Stages of Change Model Overview
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Questions and Answers

What are the stages of the Stages of Change Model?

  • precontemplation, contemplation, preparation/determination, action/willpower, maintenance (correct)
  • preparation/determination, action/willpower, contemplation, maintenance, precontemplation
  • contemplation, preparation/determination, action/willpower, maintenance, precontemplation
  • precontemplation, preparation/determination, action/willpower, contemplation, maintenance
  • What does "precontemplation" mean in the Stages of Change Model?

    Individuals are not yet genuinely thinking about changing.

    What is an example of a question someone in the contemplation stage might ask themselves?

    Is it worth giving up going to the bar every other night with friends for a drink?

    What does "action/willpower" mean in the Stages of Change Model?

    <p>Individuals commit to making a real behavioral change and enact an effective plan.</p> Signup and view all the answers

    What does "Preparation/Determination" mean in the Stages of Change Model?

    <p>Realize there is an issue and prepare to make a change.</p> Signup and view all the answers

    What is a key characteristic of the "maintenance" stage in the Stages of Change Model?

    <p>Success in avoiding temptation.</p> Signup and view all the answers

    What are the three benefits of social support listed in the flashcards?

    <p>tangible assistance, information, emotional support</p> Signup and view all the answers

    What is the key difference between problem-focused coping and emotion-focused coping?

    <p>Problem-focused coping aims to directly address the source of stress, while emotion-focused coping focuses on managing the emotional response to stress.</p> Signup and view all the answers

    Which of the following is NOT associated with successful coping?

    <p>negative emotions</p> Signup and view all the answers

    What are the three characteristics of hardiness?

    <p>commitment, control, challenge</p> Signup and view all the answers

    What are the three criteria of abnormal behavior?

    <p>not typical or culturally expected, personally distressing, dysfunction</p> Signup and view all the answers

    A behavior that is out of the ordinary is considered abnormal.

    <p>False</p> Signup and view all the answers

    What does it mean for a behavior to be "personally distressful"?

    <p>The person engaging in the behavior and those around them find it troubling.</p> Signup and view all the answers

    How is dysfunction defined in the context of abnormal behavior?

    <p>Behavior that interferes with one's ability to function effectively in the world.</p> Signup and view all the answers

    Which of the following is NOT a category of anxiety-related disorders?

    <p>developmental</p> Signup and view all the answers

    What is a common symptom of physical-motor tension in anxiety-related disorders?

    <p>Jumpiness, trembling, dizziness, elevated heart rate</p> Signup and view all the answers

    What is a common cognitive symptom associated with anxiety-related disorders?

    <p>Worrying, fearing loss of control, paranoia</p> Signup and view all the answers

    What is a characteristic emotional symptom of anxiety-related disorders?

    <p>Sense of dread, terror, panic, irritability, restlessness</p> Signup and view all the answers

    What behavioral change can be observed in individuals with anxiety-related disorders?

    <p>Escaping situations, being aggressive, &quot;freezing&quot;</p> Signup and view all the answers

    What distinguishes Generalized Anxiety Disorder (GAD) from other anxiety disorders?

    <p>The individual is unable to specify the reasons for the anxiety.</p> Signup and view all the answers

    What is a key symptom of Panic Disorder?

    <p>Recurrent, sudden onsets of intense terror, often without warning and with no specific cause.</p> Signup and view all the answers

    What is the core fear in Social Anxiety Disorder (Social Phobia)?

    <p>An irrational, persistent fear of being negatively evaluated by others in a social situation.</p> Signup and view all the answers

    What is a defining characteristic of Anxiety Disorders?

    <p>Fears that are uncontrollable, disproportionate to the actual danger that person might be in, and disruptive of ordinary life.</p> Signup and view all the answers

    What is the core feature of Obsessive-Compulsive Disorder (OCD)?

    <p>A pattern of unwanted intrusive thoughts and/or the urge to engage in repetitive actions that interferes with a person's functioning.</p> Signup and view all the answers

    What is the difference between obsessions and compulsions in OCD?

    <p>Obsessions are intrusive thoughts or images that are unwanted and distressing, while compulsions are repetitive behaviors that a person feels a strong urge to perform.</p> Signup and view all the answers

    What is the cognitive perspective on OCD?

