scholarly journals TA Treatment of Depression - A Hermeneutic Single-Case Efficacy Design Study - ‘Tom’

2012 ◽  
Vol 3 (2) ◽  
Author(s):  
Mark Widdowson
Keyword(s):  
Mixed Method ◽  
Single Case ◽  
Case Study Research ◽  
Positive Outcome ◽  
Therapy Process ◽  
Short Term ◽  
Moderate Depression ◽  
Treatment Of Depression ◽  
Key Aspects

Hermeneutic Single-Case Efficacy Design (HSCED) is a systematic case study research method involving the cross-examination of mixed method data to generate both plausible arguments that the client changed due to therapy and alternative explanations. The present study uses HSCED to investigate the outcome of short-term TA psychotherapy with a man with moderate depression and comorbid social anxiety The objective of the research was to investigate the effectiveness of short-term TA therapy for the treatment of depression and to explore and identify key aspects of the TA therapy process and associated factors promoting change amongst effective cases. To enhance rigour and address potential for researcher allegiance, indep-endent psychotherapy researchers have adjudicated the case and offer a verdict on outcome. The majority verdict of two judges in this case was that this was a positive outcome case and that the client had changed substantially and that these changes were substantially due to the effects of therapy. The third judge’s conclusion was that this was a mixed outcome case, and that the client had changed considerably and that this had been considerably due to therapy.This is the 3rd case reported on and additional rigour was introduced into the HSCED approach in the same way as reported in the accompanying paper about the 2nd case. (IJTAR 3:2, 3-14)

scholarly journals TA Treatment of Depression - A Hermeneutic Single-Case Efficacy Design Study - „Peter‟

2012 ◽  
Vol 3 (1) ◽  
Author(s):  
Mark Widdowson
Keyword(s):  
Mixed Method ◽  
Single Case ◽  
Case Study Research ◽  
Severe Depression ◽  
Therapy Process ◽  
Short Term ◽  
Treatment Of Depression ◽  
Effect Of Therapy ◽  
Key Aspects

 Hermeneutic Single-Case Efficacy Design (HSCED) is a systematic case study research method involving the cross-examination of mixed method data to generate both plausible arguments that the client changed due to therapy and alternative explanations. The present study uses HSCED to investigate the outcome of short-term TA psychotherapy with a young man with severe depression. The objective of the research was to investigate the effectiveness of short-term TA therapy for the treatment of depression and to explore and identify key aspects of the TA therapy process and associated factors promoting change amongst effective cases. To enhance rigour and to address potential for researcher allegiance, independent psychotherapy researchers have adjudicated the case and offer a verdict on outcome. The conclusion of the adjudicators is that the client changed considerably-substantially, and that these changes were substantially due to the effect of therapy.

scholarly journals TA Treatment of Depression - A Hermeneutic Single-Case Efficacy Design Study - ‘Denise’

2012 ◽  
Vol 3 (2) ◽  
Author(s):  
Mark Widdowson
Keyword(s):  
Single Case ◽  
Case Study Research ◽  
Severe Depression ◽  
Reliable Change Index ◽  
Short Term ◽  
Standard Of Proof ◽  
Treatment Of Depression ◽  
Key Aspects

Hermeneutic Single-Case Efficacy Design (HSCED) is a systematic case study research method involving the cross-examination of mixed method data to generate both plausible arguments that the client changed due to therapy and alternative explanations. The present study uses HSCED to investigate the outcome of short-term TA psychotherapy with a woman with severe depression. The objective of the research was to investigate the effectiveness of short-term TA therapy for the treatment of depression and to explore and identify key aspects of the TA therapy process and associated factors promoting change amongst effective cases. To enhance rigour and to address potential for researcher allegiance, independent psychotherapy researchers have adjudicated the case and offer a verdict on outcome. The conclusion of the adjudicators is that the client changed substantially, and that these changes were substantially due to the effects of therapy.Additional rigour was introduced into the HSCED approach for this 2nd case through the use of a more stringent classification of change, an increased reliable change index score, a higher standard of proof, the use of two teams to develop the affirmative and sceptic cases, and the addition of a third judge.

scholarly journals TA Treatment of Depression: A Hermeneutic Single-Case Efficacy Design Study - ‘Luisa’

2016 ◽  
Vol 7 (1) ◽  
Author(s):  
Enrico Benelli ◽  
Desiree Boschetti ◽  
Cristina Piccirillo ◽  
Laura Quagliotti ◽  
Vincenzo Calvo ◽  
...  
Keyword(s):  
Single Case ◽  
Case Study Research ◽  
Adjustment Disorder ◽  
The Third ◽  
Dsm 5 ◽  
Italian Woman ◽  
Moderate Depression ◽  
Treatment Of Depression

