TA Treatment of Depression: A Hermeneutic Single-Case Efficacy Design Study - 'Beatrice'

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Enrico Benelli
http://orcid.org/0000-0003-2549-2884
Francesca Vulpiani
Giorgio Cristiano Cavallero
Vincenzo Calvo
Stefania Mannarini
Arianna Palmieri
Mariavittoria Zanchetta

Abstract

This study is the sixth of a series of seven and belongs to the second Italian systematic replication of findings from previous series that investigatedthe effectiveness of a manualized transactional analysistreatment for depressionthrough Hermeneutic Single-Case Efficacy Design.The therapist was a white Italian woman with 10 years of clinical experience and the patient, Beatrice, was a 45-year old white Italian woman who attended sixteen sessions of transactional analysis psychotherapy. Beatrice satisfied DSM 5 criteria for Major Depressive Disorder, Anxious Distress, with Dependent and Histrionic Personality Traits. The judges evaluated the case as a good outcome: the depressive and anxious symptomatology clinically and reliably improved over the course of the therapy and these improvements weremaintained throughoutthe duration of thefollowup intervals. Furthermore, the patient reported significant change in her post-treatment interview and these changes were directly attributed to the therapy.


Citation - APA format:


Benelli, E., Vulpiani, F., Cavallero, G., Calvo, V., Mannarini, S., Palmieri, A. and Zanchetta, M. (2018). TA Treatment of Depression: A Hermeneutic Single-Case Efficacy Design Study - Beatrice. International Journal of Transactional Analysis Research & Practice, 9(2), 42-63 https://doi.org/10.29044/v9i2p42

Article Details

How to Cite
Benelli, E., Vulpiani, F., Cavallero, G. C., Calvo, V., Mannarini, S., Palmieri, A., & Zanchetta, M. (2018). TA Treatment of Depression: A Hermeneutic Single-Case Efficacy Design Study - ’Beatrice’. International Journal of Transactional Analysis Research & Practice, 9(2), 42–63. https://doi.org/10.29044/v9i2p42
Section
Articles
Author Biography

Enrico Benelli, University of Padua

Department of Philosophy, Sociology, Education and Applied Psychology

Adjunct Professor

PTSTA-P

References

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.

Barkham, M., Margison, F., Leach, C., Lucock,Mellor-Clark, J., Evans, C., Benson, L., Connell, J., Audin, K., McGrath, G., (2001). Service profiling and outcomes benchmarking using the CORE-OM: Toward practice-based evidence in the psychological therapies. Journal of Consulting and Clinical Psychology, Vol 69(2), 184-196.

Benelli, E., De Carlo, A., Biffi, D., & McLeod, J. (2015). Hermeneutic Single Case Efficacy Design: A systematic review of published research and current standards. Testing, Psychometrics, Methodology in Applied Psychology, 22, 97-133. DOI:10.4473/TPM22.1.7.

Benelli, E, Revello, B, Piccirillo, C, Mazzetti, M, Calvo, V, Palmieri, A, Sambin, M and Widdowson, M. (2016a), TA treatment of depression: a hermeneutic single-case efficacy design study - 'Sara'. International Journal of Transactional Analysis Research, 7 (1), pp. 3-18.

Benelli, E, Scotta, F, Barreca, S, Palmieri, A, Calvo, C, de Renoche, G, Colussi, S, Sambin, M and Widdowson, M. (2016b). TA treatment of depression: a hermeneutic single-case efficacy design study - 'Penelope'. International Journal of Transactional Analysis Research, 7 (1), pp. 19-34.

Benelli, E, Boschetti, D, Piccirillo, C, Quagliotti, L, Calvo, V, Palmieri, A, Sambin, M and Widdowson, M. (2016c). TA treatment of depression: a hermeneutic single-case efficacy design study - 'Luisa'', International Journal of Transactional Analysis Research, 7 (1), pp. 35-50.

Benelli, E., Moretti, E., Cavallero, G. C., Greco, G., Calvo, V., Mannarini, S., Palmieri, A. and Widdowson, M. (2017a). TA Treatment of Depression: A Hermeneutic Single-Case Efficacy Design Study – ‘Anna’. International Journal of Transactional Analysis Research, 8(1), 3-20.

