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The key components of a clinical psychology formulation: A consensus study
Naomi E Thrower1,2, Sandra Bucci1,2, Lydia Morris1,2
1Division of Psychology and Mental Health, School of Health Sciences, University of Manchester, Manchester, UK.
The British Journal of Clinical Psychology
|January 18, 2024
Summary
Clinical psychologists reached consensus on essential formulation components, emphasizing client-led approaches integrating strengths and sociocultural factors. Further research should explore client perspectives on psychological formulation.
Area of Science:
- Clinical Psychology
- Psychological Assessment
Background:
- Psychological formulation is a core clinical psychology competency.
- Lack of consensus on formulation components impacts reliability.
- This study aimed to establish consensus on essential formulation elements.
Purpose of the Study:
- To develop consensus on key components of psychological formulation.
- To inform clinical psychology training and best practice guidelines.
- To address the lack of agreement impacting formulation reliability.
Main Methods:
- Delphi methodology employed with expert panel refinement.
- 110 UK clinical psychologists rated formulation components online.
- Two rounds of online questionnaires used to achieve consensus.
Main Results:
- Consensus reached on 30 items (18 components, 12 process).
- Agreed components emphasize integrating sociocultural, biological, strengths, and personal meaning.
- Disagreement persisted on formulation parsimony and model adherence.
Conclusions:
- Mixed evidence on consensus for key formulation components.
- Agreement exists on client-led formulation incorporating strengths and sociocultural factors.
- Further research needed on client perspectives versus clinician views.
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