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This article describes a model called “the contract for change,” the goal of which is the restructuring of the client's ego states using redecision. This model facilitates the establishment of an alliance with the client's Child ego state and awareness of the script suffering underlying the client's presenting complaint. The process takes into account repairing the most archaic of the client's inhibited needs (often the need for security first, then trust). The contract for change includes four interdependent factors: objective of change, known script process, ways to help myself, and what I change. The model is illustrated with a case study.

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Christine de Saint-Pierre

Christine de Saint-Pierre is a psychotherapist and a Teaching and Supervising Transactional Analyst with a private practice on the Basque Coast (South of France). From 1961 to 1982, she practiced as a nurse in hospital before discovering and training in transactional analysis. She still trains medical personnel in communication and stress management. Her current interest and research are directed toward the study of the earliest stages of pre- and postnatal development and on the treatment of related problems. Her work is based particularly on theories developed by Winnicott, Bowlby (attachment theory), and the Gouldings.
 

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