case conceptualizations
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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):  
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. 48-62
Author(s):  
Len Sperry ◽  
Jon Sperry

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.


2021 ◽  
pp. 63-77
Author(s):  
Len Sperry ◽  
Jon Sperry

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.


2021 ◽  
pp. 38-47
Author(s):  
Len Sperry ◽  
Jon Sperry

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.


Author(s):  
Amie R. Newins ◽  
Laura C. Wilson

Addressing disclosures of sexual assault in an empathic manner while being efficient with time is a crucial assessment skill for clinicians to develop. This chapter provides a case example of an intake evaluation with a survivor of sexual assault. The authors provide recommendations for handling discrepancies in reporting across measures, limiting the level of detail obtained during an assessment, using the client’s language to describe the experience, discussing social reactions to disclosures, and presenting case conceptualizations that link the client’s sexual assault to their current mental health symptoms. The importance of these recommendations is discussed along with the case example.


2020 ◽  
pp. 3-25
Author(s):  
Len Sperry ◽  
Jon Sperry

2020 ◽  
pp. 74-86
Author(s):  
Len Sperry ◽  
Jon Sperry

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