Narrowed inferences refers to the Step 4 of the Inverted pyramid method of case conceptualization.
Narrowed inferences requires applying the same theoretical orientation used in Step 3 of the method to identify still-deeper, more encompassing, or more central, causal themes, when they are present. At Step 4, these themes are distilled or narrowed further into existential, fundamental, or underlying questions of life and death (suicidal and homicidal thoughts and meaning of life issues), deep-rooted shame or rage, extreme loss of identity, fragile personality structures, or other deep concerns.