This study is the third of a series of three, and represents an Italian systematic replication of previous UK findings (Widdowson 2012a, 2012b, 2012c, 2013) that investigated the effectiveness of a recently manualised transactional analysis treatment for depression with British clients, using Hermeneutic Single-Case Efficacy Design (HSCED). The various stages of HSCED as a systematic case study research method are described, as a quasi-judicial method to sift case evidence in which researchers construct opposing arguments around quantitative and qualitative multiple source evidences and judges evaluate these for and against propositions to conclude whether the client changed substantially over the course of therapy and that the outcome was attributable to the therapy. The therapist in this case was a white Italian woman with 10 years clinical experience and the client, Luisa, was a 65-year old white Italian woman who attended sixteen sessions of TA therapy. Luisa satisfied DSM-5 criteria for severe adjustment disorder, with moderate depression and mixed deflected humour and anxiety, for which she had been taking medications and homeopathic treatments for over a year. The conclusion of the judges was that this was a good-outcome case: the client improved over the course of the therapy, reported a positive experience of therapy and maintained this improvement at the end of the follow-up.

scholarly journals TA Treatment of Depression: A Hermeneutic Single-Case Efficacy Design Study - ‘Sara’

2016 ◽  
Vol 7 (1) ◽  
Author(s):  
Enrico Benelli ◽  
Barbara Revello ◽  
Cristina Piccirillo ◽  
Marco Mazzetti ◽  
Vincenzo Calvo ◽  
...  
Keyword(s):  
Research Method ◽  
Single Case ◽  
Case Study Research ◽  
Transactional Analysis ◽  
Dsm 5 ◽  
Italian Woman ◽  
Moderate Depression ◽  
Treatment Of Depression

This study is the first of a series of three, and represents an Italian systematic replication of previous UK findings (Widdowson 2012a, 2012b, 2012c, 2013) that investigated the effectiveness of a recently manualised transactional analysis treatment for depression with British clients, using Hermeneutic Single-Case Efficacy Design (HSCED). The various stages of HSCED as a systematic case study research method are described, as a quasi-judicial method to sift case evidence in which researchers construct opposing arguments around quantitative and qualitative multiple source evidences and judges evaluate these for and against propositions to conclude whether the client changed substantially over the course of therapy and that the outcome was attributable to the therapy. The therapist in this case was a white Italian woman with 10 years clinical experience and the client, Sara, was a 62-year old white Italian woman with moderate depression and three recent bereavements, who attended sixteen sessions of transactional analysis therapy. The diagnosis is based on the new DSM-5 criteria that allow differentiation between Depression and Bereavement. The conclusion of the judges was that this was a good-outcome case: the client improved early over the course of the therapy, reported positive experience of therapy and maintained the improvement at the end of the follow-up.

scholarly journals TA Treatment of Depression: A Hermeneutic Single-Case Efficacy Design Study - ‘Penelope’

2016 ◽  
Vol 7 (1) ◽  
Author(s):  
Enrico Benelli ◽  
Francesco Scottà ◽  
Serena Barreca ◽  
Arianna Palmieri ◽  
Vincenzo Calvo ◽  
...  
Keyword(s):  
Single Case ◽  
Case Study Research ◽  
Case Series ◽  
Self Report ◽  
Depression And Anxiety ◽  
Multiple Sources ◽  
Mild Depression ◽  
Qualitative Evidence ◽  
Treatment Of Depression

This study is the second of a series of three, and represents an Italian replication of a previous UK -based case series (Widdowson 2012a, 2012b, 2012c, 2013) that investigated the effectiveness of a recently manualised transactional analysis treatment for depression with British clients, using Hermeneutic Single-Case Efficacy Design (HSCED). The various stages of HSCED as a systematic case study research method are described, as a quasi-judicial method to sift case evidence in which researchers construct opposing arguments around multiple sources of quantitative and qualitative evidence and judges evaluate these to conclude whether the client changed substantially over the course of therapy, and whether the outcome was attributable to the therapy. The therapist in this case was a white Italian man in the third year of training to become a psychotherapist, and the client, Penelope, was a 45-year old white Italian woman with mild depression and anxiety. The conclusion of the judges was that this was a mixed-outcome case: the client improved some aspects of her problems, without obtaining a complete and stable remission. Interestingly, this case presents a minimal correlation between empirical and proxy-rated indexes of depression and anxiety and answers to self reported questionnaires, raising the question of validity of self report measures with specific typology of client. 

scholarly journals TA Treatment of Depression - A Hermeneutic Single-Case Efficacy Design Study - ‘Linda’ - a mixed outcome case

2013 ◽  
Vol 4 (2) ◽  
Author(s):  
Mark Widdowson
Keyword(s):  
Interpersonal Relationships ◽  
Single Case ◽  
Case Study Research ◽  
Case Series ◽  
Stressful Events ◽  
Mild Depression ◽  
Treatment Of Depression ◽  
Case Comparison

Hermeneutic Single-Case EfficacyDesign (HSCED) is a systematic case study research method involving the cross-examination of mixed method data to generate both plausible arguments that the client changed due to therapy and alternative explanations. The present study is the fourth article of a case series which has investigated the process and outcome of transactional analysis psychotherapy using Hermeneutic Single-Case Efficacy Design (Elliott 2002). The client, Linda, was a 45 yearold white British woman with mild depression who attended nine sessions of therapy. The conclusion of the judges was that this was a mixed-outcome case:whilst the client improved over the course of therapy and was positive about her experience of therapy, her changes did not last when she experienced considerable stressful events during follow-up. Linda provided a detailed and idiosyncratic description of the aspects of the therapy which were most helpful for her. A cross-case comparison with other cases in this series suggests several interesting features which are worthy of further investigation. Specifically, the use of a shared theoretical framework and an egalitarian therapeutic relationship were helpful. As with other cases in this series, the client experienced positive changes in her interpersonal relationships suggesting that this outcome of TA therapy warrants further investigation

scholarly journals Can We Generalize from Case Studies?

