Mentioned in the article by Krause et.al (2007), the indicators towards the evolution of change in a psychotherapy treatment are as listed:
- Acceptance of the existence of a problem
- Acceptance of his or her limits and of the need for help
- Acceptance of the therapist as a competent professional
- Expression of hope (‘‘morale boost’’ or ‘‘remoralization,’’ the expectation of being helped or being able to overcome the problems)
- 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
- Expression of the need for change
- Recognition of his or her own participation in the problems
- Discovery of new aspects of self
- Manifestation of new behavior or emotions
- Appearance of feelings of competence
- 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
- Reconceptualization of problems or symptoms
- Transformation of valorizations and emotions in relation to self or others
- Creation of subjective constructs of self through the interconnection of personal aspects and aspects of the surroundings, including problems and symptoms
- Founding of the subjective constructs in own biography
- Autonomous comprehension and use of the context of psychological meaning
- Acknowledgment of help received
- Decreased asymmetry between patient and therapist
- Construction of a biographically grounded subjective theory of self and of his or her relationship with surroundings (global indicator)
Qualitative Method of Measuring Change:
Source:
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 research, 17(6), 673-689.