Motivational Enhancement Therapy indicates the series of stages people go through when they change dysfunctional or harmful behavior. The stages are cognitive and behavioral. In the early phases, people tend to focus on thinking about change-whether change is something they need to consider. In later stages, people are actively doing things to change or maintaining the changes that they have been able to make.
The Stages of Change Model:
• Pre-contemplation: Avoidance. That is, not seeing a problem behavior or not considering change.
• Contemplation: Acknowledging that there is a problem but struggling with ambivalence. Weighing pros and cons and the benefits and barriers to change.
• Preparation/Determination: Taking steps and getting ready to change.
• Action/Willpower: Making the change and living the new behaviors, which is an all-consuming activity.
• Maintenance: Maintaining the behavior change that is now integrated into the person's life.
The Stages of Change Model describes five stages of readiness and provides a framework for understanding the change process. By identifying where a person is in the change cycle, interventions can be tailored to the individual's "readiness" to progress in the recovery process. Interventions that do not match the person's readiness are less likely to succeed and more likely to damage rapport, create resistance, and impede change. Anything that moves a person through the stages toward a positive outcome should be regarded as a success.