In the early 1980s the transtheoretical model of change was still
in its infancy. Seminal publications were just appearing, but the
model already seemed to hold such promise that we made it the
organizing theme for the Third International Conference on
Treatment of Addictive Behaviors (ICTAB-3), which convened in
Scotland in 1984. That meeting gave rise to the first edition of
this volume (Miller & Heather, 1986), which focused on
processes involved in moving people from one stage to the next.
With the volume still in print more than a decade later, we were
approached by Plenum Press with the idea of preparing this second
edition. We were, obvi ously, persuaded that there was merit to the
idea. Since 1986 the work of Pro chaska and DiClemente has grown
exponentially in popularity and influence. In Britain and the
Americas, it is now unusual to find an addiction professional who
has not at least heard about the stages of change, and more
sophisticated applica tions of the transtheoretical model are
spreading through health care systems and well beyond. The model
has influenced professional training, health care delivery, and the
design of many studies including a number of large clinical
trials."
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