Cognitive-behavioral Case Formulation

Persons, Jacqueline B.; Davidson, Joan

doi:10.31234/osf.io/q6hz5

Cited by 27 publications

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“…Formulation is central to helping clients understand the presenting problems, hypothesizing potential causes and maintaining factors, and creating a cohesive picture of the client's experience to guide treatment selection. 27 Although there was consensus that formulation was important, qualitative comments revealed that clinicians found communicating formulation particularly challenging when using telephone instead of videoconferencing. As such, guidelines on adapting formulation to the telehealth context might be particularly useful to clinicians.…”

Section: Discussionmentioning

confidence: 99%

Development of psycho-oncology telehealth guidelines: a modified Delphi consensus study

Cooper,

Gilchrist,

Beatty

et al. 2024

Journal of Psychosocial Oncology Research and Practice

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Objective: In response to COVID-19, psycho-oncology clinicians moved to a model of telephone and videoconference treatment in Australia. The Psycho-oncology Co-operative Research Group (PoCoG) identified a paucity of evidence available to guide adaptation of therapy for remote delivery. This research aimed to develop consensus for evidence-based guidelines on ways to adapt psychological therapies in psycho-oncology for remote delivery. Methods: A national expert advisory group (N = 11) was convened consisting of psycho-oncology clinicians and clinical researchers. An iterative codesign methodology was used to draft psycho-oncology telehealth guidelines. Australian psycho-oncology clinicians participated in a Delphi consensus process to guide the content included in the guidelines. Content was presented under six domains: (i) screening and outcome measures, (ii) formulation, (iii) safety considerations, (iv) resource adaptation, (v) adaptations to therapy, and (vi) example case studies. Participants rated items based on importance, therapeutic appropriateness, and/or usefulness. Consensus was defined as >80% agreement. Results: Thirty-two psycho-oncology clinicians with telehealth experience participated in three Delphi rounds. Agreement was reached on (i) the importance of including screening and outcome measures (90%) and items (n = 5) related to how best to facilitate this; (ii) the importance of addressing provision of a formulation (100%), although only 2/6 strategies presented to facilitate formulation reached consensus; (iii) the appropriateness of proposed risk assessment and management strategies (84%); (iv) therapeutic appropriateness of simplifying resources (100%), including 3/5 visual optimization strategies; and (v) common behavioral components of therapy (n=5). Conclusions: Providing guidance to psycho-oncology clinicians for integrating telehealth into routine clinical practice must go beyond logistical considerations. These consensus-based guidelines provide support to clinicians for adaptation of psycho-oncology therapy to telehealth and will ensure evidence-based practice.

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Section: Discussionmentioning

confidence: 99%

Development of psycho-oncology telehealth guidelines: a modified Delphi consensus study

Cooper,

Gilchrist,

Beatty

et al. 2024

Journal of Psychosocial Oncology Research and Practice

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“…One purpose of a formulation is to tie together the elements of a case (origins, mechanisms, precipitants, problems) into a coherent narrative so they can be understood as a whole rather than as a list of disparate unrelated facts. The case formulation is presented in a paragraph, as in the example above, or in a diagram with arrows (for examples, see O'Brien & Haynes, 1995;Persons & Davidson, 2001).…”

Section: Example: Formulation Of the Case Of Johnmentioning

confidence: 99%

“…In this chapter we make several substantial changes to our earlier presentations (Persons, 1989;Persons & Davidson, 2001;Persons, Tompkins, & Davidson, 2000), including those in the previous edition of this volume (Persons & Tompkins, 1997). We present the formulation as one element of a hypothesis-testing approach to clinical work; we rely more on diagnosis, we allow for formulations based on conditioning and emotion theories (in our previous work, formulations were always based on Beck's cognitive theory), we simplify the format of the formulation, and we describe a worksheet that aids in the process of developing a case formulation.…”

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confidence: 99%

Cognitive-Behavioral Case Formulation - Persons & Tompkins

Persons¹

2022

Preprint

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“…Coping or compensatory strategies (such as social isolation or vigilance) can be helpful in dealing with symptoms, or at times they can become problems themselves (Leahy et al, 2005). The case conceptualization serves to illustrate the origins of the problems and a working hypothesis of how the various factors and reactions above might be linked sequentially, suggesting a plan of treatment and a prediction of what obstacles to treatment might arise and how to overcome them (Persons & Tompkins, 1997).…”

Section: Case Conceptualizationmentioning

confidence: 99%

Psychosis.

Stolar¹,

Wolfe²

2021

Handbook of Cognitive Behavioral Therapy: Applications (Vol. 2).

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I n medical school, one of us (NS) was advised by attending psychiatrists to ignore the content of voices and delusions, except to classify the latter as paranoid, grandiose, and so on. Beyond that, it was considered unnecessary to delve into what voices said or what material was contained in the delusions. To do so was a waste of time, as once the presence of hallucinations and/or delusions was established, it was only necessary to determine the presence of other symptoms that would clarify which diagnosis-containing psychosis as a symptom-was correct and, from there, which medications to order. It did not take this author long to question this approach. It was difficult to believe that someone reporting voices telling him to commit suicide was not also experiencing that same urge to do so. Likewise, it seemed that someone with a delusion of being married and having children and a career would also have those same desires. 1 A number of years from then, in the mid-1990s, a book called Cognitive-Behavioral Therapy for Schizophrenia was published (Kingdon, & Turkington, 1994). British authors David Kingdon and Douglas Turkington (cf., Kingdon & Turkington, 2002) described how the content of voices and delusions are important and are used to facilitate treatment efforts. Cognitive behavioral therapy for psychosis (CBTp) helps clients examine the beliefs associated with their voices and delusions by testing their veracity. Other British clinical research groups and clinicians (

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Cognitive-behavioral Case Formulation

Cited by 27 publications

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Development of psycho-oncology telehealth guidelines: a modified Delphi consensus study

Development of psycho-oncology telehealth guidelines: a modified Delphi consensus study

Cognitive-Behavioral Case Formulation - Persons & Tompkins

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Cognitive-behavioral Case Formulation

Cited by 27 publications

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Development of psycho-oncology telehealth guidelines: a modified Delphi consensus study

Development of psycho-oncology telehealth guidelines: a modified Delphi consensus study

Cognitive-Behavioral Case Formulation - Persons &amp; Tompkins

Psychosis.

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Cognitive-Behavioral Case Formulation - Persons & Tompkins