ABSTRACT

In the preceding chapters we have presented an overview of how formulation is conceptualised and developed within a range of therapeutic models of intervention. This includes ideas about the content of formulation: what the ingredients are, and also the process: how it is done. An important question, though, is whether and how we can combine or integrate the various models in ways that are most helpful for guiding our clinical work. We believe that one way forward is through a change of focus from formulation, or formulation-as-an-event, to formulating, or formulating-as-a-process. In this chapter we will discuss the strengths and limitations of some current approaches to integrative formulation and then attempt to move towards a more complex and dynamic model of integration which draws on the therapeutic relationship, personal meaning, personal development, and the idea of formulating as a fluid collaborative process.