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How language shapes psychiatric case formulation
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Abstract:
The aim of this paper is to describe, analyse, and discuss the process of formulation in the specific context of mental health (MH). Formulation is a fundamental element of the work of psychiatrists and other MH clinicians that is expected to be mastered during training. The literature, however, shows that formulation is rarely explicitly addressed in the psychiatric curriculum; rather, it is implicitly developed through modelling, and/or clinical practice. This paper focuses on case formulation in one MH context in Australia. It tracks the iterative formulation of one patient in a hospital emergency department. The analysis uses resources from systemic functional linguistics (SFL) situated within a broader framework of discourse analysis. It highlights patterns of lexical relations and nominalisation as well as the range of conjunctions. These make explicit how the clinicians talk about the patient’s illness and shape their developing understanding into a logical formulation. We see applications of this work for the training of mental health professionals. These data make explicit the ways in which the participating clinicians use language in the process of formulation. By bringing this process to the level of consciousness, it can be discussed and evaluated and become a pedagogic resource. ; John Walsh, Nayia Cominos, Jon Jureidini
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Keyword:
case formulation; mental health; psychiatry; systemic functional linguistics
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URL: http://hdl.handle.net/2440/108096
https://doi.org/10.1558/cam.18978
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| 2 |
Observation of $Z$ production in proton-lead collisions at LHCb
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| 3 |
Observation of $Z$ production in proton-lead collisions at LHCb
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In: Symplectic Elements at Oxford ; Web of Science (Lite) (http://apps.webofknowledge.com/summary.do) ; Scopus (http://www.scopus.com/home.url) ; ArXiv (http://arxiv.org/) (2014)
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| 4 |
Pre-Formed Orthoses in Juvenile Idiopathic Arthritis:results from an RCT
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| 5 |
A measurement of the charged and neutral B meson lifetimes using fully reconstructed decays
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In: International Conference on High-Energy Physics 30 ICHEP 2000 ; http://hal.in2p3.fr/in2p3-00006091 ; International Conference on High-Energy Physics 30 ICHEP 2000, Jul 2000, Osaka, Japan. pp.1-22 (2000)
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An experimental study of $\gamma \gamma \rightarrow hadrons$ at LEP
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In: ISSN: 0370-2693 ; Physics Letters B ; http://hal.in2p3.fr/in2p3-00004532 ; Physics Letters B, Elsevier, 1993, 313, pp.509-519 (1993)
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| 7 |
Search for a non-minimal Higgs boson produced in the reaction e$^+$e$^-$ $\rightarrow$ hZ$^{\star}$
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In: ISSN: 0370-2693 ; Physics Letters B ; http://hal.in2p3.fr/in2p3-00004593 ; Physics Letters B, Elsevier, 1993, 313, pp.312-325 (1993)
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