Abstract

Transactional analysis (TA) is a form of psychoanalytic therapy: a theory of personality and a method of treatment that Eric Berne built in the late 1950s from psychoanalytic ideas rendered in plain, observable terms. Its founding claim is that each person acts, at any moment, from one of three ego states — Parent, Adult, or Child — and that the units of social behavior are transactions, in which one person's ego state addresses another's. Beneath these exchanges Berne placed recurring ulterior maneuvers he called games and lifelong plans he called scripts, formed in childhood and carrying a person toward a predetermined payoff. This article sets out the ego-state model, the analysis of transactions, games, strokes, and scripts, the practice of TA, and an evidence base that, though modest, has grown through case studies and recent meta-analysis.

Keywords: transactional analysis, ego states, transactions, life script, Eric Berne

Key Takeaways
  • Transactional analysis models personality as three ego states — Parent, Adult, and Child — each a coherent system of thought, feeling, and behavior a person can shift between from moment to moment.
  • Its basic unit of analysis is the transaction: a stimulus from one person's ego state and the response from another's. Complementary transactions sustain communication; crossed ones interrupt it; ulterior ones carry a hidden message beneath the social one.
  • Repeated ulterior transactions form games — patterned exchanges with a concealed motive and a predictable, usually bad, emotional payoff — and games serve a larger life script laid down in childhood.
  • Therapy aims to strengthen the Adult ego state so a person can recognize their games and script and choose autonomy over the script's predetermined outcome, often under an explicit therapeutic contract.
  • TA's popular reach long outran its evidence, but adjudicated case studies and a recent meta-analysis now give it a modest, growing empirical footing for depression and anxiety.

What Transactional Analysis Is

Transactional analysis is at once a theory of personality, a theory of communication, and a method of psychotherapy, and MeSH files it under psychoanalytic therapy — the family of treatments descended from Freud that work by making unconscious patterns conscious. What sets TA apart from its parent is its language. Eric Berne, trained as a psychoanalyst, deliberately recast psychoanalytic insight into ordinary words a patient could use about themselves: not id, ego, and superego but Child, Adult, and Parent; not repetition compulsion but game; not character neurosis but script (Berne, 1958). The result was a system meant to be shared with the patient rather than kept as the analyst's private map.

That accessibility is the point, not a simplification of it. Berne held that a person can observe, in themselves and others, which ego state is active from voice, posture, vocabulary, and gesture, and that the exchanges between people follow describable rules. A treatment built on observable social behavior could therefore be taught to the patient, conducted in groups, and checked against what actually happens between people rather than inferred from free association alone (Solomon, 2003). TA thus sits inside the psychodynamic tradition while pointing outward, toward the interpersonal and the observable (Cornell et al., 2016).

The whole system is built from four levels of analysis, each resting on the one before: structural analysis of the ego states within a single person; transactional analysis proper, of the exchanges between people; the analysis of games, the recurring ulterior transactions; and script analysis, of the life plan those games serve. The sections that follow take them in that order (Berne, 1961).

The Ego-State Model

The foundation of TA is the claim that personality is organized into three distinct ego states, each a consistent pattern of feeling and experience directly related to a corresponding pattern of behavior. The Parent is the set of thoughts, feelings, and behaviors copied from parents and authority figures — the internalized voice of how one was taught to act. The Child is the set retained from one's own childhood — the seat of feeling, spontaneity, creativity, and also of early adaptation and compliance. The Adult is the state oriented to the here and now: it appraises reality, estimates probabilities, and processes information dispassionately, like a data processor unclouded by borrowed rules or old feelings (Berne, 1961).

These are not the same as Freud's id, ego, and superego, and Berne was insistent on the difference. The id, ego, and superego are theoretical constructs inferred from behavior; the Parent, Adult, and Child are, in Berne's account, observable phenomenological realities, each a state a person is visibly in and can be seen to switch out of. A raised finger and a moralizing tone signal the Parent; a considered weighing of options signals the Adult; a sulk or a delighted laugh signals the Child. Because the states show themselves in behavior, both therapist and patient can identify which one is speaking at any moment (Steiner, 1974).

