Process and outcome in pluralistic Transactional Analysis counselling for long-term health conditions: a case series

Background: Many people experience living with a long-term health condition as highly stressful. The psychological impact of chronic illness can include anxiety, depression, post-traumatic stress disorder, and relationship difficulties. Aims: The present study used a case series to examine the process and outcome of pluralistically-informed Transactional Analysis counselling in three clients suffering major health problems. Method: A rich case record was assembled for each client, incorporating therapist notes, transcripts of sessions, scores on standard outcome measures, and a follow-up interview. These case materials were analysed to identify key helpful process within the therapy, and to determine the nature of the outcomes of the intervention. Findings: A set of core therapeutic tasks could be identified across all three cases, and clients reported high levels of satisfaction with outcome. Conclusions: Implications for practice and future research are discussed.