scholarly journals Why did she leave? Development of working alliance in a case of psychotherapy for depression

Author(s):  
Petr Doležal ◽  
Michal Čevelíček ◽  
Tomáš Řiháček ◽  
Jan Roubal ◽  
Roman Hytych ◽  
...  

The present case study aims to explore the unfolding of the working alliance in a case that ended with the client dropping out of psychotherapy, unilaterally cutting off her contact with the therapist. However, both quantitative and qualitative outcome assessments strongly suggested that. An analysis of session transcripts, the Client Change Interview, and the Interpersonal Process Recall interviews for three selected sessions was used to analyze the development of the working alliance and its contribution to the dropout. This case study illustrates how the working alliance is constructed differently during the different phases of the therapeutic process. Specifically, the fruitful problem-solving in the first part of psychotherapy helped the client to improve her functioning. Yet this intervention seemed to exhaust its potential over time, and later the dyad had trouble finding another useful mode of interaction due to the interpersonal context, leading to more serious ruptures and, eventually, to the dropout. The findings are discussed in terms of therapist responsiveness and of its role in the continuous negotiation of the working alliance.

Sports ◽  
2019 ◽  
Vol 7 (8) ◽  
pp. 182
Author(s):  
Heidi Schwenk

This research explores an innovative methodology for understanding the process and practice of UK-based outdoor therapists. Recent studies address the need to expand circles of knowledge, and capture the lived-experience of outdoor practitioners to examine the ‘altered’ therapeutic process and frame. Interpersonal process recall (IPR) methodology offers a nuanced and contextualised lived-experience of outdoor therapists. IPR includes three phases: (1) initial-interview; (2) post-session-reflective-recording; and (3) an IPR-interview to replay and explore the participants’ recorded reflections of the outdoor therapy session. The sample included three UK-based outdoor therapists. Interpretative phenomenological analysis was used to qualitatively analyze the data. The study presents the theme of ‘transitional landscapes—transitional thinking’, which explores the embodied experience, the parallel process between the client and therapist, and watching for drift. The findings provide insight for training and supervision and generates constructive dialogue amongst outdoor therapists. The research supports IPR as a methodology offering participant and researcher experiential and reflective positions. Parallels are drawn in relation to existing research, literature, and contemporary professional issues surrounding outdoor therapy as a mental health treatment.


2012 ◽  
Vol 21 (4) ◽  
pp. 136-143
Author(s):  
Lynn E. Fox

Abstract The self-anchored rating scale (SARS) is a technique that augments collaboration between Augmentative and Alternative Communication (AAC) interventionists, their clients, and their clients' support networks. SARS is a technique used in Solution-Focused Brief Therapy, a branch of systemic family counseling. It has been applied to treating speech and language disorders across the life span, and recent case studies show it has promise for promoting adoption and long-term use of high and low tech AAC. I will describe 2 key principles of solution-focused therapy and present 7 steps in the SARS process that illustrate how clinicians can use the SARS to involve a person with aphasia and his or her family in all aspects of the therapeutic process. I will use a case study to illustrate the SARS process and present outcomes for one individual living with aphasia.


2020 ◽  
Vol 11 (01) ◽  
Author(s):  
Saranya Banerjee ◽  
Deepshikha Ray

Twin studies have mostly focused on the pattern of maladaptive behaviour manifested by the twins and their biological basis but the findings have remained controversial till date. The present case study explores the psychopathology in 14 year old twins of Indian origin. They were referred for psychometric assessment and psychotherapy for their conduct problems. The tools administered on them during psychometric assessment are Wechsler Intelligence Scale for Children IV (WISC-IV), Rorschach Inkblot Test (RIBT) and Thematic Apperception Test (TAT). Findings are discussed in terms of the personality processes and relationship quality of the twins.


2018 ◽  
Vol 28 (2) ◽  
Author(s):  
T Dowling ◽  
Somikazi Deyi ◽  
Anele Gobodwana

While there have been a number of studies on the decontextualisation and secularisation of traditional ritual music in America, Taiwan and other parts of the globe, very little has been written on the processes and transformations that South Africa’s indigenous ceremonial songs go through over time. This study was prompted by the authors’ interest in, and engagement with the Xhosa initiation song Somagwaza, which has been re-imagined as a popular song, but has also purportedly found its way into other religious spaces. In this article, we attempted to investigate the extent to which the song Somagwaza is still associated with the Xhosa initiation ritual and to analyse evidence of it being decontextualised and secularised in contemporary South Africa. Our methodology included an examination of the various academic treatments of the song, an analysis of the lyrics of a popular song, bearing the same name, holding small focus group discussions, and distributing questionnaires to speakers of isiXhosa on the topic of the song. The data gathered were analysed using the constant comparative method of analysing qualitative research.


