Creation of meaning events are in-therapy change episodes that occur w
hen a patient seeks to understand the meaning of an emotional experien
ce. A performance model of this task was developed in an earlier study
. The present study was conducted to determine which client performanc
e components distinguish successful from unsuccessful creation of mean
ing episodes. Measures of referential activity were also applied to th
e events and uncovered important features of the therapist interventio
n that accompanied successful meaning making. The implications of thes
e results for psychotherapy are discussed.