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Psychiatrists' understanding and use of psychological formulation: a qualitative exploration

Research output: Contribution to Journal/MagazineJournal articlepeer-review

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  • Roxanna Mohtashemi
  • John Stevens
  • Paul G. Jackson
  • Stephen Weatherhead
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<mark>Journal publication date</mark>1/08/2016
<mark>Journal</mark>BJPsych Bulletin
Issue number4
Volume40
Number of pages1
Pages (from-to)212
Publication StatusPublished
<mark>Original language</mark>English

Abstract

Aims and method To establish an initial conceptualisation of how psychiatrists understand and use formulation within adult psychiatry practice. Twelve psychiatrists took part in semi-structured interviews. Transcripts were analysed using a constructivist grounded theory methodology.Results Formulation was conceptualised as an addition to diagnosis, triggered by risk, complexity and a need for an enhanced understanding. Participants valued collaborative formulation with psychologists. Multiple contextual factors were perceived to either facilitate or inhibit the process. Barriers to formulation led to a disjointed way of working.Clinical implications Findings contribute to an understanding of formulation within psychiatry training and practice.