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Clinical Case Formulations


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Table of Contents

List of Tables ix 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

About the Author

BARBARA LICHNER INGRAM, PhD, is a Professor of Psychology at Pepperdine University in Los Angeles, California, where she has served on the faculty since 1978. She was instrumental to the creation of their APA-approved PsyD program in 1985 and continues to be an active participant in that endeavor.


"[Barbara Ingram has put] a career into the development of this book and it is wonderful! My students love that it is 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 Reese-Turyn, PhD, Associate Professor of Counseling Psychology, Lewis & Clark College "Dr. Ingram's book is a tremendous accomplishment and contribution. She provides a step-by-step, systematic guide to case formulation and treatment planning that is simultaneously creative, integrative, evidence-based, practical and wise. All clinicians, regardless of experience or theoretical orientation, would benefit from reading it." ?Tracy D. Eells, MBA, PhD, Professor, Department of Psychiatry and Behavioral Sciences, University of Louisville "This is an expanded version of what already was one of the most encompassing approaches to psychotherapy integration. Ingram also has added much important material on cultural considerations. The method that is described allows the clinician to approach each patient with a carefully thought out treatment plan. By taking existential and spiritual concerns into account, it goes well beyond the usual problem centered approaches. I am happy to recommend it to all practitioners." ?George Stricker, Professor of Psychology, Argosy University, Washington DC "Two major splits dominate the field of psychotherapy today: alienation between researchers and practitioners, and the fragmentation of theoretical approaches into self-contained, frequently warring subgroups. In this contentious environment, Ingram's important book is a wonderful breath of fresh air, for she develops a dramatically successful conceptual and practical model for bridging these splits. Her approach masterfully does this first by developing a generic case formulation paradigm that is both theory and data friendly for researchers, and individual-case friendly for practitioners. Second, in a far-ranging and seamless integration of the field, Ingram demonstrates how her case formulation model can incorporate concepts and principles from a wide variety of theoretical orientations, vividly showing how the different approaches can provide complementary perspectives on the same case. This complementarily in turn provides more options for treatment planning and intervention so as to best shape the therapy to the specific clinical needs and contexts of the individual client, while at the same time providing rich material to facilitate the further development and refinement of the theories." ?Daniel B. Fishman, PhD, Professor, Graduate School of Applied and Professional Psychology, Rutgers University

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