Contemporary Themes in Case Formulation

Clinical Case Formulation: Varieties of Approaches

Volumn , Issue , 2009, Pages 291-315

  Eells, Tracey D ^a  

^a University of Louisville School of Medicine   (United States)

Author keywords

Accuracy of CCRT based interventions and outcome; Case formulation right balance between theory and evidence; Contemporary themes in case formulation emerging issues; FACCM method, by Lappalainen, Timonen and Haynes; Formulation as core therapy concept; Future case formulation work; Human relations and individual consciousness as sequential diagrammatic reformulation (SDR); Incremental validity of behavioural and CB case formulation approaches; Luborsky's core conflictual relationship theme (CCRT) method; Randomized controlled trials in assessing treatment utility being problematic to conduct

Indexed keywords

EID: 84886081140     PISSN: None     EISSN: None     Source Type: Book    
DOI: 10.1002/9780470747513.ch22     Document Type: Chapter

References (98)

1. American Psychiatric Association (1994) Diagnostic and Statistical Manual of Mental Disorders, 4th edn, American Psychiatric Press, Washington, DC.
2. American Psychiatric Association (2004) Practice Guidelines for the Treatment of Psychiatric Disorders, American Psychiatric Publishing, Inc, Washington, DC.
3. American Psychological Association (2003) Guidelines on multicultural education, training, research, practice, and organizational change for Psychologists. American Psychologist, 58, 377-402.
4. APA Presidential Task Force on Evidence-Based Practice (2006) Evidence-based practice in psychology. American Psychologist, 61, 271-85.
5. Barber, J P. and Crits-Christoph, P. (1993) Advances in measures of psychodynamic formulations. Journal of Consulting and Clinical Psychology, 61, 574-85.
6. Beck, J.S. (1995) Cognitive Therapy: Basics and Beyond, Guilford Press, New York.
7. Benjamin, L.S. (1974) Structural analysis of social behavior. Psychological Review, 81, 392-425.
8. Bennett, D. and Parry, G. (1998) The accuracy of reformulation in cognitive analytic therapy: a validation study. Psychotherapy Research, 8, 84-103.
9. Bennett, D. and Parry, G. (2004a) A measure of psychotherapeutic competence derived from cognitive analytic therapy. Psychotherapy Research, 14, 176-92.
10. Bennett, D. and Parry, G. (2004b) Maintaining the therapeutic alliance: resolving alliancethreatening interactions related to the transference, in Core Processes in Brief Psychodynamic Psychotherapy:AdvancingEffectivePractice (ed. D.P. Charman),LawrenceErlbaum Associates Publishers, Mahwah, pp. 251-72.
11. Bergner, R.M. (1998) Characteristics of optimal clinical case formulations: the linchpin concept. American Journal of Psychotherapy, 52, 287-300.
12. Bieling, P.J. and Kuyken, W. (2003) Is cognitive case formulation science or science fiction? Clinical Psychology: Science and Practice, 10, 52-69.
13. Bowlby, J. (1988) A Secure Base, Routledge, London.
14. British Psychological Society Division of Clinical Psychology (2000) Understanding Mental Illness and Psychotic Experiences. A Report by the British Psychological Society Division of Clinical Psychology, British Psychological Society Division of Clinical Psychology, Leicester.
15. British Psychological Society Division of Clinical Psychology (2001) The Core Purpose and Philosophy of the Profession, British Psychological Society Division of Clinical Psychology, Leicester.
16. Caspar, F. (1997) What goes on in a psychotherapist's mind? Psychotherapy Research, 7, 105-25.
17. Caspar, F., Berger, T. and Hautle, I. (2004) The right view of your patient: a computer-assisted, individualized module for psychotherapy training. Psychotherapy: Theory, Research, Practice, Training, 41, 125-35.
