This study focuses on the change process of clients who have experienced the Satir
transformational systemic therapy. The purpose of this study is to trace the clients' change process and to
understand the content and structure of each stage of change with focus on intrapsychic change. Methods:
The study used a qualitative methodology. Data collection was done through in-depth interviews on 12
clients who have experienced the Satir transformational systemic therapy. Collected data was qualitatively
analyzed using the grounded theory. Results: The process of change is comprised of 7 stages: first, a
stagnant state; second, reflection on “I”; third, recognition of “I” influenced by the past; fourth,
reconciliation with “I”; fifth, restoration of “self”; sixth, expansion of “I”; and seventh, a new state of
homeostasis. Such process of change normally moves in a cycle, repeats, and accumulates while progressing
to a new state of homeostasis. In this process, negative emotions, perceptual system, and expectations all
influence each other, ultimately fulfilling our desires. Then, there is a change in "self," i.e., a
transformation. Third, the change in the participants is the experience of an entire iceberg and occurs
systematically in all parts of the iceberg. Fourth, an individual change takes precedence over a change of
system. In the individual change, intrapsycgic change occurs first and the behavior pattern on different
situations change afterwards. Conclusions: The study is significant as it shows the clients' change process
stage by stage and displays each stage's intrapsychic contents and their structures in detail, which would
help family therpiasts in making professional interventions.