Development and Case Study Application of a Proxy-Generated Outcome Measure of Suffering for use with Clients with Illusory Mental Health

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Giulia Guglielmetti
Enrico Benelli


The concept of illusory mental health is described as the rationale for needing an approach for working with individuals who are unaware of their suffering and are therefore unable to describe their problems through self-report instruments. The use of a nomothetic approach using self-report or clinician-generated standardised instruments is compared with an idiographic approach for working with such individuals. A case study is used to illustrate the development and first application of a Proxy-Generated Outcome Measure  (PGOM) that allows clinicians, observers and researchers to trace an individualised understanding of a client’s core sufferings and changes occurring during the process of psychotherapy. A comparison with a nomothetic outcome measure is also presented.

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How to Cite
Guglielmetti, G., & Benelli, E. (2020). Development and Case Study Application of a Proxy-Generated Outcome Measure of Suffering for use with Clients with Illusory Mental Health. International Journal of Transactional Analysis Research & Practice, 11(1), 32–57.
Author Biographies

Giulia Guglielmetti

Clinical psychologist, masters degree in Dynamic Clinical Psychology at the University of Padua.

Enrico Benelli, University of Padua

PhD, Provisional Teaching and Supervising Transactional Analyst (Psychotherapy) (PTSTA-P), Vice-President of CPD (Centre for Dynamic Psychology) in Padua (Italy), Adjunct Professor of Dynamic Psychology, University of Padua


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