...linical_assessment": {"affective_state": "calm", "risk_level": "low", "suicidality": "denied", "insight_level": "medium", "therapeutic_alliance": "explicit", "diagnosis_effect": "discussing diagnosis plan"}, "process_dynamics": {"phase": "planning", "movement": "progressive", "distress": 1, "progress": 2, "dominant_need": "clarity", "recurrent_pattern_identified": false}, "care_relevance": {"therapy_g...