Treating Complex Cases: The Cognitive Behavioural Therapy Approach

Tarrier, Nicholas; Wells, Adrian; Haddock, Gillian; Davidson, Joan

doi:10.1891/0889-8391.14.4.410

Cited by 24 publications

(12 citation statements)

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“…Cognitive-behavioural treatments based on an individual case formulation have been used in clinical trials. Examples of this include the treatment of schizophrenia (Tarrier et al, 1998), PTSD (Tarrier, Sommerfield, & Pilgrim, 1999) and juvenile offending (Henggeler, Melton, & Smith 1992). It is therefore not inconsistent to include case formulation and idiographic assessment within a treatment protocol and efficacy trial.…”

Section: Clinical Practice and Clinical Researchmentioning

confidence: 99%

New Developments in Cognitive-Behavioural Case Formulation. Epidemiological, Systemic and Social Context: An Integrative Approach

Tarrier

Calam

2002

Behav. Cogn. Psychother.

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The historical origins of the case formulation approach to assessment and treatment are described and its role in clinical practice and research discussed. It is argued that treatment based on individual case formulations should not be precluded from clinical trials. The empirical evidence for the reliability and efficacy of case formulation is reviewed. The evidence that an idiosyncratic case formulation approach to treatment has any advantage over a standard protocol is equivocal; however, the studies that have been carried out are under powered and potentially suffer from a Type II error. The standard procedure for case formulation is briefly described and the argument advanced that this method of clinical assessment should be soundly based upon empirical evidence and hypothesis testing and not on speculation. Three modifications are suggested to the current practice of case formulation. These are: 1) the conceptualization of dysfunctional systems in the maintenance of clinical problems; 2) the historical background of a clinical problem should be described in terms of vulnerabilities and epidemiological evidence-base; and 3) the pivotal role of social behaviour and context should be emphasized and accommodated in a formulation. The advantages of a case formulation, in providing an understanding of the maintenance of clinical problems, in providing an integrated approach to intervention are outlined.

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Section: Clinical Practice and Clinical Researchmentioning

confidence: 99%

New Developments in Cognitive-Behavioural Case Formulation. Epidemiological, Systemic and Social Context: An Integrative Approach

Tarrier

Calam

2002

Behav. Cogn. Psychother.

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show abstract

“…Cognitive behaviour therapy is not just about psychiatry nor is it just a set of atheoretical techniques 13. It has a strong theoretical base in the discipline of psychology, which informs treatment development through a scientific understanding of both normal and abnormal mental functioning.…”

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confidence: 99%

All you need is cognitive behaviour therapy? Commentary: Benevolent scepticism is just what the doctor ordered Commentary: Yes, cognitive behaviour therapy may well be all you need Commentary: Symptoms or relationships Commentary: The "evidence" is weaker than claimed

Holmes

2002

BMJ

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“…Research into treatment resistance is limited but there is a wealth of clinical knowledge available for CBT (Tarrier et al, 1998;Beck, 2005) and other interventions. With such a complex scenario, consulting with patient, therapists, primary care, psychiatrists and other mental health professionals to systematically identify needs is urgently required.…”

Section: Resultsmentioning

confidence: 99%