One of the most frequent requests I receive from graduate students
is for references on how to formulate a complex clinical case.
Typically, after reading the recommended materials, the student
returns to request more detailed accounts of how clinicians "think"
about particular cases. The general lack of such materials in the
behavior therapy Iiterature led to the formation of the present
volume. Throughout much of the behavior therapy literature, one
gets the impression that most cases seen present circumscribed and
straight fmward psychological problems. In my experience, such
cases are rare. Accordingly, the present volume was designed to
cover more complex problemssuch as sociopathy and paranoid
personality. Thesedisorders are rarely discussed in the behavior
therapy Iiterature but nonetheless seem to appear regularly in
clinical settings. The cases presented in this book are
descriptions of patients seen clinically by the editor or by the
contributors. Work an this text began while I was a faculty member
at Vanderbilt University and took several years to complete. As the
contributors would attest, the task I set out for them was atypical
and often difficult. The complexities involved in articulating how
one conceptualizes a case are numerous and may help to explain why
there are so few sources available on case formulation. The fact
that our current state of knowl edge in psychopathology is rather
limited further exacerbates the problem."
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