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Handbook of Psychological Assessment, Case Conceptualization, and Treatment - Google Llibres

Michelle M. Paul M. Celine A. Colin Hemmings. So, opportunities to test hypotheses may be lost. In an ideal world therapists, believing that at some level it all makes sense, would be able to use their formulations to make sense of the material presented in a particular case. But at present complete formulations, like complete theories, are not possible.

A person cannot be.

Methods: How to Construct a Formulation summarized in a diagram. But some of their problems and patterns of behaving can be understood in theoretical terms and this understanding can be represented in a way that helps to guide treatment. The complexity and accuracy with which this is done varies according to the stage of treatment. The emphasis on completeness that is often found in discussions about conceptualization may be a consequence of the historical associations between medical practice, psychiatry, and psychology, and the common use of the word treatment to refer to the actions of people trained in those professions when they are trying to help others.

The assumption is that it could be dangerous to miss something serious or to apply the wrong treatment. So, a complete understanding is supposedly an essential or important prerequisite for deciding how to intervene. The situation is different in psychotherapy or psychological therapy , first because the psychological influence of one person on another cannot be withheld as can a medical treatment , and then applied when ready, in a self-contained package.

Various partially unspecified factors are always operating, and in psychotherapy the ways in which these function will to some degree be influenced by the theoretical views and assumptions of the therapist as well as by their personal characteristics. The business of formulating can direct this process, clarify what is intended, and make the way in which theories are being applied accessible.

Clinical Case Formulation Book 1

Formulations do not have to be complete to perform this function but the method of working with them does have to be in place. Second, when dealing with psychological matters, the process of formulation is overtly interactive. Patients' comments and reactions contribute to the process; their opinions are relevant, and these may change over the course of treatment.

Conceptualizing the processes of change is thus another way of relating theory to practice, and formulations may be technical, phrased in terms that are derived from the particular theory being used, or metaphorical.

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Technical formulations might explain how changing reinforcement patterns would change behaviors, how change in one person will prompt the system around them to adjust, or how changing patterns of defensiveness might change opinions of the self. Examples of. Some examples are well known and their use has become quite conventional, such as a journey of a thousand miles begins with the first step.