| Abstract: | A model for simplifying complex information about a given presenting problem and integrating it into a formulation is described in this paper. The model contains three columns. In the right hand column, the cycle of interaction containing the symptom or presenting problem in which the identified patient and members of the network are caught up, is set out. In the left hand column, factors which predispose participants in this cycle to persist in this repetitive sequence of interactions are noted. In the central column (where pertinent) cognitive factors which mediate the influence of predisposing factors upon the present cycle of activity are listed. A sample formulation is first given to demonstrate the way in which the model may be used to simplify and integrate information. The implications of the model, from a clinical perspective, for assessment, treatment planning and the management of resistance, are then illustrated with a detailed case example. |
