Pragmatic Case Studies in Psychotherapy

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March 1, 2015 -- From the Editor 


Using Client-Centered Psychotherapy Embedded Within A Pluralistic Integrative Approach to Help a Client With Executive Dysfunction: The Case of "Judith"   

*** Tony Ward, University of the West of England, & Kevin Hogan, Newman University, Birmingham, England


*** Nigel King, University of Oxford, Oxford, England 

*** Lee Hyer & Brianna Brandon, Mercer School of Medicine and Georgia Neurosurgical Institute, Macon, Georgia   

*** Nadia Webb, Private Practice, Santa Fe, New Mexico  

Response to Commentary

*** Tony Ward, University of the West of England, & Kevin Hogan, Newman University, Birmingham, England     

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Ten years before the beginning of therapy, Judith, then a 38-year-old, married mother in a high functioning professional position, experienced a substantial head injury at work. This caused Judith to lose significant executive functioning, the cognitive and behavioral capacity to regulate, control, and manage the achievement of particular goals. She lost her job, went on disability, and experienced disinhibition, very poor planning, impulsiveness, and unproductive repetition in her daily activities. 

Ten years later, adding to her executive dysfunction difficulties, Judith experienced a traumatic situation: her husband of many years left her for another women, giving Judith only a day's notice. Judith was devastated, unable to cope, and experienced suicidal thoughts. 

At this point Judith sought treatment. At intake Judith's extensive executive dysfunction was documented and she met most of the criteria for post-traumatic stress disorder. The target article in this issue presents a systematic case study of the two-year, 65-session, successful treatment of Judith by the first author, Tony Ward. Ward employed Cooper and McLeod's pluralistic, integrative model, combining client-centered therapy to first address Judith's emotional turmoil, which was then followed by a focus on cognitive rehabilitation for helping Judith to better manage her executive dysfunction. 

The intersection of neuropsychology and clinical psychology in Judith's case and treatment raise a number of crucial issues regarding the integration of these two disciplines in therapy practice. Three sets of commentators—Nigel King, Lee Hyer & Brianna Brandon, and Nadia Webb—and Tony Ward and his co-author Kevin Hogan's response to them create a most enlightening discussion about the complexities of integrating these two disciplines in the case of Judith and in general practice, including a key dialogue about the criteria for deciding how much neuropsychological testing is needed for best practice.     

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Call for Papers

** Manuscripts. Two types of manuscripts are desired: those consisting of one or more case studies, and those consisting of case method articles.

** Suggested Author Guidelines. These can be found by clicking on the link Instructions for Authors, as described above. Note that we suggest 11 common headings for case study manuscripts:
1. Case Context and Method
2. The Client
3. Guiding Conception with Research and Clinical Experience Support
4. Assessment of the Client's Problems, Goals, Strengths, and History.
5. Formulation and Treatment Plan
6. Course of Therapy
7. Therapy Monitoring and Use of Feedback Information
8. Concluding Evaluation of the Therapy's Process and Outcome
9. References
10. Tables (optional)
11. Figures (optional)
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** Format. In the initial phase of the journal, manuscripts should be submitted if possible as Word documents using the manuscript style guidelines of the American Psychological Association.

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Vol 11, No 1 (2015)

Table of Contents

Case Study

Using Client-Centered Psychotherapy Embedded Within A Pluralistic Integrative Approach to Help a Client With Executive Dysfunction: The Case of "Judith" Abstract PDF
Tony Ward, Kevin Hogan 1-20
Providing Psychotherapy to People with Neuropsychological Impairment: Complexities and Issues Raised by the Case of "Judith" Abstract PDF
Nigel S. King 21-25
Perspectives on the Case of "Judith" Abstract PDF
Lee Hyer, Brianna Brandon 26-41
The Case of "Judith": A Neuropsychologist's Perspective Abstract PDF
Nadia Webb 42-54
The Case of "Judith": Reflections on Combining a Psychoneurological Perspective Within a Client-Centered and Pluralistic Therapy Framework Abstract PDF
Tony Ward, Kevin Hogan 55-64

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