We concluded in the last chapter that formulating is an active process in clinical work. It is an interactive, vibrant and fluid activity during which we start to get to know and engage with the uniqueness of our clients. In this chapter we will suggest that this view offers a basis for conceptualising the process of integrative formulation, and that the formation, maintenance and development of the therapeutic relationship is at the core of this dynamic process. Formulation can thus be seen as occurring through a number of central processes.

Focusing on the beliefs, feelings and stories of the client.

Attending to the nature of the interactions between the client/s and therapist.

Considering the external factors influencing our client/s, for example their family context.

The therapist processing personal beliefs and feelings as the interview unfolds.