Case Formulation in Psychotherapy: Revitalizing Its Usefulness as a Clinical Tool

Objective: Case formulation has been recognized to be a useful conceptual and clinical tool in psychotherapy as diagnosis itself does not focus on the underlying causes of a patient's problems. Case formulation can fill the gap between diagnosis and treatment, with the potential to provide insi...

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Bibliographic Details
Published inAcademic psychiatry Vol. 29; no. 3; pp. 289 - 292
Main Authors Sim, Kang, Gwee, Kok Peng, Bateman, Anthony
Format Journal Article
LanguageEnglish
Published United States American Psychiatric Publishing, Inc 01.07.2005
Springer Nature B.V
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Summary:Objective: Case formulation has been recognized to be a useful conceptual and clinical tool in psychotherapy as diagnosis itself does not focus on the underlying causes of a patient's problems. Case formulation can fill the gap between diagnosis and treatment, with the potential to provide insights into the integrative, explanatory, prescriptive, predictive, and therapist aspects of a case. Despite the acknowledgment that case formulation is a basic, necessary, and key clinical skill, it is still largely undertaught and underlearned. Some of the issues faced in the development of a case formulation include that of immediacy versus comprehensiveness, complexity versus simplicity, observation versus organization, and the need for cultural sensitivity toward each individual patient. Methods: The authors propose five aspects of case formulation beneficial to therapists and residents in training. Conclusions: The authors argue that case formulation remains an important and indispensable integrative tool for therapists and residents in training who are involved in psychotherapeutic interventions.
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ISSN:1042-9670
1545-7230
DOI:10.1176/appi.ap.29.3.289