TA Treatment of Depression: A Hermeneutic Single-Case Efficacy Design Study - 'Giorgio'
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Abstract
This study is the fourth of a series of seven and belongs to the second Italian systematic replication of findings from previous series that investigated the effectiveness of a manualized transactional analysis treatment for depression through Hermeneutic Single-Case Efficacy Design. The therapist was a white Italian man with 17 years of clinical experience and the patient, Giorgio, was a 23-year-old white Italian man who attended sixteen sessions of transactional analysis psychotherapy. Giorgio satisfied DSM-5 criteria for Major Depressive Disorder, Persistent Depressive Disorder,Panic Disorder, Agoraphobia and Dependent Personality Disorder. The treatment focused on both symptoms remission and conflicts at the core of dependent personality. The judges evaluated the case as a good outcome, mediated by the work on core conflicts of personality, that enhanced the treatment outcome and the remission of depressive symptoms. This case study suggests that the classical treatment for depression may be enhanced by considering the conflicts at the base of personality traits or disorders.
Citation - APA format:
Benelli, E., Procacci, M., Fornaro, A., Calvo, V., Mannarini, S., Palmieri, A. and Zanchetta, M. (2018). TA Treatment of Depression:A Hermeneutic Single-Case Efficacy Design Study - Giorgio. International Journal of Transactional Analysis Research & Practice, 9(2), 3-22 https://doi.org/10.29044/v9i2p3
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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.
Benelli, E. (2018). Trattamento analitico transazionale dei disturbi depressivi di personalità. In Analisi Transazionale per i disturbi depressivi. Manuale per il trattamento (pp. 233-266). Milano: FrancoAngeli.
Berne, E. (1961). Transactional Analysis in Psychotherapy. New York: Grove Press.
Berne, E. (1966). Principles of Group Treatment. Menlo Park, CA: Shea Books.
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. (Ed.). Visions in psychotherapy research and practice: Reflections from the presidents of the society for psychotherapy research. (pp. 188-207). New York, NY; Abingdon. 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.
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.
English, F. (1971). The substitution factor: rackets and real feelings. Transactional Analysis Journal, 1, 4, 225-230).
Ernst, F. H., Jr. (1971). The OK corral: The grid for get-on-with. Transactional Analysis Journal, 1(4), 33-42.
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.
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.
Lingiardi, V., & McWilliams, N. (Eds.) (2017). Psychodynamic Diagnostic Manual, 2nd Ed. (PDM-2). New York: Guilford Press.
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.
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.
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.
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.
Westen, D., & Shedler, J. (1999a). Revising and assessing axis II, Part I: Developing a clinically and empirically valid assessment method. The American Journal of Psychiatry, 156, 258–272.
Westen, D., & Shedler, J. (1999b). Revising and assessing axis II, Part II: Toward an empirically based and clinically useful classification of personality disorders. The American Journal of Psychiatry, 156, 273– 285.
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. (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.
Widdowson, M. (2018). Analisi Transazionale per i disturbi depressivi: manuale per il trattamento. Milano: Franco Angeli.