Theoretical and Evidence-Based Approaches to Case Formulation

2011 ◽  
pp. 1-32 ◽  
Author(s):  
Tracy D. Eells ◽  
Kenneth G. Lombart
Keyword(s):  
Evidence Based ◽  
Case Formulation

Behavioural Foundations of DBT

2017 ◽  
pp. 68-90
Author(s):  
Alexander L. Chapman
Keyword(s):  
Evidence Based ◽  
Case Formulation ◽  
Behaviour Therapy ◽  
Dialectical Behaviour Therapy ◽  
Behavioural Theory ◽  
Evaluation Of Evidence ◽  
Ongoing Assessment

This chapter discusses and illustrates how behavioural theory and science guide many aspects of Dialectical Behaviour Therapy (DBT). Behavioural theory informs the DBT approach to case formulation, the ongoing assessment of behaviour throughout therapy, and the selection, implementation, and evaluation of evidence-based interventions. As described later in this chapter, behavioural theory also influences the style and “flavour” of DBT sessions. As the focus of the first stage of DBT often focuses on the treatment of suicidal and self-injurious behaviour, the chapter emphasizes these behaviours via several examples, and also touches upon some other common behaviours targeted in DBT.

Case Formulation Models with Children, Adolescents, and Their Families

2012 ◽  
pp. 63-90
Author(s):  
Alfred J. Finch ◽  
John E. Lochman ◽  
W. Michael Nelson III ◽  
Michael C. Roberts
Keyword(s):  
Decision Making ◽  
Theoretical Orientation ◽  
Psychological Testing ◽  
Evidence Based ◽  
Maladaptive Behaviors ◽  
Case Formulation ◽  
Case Conceptualization ◽  
Problematic Behavior ◽  
Relevant Evidence ◽  
Careful Assessment

Chapter 4 discusses how case formulation helps therapists take an active and directive role in the collaborative endeavor of psychotherapy, how problems are defined, the types of changes that can be expected, and how to reach these goals, which all derive from the therapist's conceptualization of the case. It also discusses how case conceptualization is the framework for providing interventions that flexibly meet the specific needs of the client and guide the therapist's decision making, based on a knowledgeable appreciation of relevant evidence-based interventions. It then covers how formal psychological testing and the care in which a thorough assessment is made not only differ among practitioners, but how they can be heavily influenced by their theoretical orientation. It also covers the different views of dealing with problematic behavior, including either a failure to learn the necessary adaptive behaviors or competencies, or the learning of ineffective or maladaptive behaviors, and how careful assessment is necessary, including definition, observation, and recording of behaviors needing modification.

Dissemination and Implementation of Evidence-Based Assessment

2018 ◽  
pp. 17-31
Author(s):  
Amanda Jensen-Doss ◽  
Lucia M. Walsh ◽  
Vanesa Mora Ringle
Keyword(s):  
Public Health ◽  
Clinical Practice ◽  
Therapeutic Relationship ◽  
Clinical Assessment ◽  
Routine Clinical Practice ◽  
Dissemination And Implementation ◽  
Clinical Settings ◽  
Assessment Practices ◽  
Evidence Based ◽  
Case Formulation

Abstract: The goal of evidence-based practice in psychology (EBPP) is to improve public health through the application of research-supported assessment, case formulation, therapeutic relationship, and treatment approaches. Although EBPP is defined broadly, many efforts to improve practice have focused on treatment, with less attention paid to other aspects of practice. In this chapter, it is argued that significant work is needed to encourage the dissemination of information about evidence-based assessment (EBA) and its implementation in routine clinical practice. The chapter discusses how EBA differs from usual clinical assessment practices and describes efforts to increase the use of EBA. Finally, the chapter presents suggestions for steps that must be taken to advance the use of EBA in clinical settings.

scholarly journals Measurement and psychotherapy

2000 ◽  
Vol 177 (2) ◽  
pp. 123-130 ◽  
Author(s):  
Frank R. Margison ◽  
Michael Barkham ◽  
Chris Evans ◽  
Graeme McGrath ◽  
John Mellor Clark ◽  
...  
Keyword(s):  
Evidence Based Practice ◽  
Management Practice ◽  
Outcome Measurement ◽  
Psychotherapy Research ◽  
Clinical Effectiveness ◽  
Practice Research ◽  
Routine Practice ◽  
Evidence Based ◽  
Case Formulation ◽  
Professional Self

BackgroundMeasurement is the foundation of evidence-based practice. Advances in measurement procedures should extend to psychotherapy practice.AimsTo review the developments in measurement relevant to psychotherapy.MethodDomains reviewed are: (a) interventions; (b) case formulation; (c) treatment integrity; (d) performance (including adherence, competence and skilfulness); (e) treatment definitions; (f) therapeutic alliance; and (g) routine outcome measurement.ResultsModern methods of measurement can support ‘evidence-based practice’ for psychological treatments. They also support ‘practice-based evidence’, a complementary paradigm to improve clinical effectiveness in routine practice via the infrastructure of Practice Research Networks (PRNs).ConclusionsAdvances in measurement derived from psychotherapy research support a model of professional self-management (practice-based evidence) which is widely applicable in psychiatry and medicine.

