Chapter 4: Formulation in the context of psychotherapy integration

Question 1

key strengths of an integrative approach =

Answer 1

adaptability to different therapeutic modalities, allowing therapists to seamlessly incorporate elements from cognitive behavioural therapy, humanistic approaches and others into the case formulation process.
- informed by evidence-based practice/research
- can incorporate personal history, cultural background and social context
- this model highlights the significance of common factors (therapeutic relationship, client expectations, active client participation)

Question 2

bovenste deel van integrative model of case formulation and therapy

Answer 2

gather information -> formulate -> treat -> (-> termination) -> monitor

Question 3

wat hoort er bij formulate

Answer 3

create problem list -> diagnose -> develop explanatory hypotheses -> plan treatment

Question 4

wat hoort er bij create problem list

Answer 4

red flags: chemical dependence, domestic violence, suicidality, homicidality, neglect

functioning: self, interpersonal, societal

Question 5

wat hoort er bij develop explanatory hypothesis

Answer 5

sources: theory, evidence
components: precipitants, origins, resources, obstacles, core hypothesis

Question 6

plan treatment wat hoort daarbij

Answer 6

set point considerations: reactance, preferences, culture, readiness

goal identification: process/outcome goals, short/long term goals

plan interventions

Question 7

wat is nog een belangrijke note bij integrative model of case formulation en therapy

Answer 7

although depicted sequentially, these steps are not strictly linear, as info gathering, formulation and treatment are often intertwined throught the sessions

Question 8

gathering information: welke twee soorten

Answer 8

• process information (how the client presents themselves -> mood, affect, reality testing)
• narrative information (stories and episodes from thier life)

Question 9

therapist are encouraged to adopt a free form approach to gathering info:

Answer 9

following the clients lead, exploring their thoughts and feelings in depth

Question 10

what is the most challenging part

Answer 10

developing an explanatory hypothesis

Question 11

progress monitoring has been shown to…

Answer 11

improve positive outcomes and reduce treatment failure rates