Being able to map the clinical change process is an important part of the knowledge base for psychotherapy practice. I first read about Lewis Wolberg’s framework when I was a graduate student in clinical psychology in the 1970s. A mental map providing coordinates to chart the clinical change process can keep the client-therapist dyad from getting stuck, going around in circles, or feeling lost and confused.

The last few decades of practice experience has led to an integrative understanding of psychotherapy process. I have tried to bring together different systems of psychotherapy by adopting a Multiple Contingencies model, and developed a matrix that tracks the clinical change process temporally or sequentially, covering changes and transformations in the 6 domains of our life-world (environment, body, motivation, cognition, emotion, and behavior/action) as well as the client-therapist relationship.

In July 2013, I presented on the “Clinical Change Process” at the First National Conference on Cybercounseling in BJ (in Mandarin) to report an in-depth analysis of a successful cyber-counseling case, combining Narrative Analysis technique with a Multiple Contingencies Modeling (MCM) framework.

Powerpoint: Clinical Change Process 2013 (English)

Powerpoint: Clinical Change Process 2013 (Chinese) 临床转变过程 (简体中文）

Webinar: Clinical Change Process in Cybercounseling (Mandarin) 网络咨询与临床转变过程