DiClemente C C, Scott C W
Department of Psychology, University of Maryland, Baltimore 21228-5398, USA.
NIDA Res Monogr. 1997;165:131-56.
Current perspectives on compliance and involvement in treatment often overlook the fact that treatment occurs in the context of a process of change and not vice versa. Each individual moves at a unique pace through a series of stages of change and in a cyclical fashion over a substantial period of time. Treatment personnel and programs should recognize the diversity of stage status in their clients and address each one in a manner compatible with the client's current stage of change, the tasks needed to move forward in the process of change, and an understanding of the course of change. Such considerations should assist the therapist in developing strategies to increase the engagement of a wide variety of clients, to improve retention of these clients in a realistic course of treatment, and to foster participation in stage-appropriate tasks that promote successful movement through the stages to sustained, long-term change.
当前关于依从性和参与治疗的观点常常忽略了一个事实，即治疗是在一个改变过程的背景下发生的，而不是相反。每个人以独特的节奏经历一系列改变阶段，并在相当长的一段时间内呈循环模式。治疗人员和项目应认识到其客户在阶段状态上的多样性，并以与客户当前改变阶段、在改变过程中向前推进所需的任务以及对改变过程的理解相一致的方式来对待每一位客户。这些考量应有助于治疗师制定策略，以提高各类客户的参与度，使这些客户在现实的治疗过程中保持参与，并促进他们参与适合阶段的任务，从而推动他们成功地经历各个阶段，实现持续的长期改变。
