Client experience of the formulation within cognitive behavioural therapy
Section I: Literature Review A literature review examining the relationship between the formulation and the therapeutic alliance in cognitive behavioural therapy. Various 'definitions' of the formulation are reported, and the relative roles and merits of 'nomothetic' and 'idiosyncratic' formulations considered. The function of the formulation is considered in relation to its development in conjunction with the therapeutic relationship and alliance. Research and clinical case reviews are critiqued. Section II: Research Report An Interpretative Phenomenological Analysis of clients' experience of the formulation within cognitive-behavioural therapy. A sample of(N=8) of clients with depression and/or anxiety were interviewed following the 'acute phase' ofCBT during 'follow-up'. Interviews provided five master themes: Somebody that listened and understood - trust in therapist; Understanding what happens; A Foundation and Direction - Something to start from, something to work on; Working to a plan; and Effectiveness and Self -efficacy. These master themes and associated sub-themes represent clients' experience of progress through therapy and the experience and process of formulation. Section III: Critical Appraisal A critical appraisal describing the origin, planning and process of the research, personal reflection and experience gained.