Evidence-Based Treatment for Hoarding Disorder

2013 ◽  
pp. 13-22
Author(s):  
Gail Steketee ◽  
Randy O. Frost
Keyword(s):  
Motivational Interviewing ◽  
Cognitive Therapy ◽  
Combination Treatment ◽  
Cognitive Strategies ◽  
Skills Training ◽  
Evidence Based ◽  
Case Formulation ◽  
Hoarding Disorder ◽  
Interviewing Skills ◽  
Therapy Interventions

Chapter 2 includes a detailed description of a model for understanding hoarding disorder. This is followed by a brief review of recent research on specialized behavioural and cognitive strategies developed specifically to address hoarding problems derived from the model. These strategies include case formulation, treatment planning, motivational interviewing, skills training, practicing non-acquiring and discarding, and cognitive therapy interventions. This combination treatment has shown good, outcomes in studies of individual and group formats. The basic outline of the method and therapy format is noted and forms the basis for the next chapters in this therapist guide.

scholarly journals Evidence-Based Practices in Cognitive Behaviour Therapy (CBT) Case Formulation: What Do Practitioners Believe is Important, and What Do They Do?

2018 ◽  
Vol 35 (1) ◽  
pp. 1-21 ◽  
Author(s):  
Penelope Huisman ◽  
Maria Kangas
Keyword(s):  
Online Survey ◽  
Factor Model ◽  
Behavioural Therapy ◽  
Evidence Based ◽  
Case Formulation ◽  
Behaviour Therapy ◽  
Clinician Training ◽  
Cognitive Behavioural ◽  
Cognitive Behaviour ◽  
Integral Process

Objective: In cognitive behavioural therapy (CBT), case formulation (CF) is an integral process in ensuring clinicians’ work is grounded in evidence-based practice (EBP). The objective of this study was to evaluate psychologists’ perceptions and self-reported applications of CBT-CF, and whether these differed according to clinician experience, training, and professional accreditation. Method: A scale was developed to assess CF beliefs and applications by clinicians who had been practising CBT for a minimum of 6 months. The development of scale items was based on two CBT-CF conceptual models. Seventy-nine psychologists registered in Australia took part in this online survey. Results: Psychologists’ beliefs pertaining to CBT CF supported a three-factor model. On average, psychologists perceived all activities related to CF at least moderately important, and were implemented at least some of the time. However, activities related to use of external evidence were rated as less important, and less frequently implemented. Clinical psychologists endorsed theory and EBP in structuring CF as more important, which also translated into self-reported practice of CF CBT implementation relative to generalist psychologists. Conclusions: The findings indicate some gaps in the knowledge and application of CF CBT in clinical practice and has implications in strengthening clinician training in CF CBT.

The Use of Family and Individual Cognitive Behavioral Therapy with a Patient with Anorexia Nervosa

2013 ◽  
pp. 361-392
Author(s):  
Barbara Cubic
Keyword(s):  
Anorexia Nervosa ◽  
Cognitive Behavioral Therapy ◽  
Behavioral Therapy ◽  
Treatment Plan ◽  
Cognitive Behavioral ◽  
Behavior Patterns ◽  
Evidence Based ◽  
Case Formulation ◽  
Core Knowledge ◽  
Assessment And Treatment

Chapter 14 covers treatment of a patient with anorexia nervosa, and the use of individual and family cognitive behavioral therapy (CBT) in the treatment plan. It focuses on a case example of a patient with anorexia nervosa to illustrate both evidence-based assessment and treatment. It includes demographic and referral information, assessment strategy, clinical interview information, assessment data, evidence-based case formulation, treatment and the need for family therapy, treatment outcomes, key principles and core knowledge used to approach the case, typical behavior patterns, epidemiological considerations, evidence for the intervention model, alternative options, case non-specifics, strategies to deal with therapy complications, ethical considerations, common mistakes to avoid in treatment, relapse prevention, and case conclusions.

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