Collaborative versus adversarial stances in scientific discourse : implications for the role of systematic case studies in the development of evidence-based practice in psychotherapy
- Authors: Edwards, David J A
- Date: 2007
- Language: English
- Type: Article
- Identifier: vital:6245 , http://hdl.handle.net/10962/d1007861
- Description: There is still a need for advocacy in the promotion of case study research because there has been insufficient appreciation of its role as a source of evidence relevant to the development and evaluation of practice in psychotherapy. Distorted use of terms like "gold standard", "anecdotal",and "empirical" in the discourse in which research methodology is typically presented has disempowered the practitioner's perspective and discredited the role of case-based knowledge building. The framework of evidence-based practice (EBP) recognizes the complementarity of different research methods and acknowledges the significance of casebased research. To spell out some of these complementary links, a typology of seven research methods - including both experimental group comparison designs and individual case studies - is proposed and the contribution of each to the development of EBP is set out. Finally some suggestions are made for strategies to promote the publication of high quality case studies.
- Full Text:
- Date Issued: 2007
- Authors: Edwards, David J A
- Date: 2007
- Language: English
- Type: Article
- Identifier: vital:6245 , http://hdl.handle.net/10962/d1007861
- Description: There is still a need for advocacy in the promotion of case study research because there has been insufficient appreciation of its role as a source of evidence relevant to the development and evaluation of practice in psychotherapy. Distorted use of terms like "gold standard", "anecdotal",and "empirical" in the discourse in which research methodology is typically presented has disempowered the practitioner's perspective and discredited the role of case-based knowledge building. The framework of evidence-based practice (EBP) recognizes the complementarity of different research methods and acknowledges the significance of casebased research. To spell out some of these complementary links, a typology of seven research methods - including both experimental group comparison designs and individual case studies - is proposed and the contribution of each to the development of EBP is set out. Finally some suggestions are made for strategies to promote the publication of high quality case studies.
- Full Text:
- Date Issued: 2007
Trauma, imagery and the therapeutic relationship : Langu's story
- Karpelowsky, B, Edwards, David J A
- Authors: Karpelowsky, B , Edwards, David J A
- Date: 2005
- Language: English
- Type: Article
- Identifier: vital:6268 , http://hdl.handle.net/10962/d1008267
- Description: This paper, a phenomenological case study, describes the psychotherapy of Langu (pseudonym), a 21-year-old student, who presented with Acute Stress Disorder following a series of motor accidents that affected him and his family. Langu's most distressing experience was having to identify his brother's mutilated and severely burned body. Because of the intensity of the intrusive re-experiencing of traumatic imagery and the degree of dissociative numbing, Langu participated in four intensive guided imagery sessions, which involved reliving the incident, and imaginal dialogues with his dead brother. Session records and supervision notes from the therapy process that unfolded over 22 sessions served as the basis for a thematically selective case narrative. Additional material was obtained from several research interviews with Langu over the following months. The narrative highlights the impact of the imagery work as well as relational aspects of the therapy. The case narrative provides a source for examining many aspects of the psychological impact of trauma and the path to healing, as well as the dilemmas and challenges faced by therapists working with traumatised individuals.
- Full Text:
- Date Issued: 2005
- Authors: Karpelowsky, B , Edwards, David J A
- Date: 2005
- Language: English
- Type: Article
- Identifier: vital:6268 , http://hdl.handle.net/10962/d1008267
- Description: This paper, a phenomenological case study, describes the psychotherapy of Langu (pseudonym), a 21-year-old student, who presented with Acute Stress Disorder following a series of motor accidents that affected him and his family. Langu's most distressing experience was having to identify his brother's mutilated and severely burned body. Because of the intensity of the intrusive re-experiencing of traumatic imagery and the degree of dissociative numbing, Langu participated in four intensive guided imagery sessions, which involved reliving the incident, and imaginal dialogues with his dead brother. Session records and supervision notes from the therapy process that unfolded over 22 sessions served as the basis for a thematically selective case narrative. Additional material was obtained from several research interviews with Langu over the following months. The narrative highlights the impact of the imagery work as well as relational aspects of the therapy. The case narrative provides a source for examining many aspects of the psychological impact of trauma and the path to healing, as well as the dilemmas and challenges faced by therapists working with traumatised individuals.
- Full Text:
- Date Issued: 2005
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