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.

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 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.

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.

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.

The Science and Practice of Case Conceptualization

2008 ◽  
Vol 36 (6) ◽  
pp. 757-768 ◽  
Author(s):  
Willem Kuyken ◽  
Christine A. Padesky ◽  
Robert Dudley
Keyword(s):  
Protective Factors ◽  
Chemical Reactions ◽  
Evidence Base ◽  
Behavioural Therapy ◽  
Chemical Characteristics ◽  
Case Conceptualization ◽  
New Approach ◽  
Cognitive Behavioural ◽  
Client Strengths ◽  
Over Time

AbstractCase conceptualization is a foundation of cognitive-behavioural therapy (CBT) because it describes and explains clients' presentations in ways that inform interventions. Yet the evidence base challenges the claimed benefits of case conceptualization. This paper reviews the rationale and evidence base for case conceptualization and outlines a new approach that uses the metaphor of a case conceptualization crucible in which a client's particular history, experience and strengths are synthesized with theory and research to produce an original and unique account of clients' presenting issues. The crucible metaphor illustrates three key defining principles of case conceptualization. First, heat drives chemical reactions in a crucible. In our model, collaborative empiricism between therapist and client provides the heat. Second, like the chemical reaction in a crucible, conceptualization develops over time. Typically, it begins at more descriptive levels, later a conceptualization incorporates explanatory elements and, if necessary, it develops further to include a longitudinal explanation of how pre-disposing and protective factors influence client issues. Finally, new substances formed in a crucible are dependent on the chemical characteristics of the materials put into it. Rather than simply look at client problems, our model incorporates client strengths at every stage of the conceptualization process to more effectively alleviate client distress and promote resilience.

Prevention of the development and maintenance of paediatric chronic pain and disability

2013 ◽  
pp. 39-44 ◽  
Author(s):  
M. Gabrielle Pagé ◽  
Anna Huguet ◽  
Joel Katz
Keyword(s):  
Chronic Pain ◽  
Prognostic Factors ◽  
Protective Factors ◽  
Theoretical Models ◽  
Predisposing Factors ◽  
Clinical Implications ◽  
Essential Step

Understanding the predisposing factors that confer a greater risk of developing chronic pain is an essential step in pain prevention and management. This chapter focuses on current theoretical models that can inform prevention of paediatric pain and disability. We review the literature on known risk/protective factors, markers, correlates, and prognostic factors for the transition to chronic pain and disability across a variety of pain conditions. We distinguish between primary, secondary, and tertiary levels of pain prevention and discuss the clinical implications of this distinction.

Ethical Issues in Existential-Humanistic Psychotherapy

2019 ◽  
Author(s):  
Orah T. Krug ◽  
Troy Piwowarski
Keyword(s):  
Ethical Issues ◽  
Therapeutic Change ◽  
Treatment Model ◽  
Ethical Values ◽  
Human Beings ◽  
Ethical Challenges ◽  
Treatment Interventions ◽  
Case Vignettes ◽  
Humanistic Psychotherapy ◽  
Healing Model

A set of principles underlies Existential-Humanistic (E-H) therapy and guides the therapeutic change process. These principles uphold the ethical values of dignity of human beings and the sanctity of human connections. Moreover, their implementation, it is presumed, effectively transforms lives. The practice of E-H therapy presents ethical challenges for its practitioners because it relies not on a medical treatment model but rather on an existential-humanistic healing model. This model does not focus on diagnosing and treating symptoms. Instead, it supports an understanding of how each client is uniquely coping with his or her existence. Practicing therapy in this way may be more challenging ethically, precisely because there are no standardized protocols or treatment interventions to rely upon. In the first section of this chapter, four ethical principles of E-H therapy are paired with several potential ethical challenges arising from them. In subsequent sections, these principles and related challenges are explored more extensively, illuminated with relevant case vignettes.

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