    <p>The difference between individuals with OCD and those who don't have it is the ability to turn off negative, intrusive thoughts by ignoring or effectively dismissing them.</p> Signup and view all the answers

    Which of these is NOT considered an OCD-related disorder?

    <p>Schizophrenia</p> Signup and view all the answers

    What is the vicious cycle of OCD?

    <p>An obsessive thought leads to anxiety, which triggers a compulsive behavior that provides temporary relief, but ultimately reinforces the cycle.</p> Signup and view all the answers

    What are the key characteristics of Post-traumatic Stress Disorder (PTSD)?

    <p>Distress memories, emotional numbness, hyper-vigilance.</p> Signup and view all the answers

    Which of the following is NOT a symptom of PTSD?

    <p>Increased ability to feel emotions</p> Signup and view all the answers

    What is Major Depressive Disorder (MDD)?

    <p>A mood disorder involving sadness, feelings of worthlessness, loss of interest in one's usual activities, and changes in bodily activities such as sleep and appetite that persists for at least two weeks.</p> Signup and view all the answers

    What is Bipolar Disorder (manic depression)?

    <p>A mood disorder characterized by mania or mania and depression that interferes with a person's ability to function.</p> Signup and view all the answers

    What is the core characteristic of Eating Disorders?

    <p>Extreme disturbances in eating behavior, ranging from eating very little to eating a great deal.</p> Signup and view all the answers

    What is Anorexia Nervosa?

    <p>An eating disorder that involves the relentless pursuit of thinness through starvation.</p> Signup and view all the answers

    What is the hallmark characteristic of Bulimia Nervosa?

    <p>A binge-and-purge eating pattern, involving episodes of overeating followed by self-induced vomiting or laxative use.</p> Signup and view all the answers

    What is Binge-Eating Disorder (BED)?

    <p>Characterized by recurrent episodes of consuming large amounts of food during which the person feels a lack of control over eating.</p> Signup and view all the answers

    What is dissociation?

    <p>Psychological states in which the person feels disconnected from immediate experience.</p> Signup and view all the answers

    What are Dissociative Disorders marked by?

    <p>Loss of awareness of some part of one's self or one's surroundings that seriously interferes with the person's ability to function.</p> Signup and view all the answers

    What is Dissociative Identity Disorder?

    <p>The most traumatic, least common, and most controversial dissociative disorder, involving two or more distinct personalities or identities.</p> Signup and view all the answers

    What is Antisocial Personality Disorder (ASPD)?

    <p>A personality disorder marked by a pattern of disregard for and violation of the rights of others with no remorse or guilt for one's actions.</p> Signup and view all the answers

    What is Schizophrenia?

    <p>A severe mental health disorder characterized by disturbances in thought, perceptions, emotions, and behavior.</p> Signup and view all the answers

    What is psychosis?

    <p>A state in which a person's perceptions and thoughts are fundamentally removed from reality.</p> Signup and view all the answers

    Which of the following is considered a positive symptom of Schizophrenia?

    <p>Hallucinations</p> Signup and view all the answers

    What is the difference between hallucinations and delusions in Schizophrenia?

    <p>Hallucinations are perceptions of something that does not exist in reality, while delusions are false beliefs that a person believes to be true.</p> Signup and view all the answers

    What is disorganized speech in Schizophrenia?

    <p>One's speech lacks association between one's ideas and the events that one is experiencing.</p> Signup and view all the answers

    What is disordered behavior in Schizophrenia?

    <p>Inappropriate or unusual behavior such as silliness, catatonic excitement, or catatonic stupor.</p> Signup and view all the answers

    What is catatonic stupor?

    <p>Absence of all motor behaviors.</p> Signup and view all the answers

    What is catatonic excitement?

    <p>Being suddenly agitated, fidgety, shouting, moving around rapidly.</p> Signup and view all the answers

    What is blunted affect?

    <p>Lack of emotion, also characterized by social withdrawal and loss of motivation.</p> Signup and view all the answers

    What is alogia (poverty of speech) in Schizophrenia?

    <p>Decreased quality and/or quantity of speech; brief and empty replies.</p> Signup and view all the answers

    What is avolition in Schizophrenia?

