TY - JOUR
T1 - Person-specific validation and testing of functional relations in cognitive-behavioural case formulation
T2 - Guidelines and options
AU - Mumma, Gregory H.
AU - Marshall, Andrew J.
AU - Mauer, Cortney
N1 - Publisher Copyright:
© 2018 John Wiley & Sons, Ltd.
PY - 2018/9/1
Y1 - 2018/9/1
N2 - Although a number of manuals describe how to develop a cognitive-behavioural case formulation (CBCF) to assist the clinician in developing and implementing tailored CB treatment for complex or comorbid cases, methods to evaluate and test functional hypotheses in the formulation for a particular case are not widely known or used. Thus, formulation-based, tailored treatments for such cases are likely to be guided by case formulations of uncertain validity. The present article presents guidelines and choices available to the clinical trainee, researcher, or practitioner planning to use a person-specific (PS) approach to testing CBCF hypotheses about functional relations between triggers, cognitions, and distress or dysfunction. This approach involves repeated assessments completed by the client using an individualized questionnaire that includes both nomothetic and idiographic items of greatest relevance to the client. Guidelines and options for developing this questionnaire and for data collection within the context of a collaborative therapist–client relationship are described. PS data analyses are then used to test case formulation hypotheses that vary in complexity from simple bivariate relations to complex dynamic mediation. A case example using this PS approach is described. Simpler options for the PS evaluation of a CBCF usable by practitioners and trainees as well as more complex options for clinical researchers are included.
AB - Although a number of manuals describe how to develop a cognitive-behavioural case formulation (CBCF) to assist the clinician in developing and implementing tailored CB treatment for complex or comorbid cases, methods to evaluate and test functional hypotheses in the formulation for a particular case are not widely known or used. Thus, formulation-based, tailored treatments for such cases are likely to be guided by case formulations of uncertain validity. The present article presents guidelines and choices available to the clinical trainee, researcher, or practitioner planning to use a person-specific (PS) approach to testing CBCF hypotheses about functional relations between triggers, cognitions, and distress or dysfunction. This approach involves repeated assessments completed by the client using an individualized questionnaire that includes both nomothetic and idiographic items of greatest relevance to the client. Guidelines and options for developing this questionnaire and for data collection within the context of a collaborative therapist–client relationship are described. PS data analyses are then used to test case formulation hypotheses that vary in complexity from simple bivariate relations to complex dynamic mediation. A case example using this PS approach is described. Simpler options for the PS evaluation of a CBCF usable by practitioners and trainees as well as more complex options for clinical researchers are included.
KW - cognitive-behavioural case formulation
KW - cognitive-behavioural therapy
KW - idiographic assessment
KW - patient-generated measures
KW - person-specific methods
KW - tailored treatment
UR - http://www.scopus.com/inward/record.url?scp=85054539595&partnerID=8YFLogxK
U2 - 10.1002/cpp.2298
DO - 10.1002/cpp.2298
M3 - Article
C2 - 29791045
AN - SCOPUS:85054539595
VL - 25
SP - 672
EP - 691
JO - Clinical Psychology and Psychotherapy
JF - Clinical Psychology and Psychotherapy
SN - 1063-3995
IS - 5
ER -