Each state can be healthy or troublesome, and the structural goal of therapy is not to eliminate any of them but to keep the boundaries between them clear and the Adult in executive control. Two classic pathologies are described in structural terms: contamination, in which Parent prejudices or Child fears leak into the Adult and are mistaken for reasoned judgment; and exclusion, in which one state dominates rigidly and the others are shut out. The functional refinement of the model further divides the observable output — the Parent into a Controlling (or Critical) and a Nurturing mode, and the Child into a Free (or Natural) and an Adapted mode — a division made quantitative in the egogram, a bar-graph profile of how much energy a person invests in each functional state (Dusay, 1972).

Figure 1. The structural ego-state model: three distinct states within one person, with the Adult in executive control appraising present reality.
The three ego states stacked within a single person Three stacked circles labelled Parent, Adult, and Child, one above another, representing the three ego states of transactional analysis within a single person. The Parent circle notes borrowed rules and values; the Adult circle notes present-reality appraisal; the Child circle notes stored feelings and impulses. A bracket to the side marks the whole stack as one person's personality structure. Structure of one person Parent borrowed rules Adult present reality Child stored feelings one person

Note. The three states are drawn as separate but bounded systems within a single personality. Trouble arises when the boundaries blur (contamination) or one state locks out the others (exclusion); healthy functioning keeps the Adult able to appraise the present while drawing on Parent and Child as needed.

Transactions, Strokes, and Games

Once two people are together, the unit of analysis becomes the transaction: a single exchange consisting of a stimulus directed from one person's ego state to another's, and the response that comes back. Berne classified transactions by which states are addressed and which answer. A complementary transaction is one in which the response comes from the state that was addressed and returns to the state that sent the stimulus — Adult asks the time, Adult answers; or Child appeals for comfort, Parent soothes. So long as transactions stay complementary, Berne's first rule of communication holds: the exchange can continue indefinitely (Berne, 1961).

A crossed transaction is one in which the response comes from an unexpected state, so the vectors cross — one person's Adult asks the time and the answer comes back from an irritated Parent snapping that the asker is always late. Here communication is interrupted; the exchange stalls until one party shifts state. The third and most consequential type is the ulterior transaction, which operates on two levels at once: an overt social message, usually Adult-to-Adult, carries a covert psychological message from another state beneath it. The salesman's remark that an item is better but probably beyond the customer's means says one thing to the Adult and dares the Child to prove otherwise. Ulterior transactions are the machinery of games (Berne, 1964).

Table 1. The three types of transaction compared along the ego-state vectors they trace, their effect on communication, and their clinical significance.

Transaction type Ego-state vectors Effect on communication Clinical significance
ComplementaryParallel; the state addressed is the state that answersContinues indefinitely (Berne's first rule)The baseline of smooth exchange
CrossedCrossed; the reply comes from an unexpected stateInterrupted until one party shifts stateWhere interpersonal trouble becomes visible
UlteriorTwo levels at once; a covert message beneath an overt oneOutcome is set by the hidden message, not the social oneThe machinery of games

Driving all of this is a basic human hunger Berne called stroke-seeking. A stroke is a unit of recognition — a glance, a greeting, a rebuke — and Berne argued, drawing on the effects of sensory and social deprivation, that people need strokes so badly they will take negative ones over none at all. Claude Steiner extended this into the “stroke economy,” the set of restrictive parental rules — do not give strokes freely, do not ask for them, do not accept them — that leave people short of recognition and therefore willing to earn it the hard way, through games (Steiner, 1974). A game, in the technical sense, is a recurring series of ulterior transactions that proceeds to a well-defined, predictable payoff — a familiar bad feeling that confirms the player's position. The clinical value of naming games is that a patterned, seemingly involuntary conflict becomes a recognizable sequence the Adult can learn to spot and decline (Berne, 1964).

