The Effectiveness of Therapeutic Assessment With an Adult Client: A Single-Case Study Using a Time-Series Design
Abstract
This article presents the therapeutic assessment (TA; Finn, 2007) of a traumatized young woman named Claire. Claire reported feeling debilitated by academic demands and the expectations of her parents, and was finding it nearly impossible to progress in her studies. She was also finding it difficult to develop and sustain intimate relationships. The emotional aspects of close relationships were extremely difficult for her and she routinely blamed herself for her struggles in this arena. The assessor utilized the TA model for adults, with the exception of not including an optional intervention session. The steps of TA, particularly the extended inquiry and the discussion of test findings along the way, cultivated a supportive and empathic atmosphere with Claire. By employing the single-case time-series experimental design used in previous TA studies (e.g., Smith, Handler, & Nash, 2010; Smith, Wolf, Handler, & Nash, 2009), the authors demonstrated that Claire experienced statistically significant improvement correlated with the onset of TA. Results indicated that participation in TA coincided with a positive shift in the trajectory of her reported symptoms and with recognizing the affection she held for others in her life. This case illustrates the successful application of case-based time-series methodology in the evaluation of an adult TA. The potential implications for future study are discussed.
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C/TA has been shown to positively influence recovery from anxiety symptoms.
“These include compliance with treatment [36], therapeutic alliance with a subsequent therapist [32, 37], and the client’s satisfaction with treatment [38], as well as recovery from anxiety symptoms [39, 40], improved self-esteem [41–43], and lower levels of self-criticism [39].”
C/TA has been shown to positively influence lower levels of self-criticism.
“These include compliance with treatment [36], therapeutic alliance with a subsequent therapist [32, 37], and the client’s satisfaction with treatment [38], as well as recovery from anxiety symptoms [39, 40], improved self-esteem [41–43], and lower levels of self-criticism [39].”
C/TA has been shown to decrease levels of self-criticism.
“levels of self-criticism [34]”
C/TA has been shown to decrease anxiety symptoms.
“decreased anxiety symptoms [34, 35]”
Cites
(2002) · Cited by 13,211 · see citing works
Bateson, G. (2000) · University of Chicago Press eBooks · doi:10.7208/chicago/9780226924601.001.0001 · Cited by 5,545 · see citing works
The earth is round (p < .05).
Cohen, J. (1994) · American Psychologist · doi:10.1037/0003-066x.49.12.997 · Cited by 4,003 · see citing works
Affect Regulation, Mentalization, and the Development of the Self
Fonagy, P., Gergely, G., Jurist, E. L., & Target, M. (2018) · doi:10.4324/9780429471643 · Cited by 3,886 · see citing works
Single-Case Research Designs: Methods for Clinical and Applied Settings
Kazdin, A. E. (1982) · Cited by 2,852 · see citing works
Statistical methods in psychology journals: Guidelines and explanations.
Wilkinson, L., & Task Force on Statistical Inference (1999) · American Psychologist · doi:10.1037/0003-066x.54.8.594 · Cited by 2,791 · see citing works
Single-case research designs: Methods for clinical and applied settings
Hayes, S. C. (1983) · Journal of Behavior Therapy and Experimental Psychiatry · doi:10.1016/0005-7916(83)90018-6 · Cited by 2,677 · see citing works
MMPI-2 : Minnesota Multiphasic Personality Inventory-2 : manual for administration and scoring
Hathaway, S. R., & McKinley, J. (1989) · University of Minnesota Press eBooks · Cited by 2,450 · see citing works
Pygmalion in the Classroom: Teacher Expectation and Pupils' Intellectual Development
Brookover, W., Rosenthal, R., & Jacobson, L. (1968) · American Sociological Review · doi:10.2307/2092211 · Cited by 2,200 · see citing works
Affect regulation, mentalization, and the development of the self
Koh, E. (2004) · Australian & New Zealand Journal of Psychiatry · doi:10.1111/j.1440-1614.2004.01308.x · Cited by 1,709 · see citing works
Rorschach Comprehensive System
Kreutzer, J. S., DeLuca, J., & Caplan, B. (2010) · Springer eBooks · doi:10.1007/978-0-387-79948-3_5319 · Cited by 1,221 · see citing works
Prevention of Treatment Failure: The Use of Measuring, Monitoring, and Feedback in Clinical Practice
Lambert, M. (2010) · American Psychological Association eBooks · doi:10.1037/12141-000 · Cited by 328 · see citing works
Principles of Rorschach Interpretation
Weiner, I. B. (2003) · Routledge eBooks · doi:10.4324/9781410607799 · Cited by 302 · see citing works
Meta-analysis of psychological assessment as a therapeutic intervention
Poston, J. M., & Hanson, W. E. (2010) · Psychological Assessment · doi:10.1037/a0018679 · Cited by 276 · see citing works
Therapeutic effects of providing MMPI-2 test feedback to college students awaiting therapy.
