An in-depth summary describing how to gather information for and write a person-centred formulation.
Includes key steps involved in writing a person-centred formulation, additional tips, key areas to consider, ethical considerations, and future considerations.
A person-centred formulation is a collaborative effort between both the
client and the therapist, aiming to understand the client’s experiences, as
well as their current situation, from their own perspective. It is not about
diagnosing or labelling, but rather about creating a shared understanding
that can guide therapy and empower the client. A person-centred
formulation emphasises the client’s unique qualities and strengths.
Writing a person-centred formulation can be a very valuable tool for both
understanding and guide the course of therapy in a way that is
empowering, and client centred.
The key steps involved in writing a person-centred formulation:
1. Gather Information – Start with building rapport and establishing
a safe, trusting space for open communication. This involves
actively listening to the client’s story, paying attention to their
emotions, thoughts, and experiences. Ask open-ended questions
that encourage the client to explore their own inner world. Gather
information about the client’s current situation, including their
childhood, relationships, work, and any challenges that they are
currently experiencing. Capture their emotions. Avoid just focusing
on the facts, explore how they felt and what it meant to them. Focus
on understanding, not diagnosing. Use descriptive language instead
of labels or diagnoses. Empower the client’s agency. Avoid language
that suggests that they are powerless or controlled by their
circumstance. Present their story in a way that resonates with them.
Check your understanding throughout the process and ensure that it
accurately reflects their perspective of their situation.
2. Demonstrate the Core Conditions – Throughout the process,
ensure that you remember the three core conditions:
a. Unconditional Positive Regard – Convey acceptance and
respect for the client at all times, regardless of their thoughts,
feelings, or behaviours.
b. Congruence (Genuineness) – Be authentic and transparent
during your interactions with the client.
c. Empathy – Strive to understand their experience from their
perspective, without projection or judgement.
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