Alcohol: Processes of Change
This questionnaire is designed to give us a better understanding of what strategies you are using in your treatment. Each statement describes a situation or thought that a person might try to help them not use cocaine. Please indicate how often you might make use of a particular situation or thought to help you at the present time.
There are FIVE possible responses to each of the items in the questionnaire:
1 = NEVER
2 = SELDOM
3 = OCCASIONALLY
4 = FREQUENTLY
5 = REPEATEDLY
1. | I keep things around my home or work that remind me not to drink. | |
2. | I engage in some physical activity when I get the urge to drink. | |
3. | I do something nice for myself for making efforts to change. | |
4. | I can talk with at least one special person about my drinking experiences. | |
5. | I get upset when I think about illnesses caused by drinking. | |
6. | I tell myself that I can choose to change or not to change. | |
7. | I take some type of medication for my drinking problem. | |
8. | I change personal relationships which contribute to my drinking. | |
9. | I see signs in some public places trying to help people not to drink. | |
10. | I stop to think about how my drinking is hurting people around me. | |
11. | I consider that feeling good about myself includes changing my drinking behavior. | |
12. | I think about information from television and radio on how to quit drinking. | |
13. | Someone in my life helps me to face my drinking problem. | |
14. | I remove things from my home or work that remind me of drinking. | |
15. | I calm myself when I get the urge to drink. | |
16. | I reward myself when I don’t give in to my urge to drink. | |
17. | I have someone to talk with who understands my problems with drinking. | |
18. | Warnings about the health hazards of drinking have an emotional effect on me. | |
19. | I use will power to keep from drinking. | |
20. | I take some type of drugs to help me not drink. | |
21. | I avoid people who encourage drinking. | |
22. | I notice that people with alcohol problems are making known their desire not to be pressed to drink. | |
23. | I am considering the idea that people around me would be better off without my problem drinking. | |
24. | I get upset with myself when I think about my problem drinking. | |
25. | I read newspaper stories that may help me quit drinking. | |
26. | Someone in my life lets me know about how my drinking is affecting me personally. | |
27. | I avoid situations that encourage me to drink. | |
28. | I try to think about other things when I begin to think about drinking. | |
29. | Others make life difficult for me when I drink. | |
30. | I have someone who listens when I want to talk about my drinking. | |
31. | Stories about alcohol and its effects upset me. | |
32. | I make myself aware that I can choose to overcome my drinking if I want to. | |
33. | I use tranquilizers to help me keep from drinking. | |
34. | I avoid people who are heavy drinkers. | |
35. | I find society changing in ways that make it easier for me to overcome my drinking problems. | |
36. | I have strong feelings about how much my drinking has hurt the people I care about. | |
37. | I become disappointed with myself when I depend on alcohol. | |
38. | I look for information related to problem drinking. | |
39. | I have someone who tries to share their personal experiences of alcohol with me. | |
40. | I use reminders to help me not to drink. | |
41. | I do something else instead of drinking when I nedd to deal with tension. | |
42. | I don’t let myself have fun when I drink. | |
43. | I have someone whom I can count on to help me when I’m having problems with drinking. | |
44. | I read newspaper stories that can affect me emotionally about my drinking. | |
45. | I tell myself that if I try hard enough I can keep from drinking. | |
46. | I take antabuse to help me not drink. | |
47. | I leave places where people are drinking. | |
48. | I seek out social situations where people respect the rights of others to not drink. | |
49. | I stop and think that my drinking is causing problems for other people. | |
50. | I feel more competent when I decide not to drink. | |
51. | I seek out groups of people who can increase my awareness about probles of drinking. | |
52. | I have someoine who helps me “see through” my excuses for drinking. | |
53. | I stay away from places generally associated with my drinking. | |
54. | I find that doing things is a good substitute for drinking. | |
55. | I spend time with people who reward me for not drinking. | |
56. | Someone in my life tries to make me feel good when I don’t drink. | |
57. | I attend meetings that help me express how emotionally destructive drinking has been in my life. | |
58. | I make commitments to myself not to drink. | |
59. | I change my diet to help me overcome drinking. | |
60. | I go places where drinking is not generally accepted. | |
61. | I see advertisements on television about how society is trying to help people not drink. | |
62. | I stop and think that drinking and driving causes many problems for other people. | |
63. | I thikn about the type of person I will be if I am in control of my drinking. | |
64. | I think about information that people have personally given me on the benfits of quitting drinking. | |
65. | My physical reactions to alcohol help me to realize that alcohol is a problem for me. |
Scoring
Process of Change | Items |
Stimulus Control | 1, 4, 27, 40, 53 |
Contingency Management | 3, 16, 29, 42, 55 |
Counterconditioning | 2, 15, 28, 41, 54 |
Helping Relationships | 4, 17, 30, 43, 56 |
Social Liberation | 9, 22, 35, 48, 61 |
Environmental Reevaluation | 10, 23, 36, 48, 62 |
Consciousness Raising | 12, 25, 38, 51, 64 |
Dramatic Relief | 5, 18, 31, 44, 57 |
Self Liberation | 6, 19, 32, 45, 58 |
Physical Interventions | 7, 20, 33, 46, 59 |
Interpersonal Systems/Control Stimulus | 8, 21, 34, 47, 60 |
Feedback | 13, 26, 39, 52, 65 |
Self Reevaluation | 11, 24, 37, 50, 63 |