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DEVELOPMENTAL CRISIS IN EARLY ADULTHOOD: A ...

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“In order to make commitments to self-responsible, proactive living most of the ten<br />

needed first to come to greater awareness of their own unique selves rather than being<br />

exclusively aware of external factors. For example one man believed he had been<br />

“just a bunch of walking habits and reflexes,” with no “identity apart from what my<br />

parents thought” and not “the faintest idea who I was.” (Denne and Thompson, 1991,<br />

p.120)<br />

All the transitions described in Denne and Thompson’s sample led to what they<br />

described as “a more balanced relation between self and world” (p.124), which echoes<br />

the change towards integration and balance found in the data of this thesis.<br />

Clinical models of change also exist that have clear parallels with the<br />

current model. Prochaska and DiClemente’s (1982) integrative model of change<br />

has six phases; Pre-contemplation, Contemplation, Determination, Action,<br />

Maintenance and Relapse. The phases are not seen as a linear progression, but<br />

more of a dynamically interacting set of components through which the<br />

individual will cycle a number of times when attempting change. This model<br />

points towards the necessity of lasting change in all kinds of therapy, and has<br />

parallels with the current model. The phases of Pre-contemplation and<br />

Contemplation link to the rising consideration of change that characterises Phase<br />

1 in the current model, while Determination involves a determined effort to<br />

create change and so relates to the major transition period and so links to Phase 2.<br />

The Action phase links to the proactive nature of Phase 3 of the current model<br />

and Maintenance links to the need for enduring balance that characterises Phase<br />

4. A key difference between Prochaska and DiClemente’s clinical model of<br />

change and the current model is that their clinical change process ends in relapse.<br />

Relapse is seen as being a normal part of change within a clinical context and<br />

reinitiates the change process so that progress occurs in a spiral with relapse<br />

being a natural part of the process. Perhaps the difference between a<br />

transformative crisis and a clinical state of mental ill-health is that individuals<br />

who are transformed by crisis do not get drawn into a cycle of relapse but are able<br />

to create a robust new state of being. While in the crises of this thesis there are<br />

temporary relapses into old patterns and failed false starts in Phase 3, these are<br />

blips on an overall upward trajectory of transformation.<br />

Another clinical model of change is the Assimilation of Problematic<br />

Experiences Model (Stiles, 1996). Here we have a sequence of change phases<br />

192

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