delete, or distort what has been said, but not as seriously as in Level 1. You may find
irrational ideas and some blindness to problems.
Level 3. Acceptance and recognition, Beta solution. The client recognizes the situation
as it is and the client’s comment, feeling, or thought seems close to that presented by the
therapist, but nothing new is added by the client. This level characterizes homeostasis
or no change. Score as Beta if the client tends to describe a situation, event, or
self-picture fairly clearly, but tends to leave it there.
Level 4. Generation of a new solution, Early gamma solution. In response to the
counselor, the client moves to the creation of something new. The client has added
something that was not there before. At times, the underlying conflict may remain
acceptance of insoluble problems begins here.
Level 5. Transcendence, Full gamma solution. The client has arrived at a new
synthesis, a new way of thinking, behaving, or feeling. These are relatively rare
moments in counseling and therapy and may represent the development of useful or
important insights, the ability to engage in a truly new way of behaving, the generation
of a new ability to engage emotionally.
You will now be given a variety of counselor-client situations. The possible client
responses are in random order. Please classify each client response at one of the five
levels.
Death and dying
The following client statements could be expected following the discovery that the
client has terminal cancer.
a. “It’s so hard for me all the time. But it’s hard for the family, too. Sometimes I
just cry. But lately, I find that if I focus on the positives available to me still, I gain
some peace.”
b. “There really isn’t any problem. I’m sure it’s an error on the X-ray. It can’t be
correct.”
c. “Why me? What happened?” (with anger) “It isn’t fair.”
d. “I’ve been spending my time working with a cancer support group. I want to
help others face this somehow fighting and working with others to the end makes it
seem easier.”
e. “I accept it. I’ve had a good life, with my share of problems for sure. Sure I
don’t like it, but there’s nothing I can do.”