Sudden Gains Can Occur in Psychotherapy Even When the Pattern of Change Is Gradual
Article first published online: 13 JUN 2013
© 2013 American Psychological Association. Published by Wiley Periodicals, Inc., on behalf of the American Psychological Association.
Clinical Psychology: Science and Practice
Volume 20, Issue 2, pages 127–142, June 2013
How to Cite
[Clin Psychol Sci Prac 20: 127–142, 2013]
- Issue published online: 13 JUN 2013
- Article first published online: 13 JUN 2013
- Manuscript Accepted: 2 MAR 2013
- Manuscript Revised: 28 FEB 2013
- Manuscript Received: 16 JUN 2012
- Beck Depression Inventory;
- sudden gains
Certain large decreases in symptoms between consecutive sessions of psychotherapy, called sudden gains, have been characterized as unique, pivotal events in the course of change. We asked whether a sudden gain is necessarily a qualitatively distinct change, or whether it might be the largest and most stable gain occurring in a gradual course of change. We conducted simulations that showed that sudden gains with most of the characteristics reported in prior research occurred even when change followed a gradual course, and we performed regression analyses that showed that sudden gains did not add any unique predictive power to the ability of the slope of early gradual change to predict post-treatment outcome.