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Hermeneutic single-case efficacy design

Elliott, Robert (2002) Hermeneutic single-case efficacy design. Psychotherapy Research, 12 (1). pp. 1-21. ISSN 1050-3307

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Abstract

In this article, I outline hermeneutic single-case efficacy design (HSCED), an interpretive approach to evaluating treatment causality in single therapy cases. This approach uses a mixture of quantitative and qualitative methods to create a network of evidence that first identifies direct demonstrations of causal links between therapy process and outcome and then evaluates plausible nontherapy explanations for apparent change in therapy. I illustrate the method with data from a depressed client who presented with unresolved loss and anger issues.