Assessment of Change in Psychoanalysis : Another Way of Using the Change After Psychotherapy Scales
(2016) In Journal of the American Psychoanalytic Association 64(2). p.285-305- Abstract
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... (More)
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.
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- author
- Pires, António Pazo ; Gonçalves, João ; Sá, Vânia ; Silva, Andrea and Sandell, Rolf LU
- organization
- publishing date
- 2016-04
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- CHAP, psychic change, psychoanalysis
- in
- Journal of the American Psychoanalytic Association
- volume
- 64
- issue
- 2
- pages
- 21 pages
- publisher
- SAGE Publications
- external identifiers
-
- pmid:27073183
- wos:000375725800002
- scopus:84966559904
- ISSN
- 0003-0651
- DOI
- 10.1177/0003065116644743
- language
- English
- LU publication?
- yes
- id
- 326f8e3c-cc41-4147-a629-30b2c932f2fb
- date added to LUP
- 2016-10-10 13:39:32
- date last changed
- 2025-01-12 12:53:57
@article{326f8e3c-cc41-4147-a629-30b2c932f2fb,
abstract = {{<p>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.</p>}},
author = {{Pires, António Pazo and Gonçalves, João and Sá, Vânia and Silva, Andrea and Sandell, Rolf}},
issn = {{0003-0651}},
keywords = {{CHAP; psychic change; psychoanalysis}},
language = {{eng}},
number = {{2}},
pages = {{285--305}},
publisher = {{SAGE Publications}},
series = {{Journal of the American Psychoanalytic Association}},
title = {{Assessment of Change in Psychoanalysis : Another Way of Using the Change After Psychotherapy Scales}},
url = {{http://dx.doi.org/10.1177/0003065116644743}},
doi = {{10.1177/0003065116644743}},
volume = {{64}},
year = {{2016}},
}