Developmental Change Scale—Rater Training Examples

question 7

Short Answer

Developmental Change Scale—Rater Training Examples
Instructions: Imagine you are a counselor or therapist working with an array of client problems. You make a statement or have approached a case in a certain way. Then the client responds.
For example, imagine a client who is being abused by her husband. You, as interviewer, may say:
"Jane, this is the third interview in a row that you've come in beaten and bruised. Each time you say you need to try harder to meet your husband's expectations. When are you going to realize that it is he who is at fault, not you?"
The client responds to you in five different ways:

1. "But, I can't do anything about it. I have no place to go. I've simply got to try harder. Won't you please help me do better?"

2. "Yes, you're right, I am beginning to think he is involved in this, too. But I know how hard he works and if we just hang in there, maybe it will work out."

3. "I guess you're right. I am trying to meet what he wants. I can't stand being beaten. I know you think he's at fault and it isn't my responsibility to take care of him. I think I understand what you are saying."

4. "I'm beginning to get your drift. I used to think I could solve things if I tried harder, but I've been doing that now for months. Clearly, hitting me isn't right—it has to stop."

5. "Aha, I'm finally seeing what you mean. The more I try, the more he demands. I think the situation isn't safe for me anymore. How can I plan to get out, just as soon as possible?"

The above five responses correspond to specific ways a client might respond in the interview. Below are descriptions of each of the five responses. Note how the first response represents a form of denial, the second a partial response, etc.

Level 1. Denial, The negative alpha solution. The client seems unable to accommodate new data from the counselor or therapist. The client will fail to deal with the conflict or contradiction, make an abrupt topic shift, or show a clearly incorrect "off-the-wall" response.

Level 2. Partial examination, The more mature alpha solution. 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, Beta solution. 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 Beta 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, Early gamma 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. Transcendence, Full gamma solution. 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, and 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 classify each client response at one of the five levels.
-Family therapy
Therapist: "The problem with this family is not just Sue's eating problem; what we need to work on as well is the way this family interacts."​

_______A)Mother: "Somehow that makes sense. I never thought of it that way before."​​​​

_______B)Father: "Yes, I now see that our perfectionism and constant demand for success​​left her with a feeling of being empty."​​​​

_______C)Sue: (5'6", 87 pounds) "I don't see why all the fuss. I'm overweight a little,​​that's all."​​​​

_______D)Mother: "Yes, doctor, that way we can work together better and you can help​​show us how to get Sue to eat."​​​​

_______E)Mother: "I see how we've avoided our own conflicts and used Sue to help us​​hide them. We're going to be more direct in the future."

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Definitions:

GDP

Gross Domestic Product, a standard measure of a country's economic health, indicating the total value of all goods and services produced over a specific time period.

Health Care Costs

The expenses related to medical care, including the cost of procedures, medications, treatments, and hospital stays.

Population Growth

Refers to the increase in the number of individuals in a population.

Food Supply

The total amount of food available for consumption by a population, including imports, exports, and domestically produced goods.