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Pires, A.P. Gonçalves, J. Sá, V. Silva, A. Sandell, R. (2016). Assessment of Change in Psychoanalysis: Another Way of Using the Change after Psychotherapy Scales. J. Amer. Psychoanal. Assn., 64(2):285-305.

(2016). Journal of the American Psychoanalytic Association, 64(2):285-305

Assessment of Change in Psychoanalysis: Another Way of Using the Change after Psychotherapy Scales

António Pazo Pires, João Gonçalves, Vânia Sá, Andrea Silva and Rolf Sandell

A systematic method is presented whereby material from a full course of psychoanalytic treatment is analyzed to assess changes and identify patterns of change. Through an analysis of session notes, changes were assessed using the CHange After Psychotherapy scales (CHAP; Sandell 1987a), which evaluate changes in five rating variables (symptoms, adaptive capacity, insight, basic conflicts, and extratherapeutic factors). Change incidents were identified in nearly every session. Early in the analysis, relatively more change incidents related to insight were found than were found for the other types of change. By contrast, in the third year and part of the fourth year, relatively more change incidents related to basic conflicts and adaptive capacity were found. While changes related to symptoms occurred throughout the course of treatment, such changes were never more frequent than other types of change. A content analysis of the change incidents allowed a determination of when in the treatment the patient's main conflicts (identified clinically) were overcome. A crossing of quantitative data with clinical and qualitative data allowed a better understanding of the patterns of change.

[This is a summary excerpt from the full text of the journal article. The full text of the document is available to journal subscribers on the publisher's website here.]

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