期刊论文详细信息
BMC Medicine
Is diagnosis enough to guide interventions in mental health? Using case formulation in clinical practice
Michael Berk2  Philippe Conus1  Melissa K Hasty2  Craig A Macneil2 
[1] Treatment & Early Intervention in Psychosis Program (TIPP), Département de Psychiatrie CHUV, Université de Lausanne, Clinique de Cery, 1008 Prilly, Switzerland;Orygen Research Centre, 35 Poplar Road, Parkville, Victoria, 3052, Australia
关键词: psychological intervention, case conceptualization;    cognitive behavioral therapy;    diagnosis;    Formulation;   
Others  :  857344
DOI  :  10.1186/1741-7015-10-111
 received in 2012-06-26, accepted in 2012-09-27,  发布年份 2012
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【 摘 要 】

While diagnosis has traditionally been viewed as an essential concept in medicine, particularly when selecting treatments, we suggest that the use of diagnosis alone may be limited, particularly within mental health. The concept of clinical case formulation advocates for collaboratively working with patients to identify idiosyncratic aspects of their presentation and select interventions on this basis. Identifying individualized contributing factors, and how these could influence the person's presentation, in addition to attending to personal strengths, may allow the clinician a deeper understanding of a patient, result in a more personalized treatment approach, and potentially provide a better clinical outcome.

【 授权许可】

   
2012 Macneil et al; licensee BioMed Central Ltd.

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【 参考文献 】
  • [1]Aveline M: The advantages of formulation over categorical diagnosis in explorative psychotherapy and psychodynamic management. Eur J Psychother Couns Health 1999, 2(Suppl 2):199-206.
  • [2]Kendell R, Jablensky A: Distinguishing between the validity and utility of psychiatric diagnoses. Am J Psychiatry 2003, 160:4-12.
  • [3]Tarrier N, Calam R: New developments in cognitive behavioural case formulation. Beh Cogn Psychother 2002, 30:331-328.
  • [4]Kuyken W, Padesky CA, Dudley R: Collaborative Case Conceptualization: Working Effectively with Clients in Cognitive-Behavioral Therapy. New York: Guilford Publications; 2009.
  • [5]Restifo S: An empirical categorization of psychosocial factors for clinical case formulation and treatment planning. Australas Psychiatry 2010, 18(Suppl 3):210-213.
  • [6]Persons JB: Cognitive Therapy in Practice: A Case Formulation Approach. New York: Norton and Co.; 1989.
  • [7]Johnstone L, Dallos R (Eds): Formulation in Psychology and Psychotherapy: Making Sense of People's Problems. East Sussex: Routledge; 2006.
  • [8]Sturmey P (Ed): Clinical Case Formulation: Varieties of Approaches. West Sussex: Wiley-Blackwell; 2009.
  • [9]Mumma GH: Improving cognitive case formulations and treatment planning in clinical practice and research. J Cogn Psychother 1998, 12:251-274.
  • [10]Tompkins MA: Using a case formulation to manage treatment nonresponse. J Cogn Psychother 1999, 13(Suppl 4):317-330.
  • [11]Eells TD: Update on psychotherapy case formulation research. J Psychother Pract Resh 2001, 10(Suppl 4):277-281.
  • [12]Chadwick P, Williams C, Mackenzie J: Impact of case formulation in cognitive behaviour therapy for psychosis. Behav Res Ther 2003, 41:671-680.
  • [13]Persons J, Mooney K, Padesky C: Inter-rater reliability of cognitive-behavioural case formulations. Cogn Ther Res 1995, 19:21-34.
  • [14]Eells TD, Lombart KG, Salsman N, Kendjelic EM, Schneiderman CT, Lucas CP: Expert reasoning in psychotherapy case formulation. Psychother Res 2011, 21(Suppl 4):385-399.
  • [15]Kendjelic EM, Eells TD: Generic psychotherapy case formulation training improves formulation quality. Psychotherapy 2007, 44(Suppl 1):66-77.
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