scholarly journals TA Treatment of Depression. A Simplified Hermeneutic Single-Case Efficacy Design. The Case of “Margherita”

2019 ◽  
Vol 10 (2) ◽  
pp. 32-65 ◽  
Author(s):  
Mariavittoria Zanchetta ◽  
Alessia Picco ◽  
Barbara Revello ◽  
Cristina Piccirillo ◽  
Enrico Benelli
Keyword(s):  
Depressive Symptomatology ◽  
Single Case ◽  
Case Series ◽  
Evaluation Methodology ◽  
Level Of Functioning ◽  
Italian Woman ◽  
Case Evaluation ◽  
Treatment Of Depression ◽  
High Level ◽  
Depressive Personality

This study is the seventh of a series of seven and belongs to the second Italian systematic replication of findings from previous series that investigatedthe effectiveness of a manualized transactional analysistreatment for depressionthrough Hermeneutic Single-Case Efficacy Design. We address problems and difficulties emerged in previous case series, such as: spending time in training a group of people to conduct the hermeneutic analysis, organizing the involvement of external judges to give the final adjudication, and dealing with inconsistencies between quantitative and qualitative data. For these reasons, this study suggests a simplified method to conduct the hermeneutic analysis that require one person only, maintaining its validity. Therefore, we integrated hermeneutic design with the pragmatic case evaluation methodology in order to follow pre-defined criteria in analysing qualitative material. Furthermore, we present a way to use the Script System to detect changes in depressive symptomatology and depressive personality. We tested this approach to HSCED in the case of ‘Margherita’, a 56-years old white Italian woman who attended sixteen session of transactional analysis psychotherapy with a white Italian woman therapist with 5 years of clinical experience. The patient satisfied DSM-5 criteria for moderately severe major depressive disorder with anxious distress, and SWAP 200 criteria for traits of depressive, dependent, avoidant and hostile personality typeswith a high level of functioning.

scholarly journals TA Treatment of Depression. A Simplified Hermeneutic Single-Case Efficacy Design. The Case of “Giovanni”

2019 ◽  
Vol 10 (2) ◽  
pp. 4-31 ◽  
Author(s):  
Mariavittoria Zanchetta ◽  
Laura Farina ◽  
Stefano Morena ◽  
Enrico Benelli
Keyword(s):  
Depressive Disorders ◽  
Depressive Symptomatology ◽  
Single Case ◽  
Case Series ◽  
Evaluation Methodology ◽  
Transactional Analysis ◽  
Major Depressive ◽  
Case Evaluation ◽  
Treatment Of Depression ◽  
Depressive Personality

This study is inspired by previous case series replications of Hermeneutic Single-Case Efficacy Design which aim was to evaluate the effectiveness of a manualized transactional analysis treatment for depressive disorders and depressive personality. We address problems and difficulties emerged in previous case series, such as: spending time in training a group of people to conduct the hermeneutic analysis, organizing the involvement of external judges to give the final adjudication, and dealing with inconsistencies between quantitative and qualitative data. For these reasons, this study suggests a simplified method to conduct the hermeneutic analysis that require one person only, maintaining its validity. Therefore, we integrated hermeneutic design with the pragmatic case evaluation methodology in order to follow pre-defined criteria in analysing qualitative material. Furthermore, we present a way to use the Script System to detect changes in depressive symptomatology and depressive personality. We tested this approach to HSCED in the case of ‘Giovanni, a 17-years old white Italian boy who attended sixteen session of transactional analysis psychotherapy with a white Italian woman specializing in psychotherapy with 2 years of clinical experience. The patient satisfied DSM-5 criteria for moderate major depressive disorder and generalized anxiety disorder.This is the second investigation which has evaluated the effectiveness of Transactional Analysis psychotherapy for depressed adolescents.  

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 - ‘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 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 Etiology, Diagnosis, and Treatment of Dynamic Nerve Compression Syndromes of the Elbow Among High-Level Pitchers: A Review of 7 Cases

2018 ◽  
Vol 6 (11) ◽  
pp. 232596711880713 ◽  
Author(s):  
Tobias N. von Bergen ◽  
Gary M. Lourie
Keyword(s):  
Nerve Conduction ◽  
Single Case ◽  
Case Reports ◽  
Biceps Tendon ◽  
Small Body ◽  
Case Series ◽  
Nerve Compression ◽  
Diagnosis And Treatment ◽  
Compressive Neuropathy ◽  
High Level

Background: Dynamic compressive neuropathies around the elbow are a rare entity described by a relatively small body of literature, mostly consisting of single-case reports. No standardized diagnostic protocols have been described to date. To the authors’ knowledge, this study represents the largest case series of dynamic compressive neuropathies in the upper extremity. Purpose: To identify various etiologies of dynamic compressive neuropathies around the elbow, devise a systematic diagnostic protocol, and review treatment options. Study Design: Case series; Level of evidence, 4. Methods: A retrospective review was conducted of patients who presented to a single practice between 2013 and 2017 and were diagnosed with a dynamic compressive neuropathy around the elbow. Results: A total of 7 patients were identified, with a mean follow-up of 2 years. All patients were high-level pitchers. One patient was a minor league pitcher; 4 patients were National Collegiate Athletic Association athletes; and 2 patients were high school athletes. All patients underwent a systematic diagnostic workup. The diagnosis was established with dynamic nerve conduction testing. Three etiologies for dynamic nerve compression around the elbow were identified: 1 case of lateral antebrachial cutaneous nerve compression by the biceps tendon, 3 cases of ulnar nerve compression by an anconeus epitrochlearis muscle, and 3 cases of posterior interosseous nerve compression at the arcade of Frohse with hypertrophic extensor carpi radialis brevis and extensor digitorum communis muscles. Two patients were treated conservatively, while 5 patients required surgery. All patients were able to return to pitching. Conclusion: Dynamic compressive neuropathies around the elbow are rare entities that present unique diagnostic challenges to the treating clinician. In this cohort, all patients were young throwing athletes. Physical examination of the patient frequently lacks typical findings of chronic nerve entrapment syndromes. Dynamic nerve conduction studies establish the diagnosis, and treatment often requires surgical decompression to achieve complete resolution of symptoms.

