Posouzení změn po ukončení psychoterapie (CHAP): Česká verze manuálu

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Title in English Change After Psychotherapy (CHAP): Czech Manual
Authors

SANDELL Rolf HOLUB David ŘIHÁČEK Tomáš ROUBAL Jan

Year of publication 2019
Type Monograph
MU Faculty or unit

Faculty of Social Studies

Citation
Description Psychotherapists have seldom an opportunity to get reliable feedback and learn how their clients/patients or trainees are doing. Assessing psychotherapy outcomes is a part of an increasing number of research studies. The CHAP (Change After Psychotherapy) method not only assesses the changes in experience after the end of psychotherapy, but also helps to develops psychotherapists’ clinical, research, educational and supervisory skills. The purpose of the CHAP interview is to capture in the most comprehensible way how the person being assessed feels differently, in what ways, and why they perceive themselves as a different person than before treatment. The qualitative interview allows, for example, to identify key moments in therapy, to capture the integration of profits from therapy into a client’s daily life, to describe various aspects of the therapeutic relationship and its possible ruptures, or to explain seemingly contradictory information about psychotherapy outcomes. Retrospective methods including CHAP represent a legitimate research perspective that complements the more traditional prospective methods of monitoring change in psychotherapy. The retrospective interview provides the therapist with feedback, helps contextualize findings about outcomes and conceptualize the therapeutic process. The Czech translation of the CHAP manual brings the professional community a new perspective on psychotherapeutic change as a qualitative experience of personal significance. The retrospective CHAP method captures this experiential change from a phenomenological perspective. The manual introduces two phases of the CHAP method: First, the method of conducting a semi-structured interview, through which the interviewer obtains information about the changes that the patient/client/trainee experiences during or after psychotherapy. Second, the evaluation of the audio or video recording of the interview is followed by an independent rater (or the interviewer). The evaluators estimate the rate of change in four subscales (symptoms, adaptive capacity, self-insight, and basic conflict) and consider the influence of non-therapeutic factors.
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