Distinguishing Between Methodologies Part 2: Mixed Methods and Single-Subject Research Design

2

Applying Research to a Case Study

Angel Brown

Master of Clinical Mental Health in Counseling, Walden University

COURSE 6626: Research Methodology and Program Evaluation

July 4, 2022

Case Conceptualization

Case Study Number Four: The Situation of Jared, an African American male veteran of the United States Armed Forces who is 37 years old and is recommended for psychotherapy by his girlfriend, Sheila. I have decided to use Case Study 4 for our conversation this week, which is about a black man named Jared who is 37 years old. He displayed manifestations of trauma-induced Post-Traumatic Stress Disorder, including irritability, rage, nervousness, a failure of authority and forbearance with his children, and yelling at his girlfriend.

Presenting Problem

When he talks about his experiences working as a doctor during his four years of active duty in the military in Iraq, he has recollections that cause him to cry (Gramlich, 2018). Because he is afraid of being classified, Jared does not feel comfortable going to counseling and does so with reluctance. Since he came back from his tour of duty, he has been dealing with the aftermath of a divorce as well as homelessness for the past twelve years.

Counseling Intervention

ICD-10 CODE F43.12 – persistent post-traumatic stress disorder – is the diagnosis for Jared's problem with his mental wellbeing (Jones, 2022). The Psychodynamic Group Therapy (PGT) Model combined with Cognitive Processing Therapy and virtual reality, which is a sort of play therapy, is the approach that I have decided to take to tackle the psychological healthcare condition that has been brought up in counseling.

Research question

During their research on the efficacy of the therapeutic approach of psychodynamic group therapy (PGT) for combat Veterans suffering from posttraumatic stress disorder (PTSD), the scientists determined that the PGT methodology integrates assistance, a neurodevelopment framework for personal character, evaluation of cognitive structures of interpersonal relationships, insistence on interpersonal different facets of combat trauma, resolution of interpersonal conflicts, contrast adjustment of psychosocial stressors, and examination of psychological phenomena (Levi, 2019). Consequently, PGT enables patients to address their distressing situation and improve a plausible narration for it, one that emphasizes the interpersonal components of combat trauma. After presenting their data, the researcher came to the self-assured conclusion that PGT includes all of the components that are thought to be crucial for managing chronic PTSD in veterans who served in battle. In this sense, PGT has the potential to be acknowledged as a first-line treatment for veterans of combat-related military service who suffer from PTSD.

My findings provide evidence to support the hypothesis that psychodynamic group therapy is connected with cognitive enhancements in veterans suffering from post-traumatic stress disorder (Watkins, 2018). This hypothesis was created based on the outcomes of other research articles. According to the information presented in this article, the practices of PGT integrate elements such as assistance, a neurodevelopment framework for personal character, a focus on the individual and social different facets of combat trauma, the simplification of stressors, the evaluation of physiological cause and influence and the influence of incapacitated specific and team mechanisms on the participant. As a result of this, the intervention that I provide for my patient will be predicated on the information presented in the article; however, I will also include the expertise that I have received through reading other research publications.

References

Gramlich, M. A., & Neer, S. M. (2018). Firefighter-paramedic with posttraumatic stress disorder, horrific images, and depression: A clinical case study. Clinical case studies, 17(3), 150-165.

Jones, C., Smith-MacDonald, L., Van Veelen, N., VanderLaan, A., Kaneva, Z., Dunleavy, R. S., ... & Bremault-Phillips, S. (2022). Therapist and operator experiences utilizing multi-modal motion-assisted Memory Desensitization and Reconsolidation (3MDR) for treatment of combat-related posttraumatic stress disorder amongst military and veteran populations. European journal of psychotraumatology, 13(1), 2062996.

Lazarov, A., Suarez-Jimenez, B., Levi, O., Coppersmith, D. D., Lubin, G., Pine, D. S., ... & Neria, Y. (2020). Symptom structure of PTSD and co-morbid depressive symptoms–network analysis of combat veteran patients. Psychological Medicine, 50(13), 2154-2170.

Levi, O., Lazarov, A., Bar-Haim, Y., Lubin, G., & Wald, I. (2019). Predictors of consent to treatment and premature termination of treatment in a sample of veterans with military-related PTSD. The Journal of Nervous and Mental Disease, 207(4), 300-306.

Watkins, L. E., Sprang, K. R., & Rothbaum, B. O. (2018). Treating PTSD: A Review of Evidence-Based Psychotherapy Interventions. Frontiers in Behavioral Neuroscience, N.PAG.