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This framework outlines a change mechanism identifying state-transitions in psychotherapy, indicating new insights on clinical processes.
The Recursive Identity Stabilization Encoding (RISE) change mechanism provides a granular, process-oriented framework for identifying and measuring state-transitions within psychotherapy. While existing models focus on thematic content, RISE-CM operationalizes the timing and sequence of narrative reorganization. This specification defines the four-stage transition cycle and provides Observable Coding Markers (OCMs) for transcript analysis and a novel Taxonomy of Transition Failures (F-Modes) to identify clinical stagnation.
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Gary Ow (2026) studied this question.
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