title: Working along sudden gains: responsiveness on small and subtle early changes and exceptions.
abstract: When mental health is monitored over the course of treatment, many clients report strong and stable changes, particularly early in psychotherapy. Such changes can occur both in singular events, such as sudden gains in particular symptoms, and more comprehensive ways across the World Health Organization definition of health (WHO, 1948), which includes well-being and psychosocial functioning. The present practical guideline illustrates a systematized sequence of tasks that explore rapid changes and sudden gains at a very early stage of therapy, as well as how such changes can be used in future therapeutic work. These tasks include (1) exploration of the change situation, (2) reinforcement of generalized self-efficacy and hope bonding, and (3) benefit for therapy.
authors.affiliation: Department of Psychology, University of Zürich, Zürich, Switzerland. christoph.flueckiger@psychologie.uzh.ch
authors.forename: Christoph
authors.initials: C
authors.lastname: Flückiger
authors.forename: Martin
authors.initials: M
authors.lastname: Grosse Holtforth
authors.forename: A C
authors.initials: AC
authors.lastname: Del Re
authors.forename: Wolfgang
authors.initials: W
authors.lastname: Lutz
mesh_terms: D000328:Adult; D003866:Depressive Disorder / Q000523:psychology / Q000628:therapy; D065026:Hope; D006801:Humans; D008297:Male; D009042:Motivation; D009769:Object Attachment; D017060:Patient Satisfaction; D011582:Psychological Theory; D013811:Psychotherapeutic Processes; D011613:Psychotherapy / Q000379:methods*; D011788:Quality of Life / Q000523:psychology*; D020377:Self Efficacy; D012917:Social Adjustment; D016896:Treatment Outcome