process. https://theaverycenter.org/wp-content/uploads/2022/10/Stages-of-Change-1.pdf ![[Stages-of-Change-1.pdf]] - **The light bulb must want change.** - The transtheoretical approach focuses primarily on facilitating intentional change