BACKGROUND To bridge the gap between symptoms and treatment, constructing case formulations is essential for clinicians. Limited scientific value has been attributed to case formulations because of problems with quality, reliability, and validity. For understanding, communication, and treatment planning beyond each specific clinician-patient dyad, a case formulation must convey valid information concerning the patient, as well as being a reliable source of information regardless of the clinician's theoretical orientation. The first aim of the present study is to explore the completeness of unstructured psychodynamic formulations, according to four components outlined in the Case Formulation Content Coding Method (CFCCM). The second aim is to estimate the reliability of independent formulations and their components, using similarity ratings of matched versus mismatched cases. METHODS This study explores psychodynamic case formulations as made by two or more experienced clinicians after listening to an evaluation interview. The clinicians structured the formulations freely, with the sole constraint that technical, theory-laden terminology should be avoided. The formulations were decomposed into components after all formulations had been written. RESULTS The results indicated that most formulations were adequately comprehensive, and that overall reliability of the formulations was high (> 0.70) for both experienced and inexperienced clinician raters, although the lower bound reliability estimate of the formulation component deemed most difficult to rate - inferred mechanisms - was marginal, 0.61. CONCLUSIONS These results were achieved on case formulations made by experienced clinicians using simple experience-near language and minimizing technical concepts, which indicate a communicative quality in the formulations that make them clinically sound. TRIAL REGISTRATION linicalTrials.gov Identifier: NCT00423462 . https://doi.org/10.1007/s00432-018-2781-7 ., January 18, 2007.

中文翻译：

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没有技术语言的心理动力案例表述：可靠性研究。

背景技术为了弥合症状和治疗之间的鸿沟，构建病例制剂对临床医生至关重要。由于质量，可靠性和有效性方面的问题，有限的科学价值被归因于案件的制定。为了在每个特定的临床医生-病人双子座之外进行理解，沟通和治疗计划，病例表述必须传达有关患者的有效信息，并且无论临床医生的理论取向如何，都必须是可靠的信息来源。本研究的首要目的是根据案例公式化内容编码方法（CFCCM）中概述的四个组成部分，探索非结构化的心理动力学公式的完整性。第二个目的是评估独立配方及其成分的可靠性，使用匹配和不匹配案例的相似性评级。方法本研究探讨了由两名或以上经验丰富的临床医生在听取评估面试后制定的心理动力学案例表述。临床医生自由地构造制剂，唯一的限制是应避免使用技术性，理论繁多的术语。在编写完所有配方后，将配方分解为组件。结果结果表明，大多数制剂具有足够的综合性，经验丰富和经验不足的临床评估者对制剂的总体可靠性均很高（> 0.70），尽管对制剂成分的下限可靠性估计被认为是最难估计的机制-仅为0.61。结论这些结果是由经验丰富的临床医生使用简单的近经验语言并最小化技术概念制成的病例制剂获得的，这表明该制剂具有良好的沟通质量，使其具有良好的临床意义。试用注册linicalTrials.gov标识符：NCT00423462。https://doi.org/10.1007/s00432-018-2781-7。，2007年1月18日。