(7 reviews)Author: Barbara Lichner Ingram
ISBN : 9781118038222
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Matching the Integrative Treatment Plan to the Client, Second Edition
"[Barbara Ingram has put] a career into the development of this book and it is wonderful! My students love that it was written with them in mind and they love the statements designed to reduce anxiety and normalize the learning process. This is an excellent book!"—Amy M. Rees-Turyn, PhD Associate Professor of Counseling Psychology, Lewis & Clark College
A step-by-step model for individualized case conceptualization
Fully revised and updated, the second edition of Clinical Case Formulations provides step-by-step tools and insightful guidance for moving from first contact with a client to the development of an effective, personalized treatment plan. Addressing the essential question every therapist faces—How do I create a treatment plan that is the best match for my client?—this unique resource provides a systematic and thoughtful method for integrating ideas, skills, and techniques from different theoretical approaches. It combines empirical research and clinical experience to create a case formulation that is tailor-made for the client.
This comprehensive resource offers two tools to guide case formulations: a problem-oriented framework, with a list of 28 standards for evaluating its application, and a set of 30 core clinical hypotheses derived from the knowledge bases of psychology, psychiatry, counseling, and social work professions.
The new edition includes:
Hypotheses on Emotional Focus, Trauma, and Metacognitive Perspective
More detailed attention given to empirically supported therapies such as Dialectical Behavior Therapy (DBT) and Acceptance and Commitment Therapy (ACT)
Discussion on the importance of bringing cultural competence to case formulation tasks with every client
Skill-building activities throughout the text
Offering a thorough framework to help clients experience effective clinical service, practitioners will learn to conceptualize clients' needs in ways that lead to strong and individualized treatment plans, as well as advice and guidance on what to do when selected interventions fail to produce the expected benefits.
- Paperback: 524 pages
- Publisher: Wiley; 2 edition (November 9, 2011)
- Language: English
- ISBN-10: 1118038223
- ISBN-13: 978-1118038222
- Product Dimensions: 1.3 x 6.7 x 9.8 inches
- Shipping Weight: 2 pounds (View shipping rates and policies)
Clinical Case Formulations: Matching the Integrative Treatment Plan to the Client
Preface xiii
Acknowledgments xvii
Part One Case Formulation Skills 1
Chapter 1 A Framework for Clinical Case Formulations 3
Chapter 2 Gathering Data 19
Chapter 3 Defining Problems 41
Chapter 4 Setting Outcome Goals 61
Chapter 5 Organizing and Presenting the Database 73
Chapter 6 Creating the Formulation 87
Chapter 7 Writing the Treatment Plan 95
Part Two Thirty Core Clinical Hypotheses 111
Chapter 8 Crisis, Stressful Situations, Transitions, and Trauma 117
Chapter 9 Body and Emotions 157
Chapter 10 Cognitive Models 197
Chapter 11 Behavioral and Learning Models 225
Chapter 12 Existential and Spiritual Models 257
Chapter 13 Psychodynamic Models 289
Chapter 14 Social, Cultural, and Environmental Factors 331
Chapter 15 Practice, Practice, Practice 373
References 385
Appendix I Useful Charts 413
Appendix II Useful Forms 421
Appendix III Case Material for Practice 425
Appendix IV Answers and Samples for Activities 431
Author Index 461
Subject Index 473
List of Tables
Table 1.1 How to SOHP a Problem 6
Table 2.1 Four Frames for Exploring a Specific Problem 28
Table 2.2 The BASIC SID: An Adaptation of Lazarus’s BASIC ID 29
Table 2.3 Metamodel Questions 33
Table 2.4 Suggested Data Topics for Three Problems 38
Table 3.1 Strengths and Weaknesses in Domains of Functioning 44
Table 4.1 Criteria for Good Outcome Statements 64
Table 5.1 Organizing the Subjective Section 85
Table 7.1 Components of Treatment Plan 96
Table 7.2 Plans That Focus on the Therapeutic Relationship 102
Table 8.1 Assessment of Suicide Risk 120
Table 8.2 Steps in Crisis Intervention 129
Table 9.1 Sample Problems for Biological Cause (BE1) Hypothesis 160
Table 9.2 Elements in the Self-Management of Chronic Disease 165
Table 9.3 Sample Problems for Mind-Body Connections (BE3) Hypothesis 179
Table 9.4 Techniques of Relaxation Training 181
Table 9.5 Sample Problems for the Emotional Focus (BE4) Hypothesis 189
Table 9.6 Therapeutic Strategies for Awareness and Processing of Emotions 191
Table 10.1 Underlying Schemas for Disorders and Problems 210
Table 10.2 Sample Errors in Thinking 216
Table 10.3 Sample Problems for Dysfunctional Self-Talk (CS4) Hypothesis 221
Table 10.4 Steps in Treatment to Modify Self-Talk 222