18. Chadwick, P., Williams, C. and Mackenzie, J. (2003) Impact of case formulation in cognitive behaviour therapy for psychosis. Behaviour, Research and Therapy, 41, 671-80.
19. Chi, M.T.H. (2006a) Laboratorymethods for assessing experts' and novices' knowledge, in The Cambridge Handbook of Expertise and Expert Performance (eds K.A. Ericsson, N. Charness, P.J. Feltovich and R.R. Hoffman), Cambridge University Press, New York, pp. 167-84.
20. Chi, M.T.H. (2006b) Two approaches to the study of experts' characteristics, in The Cambridge Handbook of Expertise and Expert Performance (eds K.A. Ericsson, N. Charness, P.J. Feltovich and R.R. Hoffman), Cambridge University Press, New York, pp. 21-30.
21. Collins, W.D. and Messer, S.B. (1991) Extending the plan formulation method to an object relations perspective: reliability, stability, and adaptability. Psychological Assessment, 3, 75-81.
22. Committee on Institutional and Policy-Level Strategies for Increasing the Diversity of the U.S. Healthcare Workforce (2004) In the Nation's Compelling Interest: Ensuring Diversity in the Health Case Workforce, Institute of Medicine, Washington, DC.
23. Coyne, J.C. (1976) Toward an interactional description of depression. Psychiatry, 39, 28-40.
24. Cramer, P. (2000) Defense mechanisms in psychology today: further processes for adaptation. American Psychologist, 55, 637-46.
25. Crits-Christoph, P., Cooper, A. and Luborsky, L. (1988) The accuracy of therapists' interpretations and the outcome of dynamic psychotherapy. Journal of Consulting and Clinical Psychology, 56, 490-5.
26. Dudley, R. and Kuyken, W. (2006) Formulation in cognitive-behavioural therapy: 'There is nothing either good or bad, but thinking makes it so', in Formulation in Psychology and Psychotherapy: Making Sense of People's Problems (eds J. Johnston and R. Dallos), Routledge, New York, pp. 17-46.
27. Eells, T.D. (2007) Psychotherapy case formulation: history and current status, in Handbook of Psychotherapy Case Formulation, 2nd edn (ed. T.D. Eells), Guilford Press, New York, pp. 3-32.
28. Eells, T.D. (2008) The Unfolding Case Formulation: Defining Quality in Development of the Core Inference. Paper presented at the 39th Meeting of the Society for Psychotherapy Research, Barcelona, Spain.
29. Eells, T.D. and Lombart, K.G. (2003) Case formulation: determining the focus in brief dynamic psychotherapy, in Core Processes in Brief Psychodynamic Psychotherapy (ed. D.P. Charman), Lawrence Erlbaum Associates, Mahwah, NJ, pp. 119-44.
30. Eells, T.D., Lombart, K.G., Kendjelic, E.M. et al. (2005) The quality of psychotherapy case formulations: a comparison of expert, experienced, and novice cognitive-behavioral and psychodynamic therapists. Journal of Consulting and Clinical Psychology, 73, 579-89.
31. Emmelkamp, P.M.G., Bouman, T.K. and Blaauw, E. (1994) Individualized versus standardized therapy: a comparative evaluation with obsessive-compulsive patients. Clinical Psychology and Psychotherapy, 1, 95-100.
32. Ericsson, K.A. (2006) Protocol analysis and expert thought: concurrent verbalizations of thinking during experts' performance on representative tasks, in The Cambridge Handbook of Expertise and Expert Performance (eds K.A. Ericsson, N. Charness, P.J. Feltovich and R.R. Hoffman), Cambridge University Press, New York, pp. 223-41.
33. Ericsson, K.A. and Charness, N. (1994) Expert performance: its structure and acquisition. American Psychologist, 49, 725-47.
34. Ericsson, K.A., Krampe, R.T. and Tesch-Romer, C. (1993) The role of deliberate practice in the acquisition of expert performance. Psychological Review, 100, 363-406.
