Counselling Unit, University of Strathclyde, Glasgow G13 1PP, UK.
Psychother Res. 2009 Jul;19(4-5):543-57. doi: 10.1080/10503300902905947.
This article illustrates the application of an adjudicated form of hermeneutic single-case efficacy design, a critical-reflective method for inferring change and therapeutic influence in single therapy cases. The client was a 61-year-old European-American male diagnosed with panic and bridge phobia. He was seen for 23 sessions of individual process-experiential/emotion-focused therapy. In this study, affirmative and skeptic teams of researchers developed opposing arguments regarding whether the client changed over therapy and whether therapy was responsible for these changes. Three judges representing different theoretical orientations then assessed data and arguments, rendering judgments in favor of the affirmative side. The authors discuss clinical implications and recommendations for future interpretive case study research.
本文阐述了一种经裁定的释义性单案例疗效设计的应用，这是一种用于推断单一治疗案例中的变化和治疗影响的批判性反思方法。该客户是一位 61 岁的欧裔美国男性，被诊断患有恐慌症和桥梁恐惧症。他接受了 23 次个体过程体验/情感焦点治疗。在这项研究中，肯定和怀疑研究团队就客户是否在治疗过程中发生变化以及治疗是否对此变化负责这两个问题，分别提出了相反的观点。然后，三位代表不同理论取向的法官评估了数据和论据，并做出了有利于肯定方的判断。作者讨论了临床意义和对未来解释性案例研究的建议。
