Process-oriented case analyses, which are the natural next step in und
erstanding career interventions, are beginning to reveal subtle proces
s changes across sessions. In this case, a 37-year-old physical therap
ist, who expressed dissatisfaction with her current position, particip
ated in 8 sessions of individual career counseling with an experienced
doctoral-level career psychologist. The Possible Selves Questionnaire
(PSQ; Markus, 1987), the Symptom 90-R Checklist (Derogatis, 1983), an
d the Career Decision Scale (Osipow, 1987) were administered at pretes
ting, after 4 sessions, and at posttesting. Four client- and 2 counsel
or-process measures were also administered following each session. Res
ults revealed expected changes in traditional outcome measures, and an
increase followed by a decrease in future possible selves. Anxiety an
d vocational information seeking followed a sine-shaped pattern, and s
leep disturbance increased at midcounseling and posttesting. Session d
epth and smoothness were highest when anxiety and information seeking
were lowest. These findings, which coincide with other case study resu
lts, were integrated using an activation theory model of career interv
ention in which moderate anxiety serves as a motivator for constructiv
e behavior change.