These results are discussed considering the contribution of meanings and narrative processes' changes to symptomatic improvement.

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Elaborating innovative moments (IMs) that are new ways of thinking, feeling, behaving and relating, in the therapeutic dialogue, may facilitate change. IMs that are more predictive of amelioration of symptoms in CBT are the ones focused on contrasts between former problematic patterns and new adjusted ones; and the ones in which the clients elaborate on processes of change. Therapists may integrate these kinds of questions (centred on contrasts and centred on what allowed change from the client's perspective), in the usual CBT techniques. When elaborating these IMs successfully, therapists may expect an improvement in symptoms in the next session of psychotherapy.

The main aim of this research is to study the patterns of narrative change in a case of life design counseling (LDC). The innovative moments coding system (IMCS) was used to conduct an intensive analysis of the career counseling sessions. This coding system is grounded in a narrative conception of the self, and suggests that narrative change results from the elaboration and development of narrative exceptions to a client's core problematic self-narrative. The results supports the adequacy of the IMCS to the study of change in career counseling and reveal that the intervention promotes a pattern of change characterized by three types of innovative moments: action, reflection, and protest. The results are discussed taking into account their implications for career counseling theory, research and practice.

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