The shape of change in psychotherapy: longitudinal assessment of personal problems.

@article{Barkham1993TheSO,
  title={The shape of change in psychotherapy: longitudinal assessment of personal problems.},
  author={Michael Barkham and William B. Stiles and David Alan Shapiro},
  journal={Journal of consulting and clinical psychology},
  year={1993},
  volume={61 4},
  pages={
          667-77
        }
}
We propose 4 parameters that describe the course of change in the subjective intensity of personal problems during psychotherapy: (a) the problem's initial severity; (b) its rate of change (deterioration or improvement); (c) its instability (day-to-day variability in intensity); and (d) its curve (change in the rate of change during treatment). We constructed indexes of these parameters for 10 individualized personal problems rated 3 times per week by each of 40 clients (most were diagnosed as… CONTINUE READING
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