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

2017 ◽  
Vol 8 (1) ◽  
Author(s):  
Enrico Benelli ◽  
Emanuela Moretti ◽  
Giorgio Cristiano Cavallero ◽  
Giovanni Greco ◽  
Vincenzo Calvo ◽  
...  
Keyword(s):  
Depressive Disorder ◽  
Single Case ◽  
Transactional Analysis ◽  
Dsm 5 ◽  
Italian Woman ◽  
Treatment Of Depression ◽  
Interpersonal Patterns ◽  
Persistent Depressive Disorder

This study is the first of a series of seven, and belongs to the second Italian systematic replication of findings from two previous series (Widdowson 2012a, 2012b, 2012c, 2013; Benelli, 2016a, 2016b, 2016c) that investigated the effectiveness of a manualised transactional analysis treatment for depression through Hermeneutic Single-Case Efficacy Design (HSCED). The therapist was a white Italian woman with 8 years of clinical experience and the client, Anna, was a 33-year old white Italian woman who attended 16 sessions of transactional analysis psychotherapy. Anna satisfied DSM-5 criteria for mild persistent depressive disorder (dysthymia) with anxious distress. The conclusion of the judges was that this was a good-outcome case: the dysthymic symptoms improved over the course of the therapy and were maintained in the ‘healthy’ range at the 6-month follow-up, the client reported a positive experience of the therapy and described important changes in intrapsychic and interpersonal patterns. In this case study, transactional analysis treatment for depression has proven its efficacy in treating persistent depressive disorder.

scholarly journals TA Treatment of Depression: A Hermeneutic Single-Case Efficacy Design Study - Beatrice

2018 ◽  
Vol 9 (2) ◽  
Author(s):  
Enrico Benelli ◽  
Francesca Vulpiani ◽  
Giorgio Cristiano Cavallero ◽  
Vincenzo Calvo ◽  
Stefania Mannarini ◽  
...  
Keyword(s):  
Major Depressive Disorder ◽  
Single Case ◽  
Transactional Analysis ◽  
Design Study ◽  
Major Depressive ◽  
Dsm 5 ◽  
Italian Woman ◽  
Treatment Of Depression ◽  
Patient Reported ◽  
Previous Series

This study is the sixth of a series of seven and belongs to the second Italian systematic replication of findings from previous series that investigatedthe effectiveness of a manualized transactional analysistreatment for depressionthrough Hermeneutic Single-Case Efficacy Design.The therapist was a white Italian woman with 10 years of clinical experience and the patient, Beatrice, was a 45-year old white Italian woman who attended sixteen sessions of transactional analysis psychotherapy. Beatrice satisfied DSM 5 criteria for Major Depressive Disorder, Anxious Distress, with Dependent and Histrionic Personality Traits. The judges evaluated the case as a good outcome: the depressive and anxious symptomatology clinically and reliably improved over the course of the therapy and these improvements weremaintained throughoutthe duration of thefollowup intervals. Furthermore, the patient reported significant change in her post-treatment interview and these changes were directly attributed to the therapy.Citation - APA format:Benelli, E., Vulpiani, F., Cavallero, G., Calvo, V., Mannarini, S., Palmieri, A. and Zanchetta, M. (2018). TA Treatment of Depression: A Hermeneutic Single-Case Efficacy Design Study - Beatrice. International Journal of Transactional Analysis Research & Practice, 9(2), 42-63 https://doi.org/10.29044/v9i2p42

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

2017 ◽  
Vol 8 (1) ◽  
Author(s):  
Enrico Benelli ◽  
Sara Filanti ◽  
Roberta Musso ◽  
Vincenzo Calvo ◽  
Stefania Mannarini ◽  
...  
Keyword(s):  
Major Depressive Disorder ◽  
Anxiety Disorder ◽  
Depressive Disorder ◽  
Single Case ◽  
Transactional Analysis ◽  
Major Depressive ◽  
Italian Woman ◽  
Treatment Of Depression

This study is the second of a series of seven, and belongs to the second Italian systematic replication of findings from two previous series (Widdowson 2012a, 2012b, 2012c, 2013; Benelli, 2016a, 2016b, 2016c) that investigated the effectiveness of a manualised transactional analysis treatment for depression through Hermeneutic Single-Case Efficacy Design. The therapist was a white Italian woman with 10 years of clinical experience and the client, Caterina, was a 28-year old white Italian woman who attended 16 sessions of transactional analysis psychotherapy. Caterina satisfied DSM-5 criteria for major depressive disorder with generalized anxiety disorder. The conclusion of the judges was that this was an outstanding good-outcome case: the depressive symptoms showed an early clinical and reliable improvement, maintained till the 6 months follow-up, accompanied by reductions in anxiety symptoms, global distress and severity of personal problems. Adherence to the manualised treatment for depression appears good to excellent. In this case study, transactional analysis treatment for depression has proven its efficacy in treating major depressive disorder in comorbidity with anxiety disorder.

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