Case formulations are a more in depth type of case study. It is a conceptualization of the client and describes the contextual environment that shaped how they came to be who they are as they present to you. It is the application of theory to the biopsychosocial assessment. This is where we strive to uncover the whole picture, as many aspects as possible of the client. This detail conceptualization is rich in detail and enhances the treatment plan process with the client. It all comes together here!
4. Create and fill out a 4P Case Formulation chart using the cell titles below. Don’t forget some factors may overlap and should be listed in multiple cells. Use short and brief bullet descriptors as modeled in examples provided on the website and other articles including those from module 2. Do not write full sentences.
5. As you are writing your narrative include the application of theories to your case. This is your chance to demonstrate you understand that theory links to actual case details. There are 3 example paragraph narratives below to help you understand the depth of the assignment expectation regarding apply theory to your case.
BiologicalPsychologicalSocialPredisposing Precipitating Perpetuating Protective
case formulation-1.pptx Voice Over Slide Presentation
5. Write a narrative using the following outline (you may add other sub headings if you desire).
Early developmental and pathogenic psychological factors:
Precipitating and perpetuating factors
Prediction of response to treatment and interventions:
EXAMPLES OF USE OF THEORY APPLICATION IN CASE FORMULATION:
Multiple theories and frameworks can used to conceptualize Gregory’s case. Using a social learning lens Gregory’s alcohol use could be indicative of modeling as well as a biological link through genetics. Gregory’s father abused alcohol while he was in his care, which he witnessed and thereby modeled the maladaptive behavior. Additionally, as his mother with Borderline personality disorder diagnosis, genetics could explain his later development of the disorder which has a strong genetic component. From a systems perspective it is clear Gregory’s early experiences and interactions within his home and low SES community (victim of domestic violence, witness to interpersonal violence, murder, “ghetto”) presented him with a wide range of maladaptive adult interactions. The extended roots of Psychodynamic theory informs us that Gregory’s early childhood neglect and home discord would most likely result in a disorganized/disoriented attachment style.
During these years, Donald may have struggled with Erik Erikson’s identity vs. role confusion as he struggled to identify his role in society and as a result, he experienced thoughts of suicide. Donald’s suicidal ideation also demonstrates emotion dysregulation skills as a teenager. (if emotion dysregulation is used to describe the client you would most likely write about DBT as a theoretical framework for treatment in the appropriate section of the paper)
Using the transtheoretical model of behavior change helps to determine appropriate interventions for how the client might be motivated or not motivated to makes changes. Using this model, the patient appears to be in the contemplation stage of change regarding her anxiety and her depression. She recognizes her symptoms of anxiety and depression and has taken a small step by reaching out and speaking to someone. This shows her readiness to change, as well as her ambivalence towards changing her behavior. The clinician will need to target motivational interviewing strategies by rolling with her resistance and helping her to clarify her goals and figure out what she wants to achieve.
Some RubricSome RubricCriteriaRatingsPtsThis criterion is linked to a Learning OutcomeDiagnosis is Correct2 ptsFull MarksIncludes all pertinent case diagnosis and specifiers1 ptsIncomplete DiagnosisAll appropriate diagnosis are not listed, or specifier is not listed0 ptsNo Diagnosis2 pts
This criterion is linked to a Learning Outcome4P Case Formulation4 ptsFull MarksCase Chart is completed; recognizes some factors may overlap, bullet descriptors are used but the main points are thoroughly documented2.4 ptsIncomplete ChartChart is brief and not a comprehensive picture of the case0 ptsNo MarksChart is incorrect/incomplete Major sections of chart are incorrectly utilized or incomplete.4 pts
This criterion is linked to a Learning OutcomeNarrative4 ptsFull MarksNarrative is written with sub headings as indicated in the assignment prompt. All sections are completed and appropriate and applicable theories are applied to the case formulation narrative.2 ptsNarrative is briefNarrative is brief and does not adequately reflect full case formulation or application of theory where appropriate.0 ptsNo Marks4 pts
Total Points: 10PreviousNext
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