Deck 9: Case Conceptualization

Question 1

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.

Answer 1

C

Question 2

Match The Different Ways of Intuitive-Logical Clinical Thinking with the Meaning
a. Look for disorders
b. Looking at thoughts, feelings, behaviors, and physiology
c. Looking at life roles and themes
d. Looking for intrapersonal life themes
Intrapsychic Approach _____

Answer 2

d

Question 3

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

Answer 3

A

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

Match The Different Ways of Intuitive-Logical Clinical Thinking with the Meaning
a. Look for disorders
b. Looking at thoughts, feelings, behaviors, and physiology
c. Looking at life roles and themes
d. Looking for intrapersonal life themes
Areas of Dysfunction Approach _____

Question 6

Problematic relationships and eating difficulties are examples of:

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

Question 7

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 8

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 9

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 10

During Step 1: Problem Identification, the clinician should:

A) "cast a wide net."
B) form an exhaustive listing of all information that may be useful and descriptive when thinking clinically about the clients needs.
C) collect information about the client's thoughts, feelings, and behaviors right in the interview session.
D) often use psychological tests.
E) Two of the above
F) Three of the above
G) All of the above

Question 11

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 12

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 13

Match The Different Ways of Intuitive-Logical Clinical Thinking with the Meaning
a. Look for disorders
b. Looking at thoughts, feelings, behaviors, and physiology
c. Looking at life roles and themes
d. Looking for intrapersonal life themes
Descriptive-diagnosis _____

Question 14

Match The Different Ways of Intuitive-Logical Clinical Thinking with the Meaning
a. Look for disorders
b. Looking at thoughts, feelings, behaviors, and physiology
c. Looking at life roles and themes
d. Looking for intrapersonal life themes
Clinical Targets Approach _____

Question 15

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

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

Question 16

"Etiology" refers to:

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

Question 17

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.

Question 18

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 19

"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 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: "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 22

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 23

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

Question 24

Match the Theory with The Description
a. Psychodynamic
b. Humanistic
c. Behavioral
d. Cognitive
e. Brief Solution Focused
Clinicians using this approach mainly focus on modifying overgeneralizations and distorted thinking patterns. _____

Question 25

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 26

When conceptualizing the case of Angelou's Marguerite, the clinician recorded that the client's concerns fell into categories including: avoidance of conflict, inability to form close relationships, and isolating self from the world. These categories would most likely be used at what point in the Inverted Pyramid method?

A) Step 1
B) Step 2
C) Step 3
D) Step 4
E) Both steps 1 and 2
F) Both steps 2 and 3
G) Both steps 3 and 4

Question 27

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 28

Match the Theory with The Description
a. Psychodynamic
b. Humanistic
c. Behavioral
d. Cognitive
e. Brief Solution Focused
Clinicians using this approach address both current issues and symptoms and their origins in order to resolve the client's presenting concerns so the person can become better able to deal with similar concerns when they arise in the future. _____

Question 29

When conceptualizing the case of Hansel (of Hansel and Gretel), the clinician inferred that the client was experiencing an underlying theme of "fear of imminent death or destruction." This underlying theme would most likely be recorded at what point in the Inverted Pyramid method?

A) Step 1
B) Step 2
C) Step 3
D) Step 4
E) Both steps 1 and 2
F) Both steps 2 and 3
G) Both steps 3 and 4

Question 30

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 31

Match the Theory with The Description
a. Psychodynamic
b. Humanistic
c. Behavioral
d. Cognitive
e. Brief Solution Focused
Using this approach, client difficulties mainly are dealt with in the present. The counselor's role is to be active but as nondirective as possible. _____

Question 32

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 33

Match the Theory with The Description
a. Psychodynamic
b. Humanistic
c. Behavioral
d. Cognitive
e. Brief Solution Focused
Assumes that client difficulties mainly are the result of faulty learning. Treatment is structured. _____

Question 34

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 35

Some ethical obstacles to practicing case conceptualization with actual clients include concerns about:

A) practicing within one's competencies.
B) confidentiality.
C) duty to warn.
D) detaining against one's will.
E) Two of the above
F) Three of the above
G) All of the above

Question 36

Match the Theory with The Description
a. Psychodynamic
b. Humanistic
c. Behavioral
d. Cognitive
e. Brief Solution Focused
The goals of this approach are to address and solve current problems. _____

Question 37

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 38

When conceptualizing the case of Scarlett O'Hara, the clinician applied existential and psychology of women approaches. These approaches would be most important at what point in the Inverted Pyramid method?

A) Step 1
B) Step 2
C) Step 3
D) Step 4
E) Both steps 1 and 2
F) Both steps 2 and 3
G) Both steps 3 and 4

Question 39

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