35. Erikson, E.H. (1963) Childhood and Society, 2nd edn, Norton, New York.
36. Fairburn, C.G., Cooper, Z. and Shafran, R. (2003) Cognitive behaviour therapy for eating disorders: a "transdiagnostic" theory and treatment. Behaviour, Research and Therapy, 41, 509-28.
37. Feltovich, P.J., Prietula,M.J. and Ericsson, K.A. (2006) Studies of expertise from psychological perspectives, in The Cambridge Handbook of Expertise and Expert Performance (eds K.A. Ericsson, N. Charness, P.J. Feltovich and R.R. Hoffman), Cambridge University Press, New York, pp. 41-67.
38. Ferster, C.B. (1973) A functional analysis of depression. American Psychologist, 28, 857-70.
39. Fischhoff, B. (1975) Hindsight is not equal to foresight: the effect of outcome knowledge on judgment under uncertainty. Journal of Experimental Psychology: Human Perception and Performance, 1, 288-99.
40. Fridhandler, B., Eells, T. D. and Horowitz,M. (1999) Psychoanalytic explanation of pathological grief: scientific observation of a single case. Psychoanalytic Psychology, 16, 1-24.
41. Garb, H.N. (1998) Studying the Clinician: Judgment Research and Psychological Assessment, American Psychological Association, Washington, DC.
42. Ghaderi, A. (2006) Does individualisation matter?Arandomised trial of standardised (focused) versus individualized (broad) cognitive behaviour therapy for bulimia nervosa. Behaviour, Research and Therapy, 44, 273-88.
43. Glaser, R. and Chi, M.T.H. (1988) Overview, in The Nature of Expertise (eds M.T.H. Chi, R. Glaser and M.J. Farr), Lawrence Erlbaum Associates, Hillsdale, NJ, pp. XV-XXVIII.
44. Goldfried, M.R. (1995) Toward a common language for case formulation. Journal of Psychotherapy Integration, 5, 221-44.
45. Goldfried, M.R. and Pomeranz, D.M. (1968) Role of assessment in behavior modification. Psychological Reports, 23, 75-87.
46. Goldman, R. and Greenberg, L.S. (1997) Case formulation in process-experiential therapy, in Handbook of Psychotherapy Case Formulation (ed. T.D. Eells), Guilford Press, New York, pp. 402-29.
47. Greenberg, L.S. and Goldman, R. (2007) Case formulation in emotion-focused therapy, in Handbook of Psychotherapy Case Formulation Guilford Press, New York, pp. 379- 411.
48. Hayes, S.C., Nelson, R.O. and Jarrett, R.B. (1987) The treatment utility of assessment: a functional approach to evaluating assessment quality. American Psychologist, 42, 963-74.
49. Horowitz, L.M. and Rosenberg, S.E. (1994) The consensual response psychodynamic formulation: part 1: method and research results. Psychotherapy Research, 4, 222-33.
50. Horowitz, L.M., Rosenberg, S.E., Ureno, G. et al. (1989) Psychodynamic formulation, consensual response method and interpersonal problems. Journal of Consulting and Clinical Psychology, 57, 599-606.
51. Horowitz, M.J. and Eells, T.D. (1993) Role-relationship model configurations: a method for psychotherapy case formulation. Psychotherapy Research, 3, 57-68.
52. Institute of Medicine (2001) Crossing the Quality Chasm: A New Health System for the 21st Century, National Academies Press, Washington, DC.
53. Jacobson, N.S., Schmaling, K.B., Holtzworth-Munroe, A. et al. (1989) Research-structured vs. clinically flexible versions of social learning-based marital therapy. Behaviour, Research and Therapy, 27, 173-80.
54. Kahneman, D. (2003) A perspective on judgment and choice: mapping bounded rationality. American Psychologist, 58, 697-720.
55. Kendjelic, E.M. and Eells, T.D. (2007) Psychotherapy case formulation training improves formulation quality. Psychotherapy: Theory, Research, Practice, Training, 44, 66-77.
56. Kuyken,W. (2006) Evidence-based case formulation: is the emperor clothed?, in Case Formulation in Cognitive Behaviour Therapy? The Treatment of Challenging and Complex Cases (ed. N. Tarrier), Routledge/Taylor & Francis Group, New York, pp. 12-35.
