Therapist challenges and client responses in psychodynamic psychotherapy: An empirically supported case study.

Abstract The present study aimed to describe the characteristics of the psychodynamic psychotherapeutic process of a child with a pregnant therapist and to identify possible repercussions of this pregnancy in the treatment. A descriptive, longitudinal study was conducted, based on systematic single case study procedure. The participants were an eight-year-old girl and her therapist who became pregnant during treatment. Forty psychotherapeutic sessions were analyzed through Child Psychotherapy Q-Set procedure. The therapeutic process was divided into four periods related to the therapist’s pregnancy: (1) the therapist was not pregnant; (2) therapist knew of her pregnancy but the topic had not been verbalized; (3) the pregnancy was treated in the therapeutic setting; (4) return of maternity leave. The results demonstrated that the therapist has adopted a less neutral stance, used less limits, and breaks and pauses in treatment were increasingly discussed. It was concluded that the therapist´s pregnancy influences the therapeutic setting in a marked way.

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Case Study of Clinical Behavior Analysis for a 20-Year-Old Client With Emetophobia

Clinical Case Studies ◽

10.1177/1534650119828817 ◽

2019 ◽

Vol 18 (3) ◽

pp. 163-174

Author(s):

Takashi Mitamura

Keyword(s):

Behavior Analysis ◽

Single Case ◽

Intervention Strategies ◽

Single Case Design ◽

Clinical Behavior Analysis ◽

Clinical Behavior ◽

Empirically Supported ◽

Clinically Significant

This case study illustrates a clinical behavior analytic intervention for a female client with emetophobia, the fear of vomiting. Clinical behavior analysis is a recently developing branch of empirically supported psychotherapy, derived from behavior analysis. This case study presents modified case formulations and changed intervention strategies according to the results of repeated measuring. The intervention was six sessions and three gradual follow-up sessions; the effect of the intervention was monitored by a single-case design. The intervention strategies were changed from symptom-focused interventions, which are based on exposure, to value-focused gradual follow-up sessions. The client’s phobia and depression were alleviated through the intervention and gradual follow-up phases. Moreover, her value-based activities increased through the gradual follow-up phase. The Reliable Change Indexes (RCIs) were calculated to evaluate changes between the intervention and follow-up phases. There were large and clinically significant decreases on measures. The results highlight the utility of repeated measuring and importance of a value-focused approach.

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Personal constructs and psychodynamic psychotherapy: A case study.

Psychoanalytic Psychology ◽

10.1037/0736-9735.23.3.554 ◽

2006 ◽

Vol 23 (3) ◽

pp. 554-578 ◽

Cited By ~ 3

Author(s):

Ehud Koch

Keyword(s):

Psychodynamic Psychotherapy ◽

Personal Constructs

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Addiction to Video Games: A Case Study on the Effectiveness of Psychodynamic Psychotherapy on a Teenage Addict Struggling with Low Self-Esteem and Aggression Issues

Psychology ◽

10.4236/psych.2018.910140 ◽

2018 ◽

Vol 09 (10) ◽

pp. 2436-2456 ◽

Cited By ~ 1

Author(s):

Pilios-Dimitris Stavrou

Keyword(s):

Video Games ◽

Psychodynamic Psychotherapy ◽

Self Esteem

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Depressive Disorders

10.1093/oxfordhb/9780190634841.013.19 ◽

2018 ◽

Author(s):

Laura J. Dietz ◽

Jennifer Silk ◽

Marlissa Amole

Keyword(s):

Middle Childhood ◽

Depressive Disorders ◽

Clinical Manifestations ◽

Psychosocial Treatment ◽

Childhood And Adolescence ◽

Youth Depression ◽

Empirically Supported ◽

Depressed Adolescent ◽

Treatment Plans

Depressive disorders onset early in development. Depression during childhood and adolescence is associated with serious disruptions in emotional, social, and occupational functioning into adulthood and a high likelihood of recurrence. This chapter discusses clinical manifestations, prevalence, and course of depression presenting in early childhood (ages 3–6), middle childhood/preadolescence (ages 7–12), and adolescence (13–18). An overview is presented of standardized interviews and questionnaires for clinical assessment of depression in children and adolescents; the chapter summarizes research on empirically supported treatments for youth depression. Also included is a case study of a depressed adolescent with treatment plans formulated from both cognitive behavior therapy and interpersonal psychotherapy perspectives. Future directions for research on depressive disorders in youths are discussed, including neuroimaging research using ecologically valid stimuli, empirically supported interventions for younger children and preadolescents, and personalization of psychosocial treatment to youth’s profiles of risk and protective factors to increase effectiveness.

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Interaction structures in the psychodynamic therapy of a boy diagnosed with Aspergerâ€™s disorder: a single-case study

Research in Psychotherapy Psychopathology Process and Outcome ◽

10.4081/ripppo.2015.195 ◽

2015 ◽

Vol 18 (2) ◽

Author(s):

Vera Regina Rohnelt Ramires ◽

Cibele Carvalho ◽

Fernanda Munhoz Driemeier Schmidt ◽

Guilherme Pacheco Fiorini ◽

Geoff Goodman

Keyword(s):

Psychodynamic Psychotherapy ◽

Outcome Measure ◽

Child Psychotherapy ◽

Single Case ◽

Therapeutic Process ◽

Psychodynamic Therapy ◽

Mechanisms Of Change ◽

Rorschach Variables ◽

Patterns Of Interaction

It is important to investigate the outcomes of psychotherapy and, especially, its process. Regarding child psychodynamic psychotherapy, available studies are in smaller numbers. Therefore, we still do not fully know the mechanisms of change in treatments with this age group. The Child Psychotherapy Q-Set (CPQ) was designed to analyze the therapeutic process with children. It permits one to identify interaction structures (i.e., repetitive patterns of interaction) and how they change in the course of a treatment. Based on these assumptions, the aim of this study was to identify and to analyze the interaction structures in the psychodynamic therapy of a boy diagnosed with Aspergerâ€™s disorder and possible changes in his psychic organization. A mixed longitudinal study, based on the Systematic Case Study procedure, was performed. Approximately 30 months of the boyâ€™s psychotherapy were analyzed using the CPQ. The Rorschach method was used as the outcome measure. Four interaction structures were identified, using the CPQ: Active, confident and lively child, competing with connected, mentalizing and accepting therapist; Withdrawn and defensive child with uncertain, unresponsive and didactic therapist; Accepting therapist with demanding, provocative and hostile child; and Reassuring, supportive, nondirective therapist with a compliant and not spontaneous child. Two interaction structures varied over time. Some changes in Rorschach variables were detected after two years of treatment.

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