1,720,966 research outputs found
The Importance of Research in Transactional Analysis for Transactional Analysts
This article is the author’s acceptance speech for the 2017 ITAA Research Award, which was presented to him at the World TA Conference in Berlin in July 2017. The author argues that research is essential to the wider acceptance of transactional analysis and that research will support the expansion of TA and will act as a powerful marketing force for TA practitioners and training institutes. Therefore, it is in the interests of every member of the TA community to conduct research or actively support further TA research. The author summarizes his research into the effectiveness of TA and presents a brief synopsis of current TA psychotherapy effectiveness research. The article also includes a summary of the author’s research findings regarding the distinctive features of effective TA psychotherapy and effective TA therapists. He concludes by expressing his gratitude and thanks to a number of people who have supported him on his research journey
Avoidance, vicious cycles, and experiential disconfirmation of script: Two new theoretical concepts and one mechanism of change in the Psychotherapy of depression and anxiety
This article presents an argument for the clinical and empirical relevance of case study material. Drawing on a series of systematic case studies based in Stiles 19s (2007) model of theory building, the author proposes adding the concepts of avoidance and vicious cycles to standard transactional analysis and offers case material to illustrate the usefulness of doing so. Avoidance and vicious cycles are proposed as key mechanisms in the maintenance of the client 19s problems, specifically depression and anxiety, but also in relation to other presenting problems. The article also proposes experiential disconfirmation as an active change mechanism in transactional analysis therapy whereby the therapist actively challenges the client 19s life script and promotes change at an experiential level. These concepts forge links between several transactional analysis concepts and provide a unifying framework for a range of TA therapy approaches
Music-making with hospitalised childrenoutcomes for children, families, hospital staff and musicians from LIME Medical Notes (2) and Songbirds projects : A research report
Children account for 21% of the population in the United Kingdom (Office for National Statistics 2015). Each year, one in fifteen children will be admitted to hospital, many of whom will have complex healthcare needs; a significant proportion of these will require highly technical interventions (NHS UK 2014). Significantly, some children with complex healthcare needs have many repeated admissions to hospital while others live in hospital for extensive periods and may be medically fragile and have been termed as children with medical complexity (CMC) (Peter et al 2011, Cohen et al 2011). While researchers have attempted to develop knowledge regarding the impact of hospitalisation on children, many of those in hospital for extended periods of time remain invisible in terms of what is known about the impact that hospitalisation has on their lives and their long-term development. The Music for Health programme is drawing attention to the plight of these children by providing ‘music-making’ sessions that are tailored and available for many children and their families receiving in-patient care at the Royal Manchester Children’s Hospital (RMCH).The impact and outcome from the first Medical Notes project have been reported (Cavanagh et al 2012). This second report details the research findings on the impact and outcomes from the subsequent phase of the project activity at RMCH which included the second Medical Notes project (Medical Notes 2) and Songbirds, a specialised project focused on work with children that have acquired brain injury or long-term conditions. Both projects were undertaken between September 2013 and September 2015
Case Study Research Methodology
Commenting on the lack of case studies published in modern psychotherapy publications, the author reviews the strengths of case study methodology and responds to common criticisms, before providing a summary of types of case studies including clinical, experimental and naturalistic. Suggestions are included for developing systematic case studies and brief descriptions are given of a range of research resources relating to outcome and process measures. Examples of a pragmatic case study design and a hermeneutic single-case efficacy design are given and the paper concludes with some ethical considerations and an exhortation to the TA community to engage more widely in case study research
Application of redecision therapy in executive coaching workshops: Part 2 - a qualitative exploration of participants’ changes
This is the second paper of three and describes an investigation into the way that executive coaching as a growing field of organisational development can be based on transactional analysis theory and methods. Twelve participants who had attended a coaching workshop based on Goulding & Goulding’s (1979) redecision therapy approach completed a follow-up Change Questionnaire adapted by the first author from material by Elliott et al (2001) and responses were analysed using thematic analysis (Braun & Clarke 2006). Participants reported experiencing a wide range of personal growth experiences, positive interpersonal change and growth in their business, managerial and leadership skills as a result of participating in the work-shops. Limitations are described including the possible impact of the transferential artefact of wanting to please the workshop facilitator. The thematic analysis findings suggest that such an approach can provide an effective framework for executive coaching workshops
