Sunday, May 20, 2007

Clinical Case Formulations: Matching the Integrative Treatment Plan to the Client [Kindle Edition]

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Author: Barbara Lichner Ingram
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Praise for Clinical Case Formulations

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.

  • File Size: 2092 KB
  • Print Length: 524 pages
  • Publisher: Wiley; 2 edition (November 1, 2011)
  • Sold by: Amazon Digital Services, Inc.
  • Language: English
  • ASIN: B0062ZNIP6
  • Text-to-Speech: Enabled
  • X-Ray: Not Enabled
  • Lending: Enabled
  • Amazon Best Sellers Rank: #134,141 Paid in Kindle Store (See Top 100 Paid in Kindle Store)

Clinical Case Formulations: Matching the Integrative Treatment Plan to the Client

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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