Can we learn on Psychotherapeutic Process Dimensions with Single Case Study?

2021 ◽  
Vol 32 (118) ◽  
pp. 273-301
Author(s):  
Alejandro Ávila Espada
Keyword(s):  
Single Case ◽  
Therapeutic Process ◽  
Psychotherapy Process ◽  
Psychotherapeutic Process ◽  
Psychotherapy Process Research ◽  
Complete Treatment ◽  
Single Case Research ◽  
Object Of Study ◽  
Adequate Management

Relational psychoanalysis states that an adequate management of the intersubjective processes displayed in psychotherapy are essential to promote effective change. The analysis about some variables of the therapist and patient and the complex and co-determined interaction between them, give us new perspectives on the therapeutic process. This analysis leads us to question some topics and consider from a new view the therapist's functions and the patient's roles within the therapeutic process. A group of researchers in Spain, Argentine, Mexico and Germany have worked along a decade (1997-2008) in the Salamanca-Barcelona-Madrid Project on Psychotherapy Process Research. This project, an study conducting single case research (´The Publicist´ case), along the main phases of complete treatment (up to 200 recorded sessions), have given us the opportunity to adquire a better knowledge on therapeutic process, through the content analysis of sessions and with qualitative data using a wide variety of procedures.  In this paper we are presenting relevant results concerning some inferences on therapeutic process along the whole treatment and their phases. Crossing all the studied dimensions, we propose a comprehensive model of change observed in the case object of study, considering all the approaches, both from quantitative and qualitative methods and process dimensions, both the contributions of the therapist and the patient to psychotherapeutic process. Results are discussed in the light of recent perspectives on active use of counter-transference as a therapist’s tool to improve the psychoanalytic psychotherapy process, controlling negative aspects of countertransference collusions.

scholarly journals Child Psychodynamic Psychotherapy and Therapist Pregnancy: Systematic Case Study

2018 ◽  
Vol 28 (0) ◽  
Author(s):  
Fernanda Munhoz Driemeier Schmidt ◽  
Marina Bento Gastaud ◽  
Vera Regina Röhnelt Ramires
Keyword(s):  
Longitudinal Study ◽  
Psychodynamic Psychotherapy ◽  
Maternity Leave ◽  
Child Psychotherapy ◽  
Single Case ◽  
Therapeutic Process ◽  
Single Case Study ◽  
Psychotherapeutic Process ◽  
Therapeutic Setting

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.

The Effects of Writing Choice Prompt on the Written Narratives of Students With Emotional and Behavioral Disorders: A Case Study of an Abandoned Single-Case Design

2017 ◽  
Vol 42 (4) ◽  
pp. 185-195 ◽  
Author(s):  
Robin Parks Ennis ◽  
Kristine Jolivette ◽  
Mickey Losinski
Keyword(s):  
Behavioral Disorders ◽  
Single Case ◽  
Emotional And Behavioral Disorders ◽  
Single Case Design ◽  
Written Narratives ◽  
Choice Making ◽  
Single Case Research ◽  
Writing Prompt ◽  
Story Elements

In this study, we investigated the effects of choice of writing prompt on the number of story elements included in written narratives. The investigation took place in a residential facility for students with emotional and behavioral disorders. Participants included six female students in a mixed-grade-level course (students had just completed Grades 7–10). A withdrawal single-case research design was planned for each participant. However, the study was abandoned after only initial baseline and intervention phases because choice of writing prompt appeared to have null or countertherapeutic effects on the number of story elements written. Potential explanations for why these findings are inconsistent with other studies using choice making, including considerations of the file drawer effect for studies with null findings, are presented. Limitations and future directions also are discussed.

The synchronization of plan activations and emotion-abstraction patterns in the psychotherapeutic process: A single-case study

2009 ◽  
Vol 20 (2) ◽  
pp. 214-223 ◽  
Author(s):  
Steffen Walter ◽  
Guenter K. Schiepek ◽  
Sven Schneider ◽  
Guido Strunk ◽  
Peter Kaimer ◽  
...  
Keyword(s):  
Single Case ◽  
Single Case Study ◽  
Psychotherapeutic Process

scholarly journals The role of competitive advantage on the relation between internationalization and export performance: case study of EFACEC

2015 ◽  
Vol 14 (1) ◽  
pp. 28-42
Author(s):  
Orlando Lima Rua ◽  
Liliana Freitas Melo
Keyword(s):  
Competitive Advantage ◽  
Qualitative Methodology ◽  
Single Case ◽  
Export Performance ◽  
Practical Importance ◽  
Case Study Method ◽  
The One ◽  
Object Of Study

The main goal of this study is to analyze the factors that in the internationalization’s process of Portuguese companies that allows to understand the contributions of the competitive advantage that influenced export performance. This will assess how the internationalization’s strategies, considering the competitive advantage as well its interaction with the market’s characteristics, may lead companies, on the one hand, to the implementation of strategies for success, and, on the other, and to the top performances of its export activity. In this context embarked by the qualitative methodology, we used the case study method, regarding to the single case of the largest and the most representative Portuguese multinational company of the electromechanical sector (EFACEC), thus enabling a holistic and integrated vision of organizational phenomena object of study. This methodological option allowed objectify results of practical importance, which will contribute to a lower dispersion in companies’ strategic internationalization process, accentuating the assertiveness of its exporting activity. As main conclusions we highlight the fact of internationalization’s strategies positively influence competitive advantage which, in turn, positively influence the export performance, and this one is positively influenced by markets’ characteristics.