Finn, S. E., & Tonsager, M. E. (1992) · Psychological Assessment · doi:10.1037/1040-3590.4.3.278 · Cited by 271 · see citing works
In Our Clients' Shoes: Theory and Techniques of Therapeutic Assessment
Finn, S. E. (2007) · Medical Entomology and Zoology · Cited by 266 · see citing works
Individualizing Psychological Assessment
Fischer, C. T. (2012) · Routledge eBooks · doi:10.4324/9780203877913 · Cited by 207 · see citing works
Interaction of Therapeutic Process and Alliance During Psychological Assessment
Ackerman, S. J., Hilsenroth, M. J., Baity, M. R., & Blagys, M. D. (2000) · Journal of Personality Assessment · doi:10.1207/s15327752jpa7501_7 · Cited by 192 · see citing works
Hilsenroth, M. J., Peters, E. J., & Ackerman, S. J. (2004) · Journal of Personality Assessment · doi:10.1207/s15327752jpa8303_14 · Cited by 176 · see citing works
Toward International Normative Reference Data for the Comprehensive System
Meyer, G. J., Erdberg, P., & Shaffer, T. W. (2007) · Journal of Personality Assessment · doi:10.1080/00223890701629342 · Cited by 175 · see citing works
ARMSTRONG, J. G., & Loewenstein, R. J. (1990) · The Journal of Nervous and Mental Disease · doi:10.1097/00005053-199007000-00006 · Cited by 173 · see citing works
Newman, M. L., & Greenway, P. (1997) · Psychological Assessment · doi:10.1037/1040-3590.9.2.122 · Cited by 146 · see citing works
Psychological assessment with the MMPI
(1990) · Choice Reviews Online · doi:10.5860/choice.27-3548 · Cited by 143 · see citing works
The Rorschach: A comprehensive system, 3rd ed.
Exner, J. E., & Erdberg, P. (2003) · Cited by 117 · see citing works
Assessment Feedback Integrating MMPI-2 and Rorschach Findings
Finn, S. E. (1996) · Journal of Personality Assessment · doi:10.1207/s15327752jpa6703_10 · Cited by 100 · see citing works
Hilsenroth, M. J., Ackerman, S. J., Clemence, A. J., Strassle, C. G., & Handler, L. (2002) · Psychotherapy: Theory, Research, Practice, Training · doi:10.1037/0033-3204.39.4.309 · Cited by 88 · cited 1× · see citing works
“Participation in an assessment adhering to collaborative and therapeutic principles also has been found to result in greater engagement with assessors (Ackerman, Hilsenroth, Baity, & Blagys, 2000 ) and a stronger alliance with a therapist in subsequent treatment (Hilsenroth, Ackerman, Clemence, & Strassle, 2002 ; Hils…”
BackgroundPsychological Assessment of Patients with Dissociative Identity Disorder
Brand, B. L., Armstrong, J. G., & Loewenstein, R. J. (2006) · Psychiatric Clinics of North America · doi:10.1016/j.psc.2005.10.014 · Cited by 88 · see citing works
Therapeutic Assessment With Children: A Pilot Study of Treatment Acceptability and Outcome
Tharinger, D. J., Finn, S. E., Gentry, L. B., Hamilton, A. M., Fowler, J., Matson, M., Krumholz, L. S., & Walkowiak, J. (2009) · Journal of Personality Assessment · doi:10.1080/00223890902794275 · Cited by 85 · see citing works
Therapeutic Assessment of a Man With "ADD"
Finn, S. E. (2003) · Journal of Personality Assessment · doi:10.1207/s15327752jpa8002_01 · Cited by 70 · see citing works
Smith, J. D., Handler, L., & Nash, M. R. (2010) · Psychological Assessment · doi:10.1037/a0019697 · Cited by 69 · see citing works
Self-citationThe Early Memories Procedure: A Projective Test of Autobiographical Memory, Part 1
Bruhn, A. R. (1992) · Journal of Personality Assessment · doi:10.1207/s15327752jpa5801_1 · Cited by 68 · see citing works
Protecting confidentiality rights: The need for an ethical practice model.