    <p>Inability to follow through one's plans; showing little interest in usual activities, sitting for long periods of time.</p> Signup and view all the answers

    What is anhedonia in Schizophrenia?

    <p>Decreased ability to feel pleasure physically (eating, touching, sexual activities), and/or emotionally (lack of social interest).</p> Signup and view all the answers

    Who is Eleanor Longden, and what is her story related to Schizophrenia?

    <p>Eleanor Longden is a woman who experienced Schizophrenia and has spoken openly about her experiences with auditory hallucinations, sharing her perspective on mental illness.</p> Signup and view all the answers

    What is a therapeutic alliance?

    <p>The relationship between the therapist and the individual; characterized by trust, respect, and cooperation.</p> Signup and view all the answers

    Which of the following is NOT an ethical standard in therapy?

    <p>Breaching confidentiality</p> Signup and view all the answers

    What is interpretation in psychotherapy?

    <p>Psychoanalyst's views on the themes and issues that may be influencing the client's behaviors.</p> Signup and view all the answers

    What is free association in psychotherapy?

    <p>Encouraging individuals to say aloud whatever comes to their mind, no matter how trivial or embarrassing.</p> Signup and view all the answers

    What is transference in psychotherapy?

    <p>Client unconsciously reacts to the therapist as if the therapist were a parent, friend, sibling, or a romantic partner</p> Signup and view all the answers

    What is the core focus of humanistic therapies?

    <p>Encouraging people to understand themselves and grow personally.</p> Signup and view all the answers

    What does "empathy" mean in therapeutic context?

    <p>The therapist strives to put himself in the client's position to feel the client's emotions.</p> Signup and view all the answers

    What is genuineness in therapy?

    <p>The therapist is a real person in his or her relationship with the client, sharing feelings and not hiding behind a facade.</p> Signup and view all the answers

    What is the central belief of Cognitive Therapies?

    <p>An individual's cognitions, or thoughts, are the main source of abnormal behavior and psychological problems.</p> Signup and view all the answers

    What is cognitive restructuring?

    <p>The process of changing a pattern of thought that seems to be causing the problem behavior.</p> Signup and view all the answers

    Which of the following is NOT a foundation of Cognitive Therapies?

    <p>Unconscious processes are the primary cause of psychological problems</p> Signup and view all the answers

    What is Cognitive-Behavioral Therapy (CBT)?

    <p>Cognitive therapy: reducing self-defeating thoughts; behavior therapy: emphasis on changing behavior.</p> Signup and view all the answers

    What was Nash's primary source of stress in the movie mentioned in the flashcards?

    <p>Not being able to come up with the perfect original idea as a graduate student in the Princeton math department.</p> Signup and view all the answers

    Who in one of the movies you are referencing was not a hallucination?

    <p>Sol.</p> Signup and view all the answers

    What delusions of Schizophrenia did John experience in one of the movies you are referencing?

    <p>Persecutory delusions and grandiose delusions.</p> Signup and view all the answers

    Which symptom of Schizophrenia did John experience in one of the movies you are referencing?

    <p>All of the above</p> Signup and view all the answers

    Study Notes

    Stages of Change Model

    • Consists of five stages: pre-contemplation, contemplation, preparation/determination, action/willpower, and maintenance.
    • Pre-contemplation: Individual may not recognize the problem or need for change.
    • Contemplation: Individual recognizes a problem but isn't ready to commit to change.
    • Preparation/Determination: Individual recognizes a problem and prepares for change. Examples include joining support groups for this stage.
    • Action/Willpower: Individual commits to change and implements a plan. Celebrating success can reinforce this behavior.
    • Maintenance: Successful avoidance of returning to old behaviors. Anticipating tempting situations and avoiding them is critical. Leads to Transcendence (not actively maintaining the healthy lifestyle anymore)

    Social Support

    • Benefits include tangible assistance, information, and emotional support.

    Problem-focused Coping

    • Addresses the stressor directly by controlling or altering the environment causing the stress. It involves cognitive strategies to face and solve problems.

    Emotion-focused Coping

    • Aims to manage internal emotional reactions to a stressor. It focuses on controlling the emotional response, rather than the source of the stress.

    Successful Coping

    • Associated with personal control, a healthy immune system, positive emotions, optimism, and hardiness.