57. Kuyken, W., Fothergill, C.D., Musa, M. and Chadwick, P. (2005) The reliability and quality of cognitive case formulation. Behaviour, Research and Therapy, 43 (9), 1187-201.
58. Kuyken, W., Padesky, C.A. and Dudley, R. (2008) Collaborative Case Conceptualization: Working Effectively with Clients in Cognitive-Behavioral Therapy, Guilford Press, New York.
59. Kuyken, W., Padesky, C.A. and Dudley, R. (2009) Collaborative Case Conceptualization, Guilford Press, New York.
60. LeBlanc, J.B., Brabant, S. and Forsyth, C.J. (1996) The meaning of college for survivors of sexual abuse: higher education and the older female college student. American Journal of Orthopsychiatry, 66, 468-73.
61. Lewinsohn, P.M. (1974) A behavioural approach to depression, in The Psychology of Depression: Contemporary Theory and Research (eds R.M. Friedman and M.M. Katz), John Wiley & Sons, Inc., New York, pp. 157-78.
62. Luborsky, L. and Diguer, L. (1998) The reliability of the CCRT measure: results from eight samples, in Understanding Transference: The Core Conflictual Relationship Theme Method, 2nd edn (eds L. Luborsky and P. Crits-Christoph), American Psychological Association, Washington, DC, pp. 97-107.
63. Meehl, P.E. (1956) Wanted-a good cookbook. American Psychologist, 11, 263-72.
64. Meehl, P.E. (1973) Why I do not attend case conferences, in Psychodiagnosis: Selected Papers (ed. P.E. Meehl), Norton, New York, pp. 225-302.
65. Mumma, G.H. and Mooney, S.R. (2007) Incremental validity of cognitions in a clinical case formulation: an intraindividual test in a case example. Journal of Psychopathology and Behavioral Assessment, 29, 17-28.
66. Mumma, G.H. and Smith, J.L. (2001) Cognitive-behavioral-interpersonal scenarios: interformulator reliability and convergent validity. Journal of Psychopathology and Behavioral Assessment, 23, 203-21.
67. Norcross, J.C., Hedges, M. and Prochaska, J.O. (2002) The face of 2010: a Delphi poll on the future of psychotherapy. Professional Psychology: Research and Practice, 33, 316-22.
68. Ogden, T.H. (1979) On projective identification. International Journal of Psychoanalysis, 60, 357-73.
69. Ozer, D.J. (2001) Four principles for personality assessment, in Handbook of Personality, 2nd edn (eds L.A. Pervin and O.P. John), Guilford Press, New York, pp. 671-88.
70. Patel, J.K., Pinals, D.A. and Breier, A. (2003) Schizophrenia and other psychoses, in Psychiatry (eds A. Tasman, J. Kay and J.A. Lieberman), John Wiley & Sons, Ltd, Chichester, pp. 1131-206.
71. Persons, J.B. (1991) Psychotherapy outcome studies do not accurately represent current models of psychotherapy: a proposed remedy. American Psychologist, 46, 99-106.
72. Persons, J.B. (2008) The Case Formulation Approach to Cognitive-Behavior Therapy,Guilford Press, New York.
73. Persons, J.B. and Bertagnolli, A. (1999) Inter-rater reliability of cognitive-behavioral case formulations of depression: a replication. Cognitive Therapy and Research, 23, 271-83.
74. Persons, J.B., Bostrom, A. and Bertagnolli, A. (1999) Results of randomized controlled trials of cognitive therapy for depression generalize to private practice. Cognitive Therapy and Research, 23, 535-48.
75. Persons, J.B., Mooney, K.A. and Padesky, C.A. (1995) Interrater reliability of cognitivebehavioral case formulations. Cognitive Therapy and Research, 19, 21-34.
76. Persons, J.B., Roberts, N.A., Zalecki, C.A. and Brechwald, W.A.G. (2006) Naturalistic outcome of case formulation-driven cognitive-behavior therapy for anxious depressed outpatients. Behaviour, Research and Therapy, 44, 1041-51.
