Transcript Clinical Academic Careers

The Process of Change Revisited
Lucy Dorey MPhil/PhD Student
Prochaska and DiClemente 1982
“Increases in Divergent
thinking need to be
followed by higher levels
of convergent thinking”
“Theorists and therapists
from different systems are
searching for common
principles of change”
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Orford (2008) Asking the right questions in
the right way: the need for a shift in research
on psychological treatments for addiction.
Research has been too
narrowly focused on
comparing specific
treatment techniques …
…without taking into
account change processes
these therapies may have
in common.
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Literature search from 2006
Process of
Change
Recovery, Addiction,
Alcohol & Drug
Dependence
• Cognitive Neuroscience
• Qualitative Studies (IPA, Participant Observation, Case
Study, Unitary Field Pattern Portrait)
• Longitudinal Studies with Process Measures
• Integration of Theory
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WORLD VIEWS
Mechanism v. Contextualism
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WHATS CHANGED?
•Personal Journeys of Recovery
•Advances in Neuroscience of Addiction
•Contextual Behavioural Therapies
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THE MATRIX
(Adapted from Mark Webster’s Version)
AWARENESS & ACCEPTANCE
Away from
Unwanted
Experience
Behaviour
Towards
Valued
Living
AUTOMATIC PILOT
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Contextual Behavioural Science
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Understanding the Process of Change
Measurement & Testing
of Processes
Process of Change Theories
Applied Scientific ResearchBehaviourism, RFT, Neuroscience
Personal Journeys of Change
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Acknowledgements
Supervisors:
• Professor Judith Lathlean Professor of Health Research at the
University of Southampton
• Dr Greta Westwood Head of Nursing, Midwifery and AHP
Research/Clinical Academic Coordinator Portsmouth Hospitals NHS
Trust and University of Southampton
• Professor Paul Roderick Professor of Public Health within Medicine at
the University of Southampton
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