    Hardiness

    • Characterized by a sense of commitment, control, and viewing problems as challenges rather than threats.

    Three Criteria of Abnormal Behavior

    • Not typical or culturally expected.
    • Personally distressing.
    • Dysfunctional. (Current version of diagnostic guide is DSM-5 2013 by American Psychiatric Association)

    Not Typical or Culturally Expected

    • Behavior that differs from the norm.

    Personally Distressful

    • Behavior that causes trouble for the individual and those around them.

    Dysfunction

    • Behavior that impairs effective functioning in daily life.
    • Include physical-motor tension, cognitive, emotional, and behavioral symptoms.

    Physical-motor Tension

    • Includes jumpiness, trembling, dizziness, and elevated heart rate.

    Cognitive Symptoms

    • Include worrying, fearing loss of control, and paranoia.

    Emotional Symptoms

    • Include dread, terror, panic, irritability, and restlessness.

    Behavioral Symptoms

    • Include escaping situations, aggression, or "freezing."

    Generalized Anxiety Disorder

    • Characterized by persistent anxiety for at least 6 months, without a specific cause. Individuals have anxiety most of the time.

    Panic Disorder

    • Sudden, intense episodes of terror, often without warning. Characterized by severe physical symptoms: palpitations, shortness of breath, chest pain, trembling, sweating, dizziness, and feelings of helplessness.

    Social Anxiety Disorder (Social Phobia)

    • Intense fear of negative evaluation in social situations. This can include fears of public speaking, eating in front of others, or meeting new people.

    Anxiety Disorders

    • Involve uncontrollable and disproportionate fears that disrupt daily life.

    Obsessive-Compulsive Disorder (OCD)

    • Characterized by unwanted intrusive thoughts (obsessions) and/or repetitive actions (compulsions).

    Obsessions

    • Recurrent intrusive thoughts or images.

    Compulsions

    • Repetitive behaviors or mental acts performed to reduce anxiety. Common compulsions include excessive checking, cleaning, and counting.

    Cognitive Perspective on OCD

    • Individuals with OCD struggle to turn off negative thoughts, unlike those without the disorder.
    • DSM-5 expanded the disorders related to OCD. These all involve repetitive behaviors and anxiety. Hoarding disorder is one of these.

    Excoriation

    • Skin picking.

    Trichotillomania

    • Hair pulling.

    Body Dysmorphic Disorder

    • Associated with hoarding disorder.

    Vicious Cycle of OCD

    • Obsessive thought -> Anxiety -> Compulsive behavior -> Temporary relief.

    Post-traumatic Stress Disorder (PTSD)

    • Trauma-related disorder featuring distress memories, emotional numbness, and hyper-vigilance. Examples include war, abuse, natural disasters, and plane crashes.

    Symptoms of PTSD

    • Flashbacks (reliving the event), avoidance of emotions/experiences/discussions, emotional numbness, exaggerated startle response, poor sleep, memory and concentration impairment, and impulsive behavior.

    Major Depressive Disorder (MDD)

    • Mood disorder with sad mood (most of the day for at least 2 weeks), loss of interest in usual activities, and changes in sleep and appetite. It involves depressed mood, reduced interest, weight changes, sleep disturbances, fatigue, feelings of worthlessness/guilt, difficulty concentrating, suicidal thoughts, and lack of manic episodes.

    Bipolar Disorder (Manic Depression)

    • Characterized by both manic (euphoric) and depressive episodes. Often involves cycles of depression and mania.

    Eating Disorders

    • Extreme disturbances in eating behavior, ranging from extremely low eating to excessive eating.

    Anorexia Nervosa

    • Eating disorder characterized by an intense fear of gaining weight, starvation, distorted body image. Weight is less than 85% of normal for age and height. Leads to various serious medical complications.

    Bulimia Nervosa

    • Eating disorder with binge-and-purge cycles (purging via self-induced vomiting or laxatives). Common signs include a preoccupation with food, fear of weight gain, and feelings of depression or anxiety. Generally occurs in a normal weight range, making detection harder. Chronic sore throats, kidney, gastrointestinal, and dental issues can occur.

    Binge-Eating Disorder (BED)

    • Recurring episodes of consuming large amounts of food, with feelings of lack of control. Highest frequency among eating disorders.

