Brief Case Conceptualizations

2021 ◽  
pp. 48-62
Author(s):  
Len Sperry ◽  
Jon Sperry
Keyword(s):  
Second Order ◽  
Predisposing Factors ◽  
Treatment Goals ◽  
Case Conceptualization ◽  
Step Process ◽  
Presenting Symptoms ◽  
Process Pattern ◽  
Case Vignettes ◽  
Case Conceptualizations

This chapter examines a brief case conceptualization strategy that is summarized in five steps. It reviews how pattern is formulated throughout the five-step process. Pattern links the client’s presenting symptoms to the precipitating event and is driven by the predisposing factors and perpetuants. Pattern also informs the second-order treatment goals and interventions as well as the likely treatment obstacles and challenges. The chapter summarizes the following five-step strategy: Step 1: Specify presenting problem and precipitants; Step 2: Identify maladaptive pattern; Step 3: Identify predisposing factors and perpetuants; Step 4: Specify treatment goals and interventions; and Step 5: Specify obstacles, challenges, and facilitators. The chapter concludes with two case vignettes that demonstrate the five-step brief case conceptualization strategy.

Full-Scale Case Conceptualizations

2021 ◽  
pp. 78-104
Author(s):  
Len Sperry ◽  
Jon Sperry
Keyword(s):  
Protective Factors ◽  
Full Scale ◽  
Predisposing Factors ◽  
Treatment Goals ◽  
Case Conceptualization ◽  
Treatment Interventions ◽  
Step Process ◽  
Presenting Symptoms ◽  
Process Pattern ◽  
Case Vignettes

This chapter examines a full-scale case conceptualization strategy that is summarized in eight steps. It reviews how pattern is formulated throughout the eight-step process. Pattern links the client’s presenting symptoms to the precipitating event and is driven by the predisposing factors and perpetuants. Pattern also informs the second-order treatment goals and interventions, as well as the likely treatment obstacles and challenges. The chapter informs readers to apply the following eight-step strategy with two case vignettes: Step 1: Specify presenting problem and precipitants; Step 2: Identify maladaptive pattern; Step 3: Identify predisposing factors and perpetuants; Step 4: Specify a cultural formulation; Step 5: Specify the client’s relevant protective factors and strengths; Step 6: Specify treatment goals; Step 7: Specify treatment interventions; and Step 8: Specify obstacles, challenges, and facilitators. The chapter concludes with two case vignettes that demonstrate the eight-step full-scale conceptualization strategy.

Brief Case Conceptualization Practice

2021 ◽  
pp. 63-77
Author(s):  
Len Sperry ◽  
Jon Sperry
Keyword(s):  
Predisposing Factors ◽  
Treatment Goals ◽  
Case Conceptualization ◽  
Case Vignettes ◽  
Case Conceptualizations ◽  
Behavioral Markers ◽  
First Session

Brief case conceptualizations are useful in various clinical contexts. This type of conceptualization can be completed quickly after the first session because there are only six behavioral markers for the practitioner to formulate. In this chapter, the five-step brief case conceptualization strategy is demonstrated with two case vignettes. The strategy includes the following five steps: Step 1: Specify presenting problem and precipitants; Step 2: Identify maladaptive pattern; Step 3: Identify predisposing factors and perpetuants; Step 4: Specify treatment goals and interventions; and Step 5: Specify obstacles, challenges, and facilitators. Readers will formulate the case through the brief case conceptualization worksheet and then will write a brief case conceptualization narrative. After each case, the chapter provides exemplar responses for each of the case vignettes.

Full-Scale Case Conceptualization Practice

2021 ◽  
pp. 105-122
Author(s):  
Len Sperry ◽  
Jon Sperry
Keyword(s):  
Protective Factors ◽  
Full Scale ◽  
Predisposing Factors ◽  
Treatment Goals ◽  
Case Conceptualization ◽  
Cultural Formulation ◽  
Treatment Interventions ◽  
Case Vignettes

This chapter demonstrates the eight-step full-scale case conceptualization strategy using two case vignettes. The chapter summarizes the following eight-step strategy: Step 1: Specify presenting problem and precipitants; Step 2: Identify maladaptive pattern; Step 3: Identify predisposing factors and perpetuants; Step 4: Specify a cultural formulation; Step 5: Specify the client’s relevant protective factors and strengths; Step 6: Specify treatment goals; Step 7: Specify treatment interventions; and Step 8: Specify obstacles, challenges, and facilitators. The readers will formulate the cases through the full-scale case conceptualization worksheet and then will write a full-scale case conceptualization narrative for each case. Exemplar responses for each of the two case vignettes are provided.

