Professional Documents
Culture Documents
• Therapist waits...
Therapeutic Phase
• Before each session: the
patient gives the therapist or
receptionist the Target
Complaint forms he
completed since the last
session.
• After each session: Therapist
completes experience journal
• After session 2: WAI short form
(patient)
• Therapist video-records the
session
• Variable lenght, until discharge
or initial TC are resolved
Final Session & Follow up
Final session Follow up (2 weeks later)
C-FOLLOW UP
A-BASELINE
B-THERAPY
• MINI • Target Complaints • WAI Short Form
• BDI-1 / anxiety scale
• OQ-45.2 Before each session Daily (2 weeks after
• Target Complaints final session):
• Set up recording
• Informed Consent
• Collect Target Complaints • Target Complaints
(from past week)
Daily: Follow up Session (2
• Target Complaints
After each session: weeks after final
• Therapist experience session):
journal
• Collect Target Complaints
(from past weeks)
After 2nd Session • BDI-1 / anxiety scale
• WAI Short form • OQ-45.2
23
Evolution of General distress
OQ-45 evolution
120
100
80
60
40
20
0
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
total síntomas interpersonal rol social
Exploration of Change
Mechanisms
• Procedure: Selection and
comparison of 2 good, 2 neutral
and 2 bad sessions. Qualitative
analysis.
• Good sessions: 3, 6, 12.
• Clinical analysis: fear of stopping
activities, feeling sorrow and
getting depressed.
• Intervention (awareness continuum
focused on feelings, polarity work)
helped her pay attention to angst
and grief, contact true desires and
make personal decisions.
• Allowing herself to contact what
was being avoided decreased
anxiety symptoms and improved
life satisfaction.
FINAL THOUGHTS
How to join and get support:
creating a practice based
research network
• We need to collaborate to
make a real impact.
• Our international team has
the instruments, instructions,
and analysis methods to
support individual
practitioners or institutions
who wish to participate.
• Example: In Chile we have
collected detailed data of
20+ cases with zero budget…
• The power of synergy and
creativity facing limited
resources
Our learning experience
• Importance of regular,
personal meetings
• Training in constructing TC
• Use synergy!!!
• Collaborators with incentives /
personal motivation
• Institutional support
• Chilean example
• Future:
• Need to add attrition data
• Add treatment fidelity scale
• Build practice based research
network