A formulation model for use in family therapy

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.