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Exploring the Potential of Case Formulation Within Exercise Psychology

Andrew J. Hutchison and Lynne H. Johnston

The purpose of this article is to expand the literature on case formulation as a clinical tool for use within exercise psychology, generally and lifestyle behavior change interventions, specifically. Existing research offers limited support for the efficacy of current physical activity behavior change intervention strategies, particularly in the long-term. The present paper argues that intervention strategies need to pay greater attention to the complex and individualistic nature of exercise and health related behaviors. It has been suggested that existing intervention designs tend to conform to a medical model approach, which can at times potentially neglect the complex array of personal and situational factors that impact on human motivation and behavior. Case formulation is presented as a means of encouraging a dynamic and comprehensive approach to the development and implementation of practical interventions within the health behavior change field. The adoption of these clinical techniques may facilitate the careful consideration of variations in the development, manifestation, and maintaining mechanisms of problematic behaviors (e.g., inactivity). An overview of case formulation in its different forms is presented alongside a justification for its use within exercise psychology.

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The Case of Jenny: A Freshman Collegiate Athlete Experiencing Performance Dysfunction

Jessica M. Lutkenhouse

The present case study illustrates the treatment of a 19-year-old female lacrosse player, classified as experiencing Performance Dysfunction (Pdy) by the Multilevel Classification System for Sport Psychology (MCS-SP). The self-referred collegiate athlete was treated using the manualized Mindfulness-Acceptance-Commitment (MAC) protocol (Gardner & Moore, 2004a, 2007). The intervention consisted of eight individual sessions and several follow-up contacts via e-mail. The majority of the sessions addressed clinically related and sport-related concerns, including difficulties in emotion regulation and problematic interpersonal relationships. Based on self-report, coach report, and one outcome assessment measure, the psychological intervention resulted in enhanced overall behavioral functioning and enhanced athletic performance. This case study suggests that following careful case formulation based on appropriate assessment and interview data, the MAC intervention successfully targeted the clearly defined psychological processes underlying the athlete’s performance concerns and personal obstacles, thus resulting in enhanced well-being and athletic performance improvements.

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Therapeutic Alliance and Its Potential Application to Physical Activity Interventions for Older Adults: A Narrative Review

Andrew Powell

contribute positively to its formation and maintenance ( Fife et al., 2014 ). Flückiger et al. ( 2018 ) outlined a number of therapist actions and practices integral to therapeutic alliance, such as responding to the client’s readiness/stage of change and capabilities, creating an individual case formulation

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Introducing Empowered Consent to Deal With the Current Challenges in Applied Sport Psychology

Niels Boysen Feddersen

), thus increasing the need for a timely intervention (see Principle 4, Table  1 ). Athletes with long-term injuries may be eager to return to play ( Clement et al., 2015 ), potentially intensifying ethical challenges for medical staff, and making collective case formulation a critical step ( Bickley et

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Using the Anxiety Sensitivity Index-3 With Athletes: A Psychometric Evaluation of Factor Structure and Measurement Invariance

Christopher E.J. DeWolfe, Pablo Romero-Sanchiz, Margo C. Watt, and Sherry H. Stewart

.J. ( 2018 ). Integrating patients’ anxiety sensitivity profile into one’s case formulation and treatment planning . In J.A.J. Smits , M.W. Otto , M.B. Powers , & S.O. Baird (Eds.), The clinician’s guide to anxiety sensitivity treatment and assessment (pp

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Barriers and Facilitators to Help-Seeking for Mental Health Difficulties Among Professional Jockeys in Ireland

Lewis King, SarahJane Cullen, Jean McArdle, Adrian McGoldrick, Jennifer Pugh, Giles Warrington, and Ciara Losty

( Li et al., 2009 ). Improving communication and integration between the support team may help enhance the precision and depth of case formulation, increase early recognition of symptoms of MHDs, and promote further referral to mental health support services for jockeys if required ( Buran et al., 2019

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Nonaccidental Violence Among Elite Athletes in Finland: Associations With Sport Conditions and Mental Well-Being and Ill-Being

Satu Kaski and Ulla Kinnunen

coaches. Finally, in Finland, practitioners function as part of an interdisciplinary team (e.g., sport psychologist and physician) designed to deliver sport science services to athletes. Improving communication and integration within the support team may help enhance the precision and depth of case