A♣ · C1
Integrability can be distinguished from understanding
A clinician or trained rater can distinguish “the patient understands” from “the patient can use the move.”
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Claim
A clinician or trained rater can distinguish “the patient understands” from “the patient can use the move.”
Construct → observable
Integrability is observed through usability, availability, ownership, stability, and response freedom. Understanding is observed through explanation or accurate verbal description.
Scope
Moments where the patient can describe a pattern or response but does not yet live from it reliably.
Rival account
Insight-based accounts may treat understanding as the main threshold for change.
Discriminating prediction
Understanding and integrability can diverge.
Kill condition
If trained raters cannot distinguish understanding from usability, this card fails.
Custody
Best tested through de-identified vignettes, transcripts, or supervision material coded by independent raters.