Hostname: page-component-76fb5796d-vvkck Total loading time: 0 Render date: 2024-04-25T10:34:51.942Z Has data issue: false hasContentIssue false

Experiences of cognitive behavioural therapy formulation in clients with depression

Published online by Cambridge University Press:  02 July 2014

Sandeep Kahlon*
Affiliation:
Oxford Health NHS, Oxford, UK
Adrian Neal
Affiliation:
Coventry and Warwickshire Partnership Trust, Coventry, UK
Tom G. Patterson
Affiliation:
Department of Psychology and Behavioural Sciences, Coventry University, Coventry, UK
*
*Author for correspondence: Dr S. Kahlon, Oxford Health, South Oxon CAMHS, Clockhouse Ock Street, Abingdon OX14 5SW, UK (email: Sandeep.Kahlon@oxfordhealth.nhs.uk).

Abstract

While clinicians have described the benefits of using formulations within therapy, little is understood about the client's experience of the formulation process. Cognitive behaviour therapy (CBT) is currently the treatment of choice for many adult mental health difficulties. However, research exploring clients’ experiences of CBT formulation is very limited. The present study set out to explore experiences of CBT formulation in clients with depression. Seven participants were interviewed and the data analysed using Thematic Analysis. The analysis identified key themes such as: ‘Feeling trapped or restricted by depression’, ‘The development of the formulation – from coming to my own conclusions to something the therapist developed’, ‘From negative to mixed feelings: emotional reactions to the formulation during the therapeutic process’ and ‘A new journey: towards making a new sense of oneself’. The results of the study highlight the personal and emotional challenge of the formulation process for clients.

Type
Original Research
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2014 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Aston, R (2009). A literature review exploring the efficacy of case formulations in clinical practice. What are the themes and pertinent issues? The Cognitive Behaviour Therapist 2, 6374.Google Scholar
Beck, J (1995). Cognitive Therapy: Basics and Beyond. New York: The Guilford Press.Google Scholar
Boyatzis, R (1998). Transforming Qualitative Information: Thematic Analysis and Code Development. London: Sage Publications Ltd.Google Scholar
Braun, V, Clarke, V (2006). Using thematic analysis in psychology. Qualitative Research in Psychology 3, 77101.Google Scholar
Brown, H (2008). Clients’ experience of formulation: The views of clients and therapists – a grounded theory exploration. Unpublished DClinPsy, Coventry University.Google Scholar
Chadwick, P, Williams, C, Mackenzie, J (2003). Impact of case formulation in cognitive behaviour therapy for psychosis. Behaviour Research and Therapy 41, 671680.Google Scholar
DoH (2004). The national service framework for mental health – five years on. London: Department of Health.Google Scholar
Dudley, R, Kuyken, W (2006). Formulation in cognitive-behaviour therapy. In: Formulation in Psychology and Psychotherapy: Making Sense of People's Problems (ed. Johnstone, L. and Dallos, R.), pp. 1746. London: Routledge.Google Scholar
Eells, TD (1997). Handbook of Psychotherapy Case Formulation. New York: The Guilford Press.Google Scholar
Flitcroft, A, James, IA, Freeston, M (2007). Determining what is important in a good formulation. Behavioural and Cognitive Psychotherapy 35, 325333.Google Scholar
Gray, JC, Grant, A (2005). Cognitive behavioural therapy: helping the client find her voice. Mental Health Practice 8, 3437.Google Scholar
Kinderman, P, Lobban, F (2000). Evolving formulations: sharing complex information with clients. Behavioural and Cognitive Psychotherapy 28, 307310.Google Scholar
Kuyken, W (2006). Evidence-based case formulation: is the emperor clothed? In: Case Formulation in Cognitive Behaviour Therapy: the Treatment of Challenging and Complex Cases, 2nd edn (ed. Tarrier, N.), pp. 1235. London: Routledge.Google Scholar
McManus, F, Peerbhoy, D, Larkin, M, Clark, DM (2010). Learning to change a way of being: An interpretative phenomenological perspective on cognitive therapy for social phobia. Journal of Anxiety Disorders 24, 581589.Google Scholar
NICE (2010). Depression – the treatment and management of depression in adults (updated edition). (Commissioned by the National Institute for Health and Clinical Excellence). Leicester: The British Psychological Society and The Royal College of Psychiatrists.Google Scholar
Pain, CM, Chadwick, P, Abba, N (2008). Clients’ experience of case formulation in cognitive behaviour therapy for psychosis. British Journal of Clinical Psychology 47, 127138.Google Scholar
Smith, J, Eatough, V (2007). Interpretive phenomenological analysis. In: Analysing Qualitative Data in Psychology (ed. Lyons, E. and Coyle, A.), pp. 3450. London: Sage.Google Scholar
Smith, JA, Rhodes, J (2010). ‘The top of my head came off’: an interpretative phenomenological analysis of the experience of depression. Counselling Psychology Quarterly 23, 399409.Google Scholar
Tarrier, N (2006). An introduction to case formulation and its challenges. In: Case Formulation in Cognitive Behavior Therapy: the Treatment of Challenging and Complex Cases, 2nd edn (ed. Tarrier, N.), pp. 111. London: Routledge.Google Scholar
Townend, M, Grant, A (2008). Assessment in CBT: the ideographic approach. In: Assessment and Case Formulation in Cognitive Behavioural Therapy (ed. Grant, A., Townend, M., Mills, J. and Cockx, A.), pp. 721. Trowbridge: The Cromwell Press.Google Scholar
Submit a response

Comments

No Comments have been published for this article.