Fisher, M. A. (2008) · American Psychologist · doi:10.1037/0003-066x.63.1.1 · Cited by 66 · see citing works
Rorschach Correlates of Sexual Abuse: Trauma Content and Aggression Indexes
Kamphuis, J. H., Kugeares, S. L., & Finn, S. E. (2000) · Journal of Personality Assessment · doi:10.1207/s15327752jpa7502_3 · Cited by 58 · see citing works
Joyce, D. K. (2008) · Encyclopedia of Special Education · doi:10.1002/9780470373699.speced1582 · Cited by 56 · see citing works
Differential effects of two test-interpretation styles in counseling: A field study.
Hanson, W. E., Claiborn, C. D., & Kerr, B. A. (1997) · Journal of Counseling Psychology · doi:10.1037/0022-0167.44.4.400 · Cited by 46 · see citing works
Psychological Assessment With the MMPI-2
Friedman, A. F., Levak, R. W., Nichols, D. S., & Webb, J. T. (2014) · Routledge eBooks · doi:10.4324/9781410600363 · Cited by 45 · see citing works
Testing the Effectiveness of Family Therapeutic Assessment: A Case Study Using a Time-Series Design
Smith, J. D., Wolf, N. J., Handler, L., & Nash, M. R. (2009) · Journal of Personality Assessment · doi:10.1080/00223890903228331 · Cited by 39 · see citing works
Self-citationTherapeutic Assessment With the MMPI-2.
Finn, S. E., & Kamphuis, J. H. (2006) · American Psychological Association eBooks · doi:10.1037/11287-008 · Cited by 36 · see citing works
Therapeutic Assessment of Complex Trauma
Tarocchi, A., Aschieri, F., Fantini, F., & Smith, J. D. (2013) · Clinical Case Studies · doi:10.1177/1534650113479442 · Cited by 28 · see citing works
Self-citationTherapeutic Assessment with the MMPI-2 in Managed Health Care
Finn, S. E., & Martin, H. (1996) · Personality Assessment in Managed Health Care · doi:10.1093/med:psych/9780195111606.003.0008 · Cited by 26 · see citing works
Smith, J. D., Nicholas, C. R. N., Handler, L., & Nash, M. R. (2011) · Journal of Personality Assessment · doi:10.1080/00223891.2011.559497 · Cited by 19 · see citing works
Self-citationThe Frontier of Brief Psychotherapy
Horowitz, M. J., & Hoyt, M. F. (1979) · Journal of the American Psychoanalytic Association · doi:10.1177/000306517902700120 · Cited by 13 · see citing works
Wygant, D. B., & Fleming, K. P. (2008) · Journal of Personality Assessment · doi:10.1080/00223890701845112 · Cited by 13 · see citing works
Smith, J. D., Erard, R. E., & Handler, L. (2013) · Journal of Personality Assessment · doi:10.1080/00223891.2013.810154 · Cited by 5 · see citing works
Self-citationTherapeutic Assessment and epistemological triangulation
Aschieri, F., Finn, S. E., & Bevilacqua, P. (2010) · Cited by 2 · see citing works
Self-citation
Flagged first, then by citations
2 of the 47 references couldn’t be matched to a known paper.