The 15 Minute Case Conceptualization

2021 ◽  
Author(s):  
Len Sperry ◽  
Jonathan Sperry
Keyword(s):  
Mental Health ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Premature Termination ◽  
Clinical Skills ◽  
Evidence Based ◽  
Case Conceptualization ◽  
Highly Effective ◽  
Case Conceptualizations ◽  
Overall Effectiveness

Once understood as useful but optional, case conceptualization is now considered essential and one of the most important of all clinical skills and competencies. As clinicians look for resources to assist in learning and mastering this competency, they must choose among different case conceptualization approaches. They would do well to give serious consideration to those that are both clinically effective and clinician friendly. A truly clinically effective approach explains and guides treatment, and most importantly, predicts challenges and obstacles that are likely to arise over the course of treatment. Most approaches emphasize the functions of explanation and guiding treatment, but seldom include third function which help anticipates likely challenges, which if not proactively addressed are likely to result in therapy interference or premature termination. This function is essential in determining the course and overall effectiveness of therapy. A truly clinician-friendly approach is one that is quick to use and easy to master, and very few approaches can make this claim. The 15 Minute Case Conceptualization is the only approach that is both highly effective and clinician friendly. Research confirms that such case conceptualizations can be completed in only 15 minutes. It is an evidence-based, step-by-step approach that therapists and other mental health professionals need and want.

The Clinical Value of Couple and Family Case Conceptualizations

2021 ◽  
pp. 123-133
Author(s):  
Len Sperry ◽  
Jon Sperry
Keyword(s):  
Effective Treatment ◽  
Individual Case ◽  
Family Interaction ◽  
Interaction Patterns ◽  
Case Conceptualization ◽  
Clinical Value ◽  
Couple Interaction ◽  
Family Patterns ◽  
Family Case ◽  
Case Conceptualizations

Clinicians who work primarily with individual clients and have developed competency with case conceptualizations can provide effective treatment. However, when they work with clients for whom couple and family dynamics are prominent, having an individual case conceptualization can be useful but limited. This chapter discusses the value of adding couple and family case conceptualizations. It describes how to incorporate couple interaction patterns and family interaction patterns in the case conceptualization process. A case example that captured and held national attention for more than 1 year is presented. It illustrates the pattern-focused approach for incorporating individual, couple, and family patterns into a composite case conceptualization.

Group Formulation and Case Conceptualization

2013 ◽  
pp. 76-90
Author(s):  
Sally H. Barlow
Keyword(s):  
Intervention Strategies ◽  
Case Conceptualization ◽  
Group Case ◽  
Case Conceptualizations

Chapter 4 explores individual and group formulations or group case conceptualizations that take a group member’s personal and interpersonal issues into account in a consistent, thoughtful way that utilizes a theory with clear intervention strategies to bring about change.

scholarly journals Orbital Schwannoma

2020 ◽  
Vol 81 (04) ◽  
pp. 376-380
Author(s):  
Mark B. Chaskes ◽  
Mindy R. Rabinowitz
Keyword(s):  
Surgical Excision ◽  
Treatment Goals ◽  
Resonance Imaging ◽  
Recurrence Rates ◽  
Complete Excision ◽  
Representative Case ◽  
Presenting Symptoms ◽  
Complete Surgical Excision ◽  
Imaging Characteristics ◽  
Magnetic Resonance Imaging Mri

AbstractOrbital schwannomas are rare neoplasms of the orbit. The presenting symptoms are often nonspecific. Classic imaging characteristics seen on magnetic resonance imaging (MRI) and orbital ultrasound can be useful to help aid in the diagnosis of orbital schwannoma. When diagnosed, the goal of treatment is complete surgical excision. The location of the tumor within the orbit dictates which surgical approach would provide the best exposure. When complete excision is achieved, recurrence rates are very low.This article addresses the etiology, patient population, presentation, natural history, and differential diagnosis of orbital schwannomas. Imaging characteristics and histopathologic subtypes are reviewed. Treatment goals, approaches, and specialties involved in the management of these patients is discussed. Finally, a representative case is presented.

