Trainee Counselling Psychologist Prize: Joint runner-up What constitutes change?

Abstract

Facilitating beneficial change is the main thrust of therapy. Possible factors contributing to change are illustrated in work with a client using the model of brief psychodynamic therapy. Precursors to change, such as engagement in pre-therapy and working alliances, are discussed. The point of change seemed to be instigated through an accurate, empathic interpretation. The implications of this sensitive and appropriately timed understanding of a core issue in the client, which sparked release of emotional distress and subsequently aided insight and change in her behaviour, are critically evaluated. Consideration is also given to the relevance of the context and setting within which this change occurred. Differences in perception of change between client and trainee counselling psychologist are noted. Alternative hypotheses for the series of changes are explored and reflections given on my learning.