Biljana van Rijn, Ciara Wild (2013) Humanistic and Integrative Therapies for Anxiety and Depression: Practice-Based Evaluation of Transactional Analysis, Gestalt, and Integrative Psychotherapies and Person-Centered Counseling
The research described in this article involved a naturalistic, nonrandomized evaluation of transactional analysis and gestalt psychotherapies, integrative counseling psychology, and person-centered counseling within a medium-term, community-based service. Routine outcome evaluation used standardized measures to assess treatment outcomes and the working alliance. Adherence to the model was evaluated in clinical supervision. The outcomes showed that clients who engaged in treatment made statistically significant improvements and that transactional analysis and gestalt psychotherapies, integrative counseling psychology, and person-centered counseling can be used effectively in treatment of anxiety and depression within a community setting. Clients had a choice about the duration of therapy and used different numbers of sessions within the framework of the service. They were also able to change therapists. Both choices had clinical implications in terms of attrition and outcomes and require further research.
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
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
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.
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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.
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