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      Enhancing the hermeneutic single-case efficacy design: Bridging the research-practice gap.

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          Abstract

          Systematic case study designs are emerging as alternative paradigm strategies for psychotherapy and social science research. Through enhanced sensitivity to context, these designs examine idiographic profiles of causal processes. We specifically advocate the use of the hermeneutic single-case efficacy design (HSCED). HSCED has recently been used to investigate the efficacy of an existing therapy with a new population (Observed and Experiential Integration for athlete performance barriers) and an emerging therapy (Lifespan Integration Therapy). We describe innovations in HSCED that were implemented for these studies. These developments include (a) integrating psychotherapists as case developers, (b) incorporating multiple cases in one investigation, and (c) tailoring the repertoire of assessment tools. These extensions strategically incorporated principles of contextual paradigms in HSCED, thus complementing single-case designs that neglect idiographic contexts. We discuss recommendations for using HSCED in practice-based research, highlighting its potential as a bridge to address the research-practice gap.

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          Author and article information

          Journal
          Psychother Res
          Psychotherapy research : journal of the Society for Psychotherapy Research
          Informa UK Limited
          1468-4381
          1050-3307
          September 2017
          : 27
          : 5
          Affiliations
          [1 ] a Counselling Psychology , Trinity Western University , Langley , BC , Canada.
          [2 ] b Department of Educational and Counselling Psychology, and Special Education , University of British Columbia , Vancouver , British Columbia , Canada.
          Article
          10.1080/10503307.2015.1136441
          26837957
          160dc7ea-b37f-474f-8e75-8b5c0cc329b2
          History

          and Lifespan Integration Therapy,Observed and Experiential Integration,hermeneutic single-case efficacy design,systematic case studies,psychotherapy research

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