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Psychiatrists' use of formulation: Commentary on … Psychiatrists' understanding and use of psychological formulation

  • Patricia M. Hughes (a1)
Summary

Both psychologists and psychiatrists are trained to write formulations of their patients' illnesses, with some differences in how they do this. Psychologists focus on psychological understanding, while psychiatrists' formulation brings together aetiology, functioning and a management plan. Mohtashemi et al's study records how some psychiatrists understand formulation and its usefulness. Time pressure was an important barrier to making a full formulation, and some believed the medical role of the psychiatrist was a priority. The study illustrates some of the challenges facing psychiatrists working in the NHS in terms of maintaining high clinical standards and a holistic approach to patient care.

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Copyright
This is an open-access article published by the Royal College of Psychiatrists and distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Corresponding author
Correspondence to Patricia M. Hughes (phughes@sgul.ac.uk)
Footnotes
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See special article, pp. 212–216, this issue.

Declaration of interest

None.

Footnotes
References
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1 Mohtashemi, R, Stevens, J, Jackson, PG, Weatherhead, P. Psychiatrists' understanding and use of psychological formulation: a qualitative exploration. BJPsych Bull 2016; 40: 212–6.
2 British Psychological Society. Good Practice Guidelines on the Use of Psychological Formulation. BPS, 2011.
3 Royal College of Psychiatrists. A Competency Based Curriculum for Specialist Core Training in Psychiatry CT1–CT3: pp. 4445. RCPsych, 2013.
4 Craddock, N, Mynors-Wallis, L. Psychiatric diagnosis: impersonal, imperfect and important. Br J Psychiatry 2014; 204: 93–5.
5 Bracken, P, Thomas, P, Timimi, S, Asen, E, Behr, G, Beuster, C, et al. Psychiatry beyond the current paradigm. Br J Psychiatry 2012; 201: 430–4.
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BJPsych Bulletin
  • ISSN: 2056-4694
  • EISSN: 2056-4708
  • URL: /core/journals/bjpsych-bulletin
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Psychiatrists' use of formulation: Commentary on … Psychiatrists' understanding and use of psychological formulation

  • Patricia M. Hughes (a1)
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