The Client's Theory of Change: Consulting the Client in the Integrative Process

2 CE Hours
551 members have taken this course
Skip to Course Registration Info

This course has been retired. We regularly update our course catalog to ensure relevance.

About the Course

This article casts a critical eye upon the integration literature and asserts that, like psychotherapy, the client has been woefully left out of the therapeutic process. An alternative that privileges the client's voice as the source of wisdom and solution is presented. It is proposed that conducting therapy within the context of the client's own theory of change offers ways of integrating multiple therapy perspectives. An argument is made for not only recasting the client as the star of the drama of therapy, but also giving the heroic client directorial control of the action as it unfolds.

This course is based on the reading online article, The Client's Theory of Change: Consulting the Client in the Integrative Process created by Barry L. Duncan, Psy.D. et al in 2000.

Publication Details

Publication Date: 2000

Course Material Authors

Course Material Authors authored the material only, and were not involved in creating this CE course. They are identified here for your own evaluation of the relevancy of the material this course is based on.

Barry L. Duncan, Psy.D.

Dr. Duncan is a therapist, trainer, and researcher with over 17,000 hours of clinical experience. He is co Director of the Institute for the Study of Therapeutic Change (ISTC) and practices in Boca Raton, Florida. Dr. Duncan has received numerous awards for his contributions to the mental health field, including the Wright State University School of Professional Psychology's first annual "Outstanding Alumnus Award," the Menninger Foundation's 15th Annual Award for Scientific Writing for the book The Heart and Soul of Change, and the Psychotherapy Networker "20th Anniversary All Time Top Ten Award" for the article "Exposing the Mythmakers," recognizing it as one of the most influential features in the magazine's history. Barry has over one hundred publications, including thirteen books.

Scott D. Miller, Ph.D.

Dr. Miller is a therapist, lecturer and trainer on client-directed, outcome-informed clinical work and other time-sensitive therapeutic approaches. For three years, he co-directed Problems to Solutions, Inc.–a clinic specializing in the treatment of the homeless and other traditionally under served populations. Most recently, Dr. Miller co-founded the Institute for the Study of Therapeutic Change and works pro-bono at a clinic dedicated to serving the under served. He is the author of many papers and seven books.

Course Creator

Target Audience

This advanced course is recommended for social workers, counselors, psychologists, and other human services and behavioral health professionals who seek knowledge about the client and the therapeutic change process.

Learning Objectives

After taking this activity, you should be able to:

  1. 1 identify practical guidelines for learning the client's theory of change.
  2. 2 identify evidence that the client's theory of change is essential to psychotherapy outcome.
  3. 3 describe some of the ways that the client has been left out of the therapeutic process and the psychotherapy integration movement.

Disclosure to Learners

CE Learning Systems adheres to the ACCME's Standards for Integrity and Independence in Accredited Continuing Medical Education. Any individuals in a position to control the content of a CE activity – including faculty, planners, reviewers, or others ― are required to disclose all relevant financial relationships with ineligible entities (formerly known as commercial interests).

The following relevant financial relationships have been disclosed by this activity's planners, faculty, and the reviewer:

Planners and Reviewers

The planners of this activity have reported that they have no relevant financial relationships.

Material Authors

Any relevant financial disclosures for course material authors can be found in the article.

Course Creator

Keith Gibson, Ph.D. – There are no known relevant financial relationships to disclose.

Commercial support

There is no commercial support for this distance-learning course.

Use our CE Approvals tool to look up your state requirements and how can help you meet them, or log in to your member account to show approvals relevant to your licensure.

Florida Board of Clinical Social Work, Marriage and Family Therapy and Mental Health Counseling (FL CSW, MFT, MHC)

2 CE credit hours
Eligible until Mar 27th, 2027
Impact CE, a service of CE Learning Systems, is approved by the Florida Board of Clinical Social Work, Marriage and Family Therapy and Mental Health Counseling (Provider # 50-315).
More Info

Florida Board of Psychology

2 CE credit hours
Eligible until Mar 31st, 2031
Impact CE, a service of CE Learning Systems, is approved by the Florida Board of Psychology (Provider # 50-315).
More Info

New York State Office of Addiction Services and Supports (OASAS)

2 CE credit hours

CASAC, CPS

Renewal: Yes

CPP

Section: Section 4
Renewal: Yes
Initial: Yes
Eligible until Feb 27th, 2028
More Info

Article: The Client's Theory of Change: Consulting the Client in the Integrative Process

Article: The Client's Theory of Change: Consulting the Client in the Integrative Process

Access Course Material

Viewing External Material

This course material is hosted by , a web site separate from Impact CE. When you're done, just close the tab/window to return to this course page.

Exam Questions

All exam questions for the course are visible on this page for members of Impact CE.

Membership is free, and you can register today! You'll only pay when you're ready to purchase a course, or if you take advantage of the Unlimited Package.

If you're already a member, please sign in to see the exam questions for this and all other courses.

Discuss this course

You can share your thoughts about this course after you pass the exam.

Sign In or Register to get started.

Frequently Asked Questions

Yes, most likely. Look Up Your State Board for more detailed information. Logged-in site members will see the relevant approval information displayed in the Approvals tab for every course.

If you are having trouble using Impact CE, please contact us! We would be happy to accommodate your needs right away, and your input will help us make Impact CE more accessible for future users too.

Use the Enroll In This Course button and just follow the instructions! You don't pay anything until you're ready to take an exam.

To complete the course, review the course objectives, then review the material, and then pass the exam with a score of 75% or greater and lastly complete an evaluation.

Most of our self-paced courses are based on online articles available for free to the public. Some courses, such as those based on books, require that you purchase the material. Use the Materials tab for more info. Live courses simply require that you attend.

Your certificate(s) will be available to download or email immediately when you pass the course exam and complete the evaluation.

Yes! Use the Help widget at the bottom-right of the screen anywhere on Impact CE to search our help docs, or to ask our support team for help. Unlike most of our competitors, Impact CE has live US-based support reps to help you by email, chat, or phone.

Start your CE Journey now - complete your first course today, on us.

Try for free - no commitment required.

Copyright © 2026 CE Learning Systems LLC

Please Confirm