Abstract
This study is the first of a series of seven, and belongs to the second Italian systematic replication of findings from two previous series (Widdowson 2012a, 2012b, 2012c, 2013; Benelli, 2016a, 2016b, 2016c) that investigated the effectiveness of a manualised transactional analysis treatment for depression through Hermeneutic Single-Case Efficacy Design (HSCED). The therapist was a white Italian woman with 8 years of clinical experience and the client, Anna, was a 33-year old white Italian woman who attended 16 sessions of transactional analysis psychotherapy. Anna satisfied DSM-5 criteria for mild persistent depressive disorder (dysthymia) with anxious distress. The conclusion of the judges was that this was a good-outcome case: the dysthymic symptoms improved over the course of the therapy and were maintained in the ‘healthy’ range at the 6-month follow-up, the client reported a positive experience of the therapy and described important changes in intrapsychic and interpersonal patterns. In this case study, transactional analysis treatment for depression has proven its efficacy in treating persistent depressive disorder.
Highlights
This study is the first of a series of seven, and belongs to the second Italian systematic replication of findings from two previous case series (Widdowson 2012a, 2012b, 2012c, 2013; Benelli, 2016a, 2016b, 2016c) and was conducted under the auspices of the European Association for Transactional Analysis (EATA) and the University of Padua.Transactional analysis (TA) is a widely-practiced form of psyc are what do hotherapy, supported with a vast literature, but still it is under-recognised within the worldwide scientific community of psychotherapy
A wide community of researchers proposed that efficacy and effectiveness in psychotherapy are a complex object that cannot be adequately evaluated with either the experimental approach of Randomised Clinical Trial (RCT) (Norcross, 2002; Westen, Novotny & Thomson-Brenner, 2004) or classical SCED (McLeod, 2010)
Client Anna is a 33-year-old white Italian woman who lives alone in a large metropolitan area in Italy. She is a manager in a tour operator company and loves her job, she reports having a good relationship with her mother, who she described as “an angel” but has a difficult relationship with her father, who has been unable to demonstrate his affection for her in many life circumstances
Summary
This study is the first of a series of seven, and belongs to the second Italian systematic replication of findings from two previous case series (Widdowson 2012a, 2012b, 2012c, 2013; Benelli, 2016a, 2016b, 2016c) and was conducted under the auspices of the European Association for Transactional Analysis (EATA) and the University of Padua.Transactional analysis (TA) is a widely-practiced form of psyc are what do hotherapy, supported with a vast literature (for a review see Ohlsson, 2010), but still it is under-recognised within the worldwide scientific community of psychotherapy. In order to define TA psychotherapy as an efficacious Empirically Supported Treatment (EST), its efficacy must have been established in at least one Randomised Clinical Trial (RCT) replicated by two independent research groups, or alternatively in at least three Single Case Experimental Design studies (SCED), replicated by at least two independent research groups, with each group conducting a case series of a minimum of three cases, without conflicting evidence (Chambless & Hollon, 1998). Considering that approaches without evidence from RCTs tend to be under-recognised, Stiles, Hill and Elliott (2015) proposed collecting a series of mixed methods systematic single case studies as the first step toward recognition of marginalised and emerging models of psychotherapy
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