Perry S, Cooper A M, Michels R
Am J Psychiatry. 1987 May;144(5):543-50. doi: 10.1176/ajp.144.5.543.
The authors present a brief written psychodynamic formulation that focuses on central conflicts, anticipates transferences and resistances, and helps guide all psychiatric treatments. After placing the presenting problem in the context of the patient's life and identifying nondynamic determinants of the psychopathology, the formulation explains the development of central conflicts and their repetitive effect on the patient's behavior. It concludes by describing how these conflicts will be manifested in treatment. Three sample formulations and their application are presented to illustrate the value of this clinical tool.
作者们给出了一份简短的书面心理动力学阐述，该阐述聚焦于核心冲突，预测移情和阻抗，并有助于指导所有的精神科治疗。在将当前问题置于患者生活背景中并确定精神病理学的非动力学决定因素之后，该阐述解释了核心冲突的发展及其对患者行为的反复影响。它通过描述这些冲突在治疗中将如何表现来得出结论。文中给出了三个示例阐述及其应用，以说明这一临床工具的价值。
