Psych Health Reading 3 Flashcards
psychiatric diagnosis has been criticized on many grounds such as
lack of reliability and validity
excluding social contexts
causing stigma
diagnosis supports the idea that psychiatry is
a branch of medicine
cause of person’s difficulties is because of dysfunctions in the body or brain
is psychiatry really a branch of medicine?
a lack of reliable + valid way of drawing up diagnoses (classification system) raises the consideration of mental health disorders as disease processes rather than diagnoses
diagnosis impact on service user
report feelings of stigma
shame
worthlessness
hopelessness
diagnosis –> loss of meaning
people with problems –> patients with illnesses
trauma, abuse, discrim and deprivation –> disability, exclusion + despair
psychological formulation
the process of co-constructing hypothesis for the origins of a person’s difficulties in the context of their relationships, social circumstances, life events, and the sense that they have made of them
shared exploration that has no definite end point
formulation draws on two equally important sources of evidence
clinician - knowledge from theory, research, clinical experience
service user - expertise about own life + meaning and impact of relationships and circumstances
formulation is the tool used by clinicians to
relate theory to practice
outcome of psych formulation
summarising meanings
negotiating shared ways of understanding/communicating
basis for intervention plan tailored to individual + their needs
formulation and diagnosis difference
diagnosis - expert judgement based on deficits
formulation - service user’s resources + strengths + create meaning out of chaos and despair
example of steps in psych formulation
develop trusting relationship with mental health worker
acquiring info about impact of trauma
practical ways of managing/coping
gaining support from others with similar experiences
processing feelings from the past
benefits of psych formulation
clarifying hypotheses and questions
providing overall picture/map
noticing what is missing
prioritizing issues and problems
selecting and planning interventions
minimizing bias by making choices explicit
framing medical interventions
predicting responses to interventions
thinking about lack of progress
ensuring cultural perspective incorporated
strengthening therapeutic alliance
pos feedback about formulation
empowering
increasing understanding and trust
relief and enabling to move forward
neg feedback about formulation
saddening
frightening
overwhelming
DCP GOOD PRACTITIONERS GUIDELINES PRINCIPLES
formulations should be
collaborative
respectful about service user’s views of accuracy and helpfulness
use ordinary and accessible language
culturally sensitive
nonjudgmental
inclusive of strengths and achievements
role of trauma and abuse considered
role of services in retraumatizing
