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Title
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PACT : a protocol for assessment, mechanism-based case formulation and treatment planning
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Author
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Abstract
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| Background Proponents of clinical case formulations argue that the causes and mechanisms contributing to and maintaining a patient's problems should be analysed and integrated into a case conceptualization, on which treatment planning ought to be based. Empirical evidence shows that an individualized treatment based on a case formulation is at least sometimes better than a standardized evidence-based treatment. Methods We argue that it is likely to improve decisions when two conditions hold: (a) knowing about the mechanisms underlying the patient's problems makes a difference for treatment, and (b) the case formulation is based on valid knowledge about mechanisms of psychopathology. Results We propose a protocol for assessment, case formulation and treatment planning (PACT), which incorporates transdiagnostic accounts of psychopathology. PACT describes a 5-step decision making process, which aims to help clinicians to decide when to resort to evidence-based treatments and when to construct a case formulation to individualize the treatment. Conclusion We show how PACT works in practice by discussing treatment planning for a clinical case involving symptoms of social anxiety, depression and post-traumatic stress disorder. |
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Language
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English
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Source (journal)
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Journal of evaluation in clinical practice. - Oxford
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Publication
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Hoboken
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Wiley
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2021
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ISSN
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1356-1294
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DOI
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10.1111/JEP.13540
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Volume/pages
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27
:3
(2021)
, p. 648-656
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ISI
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000611649700001
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Pubmed ID
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33496005
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Full text (Publisher's DOI)
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Full text (open access)
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