Benelli, E., Filanti, S., Musso, R., Calvo, V., Mannarini, S., Palmieri, A. and Widdowson, M. (2017b). TA Treatment of Depression: A Hermeneutic Single-Case Efficacy Design Study – ‘Caterina’. International Journal of Transactional Analysis Research, 8(1), 21-38.

Benelli, E., Bergamaschi, M., Capoferri, C., Morena, S., Calvo, V., Mannarini, S., Palmieri, A., Zanchetta, M., Spinelli, M. and Widdowson, M. (2017c). TA Treatment of Depression: A Hermeneutic Single-Case Efficacy Design Study – ‘Deborah’. International Journal of Transactional Analysis Research, 8(1), 39-58.

Berne, E. (1961). Transactional analysis in psychotherapy: a systematic individual and social psychiatry. Grove Press. New York.

Berne, E. (1972) What do you say after you say hallo? New York, Grove Press.

Bohart, A. C. (2000). A qualitative ‘‘adjudicational’’ model for assessing psychotherapy outcome. Paper presented at the meeting of the Society for Psychotherapy Research, Chicago.

Cameron, I. M., Crawford, J. R., Lawton, K., et al. (2008). Psychometric comparison of PHQ-9 and HADS for measuring depression severity in primary care. Br J Gen Pract.;58(546):32-6. DOI: 10.3399/bjgp08X263794].

Delgadillo, J., McMillan, D., Leach, C., Lucock, M., Gilbody, S., & Wood, N. (2014). Benchmarking routine psychological services: a discussion of challenges and methods. Behavioural and cognitive psychotherapy, 42(01), 16-30.

Elliott, R. (2002). Hermeneutic Single-Case Efficacy Design. Psychotherapy Research, 12(1), 1-21. DOI:10.1080/713869614.

Elliott, R. (2015). Hermeneutic Single Case Efficacy Design, in Strauss, B., Barber, J. P., & Castonguay, L. (2015). Visions in psychotherapy research and practice: Reflections from the presidents of the society for psychotherapy research. Routledge.

Elliott, R., Partyka, R., Wagner, J., Alperin, R., Dobrenski, R., Messer, S. B., Watson, J.C., & Castonguay, L. G. (2009). An adjudicated hermeneutic single-case efficacy design study of experiential therapy for panic/phobia. Psychotherapy Research, 19(4-5), 543-557. DOI:10.1080/10503300902905947.

Elliott, R., Shapiro, D. A., & Mack, C. (1999). Simplified Personal Questionnaire procedure manual. Toledo, OH: University of Toledo.

Elliott, R., Slatick, E., & Urman, M. (2001). Qualitative change process research on psychotherapy: Alternative strategies. Psychologische Beiträge, 43, 69-111.

Elliott, R., Wagner, J., Sales, C., Rodgers, B., Alves, P., & Café, M. J. (2016). Psychometrics of the Personal Questionnaire: A client-generated outcome measure. Psychological assessment, 28(3), 263.

Ernst, F. H., Jr. (1971). The OK corral: The grid for get-on-with. Transactional Analysis Journal, 1(4), 33-42.

Erskine, R. G. (Ed.). (2010). Life scripts: A transactional analysis of unconscious relational patterns. Karnac Books.

Erskine, R. & Zalcman, M. (1979). The racket system: a model for racket analysis. Transactional Analysis Journal, 9, 51-9.

Evans, C, Connell, J., Barkham, M., Margison, F., Mellor-Clark, J., McGrath, G. & Audin, K. (2002). Towards a standardised brief outcome measure: Psychometric properties and utility of the CORE-OM. British Journal of Psychiatry, 180, 51-60.

Evans, C., Margison, F., & Barkham, M. (1998). The contribution of reliable and clinically significant change methods to evidence-based mental health. Evidence Based Mental Health, 1(3), 70-72.

Goulding, R. & Goulding, M. (1976). Injunction, decision and redecision. Transactional Analysis Journal, 6, 41-8.

Jacobson, N. S., & Truax, P. (1991). Clinical significance: A statistical approach to defining meaningful change in psychotherapy research. Journal of Consulting and Clinical Psychology, 59(1), 12-19. DOI:10.1037/0022-006X.59.1.12.

