Current Issues in Case Formulation

Mumma, Gregory H.

doi:10.1002/9781119977018.ch2

Cited by 6 publications

(11 citation statements)

References 69 publications

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“…Different theoretical frameworks differentiate different response modes, but useful ones for CBT are affect/emotion, cognitive (both content and process), physiological/somatic, overt behaviour/actions, and action tendencies (motivational). The latter may be expressed as “I felt like doing …” or “I wanted to do ….” These can be useful to include when the overt action is rare or when a variable (such as aggression or avoidance) is expected to decrease over time, such that data on the strength of the related action tendency may be useful (Mumma, ). Table includes examples of items from Rob's IndQ covering different response modes.…”

Section: Developing Ps Measures Of Causal and Outcome Variablesmentioning

confidence: 99%

“…The latter may be expressed as "I felt like doing …" or "I wanted to do …." These can be useful to include when the overt action is rare or when a variable (such as aggression or avoidance) is expected to decrease over time, such that data on the strength of the related action tendency may be useful (Mumma, 2011b). need to be differentiated from the content of cognitive schema that may include similar issues but are usually self-referent (e.g., "I'm terrible at dealing with financial issues").…”

Section: Select Items For Indqmentioning

confidence: 99%

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Person‐specific validation and testing of functional relations in cognitive‐behavioural case formulation: Guidelines and options

Mumma

Marshall

Mauer

2018

Clin Psychology and Psychoth

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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.

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Section: Developing Ps Measures Of Causal and Outcome Variablesmentioning

confidence: 99%

Section: Select Items For Indqmentioning

confidence: 99%

Person‐specific validation and testing of functional relations in cognitive‐behavioural case formulation: Guidelines and options

Mumma

Marshall

Mauer

2018

Clin Psychology and Psychoth

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“…In particular, there are issues around the validity, reliability and applicability of case formulation (e.g. Mumma, 2011). Mumma (2011) also points to the tension that arises between structured formulation processes and the flexibility that should be inherent within formulation.…”

Section: Introductionmentioning

confidence: 99%

The impact of case formulation focussed consultation on criminal justice staff and their attitudes to work with personality disorder

Ramsden

Lowton²,

Joyes

2014

Mental Health Review Journal

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Purpose – The purpose of this paper was to examine the impact of a highly structured, formulation focused consultation process on knowledge and attitudes towards personality disorder and on perceived practice with personality disordered offenders. Consultation was delivered by the Yorkshire/Humber regional Pathway Development Service (PDS). This pilot study sought to inform the development of this service and the support offered to probation Trusts across Yorkshire/Humber to implement the national Personality Disorder Offender Pathway. Design/methodology/approach – Consultation was offered to a number of offender managers working in the Yorkshire/Humber region. The impact of the consultation on their knowledge and understanding of personality disorder in general was examined as was their attitudes to working with this population and their perceived confidence and competence in delivering supervision to each individual. Findings – The findings from this small pilot study would suggest that the structured format used by the Yorkshire PDS was helpful in enhancing the probation officers’ knowledge and understanding of personality disorder as well as their perceived confidence in and attitudes towards working with individuals with a personality disorder. Originality/value – The study indicates that the structured format used by the PDS is of value and may be applied to the support offered to probation Trusts across Yorkshire/Humber as they implement the community specification of the national Personality Disorder Offender Pathway.

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“…In addition, they briefly reviewed the psychodynamic literature, which showed promising results for reliability. Other reviews of case formulation literature have reported similar results (Aston, ; Mumma, ). Most research has focused on inter‐rater reliability, that is, the rate of consistency between clinicians on aspects of a case.…”

Section: Introductionmentioning

confidence: 99%

“…Test-retest reliability, whether formulations remain stable over time, has had much less of a focus (Bieling & Kuyken, 2003), with some research evident in relation to the psychodynamic model (e.g., Barber, Luborsky, Crits-Christoph, & Diguer, 1995) and none known to the cognitive model. Whilst the Bieling and Kuyken (2003), Aston (2009) and Mumma (2011) reviews considered some of the available research in the area, they were not systematic reviews and were by no means exhaustive.…”

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confidence: 99%

How reliable are case formulations? A systematic literature review

Flinn

Braham

Nair

2014

British J Clinic Psychol

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Objectives. This systematic literature review investigated the inter-rater and testretest reliability of case formulations. We considered the reliability of case formulations across a range of theoretical modalities and the general quality of the primary research studies. Methods.A systematic search of five electronic databases was conducted in addition to reference list trawling to find studies that assessed the reliability of case formulation. This yielded 18 studies for review. A methodological quality assessment tool was developed to assess the quality of studies, which informed interpretation of the findings. Results.Results indicated inter-rater reliability mainly ranging from slight (.1-.4) to substantial (.81-1.0). Some studies highlighted that training and increased experience led to higher levels of agreement. In general, psychodynamic formulations appeared to generate somewhat increased levels of reliability than cognitive or behavioural formulations; however, these studies also included methods that may have served to inflate reliability, for example, pooling the scores of judges. Only one study investigated the test-retest reliability of case formulations yielding support for the stability of formulations over a 3-month period.Conclusions. Reliability of case formulations is varied across a range of theoretical modalities, but can be improved; however, further research is required to strengthen our conclusions. Practitioner points Clinical implications The findings from the review evidence some support for case formulation being congruent with the scientist-practitioner approach.  The reliability of case formulation is likely to be improved through training and clinical experience. Limitations The broad inclusion criteria may have introduced heterogeneity into the sample, which may have affected the results.

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Current Issues in Case Formulation

Cited by 6 publications

References 69 publications

Person‐specific validation and testing of functional relations in cognitive‐behavioural case formulation: Guidelines and options

Person‐specific validation and testing of functional relations in cognitive‐behavioural case formulation: Guidelines and options

The impact of case formulation focussed consultation on criminal justice staff and their attitudes to work with personality disorder

How reliable are case formulations? A systematic literature review

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