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Client Change Scale-Rater Training Examples

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Client Change Scale-Rater Training Examples

Imagine you are an interviewer or counselor working with an array of client problems. You make a statement or have approached a case in a certain way. Then the client responds to you in one of five different ways:
Level 1 . Denial. The client seems unable to accommodate new data from the counselor or therapist. The client will fail to deal with the conflict or contradiction, makes an abrupt topic shift, or shows a clearly incorrect "off-the-wall" response.

Level 2. Partial examination. The client deals with only a portion of the issue or counselor's statement. The client may over-generalize, delete, or distort what has been said, but not as seriously as in Level 1. You may find irrational ideas and some blindness to problems.

Level 3. Acceptance and recognition, but no change. The client recognizes the situation as it is, and the client's comment, feeling, or thought seems close to that presented by the therapist, but nothing new is added by the client. This level characterizes homeostasis or no change. Score as Level 3 if the client tends to describe a situation, event, or self-picture fairly clearly but tends to leave it there.

Level 4. Generation of a new solution. In response to the counselor, the client moves to the creation of something new. The client has added something that was not there before. At times, the underlying conflict may remain-acceptance of insoluble problems begins here.

Level 5. Development of new, larger, and more inclusive constructs, patterns, or behavior-transcendence. The client has arrived at a new synthesis, a new way of thinking, behaving, or feeling. These are relatively rare moments in counseling and therapy and may represent the development of useful or important insights, the ability to engage in a truly new way of behaving, the generation of a new ability to engage emotionally.

You will now be given a variety of counselor-client situations. The possible client responses are in random order. Please match each client response to one of the five levels of the Client Change Scale (CCS).
Instructions: Read the following counselor-client situation and classify the following Client responses to the appropriate level of the Client Change Scale (CSS).

Career Choice

Counselor: (To student who was referred by his engineering professor for failing grades.) John, we've gone through the tests and reviewed your work history. Given all the information we've come up with, how do you put it together?

Premises:
I don't know. Engineers make the best salaries. It's really important that I do what Dad wants.
Dammit, I did it again! I'm beginning to think I'm afraid to allow myself to really feel.
Extreme depression-I was immobilized. Small wonder Mom brought me in. I know now that I can't stay home all the time and do nothing. I'm going to start getting out and being more active.
Am I really smiling? I thought I was angry, but . . .
What do you mean-I'm really mad. You can't say that.
It's so hard for me all the time, but it's hard for the family too. Sometimes I just cry. But lately, I find that if I focus on the positives available to me still, I gain some peace.
When I'm angry, sometimes I smile. So what?
I've been spending my time working with a cancer support group. I want to help others face this-somehow fighting and working with others to the end makes it seem easier.
It makes sense; I did enjoy the English courses. I guess it's time to give myself a chance to do what I want. My Dad wanted me to be an engineer like him. I've always tried to please him too much.
OK, OK. Let me try again. (angrily) Jean-you really tick me off. You simply can't do that.
There really isn't any problem. I'm sure it's an error on the X-ray. It can't be correct.
I guess Mom just wanted to get rid of me.
Well, when I came here I was pretty depressed and Mom was worried. But now I'm doing better. Last night I slept through the whole night for the first time.
That settles it. I've given Dad's idea a good try, but I haven't done well and I really like English better. I am going to do what I want and what makes sense for me. I'm going to change my major.
I accept it. I've had a good life, with my share of problems for sure. Sure I don't like it, but there's nothing I can do.
(Tears-no response.)
Well, I see the results. They seem to be saying that I don't look like an engineer and that I appear more like a journalist or English major. And, it's true that I haven't done too well in math and that English courses have given me my best grades.
The tests don't seem to make much sense. I'm going to work harder. I can't see why they referred me here anyway.
I wasn't able to get up in the morning, yet I couldn't sleep at night, and I have all these awful thoughts. I know I scared Mom.
Why me? What happened? (With anger.) It isn't fair.
Responses:
Level 1
Level 4
Level 5
Level 3
Level 2

Correct Answer:

I don't know. Engineers make the best salaries. It's really important that I do what Dad wants.
Dammit, I did it again! I'm beginning to think I'm afraid to allow myself to really feel.
Extreme depression-I was immobilized. Small wonder Mom brought me in. I know now that I can't stay home all the time and do nothing. I'm going to start getting out and being more active.
Am I really smiling? I thought I was angry, but . . .
What do you mean-I'm really mad. You can't say that.
It's so hard for me all the time, but it's hard for the family too. Sometimes I just cry. But lately, I find that if I focus on the positives available to me still, I gain some peace.
When I'm angry, sometimes I smile. So what?
I've been spending my time working with a cancer support group. I want to help others face this-somehow fighting and working with others to the end makes it seem easier.
It makes sense; I did enjoy the English courses. I guess it's time to give myself a chance to do what I want. My Dad wanted me to be an engineer like him. I've always tried to please him too much.
OK, OK. Let me try again. (angrily) Jean-you really tick me off. You simply can't do that.
There really isn't any problem. I'm sure it's an error on the X-ray. It can't be correct.
I guess Mom just wanted to get rid of me.
Well, when I came here I was pretty depressed and Mom was worried. But now I'm doing better. Last night I slept through the whole night for the first time.
That settles it. I've given Dad's idea a good try, but I haven't done well and I really like English better. I am going to do what I want and what makes sense for me. I'm going to change my major.
I accept it. I've had a good life, with my share of problems for sure. Sure I don't like it, but there's nothing I can do.
(Tears-no response.)
Well, I see the results. They seem to be saying that I don't look like an engineer and that I appear more like a journalist or English major. And, it's true that I haven't done too well in math and that English courses have given me my best grades.
The tests don't seem to make much sense. I'm going to work harder. I can't see why they referred me here anyway.
I wasn't able to get up in the morning, yet I couldn't sleep at night, and I have all these awful thoughts. I know I scared Mom.
Why me? What happened? (With anger.) It isn't fair.
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