Case study
Paper details:
Provide a brief (one to two pages) introductory statement that should include identifying information, such as
the presenting problem(s), client circumstances, strengths, difficulties, and relevant history.
Develop two different clinical formulations drawing on two of the theoretical frameworks we
have reviewed this semester. (CBT and Solutions Focused)
Include at least 10 references to relevant literature and research. (within last 3-5 years)
Compare and contrast:
o How does each framework deepen or enrich your understanding of your client?
o What does each framework suggest concerning clinical interventions and
strategies?
o Which of the two frameworks do you find most relevant and valuable? How and
why?
o What research evidence can you find, if any, that supports the use of this approach
with this client? What are the strengths and limitations of the evidence?

The Client is Jim
Jim is a 68-year-old White man who is currently a patient in an inpatient oncology unit in a hospital. He is married and has one adult son who lives nearby. Client has been diagnosed with Stage III esophageal cancer, which has metastasized to nearby lymph nodes. He has been undergoing systemic therapies, including chemotherapy and radiation and also had surgery. This is his second hospitalization. Unfortunately, the results of the surgery suggested that they did not obtain clean margins and were not able to remove all of the cancer. The client is in a substantial amount of pain. He has informed his nurses and physician that he would like help with pain management but does not want to continue with treatment to prolong life. He understands all medical aspects of whats going on and is fully capable of making his own medical decisions.

You are a social worker who is meeting with Jim in the hospital. Your role is to begin to talk with him about his goals, next steps, and discharge plans. This is your first meeting with him. The meeting is scheduled to last approximately 1 hour.

In this case, you are meeting with Jim alone. It will be useful for you to offer to meet with his wife and son to discuss discharge plans. Accordingly, it will be very important to have a conversation with the client about confidentiality and what he does and does not want you to share with his family, if in fact he agrees to a family meeting.