Formulation

Question 1

What is the Pan Theoretical Model of Formulation?

Answer 1

Presenting - Problem

Predisposing - Vulnerability-genetic/biological/enviro

Precipitating - Onset/ exacerbants - triggers ..why now

Perpetuating - Maintaining

Protective - Positives for the client

Prognosis - Likely outcome with/without treatment

Question 2

What is the Scientist Practitioner Approach?

Answer 2

• Assessment
• Diagnosis / formulation
• Testable clinical hypotheses
• Intervention
• Outcome

Question 3

The CBT Formulation Approach

Answer 3

1. Childhood Experience
2. Core Belief
3. Dysfunctional Assumption
4. Trigger
5. Negative Automatic Thoughts
6. Emotion
7. Behaviour

Question 4

Explain the elements of Interpersonal Psychotherapy (IPT)

Answer 4

IPT suggested that people develop psychological problems as a result of:

1. Background biopsychosocial factors, that
2. In the context of a specific kind of psychosocial stressor (loss, transition or conflict) and
3. Insufficient social support, which
4. Activate the attachment system and lead to poorly communicated attachment needs and
5. Psychological distress

Question 5

What is the Interpersonal Psychotherapy (IPT) formulation approach?

Answer 5

1. Bio/Psycho/Social/Cultural
2. Interpersonal crisis (grief, loss, conflict, transition)
3. Insufficient Social Support
4. Activation of Attachment Behaviour
5. Psychological Symptoms

Question 6

Psychodynamic psychotherapy formulation approach

Answer 6

Formulation approach focusses on

Affect and expression of emotion

Exploration of attempts to avoid distress

Identification of recurring themes and patterns

Developmental focus

Interpersonal relations focus

Focus on the therapy relationship

Question 7

What does Idiographic mean?

Answer 7

Pertaining to or involving the study or explication of individual cases or events (opposed to nomothetic).

Question 8

What does nomothetic mean?

Answer 8

Pertaining to or involving the study or formulation of general or universal laws (opposed to idiographic).

Question 9

Describe Four Key elements of a comprehensive psychlogical formulation;

Answer 9

Presenting Problem - What is the problem

Predisposing Factors - history background

Precipiting Factors - onset and exaserbation - why now? triggers

Perpetuating - what is making it worse

Protective - strengths for the client

Prognosis - likelihood of recovery with and without treatment

Question 10

Describe THREE aspects of a clients psychological problem that should be clearly described within a CBT formulation

Answer 10

1. Childhood experience

2. Core Beliefs

3. Triggers

4. Dysfunctional Assumptions

5. Automatic Negative thoughts

6. Emotions

7. Behaviours

Question 11

eutler Model

What factors might you take into consderation when planning a client’s course of psychological treatment?

Answer 11

Functional Impairment

Social support

Complexity/Chronicity

Coping Style

Subjectve Distress

Resistance

Problem Solving