Sunday, March 12, 2017

Review of Changing for Good: A Revolutionary Six-Stage Program for Overcoming Bad Habits by James O. Prochaska, John C. Norcross , Carlo C. DiClemente


How do people change? For generations, folk wisdom told us that changing an undesirable behvaior was a simple matter of "willpower."

But beginning in the 1980s, psychologists James Prochaska and Carlo DiClemente began research which would challenge the "simple willpower" model of change:

"Many people we have interviewed first tell us, 'I just woke up one morning and quit [smoking].' [But w]hen we ask more detailed questions, they begin to remember....[1] They remember the weeks prior to that fateful morning, when perhaps they switched brands and became increasingly disgusted with smoking. [2] They remember earlier attempts to quit smoking. [3] They remember when they avoided people and the places that were filled with smoke during the two weeks after quitting. [4] They remember enlisting the aid of several friends at work by announcing their attempt to quit smoking" (page 210).

In short, Prochaska and colleagues realized that change is not a simple event, but a process, including the above techniques of [1] Preparation [2] Relapse and Renewed Resolution [3] Avoiding Tempting Environments and [4] Making one's Change-Commitment Public and tapping Helping Relationships to increase one's chance at success.

In the end, Prochaska and colleagues finally modeled change as a Five-Stage Process. They devote a chapter to each such stage in this book:

Chapter 4: Precontemplation: where a person isn't even considering changing a behavior, is in denial about it.

Chapter 5: Contemplation: where a person begins to be receptive to information about their problematic behavior, begins thinking about changing it...maybe in the next six months.

Chapter 6: Preparation: where a person makes the commitment to change, sets a date, and creates an "action plan" for changing.

Chapter 7: Action: where the person puts their Action Plan into gear, usually spending their first six months meeting a host of basic temptations, challenges, and distresses of actually changing their problematic behavior.

Chapter 8: Maintenance: where the plan is in place. The person tries to maintain their new/changed way of life. While temptations to stray are fewer at this point, the person has to be ready for sudden surprises which might knock them off the beam.

Of course, even the best-made plans can go awry. ("Everyone has a plan," boxers often say, "until you get punched in the face.") In fact, most people fall off the beam the first time they try to change some behavior (smoking, drinking, overeating, etc.). For this reason, Prochaska and colleagues added the stage of "Relapse/Recycling" to their model (Chapter 9). Happily, they've found that, even when people lapse in their change-program, many of them "recycle": they (1) try to learn from their lapse and then (2) return to their change-commitment, this time a bit wiser than before.

In this book, Prochaska et al describe each of the change-stages in detail, pointing out that certain coping-techniques are more appropriate to different stages of change. For example, while book-learning ("consciousness raising") is very helpful in the Contemplation stage, Action and Maintenance require more active coping techniques--such as learning Relaxation, or including an Exercise regimen, or learning to "talk back" to tempting thoughts (nicely summarized on page 54).

Even more fascinating, Prochaska et al point out (page 26) that different styles of psychotherapy/counseling might be more helpful to people at different stages of change. Contemplators, for instance, can profit greatly from traditional analysis (Freudian/Jungian/Gestalt/Transactional/etc). On the other hand, people at the Action/Maintenance stages might profit better from more behavior-and-relationship based therapies (Behaviorism/Cognitive/Humanistic/Existential Counseling).

But most important, this book aims to be a very detailed guide for readers who not only want to learn the psychology of change, but also want to apply this model to their own lives. For this reason, Prochaska et al (1) Walk the reader through the five stages; then (2) explain the coping techniques most helpful to each stage, (3) give real-life examples of people at each stage and the actions they took at each stage. Finally, (4) Prochaska et al apply the Stages of Change model to specific behaviors at Chapter 10: smoking, drinking and coping with psychological (di)stress.

Of course, no book can be a panacea--change is difficult no matter how much psychology one has read. (The authors are well-aware of this, and point it out repeatedly.) But this book offers a reader an eyes-wide-open vision of how real people really change, and what kinds of preparation and specific coping skills can best ensure success in changing one's life.

 https://www.goodreads.com/review/show/1939638837

Saturday, March 4, 2017

Review of Detour: My Bipolar Road Trip in 4-D by Lizzie Simon

Lizzie Simon was diagnosed as bipolar when she was 17 years old. After a few years of fits and starts, she found herself wondering what it's like to live successfully with bipolar disorder: "I have this idea," she writes, "I want to find other bipolar people like me and interview them....I want to show that people survive this illness and live full lives. I want to figure out what worked in people who are success cases, and shift people's focus away from all the media attention on destructive and violent cases" (page 41).

So Lizzie takes a road trip (as hinted at in her book's title). Along the way, she meets disappointing cases--like "Nicholas," who remains in denial about his condition, and copes with his symptoms through alcohol and drug abuse. "Everybody I interviewed for this book is diagnosed with bipolar affective disorder, between the ages of sixteen and thirty-five, on medicine, and highly functional in society" (page 209)

Lizzie grows through the course of her Road Trip. At first, she sought a "herd" of people who were "just like her" for comfort. But what she later realizes is that she had always had a "herd": "My family is, of course, the original herd. They were the herd I'd always had, and when I was done wandering, they became the herd that welcomed me back. For that I am truly blessed" (page 205)

Simon's book is studded with this and other thought-provoking insights, for instance:

"People who dedicate themselves to personal growth do grow, and they get to enjoy their work almost every day of their lives" (page 207)

"We do not share the same illness, for we each experience it differently. But we do share the same diagnosis" (page 210)

For insights like this, readers will enjoy Lizzie Simon's book. I zoomed through it in a few days--it's readable, absorbing, and insightful.
 https://www.goodreads.com/review/show/1931680139