ABSTRACT

Objectives: This study set out to explore service user experiences of formulation during individual therapy for psychosis, and develop a grounded theory of the processes involved.

Method: Semi-structured interviews were undertaken with 11 service users and two clinical psychologists with experience of formulation in therapy for psychosis.

Design: Grounded theory was used to examine the qualitative data collected.

Results: An emerging model was constructed to conceptualise the processes that occur during the sharing of a formulation. “Linking previous experiences with current ways of being” and “Building the therapeutic relationship” emerged as core, reciprocally influential processes. “Making use of new understandings” was also identified as an important process.

Conclusions: The findings suggest that formulations should be developed collaboratively and progressively with service users, and that care should be given to the emotions that arise as a result. Further research is necessary to elaborate our understanding of formulation given the importance placed on it in United Kingdom clinical psychology.

摘要

目的：本研究旨在探索精神病患者在个体化治疗过程中配方的服务用户体验，并为涉及的过程建立扎实的理论。

方法：对11位服务使用者和2位具有拟定精神病治疗经验的临床心理学家进行了半结构式访谈。

设计：扎根理论用于检查所收集的定性数据。

结果：建立了一个新兴模型来概念化配方共享期间发生的过程。“将以前的经验与当前的存在方式联系起来”和“建立治疗关系”成为核心的，相互影响的过程。“利用新的认识”也是一个重要的过程。

结论：研究结果表明，应与服务使用者共同逐步开发配方，并应谨慎对待由此产生的情绪。考虑到在英国临床心理学中对制剂的重视，需要进一步的研究来阐明我们对制剂的理解。