An Analysis of Significant Events in Counseling

Using an interview/questionnaire procedure, 19 clients reported 200 helpful, significant events that occurred in ongoing counseling. Each event consisted of one issue presented by the client, the counselor's response to that issue, and the immediate impact the client received from the counselor's response. With the use of qualitative analysis, 9 prominent patterns describing sequences of client change emerged from the data. These patterns were grouped into 3 superclusters of events: Dissonant, Question—Answer, and Congruent. These superclusters and the 9 prominent patterns were used to develop a model for counseling change. Implications for counseling theory and practice are discussed.