Final answer:
Change in the patient occurs when they realize the nature of their conflicts on an emotional and intellectual level, typically within a safe and supportive environment.
Step-by-step explanation:
The process of change in the patient usually occurs when they realize, on an emotional and intellectual level, the nature of their conflicts. This realization can happen in a safe environment that provides support and understanding. It is important for the patient to be in a context that encourages self-reflection and exploration of their thoughts and feelings. By functioning in this environment, the patient can engage in critical thinking and actively participate in their own healing.