By Carlo C. DiClemente
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Extra resources for Addiction and change : how addictions develop and addicted people recover
2 How does one move through the stages of change? Each stage has important tasks that need to be accomplished at least to some degree before there is movement into the next stage. The more specific question is how individuals accomplish the tasks of each stage in order to move from one stage to the next. PROCESSES OF CHANGE Processes of change represent the internal and external experiences and activities that enable individuals to move from stage to stage. The processes are the engines that create and sustain the transitions through the stages and facilitate successful completion of the stage tasks.
It is also interesting to note that proponents of the disease model for alcoholism will not always use the same explanation for drugs of abuse and have some difficulty when the concept is extended to behaviors like gambling. For all addictive behaviors there appears to be a role for physiological mechanisms and, potentially, for genetic factors in the behavior’s initiation, problematic long-term use, abuse, and dependence. However, there are many questions and concerns about assigning sole causality or primacy to genetic/physiological factors (Newlin, Miles, van den Bree, Gupman, & Pickens, 2000).
319–321). Understanding both treatment and change of excessive behaviors would require personal cost–benefits analyses and a decision-making process as well as self-reconstitution. Although the compulsive and excessive behavior models share a number of common explanatory components, they can differ dramatically in their suggested cures or treatments. Once again, the connection between the addictive behavior and the psychological functioning of the individual appears highlighted in this perspective as in the personality/ intrapsychic models.
Addiction and change : how addictions develop and addicted people recover by Carlo C. DiClemente