Life Positions and Scripts

Games are not random; they serve a larger structure laid down in childhood, which Berne called the life script — an unconscious life plan, decided early on the basis of childhood experience and then lived out as though it were fated. The script has a payoff, a course, and a cast, and much of adult behavior, on this account, is the script being played to its predetermined end unless something interrupts it. Berne's late work located the therapeutic task precisely here: to help the patient recognize the script and step out of it into autonomy (Berne, 1972).

Underneath every script Berne and his colleagues placed a basic existential stance toward self and others, fixed early and coloring everything after. Thomas Harris popularized these as the four life positions, formed by combining a person's verdict on the self (OK or not OK) with the verdict on others (OK or not OK). The healthy position, self-OK and other-OK, is a considered Adult stance of mutual respect; the other three — not-OK-self with OK-other (depressive), OK-self with not-OK-other (blaming or paranoid), and not-OK-self with not-OK-other (futile) — are Child conclusions that lock a person into a corresponding script and its supporting games (Harris, 1969).

Steiner tied the strands together by showing how the stroke economy and early decisions produce a script: a child starved of free strokes and given restrictive injunctions makes an early decision about how to secure recognition and survive, and that decision becomes the spine of the script (Steiner, 1974). The clinical optimism of TA rests on the claim that a decision made by the Child can be re-examined and re-decided by the Adult. Because the script was chosen, it can, in principle, be rechosen — the theoretical warrant for TA's insistence that patients are not condemned to repeat their pasts (Solomon, 2003).

The Method in Practice

A course of transactional analysis is distinguished less by technique than by stance. It is, by design, a treatment between two Adults: therapist and patient agree an explicit, often written, contract stating what the patient wants to change, which makes the goal observable and the patient a full partner rather than a recipient. This contractual method reflects the healthy self-OK, other-OK position at the level of the treatment relationship itself, and it is one of TA's lasting contributions to the wider practice of psychotherapy (Cornell et al., 2016).

The work then proceeds up the four levels. Structural analysis teaches the patient to identify their own Parent, Adult, and Child and to notice contamination and exclusion; transactional analysis proper examines the crossed and ulterior exchanges that produce trouble in the patient's relationships; game analysis names the recurring sequences and their payoffs so the patient can decline them; and script analysis surfaces the early decisions and life position driving the whole pattern, opening them to redecision. Much of this is conducted in groups, where transactions and games appear live and can be examined as they happen rather than only recalled (Berne, 1961).

Contemporary TA psychotherapy has been manualized for specific conditions without abandoning this structure. Mark Widdowson's treatment manual for depression, for example, sequences the classic TA tasks — decontaminating the Adult, identifying the script and its injunctions, and supporting a redecision — into a time-limited protocol suitable for the systematic case studies and trials by which a modern therapy earns its evidence (Widdowson, 2015). The concise codification of TA's working concepts and techniques into a teachable set of key points reflects the same movement from a charismatic founder's system toward a transmissible clinical method (Widdowson, 2023).

Transactional Analysis in Motion

The three demonstrations below make the core machinery of TA manipulable. The first turns the functional ego-state model into an interactive egogram and shows Dusay's constancy hypothesis — that psychic energy shifted into one state must come out of the others. The second addresses a stimulus from one ego state to another and classifies the resulting transaction as complementary, crossed, or ulterior, showing when communication flows and when it breaks. The third makes the modest evidence base concrete, translating a standardized effect size into the share of untreated patients the average treated patient exceeds.

Egogram: profiling energy across five ego states

A bar-graph egogram of five functional ego statesFive vertical bars, one for each functional ego state, whose heights show the psychic energy invested in each. The five always sum to one hundred, so raising one bar lowers the others.020406020CPControlling25NPNurturing30AAdult15FCFree10ACAdapted

Total energy: 100 of 100. The bars are held to a fixed budget, so pouring energy into the Adult necessarily draws it out of the borrowed Parent and the old Child — the visual form of Dusay’s constancy hypothesis.

The egogram demonstration puts Dusay's functional model under the reader's hand. Raising the energy invested in one of the five functional ego states — Controlling Parent, Nurturing Parent, Adult, Free Child, Adapted Child — forces the others down so the total stays fixed, the visual form of the constancy hypothesis. It shows both how a personality can be profiled as a shape rather than a type and why deliberately building up one state, in Dusay's clinical claim, draws energy away from another.