scholarly journals Interaction structures in the psychodynamic therapy of a boy diagnosed with Asperger’s disorder: a single-case study

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 Asperger’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 boy’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.

scholarly journals Single case research methodology: a tool for moral imagination in business ethics

2017 ◽  
Vol 40 (8) ◽  
pp. 890-906 ◽  
Author(s):  
Jose Luis Retolaza ◽  
Leire San-Jose
Keyword(s):  
Business Ethics ◽  
Single Case ◽  
Moral Imagination ◽  
Methodological Approach ◽  
Decision Makers ◽  
Corporate Management ◽  
Content Type ◽  
Case Research ◽  
Single Case Research

Purpose Although there are several often-used case research methods for teaching purposes, these cannot be used to conduct scientific research into business ethics, perhaps owing to criticism levelled against it. The precise aim of this work is to expound and argue for its use within the framework of scientific hypothetical-deductive methodology. Design/methodology/approach The opportunities offered by this methodological approach, both from an inductive (Eisenhardt, 1989; Dyer and Wilkins, 1991) and a deductive perspective (Yin, 1993; Carson et al., 2000), have been wasted, creating a need for scientific contributions within this area; hence, this study. It was carried on a theoretical approach of the use of single case applied to corporate management based on religion and spirituality inclusion. Findings The results obtained indicate that the single-case research method makes it possible to put forward alternative hypotheses to the dominant hypothesis, making contributions to the theory. Concretely, the scientific legitimacy of its use is justified by what it has been called “possibilistic hypothesis” for what it is not necessary to collect a large data or make an empiric research. Practical implications In the field of business ethics, these hypotheses (possibilistics) make alternatives stand out that widen the moral responsibility of decision-makers. It implies an open mind for decision-makers and rigorous arguments using just a single case. Reinforce and make them easier based on moral imagination improvement. Originality/value The decision process is complex, but in this rich method, the single-case study could permit establishing rigorous and robust decisions easily. The case study is not used widely for management, but this perspective could enrich and increase its use.

scholarly journals The Clinical Use of Photography: A Single Case, Multimethod Study of the Therapeutic Process

2014 ◽  
Vol 17 (1) ◽  
pp. 1-8 ◽  
Author(s):  
Emanuela Saita ◽  
Carmine Parrella ◽  
Federica Facchin ◽  
Floriana Irtelli
Keyword(s):  
Single Case ◽  
Therapeutic Process ◽  
Clinical Intervention ◽  
Linguistic Analysis ◽  
Referential Activity ◽  
Single Case Study ◽  
Coding System ◽  
Physical Pain ◽  
Psychological Pain

This single case study aimed at evaluating the use of a photographic tech-nique (i.e., Spectro Cards) within an eight-session clinical intervention based on the Brief, Intermittent Psychotherapy model developed by Nicholas Cummings (1990). We hypothesized that the use of photography may increase the patient’s Referential Activity (RA), facilitating the linking process between the nonverbal experience and the verbal code. Linguistic analysis of the discursive production of a 36-year-old female patient was conducted according to two different strategies: Measurement of the RA according to the coding system developed by Wilma Bucci (1997a, 1997b), and textual-linguistic analysis supported by the software T-LAB. Our findings revealed that the use of Spectro Cards during each psychotherapeutic session yielded significant changes in the patient’s language, in terms of greater RA values, richer discursive production, and a switch of language focus from physical pain to psychological pain.

scholarly journals A gradual effects model for single-case designs

2018 ◽  
Author(s):  
Daniel M. Swan ◽  
James E Pustejovsky
Keyword(s):  
Repeated Measures ◽  
Linear Time ◽  
Single Case ◽  
Estimation Methods ◽  
Outcome Variable ◽  
Log Odds ◽  
Single Case Research ◽  
Low Incidence ◽  
Single Case Designs

Single-case designs are a class of repeated measures experiments used to evaluate the effects of interventions for specialized populations, such as individuals with low-incidence disabilities. There has been growing interest in systematic reviews and syntheses of evidence from single-case designs, but there remains a need to further develop appropriate statistical models and effect sizes for data from the designs. We propose a novel model for single-case data that exhibit non-linear time trends created by an intervention that produces gradual effects, which build up and dissipate over time. The model expresses a structural relationship between a pattern of treatment assignment and an outcome variable, making it appropriate for both treatment reversal and multiple baseline designs. It is formulated as a generalized linear model so that it can be applied to outcomes measured as frequency counts or proportions, both of which are commonly used in single-case research, while providing readily interpretable effect size estimates such as logresponse ratios or log odds ratios. We demonstrate the gradual effects model by applying it to data from a single-case study and examine the performance of proposed estimation methods in a Monte Carlo simulation of frequency count data.

Change in psychotherapy: a single case study

1972 ◽  
Vol 2 (3) ◽  
pp. 312-317 ◽  
Author(s):  
D. A. Shapiro ◽  
R. F. Hobson
Keyword(s):  
Single Case ◽  
Single Case Study ◽  
Subjective Distress ◽  
Psychotherapeutic Process ◽  
Patient Reported

SynopsisIn a single case study of changes during psychotherapy, the patient reported more subjective distress after interviews than before, despite evidence of improvement over six months of a treatment apparently low in ‘therapeutic conditions’. The implications of findings from this and related studies for the psychotherapeutic process are discussed.

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