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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