tag:blogger.com,1999:blog-3045634714760830992.post6779958484720131955..comments2023-06-05T11:51:38.383-04:00Comments on Evolutionary Psychiatry: Context and the Stages of ChangeAnonymoushttp://www.blogger.com/profile/04429177284200775781noreply@blogger.comBlogger14125tag:blogger.com,1999:blog-3045634714760830992.post-77816607030414639202013-09-23T01:23:33.430-04:002013-09-23T01:23:33.430-04:00Interesting post. Interesting combination of trans...Interesting post. Interesting combination of trans-theoretical models in psychology and diet.<br /><br />Willpower is also an integral thing to build in all of this<br />http://www.learningthesteel.com/books/Criosd-Fiannahttps://www.blogger.com/profile/13313624924280819432noreply@blogger.comtag:blogger.com,1999:blog-3045634714760830992.post-91371502694070454382012-05-13T15:10:11.622-04:002012-05-13T15:10:11.622-04:00"I will never be a Sports Illustrated swimsui..."I will never be a Sports Illustrated swimsuit model, for example, no matter how many Whole30s and Met-cons I do." I think that you, Emily, are amazing and I very much appreciate you.<br /><br />I never had a blogger recommend any music in the middle of a blog. I have been a big fan of classical music since I was 11 when my auntie turned me on to L'Arlesienne Suite; my first time that a blogger suggested any music to me was when I read your suggestion of L'Arlesienne Suite. I was floored!!! That was so cool. Keep doing what you are doing, Emily.Roger Birdhttps://www.blogger.com/profile/17007960782863914229noreply@blogger.comtag:blogger.com,1999:blog-3045634714760830992.post-1876466935373377272012-04-17T05:30:23.057-04:002012-04-17T05:30:23.057-04:00Wonderful! Thank you ;)!Wonderful! Thank you ;)!Anonymoushttps://www.blogger.com/profile/17742759962424248778noreply@blogger.comtag:blogger.com,1999:blog-3045634714760830992.post-42286060494852234862012-04-04T09:38:10.035-04:002012-04-04T09:38:10.035-04:00I like the way Bruce Lee interpreted Buddhist Eigh...I like the way Bruce Lee interpreted Buddhist Eight fold path on change better. He wrote in Jeet Kune Do:<br /><br />You must see clearly what is wrong<br />Decide to be cured<br />Speak so as to aim at being cured<br />You must act<br />Your livelihood must not must not conflict with your therapy<br />The therapy must go forward at the "staying speed" -- the critical velocity that can be sustained<br />You must feel it and think about it incessantly<br />Learn how to contemplate with the deep mind<br /><br />He also wrote:<br />Simplicity is the key to brilliance.<br /><br />Just my thought.Michaelhttps://www.blogger.com/profile/04283262638687224193noreply@blogger.comtag:blogger.com,1999:blog-3045634714760830992.post-34072846034476319642012-03-21T04:05:36.734-04:002012-03-21T04:05:36.734-04:00Yes, yes, yes, this really in many ways is the hea...Yes, yes, yes, this really in many ways is the heart of the issue. A similar model has been prevalent within athletic training circles for a number of years in the arena of injury and recovery. The denial (trying to train around the injury), then the reluctant acknowledgement (and attendant depression very often), then the long haul to recovery ... and the biggest issue - not slipping back into the behaviour that caused the problem in the first place. In obsessive/elite athlete types - over-training most usually!<br /><br />IF more attention was paid to the subtle psychology behind a resistance to necessary change and it were better understood there would be a great many more success stories and far fewer individuals feeling they had failed.<br /><br />My observations of friends and relations who really need to address lifestyle issues (most notably diet and exercise) has brought me to the conclusion that one must help them identify what they have to lose by getting well. This is often neglected - well meaning types list endless benefits of recovery but don't realise these are actually very threatening to an ego that has often developed the ill-serving behaviours for very logical reasons when they first began. I've noted that one of my relations has a great deal invested in being a very overweight and unfit person - she literally hides within and doesn't need to 'bother' - being stripped of her outer shell so to speak creates massive subconscious resistance. And then the friend who has been treated with drugs for GAD for 2 decades who believes her husband has only stood by her because he a decent man that wouldn't leave an ill wife ... need I say more.Cavegirlhttps://www.blogger.com/profile/02319318255360473712noreply@blogger.comtag:blogger.com,1999:blog-3045634714760830992.post-41210337544852564612012-03-19T15:25:47.768-04:002012-03-19T15:25:47.768-04:00I like the font change just sayin......nice to fin...I like the font change just sayin......nice to finally meet you formally in Austin.johnhttps://www.blogger.com/profile/11126132841611727249noreply@blogger.comtag:blogger.com,1999:blog-3045634714760830992.post-41903920378347672082012-03-19T13:41:30.348-04:002012-03-19T13:41:30.348-04:00Thanks for the article. I stumbled though some of...Thanks for the article. I stumbled though some of it on my own journey, but have not actually viewed it as a whole process and it helps. Your words describing the feelings of someone who is not yet comfortable in their new body size reminded me of the lost feeling I had after dropping a lot of weight. It was like I couldn't go home. It did dissipate as time went by.Carolhttps://www.blogger.com/profile/04119015997039792390noreply@blogger.comtag:blogger.com,1999:blog-3045634714760830992.post-35380583916677699772012-03-19T02:56:53.644-04:002012-03-19T02:56:53.644-04:00The DOJ just completed a five year stint at our ho...The DOJ just completed a five year stint at our hospital fully entrenching the "Recovery Model". <br /><br />Initially, we incorporated the five stages to all psychiatric conditions (even though we defined 11 foci domains). Eventually, we narrowed its application to one foci, substance abuse, based on clinical argument. This was troubling because I believe the model carries a wider spectrum of use. <br /><br />Our hospital system's persistent resistance to the DOJ most likely stunted its application. This was an unfortunate outcome. Now that they (DOJ) are gone, we are reverting to some practices that brought them here in the first place. Huh?