Much contemporary family therapy theory and practice takes into accoun
t clients' cognitive constructions of their family problems. Recent ca
lls for therapists to elicit and work with clients' causal explanation
s and narratives parallel accumulating evidence in. the social-clinica
l literature about the predictive importance of attributions in family
relationships. In this article, we introduce the Constructions of Pro
blems Scale (CPS), provide preliminary evidence of its reliability and
validity, and suggest ways in which it can be used clinically to reve
al new areas for questioning and to generate new ideas. The CPS is a b
rief questionnaire that can be used to create a profile of each indivi
dual family member's private constructions. To complete the CPS, each
family member writes a free-form narrative of the presenting problem a
nd then, rates his or her perceptions of the contributing causes. The
CPS profiles can be used to compare the perspectives of different fami
ly members and to assess cognitive constructions at different points i
n treatment. We discuss its potential for these and other clinical use
s.