Hostname: page-component-8448b6f56d-tj2md Total loading time: 0 Render date: 2024-04-19T12:23:40.167Z Has data issue: false hasContentIssue false

Determining What is Important in a Good Formulation

Published online by Cambridge University Press:  04 January 2007

Alyson Flitcroft
Affiliation:
University of Newcastle upon Tyne, UK
Ian Andrew James
Affiliation:
University of Newcastle upon Tyne, UK
Mark Freeston
Affiliation:
University of Newcastle upon Tyne, UK
Amy Wood-Mitchell
Affiliation:
Northumberland, Tyne and Wear NHS Trust, UK

Abstract

Research suggests that there is low inter-rater reliability between therapists when asked to formulate the same case and that there may be discrepancies in what is considered an essential part of a formulation. The present study aimed to explore the diversity of therapists' viewpoints regarding the purpose and essential features of a cognitive-behavioural therapy (CBT) case formulation of depression. A Q-sort methodology was used in order to render these beliefs operational. Seven experienced CBT therapists participated in the construction of 86 statements, capturing concepts considered relevant to a CBT formulation of depression. This Q-sort was then administered to 23 therapists, who rated these statements in terms of their importance using a Q-sort procedure. Three factors emerged, suggesting three dominant opinions as to the importance of features of a formulation. A “state” CBT factor, focusing on the “here and now”, accounted for most variance; followed by a second factor emphasizing “function and process” and a third factor emphasizing “trait” components. Whilst there was some agreement between what was considered to be least important in a formulation, the emergence of three distinct viewpoints suggests a lack of complete consensus amongst the therapists.

Type
Research Article
Copyright
© 2007 British Association for Behavioural and Cognitive Psychotherapies

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)
Submit a response

Comments

No Comments have been published for this article.