Pragmatic Case Studies in Psychotherapy

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December 14, 2018 -- From the Editor 


Commentaries on the AEDP Case of “Rosa,” conducted by Nicole Vigoda Gonzalez (PCSP Volume 14, Module 1, Article 1)   

On the Phenomenology of Transformational Change Demonstrated in the Rosa Case and Relevance for AEDP Theory-Building
*** Diana Fosha, AEDP Institute, New York, NY.

On Issues of Sociocultural Identity, Bilingualism, and Cultural Competence Raised by the Rosa Case
*** Diana Fosha, AEDP Institute, New York, NY.
*** Raymond Rodriguez, Aldea Counseling Services, New York, NY.
*** Yamilka Urquiza Mendoza, Alliant International University, San Diego, CA. 
*** Huan Jacquie Ye-Perman, The AEDP Institute, New York, NY.    

For Table of Contents and access to articles: go to the bottom of this page; or click on the "Current" button at the top of this page. 


       As described in my note to the Case of “Rosa” (last issue, Volume 14, Module 1, Article 1), “Rosa is a bicultural, bilingual, mid-60s, divorced, Hispanic woman living alone, who retired 4 years ago after working as a school administrator for more than 2 decades. She presented to the Clinic complaining of overwhelming anxiety and depression in the context of her son’s worsening alcohol use, which was triggering disturbing memories associated with a variety of family-based, prolonged and repeated relational trauma she had suffered as a child.” 

        In Rosa’s case, Nicole Vigoda Gonzalez conducted a successful, 23-sesson therapy with Rosa, using Diana Fosha’s highly regarded Accelerated Experiential Dynamic Psychotherapy (AEDP) model. The case study was accompanied with commentaries by Shigeru Iwakabe, a member of Fosha’s clinical research team, and by Karen Riggs Skean, the clinical supervisor in Rosa’s case. 

        This issue of PCSP presents five additional commentaries about the case, illustrating how a particularly rich variety of ideas and perspectives can be generated by a thickly described psychotherapy case study.

        Of special note to me as PCSP’s Editor is the first commentary by Fosha on the phenomenology of “healing-oriented, transformational” change in AEDP. Fosha used “a moment-to-moment microanalysis of videotape-based clinical transcripts” of the therapy to study in concrete detail how the Rosa’s case demonstrates AEDP’s fundamental transformational phenomenology in action. There was sufficient narrative detail in the transcripts themselves so that Fosha was able to show how the latest theoretical developments in AEDP theory—not known to Vigoda Gonzalez during the therapy—were captured and embodied in the qualitative  process of the case.  This validates one of the goals of the thickly described, systematic case studies published in PCSP: the distinct separation of actual clinical process from theory so that (a) clinical process can be used for theory development, and so that (b) different theoretical lenses can be applied to the same qualitative process data to expand our larger theoretical understanding of clinical process, outcome, and the phenomenology of change.       


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PCSP is a peer-reviewed, open-access journal and database. It is intended to provide innovative, quantitative and qualitative knowledge about psychotherapy process and outcome, for both researchers and practitioners.

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Call for Papers

** Manuscripts. Two types of manuscripts are desired: those consisting of one or more case studies, and those consisting of case method articles.

** Suggested Author Guidelines. These can be found by clicking on the link Instructions for Authors, as described above. Note that we suggest 11 common headings for case study manuscripts:
1. Case Context and Method
2. The Client
3. Guiding Conception with Research and Clinical Experience Support
4. Assessment of the Client's Problems, Goals, Strengths, and History.
5. Formulation and Treatment Plan
6. Course of Therapy
7. Therapy Monitoring and Use of Feedback Information
8. Concluding Evaluation of the Therapy's Process and Outcome
9. References
10. Tables (optional)
11. Figures (optional)
Also note that on the Instructions for Authors page,  there are substantive guidelines within each heading. However, these should be viewed as suggestions only, not as requirements.

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** Format. In the initial phase of the journal, manuscripts should be submitted if possible as Word documents using the manuscript style guidelines of the American Psychological Association.

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Vol 14, No 2 (2018)

Table of Contents

Commentaries on the AEDP Case of "Rosa" (Volume 14, Module 1, Article 1)

Moment-to-Moment Guidance of Clinical Interventions by AEDP’s Healing-Oriented Transformational Phenomenology: Commentary on Vigoda Gonzalez’s (2018) Case of "Rosa" Abstract PDF
Diana Fosha 87-114
Introduction to Commentaries on Sociocultural Identity, Trauma Treatment, and AEDP Through the Lens of Bilingualism in the Case of “Rosa” Abstract PDF
Diana Fosha 115-130
The Case of "Rosa": Exploring Socio-Cultural Identities in Treatment Abstract PDF
Raymond Rodriguez 131-137
The Case of “Rosa”: The Importance of Specificity in Our Quest to Integrate Cultural Competence in Practice Abstract PDF
Yamilka Urquiza Mendoza 138-146
The Case of “Rosa”: AEDP in the Realm of Cultural Diversity—One's New Language as a Vehicle for Exploring New Aspects of Identity Abstract PDF
Huan Jacquie Ye-Perman 147-157