Relación entre el proceso de conceptualización y el cambio clínico del consultante en Terapia Cognitivo Conductual

The present article evaluates the relation among empirically collaborative conceptualization, its level of adjustment and clinically significant change in patients. A quantitative study with a repeated measures within-subjects design was carried out with the participation of 56 adult patients. The Clinical Outcomes in Routine Evaluation-Outcome Measure (CORE-OM), whose dimensions are Subjective Well-being, Problems and Symptoms, General Functioning and Risk, and the Ad-Hoc Questionnaire of Degree of Adjustment Conceptualization and Perception of Change (GA-PC) were applied. The results show statistically significant differences in all dimensions of the CORE-OM. Likewise, 61% of the consultants presented clinically significant changes at the sixth session of the treatment. These changes are correlated with the degree of agreement on the coherence of the conceptualization with the demand, the usefulness for the understanding of the demand, the perceived emotional change, the sense of relief experienced and the progress in facing their problems. The empirically collaborative conceptualization process, and its optimal degree of adjustment for the client, contribute to clinical change in a short period of time, and can be configured as a therapeutic intervention in itself.