Case Conceptualizations

2020 ◽  
pp. 3-25
Author(s):  
Len Sperry ◽  
Jon Sperry
2007 ◽  
Author(s):  
Rebecca M. Redington ◽  
Mai M. Kindaichi ◽  
Cristina Dorazio ◽  
Madonna G. Constantine

Author(s):  
Len Sperry ◽  
Jonathan Sperry

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.


2021 ◽  
pp. 123-133
Author(s):  
Len Sperry ◽  
Jon Sperry

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.


Author(s):  
Sally H. Barlow

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.


2017 ◽  
Vol 45 (6) ◽  
pp. 577-589
Author(s):  
Fiona Mathieson ◽  
Jennifer Jordan ◽  
Paul Merrick ◽  
Maria Stubbe

Background:There is increasing interest in the use of metaphor in cognitive behaviour therapy. Experts advocate bringing client metaphors into case conceptualizations, but there is little empirical research to support this.Aims:This study evaluated the effect of training 12 therapists to attend to client metaphors and bring them into case conceptualizations.Method:Pre- and post-training role-played therapy sessions were conducted and video-recorded. Alliance was rated by role play ‘clients’ and an external expert rated the quality of the sessions and of the shared conceptualizations.Results:There were significant increases in some ratings of alliance, based on role play ‘client’ ratings and external ratings of role plays of therapy sessions before and after training. The greater the difference between therapist and ‘client’ on a measure of preference for producing metaphor, the lower the rating of the session by the ‘client’ on theBondfactor score of an alliance measure, the Working Alliance Inventory. This result suggests that working metaphorically may be most effective when the therapist and client have a similar degree of preference for speaking metaphorically.Conclusion:This study provides preliminary support for the idea that attending to client metaphors during conceptualization can be beneficial for alliance.


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