PCSP is a peer reviewed, open-access journal and database. It provides innovative, quantitative and qualitative knowledge about psychotherapy process and outcome. PCSP is published by the National Register of Health Service Psychologists.
April, 2023 – see our newest case, Chris, a 30-year-old man with chronic feelings of loneliness and a family history of neglect, who was successfully treated in 8 sessions with an integrated combination of Fosha’s Accelerated Experiential Dynamic Psychotherapy (AEDP) and behavioral exposure therapy. Click on the upper left button for "the newest case".
The Case Studies
April 17, 2023 -- FROM THE EDITOR
ANNOUNCING THE PUBLICATION OF OUR 65th ISSUE (Vol. 19, Module 2)
The Role of Exposure Therapy in Accelerated Experiential Dynamic Psychotherapy: The Case of “Chris”
*** Irada Yunusova, Montefiore Medical Center, The Bronx, NY
*** Karen Skean, Graduate School of Applied and Professional Psychology, Rutgers University-New Brunswick
*** Lauren Lipner, Long Island University – Post Campus, Brookville, NY
This study explores the successful treatment by Irada Yunusova of “Chris,” a 30-year-old man who presented to treatment with chronic feelings of loneliness, a family history of neglect, a tendency to avoid accessing and expressing affect, and a pattern of relating to others that is characteristic of dismissing/avoidant attachment.
Integrating a combination of Fosha’s Accelerated Experiential Dynamic Psychotherapy (AEDP) and behavioral exposure therapy, the 8-session treatment was able to establish a secure attachment relationship within the therapeutic alliance from which to collaboratively approach previously-avoided emotional experiences, that is, as a way to expose Chris to those experiences he had been maladaptively avoiding.
The Commentaries provide complementary and alternative perspectives for understanding the clinical process in Chris’ case. These include Karen Skean’s discussion of the role in the case of common factors, memory consolidation, and neuroplasticity; and Lauren Lipner’s discussion of the role in the case of principles of change, “with an explicit focus on the therapeutic alliance and the emergence of alliance rupture markers in the development of the case.”
TABLE OF CONTENTS
Irada Yununsova case study: The Role of Exposure Therapy in Accelerated Experiential Dynamic Psychotherapy: The Case of “Chris”
The Case of "Chris"
Karen Skean, commentary: Maximizing Exposure’s Benefit: Making it Possible, Bearable and Fruitful
Lauren M. Lipner, commentary: The Case of “Chris” through a Principle-Based and Alliance-Focused Lens
Irada Yunusova, response to commentaries: Additional Perspectives on the Case of “Chris”