Transtheoretical Model

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Transtheoretical Model

• Frank Jacob
• www.hcc.uce.ac.uk/frank_jacob
• (click on resources)

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Theoretical Orientation

• PCA
• CBT
• Psychodynamic

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The basic qualities needed are

• Unconditional positive regard
• Empathetic understanding
• Genuiness.

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Transtheoretical modelStages of change

• Pre-contemplation
• Contemplation
• Preparation
• Action
• Maintenance

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Levels of change

• Symptom situational
• Maladaptive cognition
• Interpersonal
• Family systems
• Intrapersonal

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Levels of change
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Symptom Situational

• Presenting problems/issues
• Appearance
• Behaviours
• Attitudes
• Feelings
• Thoughts

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Maladaptive cognition

• Beliefs
• Cognitve errors
• All or nothing thinking.
• Catastrophising.
• Personalising
• Negative focus
• Jumping to conclusions
• Living by fixed rules

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Interpersonal

• Networks
• Types/Quality of relationships
• Types/Quality of interactions
• Meanings of relationships
• Cultural
• Sexual
• Transference
• Counter transference

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Family

• Attachments within family
• Childhood attachments
• History of attachments
• Quality of attachments
• System
• Support

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Intrapersonal

• Core values and beliefs
• Self and self-concept
• Agency

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A good read

• James Prochaska and John C. Norcross (2007)
• Systems of psychotherapy a transtheoretical
  analysis.
• Belmont, Calif. Thomson Brooks/Cole, 2007