...cess_dynamics**
- phase: analysis (Analyse = systematisches Durchdenken)
- movement: stuck (festgefahren = kein Vorankommen)
- distress: 2
- progress: 1
- dominant_need: structure (Struktur = Ordnung/Plan)
- recurrent_pattern_identified: true

**care_relevance**
- therapy_gap_compensated: false
- self_management_capability: emerging
- crisis_prevention: passive
- cost_escalation_risk: unchanged

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