Friedman R S, Lister P
Psychiatry. 1987 May;50(2):126-41.
In this paper, we examine the current status of psychodynamic formulation in psychiatric training and clinical practice. A survey of residency training directors confirms the presence of a general belief in the central importance of formulation but the absence of a clear definition or systematic guidelines. We review the literature and propose a definition of psychodynamic formulation, distinguishing it from isolated hypothesis or focus, diagnosis, case history and interpretation. We then present a systematic but flexible format for formulation and illustrate it with two case formulations.
在本文中，我们探讨了精神动力学构想在精神科培训和临床实践中的现状。一项针对住院医师培训主任的调查证实，人们普遍认为构想至关重要，但却缺乏明确的定义或系统的指导方针。我们回顾了相关文献并提出了精神动力学构想的定义，将其与孤立的假设或关注点、诊断、病史及解释区分开来。然后，我们给出了一种系统但灵活的构想格式，并通过两个病例构想进行说明。
