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Person-centred therapy with a client experiencing social anxiety difficulties : a hermeneutic single case efficacy design

Stephen, Susan and Elliott, Robert and Macleod, Rachel (2011) Person-centred therapy with a client experiencing social anxiety difficulties : a hermeneutic single case efficacy design. Counselling and Psychotherapy Research, 11 (1). pp. 55-66. ISSN 1473-3145

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Abstract

Social anxiety is a chronic, debilitating psychological condition. Hermeneutic Single Case Efficacy Design (HSCED) is a legalistic mixed-method case study method for evaluating therapy efficacy in single cases. Using a case of Person-Centred Therapy (PCT) with a client experiencing social anxiety difficulties, we addressed the standard HSCED research questions of pre-post client change, causal role of therapy, and change processes. In addition, we explored adaptations to HSCED for ambiguous outcomes. Based on a rich case record, affirmative and sceptic cases were constructed and adjudicated by three judges.The judges held that the client changed considerably (but not substantially) and that therapy contributed considerably to client change. Change processes central to PCT were held to be active, as were client resources. The new procedures enabled judges to make sense of the ambiguous outcome data and can be further extended and developed. PCT can bring about considerable change in socially anxious clients.

Item type: Article
ID code: 37900
Keywords: social anxiety, hermeneutic Single Case Efficacy Design, person-centred therapy, Social pathology. Social and public welfare, Psychiatry and Mental health, Clinical Psychology, Applied Psychology
Subjects: Social Sciences > Social pathology. Social and public welfare
Department: Faculty of Humanities and Social Sciences (HaSS) > School of Psychological Science and Health > Counselling
Depositing user: Pure Administrator
Date Deposited: 27 Feb 2012 09:33
Last modified: 31 Jul 2015 04:05
Related URLs:
URI: http://strathprints.strath.ac.uk/id/eprint/37900

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