Formulation as a Basis for Planning Psychotherapy Treatment

  • ISBN 9780880487498

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In order to help their patients, clinicians must make accurate diagnoses and devise effective treatment plans. After a patient's most salient problems are identified, a plan for addressing these problems is devised. These plans often involve psychotherapy with goals that include symptom reduction, the prevention of relapse and helping patients recognize and remove impediments to more effective functioning. One of the first works to truly integrate diverse schools of psychotherapy, "Formulation as a Basis for Planning Psychotherapy Treatment" presents a formulation system that combines concepts derived from psychodynamic, interpersonal, cognitive-behavioural and family system approaches. In a step-by-step manner, illustrated by plentiful case examples, this useful guide shows psychiatrists, residents in psychiatry and psychology, social workers, and marriage and family counsellors how to plan treatment after the initial diagnosis. After an overview of psychological change processes, each of the five steps in the formulation process are covered systematically. Case formulation is begun by the careful selection and description of a patient's symptoms and problems.
This information is then grouped into states of mind, an approach that allows for multiple presentations of a patient, avoids static descriptions of observations, and places many observable features into meaningful clusters of co-occurrence. Subsequent chapters explain how all of this information can be used to focus the treatment, identify possible courses of interference and examine plans for interventions during psychotherapy.
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