Integrating Theories and Concepts: Formulation Driven CBT for a Client with a Diagnosis of Schizo-Affective Disorder
Version of Record online: 1 SEP 2011
Copyright © 2011 John Wiley & Sons, Ltd.
Clinical Psychology & Psychotherapy
Volume 20, Issue 1, pages 77–86, January/February 2013
How to Cite
Harper, S. F. (2013), Integrating Theories and Concepts: Formulation Driven CBT for a Client with a Diagnosis of Schizo-Affective Disorder. Clin. Psychol. Psychother., 20: 77–86. doi: 10.1002/cpp.771
- Issue online: 7 JAN 2013
- Version of Record online: 1 SEP 2011
- Manuscript Revised: 16 JUN 2011
- Manuscript Accepted: 16 JUN 2011
- Manuscript Received: 14 AUG 2009
- Client's Perspective;
- Sense of Self
Therapists working with people who have complex problems associated with psychosis may find it difficult to apply currently available cognitive behavioural therapy (CBT) manuals to client's presenting problems. This can lead to activation of negative therapist beliefs about themselves, the client or the therapy and subsequent problems maintaining the therapeutic relationship. This paper describes the integration of a range of models and concepts derived from CBT which were used to assist one such client with complex problems associated with psychosis. As such, it is proposed that taking a flexible, formulation driven approach to therapy can assist therapists to remain client centred and work effectively. The therapy described draws on a number of concepts including those taken from schema focussed therapy, mindfulness and compassionate mind training. Therapist and client summary letters were used as part of the described intervention, but in addition, the client's summary is reproduced in the paper aiming to address the issue of the under reporting in the literature of the client's perspective on therapy. Copyright © 2011 John Wiley & Sons, Ltd.