Flight to Freedom

Intro

The Stages of Change

DiClemente (2018)

Assessments

HDSI (Parsons et al., 2013)

Problematic Pornography Consumption Scale (PPCS) (Bőthe et al., 2018)

Readiness to Change Questionnaire, Expanded (RCQ-E)

• Precontemplation, Contemplation and Action scales: Heather & Hönekopp, 2008 (RCQ-TV)
• Preparation scale: Laplante-Lévesque et al. 2015
• Maintenance scale: McConnaughy et al., 1989 (URCAII)

Readiness for Change - Short screener (based on Norcross, 2012 and Prochaska et al., 2013)

Lesson 1 - Your Desire to Change

Topic 1: Why is motivation important?

DiClemente (2018)

Topic 2: Debunking Myths

Marlatt (2005)

See also Debunking Myths

Topic 3: Core Values

Velasquez (2015)

SMART Recovery

Tool: Worksheet 1.1 - Values and Direction (subject to change)

Topic 4: Decisional Balance

Janis & Mann (1979)

DiClemente (2018)

SMART Recovery

Tool: Worksheet 1.2 - Cost Benefit Analysis

See Cost Benefit Analysis (CBA)

Topic 5: Choosing your goal

DiClemente (2018)

Lesson 2: Preparing For Take-Off

Topic 1: Work Smarter, Not Harder

Watson (2013)

Topic 2: Get to Know Yourself

Psychoeducation

Topic 3: TOOL: The CURE Tracker

Watson (2013).

Tool: The CURE Tracker

See Self Observation

Topic 4: ASSESSMENT - Confidence and Temptation

Kraus et al., 2017

Lesson 3: Flight Training

Topic 1: Rewiring the Brain

Psychoeducation

Original summary of all known research on topic.

Topic 2: Minimizing Cues/Hacking Your Environment

Stimulus Control

Topic 3: Dealing With Urges

Counter-conditioning.

Topic 4: Planning Ahead

DiClemente (2018)

Topic 5: Your Flight Plan

Tool: Change Plan ("Flight Plan")

Interactive Tool

DiClemente (2018)

Lesson 4 - Dealing with Flight Turbulence

Topic 1: Continuous Improvement

Based on DiClemente (2018)

Topic 2: Dealing With Turbulence

Discusses withdrawal symptoms.

See Withdrawal

Topic 3: Problem-Solving/Troubleshooting

Classic Problem Solving Exercise

Topic 4: Your GYE Coach

Social Support

Topic 5: Get a Co-Pilot

Social Support

Topic 6: Locking in the Commitment

DiClemente (2018), and others.

Lesson 5: The Critical Climb

Topic 1: Positive Attitude

Various sources, see references in text.

Topic 2: Celebrate!

Positive Reinforcement.

Topic 3: Tracking Your Successes

Watson (2013)

See Self Observation

Topic 4: One Day at a Time

Adapted from 12-step literature.

Topic 5: Increasing Pleasant Activities

Behavioral Activation

Topic 6: Connection & Friendships

See Connection

Lesson 6: Cabin Pressure / Menuchas Hanefesh

Topic 2: Thoughts on Trial

CBT Intro

Topic 3: Mindful Awareness

Mindfulness Intro

Topic 4: Unhooking

ACT Intro

Topic 5: Labelling & Disclosure

Affect Labeling

Topic 6: BLASTED

Behavioral strategies for B.l.a.s.t.e.d. feelings & states: Bored, Lonely, Angry Stressed, Tired, Excited (sexually) and Depressed

Topic 7: Guilt & Shame

See Elishevitz (2021).

Topic 8: Trust in God

Rosmarin (2010)

Lesson #7: Peak Performance

Topic X: Your Morning Routine/Morning Reflection

Tool: TAVLIN

Inspired by Elrod, H. (2012). The Miracle Morning: The Not-So-Obvious Secret Guaranteed to Transform Your Life (Before 8AM). Miracle Morning Publishing, LLC.

Topic X: Prompts (Reminder Systems)

Increasing Positive Cues

Topic X: The Three Circles

SAA

Topic X: Guarding Your Eyes

Multiple sources

Topic X: Dealing With Fantasies

Edwards, W. M., Delmonico, D. L., & Griffin, E. (2011). Cybersex Unplugged: Finding Sexual Health in an Electronic World.

Lesson 8: Flight Emergencies & Setback Procedures

Topic 1: A slip is not a fall

Marlatt (1985).

Topic 2: The What The Heck Effect

Abstinence Violation Effect

Lesson #9: Reclaim Your Life

Topic 1: Reclaiming Your Life

DiClemente (2018)

Topic 2: Pleasant Activities and Beyond

Horvath, A. T. (2004). Sex, Drugs, Gambling, & Chocolate: A workbook for Overcoming Addictions. Impact Publishers.

Topic 3: Lifestyle Balance Wheel

Originally created by Paul J. Meyer, founder of Success Motivation® Institute, in the 1960’s. For more on this tool see Nash, J. (2020). What Are Your Personal Values? Harvard Business Review. https://hbr.org/2020/11/what-are-your-personal-values. In SMART Recovery this tool is called the “Lifestyle Balance Pie”.

Topic 4: Key Lifestyle Habits

The NEURO Plan. (2019). Brain Initiative LLC. https://www.theneuroplan.com.

Topic 5: Signature Strengths

Rashid, T., & Seligman, M. (2019). Positive Psychotherapy: Workbook. Oxford University Press.

Topic 6: Values, Vision & Goals

Goal Setting Exercise

Topic 7: Micro Habits

EAST - Four simple ways to apply behavioural insights. (2014). The Behavioural Insights Team. https://www.bi.team/publications/east-four-simple-ways-to-apply-behavioural-insights

Fogg, B. (2020). Tiny Habits: The Small Changes That Change Everything. Mariner Books.

References

DiClemente, C. C. (2018). Addiction and change : how addictions develop and addicted people recover (Second Ed.). Guilford Substance Abuse.

Janis, I. L., & Mann, L. (1979). Decision Making: A Psychological Analysis of Conflict, Choice, and Commitment. Free Press.

Kraus, S. W., Rosenberg, H., Martino, S., Nich, C., & Potenza, M. N. (2017). The development and initial evaluation of the Pornography-Use Avoidance Self-Efficacy Scale. Journal of Behavioral Addictions, 6(3), 354–363. https://doi.org/10.1556/2006.6.2017.057

Marlatt, G. A., & Gordon, J. R. (1985). Relapse prevention : maintenance strategies in the treatment of addictive behaviors. Guilford Press.Marlatt, G. A., & Donovan, D. M. (2005). Relapse prevention: maintenance strategies in the treatment of addictive behaviors (2nd Ed.). Guilford Press.

Rosmarin, D. H., Pargament, K. I., Pirutinsky, S., & Mahoney, A. (2010). A randomized controlled evaluation of a spiritually-integrated treatment for subclinical anxiety in the Jewish community, delivered via the Internet. Journal of Anxiety Disorders, 24, 799–808.

Velasquez, M. M., Crouch, C., Stephens, N. S., & DiClemente, C. C. (2015). Group Treatment for Substance Abuse Second Edition A Stages-of-Change Therapy Manual. Guilford Press.

Watson David L., T. R. G. (2013). Self-Directed Behavior: Self-Modification for Personal Adjustment. Cengage Learning.