Article in Script Magazine (ITAA)

From: Script Magazine VOL. 42, NO. 4  APRIL 2012

Evaluation in Psychotherapy: An Opportunity and a Challenge

by Biljana van Rijn

Standardized evaluation and the development of clinical guidelines for psychotherapy have had a significant impact on services in the United Kingdom. Health organizations are funding short-term, evidence-based treatments, primarily cognitive-behavioral therapy (CBT). Other evidence-based treatments (e.g., psychoanalytic psychotherapy and person-centered counseling) continue to be recognized. Humanistic and integrative approaches such as transactional analysis are challenged to provide the research evidence base for their work or become marginalized. click here to read more

A new paper in a new journal

Biljana van Rijn, Ciara Wild, Patricia Moran
Evaluation of Integrative Counselling Psychology and Transactional Analysis in Primary Care Health Setting
Journal of Integrative Research, Counselling and Psychotherapy JIRCP pag. 36-46

Abstract
The objective of the study was to evaluate Transactional Analysis and Integrative Counselling Psychology as treatments within a health setting. The research was a naturalistic study, based in real clinical settings. The 12 session treatment was evaluated using standardised outcome measures, as well as the Working Alliance Inventory (Horvath, 1986) to reflect the emphasis on the therapeutic relationship within both therapeutic approaches. The research demonstrated that severity of problems was reduced using these treatments within the primary care health setting, and that severity of symptoms predicted outcomes. Working alliance increased as therapy progressed but was not directly related to the outcomes. This research suggests that Transactional Analysis and Integrative Counselling Psychology could be used as effective psychological therapies in primary health care, for clients presenting with anxiety and depression, as well as the wider range of difficulties in functioning.
    

Key words:effectiveness in clinical practice, integrative counselling psychology, transactional analysis psychotherapy, evaluation of practice

The Journal:

Journal of Integrative Research, Counselling and Psychotherapy

Published/Edited by: The Association of Integrative Research, Counselling and Psychotherapy, with the support of Metanoia Institute and St Luke’s Healthcare. The Journal of Integrative Research, Counselling and Psychotherapy (JIRCP) publishes original peer-reviewed papers concerning research, theory and practice in integrative psychotherapy and counselling.

In order to view the articles in the Journal you must be logged in. The editorial and book reviews are accessible for everyone. In order to subscribe to JIRCP please contact: cabinet@psihoterapia.eu



Evaluating the Outcomes of Transactional Analysis and Integrative Counselling Psychology within UK Primary Care Settings

A new article is published in the July issue of the International Journal of Transactional Analysis Research (Vol 2 No 2, July 2011) [www.ijtar.org].

Evaluating the Outcomes of Transactional Analysis and Integrative Counselling Psychology within UK Primary Care Settings
© 2011 Biljana van Rijn, Ciara Wild, Patricia Moran

Abstract
The paper reports on a naturalistic study that replicated the evaluative design associated with the UK National Health Service initiative IAPT − Improving Access to Psychological Therapies (CSIP 2008, NHS 2011), as previously used to assess Cognitive Behavioural Therapy (CBT), with the aim of evaluating 12-session treatments for anxiety and depression, applying Transactional Analysis and Integrative Counselling Psychology approaches within real clinical settings in primary care. Standard outcome measures were used in line with the IAPT model (CORE 10 and 34, GAD-7, PHQ-9), supplemented with measurement of the working alliance (WAI Horvath 1986) and an additional depression inventory BDI-II (Beck, 1996), and ad-herence to the therapeutic model using newly designed questionnaires. Results indicated that severity of problems was reduced using either approach, comparative to Cognitive Behavioural Therapy; that initial severity was predictive of outcome; and that working alliance increased as therapy progressed but was not directly related to outcomes. Adherence was high for both approaches. Several areas for enhancements to future research are suggested.
Key words
Transactional analysis psychotherapy, integrative coun-selling psychology, CORE, WAI, BDI-11, PHQ-9, GAD-7, anxiety/depression, IAPT, CBT.

The article is available as an PDF for free from the IJTAR website. The IJTAR promotes open access, please contribute to help support International Journal of Transactional Analysis Research [http://www.ijtar.org/article/view/8944].

Research and relational psychotherapy

At the Bilbao conference 2011 a new book about Relational Transactional Analysis was presented by the editors Heather Fowlie and Charlotte Sills. My contribution Research and relational psychotherapy forms a chapter in part III : The implications for professional practice.

Excerpt from Introduction and basic principles:

“Research is not often associated with relational psychotherapy. the gap between psychotherapy research and practice separates the two disciplines and has consequences for both. Although psychotherapists use clinical supervision to reflect on their practice, research methodologies contain strategies which can also deepen insight and develop practice. Overt evaluation of practice is also increasingly important as a way of evidencing effectiveness. Relational methodologies in psychotherapy research and the relevance of quantitive findings have a potential to bridge the research/practice gap and develop both clinical practice and its mainstream credibility.
The aim of this chapter is to show that all research has the potential to be relational and useful for clinical practice. I will give a broad overview of research methodologies, their principles and design, and invite reflection on how they can be used in relational practice.”

Chapter Reference

Van Rijn, B. (2011) Research and relational psychotherapy in: Fowlie, H. and Sills, C. (Eds.)(2011)Relational Transactional Analysis, Principles in Practice. (pp.305-312) London: Karnac .

Book Review

Through different voices and styles of contributions, including papers, edited talks and panel discussion, this collection explores and applies the principles of relational transactional analysis. It sets them in social, cultural and political contexts, and considers a number of important implications of this particular ‘relational turn’ in psychotherapy. The book advances relational transactional analyses and, in doing so, reflects the creativity and vibrancy of contemporary TA. The editors have skilfully brought together different generations of TA practitioners in an accessible and stimulating volume. I commend the editors and highly recommend the book.
Dr Keith Tudor, author of a number of books and co-author of the article ‘Co-creative transactional analysis’ in the Transactional Analysis Journal. He is Associate Professor, Auckland University of Technology, Auckland, Aotearoa, New Zealand

Book Reference

Fowlie, H. and Sills, C. (Eds.)(2011) Relational Transactional Analysis, Principles in Practice. London: Karnac .
ISBN 978-1-85575-762-2

New Book Published: Understanding Assessment

Sofie Bager-Charlson and Biljana van Rijn (2011) Understanding Assessment in Counselling and Psychotherapy, Exeter: Learning Matters. ISBN: 978-0857254733

It forms part of the Counselling and Psychotherapy Practice series by the  publisher Learning Matters. A series of books written specifically to support students on Councelling and Psychotherapy courses.

Biljana van Rijn writes about her experience of developing clinical assessment training at Metanoia Institute. She gives an overview of clinical assessments in different counselling organisations and a practice based guide to conducting assessments.