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"Transactional Analysis - methods"
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Cost-Effectiveness of Short-Term Inpatient Psychotherapy Based on Transactional Analysis in Patients With Personality Disorder
Short-term inpatient psychotherapy based on transactional analysis (STIP-TA) in patients with personality disorders (PD) has shown to be more effective than comparable other specialized psychotherapies (OP). The aim of this study was to assess whether the higher effectiveness of STIP-TA also results in a better cost-effectiveness. Patients treated with STIP-TA were matched with patients treated with OP by the propensity score. Healthcare costs and lost productivity costs were measured over 3 years and from the societal perspective. Cost-effectiveness was represented by costs per quality adjusted life years (QALYs). Uncertainty was assessed using bootstrapping. Mean 3-year costs were €59,834 for STIP-TA and €69,337 for OP, a difference of -€9,503, 95% CI [-32,561, 15,726]. QALYs were 2.29 for STIP-TA and 2.05 for OP, a difference of .24, 95% CI [.05, .44]. STIP-TA is a dominant treatment compared to OP: less costly and more effective. We conclude that STIP-TA is a cost-effective treatment in PD patients.
Journal Article
The Transactional Analyst in Action
This book represents a synthesis of more than thirty years dedicated to the spreading and teaching of transactional analysis, and will be useful to students, directors and professors of the schools of transactional analysis, and also to therapists of other schools, providing an up-to-date and complete idea of the current state of the analytic transactional methodology. The handbook describes the epistemological and methodological roots for a well-grounded psychotherapy with transactional analysis (TA): differences among method, methodology, therapeutic plan, and strategy and technique are all illustrated. TA is presented as a phenomenological branch of modern relational psychoanalysis. Transference and counter-transference are reconsidered in a Bernean perspective. The four strategic phases of alliance, decontamination, deconfusion, and relearning are presented, together with the well-known techniques of the eight Bernean therapeutic operations, two and three-chairs work, redecision technique, and dream-work.
eBook
Psychodynamic Psychotherapy with Transactional Analysis
The main values and principles of Transactional Analysis, in its original psychodynamic matrix, become a concrete experience in this book thanks to the accurate description of the daily practice of a long-experienced therapist: Anna Emanuela Tangolo. Analyzing several cases, the author examines the clinical tools of Berne's group therapy and the analysis of dreams, without however neglecting other important aspects such as preparing the setting or leading an interview. Particular relevance is given to the therapeutic relationship, seen as the interweaving of an experience in order to send stimuli to the patient so as to re-structure his or her intrapsychic world through rigorous and precise inputs, analysable in linguistic sequences. This book is meant not only for those who study psychotherapy, but also for anyone who wants to learn about clinical TA and its functioning.
eBook
Skills in transactional analysis counselling & psychotherapy
Skills in Transactional Analysis Counselling & Psychotherapy is a practical introduction to a uniquely comprehensive therapeutic approach, which combines theories of the mind, emotions, behaviour and bodily experience. Following the typical pattern of working with a client, the book describes the key features of Transactional Analysis and its basic building blocks - ego states, transactions, games and scripts. Each concept or technique is introduced at the stage in the counselling process at which it is required. Backed up by exercises, this enables readers to build their knowledge and skills base in tandem with their understanding of the counselling process itself. Skills in Transactional Analysis Counselling & Psychotherapy vividly demonstrates the art of TA practice, considering fully the experience of both the counsellor and the client. For all those training in TA, this will be essential reading.
eBook
Applying Transactional Analysis and Personality Assessment to Improve Patient Counseling and Communication Skills
To teach pharmacy students how to apply transactional analysis and personality assessment to patient counseling to improve communication.
A lecture series for a required pharmacy communications class was developed to teach pharmacy students how to apply transactional analysis and personality assessment to patient counseling. Students were asked to apply these techniques and to report their experiences. A personality self-assessment was also conducted.
After attending the lecture series, students were able to apply the techniques and demonstrated an understanding of the psychological factors that may affect patient communication, an appreciation for the diversity created by different personality types, the ability to engage patients based on adult-to-adult interaction cues, and the ability to adapt the interactive patient counseling model to different personality traits.
Students gained a greater awareness of transactional analysis and personality assessment by applying these concepts. This understanding will help students communicate more effectively with patients.
Journal Article
Using transactional analysis to understand the supervisory process
Most literature on supervision praises its ability to create space for reflection, but seldom explores the disabling effects. Using the experiences of four nurses, this article makes use of Berne's Transactional Analysis model as a method for illuminating patterns within supervision. The article concludes that the confessional nature of clinical supervision reflects contemporary practice and the implications of supervision really appear to be an undercover policing or enforcement of cultural/management objectives.
Journal Article
Attachment Theory and Multiple Integrated Treatments of Borderline Patients
The clinical management of borderline personality disorder (BPD) commonly employs treatments administered in different settings by different clinicians (e.g., individual psychotherapy and drug prescriptions, or individual and group psychotherapies). The general consensus of clinicians on the importance of using different therapists and different settings simultaneously in treating borderline patients is acknowledged by the guidelines for the treatment of BPD provided by the American Psychiatric Association. This widespread type of clinical practice is not supported, however, by a unifying theoretical model explaining the specific effects of a multiple therapist, multi-setting approach in treating BPD.
Journal Article
Interactions of the infant with its partners: evaluation of preventive and therapeutic approaches
Interactions between the infant and its partners are defined and described on three levels: behavior, affect, fantasy, with a special focus on the functioning of the infant. The dynamics of the parent/infant relationships are analyzed along transactional theories: the infant and its partners influence each other in a constant process of developing and changing. Together with acknowledging the baby's active role in the relation, we seek better understanding of how the infant shapes up throughout transactions. Different assessment methods of the interactions are analyzed both within a clinical framework and a research framework, and examples of assessment format are given. The transactional perspective in clinical practice with the infant introduces a new model for understanding the pathogenesis of relational disturbances. It appears necessary to conceptualize a specific nosology of interactive pathology, beyond the reference to parental or infant pathology; we thus propose a classification of interactive disturbances by integrating the three levels (behavior, affect, fantasy). The aim of this investigation of interactions, based on an attempt to synthetize anglo-saxon and european research in the field, is to outline a new perspective in clinical concepts and practice which is not solely focused on the description of behaviors in infant interactions with its partners. This viewpoint, resolutely psychopathological in its orientation, implies an empathic approach which leads to important therapeutic changes and legitimizes early preventive interventions.
Journal Article