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Individual Case Formulation
1st Edition - January 10, 2013
Author: Richard S. Hallam
Language: English
Hardback ISBN:9780123982698
9 7 8 - 0 - 1 2 - 3 9 8 2 6 9 - 8
eBook ISBN:9780123982797
9 7 8 - 0 - 1 2 - 3 9 8 2 7 9 - 7
Individual Case Formulation presents formulation as a process that can be taught systematically to trainee therapists. The book begins by discussing assorted theories of case form…Read more
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Individual Case Formulation presents formulation as a process that can be taught systematically to trainee therapists. The book begins by discussing assorted theories of case formulation, and critiques their ability to be applied in real world situations. The individual case formulation approach is then defined and discussed as a way to integrate the best of what different theoretical orientations have to offer in conjunction with the expertise and clinical judgment of the therapist. The book proposes a systemic/functional framework that focuses on difficulties as defined by the client and emphasizes constructive solutions to problems rather than symptom reduction. Moving from theory to application, the book then guides therapists in how to conduct assessment interviews, how to reach a provisional formulation, how to test that formulation for accuracy and reformulate if necessary, how a therapist can make explicit what their clinical reasoning was in making the case formulation, and provides case examples and transcripts so readers will better grasp the concepts in action.
Intended both for the starting or trainee therapist and the experienced clinician, Individual Case Formulation provides a practical guide for those looking to improve their case formulation skills.
Reviews, critiques and compares multiple theories on formulation
Identifies benefits of utilizing the individual case approach
Guides trainee therapists how to conduct assessment interviews and reach a provisional formulation
Presents a conceptual framework for developing and testing a formulation
Helps trainees make explicit their clinical reasoning
Field-tested for several decades
Provides case examples with annotated transcripts to illustrate the process of formulation
Clinical psychologists and trainees for same
Preface
Acknowledgments
Chapter 1. Formulation—the Main Issues
Case Formulation in Context
Different Models of Case Formulation
“Good and Bad” Therapists
Case Formulation and the Medical Model
Reasoning about Individual Cases
Chapter 2. Conceptual Frameworks for Case Formulation
Reconciling Nomothetic Principles with an Idiographic Analysis
Is a Therapist’s Competence Related to Therapeutic Success?
Has Progress Been Made in Psychotherapy?
A Framework for Describing Problems
Literal Description Versus Interpretation/Hypothesis
Who Owns the Formulation: Therapist or Client?
A Common Language for Problem Description
How do Therapists Acquire their Skills?
Different Models of Formulation and Their Relationship to Intervention
Some Initial Proposals For ICF
Chapter 3. Evidence-Based Practice: Diagnostic and Transdiagnostic Approaches
Client’s Problems as an Expression of Natural Dysfunctions (Disorders)
The Effect of Disorder-Specific Models on Practice
A Critique of Randomized Control Trials and Manuals as the Basis for Practice
Manuals as a Model for Routine Practice (MEBP)
Does MEBP Serve Best Practice or Other Purposes?
The Move Toward Transdiagnostic Models
Chapter 4. Theory and Evidence in Individual Case Formulation
Grounds for Emphasizing Common Factors in Therapy
Arguments for Change Methods Based on Specific Theoretical Principles
Current Status of Individualized Approaches to Therapy
Chapter 5. The Process of Reasoning in Individual Case Formulation
Are Practitioners able to Think Objectively?
Ways of Learning about Single Individuals
Common Errors in Processing Information about Clients
Different Types of Logical Reasoning
Chapter 6. Narrative and Textual Analysis in Formulation
Social Constructionist Narrative Therapy
Discourse: a Different Paradigm for Formulation?
The Inadequacy of Textual Analysis Alone
Constructing New Narratives and the Process of Formulation
Dialogical Sequence Analysis (Stiles et al., 2006)
A Narrative Approach to the Formulation of Obsessions (O’Connor, Aardema, & Pélissier, 2005)
Chapter 7. Formulation Skills and the Therapeutic Relationship
The Therapist as Healer or Shaman
Correlational Research on Predictors of Outcome
What Accounts for Differences in Therapist Effectiveness?
Summary
Chapter 8. A Functional/Systemic Framework for Case Formulation
Basic Components of a Behavioral Description
Conventions for Producing a Functional Case Formulation Diagram
Systemic Relationships
Chapter 9. Future Prospects for Individual Case Formulation
Do Mental Health Professionals Really Take Case Formulation Seriously?
Is “good-enough” Therapy Good Enough?
Training in Case Formulation
The Dissemination of Evidence-Based practice
The Future of Diagnostic-Led Formulation
The Trend Toward Positive Psychology
Appendix. Guidelines for Assessment and Constructing an Individual Case Formulation (ICF)
Section A Gathering information for the initial formulation
Section B Hypothesis-driven interviewing
Section C Conventions for an ICF diagram
Section D Extended assessment and ICF
Section E Choice of intervention: Revising the formulation when an intervention fails
Bibliography
Index
No. of pages: 296
Language: English
Edition: 1
Published: January 10, 2013
Imprint: Academic Press
Hardback ISBN: 9780123982698
eBook ISBN: 9780123982797
RH
Richard S. Hallam
Richard S Hallam is Visiting Professor of Clinical Psychology at the University of Greenwich, London. His career has combined teaching, research and professional practice in clinical psychology. Books he has had published include Counselling for Anxiety Problems (1992) and Virtual Selves, Real Persons (2009).