ABSTRACT

The primary function of the dynamic formulation is to provide a succinct and comprehensive conceptualization of a given case, and thus provide a blueprint that directs and informs the ensuing treatment (Perry, Cooper, & Michels, 1987). The formulation provides the critical conceptual link between diagnosis and subsequent therapeutic interventions. With regard to children and adolescents, Shapiro (1989) advocated that the importance of the dynamic formulation remains even more critical in this rapidly changing, atheoretical climate. It still reflects an inexact fit between diagnosis, according to existing criteria (DSM-IV), specific child or adolescent's treatment needs, and the most appropriate course of therapeutic action. Thus, the role of the initial formulation is important and critically informative, especially in a workplace where time constraints provide a major test regarding the diagnostic mettle of the clinician.