Psychoanalytic case approach and treatment
Psychoanalytic case approach and treatment. Treatment Plan: In this section of the document the clinician provides a detailed treatment
plan that coincides with its corresponding case conceptualization. While consultation is
expected in the creation of a treatment plan for a client, the work given here should be the clinician’s
conclusion solely supported by the clinician’s gathered evidence. Therefore, the clinician’s
treatment plan may be the same or different than those made by supervisors or other on-site
clinicians. The treatment plan should include the following specific subheadings and
information:
o Measurable short-term goals and corresponding techniques/interventions in the actual
and specific time sequence in which they will typically be utilized in that
psychotherapy over the course of therapy. Please also clearly specify what are the
corresponding presenting problems and/or diagnoses these treatment goals and
interventions are aimed to address.
Psychoanalytic case approach and treatment
o Potential long-term goals and corresponding techniques/interventions. Please also
clearly specify what are the corresponding presenting problems and diagnoses these
treatment goals and interventions are aimed to address.
o Proposed out-of-session tasks (if applicable, i.e., homework) and the corresponding
presenting problems and diagnoses they are aimed to address.
o Anticipated challenges, barriers, and/or difficulties related generally to the proposed
treatment plan.
Psychoanalytic case approach and treatment
o Recommendations for additional services, such as medication, group therapy, self-help
groups, consultation with the clergy, and referrals.
o The treatment plan (goals and interventions) must match the client’s presenting
problems, diagnoses, and theoretical case conceptualization. Further, to the extent
possible, treatment goals should be collaboratively developed with the client.
o The treatment plan (proposed interventions) should be based on the empirical
literature on evidence-based practices for the types of problems/diagnoses the client
exhibits. Please discuss the empirical evidence from the literature, with citations, that
provide support for your proposed interventions for these particular types of client and
clinical problems.
Psychoanalytic case approach and treatment
- Ethical Issues: Discuss any ethical issues or potential ethical considerations relevant to the
case and any steps taken to address them. These must include (but are not limited to)
assessment and management of client suicidal/homicidal risk, child abuse/neglect, and
confidentiality and dual relationships. Please reference any relevant APA ethical guidelines
and Illinois state laws in discussing such issues. In writing i) Ethical Issues for both the
primary and secondary theoretical conceptualizations, there may not be any difference with
ethical issues thus the writer will note in the secondary theoretical conceptualization to refer to
the primary theoretical ethical issue part; however, if there are differences, please address
those theory specific ethical dilemmas or issues in the secondary theoretical write up.
3.Course of Treatment: Here the examinee will consider and describe:
o The client’s treatment up to the time when the examination content (12.-17.) of the ICQE was completed. Please discuss the following, using the subheadings provided
below.
o The client’s motivation and engagement in treatment
o The quality of the therapeutic relationship (e.g., therapeutic bond, therapist’s empathy,
agreement on goals and tasks, ruptures, impasses, repairs, challenges, subjective
experience of therapeutic alliance, and transference/countertransference). Please also
comment on:
o The interventions used and their effect/outcome (be clear on what specific
interventions were used for what specific treatment goal and why)
o The progress on client’s goals (based on goals discussed in the treatment plan).
o The remaining goals to be accomplished during the rest of the treatment
o The use of any outcome measures for this client. Please address the following:
How was the measure picked?
How did the examinee measure the efficacy of treatment results?
How do the results inform the treatment?
If outcome measures were not used, provide a discussion about the evidence the
examinee has used to measure the success and/or shortcomings of the
treatment interventions provided.
o The client’s prognosis and recommendations, including any relapse prevention
considerations.
o A self-reflection of therapist’s implementation of therapeutic micro-counseling skills
(e.g., effective listening, open questions, a reflection of thoughts and feelings, empathic
attunement and effective nonverbal communication), and other psychotherapy
interventions. Please reflect and discuss examples of effective and less effective use of
these skills and interventions, as they appear in the recorded session the examinee
provided.
o Identify & discuss cultural differences and similarities between the therapist & patient.
Attribute awareness of own cultural identity as impacting the therapeutic relationship.
o The discussion of these sections should be consistent and in line with the sections on
case conceptualization and treatment plan. Any deviations should be justified and
explained based on revised case conceptualizations, client progress and data, and the
related empirical literature.
o Please provide sufficient detail for the examiner to understand the context, rationale,
and outcome of all the aforementioned subsections. Please provide specific and
detailed examples to highlight the content of interventions and client progress, such as
what was the exact content of the client negative thoughts, emotions, and behaviors, how
did the therapist and client work on them, and what are the client’s current thoughts,
emotions, and behaviors. Evidence-based literature should be cited to justify the
choices the therapist made or might make in the future to address the aforementioned
material.
