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"Case formulation"

Helena García-Mieres, Susana Ochoa, Marta Salla, Raquel López-Carrilero, Guillem Feixas
In this paper we illustrate the potential of the repertory grid technique as an instrument for case formulation and understanding of the personal perception and meanings of people with a diagnosis of psychotic disorders. For this purpose, the case of James is presented: A young man diagnosed with schizophrenia and personality disorder, with severe persecutory delusions and other positive symptoms that have not responded to antipsychotic medication, as well with depressive symptomatology. His case was selected because of the way his symptoms are reflected in his personal perception of self and others, including his main persecutory figure, in the different measures that result from the analysis of his repertory grid...
September 22, 2016: World Journal of Psychiatry
Eun Ha Kim, Steven D Hollon, Bunmi O Olatunji
Although cognitive-behavioral therapy (CBT) has been shown to be highly effective for a wide range of disorders, many patients do not benefit. The failure to fully benefit from CBT may be due to a wide range of factors, one of which includes "clinical errors" that often occur during the therapeutic process. We briefly note 4 such clinical errors including neglecting to conduct a detailed functional analysis of the presenting problem(s), not adequately engaging the patient in developing a case formulation for the purposes of treatment planning, getting wrapped up in simply examining beliefs without behavioral tests, and not holding patients accountable for fear of rupturing the therapeutic alliance...
September 2016: Psychotherapy
Maria Fatima Gomes, Neerja Chowdhary, Eleni Vousoura, Helen Verdeli
Depression and anxiety, the so-called common mental disorders (CMDs), are highly prevalent and disabling, yet remain largely untreated. This treatment gap is particularly true in low- and middle-income settings, where there is significant scarcity of resources (including human resources) and treatment accessibility is complicated by stigma surrounding mental illness. To address these challenges, the MANAS trial, one of the largest to date randomized, controlled trials, aimed to test the effectiveness of a stepped care intervention led by lay health counselors in primary care settings in Goa, India...
August 2016: Journal of Clinical Psychology
Angela Milena Gomez Ceballos, Ana Claudia Andrade, Talia Markowitz, Helen Verdeli
Interpersonal counseling (IPC), a briefer and simplified adaptation of interpersonal psychotherapy (IPT), was used with internally displaced women (IDW) in Bogotá, Colombia, an implementation study of a mental health care pathway funded by Grand Challenges Canada. Preliminary evidence suggests that IPC led to positive outcomes for IDW and may be a feasible first line treatment for displaced women with elevated symptoms of common mental disorders. The case study demonstrates the use of IPC as an intervention to treat depression, anxiety, and posttraumatic stress symptoms in one participant across 11 sessions, from the case formulation through the termination phase...
August 2016: Journal of Clinical Psychology
Markus Jansson-Fröjmark, Katarina Danielsson, Agneta Markström, Jan-Erik Broman
This article reports the development of a treatment protocol, based on cognitive behavioral therapy (CBT) principles, for delayed sleep-wake phase disorder (DSWPD). The protocol consists of psycho-education, presenting a CBT model for DSWPD, case formulation, motivational interviewing, registering sleep in a diary, strategies to improve the rhythm of sleep and wakefulness, relaxation training, cognitive restructuring, strategies to cope with daytime symptoms, constructing an individualized CBT program, and learning how to deal with relapses...
November 2016: Cognitive Behaviour Therapy
Yakov Shapiro, Nicholas John, Rowan Scott, Nadia Tomy
In the first article in this 2-part series, we outlined a psychobiological model of psychiatric treatment and reviewed the evidence showing psychotherapy to be a form of biological intervention that induces lasting alterations in brain structure and function. In this second article, we focus on the adaptive model of psychopathology, the effectiveness of psychotherapeutic interventions, the synergistic effects of combined psychotherapy and psychopharmacology treatments, and attention to the patient's subjective experience and the doctor-patient alliance to complement an "objective" case formulation...
