ADMS 3502 Chapter Notes - Chapter 2.1: Twelve-Step Program

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Summary: recognize readiness, provide support but modified based on stage, education isn"t enough, identify personal triggers to motivate change, time. Strengths: useful, practical, goal-oriented, clear, reasonable, concrete. Limitations: incomplete view of human nature, doesn"t explain more complex issues, no theory for more complex cases. Patients must save themselves : real change only occurs when the person wants to. If they don"t want to you get resistance. Understand and accept, don"t coerce and manipulate. Patients resistance is nothing more than a source of information that must be dealt with. Assess the patient"s motivation and level of readiness rather than presume it. 12-step method (aa) gives specific vocabulary to decide what stage you are in: admit our lives are unmanageable internalize you require help from someone else, believe in power greater than self. Model for stages of death and dying (kubler . Ross) how any loss is interpreted: denial: disbelief, anger.

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