ABSTRACT

Psychological problems such as repetitive fantasising, habitual worrying, and obsessing appear to be on the rise over the last few years among people seeking psychotherapy. This chapter presents a qualitative multiple case study which has identified several major facets of psychotherapy that integrate both an understanding of the psychological dynamics of obsessing, repetitive fantasising, and habitual worrying and an integration of psychotherapy methods that are effective in maintaining permanent change to such dynamics. It provides a compilation of the Transactional Analysis methods that were significantly effective with some clients and suggests that these methods may be equally effective with a wide variety of clients in Transactional Analysis psychotherapy. The treatments identified as empirically supported therapies are behavioural or cognitive-behavioural in nature, reflecting the greater formal or empirical research activity of psychotherapy outcome researchers of that orientation. A relational Transactional Analysis perspective and the use of phenomenological and historical inquiry, validation, and normalisation would become central in the therapeutic dialogue.