Demystifying the Psychiatric Case Formulation

Until recently case formulation was an ethereal art, in that there was 110 standard, agreed-upon format for conceptualizing and writing formulations. However, the increasing emphasis on accountability in psychiatric care, the trend toward theoretical integration, and the difficulty trainees experience in mastering formulation skills highlight the need for a standard format. The descriptive, etiological and treatment-prognostic components of a formulation are discussed as a standard format for conceptualizing and writing case formulations. Four written formulations are described in terms of content, structure and process to illustrate this format

The Past, Present and Future of the \u3ci\u3eJournal of Individual Psychology\u3c/i\u3e

The co-editors of the Journal of Individual Psychology (JIP) will discuss the past, present, and future of the journal. This presentation will also include information about publishing in the JIP, download patterns of JIP articles, a brief history of the journal, and the process to become a peer-reviewer. Participants will be able to: describe the process for submitting manuscripts to the JIP. Participants will be able to: explain the history of the JIP and plans for IP to become an evidenced-based counseling approach. Participants will be able to: describe the process for applying to be a peer-reviewer for the JIP

Trauma ICU Prevalence Project: the diversity of surgical critical care.

Background:Surgical critical care is crucial to the care of trauma and surgical patients. This study was designed to provide a contemporary assessment of patient types, injuries, and conditions in intensive care units (ICU) caring for trauma patients. Methods:This was a multicenter prevalence study of the American Association for the Surgery of Trauma; data were collected on all patients present in participating centers' trauma ICU (TICU) on November 2, 2017 and April 10, 2018. Results:Forty-nine centers submitted data on 1416 patients. Median age was 58 years (IQR 41-70). Patient types included trauma (n=665, 46.9%), non-trauma surgical (n=536, 37.8%), medical (n=204, 14.4% overall), or unspecified (n=11). Surgical intensivists managed 73.1% of patients. Of ICU-specific diagnoses, 57% were pulmonary related. Multiple high-intensity diagnoses were represented (septic shock, 10.2%; multiple organ failure, 5.58%; adult respiratory distress syndrome, 4.38%). Hemorrhagic shock was seen in 11.6% of trauma patients and 6.55% of all patients. The most common traumatic injuries were rib fractures (41.6%), brain (38.8%), hemothorax/pneumothorax (30.8%), and facial fractures (23.7%). Forty-four percent were on mechanical ventilation, and 17.6% had a tracheostomy. One-third (33%) had an infection, and over half (54.3%) were on antibiotics. Operations were performed in 70.2%, with 23.7% having abdominal surgery. At 30 days, 5.4% were still in the ICU. Median ICU length of stay was 9 days (IQR 4-20). 30-day mortality was 11.2%. Conclusions:Patient acuity in TICUs in the USA is very high, as is the breadth of pathology and the interventions provided. Non-trauma patients constitute a significant proportion of TICU care. Further assessment of the global predictors of outcome is needed to inform the education, research, clinical practice, and staffing of surgical critical care providers. Level of evidence:IV, prospective observational study

Cognitive Behavior Therapy of DSM-5 Personality Disorders: Assessment, Case Conceptualization, and Treatment

The first edition of Cognitive Behavior Therapy of DSM-IV Personality Disorders broke new ground. It differed from other CBT books by offering brief but thorough user-friendly resources for clinicians and students in planning and implementing effective treatments. The third edition of this classic text continues this tradition by providing practitioners―both practicing clinicians and those in training―a hands-on manual of highly effective, evidence-based cognitive and behavioral interventions for these challenging disorders. The beginning chapters briefly describe the changes between the DSM-IV-TR and DSM-5 and emphasize the best of the recent evidence-based CBT assessment and treatment strategies applicable to personality disorders. The book then guides clinicians in each step of the treatment process--from assessment to case conceptualization to selection and implementation of intervention. Case material is used to illustrate this process with the most recent developments from Behavior Therapy, Cognitive Therapy, Schema Therapy, Cognitive Behavioral Analysis System of Psychotherapy, Mindfulness-based therapies, and Dialectic Behavior Therapy.https://spiral.lynn.edu/facbooks/1019/thumbnail.jp

Case Conceptualization in Eight Steps

This session describes an easy-to-master, 8-step strategy for developing a concise, accurate, and compelling case conceptualization. It begins by defining the Sperry and Sperry (2012) case conceptualization model. Then, it identifies the myths and misconceptions that discourage its use. Next, it incorporates the key elements of an integrative case conceptualization and illustrates this process with several case examples

Case Conceptualization: Mastering This Competency with Ease and Confidence

This book introduces an integrated case conceptualization model that helps you create case conceptualizations that include key elements from cognitive behavioral therapy, psychodynamic psychotherapy, Adler psychotherapy, acceptance and commitment therapy, and physiological psychosocial approaches. In addition, the latest trends and research on case conceptualization, counseling planning, counseling intervention, and cultural sensitivity are emphasized, and counseling cases that dealt with key issues in concrete and persuasive ways are presented.https://spiral.lynn.edu/facbooks/1050/thumbnail.jp