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van Dongen, J. D. M., Drislane, L. E., Nijman, H. L. I., Soe-Agnie, S. E., & Marle, H. J. C. V. (2016) · Journal of Psychopathology and Behavioral Assessment · doi:10.1007/s10862-016-9567-5 · Cited by 75 · see citing works
Saeger, H. D., Kamphuis, J. H., Finn, S. E., Smith, J. D., Verheul, R., Busschbach, J. J. V., Feenstra, D. J., & Horn, E. K. (2014) · Psychological Assessment · doi:10.1037/a0035667 · Cited by 54 · see citing works
Self-citationSmith, J. D., Eichler, W. C., Norman, K. R., & Smith, S. R. (2014) · Journal of Personality Assessment · doi:10.1080/00223891.2014.955917 · Cited by 43 · see citing works
Self-citationSmith, J. D., & George, C. (2012) · Journal of Personality Assessment · doi:10.1080/00223891.2012.656860 · Cited by 31 · see citing works
Self-citationTherapeutic Assessment of Complex Trauma
Tarocchi, A., Aschieri, F., Fantini, F., & Smith, J. D. (2013) · Clinical Case Studies · doi:10.1177/1534650113479442 · Cited by 28 · see citing works
Self-citationNovo Modelo de Avaliação Psicológica no Brasil
de Villemor-Amaral, A. E., & Resende, A. C. (2018) · Psicologia Ciência e Profissão · doi:10.1590/1982-3703000208680 · Cited by 23 · see citing works
“Is Our Daughter Crazy or Bad?”: A Case Study of Therapeutic Assessment with Children
Fantini, F., Aschieri, F., & Bertrando, P. (2013) · Contemporary Family Therapy · doi:10.1007/s10591-013-9265-3 · Cited by 22 · see citing works
Self-citationL’évaluation thérapeutique et collaborative : preuves empiriques
Aschieri, F., Saeger, H. D., & Durosini, I. (2015) · Pratiques Psychologiques · doi:10.1016/j.prps.2015.09.005 · Cited by 19 · see citing works
Self-citationTherapeutic Assessment with Children in Family Therapy
Aschieri, F., Fantini, F., & Bertrando, P. (2012) · Australian and New Zealand Journal of Family Therapy · doi:10.1017/aft.2012.37 · Cited by 14 · see citing works
Self-citationEvans, F. B., & Finn, S. E. (2016) · Journal of Personality Assessment · doi:10.1080/00223891.2016.1187156 · Cited by 13 · see citing works
L’évaluation thérapeutique : description de quatre modèles
Frackowiak, M., Fantini, F., & Aschieri, F. (2015) · Pratiques Psychologiques · doi:10.1016/j.prps.2015.09.006 · Cited by 11 · see citing works
Self-citationA single-case study of carer agency
Kinchin, I. M., & Wilkinson, I. (2016) · Journal of Nursing Education and Practice · doi:10.5430/jnep.v6n11p34 · Cited by 10 · see citing works
Lewis, K. C., Ridenour, J. M., Pitman, S. R., & Roche, M. J. (2020) · Journal of Personality Assessment · doi:10.1080/00223891.2020.1818572 · Cited by 7 · see citing works
Development of the Self-curiosity Attitude-Interest Scale
Aschieri, F., & Durosini, I. (2015) · Cited by 7 · see citing works
Self-citationHolman, A., D’Costa, S., & Janowitch, L. (2021) · School Psychology Review · doi:10.1080/2372966x.2021.1997060 · Cited by 6 · see citing works
Collaborative Assessment Methods
Aschieri, F., van Emmerik, A., Wibbelink, C. J. M., & Kamphuis, J. H. (2023) · Oxford University Press eBooks · doi:10.1093/oso/9780197611012.003.0014 · Cited by 6 · see citing works
Self-citationAschieri, F., Fantini, F., Antonelli, A., Ryzin, M. J. V., & Smith, J. D. (2024) · Journal of Personality Assessment · doi:10.1080/00223891.2023.2296065 · Cited by 5 · see citing works
Self-citationSmith, J. D., Erard, R. E., & Handler, L. (2013) · Journal of Personality Assessment · doi:10.1080/00223891.2013.810154 · Cited by 5 · see citing works
Self-citationModelos Interventivo-Terapêuticos em Avaliação Psicológica: Estado da Arte no Brasil
Scaduto, A. A., Cardoso, L. M., & Heck, V. S. (2019) · Revista Avaliação Psicológica · doi:10.15689/ap.2019.1801.16543.08 · Cited by 5 · see citing works
Hovmand, O. R., Reinholt, N., Dichmann, K., Borisov, R., & Arnfred, S. (2023) · Pilot and Feasibility Studies · doi:10.1186/s40814-023-01332-z · Cited by 3 · see citing works
“This includes self-esteem [26–29], compliance with treatment recommendations [30], therapeutic alliance with subsequent therapist [31, 32], and satisfaction with treatment [33], as well as decreased anxiety symptoms [34, 35] and levels of self-criticism [34].”
