Understanding the Factors That Contribute to Creating a Collaborative Psychological Formulation: A Qualitative Systematic Review
Fuente:
Wiley Open Access
Saved in:
| Main Authors: | , , , |
|---|---|
| Format: | Artículo Open Access |
| Published: |
Wiley
2024
|
| Subjects: | |
| Online Access: | |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1867007159379689472 |
|---|---|
| author | Naomi E. Thrower Katherine Berry Isobel Johnston Lydia Morris |
| author_facet | Naomi E. Thrower Katherine Berry Isobel Johnston Lydia Morris Naomi E. Thrower Katherine Berry Isobel Johnston Lydia Morris |
| collection | Wiley Open Access |
| contents | Understanding the Factors That Contribute to Creating a Collaborative Psychological Formulation: A Qualitative Systematic Review Naomi E. Thrower Katherine Berry Isobel Johnston Lydia Morris Clinical Psychology & Psychotherapy ABSTRACTObjectivesCreating a formulation is one of the key competencies of a clinical psychologist and is understood to be important for guiding therapeutic input and understanding client distress. However, client experience of formulations can vary, with some reporting it is unhelpful and distressing. This novel review explores the experiences of clinicians and clients when creating a formulation, specifically the barriers and facilitators to collaborating on a formulation. This ultimately aims to improve client experience and engagement in formulation.MethodsA systematic search of PubMed, Web of Science, PsycINFO and EMBASE was conducted using PRISMA guidelines. The protocol was registered on PROSPERO. This search was conducted using terms related to ‘psychological formulation’ and ‘experience’. Nineteen qualitative papers met inclusion criteria and were appraised using the Critical Appraisal Skills Programme. Findings that pertained to formulation were thematically synthesised.ResultsThree analytical themes were identified: toleration of the formulation process—‘a necessary evil’, which highlights the potential emotional impact of formulation on the client and indicates the importance of responding to client readiness and expectations of formulation; development of the therapeutic relationship—‘it's like a two way thing, isn't it?’, which suggests that client empowerment, adapting to client needs and clinicians creating a safe and containing environment facilitated the formulation process; systemic factors—‘walking a tightrope’, which highlights the constraints of resources and team dynamics in therapists' ability to engage in collaborative formulation.ConclusionFacilitators to a collaborative formulation include the following: simple formulations, thorough assessment and preparation for formulation, ‘doing with’ activities such as timelines and diagrams and working environments that include supportive colleagues and time for reflection and training. 10.1002/cpp.2998 http://creativecommons.org/licenses/by/4.0/ |
| doi_str_mv | 10.1002/cpp.2998 |
| format | Artículo Open Access |
| id | wiley_oa_10_1002_cpp_2998 |
| institution | Wiley Open Access |
| license_str_mv | http://creativecommons.org/licenses/by/4.0/ |
| publishDate | 2024 |
| publisher | Wiley |
| record_format | wiley_oa |
| spellingShingle | Understanding the Factors That Contribute to Creating a Collaborative Psychological Formulation: A Qualitative Systematic Review Naomi E. Thrower Katherine Berry Isobel Johnston Lydia Morris Clinical Psychology & Psychotherapy Understanding the Factors That Contribute to Creating a Collaborative Psychological Formulation: A Qualitative Systematic Review Naomi E. Thrower Katherine Berry Isobel Johnston Lydia Morris Clinical Psychology & Psychotherapy ABSTRACTObjectivesCreating a formulation is one of the key competencies of a clinical psychologist and is understood to be important for guiding therapeutic input and understanding client distress. However, client experience of formulations can vary, with some reporting it is unhelpful and distressing. This novel review explores the experiences of clinicians and clients when creating a formulation, specifically the barriers and facilitators to collaborating on a formulation. This ultimately aims to improve client experience and engagement in formulation.MethodsA systematic search of PubMed, Web of Science, PsycINFO and EMBASE was conducted using PRISMA guidelines. The protocol was registered on PROSPERO. This search was conducted using terms related to ‘psychological formulation’ and ‘experience’. Nineteen qualitative papers met inclusion criteria and were appraised using the Critical Appraisal Skills Programme. Findings that pertained to formulation were thematically synthesised.ResultsThree analytical themes were identified: toleration of the formulation process—‘a necessary evil’, which highlights the potential emotional impact of formulation on the client and indicates the importance of responding to client readiness and expectations of formulation; development of the therapeutic relationship—‘it's like a two way thing, isn't it?’, which suggests that client empowerment, adapting to client needs and clinicians creating a safe and containing environment facilitated the formulation process; systemic factors—‘walking a tightrope’, which highlights the constraints of resources and team dynamics in therapists' ability to engage in collaborative formulation.ConclusionFacilitators to a collaborative formulation include the following: simple formulations, thorough assessment and preparation for formulation, ‘doing with’ activities such as timelines and diagrams and working environments that include supportive colleagues and time for reflection and training. 10.1002/cpp.2998 http://creativecommons.org/licenses/by/4.0/ |
| title | Understanding the Factors That Contribute to Creating a Collaborative Psychological Formulation: A Qualitative Systematic Review |
| topic | Clinical Psychology & Psychotherapy |
| url | https://onlinelibrary.wiley.com/doi/10.1002/cpp.2998 |