Transactions: complementary, crossed, and ulterior

Stimulus sent from (Person A)
Addressed to (Person B)
Reply comes from (Person B)
Two-person transaction diagramTwo stacks of three circles, Parent Adult Child, one stack for each person. An arrow shows the stimulus from one person’s ego state to the other’s, and a second arrow shows the reply, revealing whether the transaction is complementary, crossed, or ulterior.Person APerson BPACPAC

Transaction type: Complementary. The addressed state answers: communication can continue indefinitely. The solid blue vector is the stimulus, the green vector the reply.

The transaction demonstration makes Berne's rules of communication visible. Choosing the ego state a stimulus is sent from and the state it addresses, and then the state that actually replies, draws the two-person diagram and classifies the exchange: parallel vectors mark a complementary transaction that can run on indefinitely, crossed vectors mark the point where communication stalls, and a second hidden vector marks an ulterior transaction with its covert message. It shows why so much interpersonal trouble is legible as a crossing or a double message rather than a mystery.

What an effect size means: Cohen’s d to U3

Two overlapping normal distributions separated by the effect sizeTwo bell curves, one for untreated and one for treated patients, the treated curve shifted to the right by the effect size. The percentage of untreated patients the average treated patient exceeds is shown.untreatedtreated

Cohen’s U3 = 80.5%: the average treated patient does better than about 81% of untreated patients. An effect near d = 0.86 (about 81%) is the substantial size reported for transactional-analysis treatments of depression and anxiety; the arithmetic shows what the number claims — an improvement over no treatment, not a proven edge over rival therapies, which needs controlled comparisons.

The outcome demonstration makes the interpretation of the evidence exact. Setting a standardized effect size (Cohen's d) converts it into Cohen's U3 — the percentage of untreated patients the average treated patient surpasses — so a reader can see what a given effect size does and does not claim. It shows why an effect that is genuine can still be described soberly, and why the honest summary of TA's evidence is that it is promising and improving rather than definitive.

Worked Example

Begin with the egogram the first demonstration builds. Model a person's functional profile as five values that must sum to a fixed budget of 100 units of psychic energy: Controlling Parent 20, Nurturing Parent 25, Adult 30, Free Child 15, Adapted Child 10. Dusay's constancy hypothesis says that raising one state must lower the others. Suppose therapy aims to strengthen the Adult from 30 to 45, an increase of 15. That 15 has to come out of the remaining 70 units, which must fall to 55 — each other state scaled by 55 ÷ 70 = 0.7857. The Controlling Parent becomes 20 × 0.7857 = 15.71, Nurturing Parent 25 × 0.7857 = 19.64, Free Child 15 × 0.7857 = 11.79, and Adapted Child 10 × 0.7857 = 7.86. The five now read 15.71, 19.64, 45, 11.79, 7.86, summing to 100. The lesson is the model's: energy is redistributed, never created, so building the Adult necessarily quiets the borrowed Parent and the old Child.

Now the evidence base. A standardized effect size (Cohen's d) can be read as U3, the fraction of untreated patients the average treated patient exceeds, where U3 is the standard normal cumulative distribution evaluated at d. An illustrative pre-post effect of d = 0.86 gives U3 = Φ(0.86) = 0.805, so the average treated patient does better than about 81% of untreated patients — a substantial effect of the size case studies and the recent meta-analysis of TA treatments have reported for depression and anxiety (Vos & van Rijn, 2022). A more conservative d = 0.30 gives U3 = Φ(0.30) = 0.618, about 62%, still an improvement but a modest one. The arithmetic does not settle whether TA outperforms other therapies — that needs controlled comparisons — but it makes precise what each effect size means, and it is why the literature's careful verdict is that TA works while the strongest comparative claims await more trials (Ohlsson, 2010).

