AssessmentDiagnosisPSY364

AssessmentDiagnosisPSY364 - Case Conceptualization,...

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Case Conceptualization, Assessment, and Diagnosis PSY364 Fall 2011 Dr. Bradbury
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By the end of this unit. .. You should be able to read a case description and identify: The client’s behaviors, including covert behaviors (thoughts, feelings, attitudes) The client’s individual and environmental strengths The antecedent contributing conditions The consequences and secondary gains The way each consequence influences the behaviors The sociopolitical context of the issue
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What is Assessment? Collaborative process Why client seeking help now, what client wants, and how to help the client get there (will lead to goals) Assessment process involves methods, procedures, and tools that are used to collect and process information from which helping program is developed Helper’s tasks include identifying what information to obtain and how to obtain it; integration, synthesis, and analysis of client material; generation of clinical hunches or hypotheses Helper’s thinking about case termed conceptualization
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Cognitive Behavioral Therapy First wave of behavior therapy, developed in 1950s by persons including Skinner, Wolpe, and Lazarus, focused on changing observable behaviors Second wave of cognitive behavioral therapy arose in 1970s as result of work of persons such as Bandura, Meichenbaum, and Beck and focused on private events Current theory acknowledges both overt responding (observed behavior) and covert responding (feelings and thoughts) as important targets of change Third wave of CBT includes acceptance and commitment therapy (ACT), dialectical behavior therapy (DBT), and mindfulness-based cognitive therapy (MBCT)
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Basics of Cognitive Behavior Therapy Most behavior is learned; social learning theory Problems are defined operationally Causes of client problems and therefore treatments/interventions are multidimensional Most problems occur in a social context known as ecological or person-in-environment
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Most Behavior Is Learned Undesired (maladaptive) behavior is developed, maintained, and subject to alteration or modification in same manner as normal (adaptive) behavior Both prosocial and maladaptive behaviors assumed to be developed and maintained by external environmental events or cues, external reinforcers, and internal processes such as cognition, emotion, physiology For the most part, maladaptive behavior not thought to be function of physical disease or underlying intrapsychic conflict Text: “many psychological disorders have biological as well as learning component” What's wrong with this statement?
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Problems Are Defined Operationally “operational definition:” what it is and how to do it Emphasis on client actions in situations not on inferred attributes Specify thoughts, feelings, actions, situations, and persons associated with client’s concerns Measure!! (e.g., intensity, frequency, duration)
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This note was uploaded on 04/02/2012 for the course PSY 364 taught by Professor Telch during the Spring '06 term at University of Texas.

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AssessmentDiagnosisPSY364 - Case Conceptualization,...

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