Using Client-Centered Psychotherapy Embedded Within A Pluralistic Integrative Approach to Help a Client With Executive Dysfunction: The Case of "Judith"

Ward, Tony; Hogan, Kevin

doi:10.14713/pcsp.v11i1.1883

Cited by 5 publications

(4 citation statements)

References 19 publications

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“…The case of "Judith" presented by Ward and Hogan (2015) is a very engaging case study in which the combination of client-centered psychotherapy, cognitive rehabilitation and the reintroduction of social supports into Judith's life resulted in very positive outcomes. The authors helpfully reflect on the relative potency of each of these factors, and it is noteworthy that the clinically significant change occurred only after the cognitive-rehabilitation and social support elements were added to the intervention (according to the outcome measures).…”

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confidence: 99%

Providing Psychotherapy to People with Neuropsychological Impairment: Complexities and Issues Raised by the Case of "Judith"

King¹

2015

PCSP

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Ward and Hogan (2015) present a case study of ''Judith'' where a combination of client-centered psychotherapy, cognitive rehabilitation and social support result in very positive outcomes despite neuropsychological impairments being present and these posing challenges to the intervention. The case study highlights a number of very important issues when providing psychotherapy to clients with cognitive impairments. These include: 1) the common requirement that issues of self identity are explored; 2) the common need for adaptations to be made to the delivery of psychotherapy to mitigate against the effects of cognitive impairments on psychological interventions; 3) the need for specialist neuropsychological rehabilitation services to be available to such clients in the long-term and for specialist neuropsychological supervision to be available to clinicians working psychotherapeutically in this area; and 4) the demonstration that emotional growth and positive psychotherapeutic results are possible even when neuropsychological challenges are present. The extent to which these important issues are fully demonstrated by the case of Judith is limited in three main ways: a) there being some lack of clarity regarding the severity of the head injury sustained; b) there being a lack of psychometric data to confirm the type and severity of the cognitive impairments present; and c) there being some ambiguity regarding the relative contribution of organic and psychological factors to Judith's neuropsychological problems.

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confidence: 99%

Providing Psychotherapy to People with Neuropsychological Impairment: Complexities and Issues Raised by the Case of "Judith"

King¹

2015

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“…On the other hand, with head injured clients, whether it will hold true is less certain, and a great deal more clinical research with client-centered therapy is needed with this population. As we suggested in our case study (Ward & Hogan, 2015), we do not know at this time the extent to which this will hold true, or whether a certain level of severity may prevent this being a useful approach for some clients. In any event, with Judith, we feel client-centered therapy was particularly helpful.…”

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confidence: 83%

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ABSTRACTIn this article, we respond to three commentaries by King (2015), Hyer and Brandon (2015), and Webb (2015) concerning our case study of Judith (Ward and Hogan, 2015). We organize our response in terms of five themes.

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The Case of "Judith": Reflections on Combining a Psychoneurological Perspective Within a Client-Centered and Pluralistic Therapy Framework

Ward¹,

Hogan

2015

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In this article, we respond to three commentaries by King (2015), Hyer and Brandon (2015), and Webb (2015) concerning our case study of Judith (Ward and Hogan, 2015). We organize our response in terms of five themes. First we discuss the positive features of the case study that were identified, specifically, viewing Judith's case as a successful example of combining the client-centered approach with cognitive training. Second, we consider the various ideas put forward about why the case was successful. For example, Hyer and Brandon suggest that the client-centered approach was the essential catalyst that helped Judith effectively utilize the cognitive training. Third we consider an issue common across the three commentaries, namely, the possible utility of additional neuropsychological testing and medical evidence. We acknowledge that such additional information might have been useful, but question its congruence with Cooper's and McLeod's (2011) "pluralistic psychotherapy" model that we employed, and the likely real-term benefits to the client. Fourth, we review the questions raised by the commentaries that remain unanswered about this case. We suggest that despite not being able to be precise about the severity of Judith's head injury, it is clear that a significant injury did occur, resulting in considerable disruption Judith's work and family life. Finally, we consider what the overall contribution of Judith's case study might be. We conclude by agreeing with King (2015) that, because cases like Judith's can derive great benefit from therapy, considerably more resources should be available for clients like her.

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ABSTRACT Ward and Hogan's (2015) case of "Judith," a client with traumatic brain injury (TBI), highlights the emerging interactive features of effective psychotherapy melding core elements of the art and science of a tried and true psychotherapy practice (non-directive, client-centered therapy) with cognitive training (CT), including executive functioning training. In our commentary we summarize the facts of the case and then view it from four perspectives: the role of additional assessment, psychiatric diagnoses, the role of CT, and the Hyer Model.

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Perspectives on the Case of "Judith"

Hyer¹,

Brandon²

2015

PCSP

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Ward and Hogan's (2015) case of "Judith," a client with traumatic brain injury (TBI), highlights the emerging interactive features of effective psychotherapy melding core elements of the art and science of a tried and true psychotherapy practice (non-directive, client-centered therapy) with cognitive training (CT), including executive functioning training. In our commentary we summarize the facts of the case and then view it from four perspectives: the role of additional assessment, psychiatric diagnoses, the role of CT, and the Hyer Model. The latter is our own model that highlights a comprehensive, systematic, holistic, individually tailed approach to the treatment process when both psychological distress and/or dysfunction are combined with cognitive deficit factors. We suggest that the Hyer Model helps to formalize and systematize the approach taken by Ward and Hogan in their case study of Judith.

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Using Client-Centered Psychotherapy Embedded Within A Pluralistic Integrative Approach to Help a Client With Executive Dysfunction: The Case of "Judith"

Cited by 5 publications

References 19 publications

Providing Psychotherapy to People with Neuropsychological Impairment: Complexities and Issues Raised by the Case of "Judith"

Providing Psychotherapy to People with Neuropsychological Impairment: Complexities and Issues Raised by the Case of "Judith"

The Case of "Judith": Reflections on Combining a Psychoneurological Perspective Within a Client-Centered and Pluralistic Therapy Framework

Perspectives on the Case of "Judith"

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