Kahler, T. (1975). Drivers: the key to the process of scripts. Transactional Analysis Journal, 5, 280-284.

Karpman, S. (1968). Fairy tales and script drama analysis. Transactional Analysis Bulletin, 7(26), 39-43.

Kapur, R. (1987). Depression: an integration of TA and paychodynamic concepts. Transactional Analysis Journal, 17:29-34.

Kroenke, K., Spitzer, R. L., Williams, J. B. (2001). The PHQ-9: validity of a brief depression severity measure. J Gen Intern Med. ;16(9):606-13.

Kroenke, K., Spitzer, R. L., Williams, J. B., et al. (2007). Anxiety disorders in primary care: prevalence, impairment, comorbidity, and detection. Ann Intern Med.;146(5):317-25.

Llewelyn, S. (1988). Psychological therapy as viewed by clients and therapists. British Journal of Clinical Psychology, 27, 223-238. DOI:10.1111/j.2044-8260.1988.tb00779.x.

MacLeod, R., Elliott, R., & Rodger, B (2012) Process-experiential/emotion-focused therapy for social anxiety: A hermeneutic single-case efficacy design study, Psychotherapy Research, 22:1, 67-81, DOI: 10.1080/10503307.2011.626805.

McNeel, J. R. (2010). Understanding the power of injunctive messages and how they are resolved in redecision therapy. Transactional Analysis Journal, 40(2), 159-169.

Richards, D. A. and Borglin, G. (2011). Implementation of psychological therapies for anxiety and depression in routine practice: two year prospective cohort study. Journal of Affective Disorders, 133, 51–60.

Shedler, J. & Westen, D., (1999). The Shedler-Westen Assessment Procedure (SWAP): Making personality diagnosis clinically meaningful. Journal of Personality Assessment, 89, 41-55.

Spitzer, R. L., Kroenke, K., & Williams, J. B. (1999). Validation and utility of a self-report version of PRIME-MD: the PHQ primary care study. Journal of the American Medical Association Nov 10; 282:18, 1737–44. PMID 10568646.

Spitzer, R. L., Kroenke, K., Williams, J. B., & Löwe, B. (2006). A brief measure for assessing generalized anxiety disorder: the GAD-7. Archives of Internal Medicine, 166:10, 1092-1097. DOI:10.1001/archinte.166.10.1092.

Steiner, C. (1974). The Therapy of the three Basic Scripts: the therapy of depression in “Script people live”. Grove Press. New York.

Stewart, I., & Joines, V. (1987). TA today: A new introduction to transactional analysis. Vann Joines.

Stewart, I., & Joines, V. (2012). TA today: A new introduction to transactional analysis (2nd edn). Lifespace. Nottingham.

Wall, J. M, Kwee, J. L, Hu, M. & McDonald, M. J. (2016). Enhancing the hermeneutic single-case efficacy design: Bridging the research–practice gap. Psychotherapy Research, DOI: 10.1080/10503307.2015.1136441.

Widdowson, M. (2012a). TA Treatment of Depression - A Hermeneutic Single-Case Efficacy Design Study - ‘Peter’. International Journal of Transactional Analysis Research, 3:1, 1-11.

Widdowson, M. (2012b). TA Treatment of Depression - A Hermeneutic Single-Case Efficacy Design Study - ‘Denise’. International Journal of Transactional Analysis Research, 3:2, 3-14.

Widdowson, M. (2012c). TA Treatment of Depression - A Hermeneutic Single-Case Efficacy Design Study - ‘Tom’. International Journal of Transactional Analysis Research, 3:2, 15-27.

Widdowson, M. (2013). TA Treatment of Depression - A Hermeneutic Single-Case Efficacy Design Study - ‘Linda’- a mixed outcome case. International Journal of Transactional Analysis Research, 4:2, 3-15.

Widdowson, M. (2014). Transactional Analysis Psychotherapy for a Case of Mixed Anxiety & Depression: A Pragmatic Adjudicated Case Study – ‘Alastair’. International Journal of Transactional Analysis Research, 5:2, 66-76.

Widdowson, M. (2016). Transactional Analysis for depression: A step-by-step treatment manual. Abingdon: Routledge.

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