Construct a psychological formulation of the case study
A formulation is a tentative explanation or hypothesis as to why an individual presents and maintains a particular disorder or circumstance at a particular point in the time (Weerasekera, 1993)
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Get Help Now!The present essay will look at the formulation of cognitive behavioural perspective in light of Cara’s case study. Becks cognitive model of psychopathology stresses the importance of thinking in the elicitation and maintenance of depression, anxiety and anger (Beck, 1970, 1976; Beck, Emery, & Greenber, 1985; Beck et el., 1979). Becks talks about the levels of cognitive assessment.
One of the most pressing level are automatic thoughts that come spontaneously and is associated the problematic behaviour or disturbing emotions.
In cognitive behavioural therapy (CBT) formulation is located within a scientific, experimental framework as a process in a role of the scientific practitioner (Tarrier & Calam, 2002). Kanfer and Saslow (1965) described the process of behaviour analysis as an alternative to psychiatric diagnoses (Tarrier & Calam (2002)
The paper looked at and described in detail the individual problematic behaviour in relation to environmental stimuli rather than in terms of psychiatric diagnoses (Folette, Houts, & Hayes, 1992). Meichenbaum, 1977 and Wilson, 1978 work which derived from the work of Beck (Beck, Rush, Shaw, & Emery, 1979) lengthened the field of behavioural therapy.
Evidence suggests that there is much research evidence on CBT outcome research signifying its importance with different psychological problems (Roth & Fonagy, 1996), however there is not much research on CBT process outcome and very limited research on examining CBT case formulation (Bieling & Kuyken, 2003; Kuyken, 2005). However, Kuyken (2005) puts forward more relevant research.
CBT is based on two assumptions, firstly a bio psychosocial context is implicated in the maintenance and development of a client’s emotional disorder sees (Beck, 1999). Secondly, although clients presenting problems arise in a bio psychosocial context, the clients’ perspectives are seen as the main focus in CBT (Johnston& Dallos 2010).
Cognitive theory takes into account factors as to why a person may present emotional problems, and how the person perceives this through a process of making sense of their lives.
The essay will now look at the key ideas underpinning the process of CBT. Johnstone & Dallos (2010) suggest a framework for CBT formulation which refers to the levels and process of formulation in regards to the five Ps; presenting issues, precipitating factors, perpetuating factors and protective factors presenting issues which define the cur……………………………
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