When Formulation Outweighs Diagnosis: 13 "Moments" in Psychotherapy

Autor/inn/en	Terr, Lenore C.; Abright, A. Reese; Brody, Michael; Donner, Susan; Eth, Spencer; Fine, Louis; Fornari, Victor; Jetmalani, Ajit; Livingston, Richard; Powers, James H.; Robson, Kenneth
Titel	When Formulation Outweighs Diagnosis: 13 "Moments" in Psychotherapy
Quelle	In: Journal of the American Academy of Child and Adolescent Psychiatry, 45 (2006) 10, S.1252 (12 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0890-8567
Schlagwörter	Psychotherapy; Psychiatry; Patients; Identification; Figurative Language; Clinical Diagnosis + Suchen Sie Ihr Suchwort? Psychotherapie; Psychiatrie; Patient; Identifikation; Identifizierung
Abstract	The psychiatrist renders a diagnosis, comes up with a formulation, and then simultaneously uses both frameworks to treat patients. In clinical situations, however, there are times when one is in ascendancy while the other lies temporarily dormant. This article deals with the doctor's particular emphasis. It presents 13 cases in which treating the "formulation"--at least temporarily--outweighs treating the "diagnosis." Furthermore, the authors present their ideas according to what circumstances favored "formulation" over "diagnosis" in three ways: (1) when the child needed to achieve trust; (2) when the child needed to deal with an inner conflict; (3) and when the child's identity was at risk. Thus, in the 13 cases described, the authors demonstrate that the doctor's quick, timely, often intuitive, and sometimes unexpected, use of monologues, metaphor, play, jokes, secrets, revelations, and just-plain talk all serve to create climactic turnarounds in children. The common thread running through all these cases is that "formulation" outweighs "diagnosis" when a child's difficulty is largely psychological or developmental. (ERIC).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10