July 2016: Journal of Psychiatric Practice
Susan Brown, Chris Beeley, Gita Patel, Birgit Völlm
BACKGROUND: The UK Strategy on Managing High Risk of Serious Harm Offenders with Severe Personality Disorder proposes an important role for offender managers in completing case formulations about such offenders. There is little evidence on whether this can be achieved. AIM: Our primary aims were to devise, implement and evaluate training in case formulation for offender managers. A secondary aim was to assess whether the training led to changes in offender manager attitudes towards working with offenders with personality disorder...
June 20, 2016: Criminal Behaviour and Mental Health: CBMH
Karina L Allen, Caitlin B O'Hara, Savani Bartholdy, Beth Renwick, Alexandra Keyes, Anna Lose, Martha Kenyon, Hannah DeJong, Hannah Broadbent, Rachel Loomes, Jessica McClelland, Lucy Serpell, Lorna Richards, Eric Johnson-Sabine, Nicky Boughton, Linette Whitehead, Janet Treasure, Tracey Wade, Ulrike Schmidt
OBJECTIVE: Case formulation is a core component of many psychotherapies and formulation letters may provide an opportunity to enhance the therapeutic alliance and improve treatment outcomes. This study aimed to determine if formulation letters predict treatment satisfaction, session attendance, and symptom reductions in anorexia nervosa (AN). It was hypothesized that higher quality formulation letters would predict greater treatment satisfaction, a greater number of attended sessions, and greater improvement in eating disorder symptoms...
September 2016: International Journal of Eating Disorders
C C McIntosh, R D Crino, K O'Neill
The problem gambling (PG) intervention literature is characterised by a variety of psychological treatments and approaches, with varying levels of evidence (PGRTC in Guideline for screening, assessment and treatment in problem and pathological gambling. Monash University, Melbourne, 2011). A recent PG systematic review (Maynard et al. in Res Soc Work Pract, 2015. doi: 10.1177/1049731515606977 ) and the success of mindfulness-based interventions to effectively treat disorders commonly comorbid with PG suggested mindfulness-based interventions may be effective for treating PG...
April 4, 2016: Journal of Gambling Studies
Sandra Bucci, Lorna French, Katherine Berry
CONTEXT: The quality of case conceptualization differs across clinicians. It is unclear which case conceptualization quality assessment measure researchers, clinicians, and trainers might use for their specific purpose. OBJECTIVE: We evaluated measures that purport to assess the quality of case conceptualizations. METHOD: We searched EMBASE, PubMed, Medline, and PsycINFO databases with the terms case formulation* OR case conceptuali*ation*...
June 2016: Journal of Clinical Psychology
Mark E Olver, Keira C Stockdale
The present study examined the convergent and predictive validity of the Jesness Inventories (JI) in a sample of 138 juvenile offenders, completed in the course of routine service delivery. JI profiles were compared with ratings on three standardized forensic clinical scales: the Youth Level of Service/Case Management Inventory, Psychopathy Checklist: Youth Version, and Violence Risk Scale-Youth Version. The JI Asocial Index and the Undersocialized Active and Group-Oriented Conformist Interpersonal Maturity Level (I-level) subtypes demonstrated the strongest pattern of convergence and most consistently predicted recidivism...
February 17, 2016: Assessment
Ueli Kramer, Niklaus Stulz, Laurent Berthoud, Franz Caspar, Pierre Marquet, Stéphane Kolly, Yves De Roten, Jean-Nicolas Despland
OBJECTIVE: There is little research on short-term treatments for borderline personality disorder (BPD). While the core changes may occur only in long-term treatments, short-term treatments may enable the study of early generic processes of engagement in therapy and thus inform about effective treatment components. It was shown that a 10-session version of a psychiatric treatment was effective in reducing borderline symptoms at the end of this treatment [Kramer, U., Kolly, S., Berthoud, L...
December 18, 2015: Psychotherapy Research: Journal of the Society for Psychotherapy Research
Bo Bach, Christopher Lee, Erik Lykke Mortensen, Erik Simonsen
DSM-5 offers an alternative model of personality pathology that includes 25 traits. Although personality disorders are mostly treated with psychotherapy, the correspondence between DSM-5 traits and concepts in evidence-based psychotherapy has not yet been evaluated adequately. Suitably, schema therapy was developed for treating personality disorders, and it has achieved promising evidence. The authors examined associations between DSM-5 traits and schema therapy constructs in a mixed sample of 662 adults, including 312 clinical participants...
