Step-by-Step Model of Collaborative Case Conceptualization

Christine A. Padesky, PhD
3 Audio CDs • 3½ hour clinical workshop with handouts on disc 1 in a PDF file

A Step-by-Step Model of Collaborative Case Conceptualization

© 2011 Copyright Center for Cognitive Therapy / www.padesky.com

This audio program was professionally recorded on location and edited for clarity and content. Attendees questions have been condensed for ease of listening.

The workshop handouts are included on disc 1 as a PDF file. To print out, place disc 1 in your computer's CD ROM drive and access the CD drive. You will see the file listed as "Handout_Packet_MCCC.pdf"

Workshop Description (click HERE to see copy of handouts cover)

When clients come to therapy with a single psychological difficulty, there is often a clear-cut, evidence-based treatment approach to follow. But what is a therapist to do when this is not the case? What treatment protocol(s) should be used?

Padesky presents a step-by-step model of collaborative case conceptualization to guide therapists’ treatment planning, derived from her most recent book Collaborative Case Conceptualization (Kuyken, Padesky & Dudley, 2009).

She demonstrates the three guiding principles of this new approach:

1. Clients can be engaged to collaboratively co-create conceptualization models that explain presenting issues. Padesky explains why it is important for clients to help construct their conceptualizations and shows how this collaborative process resolves common
   treatment challenges.

2. Conceptualization is not static; instead it evolves over the course of therapy from descriptive to explanatory models. Participants learn simple interview methods that help clients co-develop models to understand presenting issues, their triggers, and what maintains them.

3. Client strengths can easily be incorporated into conceptualizations. Doing so helps clients build resilience as they resolve their distress.

Aaron T. Beck calls this new approach “a gold standard for how to develop individualized case conceptualizations.”

Disc 1 of 3 (72.13 min)

1. Overview

2. Research & Biases

3. New Model of CC

4. Collaborative Empiricism

5. Incorporate Strengths

6. Case Example "Sara"

7. Demo: "Where do we begin?"

8. Debrief Demo: Collaboration & Strengths

9. Level 1: DESCRIPTIVE

Disc 2 of 3 (77:18 min)

1. Level 2: CROSS-SECTIONAL

2. Level 3: LONGITUDINAL

3. Summary: New Model

4. Exercise: Find Strengths

5. Bring Strengths to Awareness

6. Exercise: Capture Strengths

7. Example: "Rose" Include Strengths

8. CROSS-SECTIONAL "Why does this keep happening?"

9. Triggers & Maintenance

10. Demo: "Box, arrow in-out"

11. Debriefing, Disclaimer, Discussion

Disc 3 of 3 (64:42 min)

1. Exercise: Triggers / Responses

2. Debrief w/ Q & A

3. Learning Points

4. Cross-sectional Themes

5. Summary: Cross-sectional

6. LONGITUDINAL "Does my future look like my past?"

7. Example: Identify Protective Factors

8. Demo: Build Resilience

9. Debrief Demo

10. Summary: Longitudinal

11. Questions & Heuristics