Hermeneutic single-case efficacy design

In this article, I outline hermeneutic single-case efficacy design (HSCED), an interpretive approach to evaluating treatment causality in single therapy cases. This approach uses a mixture of quantitative and qualitative methods to create a network of evidence that first identifies direct demonstrations of causal links between therapy process and outcome and then evaluates plausible nontherapy explanations for apparent change in therapy. I illustrate the method with data from a depressed client who presented with unresolved loss and anger issues

Distributing public funding to the NHS in England : taking account of differences in local labour market conditions on NHS recruitment and retention

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Psychotherapy change process research : realizing the promise

Change process research (CPR) is the study of the processes by which change occurs in psychotherapy, and is a necessary complement to randomized clinical trials and other forms of efficacy research. In this article I describe and evaluate of four types of CPR. The first three are basic designs and include quantitative Process-Outcome, qualitative Helpful Factors, and micro-analytic Sequential Process; the fourth, the Significant Events approach, refers to methods such as Task Analysis and Comprehensive Process Analysis that integrate the first three. The strengths and weaknesses of each design are described and summarized using both causal and practical criteria, as part of an overall argument for systematic methodological pluralism

Emotion-focused therapy

Emotion-focused therapy (EFT), also known as process-experiential therapy, integrates active therapeutic methods from gestalt and other humanistic therapies within the frame of a person-centred relationship (Elliott, Watson, Goldman & Greenberg, 2004). EFT updates person-centred and gestalt therapies by incorporating contemporary emotion theory and affective neuroscience, dialectical constructivism, and contemporary attachment theory. In this chapter, I review the current status of EFT, summarising its history, theory, practice, and outcome evidence

The date of the Decalogue

Thesis (M.A.)--Boston Universit

The essence of process-experiential : emotion-focused therapy

Process-Experiential/Emotion-Focused Therapy (PE-EFT; Elliott et al, 2004; Greenherg et al, 1993) is an empirically-supported, neo-humanistic approach that integrates and updates person-centered, Gestalt, and existential therapies. In this article, we first present what we see as PE-EFT's five essential features, namely neo-humanistic values, process-experiential emotion theory, person-centered hut process-guiding relational stance, therapist exploratory response style, and marker-guided task strategy. Next, we summarize six treatment principles that guide therapists in carrying out this therapy: achieving empathic attunement, fostering an empathic, caring therapeutic bond, facilitating task collaboration, helping the client process experience appropriately to the task, supporting completion of key client tasks, and fostering client development and empowerment. In general, PE-EFT is an approach that seeks to help clients transform contradictions and impasses into wellsprings for growth

Classical person-centered and experiential perspectives on Rogers (1957)

Rogers (1957) foreshadows the later development of the person-centered approach in North America and elsewhere. In this paper, the authors present contrasting perspectives on the legacy of this key paper. First, from the perspective of classical person-centered therapy, Freire describes the context for this key paper within the wider frame of Rogers' body of work and emphasizes its continuing importance and relevance. Second, Elliott offers a personal history from the point of view of a psychotherapy researcher and process-experiential therapist. These two perspectives represent two major and distinct views of Rogers' legacy from within his direct intellectual and therapeutic descendants

Systematic case study research : a practice-oriented introduction to building an evidence base for counselling and psychotherapy

Background: Historically, clinical case studies have played a central role in counselling and psychotherapy training and practice, by allowing practitioners to learn about ideas and interventions being developed by colleagues. In recent years, the development of methods for systematic collection and analysis of case data has made it possible for case study research to begin to make a contribution to the evidence base for therapy policy and practice. Aim: This paper provides an overview of the characteristics of rigorous case study research, introduces a set of studies that exemplify these principles, and reviews the relevance of systematic case study inquiry for policy, practice and training. Conclusions: If case study research is to fulfil its potential as a source of research-based knowledge, it is essential for practitioners to publish more systematic case studies that document the range and scope of everyday therapeutic practice. It is also necessary to carry out further research into a variety of methodological issues associated with single-case inquiry, as a means of further developing this approach to practice-based research

Doing research on the effectiveness of psychotherapy and psychotherapy training: a person-centered/experiential perspective

In this article, we present a framework for selecting instruments for evaluating psychotherapy and psychotherapy training from a person-centered and experiential psychotherapy (PCEP) perspective. The protocol is divided into eight therapy measurement domains, consisting of four research themes (therapy outcome, therapy process, client predictors, training outcome) and two levels (general/pan-theoretical concepts vs. treatment specific/PCEP-oriented concepts). This research protocol provides recommendations about what to measure, encouraging collaboration across different training sites, while still allowing flexibility for individual centers. Minimum and systematic case study data collection designs are described: Minimum designs are appropriate for use in private practice settings with one's own clients; systematic case-study designs can be used for student case-presentation requirements or for publication. The framework and research protocols described are part of an emerging international research project involving private and public training centers in several countries