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.
"In Specialty Competencies in Psychoanalysis in Psychology, Morris, Javier, and Herron discuss and delineate the functional and foundational competencies of psychoanalytic practice"--
Presenting an innovative framework for tailoring cognitive-behavioral interventions to each client's needs, this accessible book is packed with practical pointers and sample dialogues. Step by step, the authors show how to collaborate with clients to develop and test conceptualizations that illuminate personal strengths as well as problems, and that deepen in explanatory power as treatment progresses. An extended case illustration demonstrates the three-stage conceptualization process over the entire course of therapy with a multiproblem client. The approach emphasizes building resilience and coping while decreasing psychological distress. Special features include self-assessment checklists and learning exercises to help therapists build their conceptualization skills.
Case Formulation in Contemporary Psychotherapy presents a new approach to case conceptualization and case formulation, making meaning from each clinical case and using every piece of data available. Robert Mendelsohn explains his core basic principles for case formulation, allowing the clinician to assess a case quickly and accurately. This book includes a discussion of the contributions of transference and countertransference, inducement and enactment, as well as the use of paradigmatic techniques, humor, and language. The processes presented, alongside vignettes illustrating their use, will allow clinicians to decode the meaning of all clinical interaction and to communicate that meaning in a helpful way to students and patients. Providing a new way to access a full range of conscious and preconscious clinical information, Case Formulation in Contemporary Psychotherapy will be essential reading for mental health professionals including psychotherapists and psychodynamic and psychoanalytic clinicians in practice and in training. It will also be of great interest to students of psychotherapy and psychoanalysis.
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.
How do our patients come to be the way they are? What forces shape their conscious and unconscious thoughts and feelings? How can we use this information to best help them? Constructing psychodynamic formulations is one of the best ways for mental health professionals to answer questions like these. It can help clinicians in all mental health setting understand their patients, set treatment goals, choose therapeutic strategies, construct meaningful interventions and conduct treatment. Despite the centrality of psychodynamic formulation to our work with patients, few students are taught how to construct them in a clear systematic way. This book offers students and practitioners from all fields of mental health a clear, practical, operationalized method for constructing psychodynamic formulations, with an emphasis on the following steps: DESCRIBING problems and patterns REVIEWING the developmental history LINKING problems and patterns to history using organizing ideas about development. The unique, up-to-date perspective of this book integrates psychodynamic theories with ideas about the role of genetics, trauma, and early cognitive and emotional difficulties on development to help clinicians develop effective formulations. Psychodynamic Formulation is written in the same clear, concise style of Psychodynamic Psychotherapy: A Clinical Manual (Wiley 2011). It is reader friendly, full of useful examples, eminently practical, suitable for either classroom or individual use, and applicable for all mental health professionals. It can stand alone or be used as a companion volume to the Clinical Manual.
This book reasserts the importance of case formulation as the first step in implementing effective cognitive behavioral therapies (CBT), centering it as the main operative tool of CBT approaches by which the therapist handles the whole psychotherapeutic process. Chapters discuss specific CBT interventions and components of the treatment, aspecific factors including therapeutic alliance and relationship, and theoretical and historical background of CBT practices. In addition, the book assumes that in CBTs the case formulation is a procedure which is continuously shared and reevaluated between patient and therapist throughout the course of treatment. This aspect is increasingly becoming the distinguishing feature of CBT approaches as it embodies CBT's basic tenets and implies full confidence in patients’ conscious agreement, transparent cooperation and explicit commitment with CBT’s model of clinical change.
This is the type of book instructors, trainees, and clinicians need--a short text that demystifies the case conceptualization process and provides a streamlined method for learning and mastering this competency. It presents an integrative model for conceptualizing cases, dispels common myths about case conceptualization, and provides straightforward guidelines and strategies for mastering this essential competency. Writing clinically useful case conceptualizations is no longer optional today, and this training guide is the only resource you will need to increase your expertise and incorporate this competency in professional practice. Five detailed clinical case studies are referred to throughout the book, and exercises are presented at the end of the last five chapters to help readers in deriving Cognitive-Behavioral, Dynamic, Solution-Focused, Biopsychosocial, and Adlerian case conceptualizations from an integrative assessment. Drs. Len and Jonathan Sperry also address cultural sensitivity and offer guidelines for developing cultural conceptualizations and selecting culturally-sensitive treatments. All techniques are easy to understand and use, ensuring that readers will master this competency and feel confident applying it to difficult cases.
When people seek psychological support, formulation is the theory-driven methodology used by many practitioners to guide identification of the processes, mechanisms, and patterns of behaviour that appear to be contributing to the presenting difficulties. However, the process of formulating – or applying psychological theory to practice – can often seem unclear. In this volume, we present multiple demonstrations of formulation in action – written by applied psychologists embedded in clinical training, research, and practice. The volume covers a range of contemporary approaches to formulation and therapy that have not been considered in extant works, and includes unique sections offering critical counter-perspectives and commentaries on each approach (and its application) by authors working from alternative theoretical positions.
This volume presents 12 highly instructive case studies grounded in the evidence-based psychodynamic therapy model developed by Richard F. Summers and Jacques P. Barber. Bringing clinical concepts vividly to life, each case describes the patient's history and presenting problems and takes the reader through psychodynamic formulation, treatment planning, and the entire course of therapy, including the challenges of termination. The cases address a variety of core psychodynamic problems, with outcomes ranging from very successful to equivocal. The emotional experience of the therapist is explored throughout. Commentary from Summers and Barber on every case highlights important points and key clinical dilemmas. See also the authored book Psychodynamic Therapy: A Guide to Evidence-Based Practice, in which Summers and Barber comprehensively describe their therapeutic model.
