Formulation as a Basis for Planning Psychotherapy Treatment, Second Edition

Formulation as a Basis for Planning Psychotherapy Treatment, Second Edition PDF Author: Mardi J. Horowitz, M.D.
Publisher: American Psychiatric Pub
ISBN: 1615372180
Category : Medical
Languages : en
Pages : 120

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Book Description
Formulation as a Basis for Planning Psychotherapy Treatment utilizes a step-by-step structure and copious case illustrations to teach psychiatrists, residents in psychiatry and psychology, social workers, and marriage and family counselors how to plan treatment after the initial diagnosis. This new edition arrives two decades after the first, with revised content, updated case studies, and new insights gleaned over the author's noteworthy career. Clinical formulation, also known as case formulation and problem formulation, is a theoretically-based explanation or conceptualization of the information obtained from a clinical assessment. Although formulation systems vary by different schools of psychotherapy, the author has adopted and here explores a systematic approach based on an integrative effort. This system of configurational analysis combines concepts derived from psychodynamic, interpersonal, cognitive-behavioral, and family system approaches. After an overview of psychological change processes, each of the five steps of configurational analysis is covered systematically: - Step one involves selecting and describing the patient's currently most important symptoms, signs, problems, and topics of concern. For example, symptoms may consist of trouble sleeping or feelings of depression; signs may include discordant verbal and physical expression; problems may include reluctance to go to work or care for family members; and topics of concern might be unresolved grief the patient feels helpless to process without assistance. Since both patient and therapist want to know if these observable phenomena are changing, this list is modified as treatment progresses. - Step two entails describing states in which the patterns of phenomena do and do not occur, with attention to patterns of shifts in states, especially maladaptive state cycles. The therapist is taught how to aggregate and organize this information by describing states of mind-for example, undermodulated (e.g., unthinking rage) or overmodulated (e.g., numbness and lack of affect). - Step three involves describing the challenging topics that patients may both approach and avoid because they are conflicted or unresolved, as well as the obstacles patients may create to divert attention from those topics. For example, patients may avoid a topic or shift attention from it by changing the subject and so forth. - Step four entails describing the organizing roles, beliefs, and scripts of expression and action that seem to organize repetitions in each state, with an effort made to identify dysfunctional attitudes and how these may have evolved from past attachments and traumas. - Finally, step five involves figuring out how to stabilize working states by enhancing the therapeutic alliance and helping the patient contain and master emotional attitudes. At this point, the clinician plans how to counteract avoidances by direction of attention and promotes adaptive social cognitive capacities. From surface observation to deeper inferences, Formulation as a Basis for Planning Psychotherapy Treatment transcends DSM diagnoses, helping clinicians to use information gleaned in the immediacy of the moment to make sound, sensitive, and effective psychotherapeutic decisions.

Formulation as a Basis for Planning Psychotherapy Treatment, Second Edition

Formulation as a Basis for Planning Psychotherapy Treatment, Second Edition PDF Author: Mardi J. Horowitz, M.D.
Publisher: American Psychiatric Pub
ISBN: 1615372180
Category : Medical
Languages : en
Pages : 120

Get Book Here

Book Description
Formulation as a Basis for Planning Psychotherapy Treatment utilizes a step-by-step structure and copious case illustrations to teach psychiatrists, residents in psychiatry and psychology, social workers, and marriage and family counselors how to plan treatment after the initial diagnosis. This new edition arrives two decades after the first, with revised content, updated case studies, and new insights gleaned over the author's noteworthy career. Clinical formulation, also known as case formulation and problem formulation, is a theoretically-based explanation or conceptualization of the information obtained from a clinical assessment. Although formulation systems vary by different schools of psychotherapy, the author has adopted and here explores a systematic approach based on an integrative effort. This system of configurational analysis combines concepts derived from psychodynamic, interpersonal, cognitive-behavioral, and family system approaches. After an overview of psychological change processes, each of the five steps of configurational analysis is covered systematically: - Step one involves selecting and describing the patient's currently most important symptoms, signs, problems, and topics of concern. For example, symptoms may consist of trouble sleeping or feelings of depression; signs may include discordant verbal and physical expression; problems may include reluctance to go to work or care for family members; and topics of concern might be unresolved grief the patient feels helpless to process without assistance. Since both patient and therapist want to know if these observable phenomena are changing, this list is modified as treatment progresses. - Step two entails describing states in which the patterns of phenomena do and do not occur, with attention to patterns of shifts in states, especially maladaptive state cycles. The therapist is taught how to aggregate and organize this information by describing states of mind-for example, undermodulated (e.g., unthinking rage) or overmodulated (e.g., numbness and lack of affect). - Step three involves describing the challenging topics that patients may both approach and avoid because they are conflicted or unresolved, as well as the obstacles patients may create to divert attention from those topics. For example, patients may avoid a topic or shift attention from it by changing the subject and so forth. - Step four entails describing the organizing roles, beliefs, and scripts of expression and action that seem to organize repetitions in each state, with an effort made to identify dysfunctional attitudes and how these may have evolved from past attachments and traumas. - Finally, step five involves figuring out how to stabilize working states by enhancing the therapeutic alliance and helping the patient contain and master emotional attitudes. At this point, the clinician plans how to counteract avoidances by direction of attention and promotes adaptive social cognitive capacities. From surface observation to deeper inferences, Formulation as a Basis for Planning Psychotherapy Treatment transcends DSM diagnoses, helping clinicians to use information gleaned in the immediacy of the moment to make sound, sensitive, and effective psychotherapeutic decisions.

