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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
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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
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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
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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
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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
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23. |
OTHER REACTIONS. Please
describe and rate any other reactions you might have had to this session:
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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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