Integrating Cognitive-Behavioral and Cognitive-Interpersonal Case Formulations: A Case Study of a Chinese American Male

Liu, Emily Tung-Hsueh

doi:10.14713/pcsp.v3i3.903

Cited by 10 publications

(12 citation statements)

References 22 publications

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“…Also, at the individual case level, we recommend the recent case study by Liu (2007aLiu ( , 2007b. This case study presents methods by which cognitive-behavioral approaches were concretely and successfully modified to accommodate the ethnic and cultural specificities and complexities of the successful case of "TC," a mid-20s Chinese American male with Major Depressive Disorder and Generalized Anxiety Disorder.…”

Section: Response To Knight and Hyer Commentariesmentioning

confidence: 99%

“…For example, in the case of Geoffrey, the therapist and client differed in gender, age, ethnicity, and socioeconomic status, but found a variety of bases for "joining," as described below. This situation can be contrasted with the case of TC (Liu, 2007a) mentioned above, in which the therapist and client were matched on age, ethnicity, and socioeonomic status, although not gender. We suggest that comparing and contrasting successful and unsuccessful cases with varying profiles of matching can be a very fruitful method for finding general guidelines and strategies for enhancing the working relationship within any particular client-therapist match.…”

Section: How Important Is the Client-therapist Match?mentioning

confidence: 99%

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Balancing Between Empirically-Supported Methods and Individualized Treatment Design in the Case of Geoffrey

Mohlman

Cedeno

Price

et al. 2008

PCSP

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This is a response to the commentaries by Dr. Knight (2008) and Dr. Hyer (2008) on "The Case of Geoffrey" (Mohlman et al., 2008). The response focuses on three major themes: the notion of cultural competence in the psychotherapeutic setting; possible risks inherent in and alternatives to the medicalization of mental health treatment for older adults; and the growing use of cognitive remediation in the treatment of psychiatric disorders. We also address some of the other excellent issues raised by Drs. Knight and Hyer regarding cohort effects in the study of older therapy clients and missing elements in the case of Geoffrey.Keywords: African American; aging; comorbidity; transdiagnostic approach; augmenting cognitive behavior therapy (CBT); baby boomers _____________________________________________________________________________________ RESPONSE TO KNIGHT AND HYER COMMENTARIESThe commentaries on Deconstructing Demons: The Case of Geoffrey (Mohlman et al., 2008) by Dr. Knight (2008) and Dr. Hyer (2008) were thoughtful and comprehensive. We appreciate Dr. Knight's observation that there are few didactic resources for psychologists whose clients have multiple diagnoses (e.g, psychiatric, cognitive, medical), which is the rule rather than the exception with aging adults. Dr. Hyer points out the usefulness and appropriateness of the transdiagnostic approach, especially with clients who have a range of symptoms and poor prognostic indicators. The empirical case study is one way to begin to amass the necessary documentation for mental health practitioners to make informed choices about treatment planning when working with older adults with multiple problems. This response will address three major themes raised in the commentaries: the notion of cultural competence in the psychotherapeutic setting, possible risks inherent in and alternatives to the medicalization of mental health treatment for older adults, and the growing use of cognitive remediation in the treatment of psychiatric disorders.

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Section: Response To Knight and Hyer Commentariesmentioning

confidence: 99%

Section: How Important Is the Client-therapist Match?mentioning

confidence: 99%

Balancing Between Empirically-Supported Methods and Individualized Treatment Design in the Case of Geoffrey

Mohlman

Cedeno

Price

et al. 2008

PCSP

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“…In the case of TC, Liu (2007) makes the most of available resources, supervision, and evidence-based theories and practice to individually adapt her interventions to her Asian American client. First, Liu applies a cognitive-interpersonal approach integrating elements of traditional cognitive therapy with interpersonal concepts and techniques.…”

Section: ____________________________________________________________mentioning

confidence: 99%

“…As described by Liu (2007), Hwang and colleagues (2006) provide an integrative framework to guide theory, research, and treatment with Chinese Americans. They summarize relevant research literature, describe an overall therapeutic framework, and provide specific clinical recommendations.…”

Section: Step 1: Adopt An Organizing Frameworkmentioning

confidence: 99%

Considering Culture One Client at a Time: Maximizing the Cultural Exchange

Chu

2007

Pragmatic Case Studies in Psychotherapy

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Cultural competency is a process that requires knowledge, diligence, and availability of resources. For the individual practitioner, it may be unfeasible to expect expert-level knowledge of any more than a few cultural groups. This commentary provides a general approach that clinicians can use to become oriented to a culture, make use of evidence-based frameworks, and treat the therapy as an ongoing cultural exchange. Using this approach a clinician may be able to flexibly adapt his or her individual case formulation approach to match the needs of a diverse set of clientele. Examples from the case of TC are used to illustrate the model and to highlight the cultural competence of the therapist.

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“…Overall, the case of TC (Liu, 2007) serves as an excellent example of how to culturally adapt empirically supported treatments for ethnic minority clients. The author offers a well thought out case conceptualization based on various cognitive therapies.…”

Section: Analysis Of the Case Of Tcmentioning

confidence: 99%

Being Culturally Sensitive is Not the Same as Being Culturally Competent

Hwang

Wood

2007

Pragmatic Case Studies in Psychotherapy

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Empirically supported treatments have been found to be effective for psychiatric problems among Caucasian American clients. However, there continues to be little research conducted on the efficacy of such treatments when used with ethnic minority clients. Liu (2007) does an excellent job in using cognitive-behavioral and cognitive-interpersonal case formulations to develop an effective treatment plan for TC, a Chinese American male client. Moreover, this case study highlights the importance of cultural competency and cultural adaptation of empirically supported treatments when working with clients from diverse backgrounds. Herein, we summarize the literature on cultural competency and adaptation of therapeutic services, and discuss the cultural complexities involved with treating ethnic minorities.

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Integrating Cognitive-Behavioral and Cognitive-Interpersonal Case Formulations: A Case Study of a Chinese American Male

Cited by 10 publications

References 22 publications

Balancing Between Empirically-Supported Methods and Individualized Treatment Design in the Case of Geoffrey

Balancing Between Empirically-Supported Methods and Individualized Treatment Design in the Case of Geoffrey

Considering Culture One Client at a Time: Maximizing the Cultural Exchange

Being Culturally Sensitive is Not the Same as Being Culturally Competent

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