Formulation, conversation and therapeutic engagement

Anthony Korner*, Nicholas Bendit, Ursula Ptok, Kathryn Tuckwell, David Butt

*Corresponding author for this work

    Research output: Contribution to journalArticlepeer-review

    6 Citations (Scopus)


    Objectives: The aim of this study was to review psychodynamic formulation with respect to the language used and the evidence it provides about variations of clinical purpose. Method: The purpose of the psychodynamic formulation is considered in training and clinical contexts. Three formulations are presented: two written from alternative theoretical perspectives and one designed to be spoken to the patient. Linguistic comparisons are made using these examples, emphasizing differences in grammatical complexity, lexical density ('wordiness') and other qualities. Results: The essential purpose of psychodynamic formulation is to develop an understanding that can be shared in the service of effective care. Significant differences were found between written and spoken versions with greater grammatical complexity and lower lexical density in the spoken form. An intrapsychic theoretical model was more grammatically complex and 'noun-based' compared to an inter-subjective model. Other differences are also described, including the tendency for the intrapsychic account to efface the sense of personal agency. This contributes to the impression of a subject under the influence of 'unseen' forces. Conclusions: The communicability of psychodynamic formulation is essential to its utility in clinical practice.

    Original languageEnglish
    Pages (from-to)214-220
    Number of pages7
    JournalAustralasian Psychiatry
    Issue number3
    Publication statusPublished - 2010


    Dive into the research topics of 'Formulation, conversation and therapeutic engagement'. Together they form a unique fingerprint.

    Cite this