Case Formulation

Author(s):  
Gail Steketee ◽  
Randy O. Frost

Chapter 4 encourages clinicians to work with clients to develop a clear formulation of how their hoarding and acquiring symptoms developed and why they persist. The conceptual formulation includes discussion of reasons for saving to clarify clients’ thoughts and beliefs about possessions. Clients learn to complete a brief Thought Record and fill out a form to identify locations and times of problematic acquiring. Extensive clinician-client dialog in case vignettes illustrates how to collect information to complete the conceptual model that will guide treatment. Included in the model is information about family and personal vulnerabilities to hoarding, cognitive processing problems, thoughts and beliefs, and positive and negative emotions that drive hoarding and acquiring behaviors. A graphic illustration of a hoarding model is provided, along with instructions for developing a functional analysis of acquiring behavior.

Author(s):  
Gail Steketee ◽  
Randy O. Frost

Chapter 3 encourages clients to learn to develop their own model for understanding why hoarding and acquiring symptoms developed and persist. The formulation includes personal and family vulnerability factors, cognitive processing problems, reasons for saving possessions, and positive and negative emotions that encourage hoarding and acquiring behaviors. A brief Thought Record helps identify problematic thinking about saving and acquiring. A graphic illustration of a hoarding model and instructions for developing a functional analysis of acquiring behavior are provided. Homework strategies are included.


2018 ◽  
Vol 7 (1) ◽  
pp. 62-83
Author(s):  
Marie-Mathilde Dupont-Leclerc ◽  
Serge Lecours

Alexithymia is a personality trait characterized by difficulties identifying and describing emotions. Suffering from a deficit in the cognitive processing of emotions, alexithymic individuals are unable to symbolize their emotions. Even though emotional elaboration is one of the core aspects of alexithymia, it has not been thoroughly investigated. Few studies have reported quantitative features of alexithymic’s discourse. However, the qualitative properties of alexithymic emotional discourse and the difference in symbolization between positive and negative emotions remain to be investigated. This study aims to examine how individuals with alexithymia symbolize their subjective emotional experiences by defining the characteristics of their discourse related to positive and negative emotions. A sample of 9 clinically alexithymic individuals rated on the TAS-20 was interviewed about a typical experience of joy and sadness. Data were analysed using interpretative phenomenological analysis. Themes associated with sadness revealed that alexithymic individuals tend to avoid contact with sadness. They also perceived sadness as an imposed state by external events. Themes associated with joy revealed that this emotion seemed easier to share with peers. Moreover, joy seemed easier to express and symbolize for alexithymic individuals than sadness. This comprehensive description of alexithymic emotional discourse allows to better understand the symbolization of emotions according to their valence and to better recognize alexithymic ways of expressing emotions.


2003 ◽  
Vol 19 (3) ◽  
pp. 164-174 ◽  
Author(s):  
Stephen N. Haynes ◽  
Andrew E. Williams

Summary: We review the rationale for behavioral clinical case formulations and emphasize the role of the functional analysis in the design of individualized treatments. Standardized treatments may not be optimally effective for clients who have multiple behavior problems. These problems can affect each other in complex ways and each behavior problem can be influenced by multiple, interacting causal variables. The mechanisms of action of standardized treatments may not always address the most important causal variables for a client's behavior problems. The functional analysis integrates judgments about the client's behavior problems, important causal variables, and functional relations among variables. The functional analysis aids treatment decisions by helping the clinician estimate the relative magnitude of effect of each causal variable on the client's behavior problems, so that the most effective treatments can be selected. The parameters of, and issues associated with, a functional analysis and Functional Analytic Clinical Case Models (FACCM) are illustrated with a clinical case. The task of selecting the best treatment for a client is complicated because treatments differ in their level of specificity and have unequally weighted mechanisms of action. Further, a treatment's mechanism of action is often unknown.


Author(s):  
Lukasz D. Kaczmarek ◽  
Todd B. Kashdan ◽  
Maciej Behnke ◽  
Martyna Dziekan ◽  
Ewelina Matuła ◽  
...  

AbstractWhen individuals communicate enthusiasm for good events in their partners' lives, they contribute to a high-quality relationship; a phenomenon termed interpersonal capitalization. However, little is known when individuals are more ready to react enthusiastically to the partner's success. To address this gap, we examined whether positive and negative emotions boost or inhibit enthusiastic responses to partner's capitalization attempts (RCA). Participants (N = 224 individuals) responded to their partner's success. Before each capitalization attempt (operationalized as responses following the news that their partner won money in a game), we used video clips to elicit positive (primarily amusement) or negative (primarily anger) or neutral emotions in the responder. We recorded emotional valence, smiling intensity, verbal RCA, and physiological reactivity. We found indirect (but not direct) effects such that eliciting positive emotions boosted and negative emotions inhibited enthusiastic RCA (smiling intensity and enthusiastic verbal RCA). These effects were relatively small and mediated by emotional valence and smiling intensity but not physiological reactivity. The results offer novel evidence that positive emotions fuel the capitalization process.


2020 ◽  
Vol 28 (4) ◽  
pp. 349-360
Author(s):  
Syed Muhammad Fazal-e-Hasan ◽  
Hormoz Ahmadi ◽  
Gary Mortimer ◽  
Harjit Sekhon ◽  
Husni Kharouf ◽  
...  

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