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REVISED SESSION REACTIONS SCALE 

(R. Elliott, 1993) 

See also: Measuring Session Effects in Process-Experiential and Cognitive-Behavioral Therapies of PTSD: The Revised Session Reaction Scale

(Complete immediately after session) 
Your initials                 _____________ 
Your Therapist's initials  _____________ 
Session number            _____________ 
Date of session            _____________

Take a minute to think back over the therapy session you have just completed. Please rate the extent to which you have experienced each of the following reactions to the session. Some of the items include a number of related but somewhat different descriptions. Where some of the descriptions in an item fit your experience, but others do not, rate on the basis of the descriptions which fit best and ignore the others. Circle the appropriate number for each item.

Not at all Slightly Somewhat Pretty much Very much
1 2 3 4 5
1  2  3  4  5 1. SEEING THINGS FROM ANOTHER PERSON'S PERSPECTIVE.  As a result of this session, I have begun to see things (about myself or others) from another person's point of view, including that of my therapist.
1  2  3  4  5 2. PRESSURED OR CONTROLLED.  As a result of this session, I feel too much pressure is being put on me to confront something or to change; or I feel controlled or manipulated by my therapist, or pushed to do something I don't want to do.  
1  2  3  4  5 3. DEFINITION OF PROBLEMS FOR ME TO WORK ON.  As a result of this session, I have realized or become clearer about what I need to work on or what my problems or goals are, for therapy or in general.  
1  2  3  4  5 4. DEPRIVED OR UNCARED-FOR.  As a result of this session, I now feel let down, abandoned, or left on my own by my therapist; I feel deprived of guidance or support; I feel my needs are being ignored or not properly attended to by my therapist; or I experience my therapist as cold, bored, insensitive or uncaring.  
1  2  3  4  5 5. INSIGHT INTO SELF: MADE NEW CONNECTIONS ABOUT MYSELF.  As a result of this session, I have come to understand myself or my feelings or actions better, through seeing reasons or causes involving what I feel, think or do; I have learned why I do something.  
1  2  3  4  5 6. MORE DISTANCED.  As a result of this session, I am less able to feel certain feelings; or I am now pushing away or stopping myself from experiencing particular thoughts, feelings, or  memories.  
1  2  3  4  5 7. SUPPORTED.  As a result of this session, I now feel supported, reassured or protected by my therapist, either as a person or in specific ways; or I now feel the therapist is "on my side."  
1  2  3  4  5 8. INSIGHT INTO OTHERS: MADE NEW CONNECTIONS ABOUT OTHER PEOPLE.  As a result of this session, I have come to understand someone else better, through seeing reasons or causes for what they have done or said; or I have come to see why they are the way they are.
Not at all Slightly Somewhat Pretty much Very much
1 2 3 4 5
1  2  3  4  5 9. RELIEVED. As a result of this session, I now feel generally less negative, depressed, guilty, anxious or hurt; I feel more positive, relieved, unburdened, safe, relaxed, generally confident or encouraged. (Refers to positive change in emotional state, not your view of yourself.)
1  2  3  4  5 10. STUCK/LACK OF PROGRESS.  As a result of this session, I now feel stuck, blocked, floundering, or unable to progress in therapy; or I feel impatient, frustrated, angry, bored, disillusioned, or critical of therapy or my therapist.  
1  2  3  4  5 11. CLOSE TO THERAPIST.  As a result of this session, I feel close to my therapist; I trust my therapist; I am impressed by my therapist, including his/her caring or competence; I have come to experience my therapist as a person or fellow human being; or I feel less alone because of the therapy relationship.  
1  2  3  4  5 12. UNDERSTOOD.  As a result of this session, I now feel understood by my therapist, either generally as a person or in specific ways; or I am impressed by how accurately my therapist understood what I was thinking, feeling or trying to say.  
1  2  3  4  5 13. CRITICIZED.  As a result of this session, I now feel attacked, put down, rejected or judged by my therapist; or I feel my therapist has been critical or judgmental of me.  
1  2  3  4  5 14. MORE AWARE OR CLEARER ABOUT OTHER PEOPLE.  As a result of this session, I have become more aware of things about other people (not counting my therapist), or my situation; I am facing the reality of an other or outside situation; or I have become more aware of another person's responsibility for things that have happened.  
1  2  3  4  5 15. DISTRESSED.  As a result of this session, I now feel upset or uncomfortable (for example, scared, overwhelmed, depressed, sad, embarrassed or in physical pain); I feel worse than when I started the session today; or I am more bothered by unpleasant thoughts, feelings or memories.  
1  2  3  4  5 16. MORE AWARE OR CLEARER ABOUT SELF.  As a result of this session, I am now more in touch with my feelings, thoughts or memories; I have realized something about myself or who I am; I have become clearer about things in myself that I had been avoiding or having trouble putting into words; or I am able to "own" particular experiences of mine or aspects of myself.  
1  2  3  4  5 17. POSITIVE BELIEFS ABOUT OTHERS.  As a result of this session, I have begun to feel more positively or less negatively about another person or persons (not counting therapist); or I feel hopeful about someone else.  
Not at all Slightly Somewhat Pretty much Very much
1 2 3 4 5
1  2  3  4  5 18. INVOLVED IN THERAPY.  As a result of this session, I feel invested in what I need to do in therapy; I feel more responsible for what happens in therapy; I find myself continuing to think about the issues raised; I feel challenged to go on working on my issues outside of therapy; I feel more free to express myself or work on my problems; or I feel confident about the possibility that therapy may help me deal with my problems.
1  2  3  4  5 19. MISUNDERSTOOD.  As a result of this session, I now feel that my therapist does not fully understand me as a person or misunderstands something about me; or I feel my therapist is trying things which just don't fit me as a person or my situation or problems.  
1  2  3  4  5 20. POSITIVE BELIEFS ABOUT SELF.  As a result of this session, I have come to see myself or specific things about me more positively or less negatively; I have come to feel stronger, more powerful or entitled, or more complete or whole; I have a sense of having begun to make progress; or I have gained hope about the possibility of my changing in the future.  
1  2  3  4  5 21. DISTRACTED OR CONFUSED.  As a result of this session, I now feel more confused about my problems or issues; I feel interrupted, or sidetracked by my therapist; or I feel I have been allowed to stray or become distracted from what is important for me to work on in therapy.  
1  2  3  4  5 22. PROGRESS TOWARDS KNOWING WHAT TO DO ABOUT PROBLEMS.  As a result of this session, I have figured out how to go about resolving a specific problem or how to achieve a specific goal; or I decided what to do about my problems or situation. ons or causes involving what I feel, think or do; I have learned why I do something.  
1  2  3  4  5 23. OTHER REACTIONS.  Please describe and rate any other reactions you might have had to this session:                                   

OVERALL SESSION HELPFULNESS

Please rate how helpful or hindering to you this session was overall.  (Check one answer only)

THIS SESSION WAS:      ____ 1.  Extremely hindering
                                  ____ 2.  Greatly hindering 
                                  ____ 3.  Moderately hindering 
                                  ____ 4.  Slightly hindering 
                                  ____ 5.  Neither helpful nor hindering; neutral 
                                  ____ 6.  Slightly helpful 
                                  ____ 7.  Moderately helpful 
                                  ____ 8.  Greatly helpful 
                                  ____ 9.  Extremely helpful

 

 

 

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