Introduction
It is voluntarily and in consensus agreed by all Psychotherapists that case formulation skills are fundamental to providing effective treatment, particularly for difficult-to-treat patients with co morbid mental disorders. As Sperry et al. reflected this agreement in noting that “the ability to conceptualize and write succinct case formulations is considered basic to daily clinical practice” (p. vii). Some have even argued that the advent of managed care and time-limited psychotherapy has heightened the importance of case formulation skills, because psychotherapists are increasingly called on to work more efficiently and to justify the value and expense of their services.
In light of the consensus that case formulation skills are …show more content…
Nuland (1988) noted that, Hippocratic case reports included descriptions of changes in body temperature, color, facial expression, breathing pattern, body position, skin, hair, nails, and abdominal contour. In addition, Hippocratic physicians tasted blood and urine; they examined skin secretions, ear wax, nasal mucus, tears, sputum, and pus; they smelled stool; and observed stickiness of the sweat. Once the physician had gathered and integrated this information, he used it to infer the source of humoral imbalance and how far the disease had progressed. Only then was an intervention prescribed. This is similar to how psychotherapy case formulation …show more content…
These include psychodynamic concepts of id, ego, and superego, as well as self-representations, or schemas, which both cognitive and some psychodynamic theorists and researchers emphasize (Segal & Blatt, 1993). De Sedibus was a remarkable achievement in that it firmly established Galen’s “anatomical concept of disease.” An 18th century physician using De Sedibus to treat a patient could use the index to look up his patient’s symptoms, which could be cross-referenced to a list of pathological processes that may be
It is voluntarily and in consensus agreed by all Psychotherapists that case formulation skills are fundamental to providing effective treatment, particularly for difficult-to-treat patients with co morbid mental disorders. As Sperry et al. reflected this agreement in noting that “the ability to conceptualize and write succinct case formulations is considered basic to daily clinical practice” (p. vii). Some have even argued that the advent of managed care and time-limited psychotherapy has heightened the importance of case formulation skills, because psychotherapists are increasingly called on to work more efficiently and to justify the value and expense of their services.
In light of the consensus that case formulation skills are …show more content…
Nuland (1988) noted that, Hippocratic case reports included descriptions of changes in body temperature, color, facial expression, breathing pattern, body position, skin, hair, nails, and abdominal contour. In addition, Hippocratic physicians tasted blood and urine; they examined skin secretions, ear wax, nasal mucus, tears, sputum, and pus; they smelled stool; and observed stickiness of the sweat. Once the physician had gathered and integrated this information, he used it to infer the source of humoral imbalance and how far the disease had progressed. Only then was an intervention prescribed. This is similar to how psychotherapy case formulation …show more content…
These include psychodynamic concepts of id, ego, and superego, as well as self-representations, or schemas, which both cognitive and some psychodynamic theorists and researchers emphasize (Segal & Blatt, 1993). De Sedibus was a remarkable achievement in that it firmly established Galen’s “anatomical concept of disease.” An 18th century physician using De Sedibus to treat a patient could use the index to look up his patient’s symptoms, which could be cross-referenced to a list of pathological processes that may be