Assessing the effects of psychotherapy. II. A procedure for direct rating of therapeutic change.

The principles and background of 'Change after Psychotherapy' (CHAP) are described, and the instruction and procedure are detailed. The ratings are made on the basis of therapy sessions or posttherapy interviews and are guided by variable definitions in the form of numerous examples of manifest signs of various kinds of therapeutic change. The rating variables are: symptom amelioration, increased adaptive capacity, self-insight. resolution of the basic conflict, and the presence of change-facilitating extra-therapeutic conditions.