Clinical Case Formulations Matching the Integrative Treatment Plan to the Client

ISBN-10: 0471743143
ISBN-13: 9780471743149
Edition: 2006
List price: $72.00
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Description: This innovative new text is designed to assist beginning therapists as they transition from the classroom to clinical settings by teaching case conceptualization skills step-by-step--from initial intake and data gathering through case formulation  More...

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Book details

List price: $72.00
Copyright year: 2006
Publisher: John Wiley & Sons, Incorporated
Publication date: 6/23/2006
Binding: Paperback
Pages: 696
Size: 7.00" wide x 10.00" long x 1.75" tall
Weight: 1.188
Language: English

This innovative new text is designed to assist beginning therapists as they transition from the classroom to clinical settings by teaching case conceptualization skills step-by-step--from initial intake and data gathering through case formulation and treatment planning. It presents a coherent model for integrating ideas from a range of theoretical frameworks and teaches a scientific method and critical thinking skills to enable students to customize treatment plans for individual clients and evaluate the effectiveness of those plans in terms of achieving specified outcome goals.

Tables
Preface
Case Formulation Skills Can Be Systematically Taught
Treatment Quality Is Enhanced by Integrating Different Approaches
Empirical Validation Can Come from Clinical, Single-Case Methodology Not Just from Random Clinical Trials
We Need to Address the Needs of Culturally and Religiously Diverse Clients
We Need a System to Communicate More Effectively with Case Managers in Managed Care and Insurance Companies
Acknowledgments
Getting Started
A Framework for Case Formulations
How Am I Going to Know What to Do?
Core Clinical Hypotheses
The Problem-Oriented Method
Tasks and Processes of Case Formulation
The Learning Process
Suggested Readings
Gathering Data
Data-Gathering Tasks
Intake Processes
Exploration of the Cognitive Domain
The Clinician as Objective Observer
Client History
Activities for Data Gathering
Homework Assignments as a Source of Data
Suggested Readings
Twenty-Eight Core Clinical Hypotheses
How to Approach the Hypotheses
Biological Hypotheses
Key Ideas for B1 Biological Cause
When Is B1 a Good Match for Your Client?
Treatment Planning for B1 Biological Cause
Integration of Hypotheses with B1 Biological Cause
Key Ideas for B2 Medical Interventions
When Is B2 a Good Match for Your Client?
Treatment Planning for B2 Medical Interventions
Integration of Hypotheses with B2 Medical Interventions
Key Ideas for B3 Mind-Body Connections
When Is B3 a Good Match for your Client?
Treatment Planning for B3 Mind-Body Connections
Integration of Hypotheses with B3 Mind-Body Connections
Suggested Readings
Crisis, Stressful Situations, and Transitions
Key Ideas for CS1 Emergency
When Is CS1 a Good Match for Your Client?
Treatment Planning for CS1 Emergency
Integration of Hypotheses with CS1 Emergency
Key Ideas for CS2 Situational Stressors
When Is CS2 a Good Match for Your Client?
Treatment Planning for CS2 Situational Stressors
Integration of Hypotheses with CS2 Situational Stressors
Key Ideas for CS3 Developmental Transition
When Is CS3 a Good Match for Your Client?
Treatment Planning for CS3 Developmental Transition
Integration of Hypotheses with CS3 Developmental Transition
Key Ideas for CS4 Loss and Bereavement
When Is CS4 a Good Match for Your Client?
Treatment Planning for CS4 Loss and Bereavement
Integration of Hypotheses with CS4 Loss and Bereavement
Suggested Readings
Behavioral and Learning Models
Key Ideas for BL1 Antecedents and Consequences
When Is BL1 a Good Match for Your Client?
Treatment Planning for BL1 Antecedents and Consequences
Integration of Hypotheses with BL1 Antecedents and Consequences
Key Ideas for BL2 Conditioned Emotional Response
When Is BL2 a Good Match for Your Client?
Treatment Planning for BL2 Conditioned Emotional Response
Integration of Hypotheses with BL2 Conditioned Emotional Response
Key Ideas for BL3 Skill Deficits or Lack of Competence
When Is BL3 a Good Match for Your Client?
Treatment Planning for BL3 Skill Deficits or Lack of Competence
Integration of Hypotheses with BL3 Skill Deficits or Lack of Competence
Suggested Readings
Cognitive Models
Key Ideas for C1 Utopian Expectations
When Is C1 a Good Match for Your Client?
Treatment Planning for C1 Utopian Expectations
Integration of Hypotheses with C1 Utopian Expectations
Key Ideas for C2 Faulty Cognitive Map
When Is C2 a Good Match for Your Client?
Treatment Planning for C2 Faulty Cognitive Map
Integration of Hypotheses with C2 Faulty Cognitive Map
Key Ideas for C3 Faulty Information Processing
When Is C3 a Good Match for Your Client?
Treatment Planning for C3 Faulty Information Processing
Integration of Hypotheses with C3 Faulty Information Processing
Key Ideas for C4 Dysfunctional Self-Talk
When Is C4 a Good Match for Your Client?
Treatment Planning for C4 Dysfunctional Self-Talk
Integration of Hypotheses with C4 Dysfunctional Self-Talk
Suggested Readings
Existential and Spiritual Models
Key Ideas for ES1 Existential Issues
