Formulations in Cbt
Formulations in CBT
Introduction
This essay discusses what we understand by case conceptualization which is also called case formulation ( this paper refers to it in that term) in Cognitive Behavioral Therapy (CBT), and reminds us of some historical background and conceptual underpinnings of CBT case formulation. It then discusses why it’s important, as well as how we use it, in CBT approach. Further the paper draws some differences with Psychiatric Diagnosis. The essay includes some critics from different disciplines and what they say about CBT formulation. It discusses its strengths and weaknesses, and how we work with these. It offers an opinion when and how a case formulation is helpful.
Following that, the essay points to different types of formulation models and illustrates which types are useful for what, and which may not be useful in CBT clinical setting. It describes the steps involved in developing a case formulation and presents case examples.
The final part of the essay summarizes some of the main points of case formulation and closes by reflecting what has been learned and what will enhance and improve therapists skills in coming up with collaborative and useful formulation when working with clients in a CBT therapeutic clinical setting.
What is case conceptualization? Why and how we use it
The model of CBT case formulation has multiple historical origins. The most important is probably functional analysis (Haynes & O’Brien, 2000; Nezu, Nezu, Friedman, & Haynes, 1997), which itself has origins in ‘operant conditioning’ theory and the tradition in psychology of the study of the single organism. Skinner ( 1938) was a particularly strong advocate of single-organism time-series designs, probably because they allow for tracking what interested him most: when, how, and under what conditions new behavioral repertoires unfold in real time. (Morgan & Morgan, 2001).
Case formulation is referred to as a CBT keystone, and is considered essential to the
Introduction
This essay discusses what we understand by case conceptualization which is also called case formulation ( this paper refers to it in that term) in Cognitive Behavioral Therapy (CBT), and reminds us of some historical background and conceptual underpinnings of CBT case formulation. It then discusses why it’s important, as well as how we use it, in CBT approach. Further the paper draws some differences with Psychiatric Diagnosis. The essay includes some critics from different disciplines and what they say about CBT formulation. It discusses its strengths and weaknesses, and how we work with these. It offers an opinion when and how a case formulation is helpful.
Following that, the essay points to different types of formulation models and illustrates which types are useful for what, and which may not be useful in CBT clinical setting. It describes the steps involved in developing a case formulation and presents case examples.
The final part of the essay summarizes some of the main points of case formulation and closes by reflecting what has been learned and what will enhance and improve therapists skills in coming up with collaborative and useful formulation when working with clients in a CBT therapeutic clinical setting.
What is case conceptualization? Why and how we use it
The model of CBT case formulation has multiple historical origins. The most important is probably functional analysis (Haynes & O’Brien, 2000; Nezu, Nezu, Friedman, & Haynes, 1997), which itself has origins in ‘operant conditioning’ theory and the tradition in psychology of the study of the single organism. Skinner ( 1938) was a particularly strong advocate of single-organism time-series designs, probably because they allow for tracking what interested him most: when, how, and under what conditions new behavioral repertoires unfold in real time. (Morgan & Morgan, 2001).
Case formulation is referred to as a CBT keystone, and is considered essential to the