Linda Case Study

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TA Treatment of Depression - A Hermeneutic Single-Case Efficacy Design Study - ‘Linda’ - a mixed outcome case © 2013 Mark Widdowson Abstract 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 is the fourth article of a case series which has investigated the process and outcome of transactional analysis psychotherapy using Hermeneutic Single-Case Efficacy Design (Elliott 2002). The client, Linda, was a 45 year old white British woman with mild depression who attended nine sessions of therapy. The conclusion of the judges was that this was a mixed-outcome case: whilst the client improved over the course of therapy and was positive about her experience of therapy, her changes did not last when she experienced considerable stressful events during follow-up. Linda provided a detailed and idiosyncratic description of the aspects of the therapy which were most helpful for her. A cross-case comparison with other cases in this series suggests several interesting features which are worthy of further investigation. Specifically, the use of a shared theoretical framework and an egalitarian therapeutic relationship were helpful. As with other cases in this series, the client experienced positive changes in her interpersonal relationships suggesting that this outcome of TA therapy warrants further investigation Introduction This is the fourth and final Hermeneutic Single-Case Efficacy Design (Elliott, 2002) study in the current case series conducted by the author as part of his doctoral research investigating the process and outcome of TA psychotherapy for depression. This case presents an ambiguous picture of change where an initial examination of the

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