Case Mis‐Conceptualization in Psychological Treatment: An Enduring Clinical Problem

Ridley, Charles R.; Jeffrey, Christina E.; Roberson, Richard B.

doi:10.1002/jclp.22354

Cited by 25Psychotherapy Techniques and ApplicationsPsychology and Mental HealthCounseling Practices and Supervision

Case Mis‐Conceptualization in Psychological Treatment: An Enduring Clinical Problem

Ridley, Charles R., Jeffrey, Christina E., Roberson, Richard B.·2017·Journal of Clinical Psychology

DOI 10.1002/jclp.22354

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Abstract

Case conceptualization, an integral component of mental health treatment, aims to facilitate therapeutic gains by formulating a clear picture of a client's psychological presentation. However, despite numerous attempts to improve this clinical activity, it remains unclear how well existing methods achieve their purported purpose. Case formulation is inconsistently defined in the literature and implemented in practice, with many methods varying in complexity, theoretical grounding, and empirical support. In addition, many of the methods demand a precise clinical acumen that is easily influenced by judgmental and inferential errors. These errors occur regardless of clinicians’ level of training or amount of clinical experience. Overall, the lack of a consensus definition, a diversity of methods, and susceptibility of clinicians to errors are manifestations of the state of crisis in case conceptualization. This article, the 2nd in a series of 5 on thematic mapping, argues the need for more reliable and valid models of case conceptualization.

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From Using person-specific networks in psychotherapy: challenges, limitations, and how we could use them anyway (2020) · cites this paper as [13]

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Forbes, M. (2023) · Australasian Psychiatry · doi:10.1177/10398562231219850 · Cited by 3 · see citing works
“3 A formulation may be said to be reliable if common themes are identi ﬁ ed by several psychiatrists independently assessing the same patient and blinded to other assessments.”
Development of a training programme in individual case formulation skills and a scale for assessing its effectiveness
Hallam, R., Brown, G. P., Turner, L., Blomfield, E., El‐Leithy, S., & Mendes, I. (2023) · Behavioural and Cognitive Psychotherapy · doi:10.1017/s1352465823000577 · Cited by 2 · see citing works
The Development of Case Conceptualization Ability in Clinical Psychology Graduate Students
Shulman, G. P. (2018) · Lincoln (University of Nebraska) · Cited by 2 · see citing works
How do Psychotherapists Develop a Case Conceptualisation? Thematic Analysis of Conceptual Maps
Słysz, A., & Soroko, E. (2021) · Journal of Contemporary Psychotherapy · doi:10.1007/s10879-020-09484-2 · Cited by 2 · see citing works
An evaluation of the reliability and quality of expert and novice forensic case formulations
Ryan, T. J. (2020) · Summit (Simon Fraser University) · Cited by 2 · see citing works
Using the Five Ps: Conceptualizing COVID-19-Related Mental Health Concerns
Gonzales‐Wong, C. D., & Peters, S. W. (2023) · Teaching and Supervision in Counseling · doi:10.7290/tsc05uhjo · Cited by 1 · see citing works
Contextual Aspects of Conceptualization in Cognitive-Behavioral Psychotherapy
Stefaniak, W., Łysiak, M., & Stefaniak, I. (2025) · Journal of Contemporary Psychotherapy · doi:10.1007/s10879-024-09656-4 · Cited by 1 · see citing works
Reaching Professional Competence
(2024) · Advances in healthcare information systems and administration book series · doi:10.4018/978-1-6684-8607-8.ch004 · Cited by 1 · see citing works
Validation of Process-Based Components of the LIBET-Q: An Innovative Instrument for Case Conceptualization
Offredi, A., Oppo, A., Ruggiero, G. M., Caselli, G., Mansueto, G., Scaini, S., Palmieri, S., & Sassaroli, S. (2024) · Journal of Rational-Emotive & Cognitive-Behavior Therapy · doi:10.1007/s10942-024-00542-5 · Cited by 1 · see citing works
“This lack of common language implies critical issues in exchanging information, fixation on one’s theoretic perspective and, consequently, difficulties in sharing new evidence (Ridley et al., 2017).”
Falling Through the Cracks: A Cognitive Profile of Primary School Children with Additional Health and Developmental Needs
Cross, A. J. (2021) · Figshare · doi:10.26181/60333464cf00e
Formulación de Caso en Psicoterapia: "La Cosa se Mueve"
García, C. C., & Quiñones, Á. (2022) · Revista de Psicoterapia · doi:10.33898/rdp.v33i123.35974
Signalering en intake
Daansen, P., & van den Berg, E. M. (2024) · doi:10.1007/978-90-368-2990-8_3
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Advancing Dimensional Models of Psychopathology in Cancer: Insights From Applying the Hierarchical Taxonomy of Psychopathology (HiTOP)
Haywood, D., Carmichael, J. J., Forbes, M. K., Kotov, R., Krueger, R. F., Wright, A. G. C., Rossell, S. L., Castle, D. J., LAM, W. C. H., Lustberg, M. B., et al. (2026) · Psycho-Oncology · doi:10.1002/pon.70533

Authors: Ridley, C. R., Jeffrey, C. E., & Roberson, R. B.
Affiliations: Texas A&M University (US)
Corresponding author: Ridley, Charles R.
ORCID: Ridley, Charles R.
Jeffrey, Christina E.
Venue: Journal of Clinical Psychology
Publisher: Wiley
Published: 2017-01-13
Volume: 73
Issue: 4
Pages: 359-375
ISSN: 0021-9762 (ISSN-L)
1097-4679
DOI: 10.1002/jclp.22354
OpenAlex: W2572126093
Cited by: 25
References: 100
Citations by year: 2026: 1 · 2025: 3 · 2024: 5 · 2023: 3 · 2022: 1 · 2021: 2 · 2020: 2 · 2019: 2 · 2018: 1 · 2017: 5
FWCI: 3.39
Type: journal article
Language: en
Open access: closed
Licence: onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations: Journal of Clinical Psychology (publishedVersion)
PubMed (publishedVersion)
Topics: Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
Social Sciences › Psychology › Clinical Psychology › Psychology and Mental Health
Social Sciences › Psychology › Social Psychology › Counseling Practices and Supervision
Keywords: case formulation, therapeutic relationship, psychotherapy, thematic mapping
MeSH terms: Mental Disorders, Humans, Models, Psychological, Professional Competence, Psychotherapy

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Case Mis‐Conceptualization in Psychological Treatment: An Enduring Clinical Problem

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