Pragmatic Case Studies in Psychotherapy


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October 12, 2020 -- From the Editor 

ANNOUNCING THE PUBLICATION OF OUR 58th ISSUE (Vol. 16, Module 2)

Portrait of a Man Imprisoned in an Altered State of ConsciousnessThe Case of "Sean"

*** Michael Garrett, SUNY Downstate Medical Center, Brooklyn, NY 

Commentaries

*** Louis Sass & Jamie Walkup, Graduate School of Applied and Professional Psychology, Rutgers-New Brunswick, NJ

*** Paul Wachtel, Doctoral Program in Clinical Psychology, City College, 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:

From the target article abstract by the author, Michael Garrett 

        “This case study describes the first 18 months of weekly psychotherapy with a man suffering from a debilitating chronic psychosis that centers around his conviction that a group of four older men that he refers to as the Council of Four (CoF) operate a machine that can monitor his thoughts to determine if he is having disrespectful thoughts toward them. 

          The patient lives in an altered state of consciousness in which the privacy of mind that people generally take for granted has dissolved.  Every Monday the CoF sends him a Morse-code-like message conveyed by automobile horns.  It is his belief that if he can meet the standards of the CoF they will reward him with a lucrative book deal and movie contract, which will allow him to approach a female movie star of whom he is much enamored.  

           This case study describes a treatment approach that integrates cognitive-behavioral therapy (CBT) and psychodynamic technique, where CBT techniques are used to consider the literal falsity of the CoF idea while a psychodynamic approach is used to examine the figurative truth of the delusion by exploring the meaning of his subjugation to the CoF.” 

_____________________________________________

          The first commentary, by Louis Sass and Jamie Walkup, explores a number of questions raised by the case, including diagnostic and functional issues, the nature of Garrett’s rich therapeutic relationship with Sean, Sean’s attitudes towards his delusions, and, in some depth and more generally, the phenomenology and related epistemological status of delusions and implications for treatment.  

         The second commentary, by Paul Wachtel, explores additional themes, such as “the boundaries of self and other in subjective experience;” “the cyclical nature of the dynamics that maintain Sean’s guilt and his problematic life patterns;” and “the creative tactics through which Garrett integrates psychodynamic and cognitive-behavioral perspectives in his efforts to help Sean escape from the repetitive pattern in which he is caught.” 

          The issue ends with an extended response to the commentaries by Garrett.     

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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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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.

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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.

** 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

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Vol 16, No 2 (2020)

Table of Contents

Case Study

Michael Garrett
132-194
Louis Sass, Jamie Walkup
195-205
Paul L. Wachtel
206-214
Michael Garrett
215-236