Discussion

Transactional analysis is best understood as psychoanalysis rebuilt for the interpersonal surface and stated in words the patient can use. Berne kept the psychodynamic convictions that early experience shapes a life plan, that much of behavior is driven by out-of-awareness patterns, and that insight liberates — but he relocated the evidence for all three from the couch to the observable transaction, and handed the patient the vocabulary to do the analysis alongside the therapist. That move gave TA its enormous popular reach in the 1960s and 1970s and its durable contributions: the ego-state model, the analysis of games, the contractual and egalitarian therapeutic stance now common far beyond TA itself (Berne, 1972).

The same accessibility carried a cost. TA's concepts spread through bestselling trade books faster than they were tested, and for decades the approach rested on clinical conviction and vivid case description rather than controlled evidence — a gap its own practitioners named plainly when they took stock of the scientific base (Ohlsson, 2010). The theory's breadth is part of the difficulty: constructs like the script and the game are rich and clinically evocative but loosely operationalized, which makes them powerful in the consulting room and awkward in a trial.

For cognitive psychology the enduring interest of TA is its model of the self as plural and switchable. The claim that a person is not one unified agent but a small set of organized states, each with its own memories, appraisals, and behavioral repertoire, and that observable cues signal which is currently in control, anticipates later work on state-dependent processing and on the self as a coalition of subsystems rather than a single executive. Whatever the fate of its more speculative machinery, TA's central image — that we speak, moment to moment, from different and identifiable parts of ourselves — has proved a lasting and testable idea (Solomon, 2003).

Current Directions

The most important recent development is the belated construction of an evidence base. A programme of pragmatic, adjudicated case studies — in which independent judges rate whether a documented case shows genuine change — has given TA psychotherapy for depression and mixed anxiety a rigorous, if small-sample, footing, treating the single case as a unit of evidence rather than illustration (Widdowson, 2014). Alongside these, practice-based evaluations drawing on routine outcome measurement in real clinics have reported reliable improvement for TA and other humanistic therapies delivered under ordinary conditions (van Rijn & Wild, 2013), and pluralistic case-series work has begun to trace how the process of TA counselling connects to its outcomes (McLeod, 2013).

The second direction is synthesis. A recent focused review has reorganized the scattered TA research literature into an evidence-based conceptual model, sorting which of TA's many constructs are empirically supported from which remain clinical theory, and so giving the field a map of what it actually knows (Vos & van Rijn, 2021). Building on that, the first systematic review and exploratory meta-analysis of TA treatment outcomes has pooled the available studies and found consistent pre-post improvement across conditions, while candidly noting the small number of controlled trials and the resulting limits on any claim of specific efficacy (Vos & van Rijn, 2022). Earlier effectiveness surveys had reached similar tentative conclusions with weaker designs (Novey, 2002).

The third strand is integration and codification. Contemporary TA increasingly presents itself not as a self-contained school but as one relational and integrative psychotherapy among others, and the codification of its concepts and techniques into teachable, manualized form is what allows it to be trained, delivered consistently, and tested (Widdowson, 2023). Across all three strands the movement is the same: from a founder's charismatic system toward a transmissible, measurable clinical method whose claims are being brought, slowly, within reach of evidence.

Common Misconceptions

The Parent, Adult, and Child ego states are just Freud's superego, ego, and id renamed.
Berne drew the parallel but rejected the equation. Id, ego, and superego are theoretical constructs inferred from behavior; the ego states are meant as observable phenomenological realities, each a state a person is visibly in and switches out of. The Parent, unlike the superego, contains nurturing as well as controlling material, and the Child holds the Adult-like intuition Berne called the “little professor” (Berne, 1961).
The “Child” ego state means childish or immature behavior.
The Child is the source of spontaneity, feeling, creativity, and intuition as much as of tantrums or compliance, and a healthy personality needs access to it. The therapeutic aim is not to suppress the Child but to keep the Adult in executive control while the Child and Parent remain available (Steiner, 1974).
A “game,” in transactional analysis, is something enjoyable or trivial.
A game is a technical term for a recurring series of ulterior transactions leading to a predictable, usually painful, payoff. Games are played largely out of awareness and secure familiar bad feelings; naming them is a way to stop, not to celebrate, them (Berne, 1964).
Because it was popularized in self-help bestsellers, transactional analysis has no research support.
Its evidence long lagged its popularity, but adjudicated case studies and a recent systematic review and meta-analysis now give TA a modest, growing empirical base for depression and anxiety, even as the number of controlled trials remains small (Vos & van Rijn, 2022).

