ISSN 1538-1080
DOI:10.58717/ijhc.01

Change in Depression, Anxiety, Negative and Positive Affect, Life Balance, Self-Forgiveness, Psychological Flexibility, the Working Alliance, Outcome Measures and the Benefits of Psychotherapy: Case Studies of 2 Clients

Change in Depression, Anxiety, Negative and Positive Affect, Life Balance, Self-Forgiveness, Psychological Flexibility, the Working Alliance, Outcome Measures and the Benefits of Psychotherapy: Case Studies of 2 Clients

Philip H. Friedman, Ph. D1

Abstract

This article demonstrates the digital assessment of two clients over the course of ten therapy sessions. Of particular interest was the change that took place in these two clients during three ART (Accelerated Resolution Therapy) sessions numbered four, five and six. During this period of time there were very substantial changes on many measures using Pragmatic Tracker and Blueprint digital assessment platforms. The changes that took place in these two clients were consistent on some of the measures such as anxiety, cognitive fusion, experiential avoidance, valuing, life balance, self-forgiveness, outcome and the benefits of therapy. However, they differed on other digital assessment measures such as depression, negative affect, the working alliance, and especially spiritual awakening. 

One client’s results overall were more volatile than the other, even though both clients showed major changes on many measures. Also, it appears that during the ART sessions (4th to 7th sessions) the second client’s scores indicated greater change than the first. This is despite the fact that the first client attributed the most change to his ART sessions. Both clients, however, showed dramatic changes on the three ACT (Acceptance and Commitment Therapy) measures of psychological flexibility (cognitive fusion, experiential avoidance and valuing). This is consistent with the findings in a previous case study published earlier this year. These changes in psychological flexibility generally took place during all therapy sessions including the three ART therapy sessions. It was difficult to tell whether or to what extent the three ART therapy sessions were more effective than the other seven therapy sessions with these two cases and, in particular, the three tapping sessions which took place immediately after the three ART therapy sessions.

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