Skip to main content

A Constructivist Pioneer of Formulation: A Commentary on Chapter “Strengths and Limitations of Case Formulation in Constructivist Cognitive Behavioral Therapies”

  • Chapter
  • First Online:
CBT Case Formulation as Therapeutic Process
  • 2202 Accesses

Abstract

George Kelly introduced the notion of formulation in his personal construct psychology and its associated form of psychotherapy. The process of assessing and sharing the formulation, in which the clinician attempts to construe the construction processes of the client using a set of diagnostic constructs, is an example of what Kelly termed sociality. Psychological disorders are viewed as personal constructions which are used in spite of consistent invalidation and may involve the use of strategies to avoid invalidation. Later developments have given somewhat greater attention to the relational and developmental aspects of disorders. Four principal features of the personal construct approach to formulation are worthy of note: the diagnostic constructs refer to processes that are neither healthy nor unhealthy, and lead to a transitive diagnosis that indicates the pathways of movement open to a person rather than a fixed diagnostic category; this is followed by a plan for treatment tailored to the client’s construing; the personal construct formulation process is a collaborative affair; and the clinician has expertise in various tools that may aid the formulation and testing of hypotheses. Personal construct psychology provides an illustration of a constructivist approach that has accepted the empirical challenge.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 16.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 99.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Similar content being viewed by others

References

  • Bannister, D. (1960). Conceptual structure in thought-disordered schizophrenics. Journal of Mental Science, 106, 1230–1249.

    Article  PubMed  Google Scholar 

  • Bannister, D. (1962). The nature and measurement of schizophrenic thought disorder. Journal of Mental Science, 108, 825–842.

    Article  Google Scholar 

  • Bruch, M. (1998). The development of case formulation approaches. In M. Bruch & F. W. Bond (Eds.), Beyond diagnosis: Case formulation approaches in cognitive-behavioural therapy. Chichester: Wiley.

    Google Scholar 

  • Caputi, P., Viney, L. L., Walker, B. M., & Crittenden, N. (Eds.). (2012). Personal construct methodology. Chichester: Wiley-Blackwell.

    Google Scholar 

  • Chiari, G. (2017). Highlighting intersubjectivity and recognition in Kelly’s sketchy view of personal identity. In D. A. Winter, P. Cummins, H. Procter, & N. Reed (Eds.), Personal construct psychology at 60: Papers from the 21stInternational Congress (pp. 54–67). Newcastle upon Tyne: Cambridge Scholars Publishing.

    Google Scholar 

  • Chiari, G., & Nuzzo, M. L. (2010). Constructivist psychotherapy: A narrative hermeneutic approach. London: Routledge.

    Google Scholar 

  • Chiari, G., Nuzzo, M. L., Alfano, V., Brogna, P., D’Andrea, T., Di Battista, G., et al. (1994). Personal paths of dependency. Journal of Constructivist Psychology, 7, 17–34.

    Google Scholar 

  • Feixas, G. (1995). Personal constructs in systemic practice. In R. A. Neimeyer & M. J. Mahoney (Eds.), Constructivism in psychotherapy (pp. 305–337). Washington, DC: American Psychological Association. Retrieved from http://hdl.handle.net/2445/48706.

    Chapter  Google Scholar 

  • Feixas, G., & Compañ, V. (2016). Dilemma-focused intervention for unipolar depression: A treatment manual. BMC Psychiatry, 16, 1–28.

    Article  Google Scholar 

  • Feixas, G., & Saúl, L. A. (2004). The Multi-Center Dilemma Project: An investigation on the role of cognitive conflicts in health. Spanish Journal of Psychology, 7, 69–78.

    Article  PubMed  Google Scholar 

  • Feixas, G., Saúl, L. A., & Ávila-Espada, A. (2009). Viewing cognitive conflicts as dilemmas: Implications for mental health. Journal of Constructivist Psychology, 22, 141–169.

    Article  PubMed  PubMed Central  Google Scholar 

  • Fransella, F., Bell, R., & Bannister, D. (2004). A manual for repertory grid technique. Chichester: Wiley.

