Evidence-Based Assessment Meets Evidence-Based Treatment: An Approach to Science-Informed Case Conceptualization
Evidence-Based Assessment Meets Evidence-Based Treatment: An Approach to Science-Informed Case Conceptualization
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DOI：
10.1016/j.cbpra.2013.12.004
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发表时间：
2015-02-01
影响因子：
2.9
通讯作者：
Jensen-Doss, Amanda
中科院分区：
文献类型：
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作者：
Christon, Lillian M.;McLeod, Bryce D.;Jensen-Doss, Amanda
尽管案例概念化被认为是循证实践的组成部分，但案例概念化过程并不总是以科学发现为指导。案例概念化是一个协作过程，在生物心理社会背景下生成关于个体客户问题的原因、前因和维持影响的假设。我们认为，根据研究结果和循证评估工具，采用科学的病例概念化方法可以帮助为从接受治疗到终止治疗的临床决策提供信息。我们的案例概念化方法涉及 5 个阶段。在第一阶段，临床医生综合并整合来自各种文献的研究证据，以确定出现的问题以及偶然和维持因素（第一阶段），对诊断进行分类（第二阶段），为对导致客户问题的变量的假设的发展提供信息（第三阶段），并选择治疗方法和计划（第四阶段）。在最后阶段，临床医生采用科学方法开发个性化评估方法，可用于在治疗过程中测试和修改假设并衡量结果（阶段 5）。提供了一个说明这些步骤的实际使用的案例。
Though case conceptualization is considered to be a component of evidence-based practice, the case conceptualization process is not always guided by scientific findings. Case conceptualization is a collaborative process of generating hypotheses about causes, antecedents, and maintaining influences for an individual client's problems within a biopsychosocial context. We argue that adopting a scientific approach to case conceptualization informed by research findings and evidence-based assessment tools can help inform clinical decision-making from intake to treatment termination. Our approach to case conceptualization involves 5 stages. In the first stages, a clinician synthesizes and integrates research evidence from various literatures to identify presenting problems and casual and maintaining factors (Stage 1), to classifiy diagnoses (Stage 2), to inform the development of hypotheses about variables contributing to a client's problems (Stage 3), and to select a treatment approach and plan (Stage 4). In the final stage, the clinician takes a scientific approach to developing individualized assessment methods that can be used to test and revise hypotheses through the treatment process and to measure outcomes (Stage 5). A case example illustrating practical use of these steps is presented.