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DEVELOPMENTAL CRISIS IN EARLY ADULTHOOD: A ...

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that once again provide parallels with the current model. There are 8 stages to<br />

this model; Warded Off, Unwanted Thoughts, Vague Awareness/Emergence,<br />

Problem Statement/Clarification, Understanding/Insight, Application/Working<br />

Through, Problem Solution, Mastery. This model presents its own version of<br />

how an individual must work through steps from denial, to realisation, to action,<br />

to solution and to stable maintenance. Both models of clinical change are<br />

compared with the current model in Table XIV.<br />

Table XIV. Comparing Phases of Current Model with Two Models of Clinical<br />

Change<br />

Chapter 9 Model<br />

1. Growing Crisis:<br />

Constriction<br />

Transtheoretical<br />

Change Model<br />

Pre-Contemplation<br />

Contemplation<br />

Assimilation Model<br />

Warded Off<br />

Unwanted Thoughts<br />

Vague Awareness/Emergence<br />

2. Peak Crisis: Separation Determination Problem Statement/Clarification<br />

Understanding/Insight<br />

3. Late Crisis: Exploration Action Application/Working Through<br />

4. Post-Crisis: Equilibration Maintenance Mastery<br />

Relapse<br />

Problem Solution<br />

As can be seen from the above table, the three models agree that change moves<br />

from internal issues of thoughts, contemplations, fantasies and feelings of<br />

dissatisfaction, through a turning point towards more external issues of action,<br />

assertion, problem-solving, exploration and rebalancing. This demonstrates a key<br />

change that characterises clinical change and crisis; it is a change away from<br />

ruminative passivity towards proactive behavioural coping that brings a new<br />

sense of active participation in the world and a new sense of mastery.<br />

10.7 Critical Reflections on Method and Sample<br />

The aim of this thesis was to find an innovative area of research and also to<br />

develop an innovative methodology with which to investigate this area. The<br />

composite model that was created was a synthesis of Miles and Huberman’s<br />

193

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