Glossary

Adult ego state.
The ego state oriented to present reality, which appraises facts and estimates probabilities dispassionately; strengthening it is the structural goal of transactional-analysis therapy.

Child ego state.
The ego state retained from one's own childhood, the seat of feeling, spontaneity, creativity, and early adaptation.

Complementary transaction.
An exchange in which the response comes from the ego state addressed and returns to the state that sent the stimulus, allowing communication to continue.

Contamination.
A structural fault in which Parent prejudices or Child fears intrude on the Adult and are mistaken for reasoned judgment.

Crossed transaction.
An exchange in which the reply comes from an unexpected ego state, so the vectors cross and communication is interrupted until someone shifts state.

Ego state.
A consistent pattern of feeling and experience directly related to a corresponding pattern of behavior; transactional analysis recognizes three — Parent, Adult, and Child.

Egogram.
Dusay's bar-graph profile of how much psychic energy a person invests in each functional ego state, governed by the constancy hypothesis that raising one lowers the others.

Game.
A recurring series of ulterior transactions proceeding to a well-defined, predictable, usually unpleasant payoff, played largely out of awareness.

Life position.
A basic existential stance toward self and others, fixed early — a verdict on the self as OK or not OK combined with a verdict on others as OK or not OK — that underlies a person's script.

Life script.
An unconscious life plan decided in childhood and lived out toward a predetermined payoff; making it conscious so it can be re-decided is the aim of script analysis.

Parent ego state.
The ego state copied from parents and authority figures, comprising both controlling and nurturing material.

Psychoanalytic therapy.
The MeSH parent class of Freud-descended treatments that work by making unconscious patterns conscious, under which transactional analysis is filed.

Stroke.
A unit of social recognition; Berne held that the need for strokes is so strong that people will accept negative recognition rather than none.

Structural analysis.
The analysis of the ego states within a single person, the first level of transactional-analysis work.

Transaction.
The basic unit of social behavior in the theory: a stimulus from one person's ego state and the response from another's.

Ulterior transaction.
An exchange carrying a covert psychological message beneath an overt social one; the mechanism of games.

Key Researchers

Eric Berne. Canadian-born psychiatrist (1910-1970) who originated transactional analysis, naming the method in 1958 and developing the ego-state model, the analysis of transactions and games, and life-script theory. Wikipedia - Wikidata

Richard G. Erskine. Clinical psychotherapist and director of training at the Institute for Integrative Psychotherapy who extended transactional analysis toward integrative and relational practice and the theory of ego-state relational needs. Google Scholar - Faculty page

Thomas A. Harris. American psychiatrist and colleague of Berne (1910-1995) who popularized transactional analysis through the four life positions in his 1969 bestseller on the OK/not-OK stances. Wikipedia - Wikidata

Biljana van Rijn. Faculty head of applied research and clinical practice at the Metanoia Institute in London who conducts practice-based effectiveness research on transactional-analysis and integrative psychotherapy. ORCID - Google Scholar - Faculty page

Claude M. Steiner. French-born psychotherapist and close associate of Berne (1935-2017) who systematized script theory and the concept of strokes and the stroke economy. Wikipedia - Wikidata

Joel Vos. Counselling psychologist and researcher in meaning-centred and evidence-based psychotherapy who led the recent focused review and meta-analysis of transactional-analysis outcomes. ORCID - Google Scholar - Faculty page

Mark Widdowson. Senior lecturer in counselling and psychotherapy at the University of Salford who led the adjudicated case-study programme on transactional-analysis psychotherapy for depression and authored its treatment manual. Faculty page

Frequently Asked Questions

What is transactional analysis?
It is a theory of personality and a method of psychotherapy, developed by Eric Berne in the late 1950s, that models people as acting from three ego states (Parent, Adult, and Child) and analyzes the transactions, games, and life scripts that pass between them (Berne, 1958).

