Is diagnosis enough to guide interventions in mental health? Using case formulation in clinical practice COMMENTARY

被引:83
作者
Macneil, Craig A. [1 ,2 ,3 ]
Hasty, Melissa K. [1 ,2 ,3 ]
Conus, Philippe [3 ,4 ]
Berk, Michael [3 ,5 ,6 ,7 ]
机构
[1] Orygen Youth Hlth, Early Psychosis Prevent & Intervent Ctr, Melbourne, Vic 3052, Australia
[2] Orygen Youth Hlth, Orygen Youth Hlth Res Ctr, Parkville, Vic 3052, Australia
[3] Orygen Res Ctr, Parkville, Vic 3052, Australia
[4] Univ Lausanne, Dept Psychiat CHUV, Clin Cery, Treatment & Early Intervent Psychosis Program TIP, CH-1008 Prilly, Switzerland
[5] Deakin Univ, Sch Med, Geelong, Vic 3220, Australia
[6] Univ Melbourne, Royal Melbourne Hosp, Dept Psychiat, Melbourne, Vic 3050, Australia
[7] Mental Hlth Res Inst, Parkville, Vic 3052, Australia
关键词
Formulation; diagnosis; cognitive behavioral therapy; psychological intervention; case conceptualization;
D O I
10.1186/1741-7015-10-111
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
While diagnosis has traditionally been viewed as an essential concept in medicine, particularly when selecting treatments, we suggest that the use of diagnosis alone may be limited, particularly within mental health. The concept of clinical case formulation advocates for collaboratively working with patients to identify idiosyncratic aspects of their presentation and select interventions on this basis. Identifying individualized contributing factors, and how these could influence the person's presentation, in addition to attending to personal strengths, may allow the clinician a deeper understanding of a patient, result in a more personalized treatment approach, and potentially provide a better clinical outcome.
引用
收藏
页数:3
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