Am J Psychiatry 1987; 144:543-550
Copyright © 1987 by American Psychiatric Association
The psychodynamic formulation: its purpose, structure, and clinical application
S Perry, AM Cooper and R Michels
The authors present a brief written psychodynamic formulation that focuses
on central conflicts, anticipates transferences and resistances, and helps
guide all psychiatric treatments. After placing the presenting problem in
the context of the patient's life and identifying nondynamic determinants
of the psychopathology, the formulation explains the development of central
conflicts and their repetitive effect on the patient's behavior. It
concludes by describing how these conflicts will be manifested in
treatment. Three sample formulations and their application are presented to
illustrate the value of this clinical tool.
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