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"Case formulation"

Tracy D Eells
Thematic mapping (TM) is a transtheoretical, transdiagnostic, pattern-focused method of case formulation. It involves systematically gathering a broad range relevant client information, collecting representative behavioral episodes, using inductive and deductive reasoning to identify themes and subthemes that characterize a client's dysfunctional patterns, and then developing a treatment plan to address them. The TM method includes debiasing steps to minimize clinician judgment errors and addresses a client's cultural context...
December 29, 2016: Journal of Clinical Psychology
Joel Yager, Robert E Feinstein
Offering a new framework for understanding and studying basic dimensions of normal and abnormal human functioning and mental disorders, the National Institute of Mental Health (NIMH) has initiated the Research Domain Criteria (RDoC) project in which a series of higher order domains, representing major systems of emotion, cognition, motivation, and social behavior, and their constituent operationally defined constructs serve as organizing templates for further research and inquiry, eg, to discover validated biomarkers and endophenotypes...
December 20, 2016: Journal of Clinical Psychiatry
Emma Halpin, Vanessa Kugathasan, Carol Hulbert, Mario Alvarez-Jimenez, Sarah Bendall
BACKGROUND: Evidence based treatment interventions for young people with first-episode psychosis (FEP) and trauma histories is lacking. Although case formulation (CF) has been widely regarded in cognitive behavioural therapy manuals as beneficial, there is limited empirical research examining how clients and therapists experience the process. AIM: This study aimed to explore young people's reactions to CF in treatment for PTSD (post-traumatic stress disorder) and FEP...
November 23, 2016: Journal of Clinical Medicine
Cameron J Forrest, Daniel L King, Paul H Delfabbro
Understanding the role of maladaptive gaming-related cognitions may assist in screening and interventions for problematic gaming, including Internet gaming disorder (IGD). Cognitive-behavioural interventions that target specific cognitions related to gaming may be more effective than more general approaches that focus only on preoccupation with games. Although past research has identified cross-sectional associations between maladaptive cognitions and problematic gaming, it is less clear whether these cognitions can predict future changes in problematic gaming behaviour...
February 2017: Addictive Behaviors
Günter K Schiepek, Barbara Stöger-Schmidinger, Wolfgang Aichhorn, Helmut Schöller, Benjamin Aas
Objective: The aim of this case report is to demonstrate the feasibility of a systemic procedure (synergetic process management) including modeling of the idiographic psychological system and continuous high-frequency monitoring of change dynamics in a case of dissociative identity disorder. The psychotherapy was realized in a day treatment center with a female client diagnosed with borderline personality disorder (BPD) and dissociative identity disorder. Methods: A three hour long co-creative session at the beginning of the treatment period allowed for modeling the systemic network of the client's dynamics of cognitions, emotions, and behavior...
2016: Frontiers in Psychology
A B Spanier, D Cohen, L Joskowicz
PURPOSE: The goal of medical case-based image retrieval (M-CBIR) is to assist radiologists in the clinical decision-making process by finding medical cases in large archives that most resemble a given case. Cases are described by radiology reports comprised of radiological images and textual information on the anatomy and pathology findings. The textual information, when available in standardized terminology, e.g., the RadLex ontology, and used in conjunction with the radiological images, provides a substantial advantage for M-CBIR systems...
November 1, 2016: International Journal of Computer Assisted Radiology and Surgery
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
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