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Case Report: Individualization of Intensive Transactional Analysis Psychotherapy on the Basis of Ego Strength

In intensive transactional analysis psychotherapy (ITAP), intensity is obtained with both technical expedients and the relational manner with the patient. In ITAP, the therapist modulates pressure and support commensurately to the patients' ego strength. In the present article, we contrast two...

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Autores principales: Messina, Irene, Scottà, Francesco, Marchi, Arianna, Benelli, Enrico, Grecucci, Alessandro, Sambin, Marco
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8219863/
https://www.ncbi.nlm.nih.gov/pubmed/34177686
http://dx.doi.org/10.3389/fpsyg.2021.618762
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author Messina, Irene
Scottà, Francesco
Marchi, Arianna
Benelli, Enrico
Grecucci, Alessandro
Sambin, Marco
author_facet Messina, Irene
Scottà, Francesco
Marchi, Arianna
Benelli, Enrico
Grecucci, Alessandro
Sambin, Marco
author_sort Messina, Irene
collection PubMed
description In intensive transactional analysis psychotherapy (ITAP), intensity is obtained with both technical expedients and the relational manner with the patient. In ITAP, the therapist modulates pressure and support commensurately to the patients' ego strength. In the present article, we contrast two clinical cases of young adults in which ego strength produced different therapy outcomes and processes. We present excerpts of the psychotherapy process that illustrates technical aspects of ITAP as well as the therapist's attitude that we describe as holding. We show quantitative therapy outcomes consisting of effects size values of changes in Clinical Outcome in Routine Evaluation—Outcome Measure scores in baseline, treatment, and follow-up phases and qualitative outcome evaluated with the Change Interview at the end of the therapy. In the patient with high ego strength, we observed a rapid improvement and a complete recovery at the end of the therapy, whereas the results of the patient with low ego strength were less consistent (more fluctuations in Clinical Outcome in Routine Evaluation—Outcome Measure scores including deterioration but good qualitative outcome). We conclude that quantitative and qualitative outcome data, together with process observations, are required to have a complete picture of therapy effectiveness. Moreover, we conclude that qualitative ego strength is not a limitation for the use of expressive therapy such as ITAP, but rather, it is an important variable that should be considered to dose confrontations and support.
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spelling pubmed-82198632021-06-24 Case Report: Individualization of Intensive Transactional Analysis Psychotherapy on the Basis of Ego Strength Messina, Irene Scottà, Francesco Marchi, Arianna Benelli, Enrico Grecucci, Alessandro Sambin, Marco Front Psychol Psychology In intensive transactional analysis psychotherapy (ITAP), intensity is obtained with both technical expedients and the relational manner with the patient. In ITAP, the therapist modulates pressure and support commensurately to the patients' ego strength. In the present article, we contrast two clinical cases of young adults in which ego strength produced different therapy outcomes and processes. We present excerpts of the psychotherapy process that illustrates technical aspects of ITAP as well as the therapist's attitude that we describe as holding. We show quantitative therapy outcomes consisting of effects size values of changes in Clinical Outcome in Routine Evaluation—Outcome Measure scores in baseline, treatment, and follow-up phases and qualitative outcome evaluated with the Change Interview at the end of the therapy. In the patient with high ego strength, we observed a rapid improvement and a complete recovery at the end of the therapy, whereas the results of the patient with low ego strength were less consistent (more fluctuations in Clinical Outcome in Routine Evaluation—Outcome Measure scores including deterioration but good qualitative outcome). We conclude that quantitative and qualitative outcome data, together with process observations, are required to have a complete picture of therapy effectiveness. Moreover, we conclude that qualitative ego strength is not a limitation for the use of expressive therapy such as ITAP, but rather, it is an important variable that should be considered to dose confrontations and support. Frontiers Media S.A. 2021-06-09 /pmc/articles/PMC8219863/ /pubmed/34177686 http://dx.doi.org/10.3389/fpsyg.2021.618762 Text en Copyright © 2021 Messina, Scottà, Marchi, Benelli, Grecucci and Sambin. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Psychology
Messina, Irene
Scottà, Francesco
Marchi, Arianna
Benelli, Enrico
Grecucci, Alessandro
Sambin, Marco
Case Report: Individualization of Intensive Transactional Analysis Psychotherapy on the Basis of Ego Strength
title Case Report: Individualization of Intensive Transactional Analysis Psychotherapy on the Basis of Ego Strength
title_full Case Report: Individualization of Intensive Transactional Analysis Psychotherapy on the Basis of Ego Strength
title_fullStr Case Report: Individualization of Intensive Transactional Analysis Psychotherapy on the Basis of Ego Strength
title_full_unstemmed Case Report: Individualization of Intensive Transactional Analysis Psychotherapy on the Basis of Ego Strength
title_short Case Report: Individualization of Intensive Transactional Analysis Psychotherapy on the Basis of Ego Strength
title_sort case report: individualization of intensive transactional analysis psychotherapy on the basis of ego strength
topic Psychology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8219863/
https://www.ncbi.nlm.nih.gov/pubmed/34177686
http://dx.doi.org/10.3389/fpsyg.2021.618762
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