The utility of case formulation in treatment decision making; the effect of experience and expertise

Journal of Behavior Therapy and Experimental Psychiatry
Robert DudleyMark Freeston

Abstract

We examined whether case formulation guides the endorsement of appropriate treatment strategies. We also considered whether experience and training led to more effective treatment decisions. To examine these questions two related studies were conducted both of which used a novel paradigm using clinically relevant decision-making tasks with multiple sources of information. Study one examined how clinicians utilised a pre-constructed CBT case formulation to plan treatment. Study two utilised a clinician-generated formulation to further examine the process of formulation development and the impact on treatment planning. Both studies considered the effect of therapist experience. Both studies indicated that clinicians used the case formulation to select treatment choices that were highly matched to the case as described in the vignette. However, differences between experts and novice clinicians were only demonstrated when clinicians developed their own formulations of case material. When they developed their own formulations the experts' formulations were more parsimonious, internally consistent, and contained fewer errors and the experts were less swayed by irrelevant treatment options. The nature of the experimental task, involvi...Continue Reading

References

May 7, 2003·Behaviour Research and Therapy·Paul ChadwickJoanna Mackenzie
Jul 12, 2005·Behaviour Research and Therapy·Willem KuykenPaul Chadwick
Sep 7, 2006·JAMA : the Journal of the American Medical Association·David A DavisLaure Perrier
Jun 11, 2009·Behavioural and Cognitive Psychotherapy·Mark AllenStefanie J Sonnenberg
Sep 4, 2010·Clinical Psychology Review·Robert DudleyChristine A Padesky
Mar 1, 2007·Psychotherapy·Edward M Kendjelic, Tracy D Eells

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Citations

Jan 27, 2021·Journal of Evaluation in Clinical Practice·York HagmayerLaurence Claes

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