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Review
'Buy this book! It is a clear and well articulated approach to formulation in the psychological psychotherapies... The book holds appeal for trainees, trainers, practicioneers and supervisors. It will take its place as required reading on training courses.' - Clinical Psychology Forum, May 2007
'A lot of thought-provoking material and practical guidance is packed into this excellent text and it is likely to become and accessible classic of its kind.' - Colin Feltham, Therapy Today
'I see this book as a boon to both trainees and qualified therapists, whichever theoretical perspective they work in.' Journal of Critical Psychology, Counselling and Psychotherapy.
'The text is an extremely thorough, well referenced and attractively-presented introduction to formulation.' Metapsychology online review.
'The book will be invaluable to people entering training, and to specialists who want to update their knowledge.' Journal of Community and Applied Social Psychology.
Product Description
Formulation is attracting an increasing amount of interest in the fields of psychology, psychiatry, psychotherapy and counselling. Drawing on psychological theory, it attempts to examine a client or family's problems in terms of how they arose and what may currently be holding these in place. It synthesises this information and explanatory ideas into 'working hypotheses', which are then used to suggest appropriate and effective ways of working to relieve the problems. It can also be described as the key way of relating theory to practice in clinical work.
Formulation in Psychology and Psychotherapy places this growing interest in formulation in a clinical and historical context. It introduces the reader to the theory and practice of formulation through the discussion of two clients (one adult and one child focused problem), whose problems are formulated from the perspective of 5 different therapeutic traditions: systemic, psychodynamic, community, cognitive - behavioural and social constructionist/narrative. It looks at the growing trend for formulations that draw on two or more therapeutic models and includes two chapters dealing with integrative formulation. It offers some creative suggestions for how this can be carried out in a way that is theoretically coherent and clinically effective. The authors also explore the important issue of formulation as a collaborative activity, and consider the ethics of formulation. The final chapter takes a critical overview of the main research, controversies and debates in the area, and gives a guide for using, developing, and researching formulation in a way that maximises its strengths while being aware of its limitations.
The book is unique in including newer therapeutic approaches such as narrative therapy and social inequalities; it critiques and takes forward recent work on integration, and provides a lively and challenging critical evaluation of the area as a whole. It guides readers through a complex field in a clear, accessible and engaging way. Both experienced and novice clinicians will be able to enhance their clinical skills and theoretical knowledge.
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Customer Reviews
It does start off rather like this. Two case vignettes are given, and then experts from various specialities give their accounts of how they would formulate these two cases. These are not easy meat: there is a man of 25 diagnosed with `paranoia' and `persistent delusional disorder', and a girl of 9 with a fear of any form of transport and night terrors, as well as a refusal to eat food prepared by her mother. We start with cognitive-behavioural therapy (Dudley & Kuyken): then comes psychodynamic therapy (Leiper), systemic therapy (Dallos & Stedmon) and a social constructionist approach (Harper & Spellman). This latter is extraordinarily interesting, as it is largely centred on narrative therapy - a fascinating new approach. To see the whole idea of formulation being simultaneously used and subverted is highly stimulating. But even more excitement comes with the next chapter, headed Social inequalities formulation: Mad, bad and dangerous to know (Miller & McClelland). This takes a completely different approach, which involves, among other things, having a group discussion with men of the same age as the client, and with some similar experiences, to get a clearer idea of the social pressures he might have met. This led to a mapping of the social inequalities to which he had been subjected. It then became possible to go more deeply into the world of the client, both internal and external, both private and public. These two chapters give an answer to the accusation that therapy always has to be politically naïve and even ignorant.
The two following chapters are more conventional, representing two different kinds of integrative therapy - Dallos, Wright, Stedmon & Johnstone for the one, and Dallos on his own for the other.
The final chapter is quite brilliant. It is headed Controversies and debates about formulation, and is the best account I have seen of the whole question of categorising clients. They say: "Formulation should be an ongoing process rather than a one-off expert pronouncement, and therefore one would hope that reformulation based on the client's feedback would ensure that unhelpful formulations are revised or abandoned. Unfortunately this does not always happen." (p.215) They are clear that formulations can easily go wrong in the eyes of the client, and quote G Butler to the effect that "Being on the receiving end of a formulation can feel like being weighed up, evaluated or judged - like being `seen through' or `rumbled' rather than understood." (p.216) In their summary they say: "The potential criticisms and limitations of formulation echo the potential criticisms and limitations of therapy itself." (p.230)
This is a very worthwhile book, and could be a revelation to anyone reading it.
As the book is edited by Lucy Johnston it adopts a very critical approach and provides a rounded view of clinical psychology, forumulation, psychotherapy and what it involves. It is also very wellwritten and easy to read. Well worth the money!
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