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Strengths and Limitations of Case Formulation in Constructivist Cognitive Behavioral Therapies

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CBT Case Formulation as Therapeutic Process

Abstract

When the classic cognitive model emerged after behaviorism, its development was not unitary: It forked into a rationalist approach that conceived cognition as a conscious computational knowledge, and a constructivist approach that considered cognition as hermeneutical, emotionally charged, tacit, and derived from human relationships. Constructive therapists promoted the initial development of the practice of case formulation when they introduced the concepts of personal meanings and constructs. However, the relationship between clinical constructivism and case formulation is an uneven story, conditioned by the fact that in some phases of its development constructivism indulged in highly speculative clinical thinking. Another specific feature of constructivism is that it largely uses the concepts of trauma and therapeutic relationship in either the case formulation or the treatment process. Many constructivist models seem prone to adopt the model of rupture and repairs in order to add an operational aspect to the concept of therapeutic relationship.

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Correspondence to Giovanni Maria Ruggiero .

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Ruggiero, G.M., Caselli, G., Sassaroli, S. (2021). 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_15

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