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Articles

Empirical Evidence for Transactional Analysis Psychotherapy for the Treatment of Chronic Pain

Pages 138-151
Published online: 28 Dec 2017
 
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Chronic nonmalignant pain is a biopsychosocial problem for which psychological and psychotherapeutic interventions are crucial, and there is empirical support for the effectiveness of cognitive behavioral approaches in such cases. The aim of the study reported here was to show transactional analysis (TA) interventions as possibly effective for chronic pain. The author reports on the case of Ana, a 23-year-old student with chronic low back pain who participated in 15 sessions of transactional analysis therapy. The introductory diagnostic part of the therapy revealed a low pain tolerance and difficulties in her identity. Ana’s pain symptomatology was strongly connected to a traumatic event. The therapist worked outward from an empathic inquiry and validated and normalized Ana’s sensations. Using transactional analysis theory and some other techniques, she helped Ana to understand the importance of body-mind connections and their influence on pain. Ana was able to be aware of some of these connections, understand them, and recognize her power to control the pain. At posttreatment assessment, Ana reported not feeling pain most of the time. In addition, there was a reduction in her kinesiophobia (fear of movement) and pain catastrophizing. She also reported a higher self-concept and better mood. Therapeutic gains were maintained at 6-month follow-up. Implications and clinical considerations are discussed.

Additional information

Author information

Barbara Horvat Rauter

Author Biography
Barbara Horvat Rauter, PhD, is a psychologist who works with patients with chronic widespread nonmalignant pain at the national rehabilitation institute. She is also working toward transactional analysis certification. Barbara can be reached at University Rehabilitation Institute, Linhartova 51, 1000 Ljubljana, Slovenia; email: .
 

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