Conceptualization of change processes presents a significant source of therapist’s self-support in demanding clinical situations. Three perspectives on understanding the process of change used in Gestalt therapy are set forth in a systematic way: mono-personal, bi-personal, and field theory. Changes in psychotherapy in clinical practice, conceptualized from a field theory perspective, are addressed in order to support both the growing edge of contemporary Gestalt therapy and to add a Gestalt therapy contribution to the current emphasis on field theory in psychotherapy. The Paradoxical Theory of Change, as the leading theoretical concept for Gestalt therapy theory of change, is reconsidered from a field theory perspective, and the consequences for clinical work are addressed.

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