What are the three ego states?
The Parent is behavior and feeling copied from parents and authority figures; the Adult is the state that appraises present reality dispassionately; and the Child is the feeling, spontaneous, and adapted material retained from one's own childhood. A person shifts between them from moment to moment (Berne, 1961).

What is a transaction, and what makes one crossed?
A transaction is a stimulus from one person's ego state and the response from another's. It is complementary, and communication continues, when the state addressed is the state that answers; it is crossed, and communication stalls, when the reply comes from an unexpected state (Berne, 1961).

What does game mean in transactional analysis?
A game is a technical term for a recurring series of ulterior transactions (exchanges with a hidden message beneath the social one) that runs to a predictable, usually painful, emotional payoff, and is played largely out of awareness (Berne, 1964).

What is a life script?
A life script is an unconscious plan for one's life, decided in childhood on the basis of early experience and then lived out toward a predetermined outcome. Making the script conscious so it can be re-decided by the Adult is the deepest aim of the therapy (Berne, 1972).

What are the four life positions?
Popularized by Thomas Harris, they are the stances formed by combining a sense of oneself as OK or not OK with a sense of others as OK or not OK: the healthy self-OK, other-OK stance and three troubled positions that underlie corresponding scripts and games (Harris, 1969).

Does transactional analysis actually work?
Its evidence long trailed its popularity, but adjudicated case studies and a recent systematic review and meta-analysis report consistent improvement for depression and anxiety, while noting that controlled trials remain few, so the honest summary is that it is promising and improving (Vos & van Rijn, 2022).

How is transactional analysis different from ordinary psychoanalysis?
TA keeps psychoanalysis's convictions about early experience and out-of-awareness patterns but relocates the evidence to observable transactions, states its concepts in plain language, uses an explicit therapeutic contract, and is often conducted in groups so patterns can be examined as they happen (Solomon, 2003).

References

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Berne, E. (1964). Games people play: The psychology of human relationships. Grove Press.

Berne, E. (1972). What do you say after you say hello? The psychology of human destiny. Grove Press.

Cornell, W. F., de Graaf, A., Newton, T., & Thunnissen, M. (Eds.). (2016). Into TA: A comprehensive textbook on transactional analysis. Karnac Books.

Dusay, J. M. (1972). Egograms and the “constancy hypothesis.” Transactional Analysis Journal, 2(3), 37-41. https://doi.org/10.1177/036215377200200313

Harris, T. A. (1969). I'm OK—You're OK. Harper & Row.

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Solomon, C. (2003). Transactional analysis theory: The basics. Transactional Analysis Journal, 33(1), 15-22. https://doi.org/10.1177/036215370303300103

Steiner, C. M. (1974). Scripts people live: Transactional analysis of life scripts. Grove Press.

Vos, J., & van Rijn, B. (2021). The evidence-based conceptual model of transactional analysis: A focused review of the research literature. Transactional Analysis Journal, 51(2), 160-201. https://doi.org/10.1080/03621537.2021.1904364

van Rijn, B., & Wild, C. (2013). Humanistic and integrative therapies for anxiety and depression: Practice-based evaluation of transactional analysis, gestalt, and integrative psychotherapies and person-centered counseling. Transactional Analysis Journal, 43(2), 150-163. https://doi.org/10.1177/0362153713499545

Vos, J., & van Rijn, B. (2022). The effectiveness of transactional analysis treatments and their predictors: A systematic literature review and explorative meta-analysis. Journal of Humanistic Psychology. Advance online publication. https://doi.org/10.1177/00221678221117111

Widdowson, M. (2014). Transactional analysis psychotherapy for a case of mixed anxiety and depression: A pragmatic adjudicated case study — “Alastair.” International Journal of Transactional Analysis Research, 5(2), 66-76. https://doi.org/10.29044/v5i2p66

Widdowson, M. (2015). Transactional analysis for depression: A step-by-step treatment manual. Routledge.

Widdowson, M. (2023). Transactional analysis: 100 key points and techniques (2nd ed.). Routledge.