    Google Scholar 

  • Johnstone, L. (2014). Controversies and debates about formulation. In L. Johnstone & R. Dallos (Eds.), Formulation in psychology and psychotherapy (2nd ed.). London: Routledge.

    Google Scholar 

  • Kelly, G. A. (1955). The psychology of personal constructs (Vol. I, II). New York: Norton. (2nd printing 1991): London: Routledge).

    Google Scholar 

  • Kelly, G. A. (1961). Theory and therapy in suicide: The personal construct point of view. In M. Farberow & E. Shneidman (Eds.), The cry for help (pp. 255–280). New York: McGraw-Hill.

    Google Scholar 

  • Leitner, L. M., Faidley, A. J., & Celentana, M. A. (2000). Diagnosing human meaning-making: An experiential constructivist approach. In R. A. Neimeyer & J. D. Raskin (Eds.), Construction of disorders: Meaning making frameworks for psychotherapy (pp. 175–203). Washington, DC: American Psychological Association.

    Chapter  Google Scholar 

  • Metcalfe, C., Winter, D. A., & Viney, L. L. (2007). The effectiveness of personal construct psychotherapy in clinical practice: A systematic review and meta-analysis. Psychotherapy Research, 17, 431–442.

    Article  Google Scholar 

  • Procter, H., & Winter, D. A. (2020). Personal and relational construct psychotherapy. London: Palgrave.

    Book  Google Scholar 

  • Raskin, J. D., & Lewandowski, A. M. (2000). The construction of disorder as human enterprise. In R. A. Neimeyer & J. D. Raskin (Eds.), Constructions of disorder: Meaning-making frameworks for psychotherapy (pp. 15–40). Washington, DC: American Psychological Association.

    Chapter  Google Scholar 

  • Ugazio, V. (2013). Semantic polarities and psychopathologies in the family: Permitted and forbidden stories. New York: Routledge.

    Book  Google Scholar 

  • Walker, B., & Winter, D. (2005). Psychological disorder and reconstruction. In D. A. Winter & L. L. Viney (Eds.), Personal construct psychotherapy: Advances in theory, practice and research (pp. 21–33). London: Whurr.

    Chapter  Google Scholar 

  • Winter, D., & Procter, H. G. (2014). Formulation in personal and relational construct psychology: Seeing the world through clients’ eyes. In L. Johnstone & R. Dallos (Eds.), Formulation in psychology and psychotherapy (2nd ed., pp. 145–172). London: Routledge.

    Google Scholar 

  • Winter, D. A. (1992). Personal construct psychology in clinical practice: Theory, research and applications. London: Routledge.

    Google Scholar 

  • Winter, D. A. (2003). Psychological disorder as imbalance. In F. Fransella (Ed.), International handbook of personal construct psychology (pp. 201–209). London: Wiley.

    Google Scholar 

  • Winter, D. A. (2005). Self harm and reconstruction. In D. A. Winter & L. L. Viney (Eds.), Personal construct psychotherapy: Advances in theory, practice and research (pp. 127–135). London: Whurr.

    Chapter  Google Scholar 

  • Winter, D. A., & Metcalfe, C. (2005). From constriction to experimentation: A personal construct approach to agoraphobia. In D. A. Winter & L. L. Viney (Eds.), Personal construct psychotherapy: Advances in theory, practice and research (pp. 148–164). London: Whurr.

    Chapter  Google Scholar 

  • Winter, D. A., & Watson, S. (1999). Personal construct psychotherapy and the cognitive therapies: Different in theory but can they be differentiated in practice? Journal of Constructivist Psychology, 12, 1–22.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to David A. Winter .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2021 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Winter, D.A., Feixas, G. (2021). A Constructivist Pioneer of Formulation: A Commentary on Chapter “Strengths and Limitations of Case Formulation in Constructivist Cognitive Behavioral Therapies”. In: Ruggiero, G.M., Caselli, G., Sassaroli, S. (eds) CBT Case Formulation as Therapeutic Process. Springer, Cham. https://doi.org/10.1007/978-3-030-63587-9_16

Download citation

Publish with us

Policies and ethics