Transforming student midwives 'lived' experience of caring for bereaved parents using high-fidelity simulation; an interpretative phenomenological analysis
The unexpected death of a baby to stillbirth is a tragic and traumatic event both for parents and caregivers. The period after stillbirth has profound emotional and psychological consequences for parents which can persist for 1000 days and beyond (Manifesto, 2014). Whilst nothing can alleviate the pain of a stillbirth, the quality of care that bereaved parents receive is crucial to their psychological well-being in the aftermath of the loss. Student midwives frequently encounter bereaved parents as part of their experience in clinical practice. Yet many students report feeling unprepared and anxious when caring for them during this difficult time. Consequently, midwifery students often lack the necessary skills in communicating with bereaved parents and providing emotional support which can impact on the quality of care that parents receive. This study presents an interpretative phenomenological study which aims to explore student midwives’ experiences of bereavement simulation. The use of simulation to teach student midwives about bereavement care is relatively unexplored in the literature. It warrants considerable attention given the concerns highlighted in a series of reports in recent years regarding bereaved parents’ experiences of maternity care following perinatal loss (Kirkup, 2015; Ockenden, 2020, 2022). This study utilized a purposive sample of nine first- and second-year undergraduate midwifery students and used in-depth semi-structured interviews to explore the meaning of the experiential phenomena of bereavement simulation. Mezirow's Transformative Learning Theory was also applied as a framework to analyse the data. Three key super-ordinate themes emerged from the data analysis. Firstly, ‘a rollercoaster of emotions’ captured the complexity of feelings and emotions that students experienced as they encountered the bereaved parents for the first time. Secondly, ‘trying to console and making things easier’ depicted the deep sense of powerlessness and the professional dilemmas experienced as the students struggled to emotionally console and communicate the helpful words to the grieving parents. Thirdly, ‘a unique learning experience’ conceptualised the students’ transformational journey as they critically reflected on significant aspects of their learning and identified the professional and personal insights that would enable them to provide effective care. The findings of the study highlight the important role of simulation as a defined model of bereavement education that equips students with the necessary knowledge, skills, and values to provide safe and compassionate care to bereaved parents during this traumatic time
Transactional Analysis Psychotherapy for a Case of Mixed Anxiety & Depression: A Pragmatic Adjudicated Case Study – ‘Alastair’
Using an original method of case evaluation which involved an analysis panel of over 80 Italian psychologists and included a lay case evaluation, the author has investigated the effectiveness of transactional analysis psychotherapy for a case of mixed anxiety and depression with a 39 year old white British male who attended 14 weekly sessions. CORE-OM (Evans, Mellor-Clark , Margison, Barkham, Audin, Connell and McGrath, 2000), PHQ-9 (Kroenke, Spitzer & Williams, 2001), GAD-7) Spitzer, Kroenke, Williams & Löwe, 2006, Hamilton Rating Scale for Depression (Hamilton, 1980) were used for screening and also for outcome measurement, along with Session Rating Scale (SRS v.3.0) (Duncan, Miller, Sparks, Claud, Reynolds, Brown and Johnson, 2003) and Comparative Psychotherapy Process Scale (CPPS) (Hilsenroth, Blagys, Ackerman, Bonge and Blais, 2005), within an overall adjudicational case study method. The conclusion of the analysis panel and the lay judge was unanimously that this was a good outcome case and that the client’s changes had been as a direct result of therapy. Previous case study research has demonstrated that TA is effective for depression, and this present case provides foundation evidence for the effectiveness of TA for depression with comorbid anxiety
Depression: A literature review on diagnosis, subtypes, patterns of recovery, and psychotherapeutic models
This article summarizes data on the prevalence and diagnosis of depression as well as findings from research regarding recovery and relapse from depression. It also offers a summary of models of understanding depression from a range of psychotherapies that are empirically supported for the treatment of depression. Links are made between these models and transactional analysis theor
An inquiry into the experience of the dyslexic transactional analysis psychotherapist
Dyslexia causes difficulties in reading, writing, and information processing and is known to impair academic performance unless adaptations are made to the teaching and learning environment. This article explores some of the ways currently practicing transactional analysts who are dyslexic recall and understand their experiences from the earliest recognition of their difference in being dyslexic, through their training, and into their current work life. The authors have investigated the impact of having dyslexia on the training and practice of five transactional analysis psychotherapists using a qualitative approach. The participants were interviewed and the data analyzed using thematic analysis. The results indicate further research would be beneficial to facilitate a deeper understanding of the impact of dyslexia and to facilitate appropriate support for both trainees and qualified psychotherapists
TA Treatment of Depression - A Hermeneutic Single-Case Efficacy Design Study - „Peter‟
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
- …
