Case Conceptualization and Treatment Planning: Integrating Theory with Clinical Practice » (2nd Edition)

Learn to develop treatment plans using any theoretical perspective

Using compelling client interviews and skill-building exercises, this text shows students how to develop effective case conceptualizations and treatment plans. Case Conceptualization and Treatment Planning presents a comprehensive model that simplifies a task that is potentially overwhelming to a student-figuring out how to tailor clinical work to the specific background and values of a client. This new edition has been thoroughly revised and expanded, including the addition of two new theoretical orientations: feminist perspective and constructivist perspective.

Key Features

• Interviews that challenge students to gain an understanding of the strengths and weaknesses of diverse clients as well as develop an awareness of biases therapists may bring to the treatment process
• Exercises that help students learn to tailor their written treatment plans to the model chosen for supporting client growth
• Theoretical models that challenge students to think critically about cases using behavioral, cognitive, feminist, emotion-focused, dynamic, family systems, constructivist, and transtheoretical perspectives

Instructor's Resources Available

Visit http://www.sagepub.com/pberman2instr/for the password-protected instructor's materials including seven procedures that describe how instructors can use class time to build students’ skills at developing case conceptualizations and treatment plans; grading criteria; tips for instructor feedback to student work; and essay exam questions.

This text is suitable for professionals and students in clinical psychology, counseling psychology, psychiatry, social work, human services, and nursing.

Preface ix

Overview of Chapters xii

Acknowledgments xvi

1 Developing Case Conceptualizations and Treatment Plans 1

Selecting a Theoretical Perspective 4

Developing Your Theoretical Understanding of Pat 6

Key Features in Developing a Case Conceptualization 7

Key Features in Developing a Treatment Plan 8

Developing Your Personal Writing Style 10

Examples of Premises and Treatment Plan Styles 14

Conclusions 28

Recommended Resources 29

2 The Complexity of Human Experience 30

Domain of Age 32

Early Childhood (Approximately Ages 4-7) 32

Middle Childhood (Approximately Ages 7-12) 34

Adolescence (Approximately Ages 12-19) 36

Resilience Versus Risk 38

Red Flag Developmental Guidelines 39

Domain of Gender 39

Red Flag Gender Guidelines 47

Domain of Race and Ethnicity 47

African Americans 50

American Indians and Alaska Natives 55

Hispanic or Latino and Latina Americans 61

White Americans/European Americans 66

Red Flag Racial and Ethnic Guidelines 72

Domain of Sexual Orientation 73

Red Flag Sexual Orientation Guidelines 78

Domain of Socioeconomic Status 79

Red Flag Socioeconomic Guidelines 84

Domain of Violence 84

Red Flag Violence Guidelines 90

Conclusions 91

Recommended Resources 93

3 Behavioral Case Conceptualizations and Treatment Plans 95

Introduction to Behavioral Theory 95

Role of the Clinician 98

Case Application: Integrating the Domain of Violence 99

Interview With Jeff (J) From a Behavioral Perspective 100

Behavioral Case Conceptualization of Jeff: Historically Based Style 106

Behavioral Treatment Plan: Historically Based Style 109

Practice Case for Student Conceptualization: Integrating theDomain of Age 111

Information Received From Brief Intake 111

Interview With Kevin (K) From a Behavioral Perspective 112

Exercises for Developing a Case Conceptualization of Kevin 116

Recommended Resources 121

4 Cognitive Case Conceptualizations and Treatment Plans 122

Introduction to Cognitive Theory 122

Role of the Clinician 124

Case Application: Integrating the Domain of Gender 126

Interview With Marie (M) From a Cognitive Perspective 126

Cognitive Case Conceptualization of Marie: Diagnosis-Based Style 132

Cognitive Treatment Plan: Diagnosis-Based Style 135

Practice Case for Student Conceptualization: Integrating the Domain of Sexual Orientation 139

Information Received From Phone Intake 139

Interview With Eric (E) From a Cognitive Perspective 140

Exercises for Developing a Case Conceptualization of Eric 145

Recommended Resources 150

5 Feminist Case Conceptualizations and Treatment Plans 151

Introduction to Feminist Theory 151

Role of the Clinician 155

Case Application: Integrating the Domain of Race and Ethnicity 158

Interview With John (J) From a Feminist Perspective 158

Feminist Case Conceptualization of John: Assumption-Based Style 167

Feminist Treatment Plan: Assumption-Based Style 172

Practice Case for Student Conceptualization: Integrating the Domain of Socioeconomic Status 175