When Is ES1 a Good Match for Your Client?
Treatment Planning for ES1 Existential Issues
Integration of Hypotheses with ES1 Existential Issues
Key Ideas for ES2 Avoiding Freedom and Responsibility
When Is ES2 a Good Match for Your Client?
Treatment Planning for ES2 Avoiding Freedom and Responsibility
Integration of Hypotheses with ES2 Avoiding Freedom and Responsibility
Key Ideas for ES3 Spiritual Dimension
When Is ES3 a Good Match for Your Client?
Treatment Planning for ES3 Spiritual Dimension
Integration of Hypotheses with ES3 Spiritual Dimension
Suggested Readings
Psychodynamic Models
Key Ideas for P1 Internal Parts and Subpersonalities
When Is P1 a Good Match for Your Client?
Treatment Planning for P1 Internal Parts and Subpersonalities
Integration of Hypotheses with P1 Internal Parts and Subpersonalities
Key Ideas for P2 Reenactment of Early Childhood Experiences
When Is P2 a Good Match for Your Client?
Treatment Planning for P2 Reenactment of Early Childhood Experiences
Integration of Hypotheses with P2 Reenactment of Early Childhood Experiences
Key Ideas for P3 Immature Sense of Self and Conception of Others
When Is P3 a Good Match for Your Client?
Treatment Planning for P3 Immature Sense of Self and Conception of Others
Integration of Hypotheses with P3 Immature Sense of Self and Conception of Others
Key Ideas for P4 Unconscious Dynamics
When Is P4 a Good Match for Your Client?
Treatment Planning for P4 Unconscious Dynamics
Integration of Hypotheses with P4 Unconscious Dynamics
Suggested Readings
Social, Cultural, and Environmental Factors
Key Ideas for SCE1 Family System
When Is SCE1 a Good Match for Your Client?
Treatment Planning for SCE1 Family System
Integration of Hypotheses with SCE1 Family System
Key Ideas for SCE2 Cultural Context
When Is SCE2 a Good Match for Your Client?
Treatment Planning for SCE2 Cultural Context
Integration of Hypotheses with SCE2 Cultural Context
Key Ideas for SCE3 Social Support
When Is SCE3 a Good Match for Your Client?
Treatment Planning and Integration of Hypotheses with SCE3 Social Support
Key Ideas for SCE4 Social Role Performance
When Is SCE4 a Good Match for Your Client?
Treatment Planning for SCE4 Social Role Performance
Integration of Hypotheses with SCE4 Social Role Performance
Key Ideas for SCE5 Social Problem Is a Cause
When Is SCE5 a Good Match for Your Client?
Treatment Planning for SCE5 Social Problem Is a Cause
Integration of Hypotheses with SCE5 Social Problem Is a Cause
Key Ideas for SCE6 Social Role of Mental Patient
When Is SCE6 a Good Match for Your Client?
Treatment Planning for SCE6 Social Role of Mental Patient
Integration of Hypotheses with SCE6 Social Role of Mental Patient
Key Ideas for SCE7 Environmental Factors
When Is SCE7 a Good Match for Your Client?
Treatment Planning and Integration of Hypotheses with SCE7 Environmental Factors
Suggested Readings
Using Clinical Hypotheses
Brainstorming
Applying and Testing Hypotheses
Selecting and Combining Best-Fit Hypotheses
Integrating Hypothesis Testing into the Clinical Interview
Integrating Psychodynamic Hypotheses
Steps to a Complete Case Formulation
Problem Identification and Definition
Problem Identification
Problem Definition
Standards for Problem Definition
Setting Outcome Goals
Benefits of Clearly Defined Future Goals
Helping Clients Define "Smart Outcomes"
Outcome Goals for Case Formulations
Standards for Outcome Goals
Presentation of the Database
Standards for Database
A Coherent Integrative Assessment
Standards for Assessment
The Treatment Plan
Standards for Plans
Appendixes
Forms for Clinical Case Formulations
SOAPing a Problem
Using the BASIC SID
Life History Timeline
American History Timeline
Worksheet for Preparing Formulation
Twenty-Eight Clinical Hypotheses to Use with Your Own Cases
Useful Charts
Twenty-Eight Core Clinical Hypotheses
Thirty-Three Standards for Evaluating Case Formulations
Mental Status Exam
Client History
Patient Impairment Lexicon
Problem Categories from Treatment Planning Manual
Domains of Functioning
Bar-On's Emotional Intelligence: Fifteen Competencies
Inventory of Needs
Outline for Multiproblem Case Formulation Report
Skill-Building Activities
Writing Your Baseline Case Formulation Report
Practice with the BASIC SID
Metamodel Practice
Brainstorm Hypotheses
Apply and Test Hypotheses with Case Vignettes
Provide Commentary for a Transcript
Using the BASIC SID for Preliminary Problem List
A Case for Practice: Maria
Is It a Problem Title or an Assessment Idea?
Problem Definition from Your Preliminary List
Developing "Smart Outcomes"
Is It a Process Goal or an Outcome Goal?
Practice Writing Outcome Goals
Is It Subjective Data or Objective Data?
Find the Assessment in the Subjective Section
Is It Objective Data or Assessment?
Using a Three-Column Worksheet
Writing Your Assessment Discussion
Components of the Plan
Evaluation of a Complete Report
Examples
Sample SOAP for Activity 1.1: Writing Your Baseline Case Formulation Report
Student's Case Formulation Report for His Own Problem (Data Changed to Protect Anonymity)
Sample Answers for Activity 10.2: Apply and Test Hypotheses with Case Vignettes
Maria: A Sample Case Formulation Report
References
Author Index
Subject Index

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