Steps to bring about behaviour change

Fabb and Fleming have introduced the model of change which is fundamental to initiating therapy. The five steps are:

1. Dissatisfaction

There must be dissatisfaction with the present pattern of behaviour.

2. Alternative

There must be an acceptable alternative behaviour pattern available.

3. Emotional commitment

There must be an emotional commitment to the new pattern of behaviour over the old.

4. Practice with feedback

There must be practice of the new behaviour, with feedback, to establish the new pattern as an available behaviour.

5. Habituation with support

There must be installation of the new behaviour in the normal work/living situation with support. All of these must be present for change to occur. Steps 4 and 5 are often neglected with the result that change does not occur or is less successful.

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