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Identity Structure Analysis: a potential framework for process and outcome evaluation in psychotherapy

Identity Structure Analysis: a potential framework for process and outcome evaluation in... This paper aims to explore the potential utility of Identity Structure Analysis (ISA) in single-case and group-level outcome and process evaluations.Design/methodology/approachA study was conducted to evaluate mentalization-based therapy by using ISA and its linked framework software, Ipseus. Ten patients with borderline personality disorder and substance use disorder were involved in the study. ISA/Ipseus was administered prior to and at the completion of the treatment. Five-year follow-up data, comprising behavioural indicators, were also collected and compared to ISA/Ipseus results.FindingsImprovements occurred in the evaluation of stressful, demanding and emotionally burdening situations. Evaluations on concerned others also improved, together with progress in self-reflection. Changes in the evaluation of recovery-related themes were less salient. On a case level, changes in the self-states and role models were consistent with the results of the five-year-follow up data. An initial crisis state seems suggestive of progress, while initial defensive positions with high positive self-regard, of stagnation.Originality/valueISA/Ipseus, integrating the benefits of qualitative and quantitative approaches in evaluation, is a potential method to explore the complexity of identity changes during therapy. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Mental Health and Social Inclusion Emerald Publishing

Identity Structure Analysis: a potential framework for process and outcome evaluation in psychotherapy

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References (40)

Publisher
Emerald Publishing
Copyright
© Emerald Publishing Limited
ISSN
2042-8308
eISSN
2042-8316
DOI
10.1108/mhsi-06-2023-0071
Publisher site
See Article on Publisher Site

Abstract

This paper aims to explore the potential utility of Identity Structure Analysis (ISA) in single-case and group-level outcome and process evaluations.Design/methodology/approachA study was conducted to evaluate mentalization-based therapy by using ISA and its linked framework software, Ipseus. Ten patients with borderline personality disorder and substance use disorder were involved in the study. ISA/Ipseus was administered prior to and at the completion of the treatment. Five-year follow-up data, comprising behavioural indicators, were also collected and compared to ISA/Ipseus results.FindingsImprovements occurred in the evaluation of stressful, demanding and emotionally burdening situations. Evaluations on concerned others also improved, together with progress in self-reflection. Changes in the evaluation of recovery-related themes were less salient. On a case level, changes in the self-states and role models were consistent with the results of the five-year-follow up data. An initial crisis state seems suggestive of progress, while initial defensive positions with high positive self-regard, of stagnation.Originality/valueISA/Ipseus, integrating the benefits of qualitative and quantitative approaches in evaluation, is a potential method to explore the complexity of identity changes during therapy.

Journal

Mental Health and Social Inclusion – Emerald Publishing

Published: Dec 2, 2024

Keywords: Outcome/process evaluation; Psychotherapy; Identity Structure Analysis; Dual diagnosis; Mentalization-based therapy

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