Deck 9: Case Conceptualization: Understanding the Clients Concerns

Question 1

"Etiology" refers to:

A) features keeping the problem going.
B) underlying or root causes.
C) main symptomotology.
D) primary treatment goals.
E) measurable outcomes.

Answer 1

underlying or root causes.

Question 2

Family experiences, work interactions, and romantic experiences reflect the client's functioning in the area of:

A) adjustment to major life roles.
B) social adjustment.
C) personal-emotional adjustment.
D) cognitive adjustment.

Answer 2

social adjustment.

Question 3

Step 3 of the Inverted Pyramid involves narrowing clinical thinking to a smaller number of client themes that are:

A) unifying.
B) central.
C) explanatory.
D) Two of the above
E) All of the above

Answer 3

All of the above

Question 4

Using Schwitzer's inverted pyramid method of case conceptualization, tying symptom groups into deep theoretical or causal inferences is:

A) Step 1
B) Step 2
C) Step 3
D) Step 4

Question 5

Using Schwitzer's inverted pyramid method of case conceptualization, organizing client difficulties into intuitive or logical groupings is:

A) Step 1
B) Step 2
C) Step 3
D) Step 4

Question 6

Issues of deep-rooted shame or rage, extreme loss of identity, or fragile personality structures are recorded on which Step of the Inverted Pyramid?

A) Step 1
B) Step 2
C) Step 3
D) Step 4

Question 7

When the Inverted Pyramid is complete, the counselor should be able to see:

A) how the diagnosis was derived.
B) how behaviors lead to thoughts.
C) how surface issues are related to deep dynamics.
D) how thoughts lead to behaviors.

Question 8

Which theory is usually applied at Step 1 on the Inverted Pyramid method of case conceptualization?

A) cognitive behavioral
B) client centered
C) psychodynamic
D) any of the above
E) no theory is applied

Question 9

"Sustaining factors" refers to:

A) features keeping the problem going.
B) underlying or root causes.
C) main symptomotology.
D) primary treatment goals.
E) measurable outcomes.

Question 10

Inquiries about the client's medical problems, prescriptions, previous therapy, or substance use:

A) should be postponed until a good working relationship has been established over time.
B) should be referred to the client's primary case physician.
C) should be a routine part of Problem Identification in the case conceptualization process.
D) should be a part of the Problem Identification process if no psychological assessment are used.

Question 11

Which of the following is true?

A) Today's students and newly training clinicians typically are more confident about case conceptualization than those who have been in practice for awhile.
B) Those who have been in practice for awhile typically are more confident about case conceptualization than recently training clinicians.
C) There is not much difference in confidence about case conceptualization between the two.
D) Newly trained males tend to feel more confident.

Question 12

Step 4 of the Inverted Pyramid involves narrowing clinical thinking to:

A) still-deeper, more central, causal themes.
B) existential questions.
C) a focus on solutions.
D) Two of the above
E) All of the above

Question 13

Problematic relationships and eating difficulties are examples of:

A) client behaviors.
B) client thoughts.
C) client affect.
D) client physiology.

Question 14

Self-statements, ruminations, and fantasies are examples of:

A) client behaviors.
B) client thoughts.
C) client affect.
D) client physiology.

Question 15

Using Schwitzer's inverted pyramid method of case conceptualization, broadly identifying client difficulties and symptomatic behavior is:

A) Step 1
B) Step 2
C) Step 3
D) Step 4

Question 16

Case conceptualization involves:

A) observing, assessing, and measuring client behaviors, thoughts, feelings, and physiology.
B) finding patterns and themes in the client's concerns.
C) interpreting, explaining, or making clinical judgements about the person's concerns.
D) Two of the above
E) All of the above

Question 17

Using Schwitzer's inverted pyramid method of case conceptualization, narrowing theoretical inferences to the deepest difficulties in development or adjustment is

A) Step 1
B) Step 2
C) Step 3
D) Step 4

Question 18

Steps 3 and 4 of the Inverted Pyramid are:

A) intuitive.
B) logical.
C) theoretical.
D) Two of the above
E) All of the above

Question 19

Step 2 of the Inverted Pyramid Method is "configural." This means:

A) a treatment plan is configured based on the conceptualization.
B) a diagnosis is configured based on the conceptualization.
C) the goal of this step is to group together, or configure, client problems that operate in similar ways.
D) the goal of this step is to group together, or configure, the different theories that address the client's needs.

Question 20

Which of the following is most accurate?

A) Diagnosis is descriptive; case conceptualization is explanatory.
B) Diagnosis is explanatory; case conceptualization is descriptive.
C) Both diagnosis and case conceptualization are descriptive.
D) Both diagnosis and case conceptualization are explanatory.

Question 21

The following client information is provided: "Low mood, obsessive worry, sleep trouble, poor appetite, conflicts with mother, unassertive..." This information most likely appears in which step of the Inverted Pyramid?

A) Step 1
B) Step 2
C) Step 3
D) Step 4

Question 22

The following client information is provided: "1) Moderate Depression, 2) Relationship Dependency, 3) Identity Confusion." This information most likely appears in which step of the Inverted Pyramid?

A) Step 1
B) Step 2
C) Step 3
D) Step 4

Question 23

Practicing case conceptualization skills with fictional "clients":

A) is a good replacement for working with actual clients.
B) is a good step in the learning process.
C) is a good replacement for working with a supervisor.
D) may be unethical.

Question 24

The following client information is provided: "Fragile self esteem." This information most likely appears in which step of the Inverted Pyramid?

A) Step 1
B) Step 2
C) Step 3
D) Step 4

Question 25

The following client information is provided: "Undeveloped self-worth/Fatal Flaw." This information most likely appears in which step of the Inverted Pyramid?

A) Step 1
B) Step 2
C) Step 3
D) Step 4