lecture 4

Question 1

psychotherapy case formulation is

Answer 1

a PROCESS for developing a HYPOTHESIS about, and a PLAN to address, the CAUSES, PERCIPITANTS, MAINTAINING INFLUENCES of a person’s psychological, interpersonal, behavioural PROBLEMS, in the CONTEXT of that individual’s culture and environment

Question 2

good case formulation

Answer 2

organized around what is happening in the present, not fouces primarily on explaining the present by the past (only try to understand how past shapes the present)

Question 3

5 parts of case conceptualization

Answer 3

problems (present)
maintaining factors (present)
inducing factors (proximal)
preidsposing factors (distal)
treatment considerations (future)

Question 4

4 aspects of current personal context

Answer 4

strengths
vulnerabilities
support
stressors

Question 5

why do we focus on case conceptualization

Answer 5

• taxonomy is not enough
• we need to take personal, development and goals into account
• personal narratives + recovery are not enough
• general theories and general scientific knowledge have to be applied to a specific situation
• it is a great tool for learning clinical thinking and for supervision

Question 6

the intersubjective dialogue

Answer 6

• attunement to the “first person” perspective
  interest in personal narratives and process of meaning-making

Question 7

case conceptualization

Answer 7

working hypotheses developed in collaboration between therapist and client

Question 8

which questions should you ask in relation to the hypothesis created during case conceptualization?

Answer 8

• credible enough?
• acceptable for the client?
• useful for treatment?

Question 9

multiple resouces for constructing hypotheses

Answer 9

• theories and research
• client experience and narrative
• clinical experience of therapist

Question 10

common factors (with strong evidence)

Answer 10

therapeutic alliance
collaboration
goal consensus
adapting treatment to specific client characteristics
empathy
promoting treatment credibility