Part 2. Scalification.

Accountability is the primary purpose of scalifying (eg, patient-to-self, patient-to-doctor, and doctor-to-patient). The main application of scalification is for those psychological interventions with a medium level of formality— not likely to be a “one-off,” but not likely to be full-on “psychotherapy” either. One-offs don’t need scales, and formal psychotherapy lacks credibility without more formal psychometry (eg, Beck Depression Inventory, Beck Anxiety Inventory). Scalification continues with a “why-not-worse” question to reinforce the patient’s locus of control: