Case conceptualisation

Question 1

case conceptualisation

Answer 1

1. problems
2. maintaining factors
3. inducing factors
4. predisposing factors
5. treatment considerations

Question 2

Reason for conceptualisation

Answer 2

• Taxonomy is not enough
• Personal narratives is not enough: good basis, but use of knowledge/theory is needed
• Need a good working theory

Question 3

Multiple sources for constructing hypothesis

Answer 3

• Theories and research
• Client experience and narrative
• Clinical experience of therapist

Question 4

Psychotherapy case formulating

Answer 4

therapeutics form hypotheses and develop a treatment plan to understand and address causes, triggers, sustaining factors, etc

Question 5

Functions of case formulations:

Answer 5

1. Guiding treatment: helps therapist to stay on track and monitor progress
2. Increasing treatment efficiency clearly treatment plans enable therapists to use time effectively
3. Tailoring treatment to client  client centered with tailored case formulation
4. Enhancing therapy: through a well crafted formulation

Question 6

4 developments shape case formulation nowadays

Answer 6

1. classification
2. theories of psychotherapies
3. psychometric tradition
4. structured case formulationmodels

Question 7

5 Tension in case formulation

Answer 7

immediacy vs comprehensiveness
complexitiy vs simplicity
therapist bias vs objectivity
observation vs inference
individual vs general formulation

Question 8

integrative case formulation

Answer 8

an approach in which different theoretical perspectives and techniques are combined.

Question 9

reason for integrative case formulation

Answer 9

• broad applicability
  -tailored treatment
• shared factors

Question 10

4 characteristics shared by effective therapies

Answer 10

1. strong therapeutic relationship
2. social and cultural context
3. credible rationale
4. client’s active involvement

Question 11

Integrative, evidence-based case formulation model steps

Answer 11

1. gather information
2. formulate
3. treat
4. monitor progress

Question 12

DSM issues (kohne)

Answer 12

based on a priori categories
heterogeneity
arbitrary thresholds
no enidence manualised treatment > non-manualised treatment

Question 13

Name the four new approaches + pro’s and cons

Answer 13

hitop
network approach
transdiagnostic appraoch
personalised

Question 14

hysteresis (network approach)

Answer 14

although trigger for activation of the network has subsided, the network becomes self-sustaining and gets stuck in its active state.

Question 15

three types of personalised approach

Answer 15

stratification
idographic
person centred