<br /><br />As far as the whole dietary issue of fat, safe starches, and carbs, etc. To each his or her own. I say, "do your best and flush the rest". <br /><br />We all have limited knowledge and information regarding this issue. In the end, its the people that matter. That, we should not forget.<br /><br />I need to learn more about motivational interviewing for health, prevention, etc. Although I found mine in bed at 0230 with a weak, thready pulse one night too often, there are obviously less dramatic and equally important reasons to get healthy. Is identification or application the problem?Anonymoushttps://www.blogger.com/profile/04422687319390073486noreply@blogger.comtag:blogger.com,1999:blog-3045634714760830992.post-42786721586582448492012-03-18T22:42:26.718-04:002012-03-18T22:42:26.718-04:00Emily, it was great spending time talking with you...Emily, it was great spending time talking with you at Paleo fx this week. We have a lot of work ahead of us as practitioners in the implementation of the Paleo lifestyle. Your post highlights something that I feel was underrepresented this week. The nuts and bolts of actually taking the theory to practice. We have the medicine...but what you've discussed here is the syringe. This is as important as the dietary and movement based prescription itself. We need to talk more...Dr. Jacobhttps://www.blogger.com/profile/03029243629590768903noreply@blogger.comtag:blogger.com,1999:blog-3045634714760830992.post-52239418588605244902012-03-18T20:45:42.169-04:002012-03-18T20:45:42.169-04:00I snuck the motivational interviewing in there. Di...I snuck the motivational interviewing in there. Didn't want to make things too confusing...Anonymoushttps://www.blogger.com/profile/04429177284200775781noreply@blogger.comtag:blogger.com,1999:blog-3045634714760830992.post-82426221028337513722012-03-18T19:58:16.328-04:002012-03-18T19:58:16.328-04:00Now sprinkle another post with motivational interv...Now sprinkle another post with motivational interviewing (an evidence based practice for anyone who cares), add the two together, and you begin to have a very effective way of working with anyone with virtually any behavior/addiction/issue they want to change, or that you hope to assist them in becoming *motivated* to change.<br /><br />This is also an excellent example of how LONG it takes for change to happen. My training in Stages of Change and MI was in 1994 in the High Arctic AK, and we immediately began using it in all of public health and in behavioral health/substance treatment services. But in my experience in the years since I left that work in 2001, it has not "caught on." It fact, it has not caught on in the extreme. I did work a contract position in the state hospital system in Hawaii in 01-02 in which it was moving like wildfire throughout services in that system, but since going back to the mainland, what I've experienced is that finally, in the last few years, it just barely inching forward.<br /><br />I hope that by the time I am 80, all healthcare providers of all kinds will be using Stages of Change and MI.(One can hope.) It would be a powerful addition, as you stated, to those working with movement, exercise, etc.<br /><br />For those who may be interested, just google "stages of change" and "motivational interviewing." MI has now been validated in a number of areas, including use in hospitalized patients with medical/surgical issues and there are specific books dedicated to training in different areas.<br /><br />IMO, for really motivated people who want to learn, there are now excellent books in both areas for self teaching.memhttps://www.blogger.com/profile/14329665296332040306noreply@blogger.comtag:blogger.com,1999:blog-3045634714760830992.post-77123562291078987962012-03-18T19:43:38.178-04:002012-03-18T19:43:38.178-04:00Great post. It's nice to hear the nuts and bo...Great post. It's nice to hear the nuts and bolts, or stumbling points to success. ThanksAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-3045634714760830992.post-35357594254500751022012-03-18T19:35:10.532-04:002012-03-18T19:35:10.532-04:00That's a great description of the trans-theore...That's a great description of the trans-theoretical model of change. Often when you see the diagrams it doesn't make much sense due to the use of terms like 'pre-contemplation' etc, but you've done a great job of contextualising it here. I prefer 'lapse' to 'relapse', but either term helps people understand that falling off the wagon is normal and to be expected: change is hard.<br /><br />In fact, I wonder if you've thought of putting something quite formal together as a resource for trainers/nutritionists and the like. So many take an evangelical approach that it immediately puts off the pre-contemplators & contemplators - the very people they're trying to convince. You've got the credibility within the blogosphere that they might just listen...Ritchie Castree-Croadhttps://www.blogger.com/profile/15006001388742278236noreply@blogger.comtag:blogger.com,1999:blog-3045634714760830992.post-58362132330641150732012-03-18T18:53:23.885-04:002012-03-18T18:53:23.885-04:00I may be a psychologist, but it's in the exper...I may be a psychologist, but it's in the experimental, not clinical, paradigm. Your summary of the stages of lifestyle transition and how to guide someone through them serves as an excellent primer. Thanks!Aaron Blaisdellhttps://www.blogger.com/profile/04045384289936816823noreply@blogger.com