Table 1.

Descriptions of CHANGE Coding Categories

Coding Category	Description	Example
Accommodation	The extent to which the person shows a balanced view of self, others, or the world. This includes integrating new information learned from the traumatic experience into pre-existing beliefs, reconstruing pre-existing beliefs to arrive at realistic perspectives, and discriminating between the traumatic experience and current experiences. This category also captures the degree of realistic acceptance or resolution provided by these new beliefs.	From a trauma narrative session with an 8-year old girl (sexual abuse): “I felt like it [the sexual abuse] was my fault, but now I know it's not my fault. He did it, he started it. It feels ok, it feels like it's not my fault. I'm the good guy, he's the bad guy. I think it [negative affect] is going to get better and better.” From an 11 year old boy (recurrent physical abuse): “As I face the memory, it starts to go away. She [abuser] doesn't get the right to abuse me, it's not ok to beat a child....I just say to myself the past is over and all the bruises went away. I'm in a safe place now. I have a scar on my heart, but it's healing.”
Overgeneralization	Global, exaggerated beliefs of self, others, or the world related to the traumatic event. Instead of integrating information from the traumatic experience to arrive at a clear and balanced view specific to the trauma, the person broadly applies information from the traumatic event across time and life situations.	From an 8 year old girl (sexual abuse): “Guys scare me because of what happened with my cousin [the abuser]. I get scared when guys come into the house, I get scared that it [sexual abuse] will happen again.” From an 11 year old boy (recurrent physical abuse): “My aunt [the abuser] left a scar on my heart that will never heal. I just can't take the pain anymore, my life is nothing but pain.”