77. Persons, J.B. and Tompkins,M.A. (2007) Cognitive-behavioral case formulation, in Handbook of Psychotherapy Case Formulation, 2nd edn (ed. T.D. Eells), Guilford Press, New York.
78. Ridley, C. and Kelly, S.M. (2007) Multicultural considerations in case formulation, in Handbook of Psychotherapy Case Formulation, 2nd edn (ed. T.D. Eells), Guilford Press, New York.
79. Rind, B., Tromovitch, P. and Bauserman, R. (1998) A meta-analytic examination of assumed properties of child sexual abuse using college samples. Psychological Bulletin, 124, 22-53.
80. Rogers, C.R. (1951) Client-Centered Therapy, its Current Practice, Implications, and Theory, Houghton Mifflin, Boston, MA.
81. Rosenberg, S.E., Horowitz, L.M., Hanks, S. et al. (1994) The Consensual Response Psychodynamic Formulation: Part 2. Application to Case of Ms. Smithfield, vol. 4, Routledge, pp. 234-38.
82. Ruscio, J. (2007) The clinician as subject: practitioners are prone to the same judgment errors as everyone else, in The Great Ideas of Clinical Science: 17 Principles That Every Mental Health Professional Should Understand (eds S.O. Lilienfeld andW.T. O'Donohue), Routledge/Taylor & Francis Group, New York, pp. 29-47.
83. Schacht, T.E. and Henry,W.P. (1994) Modeling recurrent patterns of interpersonal relationship with Structural Analysis of Social Behavior: the SASB-CMP. Psychotherapy Research, 4, 208-21.
84. Schneider, B.H. and Byrne, B.M. (1987) Individualizing social skills training for behaviordisordered children. Journal of Consulting and Clinical Psychology, 55, 444-5.
85. Schulte, D., Kunzel, R., Pepping, G. and Schulte-Bahrenberg, T. (1992) Tailor-made versus standardized therapy of phobic patients. Advances in Behaviour, Research and Therapy, 14, 67-92.
86. Sechrest, L. (1963) Incremental validity: a recommendation. Educational and Psychological Measurement, 23, 153-8.
87. Silberschatz, G. and Curtis, J.T. (1993) Measuring the therapist's impact on the patient's therapeutic progress. Journal of Consulting and Clinical Psychology, 61, 403-11.
88. Silberschatz, G., Fretter, P.B. and Curtis, J.T. (1986) How do interpretations influence the process of psychotherapy? Journal of Consulting and Clinical Psychology, 54, 646-52.
89. Skinner, B.F. (1953) Science and Human Behavior, The Free Press, New York.
90. Steketee, G. and Frost, R. (2003) Compulsive hoarding: current status of the research. Clinical Psychology Review, 23, 905-27.
91. Tarrier,N. and Calam, R. (2002) Newdevelopments in cognitive-behavioural case formulation. Epidemiological, systemic and social context: an integrative approach. Behavioural and Cognitive Psychotherapy, 30, 311-28.
92. Tishby, O. and Messer, S.B. (1995) The relationship between plan compatibility of therapist interventions and patient progress: a comparison of two plan formulations. Psychotherapy Research, 5, 76-88.
93. Turk, D.C. and Salovey, P. (eds) (1988) Reasoning, Inference, and Judgment in Clinical Psychology, The Free Press, New York.
94. Tversky, A. and Kahneman, D. (1973) Judgment Under Uncertainty: Heuristics and Biases, Oregon Research Institute, Oxford.
95. Westen, D. and Muderrisoglu, S. (2003) Assessing personality disorders using a systematic clinical interview: evaluation of an alternate to structured interviews. Journal of Personality Disorders, 17, 351-69.
96. Westen, D. andWeinberger, J. (2004) When clinical description becomes statistical prediction. American Psychologist, 59, 595-613.
97. Wilson, G.T. (1996) Manual-based treatments: the clinical application of research findings. Behaviour, Research and Therapy, 34, 295-314.
98. Wilson, G.T. (1997) Treatment manuals in clinical practice. Behaviour, Research and Therapy, 35, 205-10.