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Discovering the change prosess : an event based analysis Manson, Mary C.

Abstract

This research has sought to'qualitatively discover the process of change during a successful couples treatment, in an alcohol recovery context, using Experiential System Therapy (Friesen et al., 1989), and the contrasting process in an unsuccessful case of the same therapy, with the same therapist: This is in response to the need for discovery-based process research, to fill the gaps left by outcome research, in examining the complexity of change in a therapeutic setting. Two videotaped episodes in which the male client negotiated his way through an intrapersonal encounter with a previously avoided part of self (an Intrapersonal Resolution event) were examined; one successful, one unsucessful. Elliott's (1993) Comprehensive Process Analysis was employed to provide an extensive exploration of the process, effects and context of both events. The results indicated a number of characteristics common to the co-creation of an Intrapersonal Resolution event (IR), as well as thirteen. discoveries, in which the successful IR event differed from the unsuccessful IR event: (a) process flow, (b) disequilibrium, (c) readiness, (d) symbolic experience, (e) intelligence, (f) forgiveness experience, (g) core conflict, (h) stress level, (i) self support, (j) spiritual support, (k) supportive partner, (1) support network, and(m) individuated interpersonal experience. Primary among these is the concept of client readiness, which can be integrated into a transtheoretical model, based on the work of Prochaska et al. (1992). This has, I believe, significant implications for theorists, therapists, and training centers.

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