Formulation in Psychology and Psychotherapy

Formulation in Psychology and Psychotherapy PDF Author: Lucy Johnstone
Publisher: Routledge
ISBN: 113504421X
Category : Psychology
Languages : en
Pages : 320

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Book Description
The first edition of Formulation in Psychology and Psychotherapy caught the wave of growing interest in formulation in a clinical context. This completely updated and revised edition summarises recent practice, research, developments and debates while retaining the features that made the first a leading text in the field. It contains new chapters on personal construct formulation, formulation in health settings, and the innovative practice of using formulation in teams. The book sees formulation as a dynamic process which explores personal meaning collaboratively and reflectively, taking account of relational and social contexts. Two case studies, one adult and one child, illustrate the use of formulation from the perspectives of expert clinicians from six different theoretical positions. The book encourages the reader to take a constructively critical perspective on the many philosophical, professional and ethical debates raised by the process of formulating people’s problems. Among the issues explored are: The social and political context of formulation Formulation in relation to psychiatric diagnosis The limitations of formulation Controversies and debates about formulation This readable and comprehensive guide to the field provides a clear, up to date and thought-provoking overview of formulation from a number of perspectives, essential for clinicians working in all areas of mental health and social care, psychology, therapy and counselling.

The Case Formulation Approach to Cognitive-Behavior Therapy

The Case Formulation Approach to Cognitive-Behavior Therapy PDF Author: Jacqueline B. Persons
Publisher: Guilford Press
ISBN: 1462509487
Category : Psychology
Languages : en
Pages : 290

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Book Description
A major contribution for all clinicians committed to understanding and using what really works in therapy, this book belongs on the desks of practitioners, students, and residents in clinical psychology, psychiatry, counseling, and social work. It will serve as a text in graduate-level courses on cognitive-behavior therapy and in clinical practica.

Clinical Case Formulation

Clinical Case Formulation PDF Author: Peter Sturmey
Publisher: John Wiley & Sons
ISBN: 047003291X
Category : Psychology
Languages : en
Pages : 347

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Book Description
Case formulation is a key skill for mental health practitioners, and this book provides examples of ten case formulations representing the most common mental health problems in a variety of populations and contexts, offering commentary on contrasting formulations of the same case. Provides an overview of the general features of case formulation and how it can drive treatment Features clinical cases from a variety of populations, focusing on a range of different problems Covers all the major theoretical perspectives in clinical practice – behavioural, cognitive behavioural, psychodynamic, medical , and eclectic Offers commentary on contrasting formulations of the same case for five different clinical problems

Assessment and Case Formulation in Counselling and Psychotherapy

Assessment and Case Formulation in Counselling and Psychotherapy PDF Author: Biljana van Rijn
Publisher: SAGE
ISBN: 147391163X
Category : Psychology
Languages : en
Pages : 155

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Book Description
This is a thorough and well-structured piece of work, which brings in the recent work of excellent authorities such as Barbara Ingram. It is well arranged, with many examples and case vignettes, which bring the material to life in an engaging way. I enjoyed reading it, and would recommend it unreservedly.’ John Rowan, humanistic therapist, private practice ‘This is a must-read book for students on courses in counselling, psychotherapy, clinical psychology and psychiatry.’ Heather Fowlie, Head of the Transactional Analysis Department, Metanoia Institute, London Conducting a competent assessment and case formulation can be a daunting task for trainee therapists engaging in clinical assessment for the first time. This book is designed to help, by unpicking the many aspects involved in assessment and case formulation across modalities, practice settings and client groups. The book: · Explores key elements of clinical assessment including diagnosis, risk assessment, ethical considerations and accounting for difference. · Highlights the necessary skills, techniques and legal requirements at each stage of the process. · Takes into account the impact of culture, context and theoretical and practical considerations. · Uses case studies and reflective questions to illustrate difficult concepts in context. Equipping you with the knowledge and tools to make successful assessments and case formulations, this is an essential read for trainees and for qualified practitioners wishing to brush up on their understanding. Dr Biljana van Rijn, Faculty Head of Applied Research and Clinical Practice, Metanoia Institute.

Case Conceptualization

Case Conceptualization PDF Author: Len Sperry
Publisher: Routledge
ISBN: 1000074595
Category : Psychology
Languages : en
Pages : 185

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Book Description
Integrating recent research and developments in the field, this revised second edition introduces an easy-to-master strategy for developing and writing culturally sensitive case conceptualizations and treatment plans. Concrete guidelines and updated case material are provided for developing conceptualizations for the five most common therapy models: Cognitive-Behavioral Therapy (CBT), Psychodynamic, Biopsychosocial, Adlerian, and Acceptance and Commitment Therapy. The chapters also include specific exercises and activities for mastering case conceptualization and related competencies and skills. Also new to this edition is a chapter on couple and family case conceptualizations, and an emphasis throughout on trauma. Practitioners, as well as graduate students in counseling and in clinical psychology, will gain the essential skills and knowledge they need to master case conceptualizations.

