사례개념화 양식(Brief Dynamic Psychotherapy)

임상적 사레개념화

촉발인(Precipitant)

•  

패턴

• ex1) strikes back and conditionally relates to others
• ex2) overconscientious and emotionally distant

패턴에 영향을 미치는 요인

Predisposition(cyclical maladaptive pattern)

• Act of the self
  • ex) anxiety, depressed, outbursts, insomnia, chest pain
• Acts of others toward the self
  • ex) parental demand for perfection
• Expectations of others’ reaction
  • ex) high standard for her performance, be misunderstood
• Acts of the self towards the self(introject)
  • ex) fear of not being perfect, self critical
• Interactive countertransference

Risk factors

•  

Protective factors and strengths

•  

주호소(Presenting problem)

• ex) confusion

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치료 사례개념화

• 어떻게 하면 보다 적응적인 패턴을 형성할 수 있을까?

치료 목표

• 주호소 및 패턴과 연관
• 1차 목표(긴급하고 단기적인), 2차 목표(덜 긴급하고 장기적인), 3차 목표(become their own therapists)
• ex) experience insight and corrective interpersonal experiences

치료 초점

• 치료 목표에 도달하는 데 가장 효과적인 경로. 치료의 방향성을 내포함
• ex) troublesome interpersonal relationships triggered by his/her cyclic pattern

치료 전략

• 어떤 수단으로 그 경로를 운행할 것인가
• ex) use therapeutic relationship to foster experiential learning and revise cyclic pattern, interpretation, corrective emotional experience

치료 저해 요인

• 부적응적 패턴에서 유추할 수 있는 치료 과정 저해 요인

references)

• Sperry, L., & Sperry, J. (2012). Case conceptualization : mastering this competency with ease and confidence. Routledge.
• Sperry, L., & Sperry, J. (2021). The 15 minute case conceptualization : mastering the pattern-focused approach. Oxford University Press. 74-77쪽 실제 기술 양식 참고.

관련 글)

• Case Conceptualization : Mastering this Competency with Ease and Confidence / Len Sperry, Jon Sperry