Psychological case formulation is a hypothesis about the predisposing, precipitating, perpetuating and protective factors (4Ps) that contribute to the understanding of an individual’s problems (Eells, 2007). Formulations are rooted in theory and research (Kuyken, Fothergill, Musa, & Chadwick, 2005), and aid in identifying which direction treatment should head towards, as well as potential barriers that might be encountered (Levenson & Strupp, 2007). These are dynamic can be revised in the event that new information emerges during treatment (Eells, 2007). On the other hand, the DSM is said to have two main purposes of improving communication and guiding the planning of treatment (Mullins-Sweatt & Widiger, 2009). This essay will assess the ability …show more content…
Formulation involves extracting and organising relevant information into a structure characterised by the 4Ps mentioned above. This then contributes to a more in-depth understanding of the individual (Eells & Lombart, 2011). The aiding of communication through information organisation is illustrated in a study by Christofies, Johnstone, and Musa (2012). Christofies et al. (2012) found that most clinical psychologists surveyed felt that formulation allowed for more homogenity in service, which aids interdisciplinary communication. Hence, it seems that case formulation is also able to meet the DSM’s purpose ofimproving …show more content…
The DSM’s understanding of an individual is limited to the diagnostic label applied to him or her, which might not necessarily be representative of the true nature of the person (Barone, Maddux, & Snyder, 1997). On the other hand, psychological case formulation understands that behind the individual’s diagnostic label lies a myriad of different causes that could have contributed to the manifestation of the disorder (Macneil et al., 2012). This not only leads to a more in-depth understanding of the client, but may also help to avoid the “pathologising of normal problems in living” (Mullins-Sweatt & Widiger, 2009). Currently, the DSM-5 includes several disorders that might not be necessarily pathological. For example, an individual is said to have Hoarding Disorder when they refuse to get rid of their belongings, no matter the value. Throwing away such belongings distresses the individual, and hence this leads to the hoarding of these items, which clog up areas of work or residence (American Psychiatric Association, 2013). However, some of these behavioural symptoms seem to resemble that of rag-and-bone men (karang guni) in Singapore. Like individuals with Hoarding Disorder, these rag-and-bone men collect and accumulate many items in their homes or workplaces. Even though these items might not have any value, many still
Explain how this procedure could be used to help Tommy overcome his phobia. [4 marks] Explain why systematic desensitisation might be more ethical than using flooding to treat Tommy’s phobia. [2 marks] Outline and evaluate at least one cognitive approach to explaining depression. [12 marks] Read the item and then answer the questions that follow.
On A&E’s popular television show, Hoarders, I evaluated the people that were starring in the particular episode called Sandi and Vivian. In this episode, Sandi is known around town as Mrs. Clause because of her extreme gift hoarding which is causing her to go bankrupt from buying so many gifts. On the other hand, Vivian is being threatened to loose custody of her grandchildren because of her hoarding addiction. After watching the opening of this television show, it really grasped my attention and made me curious to see why these people were hoarders, even when consequences were at stake. Sandi’s issues are due to her excessive hoarding and buying.
Should a clinician not refer a client for medical intervention, they would be negligent in their care in addressing the whole person. Additionally, addressing issues from the biological perspective can help reduce feelings of guilt for clients that are associated with their disorder. Often clients are told to “buck up” by friends and family. This often results in guilty feelings for them because that they can’t seem to escape their symptoms no matter how hard they try. Educating clients about the impact of the
DSM I and II were not cared about much in society, but DSM III saved psychiatry. It had both positive and negative effects. It created a reliance on empathy and creative intuition to understand patient’s issues. It also created a system for diagnosis and
Famed psychologist, Sigmund Freud, is perhaps one of the most iconic and influential figures in the sphere of faulty scientific reasoning to date. Though his theories and ideas remain to be integral parts of psychological culture, a large number of them have been wildly disproven by modern scientists, who cite Freud’s misuse of evidence (more specifically, case studies) as a contributing factor to the erroneousness of his claims. Case study, Freud’s preferred method of investigation, extensively examines a single group, person, etc. As a result of this, one cannot use a case study as a dependable source of information, nor can one generalize a case study to a broader population, despite Freud’s multiple attempts to do just that, in a variety of studies dealing with mentally-ill patients. It is outdated and unreliable; a source of evidence that is of little to no scientific value, yet, one that still endures to be staple among discredited scientists and groundless researchers alike.