BackgroundFondren, A. H., & Jenkins, S. R. (2020) · Rorschachiana Journal of the International Society for the Rorschach · doi:10.1027/1192-5604/a000129 · Cited by 3 · see citing works
A Humanistic Approach to Mental Health Assessment, Evaluation, and Measurement-Based Care
Hanson, W. E., Zhou, H., Armstrong, D. L., & Liwski, N. (2022) · Plenum series on human exceptionality · doi:10.1007/978-3-030-97208-0_17 · Cited by 2 · see citing works
Biberdzic, M., Grenyer, B. F. S., Day, N. J. S., Bliokas, V. V., & Marceau, E. M. (2026) · Journal of Personality Assessment · doi:10.1080/00223891.2026.2634265 · Cited by 2 · see citing works
When Inkblot Imitates Life – A Case Study of Rorschach Content Analysis
Rucker, J. (2024) · Rorschachiana Journal of the International Society for the Rorschach · doi:10.1027/1192-5604/a000178 · Cited by 2 · see citing works
Therapeutic Assessment in Clinical and Counseling Psychology Practice
Krishnamurthy, R., Finn, S. E., & Aschieri, F. (2016) · Wiley eBooks · doi:10.1002/9781119173489.ch17 · Cited by 2 · see citing works
Self-citationStolberg, R. A., Bongar, B. M., & Thach, T. (2024) · Oxford University Press eBooks · doi:10.1093/oxfordhb/9780190092689.013.22 · Cited by 1 · see citing works
Therapeutic Assessment: Linking Assessment and Treatment
Fantini, F., Aschieri, F., & Finn, S. E. (2021) · Comprehensive Clinical Psychology · doi:10.1016/b978-0-12-818697-8.00159-x · Cited by 1 · see citing works
Self-citationHovmand, O. R., Reinholt, N., Dichmann, K., Borisov, R., Hjorthøj, C., & Arnfred, S. (2024) · Trials · doi:10.1186/s13063-024-08517-8
“These include compliance with treatment [36], therapeutic alliance with a subsequent therapist [32, 37], and the client’s satisfaction with treatment [38], as well as recovery from anxiety symptoms [39, 40], improved self-esteem [41–43], and lower levels of self-criticism [39].”
BackgroundJacobson, R. M. (2014) · ERA: Education and Research Archive (University of Alberta) · doi:10.7939/r3wq1j
Canadian Psychologists' Attitudes, Beliefs, and Perceptions about Test Feedback
Zhou, H. (2017) · ERA: Education and Research Archive (University of Alberta) · doi:10.7939/r3r78617f
Collaborative/Therapeutic Assessment with Psychiatric Inpatients Diagnosed with Bipolar Disorder
Armstrong, D. L. (2020) · ERA: Education and Research Archive (University of Alberta) · doi:10.7939/r3-gzwt-ep85
Therapeutic Assessment as Preparation for Psychotherapy
Vance, J. M. (2019) · doi:10.12794/metadc1538669
Therapeutic Assessment as an Interventional Model of Psychological Evaluation: Case Study
Fernandes, S. B., Targino, R. D. M., Giasson, F. D. F., & Cardoso, L. M. (2021) · Psico-USF · doi:10.1590/1413-82712021260303
(2014) · Le Journal des psychologues · doi:10.3917/jdp.323.0045
SHABANYERE, J. D. B. (2023) · IJRDO - Journal of Social Science and Humanities Research · doi:10.53555/sshr.v9i1.5500
Urbina, S. (2014) · Wiley eBooks · doi:10.1002/9781394259458.refs
Kelley, D., O’Leary, J. C., Aschieri, F., & Finn, S. E. (2026) · Journal of Personality Assessment · doi:10.1080/00223891.2026.2649229
Self-citation
- Authors
- Aschieri, F., & Smith, J. D.
- Affiliations
- Università Cattolica del Sacro Cuore (IT)
- University of Colorado Denver (US)
- Venue
- Journal of Personality Assessment
- Publisher
- Informa UK Limited
- Published
- 2012-01
- Volume
- 94
- Issue
- 1
- Pages
- 1-11
- ISSN
- 0022-3891 (ISSN-L)
- 1532-7752
- OpenAlex
- W2139998728
- Cited by
- 38
- References
- 47
- Citations by year
- 2026: 2 · 2024: 4 · 2023: 3 · 2022: 1 · 2021: 3 · 2020: 3 · 2019: 2 · 2018: 1 · 2017: 1 · 2016: 5 · 2015: 3 · 2014: 5 · 2013: 3 · 2012: 2
- FWCI
- 4.28
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Personality Assessment (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Applied Psychology › Psychological Testing and Assessment
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Social Sciences › Psychology › Developmental and Educational Psychology › Educational and Psychological Assessments
- Keywords
- therapeutic assessment, trauma, academic stress, parental expectations, intimate relationships, self-blame, symptom trajectories, time series design, single-case experimental design
- MeSH terms
- Female, Humans, Interpersonal Relations, MMPI, Personality, Psychotherapy, Young Adult
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