formulation Flashcards
what does psychiatric diagnosis allow for?
mental health disorders to be conceptualized in the same way as medical diseases
what did Kendell et al (1971) do
showed diagnostic interviews with 8 patients to large groups of psychiatrists in the USA and UK
who showed diagnostic interviews with 8 patients to large groups of psychiatrists in the USA and UK
Kendell et al (1971)
what did Kendell et al (1971) find
were major disagreements for some patients, they also found that American concept of schizophrenia was much broader than the British concept
what did Robert Spitzer 1975 do
successful in using strict, standardised criteria in research on mental illness
what did Robert Spitzer 1975 achieve
researchers reached agreement on diagnosis
what did Robert Spitzer go on to do
develop DSM-3
what did Klerman (1978) do
developed a manifesto stating that there should be a focus on the biological aspect of mental illness
who developed a manifesto stating that there should be a focus on the biological aspect of mental illness
Klerman (1978)
who developed DSM-3
Robert spitzer
when was DSM-5 published
2013
problems with psychiatric diagnosis
it is not reliable, not valid and not all psychiatrists agree on the same diagnosis for the same patient
what did Freedman et al. (2013) do
looked at DSM-5 field trails
what did Freedman et al. (2013) find?
no disorder had a good Kappa value and only 3 had an acceptable Kappa value suggesting there is a lack of reliability
problem with freedman et al 2013
they used open interviews rather than structured
what did Fried and Nesse (2015) do
looked at symptom profiles of 3703 MMD patients
what did Fried and Nesse (2015) find
1030 unique symptom profiles
what did Hieronymous et al. (2016) do
looked at effects of SSRI’s on symptoms
what did Hieronymous et al. (2016) find
only an effect on low mood
what did Hieronymous et al. (2016) finding suggest
MDD may not be a single disorder
what did Howe et al. (2014) do
interviewed 7 schizophrenic patients on views of diagnosis
what did Howe et al. (2014) find
they all found it unpleasant and stigmatizing.
what is formulation approach
works towards a psychological explanation of a patients problem and works towards a treatment
an example of the formulation approach
wells 2006- using cognitive models to formulate for panic and filling this in based on each patient and developing a specific treatment plan