August 2016: Journal of Personality Disorders
Samantha Hartley, Jelena Jovanoska, Susan Roberts, Nicolas Burden, Katherine Berry
OBJECTIVES: Case formulation can impact on therapeutic relationships, staff understanding and outcomes, which might be particularly important when working with complex mental health problems such as psychosis. However, the evidence base is equivocal and there is insufficient understanding around the staff-related factors that influence effective psychological case formulation. This study investigated the influence of staff characteristics (both professional and personal) on case formulation skill...
June 2016: Psychology and Psychotherapy
Nicole Muller, Nick Midgley
In this article we describe our clinical approach to assessment, formulation and the identification of a therapeutic focus in the context of time-limited Mentalization-Based Treatment for Children (MBT-C) aged between 6 and 12. Rather than seeing the capacity to mentalize as a global construct, we set out an approach to assessing the developmental 'building blocks' of the capacity to mentalize the self and others, including the capacity for attention regulation, emotion regulation, and explicit mentalization...
2015: Frontiers in Psychology
Kenneth L Critchfield, Lorna Smith Benjamin, Kathleen Levenick
Interpersonal Reconstructive Therapy (IRT) case formulations describe psychosocial mechanisms of affective and personality pathology in ways that enhance the effectiveness of psychotherapy for individuals. With a valid and reliable IRT case formulation, a clinician is in a better position to draw upon effective techniques to maximize treatment effects. The case formulation and treatment models for IRT were described in depth along with the IRT treatment model by Benjamin (2003/2006). Data in this report from 93 adult inpatients with complex and comorbid presentations suggest that the case formulation is highly reliable and unique to individuals, and that symptoms reflect current interpersonal stresses linked to early interactions involving forms of hostility in relation with attachment figures and corresponding to three basic patterns in adulthood: identification (be like him or her), recapitulation (act as you did with him or her), and introjection (treat yourself as you were treated)...
August 2015: Journal of Personality Disorders
Mary K Nixon, Christine Levesque, Michèle Preyde, John Vanderkooy, Paula F Cloutier
BACKGROUND: The Ottawa Self-Injury Inventory (OSI) is a self-report measure that offers a comprehensive assessment of nonsuicidal self-injury (NSSI), including measurement of its functions and addictive features. In a preliminary investigation of self injuring college students who completed the OSI, exploratory analysis revealed four function factors (Internal Emotion Regulation, Social Influence, External Emotion Regulation and Sensation Seeking) and a single Addictive Features factor...
2015: Child and Adolescent Psychiatry and Mental Health
Clare Flach, Paul French, Graham Dunn, David Fowler, Andrew I Gumley, Max Birchwood, Suzanne L K Stewart, Anthony P Morrison
BACKGROUND: Research suggests that the way in which cognitive therapy is delivered is an important factor in determining outcomes. We test the hypotheses in which the development of a shared problem list, use of case formulation, homework tasks and active intervention strategies will act as process variables. METHOD: Presence of these components during therapy is taken from therapist notes. The direct and indirect effect of the intervention is estimated by an instrumental variable analysis...
August 2015: British Journal of Psychiatry: the Journal of Mental Science
Stine Bjerrum Moeller, Raymond W Novaco, Vivian Heinola-Nielsen, Helle Hougaard
Anger has high prevalence in clinical and forensic settings, and it is associated with aggressive behavior and ward atmosphere on psychiatric units. Dysregulated anger is a clinical problem in Danish mental health care systems, but no anger assessment instruments have been validated in Danish. Because the Novaco Anger Scale and Provocation Inventory (NAS-PI) has been extensively validated with different clinical populations and lends itself to clinical case formulation, it was selected for translation and evaluation in the present multistudy project...
October 2016: Assessment
Courtney B Rogers
No abstract text is available yet for this article.
November 2015: Cognitive Behaviour Therapy
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