Formulation as a Basis for Planning Psychotherapy Treatment

Formulation as a Basis for Planning Psychotherapy Treatment PDF Author: Mardi Jon Horowitz
Publisher: American Psychiatric Publishing
ISBN:
Category : Medical
Languages : en
Pages : 152

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Book Description
The book presents a formulation system that combines concepts derived from psychodynamic, interpersonal, cognitive-behavioral, and family system approaches. This useful guide shows psychiatrists, residents in psychiatry and psychology, social workers, and marriage and family counselors how to plan treatment after the initial diagnosis.

Psychoanalytic Case Formulation

Psychoanalytic Case Formulation PDF Author: Nancy McWilliams
Publisher: Guilford Press
ISBN: 9781572304628
Category : Psychology
Languages : en
Pages : 262

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Book Description
What kinds of questions do experienced clinicians ask themselves when meeting a new client for the first time? What are the main issues that must be explored to gain a basic grasp of each individual's unique psychology? How can clinical expertise be taught? From the author of Psychoanalytic Diagnosis, the volume takes clinicians step-by-step through developing a dynamic case formulation and using this information to guide and inform treatment decisions. Synthesizing extensive clinical literature, diverse psychoanalytic viewpoints, and empirical research in psychology and psychiatry, Nancy McWilliams does more than simply bring assessment to life - she illuminates the entire psychotherapeutic process.

Clinical Case Formulations

Clinical Case Formulations PDF Author: Barbara Lichner Ingram
Publisher: John Wiley & Sons
ISBN: 0470036249
Category : Psychology
Languages : en
Pages : 694

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Book Description
A step-by-step model for individualized case conceptualization This innovative new guide addresses the essential question facing every therapist with a new client: How do I create a treatment plan that is the best match for my client? This unique resource provides a systematic method to integrate ideas, skills, and techniques from different theoretical approaches, empirical research, and clinical experience to create a case formulation that is tailor-made for the client. Clinical Case Formulations is divided into three parts: * Getting Started--provides an overview that sets forth a framework for case formulation and data gathering. * 28 Core Clinical Hypotheses--offers a meta-framework embracing all theories, orientations, and mental health intervention models and presents clinical hypotheses within seven categories: Biological Hypotheses; Crisis, Stressful Situations, and Transitions; Behavioral and Learning Models; Cognitive Models; Existential and Spiritual Models; Psychodynamic Models; and Social, Cultural, and Environmental Factors. These hypotheses are combined and integrated to develop a coherent conceptualization of the client's problems. * Steps to a Complete Case Formulation--provides a structured framework known as the Problem-Oriented Method (POM). Using the POM and integrating multiple hypotheses, the therapist learns how to think intelligently, critically, and creatively in order to develop a tailor-made treatment plan. A list of thirty-three standards for evaluating the application of this method is provided. With this practical guide you will learn to conceptualize your clients' needs in ways that lead to effective treatment plans while finding the tools for troubleshooting when interventions fail to produce expected benefits.

Treatment Planning for Psychotherapists

Treatment Planning for Psychotherapists PDF Author: Richard B. Makover
Publisher: American Psychiatric Pub
ISBN: 1615370625
Category : Medical
Languages : en
Pages : 309

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Book Description
Previous editions of Dr. Richard B. Makover's popular handbook Treatment Planning for Psychotherapists shed light on this all-too-often neglected element of psychotherapy while squarely establishing themselves as the go-to references on the topic. Drawing on the author's years of experience, and with engaging and memorable clinical examples, the book presents a top-down, outcome-based approach to treatment planning that emphasizes the importance of the initial interview and assessment to the planning process, while providing practical advice for enhancing patient collaboration and reducing drop-out rates. This revised edition of the guide has been updated to reflect important changes in mental health delivery systems and funding relevant to treatment providers, as well as the challenges and opportunities posed by the digital revolution. It is also more readable than ever: bullet points and chapter-end summaries distill points of emphasis, helping readers take in and reference information easily and effectively. This third edition also features: An amplified chapter on assessment that explains how this crucial step should inform case formulation and, as a result, treatment planning. An expanded chapter on the challenges of treating patients struggling with cognitive impairment, addiction and psychoses, among other issues, ensuring that readers are equipped to handle a wide range of scenarios. A new, simplified approach to the often overlooked but crucial step of formulation. Suggested readings that will provide therapists with a comprehensive view of psychotherapy in general and treatment planning in particular. The framework and methods offered in this edition of Treatment Planning for Psychotherapists make it an invaluable resource for clinical psychiatrists and psychologists, psychiatric nurse practitioners, psychiatric residents, clinical social workers -- in short, anyone engaged in the challenging but necessary work of helping patients address and overcome their dysfunction.