2004 ◽  
Vol 2 (1) ◽  
pp. 49-63 ◽  
Author(s):  
Carlos Magnavita ◽  
Norbert Schleifer

In the last decades, geophysical methods such as magnetic survey have become a common technique for prospecting archaeological sites. At sub-Saharan archaeological sites, however, magnetic survey and correlated techniques never came into broad use and there are no signs for an immediate change of this situation. This paper examines the magnetic survey undertaken on the Nigerian site of Zilum, a settlement of the Gajiganna Culture (ca 1800-400 BC) located in the Chad Basin and dated to ca 600-400 BC. By means of the present case study, we demonstrate the significance of this particular type of investigation in yielding complementary data for understanding the character of prehistoric settlements. In conclusion, we point out that geophysical methods should play a more important role in modern archaeological field research, as they furnish a class of documentation not achievable by traditional survey and excavation methods, thus creating new perspectives for interpreting the past of African societies.


2016 ◽  
Vol 33 (3) ◽  
Author(s):  
Lourenildo W.B. Leite ◽  
J. Mann ◽  
Wildney W.S. Vieira

ABSTRACT. The present case study results from a consistent processing and imaging of marine seismic data from a set collected over sedimentary basins of the East Brazilian Atlantic. Our general aim is... RESUMO. O presente artigo resulta de um processamento e imageamento consistentes de dados sísmicos marinhos de levantamento realizado em bacias sedimentares do Atlântico do Nordeste...


2002 ◽  
Vol 78 (4) ◽  
pp. 539-549 ◽  
Author(s):  
Paul D Anderson ◽  
John C Zasada ◽  
Glen W Erickson ◽  
Zigmond A Zasada

A white pine (Pinus strobus L.) stand at the western margin of the species range, approximately 125 years of age at present, was thinned in 1953 from 33.5 m2 ha-1 to target residual basal areas of 18.4, 23.0, 27.5, and 32.1 m2 ha-1 . Repeated measurement over the following 43-years indicated that the greatest total volume production and the greatest number of large diameter trees occurred in the unit of highest residual density. Over time, the distribution of stems was predominantly random although mortality between 1979 and 1996 resulted in a tendency for clumping in the 23.0 and 27.5 m2 ha-1 treatments. DNA analysis indicated that thinning intensity had little effect on the genetic diversity of residual white pine. This study suggests that mature white pine stands in northern Minnesota may be managed at relatively high densities without loss of productivity. However, regardless of overstory density, there was little or no white pine regeneration occurring in this stand. Key words: thinning, growth, genetic diversity, molecular markers, spatial pattern, regeneration


2021 ◽  
Vol 5 (1) ◽  
Author(s):  
Mohammed Awadh Jasim ◽  
Laura Hanks ◽  
Katharina Borsi

AbstractToday, the concept of built heritage authenticity is a projection screen for conflicting demands and thus a ‘contested field’. Short-sighted readings started to drag the concept behind different ill-considered treatises, in which some heritage aspects loosely outweighed other aspects. Archaeological perspectives that tend to freeze heritage structures in time, such as those that are privileged upon other contemporary socio-cultural issues, while political takes also overshadowed other epistemological prospects, and vice versa. Repercussions have made inclusion of what is regarded as ‘inevitable changes’ within the built context problematic as to the re-interpretation and thus assessment of its authenticity. Despite their possible momentary threat to the latter, these changes may add to the cultural value of the context over time, granting new potential that may instead boost its authenticity. This paper investigates the potential continuity of Erbil Citadel’s Babylonian Gate as an inevitable change within the site’s built context by studying the Gate’s controversial political impacts on the context’s authenticity. This study affirms that authenticity is a transcendental value of an open-ended progressive nature, which cannot be reduced to a specific period or properties within the historical chronology of built heritage. Hence, authenticity should be approached as a meaningful existential issue, while revelation of its essence and thus its dimension entails precise scrutiny of both the tangibles and intangibles of the context. However, to be part of its authenticity, any change in the context should be adaptable and possibly incorporated as a new value within its cultural strata, thus enabling progressive support for site authenticity.


Water ◽  
2021 ◽  
Vol 13 (9) ◽  
pp. 1324
Author(s):  
David Revell ◽  
Phil King ◽  
Jeff Giliam ◽  
Juliano Calil ◽  
Sarah Jenkins ◽  
...  

Sea level rise increases community risks from erosion, wave flooding, and tides. Current management typically protects existing development and infrastructure with coastal armoring. These practices ignore long-term impacts to public trust coastal recreation and natural ecosystems. This adaptation framework models physical responses to the public beach and private upland for each adaptation strategy over time, linking physical changes in widths to damages, economic costs, and benefits from beach recreation and nature using low-lying Imperial Beach, California, as a case study. Available coastal hazard models identified community vulnerabilities, and local risk communication engagement prioritized five adaptation approaches—armoring, nourishment, living shorelines, groins, and managed retreat. This framework innovates using replacement cost as a proxy for ecosystem services normally not valued and examines a managed retreat policy approach using a public buyout and rent-back option. Specific methods and economic values used in the analysis need more research and innovation, but the framework provides a scalable methodology to guide coastal adaptation planning everywhere. Case study results suggest that coastal armoring provides the least public benefits over time. Living shoreline approaches show greater public benefits, while managed retreat, implemented sooner, provides the best long-term adaptation strategy to protect community identity and public trust resources.


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