A physician has an unenviable position. He is closest to man approaching a god-like stature and when that god stumbles, the consequences can be disastrous. This is even more so in the field of psychiatry where the fact that mental illness exists is not disputed, but the diagnoses and treatment is often suspect. However, despite the demise of 'doctor knows best ', we still need to trust a psychiatrist since diagnosis is based on a patient 's expressed thoughts and overt behaviours rather than solely on biological phenomena. This requires not only that the patient trust the doctor, but even before that, the doctor appreciates and understands the context of those behaviours; behaviours that are influenced by the patient 's environment.
First and foremost, the use of the word disorder implies that something is dysfunctional or incorrect. As Ross (2009) points out, this diagnosis is the only disorder in which treatment is designed to confirm, reinforce, and validate the belief that is the basis of the mental disorder. On the other hand, all other diagnoses’ symptoms are viewed as pathological, thus the goal of treatment is to remove the symptoms. Clearly this is an issue that is goes beyond the simple terminology to be used by a therapist as it is still worded this way in the DSM 5.
According to Sperry & Sperry (2012), Cognitive –Behavioral case conceptualizations include a clinical, cultural, and treatment formulation that emphasize signature elements such as predisposition (maladaptive cognitions/behaviors), treatment goals, treatment focus, treatment strategy and treatment interventions. In efforts to demonstrate an example of a Cognitive – Behavioral case conceptualization statement, Client A is presented. Client A is a 9 year old female Caucasian, 4th grader.
There are certain situations that can have some overall association based on a client. As for R.P. and presenting problems of major depression, suicidal ideation, and cutting derived from a medical diagnosis, personal strain, and family problems. He experiences the "psychological stress" in his personal lifestyle that affected him internally as a result to his presenting problems (Salleh, M, R., 2008). His psychological stress associated with a medical diagnosis of contracting the Human Immunodeficiency Virus (HIV) with information of being informed to live a short lifespan. That information misinformed to R.P. lead his presenting problems to become known.
DSM-IV: Codes that are identified as psychosocial stressors and Environmental Problems. Those who conducted the interview were individuals who obtain a Bachelor’s degree in social science. In this interview various factors where identify gender, race, and
Szeto, Luong, and Dobson (2013) aimed to look at the perceptions of the labels “mental illness,” “mental disorder,” “mental health problem,” “mental disease,” and “depression.” The participants were undergraduate students in Canada who were taking psychology courses (Szeto et al., 2013). A total of 124 students participated. Participants were randomly assigned to one of the five labels and they completed a questionnaire packet that assessed their thoughts and feelings about the labels; the questionnaire packed included questions about social interactions, the workplace, stigma, prejudice and discrimination, and prognosis (Szeto et al., 2013). The results suggested that people viewed the label of “depression” in a more negative light than the other labels (Szeto et al., 2013).
For example, any untreated major depression problem seriously effects any person. Unfortunately, most of the people who suffer from these mental illnesses or substance use disorder deny they have a problem. In fact, most of the time, they are the last to recognize they have a problem, and admit that they need help. Any mental illness or substance use problem which is left untreated eventually jeopardizes the patient’s safety and health, and even threaten the afflicted person’s life.
• These classifications do not account for people who have ‘atypical’ symptoms or those that do not clearly follow the ‘script. • Critics claim that categorical systems reduce humans to one-dimensional sources of data rather than encouraging practitioners to treat the whole person. • Critics also see these systems as tools for social control – giving mental health professionals control over people’s lives. 3. Explain two alternative frameworks for understanding mental distress.
It involves the health professional to gather cues and information, process the information, establish goals, take action and evaluate the outcomes (Levett-Jones 2018, p. 5). This can be used as part of the information processing theory where information and cues are gathered and processed. The clinical
Courtney Lopresti, in her article, “Why a Mental Health Misdiagnosis Can Be Dangerous,” goes into depth about how damaging a misdiagnosis can prove to be. One of her first points is that a misdiagnosis can lead to an incorrect prescription which could inevitably make the mental illness someone is suffering from so much worse. Lopresti gives the example of how mistaking someone who is bipolar from suffering from depression and putting them on antidepressants can exacerbate the illness, sending them into manic episodes. Another point she brings up is that therapy for a misdiagnosis can also prove to be harmful for patients. She uses the example of mistaking someone with OCD for someone with anxiety and how the encouragement for talking things out could worsen the obsessive behavior exhibited.