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Problem-maintaining circles: Case illustrations of formulations that truly guide therapy

Citation

Bakker, GM, Problem-maintaining circles: Case illustrations of formulations that truly guide therapy, Clinical Psychologist, 12, (1) pp. 30 -39. ISSN 1328-4207 (2008) [Refereed Article]

DOI: doi:10.1080/13284200802069050

Abstract

The cognitive behaviour therapy (CBT) emphasis on treatment relevance in assessment, and on evidence-based intervention, has led to an increasing focus on problem maintenance factors (vs. precipitants) in both its models of psychopathology and in its individual case formulations. This article describes the reasons for this growing focus, and presents a generic CBT model based on the functional analysis of ‘‘problem-maintaining circles’’ (PMCs) of causes. Some samples of the profuse literature implicating PMCs in many psychological disorders are presented, and the utility of PMCbased functional analysis, case formulation, or modelling of psychopathology is advanced, not only as a guide to selection of therapeutic interventions, but as an alternative to standard psychiatric diagnosis. A sampling of a taxonomy of such PMCs is presented. And finally, the clinical application of PMC-based functional analysis, case formulation, and treatment selection is illustrated in five case illustrations drawn from a recent clinical caseload.

Item Details

Item Type:Refereed Article
Research Division:Medical and Health Sciences
Research Group:Clinical Sciences
Research Field:Psychiatry (incl. Psychotherapy)
Objective Division:Health
Objective Group:Health and Support Services
Objective Field:Mental Health Services
Author:Bakker, GM (Dr Gary Bakker)
ID Code:86452
Year Published:2008
Deposited By:Medicine (Discipline)
Deposited On:2013-09-17
Last Modified:2013-09-17
Downloads:0

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