What is an evidence-based case formulation?

Tracy D. Eells


This work posits and answers the question about 'What is an evidence-based case formulation?' It tries to shed some light on the topic by proposing three key criteria that any therapist could follow to assess a particular model of case formulation (CF), or when taking into consideration his or her own practice: The first criterion relates to the grounding of the CF's core hypothesis on a theory supported by a solid and relevant evidence; the second criterion relates to the features of the kind of reasoning, in which the clinical judgement that nurtures the formulation is based; and the third criterion, that relates to the extent in which a given formulation is founded on a structured model of CF. Furthermore, the background of evidence-based CF as a form of Evidence-Based Practice in Psychology (EBPP) is reviewed, as well as what constitutes appropriate evidence in CF. An evidence-based, systematic framework for CF is also provided and explained.

Palabras clave

Case Formulation; Evidence-Based Psychology; Psychotherapy

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APA Presidential Task Force on Evidence-Based Practice. (2006). Evidence-based practice in psychology. American Psychologist, 61(4), 271-285.

Bieling, P. J., & Kuyken, W. (2003). Is cognitive case formulation science or science fiction? Clinical Psychology: Science & Practice, 10(1), 52-69.

Eells, T. D. (2013a). The case formulation approach to psychotherapy research revisited. Pragmatic Case Studies in Psychotherapy, 9, 426-447.

Eells, T. D. (2013b). In support of evidence-based case formulation in psychotherapy (from the perspective of a clinician). Pragmatic Case Studies in Psychotherapy, 9, 457-467.

Eells, T. D. (2015). Psychotherapy case formulation. Washington, DC: American Psychological Association Books.

Eells, T. D., & Lombart, K. G. (2011). Theoretical and evidence-based approaches to case formulation. In P. Sturmey & M. McMurran (Eds.) (pp. 3-32), Forensic case formulation. Chichester, UK: John Wiley & Sons.

Eells, T. D., Lombart, K. G., Kendjelic, E. M., Turner, L. C., & Lucas, C. (2005). The quality of psychotherapy case formulations: A comparison of expert, experienced, and novice cognitive-behavioral and psychodynamic therapists. Journal of Consulting & Clinical Psychology, 73(4), 579-589.

Fishman, D. B. (1999). The case for pragmatic psychology: New York, NY: New York University Press.

Fishman, D. B. (2002). From single case to data base: A new method for enhancing psychotherapy, forensic, and other psychological practice. Applied and Preventive Psychology, 10, 275-304.

Kahneman, D. (2011). Thinking, fast and slow. New York, NY: Farrar, Straus and Giroux.

Kuyken, W. (2006). Evidence-based case formulation: Is the emperor clothed? In N. Tarrier (Ed.), Case formulation in cognitive behaviour therapy? The treatment of challenging and complex cases (pp. 12-35). New York, NY: Routledge/Taylor & Francis Group.

Kuyken, W., Padesky, C. A., & Dudley, R. (2009). Collaborative case conceptualization: Working effectively with clients in cognitive-behavioral therapy. New York, NY: Guilford Press.

Luborsky, L. (1977). Measuring a pervasive psychic structure in psychotherapy: The Core Conflictual Relationship Theme. En N. Freedman & S. Grand (Eds.), Communicative structures and psychic structures (pp. 367-395). New York: Plenum Press.

Luborsky, L., & Barrett, M. S. (2007). The Core Conflictual Relationship Theme: A basic case formulation method. In T. D. Eells (Ed.), Handbook of psychotherapy case formulation. (2nd ed.) (pp. 105-135). New York: Guilford Press.

Luborsky, L., & Crits-Christoph, P. (1998). Understanding transference: The Core Conflictual Relationship Theme method (2nd ed.). Washington, DC: American Psychological Association.

Morrison, J. (2008). The first interview (3rd ed.). New York, NY: Guilford Press.

Nathan, P. E., & Gorman, J. M. (Eds.). (2007). A guide to treatments that work (3rd ed.). New York, NY: Oxford University Press.

Norcross, J. C. (Ed.). (2011). Psychotherapy relationships that work: Evidence-based responsiveness (2nd ed.). New York, NY: Oxford University Press.

Persons, J. B. (2008). The case formulation approach to cognitive-behavior therapy. New York, NY: Guilford Press.

Regier, D. A., Narrow, W. E., Clarke, D. E., Kraemer, H. C., Kuramoto, S. J., Kuhl, E. A., & Kupfer, D. J. (2013). DSM-5 Field Trials in the United States and Canada, Part II: Test-Retest Reliability of Selected Categorical Diagnoses. The American Journal of Psychiatry, 170(1), 59-70.

Rind, B., Tromovitch, P., & Bauserman, R. (1998). A meta-analytic examination of assumed properties of child sexual abuse using college samples. Psychological Bulletin, 124(1), 22-53.

Rind, B., Tromovitch, P., & Bauserman, R. (2001). The validity and appropriateness of methods, analyses, and conclusions in Rind et al. (1998): a rebuttal of victimological critique from Ondersma et al. (2001) and Dallam et al. (2001). Psychological Bulletin, 127(6), 734-758.

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