Pragmatic Case Studies in Psychotherapy


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July 25, 2020 -- From the Editor 

ANNOUNCING THE PUBLICATION OF OUR 57th ISSUE (Vol. 16, Module 1)

A Telephone-Based, Clinician-Guided Self-Help Cognitive Behavioral Therapy for Depression in Parkinson’s Disease (dPD): The Responder Cases of “Alice” and “Carl,” and the Nonresponder Cases of “Ethan” and “Gary”  

*** Logan Durland, Springfield Psychological, Springfield, Pennsylvania  

Commentaries

*** Sarah L. Mann, Rachael Miller, & Lauren St. Hill of VA New Jersey Health Care System, Lyons, NJ; and Roseanne Dobkin of Rutgers—Robert Wood Johnson Medical School, Piscataway, NJ   

*** Liza Pincus, Graduate School of Applied & Professional Psychology, Rutgers-New Brunswick, NJ  

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:

        Parkinson's disease (PD) is a common and highly debilitating, degenerative, longterm neurological disorder of the central nervous system that mainly affects motor functions, with symptoms like tremors, shaking, rigidity, slowness of movement, and difficulty walking. In addition to motor symptoms, many PD patients suffer from cognitive symptoms, including the deterioration of executive function and memory, and sleep disorders.

        With such losses, it is not surprising that PD patients react to their symptoms with depression and anxiety, which in turn exacerbate the original physical and cognitive symptoms.

        Roseanne Dobkin, of Rutgers—Robert Woods Johnson Medical School, together with her research team have adapted standard cognitive-behavioral therapy (CBT) techniques for depression in non-PD patients to the therapeutic needs of PD patients. This adaptation includes modules for patients on exercise, behavioral activation, thought monitoring and restructuring, relaxation training, worry control, and sleep hygiene; together with psychoeducation and skill building for caregivers intended to provide them with the skills needed to facilitate patients’ home-based practice of CBT techniques.

        Dobkin et al. package their CBT techniques in a "guided self-help" approach to treatment. This involves providing modules of educational materials on the intervention techniques in hard copy or digital form to the patients and their caregivers. In addition, there is regular telephone-based contact with a therapist to help the patient and caregiver team best utilize the module materials.

        In the Dobkin et al. program, participants and their caregivers receive 10 weekly individual sessions (60–75 minutes) of manualized CBT, supplemented by four separate individual caregiver educational sessions (30–45 minutes).

        Dobkin et al.’s program has empirically been shown to be strongly effective, in both group pilot studies and in a recently published randomized clinical trial (RCT).

        This issue of PCSP describes four systematic case studies conducted by therapist Logan Durland of patients who were drawn from Dobkin et al.’s group research, including the RCT. These case studies include two “responders” who had positive outcomes (“Alice” and “Carl”), and two “nonresponders,” who had poor outcomes (“Ethan” and “Gary”).

         As mentioned, overall the Dobkin et al. treatment approach is effective. However, the rich process detail in the four case studies -- together with intensive, critical analysis of that process by therapist Durland -- brings out the complex interplay of a variety of impactful factors that contribute to positive versus negative outcomes. These factors are independent of the substance of the CBT procedures and include patient variables, caregiver variables, patient-caregiver dynamics, and the therapist-patient-caregiver relationship.  

        A Commentary by members of Dobkins’ research team, including Sarah Mann, Rachael Miller, Lauren St. Hill, and Dobkins herself, further explores the variety of factors going into tailoring treatment to the individualized needs of each patient.

        A second Commentary by Liza Pincus focuses on the implications of Durland’s case studies for the general practice of teletherapy in today's world of Covid-19.

        The issue ends with a Response to the Commentaries by Durland.   

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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.

PCSP is Abstracted in --

** PsycINFO (APA)
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Conceptual Overview

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.  

Access to Current Articles

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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PCSP Sponsors

PCSP is sponsored by the Rutgers Graduate School of Applied & Professional Psychology, and by the Rutgers University Libraries (RUL). To learn about the RUL's philosophy on open-access, online, peer-reviewed journal publishing, click on the ABOUT link at the top of the page, go to Policies, and then click on Open Access Policy. 

Contact  

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

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Vol 16, No 1 (2020)

Table of Contents

Case Study

Logan Durland
1-103
Sarah L Mann, Rachael Miller, Lauren St. Hill, Roseanne D. Dobkin
104-117
Liza E. Pincus
118-123
Logan Durland
124-131