The SUDS and SUSHI scalessteemCreated with Sketch.

in #counseling6 years ago (edited)

Use these before-and-after scales for rating a topic addressed in a formal PaulsRobot session. SUDS (Subjective Units of Distress/Disturbance) is a traditional negative scale. SUSHI (Subjective Units of Session Harmony and Insight) is a new positive scale. These self-assessments are used to record improvements, to compare the effectiveness of different procedures, and more.

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Negative section (SUDS)

The scale from -1 to -10 is taken directly from the Wikipedia article.

There is no hard and fast rule by which a patient can self assign a SUDS rating to his or her disturbance or distress, hence the name subjective.

Two guidelines are:

  • The intensity recorded must be as it is experienced now.
  • Constriction or congestion or tensing of body parts indicates a higher SUDS than that reported.

Positive section (SUSHI)


There is no Plus scale in Wikipedia. All the positive points are smushed into the one point that scores "0" and says:

Peace, serenity, total relief. No more anxiety of any kind about any particular issue.

The individual SUSHI points have been differentiated mainly on their use in and applicability to sessions, and not so much on how one feels (although that does play a part too).

The new client


First off a new client would discharge any topics she already has her attention on, more or less permanently. That does not mean a topic is in full clamour every waking moment (although it could be), but it means that it takes very little to "set one off." In other words there are lots of triggers around in her life for such a topic. Topics like this should be the first point of address for a new client.

Selective stirring up of a hot topic

After a while such topics will have been discharged to a large extent, and the constant triggering will no longer occur. When such a point has been reached, the client will have much more choice over what she addresses in a PaulsRobot session. At this time, she would start off the session feeling fine, with her attention on nothing in particular. One way or another she will select a topic to address. The instructions usually include a step of deliberately "stirring up" the topic in question so that it impinges heavily on the person. At this point the topic can be in one of three states:

  • Undercharge — Nothing happens. In other words, the topic isn't hot enough and isn't worth addressing, at least not right now. The topic may be available at some future time.
  • Overcharge = Shut down! The client will start shutting down, going unconscious. This condition requires immediate action (see Rub & Yawn Tip #6) on the client's part before she goes to sleep. It's not dangerous, but it wastes session time if you get overwhumped and fall asleep, and isn't particularly therapeutic either. The usual remedy (if done!) will keep the client awake and will transform the state into the next one, namely
  • Just right — Topic starts to discharge, with yawns, sighs etc.

In brief, the session action here is:

  1. Start off calm
  2. Deliberately stir up something heavy to address
  3. Work vigorously to discharge that stirred-up topic using whatever techniques that particular session module includes
  4. End off calm again.

The big difference between (1) and (4), assuming the session actions were done correctly, is that the topic addressed will have permanently lost its power over you to some (possibly large) extent. In addition, the calm state one will achieve after a hectic session is far calmer than the before state, although this temporary state is a bonus and not the main purpose of the activity.

Plus (SUSHI) section points


A normal session should go along fine with items being addressed and discharged. After an item has been discharged the usual state of the client will be shown by one of the Plus points. The big question is, how easily is the client able to stir up another item to address? At the bottom of the positive scale, the client will have no problem at all in stirring up something else to address. At the top of the scale she will have pretty much zero chance of doing so. In the middle of the scale, maybe she will and maybe she won't.

Source: Edited from my writing at PaulsRobot3.com

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Looking over these two scales it seems like I can use them in life too, not just with topics in PaulsRobot sessions.

Sure, if you wish. You could note the scores in a journal, a sort of average score for the day. Don't overdo it, rating your life hour by hour, as it can get introverting. This could be a useful record – for example, you suddenly realise that two months ago your days mostly rated plus scores, but last month was mostly red. What changed? Aha! New boyfriend. So dump him. After the dust settles, plus scores again.

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