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Collaborative Case Conceptualization

Working Effectively with Clients in Cognitive-Behavioral Therapy

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  • Hardback: 366 pages
  • Published: January 2009
  • ISBN: 978-1-60623-072-5
  • Publisher: Guilford Press

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Presenting an innovative framework for tailoring cognitive-behavioral interventions to each client's needs, this accessible book is packed with practical pointers and sample dialogues. Step-by-step, the authors show how to collaborate with clients to develop and test conceptualizations that illuminate personal strengths as well as problems, and that deepen in explanatory power as treatment progresses. An extended case illustration demonstrates the three-stage conceptualization process over the entire course of therapy with a multiproblem client. The approach emphasizes building resilience and coping while decreasing psychological distress. Special features include self-assessment checklists and learning exercises to help therapists build their conceptualization skills.

Table of Contents

The Procrustean Dilemma. The Case Conceptualization Crucible: A New Model. Two Heads Are Better Than One: Collaborative Empiricism. Incorporating Client Strengths and Building Resilience. "Can You Help Me?": Descriptive Case Conceptualization. "Why Does This Keep Happening to Me?": Cross-sectional Explanatory Conceptualizations. "Does My Future Look Like My Past?": Longitudinal Explanatory Conceptualizations. Learning and Teaching Case Conceptualization. Appraising the Model. Appendix: Aid to History Taking Form.

Reviews

"An important and timely book that will be of great interest to clinicians and researchers. CBT texts rarely provide detailed guidance on conceptualization. Written by internationally recognized experts, this book fills the gap by providing clinicians with numerous insightful tips about how to develop conceptualizations, and, crucially, how to link those conceptualizations to interventions. Ways of teaching conceptualization are outlined, and a much-needed research agenda for the area is advanced. A major achievement." - David M. Clark, Institute of Psychiatry, Kings College London, United Kingdom

"What a marvelous addition to the conceptualization literature! This intriguing book compellingly fuses theoretical acuity, in-depth research understanding, and true clinical creativity. Extended case examples bring the text vividly to life, and the innovative emphasis on fostering clients' resilience and strengths adds a unique dimension to conceptualization work. An essential guide for the novice and a rich source of new ideas and inspiration for experienced cognitive therapists." - Melanie Fennell, Department of Psychiatry, University of Oxford, UK

"This book sets a gold standard for how to develop individualized case conceptualizations with our clients. While cognitive therapy has always emphasized partnership between therapist and client, Kuyken, Padesky, and Dudley demonstrate a radical commitment to collaboration that brings new insights into how the client can be at the center of every therapy. I was especially delighted by the three-chapter demonstration of how conceptualization occurs over time with a single client. Offering a real-world illustration of the approach, this in-depth example shows how conceptualizations can evolve to become both more encompassing and simpler. Another innovative hallmark of the authors' model is its incorporation of client strengths at each stage. This book is destined to be one of the most important and widely used works on case conceptualization for many years to come." - Aaron T. Beck, University Professor of Psychiatry, University of Pennsylvania Medical School, USA

"The authors have combined their impressive strengths as CBT practitioners, teachers, and researchers to develop a new, empirically grounded model of case conceptualization. At its core is a collaborative relationship between therapist and client and an explicit focus on recognizing and building client resilience. This model is a flexible tool that will aid therapist, client, and supervisor throughout therapy. Rich with case examples, the book will be a welcome addition to graduate courses on psychotherapy or case formulation." - Tracy D. Eells, Department of Psychiatry and Behavioral Sciences and Associate Dean for Faculty Affairs, University of Louisville School of Medicine, USA

Author Biography

Willem Kuyken, PhD, is Professor of Clinical Psychology at the University of Exeter, United Kingdom; Cofounder of the Mood Disorders Centre; and Fellow of the Academy of Cognitive Therapy. His primary research and clinical interests are case conceptualization and cognitive-behavioral approaches to depression, and he has published more than 50 articles and book chapters. Dr. Kuyken is a recipient of the May Davidson Award from the British Psychological Society.

Christine A. Padesky, PhD, is a Distinguished Founding Fellow of the Academy of Cognitive Therapy and recipient of their Aaron T. Beck Award. She is an internationally renowned speaker, consultant, and coauthor of six books, including the bestselling Mind Over Mood. Dr. Padesky's numerous awards include the Distinguished Contribution to Psychology Award from the California Psychological Association. Her website, www.padesky.com, features information on her workshops and audiovisual productions, which have provided CBT training for therapists in more than 45 countries since 1983.

Robert Dudley, PhD, is a Consultant Clinical Psychologist for the Early Intervention in Psychosis Service at the Northumberland, Tyne, and Wear Mental Health NHS Trust, United Kingdom. He is currently serving as a Beck Institute Scholar at the Beck Institute for Cognitive Therapy and Research. Dr. Dudley's primary clinical and research focus is the understanding and treatment of psychotic symptoms. As a clinician, trainer, and supervisor, he developed an interest in case conceptualization, and has undertaken several research projects in this area.