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Related Experiment Video

Updated: Sep 6, 2025

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Published on: February 16, 2011

Beyond Diagnosis: Formulation-Storytelling and Maps.

Carlos Hoyos¹, Samuele Cortese²

¹Southern Health National Health Service Foundation Trust, Southampton, United Kingdom; University of Winchester, United Kingdom.

Journal of the American Academy of Child and Adolescent Psychiatry

|July 2, 2022

Summary

In child and adolescent psychiatry, formulation, not diagnosis, should guide clinical practice. This perspective emphasizes narrative construction and storytelling over rigid diagnostic approaches for better patient understanding.

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Area of Science:

Child and Adolescent Psychiatry
Clinical Psychology
Psychiatric Practice

Background:

Current child and adolescent psychiatry often relies on rigid diagnostic criteria.
This approach may overlook the nuanced individual experiences of patients.
A shift towards personalized patient conceptualization is needed.

Discussion:

Advocates for formulation as the cornerstone of clinical practice, moving beyond a simple diagnosis.
Proposes conceptualizing formulation as a narrative construction process.
Highlights the importance of understanding the patient's unique story.

Key Insights:

Formulation should be prioritized over diagnosis in child and adolescent psychiatry.
Embracing storytelling and narrative methods enhances clinical understanding.
Training should incorporate creative arts to develop formulation skills.

Outlook:

Suggests integrating role-playing and narrative arts (novels, films) into training.
Aims to improve clinicians' ability to create patient-centered narratives.
This approach can foster deeper therapeutic relationships and more effective treatment planning.