Development and validation of the Gestalt Therapy Fidelity Scale

Fogarty, Madeleine; Bhar, Sunil; Theiler, Stephen

doi:10.1080/10503307.2019.1571688

Cited by 5 publications

(4 citation statements)

References 42 publications

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“…Clients were asked to self-report using the same questionnaires after 15 and 30 psychotherapy sessions for outcome assessment. In addition, the psychotherapist also self-reported each psychotherapy session using the Gestalt Therapy Fidelity Scale (GTFS, Fogarty et al, 2019 ) to check whether major components of Gestalt therapy were conducted.…”

Section: Methodsmentioning

confidence: 99%

Common mental disorders in Gestalt therapy treatment: a multiple case study comparing patients with moderate and low integrated personality structures

Kaisler,

Fede,

Diltsch

et al. 2023

Front. Psychol.

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IntroductionEmpowerment is central to self-development and growth in Gestalt therapy. The self evolves through interactions with others, forming self- and object-relations, and ego-functions. Underlying structural functions build the ability to regulate, differentiate, and integrate experiences, leading to self-, and emotion-regulation. Our study examined the self-development of seven clients with prevalent mental health issues and structural challenges, all of whom underwent 30 sessions of Gestalt therapy in a real-world individual therapy context.MethodsUsing a multiple case study approach, we contrasted two client groups: those with moderately integrated and those with low-integrated personality structures, as defined by the operationalised psychodynamic diagnostic manual. Our exploration centered on specific factors of empowerment, therapy processes, and interventions. The study's mixed-method design encompassed quantitative outcome measures (empowerment, wellbeing, psychosocial health, and severity of personality functioning), therapy diaries from both clients and therapists, and semi-structured client interviews about empowering factors in therapy.ResultsBoth groups showed positive therapy outcomes on wellbeing, psychosocial health, and empowerment. Specific empowerment-related factors included promoting experiences, relationships, and self-efficacy in the low-integrated group. Support of self-regulation was reported to be essential for successful outcomes in the moderately integrated group. While the therapy processes proceeded similarly in both groups, we observed a strong focus on body awareness-oriented interventions and promotion of verbalisation in the low-integrated group and a relationship-oriented emphasis in the moderately integrated group. Emotional experience linked to positive experience was limited in the low-integrated group, suggesting an impairment of emotional processing, including bodily felt feelings. No change was reported in the level of personality functioning after 30 sessions in both groups.DiscussionThese results underscore the need for tailored therapeutic approaches based on the client's level of personality integration. Future research should probe the long-term effects of therapy and delve deeper into shifts in personality functioning, especially concerning emotional and bodily experiences. In practical terms, therapists should prioritize linking bodily sensations with emotions for clients with low-integrated personalities. For those with moderate integration, the emphasis should be on fostering exploration, awareness, and bolstering self-regulation.

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Section: Methodsmentioning

confidence: 99%

Common mental disorders in Gestalt therapy treatment: a multiple case study comparing patients with moderate and low integrated personality structures

Kaisler,

Fede,

Diltsch

et al. 2023

Front. Psychol.

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“…During the sessions, the problems of relationships between children and their relatives were discussed. This practice emphasized the importance of parental support as well as finding compromises on issues important to the family (Fogarty et al 2020). Sessions for each family were held once a week.…”

Section: Methodsmentioning

confidence: 99%

The Ways of Overcoming the Impact of Graduation from School on the Mental State of Students and Their Parents: Counseling with a Social Worker to Solve Social and Psychological Problems

Gad,

Youssef,

Yousif

et al. 2023

Social Sciences

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The study identifies and measures the emotional aspects affecting students’ learning and motivation as well as their relationship with the social and psychological environment in their family. Solving emotional problems was also one of the goals. In total, 50 schoolchildren, 16 to 18 years of age, took part in the experiment. Their parents also participated in the study for family therapy sessions. The experiment was conducted at Ajman Private School, Ajman Emirate, Ajman, United Arab Emirates. Prior to the study, graduates took a series of questionnaires to measure their emotional state. During the experiment, respondents had conversations with a social worker and an art therapist once a week. During conversations, a social worker helped the students and their parents to understand the difficulties in their relationships and to come to compromises. In art therapy sessions, respondents expressed their negative emotions on the canvas using art materials. The study lasted four months. Also, at the middle and end of the experiment, respondents took a series of tests to measure their progress over time. The outcomes demonstrated not only the interrelation of family support and emotional state but also the effectiveness of the chosen methodology. The average score on the Beck Depression Inventory prior to the study was 6.8 out of 10 points. On the Taylor’s Manifest Anxiety Scale, the average score was 7.4 points. According to the WAM test, the ‘wellbeing’ factor before the beginning of the experiment was equal to 4.9 points.

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“…The Gestalt therapy fidelity scale (GTFS) [ 98 ] is a 25-item tool assessing the treatment fidelity on a 25-min videotape of GT sessions. Video recordings are randomly selected at the end of the first treatment, and external assessors evaluate whether the treatment is Gestalt or not by scoring each item using a “yes” or “no” rate.…”

Section: Methodsmentioning

confidence: 99%

A Single-Case Design Investigation for Measuring the Efficacy of Gestalt Therapy to Treat Depression in Older Adults with Dementia in Italy and in Mexico: A Research Protocol

Merizzi

Biasi²,

Zamudio³

et al. 2022

IJERPH

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Psychotherapy is one of the evidence-based clinical interventions for the treatment of depression in older adults with dementia. Randomised controlled trials are often the first methodological choice to gain evidence, yet they are not applicable to a wide range of humanistic psychotherapies. Amongst all, the efficacy of the Gestalt therapy (GT) is under-investigated. The purpose of this paper is to present a research protocol, aiming to assess the effects of a GT-based intervention on people with dementia (PWD) and indirect influence on their family carers. The study implements the single-case experimental design with time series analysis that will be carried out in Italy and Mexico. Six people in each country, who received a diagnosis of dementia and present depressive symptoms, will be recruited. Eight or more GT sessions will be provided, whose fidelity will be assessed by the GT fidelity scale. Quantitative outcome measures are foreseen for monitoring participants’ depression, anxiety, quality of life, loneliness, carers’ burden, and the caregiving dyad mutuality at baseline and follow-up. The advantages and limitations of the research design are considered. If GT will effectively result in the treatment of depression in PWD, it could enrich the range of evidence-based interventions provided by healthcare services.

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Development and validation of the Gestalt Therapy Fidelity Scale

Cited by 5 publications

References 42 publications

Common mental disorders in Gestalt therapy treatment: a multiple case study comparing patients with moderate and low integrated personality structures

Common mental disorders in Gestalt therapy treatment: a multiple case study comparing patients with moderate and low integrated personality structures

The Ways of Overcoming the Impact of Graduation from School on the Mental State of Students and Their Parents: Counseling with a Social Worker to Solve Social and Psychological Problems

A Single-Case Design Investigation for Measuring the Efficacy of Gestalt Therapy to Treat Depression in Older Adults with Dementia in Italy and in Mexico: A Research Protocol

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