    Dissociative Disorders

    • Psychological states involving feelings of disconnect from immediate experiences.

    Dissociative Disorder: Mental Health

    • Disorders marked by loss of awareness of parts of the self or surroundings, impacting functioning.

    Dissociative Identity Disorder

    • Most traumatic and controversial dissociative disorder. Individuals have two or more distinct personalities, each with its own memories, behaviors, and relationships. Often associated with a history of childhood abuse. A coping mechanism. Common range of identities is 8-13. Women are more commonly affected

    Antisocial Personality Disorder (ASPD)

    • Disorder marked by disregard for others' rights, with a lack of remorse or guilt. Traits include a lack of empathy, failure to conform legally, deceitfulness, impulsivity, irritability, recklessness, irresponsibility, and indifference.

    Schizophrenia

    • Severe mental disorder with disturbances in thoughts, perceptions, emotions, and behaviors. Psychotic symptoms are common.

    Psychosis

    • State where perception and thoughts are significantly removed from reality.

    Positive Symptoms of Schizophrenia

    • Excess or distortion of normal functions; hallucinations, delusions, disorganized speech, and disordered behavior.

    Hallucinations

    • Perceiving things not present in reality. Auditory and visual are most common.

    Delusions

    • False beliefs held firmly despite evidence to the contrary.

    Disorganized Speech

    • Lack of logical connections between thoughts in speech. Loose associations, or a break-down in how ideas are associated with each other.

    Disordered Behavior

    • Inappropriate or unusual behaviors; can range from silliness to catatonic excitement or stupor.

    Catatonic Stupor

    • Absence of all motor behaviors

    Catatonic Excitement

    • Sudden agitation, fidgetiness, shouting, and rapid movement.

    Negative Symptoms of Schizophrenia

    • Restriction or absence of normal function; blunted affect, alogia, avolition, and anhedonia.

    Blunted Affect

    • Reduced emotional expression or lack of affect.

    Alogia (Poverty of Speech)

    • Decreased quality and quantity of speech; short, empty responses.

    Avolition

    • Inability to follow through on plans; lack of interest or motivation.

    Anhedonia

    • Loss of ability to feel pleasure.

    A Case of Schizophrenia

    • Eleanor Longdon's experience with voices.

    Therapeutic Alliance

    • Trust and cooperation between client and therapist in treatment.

    Ethical Standards in Therapy

    • Competence, informed consent, confidentiality (breached if harm is intended to self or others), and appropriate interactions between therapist and client.

    Interpretation (in Psychoanalysis)

    • Identifying themes and hidden meanings in a client's words and behavior to gain insight into problems.

    Free Association

    • Encouraging clients to verbalize their thoughts without censorship.

    Transference

    • Client unconsciously relating to the therapist in ways similar to important past relationships.

    Humanistic Therapies

    • Focuses on personal growth, self-understanding, and self-healing. Emphasis on conscious feelings and self-fulfillment. Client-centered therapy is an example.

    Empathy

    • Therapist understands and shares the client's feelings. Active listening and reflective speech are crucial.

    Genuineness

    • Therapist's authenticity and transparency in the therapeutic relationship.

    Cognitive Therapies

    • Focuses on how thoughts are the source of psychological problems.

    Cognitive Restructuring

    • Changing patterns of thought which cause problematic behaviors.

    Foundations of Cognitive Therapies

    • Humans control feelings. Feelings depend on how people think about a situation.

    Cognitive-Behavioral Therapy (CBT)

    • Combines cognitive and behavioral therapy. Reinforces self-statements for behavioral change, focuses on self-efficacy. Can be successful in OCD and anxiety.

    Nash's Primary Stress in the Movie

    • Inability to develop unique and original ideas as a math graduate student.

    Hallucination Not Experienced by Nash in the Movie

    • Sol

    John's Schizophrenia Delusions

    • Persecutory and grandiosity delusions.

    John's Schizophrenia Symptoms (Anhedonia, Avolition, Blunted Affect, or All)

    • All of the above symptoms.

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    Description

    Explore the five stages of the Change Model including pre-contemplation, contemplation, preparation, action, and maintenance. Understand how social support and problem-focused coping strategies play a role in this process. Test your knowledge on these concepts critical for personal development and behavior change.

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