Information Received From Brief Intake 175

Interview With Sharon (S) From a Feminist Perspective 175

Exercises for Developing a Case Conceptualization of Sharon 184

Recommended Resources 189

6 Emotion-Focused Case Conceptualizations and Treatment Plans 190

Introduction to Emotion-Focused Theory 190

Role of the Clinician 195

Case Application: Integrating the Domain of Sexual Orientation 200

Interview With Ellen (E) From an Emotion-Focused Perspective 200

Emotion-Focused Case Conceptualization of Ellen: Interpersonally Based Style 205

Emotion-Focused Treatment Plan: Interpersonally Based Style 208

Practice Case for Student Conceptualization: integrating the Domain of Violence 211

Information Hon Received From Brief Intake 211

Interview With Nicole (N) From an Emotion-Focused Perspective 212

Exercises for Developing a Case Conceptualization of Nicole 219

Recommended Resources 225

7 Dynamic Case Conceptualizations and Treatment Plans 226

Introduction to Dynamic Theory 226

Role of the Clinician 230

Case Application: Integrating the Domain of Race and Ethnicity 233

Interview With Sergio (S) From a Dynamic Perspective 233

Dynamic Case Conceptualization of Sergio: Assumption-Based Style 241

Dynamic Treatment Plan: Assumption-Based Style 244

Practice Case for Student Conceptualization: Integrating the Domain of Gender 246

Information Received From Brief Intake 246

Interview With Steve (S) From a Dynamic Perspective 247

Exercises for Developing a Case Conceptualization of Steve 252

Recommended Resources 256

8 Family Systems Case Conceptualizations and Treatment Plans 257

Introduction to Family Systems Theory 257

Role of the Clinician 263

Case Application: Integrating the Domain of Age 266

Interview With Alice (A) and Katherine (K) From a Family Systems Perspective 267

Family Systems Case Conceptualization of Alice: Symptom-Based Style 271

Family Systems Treatment Plan: Symptom-Based Style 273

Practice Case for Student Conceptualization: Integrating the Domain of Race and Ethnicity 276

Information Received From Brief Intake 276

Interview With Tanisha (T) and Marcus (M) From a Family Systems Perspective 276

Exercises for Developing a Case Conceptualization of Tanisha and Marcus 283

Recommended Resources 289

9 Constructivist Case Conceptualizations and Treatment Plans 290

Introduction to Constructivist Theory 290

Role of the Clinician 293

Case Application: Integrating the Domain of Socioeconomic Status 298

Interview With Zechariah (Z) From a Constructivist Perspective 298

Constructivist Case Conceptualization of Zechariah: Symptom-Based Style 307

Constructivist Treatment Plan: Symptom-Based Style 311

Practice Case for Student Conceptualization: Integrating the Domain of Violence 312

Information Received From Brief Intake 312

Interview With Josephina (J) From a Constructivist Perspective 313

Exercises for Developing a Case Conceptualization of Josephina 320

Recommended Resources 326

10 Transtheoretical Case Conceptualizations and Treatment Plans 327

Introduction to Transtheoretical Theory 327

Role of the Clinician 331

Case Application: Integrating the Domain of Violence 334

Interview With Jake (J) From a Transtheoretical Perspective 334

Transtheoretical Case Conceptualization of Jake: Theme-Based Style 340

Transtheoretical Treatment Plan: Theme-Based Style 344

Practice Case for Student Conceptualization: Integrating the Domain of Race and Ethnicity 348

Information Received From Brief Intake 348

Interview With Kayla (K) From a Transtheoretical Perspective 349

Exercises for Developing a Case Conceptualization of Kayla 359

Recommended Resources 364

11 Discussion and Extension of the Model 365

Individualizing Treatment to Ensure Quality Care 366

Case Conceptualization and Treatment Planning Over Time 367

The Case of Kayla 367

The Beginning Stage of Treatment 368

The Middle Stage of Treatment 368

The End Stage of Treatment 371

Premise 372

Conclusion 372

Red Flag Guidelines for Developing a Case Conceptualization and Treatment Plan 373

References 374

About the Author 389