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Foundations for Psychological Thinking in Palliative Care: Frame and Formulation
Daniel Shalev1, Leah B Rosenberg2, Keri O Brenner3
1Division of Geriatrics and Palliative Medicine, Department of Medicine, Weill Cornell Medicine, New York, New York, USA.
Journal of Palliative Medicine
|October 1, 2021
Summary
This article introduces two key psychological concepts, frame and formulation, to enhance palliative care. Understanding these elements improves communication and tailors interventions for patients facing serious illness.
Area of Science:
- Psychology
- Palliative Care
- Psychotherapy
Background:
- The psychological elements of palliative care (PEPC) series aims to integrate psychotherapy concepts into palliative care.
- Effective communication and tailored interventions are crucial in palliative care due to the emotional intensity of serious illness.
Purpose of the Study:
- To introduce and define two foundational psychological concepts: frame and formulation.
- To explain how these concepts enhance the understanding and delivery of palliative care.
Main Methods:
- Conceptual analysis of 'frame' and 'formulation' within the context of palliative care.
- Discussion of the importance of defining the frame with patients.
Main Results:
- The 'frame' encompasses the contextual and conceptual aspects of care delivery, including setting, duration, roles, and emotional engagement.
- 'Formulation' is a dynamic process of developing judgment-neutral psychological hypotheses to understand patient experiences and tailor interventions.
Conclusions:
- Frame and formulation are foundational to psychological elements of palliative care (PEPC).
- A clear understanding of these concepts is essential for improving patient communication and customizing palliative care interventions.
- These concepts prepare readers for further exploration in the PEPC series.
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