Table 11.1 Samples of Disorders Treated With Operant Interventions 235
Table 11.2 Behavior Change Strategies Using Operant Learning Principles 236
Table 11.3 Examples of Disorders Treated With Exposure Interventions 242
Table 11.4 Examples of Skills-Training Domains 250
Table 12.1 Sample Problems for Existential Issues (ES1) Hypothesis 263
Table 12.2 Sample Problems for Freedom and Responsibility (ES2) Hypothesis 274
Table 12.3 Stages of Self-Directed Responsible Action 277
Table 12.4 Sample Problems for Spiritual Domain (ES3) Hypothesis 282
Table 13.1 Sample Problems for Internal Parts (P1) Hypothesis 292
Table 13.2 Sample Problems for Recurrent Pattern (P2) Hypothesis 305
Table 13.3 Examples of Empirically Supported Short-Term Psychodynamic Psychotherapies 309
Table 13.4 Stages of Development of Self and Relational Capacities 313
Table 13.5 Mature Relational Capacities 315
Table 13.6 Sample Problems for Deficits in Self and Relational Capacities (P3) Hypothesis 319
Table 14.1 Family Systems Concepts 333
Table 14.2 Working With Couples 339
Table 14.3 Using Family System Concepts in Individual Therapy 340
Table 14.4 Issues of Lesbian, Gay, Bisexual, Transgender, Questioning, and Intersex Clients 345
Clinical Case Formulations: Matching the Integrative Treatment Plan to the Client (Second Edition) by Barbara Lichner Ingram discusses her approach in the development of effective individualized treatment plan. The book is divided into two parts with Part One being Case Formulation skills and Part Two being Thirty Core Clinical Hypotheses.
Part I: Case Formulation skills
This part of the book discusses Ingram's step-by-step method for developing a case plan consists of: gathering data, defining problems, specifying outcome goals, organizing and presenting the database, creating the plan by applying core clinical hypotheses, and writing a treatment plan and monitoring progress. Her method is similar to many conventional methods of creating a treatment plan as it defines goals and problems, provides possible explanations, interventions are focused on resolving problems, and monitors progress. Outcome goals must be specific in order to be measured for efficacy. Ingram also is supportive of evidence based practices (EBP) using empirically supported data of outcomes. (On a side note many agencies, psychologists, counselors, therapists, and social workers claim to use evidence based practices but fail to provide any data to support outcomes or treatment efficacy. Essentially, they are using the latest jargon stating that they use EBP but in reality they do not. It is interesting to hear their explanations when you ask them, "How do you measure client success?" If they cannot provide you specific data then chances are they are not using evidence based practices.)
Part II: Thirty Core Clinical Hypotheses
The Thirty Core Clinical Hypotheses are organized into seven categories:
1. Crisis, Stressful Situations, Transitions, and Trauma (CS)
2.
Clinical Case Formulations: Matching the Integrative Treatment Plan to the Client by Barbara Lichner Ingram. John Wiley & sons, Inc. Hoboken, New Jersey.
Getting my hands on this book has been very timely - for the last few months myself and colleagues have been attempting to reach some sort of a consensus on a working definition for Case Conceptualisation, Case Formulation; as well as how and what tools and techniques we ought to use in our practice. I personally have been influenced by the work of Sperry and do fall back on (to some extent at least) grouping patient and client information in terms of the 5P's: presentations, predispositions, precipitants, perpetuates and prognosis.
And so, I was quite keen to read this very large book (666 pages) and look for approaches and insights we might not be familiar with. The book has three main sections, broadly;
1. Case Formulation skills,
2. Twenty-Eight Core Clinical Hypotheses, and
3. Steps to Complete Case Formulation
I should say right from the start this book is suited for the reader who has completed clinical Psychology studies and is pitched at professional practitioners in this field. This is not to say students would not benefit from this text - however, in parts this book is difficult, and probably more complicated than it needs to be.
Possibly the biggest criticism I have of this book is that it [Prof Barbara Ingram] seems to avoid the therapeutic techniques or modalities that have been developed and adopted over the history of psychology. Instead, it's as if she has created her own version of psychotherapy with its own schema, approaches and language. For example, the style of case summary and evaluation is unique to her and not followed elsewhere.
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