Research: Generic Change Indicators (CGI)

Mentioned in the article by Krause (2007), the indicators towards the evolution of change in a psychotherapy treatment are as listed:

  1. Acceptance of the existence of a problem
  2. Acceptance of his or her limits and of the need for help
  3. Acceptance of the therapist as a competent professional
  4. Expression of hope (‘‘morale boost’’ or ‘‘remoralization,’’ the expectation of being helped or being able to overcome the problems)
  5. Questioning of habitual understanding, behavior, and emotions (‘‘opening up’’; may imply the recognition of problems previously ignored, self-criticism, and the redefinition of therapeutic expectations and goals
  6. Expression of the need for change
  7. Recognition of his or her own participation in the problems
  8. Discovery of new aspects of self
  9. Manifestation of new behavior or emotions
  10. Appearance of feelings of competence
  11. Establishment of new connections among aspects of self (e.g., beliefs, behavior, emotions); aspects of self and the environment (persons or events); aspects of self and biographical elements
  12. Reconceptualization of problems or symptoms
  13. Transformation of valorizations and emotions in relation to self or others
  14. Creation of subjective constructs of self through the interconnection of personal aspects and aspects of the surroundings, including problems and symptoms
  15. Founding of the subjective constructs in own biography
  16. Autonomous comprehension and use of the context of psychological meaning
  17. Acknowledgment of help received
  18. Decreased asymmetry between patient and therapist
  19. Construction of a biographically grounded subjective theory of self and of his or her relationship with surroundings (global indicator)

Qualitative Method of Measuring Change:



Krause, M., De la Parra, G., Arístegui, R., Dagnino, P., Tomicic, A., Valdés, N., … & Ramírez, I. (2007). The evolution of therapeutic change studied through generic change indicators. Psychotherapy research17(6), 673-689.

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