Another way to think about psychological change: experiential vs. incremental

Rolf Sandell, Alexander Wilczek

Research output: Contribution to journalArticlepeer-review

Abstract

The traditional pre-post treatment difference reflects an incremental notion of change, where a quantity of some psychological function is added to (or subtracted from) a pretreatment quantity. This study presents a complementary, experiential notion of change. Rather than a difference, change is a feeling or experience of having changed, a feeling that one is different than before. Based on a post-treatment interview the Change after Psychotherapy (CHAP) is a method to quantify/rate such ‘differentness’ in terms of how extensively or radically the patient feels having changed. A pre-post quasi-experimental study (N = 49) comparing the CHAP with ratings on the Global Assessment of Functioning, the Karolinska Psychodynamic Profile and the Comprehensive Psychopathological Rating Scale-Self-Affective is reported. The results showed the CHAP to be a reliable, valid and sensitive way to assess an experiential kind of CHAP.

Original languageEnglish
Pages (from-to)228-251
Number of pages24
JournalEuropean Journal of Psychotherapy and Counselling
Volume18
Issue number3
DOIs
Publication statusPublished - 2016 Jul 2

Subject classification (UKÄ)

  • Applied Psychology (including Clinical Psychology, Psychotherapy)

Free keywords

  • Change measurement
  • experiential change
  • gain scores
  • pre-post differences
  • retrospective assessment
  • ‘direct’ measurement

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