2015 ◽  
Vol 15 (3) ◽  
pp. 152-175 ◽  
Author(s):  
Paul F. Steinberg
Keyword(s):  
Case Studies ◽  
Single Case ◽  
Case Study Research ◽  
Political Systems ◽  
Ceteris Paribus ◽  
Large N ◽  
Climate Change Politics ◽  
The Comparative Study

This article considers the role of generalization in comparative case studies, using as exemplars the contributions to this special issue on climate change politics. As a research practice, generalization is a logical argument for extending one’s claims beyond the data, positing a connection between events that were studied and those that were not. No methodological tradition is exempt from the requirement to demonstrate a compelling logic of generalization. The article presents a taxonomy of the logics of generalization underlying diverse research methodologies, which often go unstated and unexamined. I introduce the concept of resonance groups, which provide a causeway for cross-system generalization from single case studies. Overall the results suggest that in the comparative study of complex political systems, case study research is, ceteris paribus, on par with large-N research with respect to generalizability.

scholarly journals Assessing organisational governance maturity: A retail industry case study

2016 ◽  
Vol 6 (2) ◽  
pp. 58-71
Author(s):  
Hendrik Marius Wessels ◽  
Naomi Wilkinson
Keyword(s):  
Ethical Decision Making ◽  
Stock Exchange ◽  
Single Case ◽  
Case Study Research ◽  
Retail Industry ◽  
Maturity Level ◽  
Johannesburg Stock Exchange ◽  
Tone At The Top ◽  
High Level

For any business to operate effectively, a governance framework that operates at the relevant maturity level is required. An organisational governance maturity framework is a tool that leadership can use to determine governance maturity. This study aims to determine whether the organisational governance maturity framework (developed by Wilkinson) can be applied to the selected retail industry organisation to assess the maturity of the organisation’s governance, limited to the ‘leadership’ attribute. Firstly, a high-level literature review on ethical leadership, ethical decision-making, ethical foundation and culture (‘tone at the top’), and organisational governance and maturity was conducted. Secondly, a Johannesburg Stock Exchange (JSE) listed South African-based company was selected for the empirical part of the study using a single case study research design. The empirical results confirmed that the organisational governance maturity framework can be used to determine the maturity level of organisational governance for the selected attribute of ‘leadership’.

scholarly journals Lean Hospital Management, Studi Empirik pada Layanan Gawat Darurat

2017 ◽  
Vol 10 (3) ◽  
pp. 257
Author(s):  
Indrianawati Usman ◽  
Mira Ardiyana
Keyword(s):  
Intensive Care Unit ◽  
Single Case ◽  
Case Study Research ◽  
Value Added ◽  
Single Case Study ◽  
Hospital Service ◽  
Lean Management ◽  
Time Service ◽  
Value Stream

This research focuses on implementing lean management in hospital service, in order to elimination of waste to make a better performance.  It’s a qualitative single case study research. This study will identified waste and show how to reduce waste using lean management by empirically research in intensive care unit of Islamic hospital in Surabaya. Quantitative tools and measurement also used in this research using value stream analysis tools, and process activity mapping in order to identify the value added and non value added activities.  The results of the analysis indicate that there are seven kind of waste. Next the value stream analysis and process activity mapping show that the most frequent waste that cause ineffective performance of hospital service are waiting time, service defect and inappropriate process.  

MANAGING CHALLENGING BEHAVIOUR IN AN ADULT WITH LEARNING DISABILITIES: THE USE OF LOW AROUSAL APPROACH

1998 ◽  
Vol 26 (2) ◽  
pp. 163-171 ◽  
Author(s):  
Andrew McDonnell ◽  
Simon Reeves ◽  
Amanda Johnson ◽  
Alan Lane
Keyword(s):  
Learning Disabilities ◽  
Behaviour Change ◽  
Single Case ◽  
Challenging Behaviour ◽  
Single Case Study ◽  
Short Term ◽  
One Year ◽  
Challenging Behaviours

Behaviour change is often a desired outcome for carers and professionals who work with people with learning disabilities and challenging behaviours. Managing these behaviours in the short term is an important step towards this goal. This single case study presents the use of a low arousal approach in managing challenging behaviours in a young man labelled with severe challenging behaviour. This strategy focuses on the interaction of the carers with the client and how their approach has an important impact on the behaviour of the client. The study documents the incidents of challenging behaviour and shows a decline in their frequency from baseline over a one-year period. These gains were maintained at five-month follow-up. The implications for services of these findings are discussed.

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