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    Counselling Skills

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    Models of case conceptualisation 1

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    Counselling Skills

    Copyright:

    © All Rights Reserved
    Download as PDF or read online from Scribd
    Flag for inappropriate content
    9 views31 pages

    Models of Case Conceptualisation 1

    Uploaded by

    nishita.s
    Counselling Skills

    Copyright:

    © All Rights Reserved
    Download as PDF or read online from Scribd
    Flag for inappropriate content
    of 31
    Case Conceptualization: Understanding the Client's Concerns This chapter examines the o of case conceptualization, a key part of the clinical assessment and appraisal process. Case conceptualization picks up where descriptive diagnosis leaves “Gif afd includes an examination of the client’s presenting problem, related problems, root causes, and fictors currently keeping the problem going. It gives the clinician a-bridge between knowing what the client’s.concerns ae and deciding what to do about ther [eallows thé ¢ ind a client's needs, chrough his or her unique theoretical perspective, and subsequently apply appropriate counseling skills and treatment strategies ‘Whereas natural helpers have litle understanding of the case conceptualization process, professional counselors use case conceptualization «0 help focus on (needs and eventual treatment plans. iivthis chapter, we fist define and explain what case Conceptualization is. We discuss the purpose of conceptualization and why new counselors sometimes feel overwhelmed when leaeaing conceptual skills. Next, we introduce a specific, step-by-step method that new counselors can use in the conceptualization process. We include case illustrations and practice exercises throughout the chapter to acquaint you with case conceptualization. Finally, we focus on how Jearning case conceptualization skills s an ongoing developmental process. Understanding Case Conceptualization Effective mental health treatment depends on using a valid framework to assess, appraise, and make sense of cient needs (Hinkle, 1994; Seligman, 2004), Conceptual skalls PROVE Clinicians with’ a fationale for their approach to treatment Seligman, 2004). Further, with today's emphasis on brief counseling approaches (Budman & Gurman, 1983, 1988 Gelso & Johnson, 1983) and eclectic models of treatment CHARTER Case Conceptulaaton: Undeesandng the Chen Cones 195; (Mahalice, 1990; Noreross & Prochanska, 1982; Smith, 1982), quick een assessment, Conceptuaization, and treatment planning have become essential. In fet, exploring lent concerns, developing a conceptualization, specifying goals, and building a teat ment plan generally are completed inthe ist few sessions in most counseling modes today (Burlingarie & Fubriman, 1987; Neukrug, 2002). Case conceptualization ancl codes require clinicians to come oie key ias of clinical tclated intervention skills are so important that our et be competent in using them, and learning them has be training (Elis & Dell, 1986; Loganbil, Hardy, & Detworth, 1982), Defining Case Conceptualization new clinicians who had some experience When we asked novice counselors arces—how they defined “case swith clients but were just beginning their clinical ca conceptuatization,” here is what they said. ‘= "Case conceprualization is how you understand the isse or problem presented by a client.” = ‘The overall approach to assessing the dient’ T Getting a picture of what is going on for the client, where he or she wants to go, and how to get there. “e "What the counselor sees as the client's situation—the counselor's impression of what the client needs, ‘An overall assessment ofa client’s condition, situation, state, or needs, Using theory 10 fit together the client’ issues, presenting problem, ‘nackground, and possible interventions, uation.” “These new counselors agreed that conceptualization involves “picking apart the important des ce" to gain 2 “comprehensive understanding of aclient vind He aeher needs.” They felt that case conceptualization was part of the whole linical assessment provess—that conceptualizing the client's need ibased on cy bread view of aclienr’s case, including diagnosis, history, test results, goals, etc ‘They also believed that although case conceptualization takes into account “the ddient's peropective of his or her needs and desires for assistance,” wltimately itis “the clinician's understanding of the client's needs and the clinician's ideas of how tersene the dient” that drive’ case conceptialization. Those are good definitions that are in Tine with bow we define case ‘conceptualization, We see case Feoneptuazation a cinkal shoe poset that includes the i theee <°} theoretical or conceptual elements 1 Observing, assessing, nd measuring.ient behaviors thous fea faut prygologal fences 2. Using these observations, assessments, and meysurements to find patterns and themes in the client's concerns 3, asa finction of the Clinician's theoretical orientation, using the patterns and themes to interpret, explain, or make clinical judgments about tors (underlying oF Foot Gaus) and sustaining factors {fealuees keepig the problem going) sssoctated with the person's civic Tos: Maraging the Cnange races Unimately, the case conceptualization process is used 10 a¢ manage, or resolve the clients unwanted problems by developing & plan £0ckle THe problems dizeady or by working on the etiological and sustainidg FCs that fre keeping the problems going, (The treatment planning aspect of ease conceP tualization wil be discussed in Chaprer 10.) Case Conceptualization: Some Examples ‘To give you a better picture of what case conceptualization is all about, it might be helpful to see a couple of examples. For our fist illustration, let's

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