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Lifespan Integration Therapy with Trauma-Exposed Children: a Hermeneutic Single Case Efficacy Study
Journal of Child & Adolescent Trauma Pub Date : 2021-05-29 , DOI: 10.1007/s40653-021-00359-9
Chris Rensch 1 , Janelle Kwee 1 , Larissa Rossen 1, 2 , Marvin McDonald 1
Affiliation  

Childhood trauma is a devastating reality with immense psychological impact to a child. Outcome research of therapy with trauma-exposed children is scarce and mostly focuses on cognitive and behavioural changes. Anecdotal evidence suggests that Lifespan Integration (LI) therapy purports to integrate traumatic experiences into a cohesive autobiographical narrative. In this research study, we investigate the efficacy of LI with children through the careful examination of one participant. We applied Robert Elliott’s Hermeneutic Single Case Efficacy Research Design (HSCED; 2002, 2014), which uses quantitative and qualitative data to argue for and against therapy efficacy. The 12-year-old research participant received nine sessions of LI over 3 months, and data was collected before, throughout, and after therapy. The extent of the client’s change over the course of therapy was investigated, as well as LI’s contribution to the change, and what parts of LI were most helpful in bringing about change. Findings indicate that the client changed significantly over the course of therapy with lasting effects at follow-up, and that LI was substantially responsible for this change. Conclusions: The results provide evidence for LI as an important tool that mental health professionals can use to help trauma-exposed children.



中文翻译:

创伤暴露儿童的寿命整合治疗:解释学单例疗效研究

童年创伤是一个毁灭性的现实,对孩子有巨大的心理影响。对受过创伤的儿童进行治疗的结果研究很少,主要集中在认知和行为改变上。轶事证据表明,寿命整合 (LI) 疗法旨在将创伤经历整合到一个有凝聚力的自传体叙事中。在这项研究中,我们通过对一名参与者的仔细检查来调查 LI 对儿童的疗效。我们应用了 Robert Elliott 的解释学单例疗效研究设计 (HSCED; 2002, 2014),该设计使用定量和定性数据来支持和反对治疗效果。这位 12 岁的研究参与者在 3 个月内接受了 9 次 LI 治疗,并在治疗前、治疗期间和治疗后收集了数据。调查了来访者在治疗过程中的变化程度,以及 LI 对变化的贡献,以及 LI 的哪些部分最有助于带来变化。调查结果表明,客户在治疗过程中发生了显着变化,并在随访中产生了持久的影响,而 LI 对这种变化负有重大责任。结论:结果为 LI 提供了证据,证明 LI 是心理健康专业人员可以用来帮助遭受创伤的儿童的重要工具。

更新日期:2021-05-30
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