Clinical Judgement Errors and Their Effect on Clinical Case Conceptualization: Clinical Case Modeling: Decisions, Decisional Errors, and Proposed Remedies

Forensic agencies and institutions are charged with treating the most socially disruptive and mentally disordered individuals while securing public safety. Egregious behaviors in these settings demand immediate response and scarce resources. Functional assessment, sometimes used synonymously with functional or behavioral analysis, is presented as a cornerstone tool to help identify targets for intervention and hypothesize causal behavioral connections. Using an interactive chain analysis approach, the temporal sequence of behavior is examined across domains with an emphasis on obtaining operational knowledge about the functions and controlling variables of target behaviors. A clinical case example is used to illustrate the potential contribution of FA in forensic assessment and case conceptualization.

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Atypical Eating Disorders and Specific Phobia of Vomiting

Clinical Handbook of Complex and Atypical Eating Disorders ◽

10.1093/med-psych/9780190630409.003.0016 ◽

2017 ◽

pp. 270-290

Author(s):

Alexandra Keyes ◽

David Veale

Keyword(s):

Eating Disorders ◽

Weight Loss ◽

Anorexia Nervosa ◽

Disordered Eating ◽

Clinical Features ◽

Food Restriction ◽

Clinical Case ◽

Evidence Base ◽

Specific Phobia ◽

Case Conceptualization

Some individuals with specific phobia of vomiting (SPOV) (emetophobia) may present with disordered eating, including food restriction and weight loss. Such cases may be misdiagnosed as anorexia nervosa (AN), thus complicating case conceptualization, formulation, and treatment. This chapter outlines the clinical features of SPOV, including those that overlap with AN and other disorders. Treatment approaches and their evidence base are discussed, and a clinical case example of an individual with SPOV and disordered eating is presented. More research is needed to address the overlap between eating disorders and SPOV in order to better distinguish overlaps in presentation and to develop treatments that effectively target the central fears in these cases.

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Clinical Case Conceptualization With Couples and Families

The SAGE Encyclopedia of Marriage, Family, and Couples Counseling ◽

10.4135/9781483369532.n80 ◽

2016 ◽

Keyword(s):

Clinical Case ◽

Case Conceptualization

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The Variable Nature of Stuttering: A Clinical Case Study

NSSLHA Journal ◽

10.1044/nsshla_22_29 ◽

1995 ◽

Vol 22 ◽

pp. 29-35

Author(s):

Jennifer Gutierrez ◽

Anthony Caruso

Keyword(s):

Clinical Case ◽

Clinical Case Study ◽

Variable Nature

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Abstract #522: Calcitirol Mediated Hypercalcemia in A Patient with Silicone Granulomas dueto Cosmetic Injections: Clinical Case

Endocrine Practice ◽

10.1016/s1530-891x(20)42658-8 ◽

2015 ◽

Vol 21 ◽

pp. 108-109

Author(s):

Ana Abaroa-Salvatierra ◽

Arti Patel ◽

Mrunalini Deshmukh

Keyword(s):

Clinical Case

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Case Formulation and Design of Behavioral Treatment Programs

European Journal of Psychological Assessment ◽

10.1027//1015-5759.19.3.164 ◽

2003 ◽

Vol 19 (3) ◽

pp. 164-174 ◽

Cited By ~ 27

Author(s):

Stephen N. Haynes ◽

Andrew E. Williams

Keyword(s):

Functional Analysis ◽

Behavior Problems ◽

Behavioral Treatment ◽

Clinical Case ◽

Relative Magnitude ◽

Mechanisms Of Action ◽

Treatment Programs ◽

Case Formulation ◽

Functional Relations ◽

Causal Variables

Summary: We review the rationale for behavioral clinical case formulations and emphasize the role of the functional analysis in the design of individualized treatments. Standardized treatments may not be optimally effective for clients who have multiple behavior problems. These problems can affect each other in complex ways and each behavior problem can be influenced by multiple, interacting causal variables. The mechanisms of action of standardized treatments may not always address the most important causal variables for a client's behavior problems. The functional analysis integrates judgments about the client's behavior problems, important causal variables, and functional relations among variables. The functional analysis aids treatment decisions by helping the clinician estimate the relative magnitude of effect of each causal variable on the client's behavior problems, so that the most effective treatments can be selected. The parameters of, and issues associated with, a functional analysis and Functional Analytic Clinical Case Models (FACCM) are illustrated with a clinical case. The task of selecting the best treatment for a client is complicated because treatments differ in their level of specificity and have unequally weighted mechanisms of action. Further, a treatment's mechanism of action is often unknown.

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