Case Conceptualization and the Effective Treatment of Personality Disorders

2016 ◽  
pp. 36-50
Keyword(s):  
Effective Treatment ◽  
Personality Disorders ◽  
Case Conceptualization

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.

The schema mode model for personality disorders

2014 ◽  
Vol 11 (02) ◽  
pp. 78-86
Author(s):  
E. Fassbinder ◽  
U. Schweiger ◽  
G. Jacob ◽  
A. Arntz
Keyword(s):  
Personality Disorders ◽  
Individual Case ◽  
Theoretical Background ◽  
Therapeutic Interventions ◽  
Special Focus ◽  
Specific Situation ◽  
Case Conceptualization ◽  
Practical Application ◽  
Behavioral Techniques ◽  
Present Mode

SummarySchema therapy (ST) based on the schema mode approach is currently one of the major developments in the treatment of personality disorders (PD). ST is a transdiagnostic approach, but also provides disorder-specific models for most PDs. The mode model gives a clear structure for the development of an individual case conceptualization, in which all current symptoms and interpersonal problems of the patient and the connection with their biographical context can be accommodated. The therapeutic interventions are adapted to the present mode in the specific situation. In addition to cognitive and behavioral techniques there is a special focus on experiential techniques (especially chair dialogues and imagery rescripting) and on specific features of the therapeutic relationship (‘limited reparenting’). This paper provides an overview of the theoretical background and practical application of schema mode-based ST for PDs. An individual case conceptualization and the therapeutic techniques are illustrated with a case example of a patient with histrionic PD.

Personality Disorders

2018 ◽  
pp. 464-486
Author(s):  
Stephanie L. Rojas ◽  
Thomas A. Widiger
Keyword(s):  
Substance Use ◽  
Personality Disorders ◽  
Young Adulthood ◽  
Adult Life ◽  
Monitoring And Evaluation ◽  
Treatment Monitoring ◽  
Assessment Instruments ◽  
Case Conceptualization ◽  
Obsessive Compulsive ◽  
Scientific Support

Abstract: The 10 personality disorders are the paranoid, schizoid, and schizotypal; the histrionic, antisocial, borderline, and narcissistic; and the avoidant, dependent, and obsessive–compulsive. By definition, personality disorders must be evident since adolescence or young adulthood and have been relatively chronic and stable throughout adult life. As such, they often predate the occurrence of other mental disorders, such as a mood, anxiety, or substance use disorder. This chapter focuses on the assessment of personality disorders in adults. It begins with a review of the nature of the disorders, which is followed by a review of clinical assessment instruments designed for the assessment purposes of (a) diagnosis, (b) case conceptualization and treatment planning, and (c) treatment monitoring and evaluation. Recommendations are included for instruments with the greatest scientific support and for assessing personality disorders in a clinically sensitive manner.

Psychotherapy and Health Insurance

1983 ◽  
Vol 17 (1) ◽  
pp. 68-72 ◽  
Author(s):  
Gavin Andrews
Keyword(s):  
Health Insurance ◽  
Effective Treatment ◽  
Personality Disorders ◽  
Peer Review ◽  
Review Process ◽  
Peer Review Process ◽  
Insurance Industry ◽  
Australian Health ◽  
Health Insurance Industry

The Australian health insurance industry has been critical of psychiatry. The data on patterns of claims which have been the focus for some of their concerns are reviewed. The evidence on the efficacy of psychotherapy is also reviewed. Psychotherapy has been shown to be an effective treatment for persons with incapacitating neurotic and personality disorders, a treatment too important to be endangered by dissent over health insurance payments. Proposals for a peer review process for long term psychotherapy are mooted in the expectation that agreement between the health insurance industry and psychiatry would benefit those patients in need of psychotherapy.

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.

Qualitative Examination of Children's Naming Skills through Test Adaptations

1987 ◽  
Vol 18 (3) ◽  
pp. 206-216 ◽  
Author(s):  
Melanie Fried-Oken
Keyword(s):  
Effective Treatment ◽  
Language Disorder ◽  
Treatment Goals ◽  
Expressive Vocabulary ◽  
Qualitative Information ◽  
Word Finding ◽  
Confrontation Naming ◽  
Naming Test

A new procedure entitled the Double Administration Naming Technique is proposed to assist the clinician in obtaining qualitative information about a client's visual confrontation naming skills. It involves the administration of the standard naming test followed by a readministration of the instrument. A series of naming cues then are presented. By examining the number and types of naming errors produced during the two test presentations, the clinician distinguishes word-finding problems from expressive vocabulary limitations and qualitatively describes the language disorder. The cues that facilitate correct naming are used to plan effective treatment goals.

Tools & Resources: Impairment and Disability Web Sites

1999 ◽  
Vol 4 (6) ◽  
pp. 5-6
Keyword(s):  
Personality Disorder ◽  
Personality Disorders ◽  
Interpersonal Relationships ◽  
Web Sites ◽  
Outpatient Psychotherapy ◽  
Obsessive Compulsive ◽  
Not Otherwise Specified ◽  
Cluster B Personality Disorders ◽  
Clinically Significant ◽  
And Behavior

Abstract Personality disorders are enduring patterns of inner experience and behavior that deviate markedly from those expected by the individual's culture; these inflexible and pervasive patterns reflect issues with cognition, affectivity, interpersonal functioning and impulse control, and lead to clinically significant distress or impairment in social, occupational, or other important areas of functioning. The AMA Guides to the Evaluation of Permanent Impairment, Fourth Edition, defines two specific personality disorders, in addition to an eleventh condition, Personality Disorder Not Otherwise Specified. Cluster A personality disorders include paranoid, schizoid, and schizotypal personalities; of these, Paranoid Personality Disorder probably is most common in the legal arena. Cluster B personality disorders include antisocial, borderline, histrionic, and narcissistic personality. Such people may suffer from frantic efforts to avoid perceived abandonment, patterns of unstable and intense interpersonal relationships, an identity disturbance, and impulsivity. Legal issues that involve individuals with cluster B personality disorders often involve determination of causation of the person's problems, assessment of claims of harassment, and assessment of the person's fitness for employment. Cluster C personality disorders include avoidant, dependent, and obsessive-compulsive personality. Two case histories illustrate some of the complexities of assessing impairment in workers with personality disorders, including drug abuse, hospitalizations, and inpatient and outpatient psychotherapy.

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