scholarly journals Approach to Neurological Channelopathies and Neurometabolic Disorders in Newborns

Life ◽  
2021 ◽  
Vol 11 (11) ◽  
pp. 1244
Author(s):  
Inn-Chi Lee
Keyword(s):  
Premature Death ◽  
Critical Issue ◽  
Organ System ◽  
Step Process ◽  
Seizure Disorders ◽  
Presenting Symptoms ◽  
Developmental Regression ◽  
Neurometabolic Disorders ◽  
Neurological Channelopathies

Ion channel disorders (channelopathies) can affect any organ system in newborns before 2 months of life, including the skeletal muscle and central nervous system. Channelopathies in newborns can manifest as seizure disorders, which is a critical issue as early onset seizures can mimic the presentation of neurometabolic disorders. Seizures in channelopathies can either be focal or generalized, and range in severity from benign to epileptic encephalopathies that may lead to developmental regression and eventually premature death. The presenting symptoms of channelopathies are challenging for clinicians to decipher, such that an extensive diagnostic survey through a precise step-by-step process is vital. Early diagnosis of a newborn’s disease, either as a channelopathy or neurometabolic disorder, is important for the long-term neurodevelopment of the child.

scholarly journals Encrusted Pyelitis of Native Kidneys

2000 ◽  
Vol 11 (6) ◽  
pp. 1138-1140 ◽  
Author(s):  
ALEXANDRE HERTIG ◽  
CHRISTIAN DUVIC ◽  
YVES CHRETIEN ◽  
PAUL JUNGERS ◽  
JEAN-PIERRE GRÜNFELD ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Renal Failure ◽  
Urinary Tract ◽  
Selective Medium ◽  
Predisposing Factors ◽  
End Stage Renal Failure ◽  
Presenting Symptoms ◽  
Case Surgery ◽  
End Stage ◽  
Corynebacterium Urealyticum

Abstract. This study reports the first four cases of encrusted pyelitis involving native kidneys. The clinical features, management, and outcome of these patients were analyzed. Predisposing factors were underlying urologic disease and/or urologic manipulations, debilitating diseases, hospitalization, and prolonged antibiotic therapies. Presenting symptoms were renal failure in three patients with ureteroileal urinary diversion and manifestations of cystitis in one patient. Computed tomography scan of the urinary tract was critical for diagnosis. Presence of struvite was demonstrated by crystalluria and infrared spectrophotometry analysis of the encrusted material. Corynebacterium urealyticum urinary infection was identified in one case. Surgery (one patient) and palliative ureteral diversion (one patient), respectively, led to death and end-stage renal failure. Successful dissolution of encrusted pyelitis was obtained in two patients treated with intravenous vancomycin and local acidification of the renal collecting system. Clinical observation shows that encrusted pyelitis is a threatening disorder that destroys the native kidneys and may lead to end-stage renal failure. Successful treatment of the disease by chemolysis and antibiotics depends on correct and early diagnosis. Diagnosis required recognition of the predisposing factors, computed tomography imaging of the urinary tract, crystalluria, and identification of urea-splitting bacteria with prolonged culture on selective medium.

Case Conceptualization Basics and Assessment

2021 ◽  
pp. 38-47
Author(s):  
Len Sperry ◽  
Jon Sperry
Keyword(s):  
Protective Factors ◽  
Effective Treatment ◽  
Predictive Factors ◽  
Full Scale ◽  
Case Conceptualization ◽  
Behavioral Marker ◽  
Detailed Assessment ◽  
Case Conceptualizations ◽  
Pattern Presentation ◽  
Behavioral Markers

This chapter defines the behavioral markers that are included in a pattern-focused case conceptualization. Pattern-focused case conceptualization is a therapeutic strategy that can help clinicians conceptualize client issues, tailoring highly effective treatment, as well as guide them through moment-to-moment decisions made during a session. The chapter reviews the following behavioral markers that can be incorporated into both brief case conceptualizations and full-scale case conceptualizations: pattern, presentation, precipitant, predisposition, protective factors, perpetuants, personality–culture, plan, and predictive factors. The chapter defines each behavioral marker and also provides examples of each. Then, it reviews case conceptualization-informed assessment and also includes a detailed assessment that clinicians can use to inform their clinical evaluation.

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