Pragmatic Case Studies in Psychotherapy


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March 23, 2019 -- From the Editor 

ANNOUNCING THE PUBLICATION OF OUR 54th ISSUE (Vol. 15, Module 1)

 

Adapting an Exposure and Response Prevention Manual to Treat Youth Obsessive-Compulsive Disorder and Comorbid Anxiety Disorder: The Case of "Daniel"   

*** Alexander Tice, Kennedy Krieger Institute, Johns Hopkins University School of Medicine, Baltimore, MD  

Commentaries

*** Martin Franklin, University of Pennsylvania School of Medicine and Rogers Behavioral Health, Philadelphia, PA 

*** Liza Pincus & Andrea Quinn, Anxiety Disorders Clinic, Graduate School of Applied and Professional Psychology, Rutgers-New Brunswick, NJ 

More Commentaries on Diana Fosha’s Model of AEDP as Applied to the Case of “Rosa,” Conducted by Nicole Vigoda Gonzalez (see PCSP Volume 14, Module 1, Article 1)    

*** In the Shadows: On Meta-Awareness and Spiraling Effects in Psychotherapy—Comment on Nicole Vigoda Gonzalez and Diana Fosha 
-- by Louis Sass, Graduate School of Applied & Professional Psychology, Rutgers-New Brunswick, NJ

 *** In the Light: On Meta-Experience and Spiraling Effects in Psychotherapy—Commentary on Louis Sass’s Commentary on Diana Fosha’s Commentary on Nicole Vigoda Gonzalez’s Case of “Rosa”
-- by Diana Fosha, AEDP Institute, New York, NY

  

For Table of Contents and access to articles: go to the bottom of this page; or click on the "Current" button at the top of this page. 

EDITOR'S NOTE:

 The Case of “Daniel”

      "Daniel" is a 14-year-old Caucasian male, living with his biological parents and two dogs in a suburban town. Daniel presented to therapy with “escalating anxiety, compulsive behaviors, and school refusal. ... [Much stemmed] from severe worries about contamination, resulting in frequent hand washing and persistent avoidance of any potentially contaminated stimuli.” At intake he received the diagnoses of Obsessive-Compulsive Disorder and Generalized Anxiety Disorder.

       The first article in the present issue describes Dr. Alexander Tice’s conduct of 24 sessions of therapy with Daniel using a cognitive-behavioral therapy manual based on a book by March and Mulle (1994), titled, How I Ran OCD Off My Land. The focus of the manual is the therapeutic procedure of Exposure and Response Prevention E/RP).

       Tice’s therapy with Daniel was highly successful. In his case study Tice describes in detail the clinical process of Daniel’s therapy, showing how its success was dependent upon both (a) the E/RP procedures described in the manual, and (b) the need for the therapist to clinically expand upon the manual and to be flexible in following it, with a particular focus on developing a very strong and distinctive therapeutic relationship with Daniel.

       Tice’s case study is followed by commentaries, from two varying perspectives. The first is by Dr. Martin Franklin, a nationally recognized master clinician and leader in the field of RCT-based manual development, who was also Tice’s clinical supervisor in Daniel’s case.

      The second commentary is by Liza Pincus, a third-year clinical psychology student, and Dr. Andrea Quinn, Director of an Anxiety Disorders Clinic in Pincus’s training program and Pincus’s supervisor in that program.  

More Commentaries on Diana Fosha’s Model of AEDP  

      In the previous issue of PCSP (Vol. 14, Module 2, Article 1), Dr. Diana Fosha commented on the psychotherapy case study of “Rosa,” written by Nicole Vigoda Gonzalez (Vol. 14, Module 1, Article 1), which successfully employed Fosha’s model of Accelerated Experiential Dynamic Psychotherapy (AEDP). In her commentary, Fosha expanded upon how, within AEDP, the moment-to-moment, phenomenological tracking of positive, energizing affects is crucial in two ways to (a) the processing of core emotions to a healing conclusion, and (b) the metatherapeutic processing (or metaprocessing for short) of this healing—two core concepts in AEDP.

      In the current issue of PCSP, Dr. Louis Sass (2019), an internationally recognized expert on phenomenology and psychopathology, writes a response to Fosha’s earlier article. While endorsing the importance of a phenomenological perspective in psychotherapy, Sass also raises some concerns about the usefulness of metaprocessing for some types of clients, especially those with the distancing defenses of derealization and depersonalization. Sass’s article is followed by a response from Fosha.   

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OVERVIEW OF PCSP

PCSP is a peer-reviewed, open-access journal and database. It is intended to provide innovative, quantitative and qualitative knowledge about psychotherapy process and outcome, for both researchers and practitioners.

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A conceptual overview of the journal is available by going to the About PCSP link found by clicking on the ABOUT link above and looking under Policies.  

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The current article series or "Module" is available at the bottom of this home page, or by clicking on the Current button at the top of this page. As shown, articles are available in HTML format for the Abstract and bibliographic information, and in PDF format for full text. This format requires the following plug-in: Acrobat Plug-in (use version 7.0.9 or above)

Editorial Board

** View. View by clicking on the EDITORIAL BOARD link at the top of the page. Along with their names and affiliations, samples of the Editorial Board members' scholarly, clinical, and research accomplishments are briefly summarized.

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)
Also note that on the Instructions for Authors page,  there are substantive guidelines within each heading. However, these should be viewed as suggestions only, not as requirements.

** Author Policies. For author policies about manuscript submission, copyright, and confidentiality, click on the link Authors Guidelines, as described above. 

** 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.

** Submitting Manuscripts. During the initial phase of the journal, authors should submit manuscripts by emailing a Word file to the Editor, Daniel Fishman, at dfishman.rutgers@gmail.com  

** Note: the PCSP web site has an automated method for submitting manuscripts, which will be activated after the initial phase of the journal.

** Questions. Any questions about manuscript ideas or formats should be addressed to the Editor at  
dfishman.rutgers@gmail.com

Searching

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Contact  

To get in touch with the PCSP Editor, email: dfishman.rutgers@gmail.com

Vol 15, No 1 (2019)

Table of Contents

Case Study

Adapting an Exposure and Response Prevention Manual To Treat Youth Obsessive-Compulsive Disorder and Comorbid Anxiety Disorder: The Case of "Daniel" Abstract PDF
Alexander M.B. Tice 1-74
Forests and Trees: Commentary on the Case of "Daniel" Abstract PDF
Martin E. Franklin 75-83
When Psychological Comorbidities Demand Flexibility: Treatment Adaptations for Youth Anxiety Disorders Abstract PDF
Liza E. Pincus, Andrea Quinn 84-89
The Case of "Daniel": Flexibly Delivering an Inherently Challenging Treatment in the Face of a Complex Presentation Abstract PDF
Alexander M.B. Tice 90-98

More Commentaries on the AEDP Case of "Rosa" (Volume 14, Module 1, Article 1)

In the Shadows: On Meta-Awareness and Spiraling Effects in Psychotherapy—Comment on Nicole Vigoda Gonzalez and Diana Fosha Abstract PDF
Louis Sass 99-104
In the Light: On Meta-Experience and Spiraling Effects in Psychotherapy—Commentary on Louis Sass’s Commentary on Diana Fosha’s Commentary on Nicole Vigoda Gonzalez’s Case of "Rosa" Abstract PDF
Diana Fosha 105-115