Journal article
Evaluation of collaborative cognitive-behavioural case formulations in a clinical psychology program: a client perspective
Clinical Psychologist, Vol.25(3), pp.339-349
2021
Abstract
Objective: Cognitive behavioural case formulations (CBCFs) have been widely used in Cognitive Behavioural Therapy (CBT). However, sparse research has examined how clients experience the shared formulation process. The current study aimed explored the role of CBCFs in an outpatient student-staffed community clinic.
Method: A 30 adult participants aged 18 - 67 (M = 37.50, SD = 11.20), with a range of mental health concerns, completed a CBCF session as a part of routine therapy, with their treating provisional psychologist. Immediately following the session, participants completed a questionnaire that included five items, 5-point Likert scale questionnaire measuring clients’ experience of the collaborative CBCF, and two open questions captured further information.
Results: High scores across all questions on the Likert scale, and a total of nine themes was identified from the qualitative data. Six themes related to a broadly positive emotional response, two themes had a broadly negative emotional response, and one theme was a neutral emotional response.
Conclusions: The visual process of CBCF is a positive experience for clients that may help them to better understand their difficulties, elicit positive emotions, and feel understood by their
treating therapist. Limitations of the current study and recommendations for future research are discussed.
KEY POINTS
What is already known about this topic:
(1) Cognitive behavioural case formulations (CBCFs) are frequently utilised in Cognitive Behavioural Therapy to develop an individualised approach to therapy.
(2) CBCFs aim to strengthen the client’s and the therapist’s understanding of the client’s presenting problem(s) within a cognitive behavioural framework and enhance the therapeutic relationship.
(3) Surprisingly, there is limited research on how clients experience the shared formulation process.
What this topic adds:
(1) Results from our quantitative analyses found that clients reported widely positive experiences with CBCFs.
(2) Qualitative analysis revealed that nine themes emerged from participants’ experiences with CBCFs.
(3) CBCFs appears to enable clients to better understand their difficulties, CBCFs tend to elicit positive emotions, and CBCFs help clients to feel understood by their therapist.
Details
- Title
- Evaluation of collaborative cognitive-behavioural case formulations in a clinical psychology program: a client perspective
- Authors
- Lee Kannis-Dymand (Author) - University of the Sunshine Coast, Queensland, School of Health and Behavioural Sciences - LegacyAleisha Myers (Author) - University of the Sunshine Coast, Queensland, School of Health and Behavioural Sciences - LegacyBerquin Human (Author) - Sunshine Coast Private HospitalSteven Love (Author) - University of the Sunshine Coast, Queensland, School of Law and SocietyGeoff P Lovell (Author) - University of the Sunshine Coast, Queensland, School of Health and Behavioural Sciences - Legacy
- Publication details
- Clinical Psychologist, Vol.25(3), pp.339-349
- Publisher
- Taylor & Francis
- DOI
- 10.1080/13284207.2021.1981745
- ISSN
- 1742-9552
- Organisation Unit
- Tropical Forests & People Research Centre; School of Health - Psychology; Road Safety Research Collaboration; Sustainability Research Centre; School of Law and Society; School of Health and Behavioural Sciences - Legacy; University of the Sunshine Coast, Queensland; Forest Research Institute
- Language
- English
- Record Identifier
- 99583107402621
- Output Type
- Journal article
Metrics
108 Record Views
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- Web Of Science research areas
- Psychology
- Psychology, Clinical
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