Downloaded by Aaron Pyne on 2023-11-07 at 19:05:15. Customer ID cus_Oj3f8WhE9NPX4B Worksheet Professional Version | UK English Emotion Focused Formulation Description The Emotion Focused Formulation was developed by Isabel Clarke in an acute mental health context (i.e. inpatient mental health) but this approach also has wider applicability. It places the client’s felt sense at the centre with maintenance cycles derived from functional/behavioural analysis. Significant past events and recent stresses triggers give context to the client’s current experience. It is the ‘intolerable internal state’ which is identified as the source of the problem behaviour/experiences that have brought the client to therapy. Therapists are encouraged as much as possible to use the client’s language, and to translate difficulties into behavioural terms. Further information and training is available from http://www.isabelclarke.org References Clarke, I. (2015). The emotion focused formulation approach: bridging individual and team formulation. Clinical Psychology Forum, 275, 28-32. Downloaded by Aaron Pyne on 2023-11-07 at 19:05:15. Customer ID cus_Oj3f8WhE9NPX4B Clarke, I., Wilson, H. (2008). Cognitive behaviour therapy for acute inpatient mental health units: Working with clients, staff, and the milieu. London: Routledge. 1 Emotion Focused Formulation The past Downloaded by Aaron Pyne on 2023-11-07 at 19:05:15. Customer ID cus_Oj3f8WhE9NPX4B Recent stress PSYCHOLOGYT LS ® Copyright © 2020 Psychology Tools Limited. All rights reserved. Downloaded by Aaron Pyne on 2023-11-07 at 19:05:15. Customer ID cus_Oj3f8WhE9NPX4B Emotion Focused Formulation Maintaining cycles are derived from functional analyses of behavior, Helpful principles of Behavior behavioural analysis to consider are that behaviours which lead to short-term relief are reinforced, Behavior even if they prolong or maintain a difficulty in the long-term. The past Significant events such as trauma, abuse, or loss are seen as important contexts for the current distress. Recent stress The immediate trigger for the current distress is seen as being linked to past events (e.g. trauma, abuse, loss). Behavior Consequence Intolerable Internal State Consequence The intolerable internal state will consist of powerful emotions such as fear, anger, or despair. It might include cognitions if a client identifies this as important (e.g. “I am a failure”). Further behavior Consequence A key principle of the emotion focused formulation approach is to use, as much as possible, the client’s own language. Therapists should try to translate any psychological terms into everyday language. This is a behavioural approach and maintenance cycles should focus on behaviours and consequences. The emotional state is drawn as central - it is the source of the problem behaviours or experiences that are leading the individual to seek help. PSYCHOLOGYT LS ® Copyright © 2020 Psychology Tools Limited. All rights reserved. Emotion Focused Formulation The past Past abuse. Losses. Recent stress Partner leaving. Cut self. Attempt suicide. Downloaded by Aaron Pyne on 2023-11-07 at 19:05:15. Customer ID cus_Oj3f8WhE9NPX4B Friends and family alarmed. Could lose custody of children. Feel worse. Nightmares. Can’t sleep. More difficult to cope. Fear Rage Sadness Avoid going out or seeing people. More time to brood. PSYCHOLOGYT LS ® Copyright © 2020 Psychology Tools Limited. All rights reserved. Emotion Focused Formulation The past The past. Psychosis formulation: Recent stress Recent trigger. Being in crowds or busy places: body reacts to threat. Downloaded by Aaron Pyne on 2023-11-07 at 19:05:15. Customer ID cus_Oj3f8WhE9NPX4B Hears voices. More tensions: sweaty, heart races. Body reacts to threat: intrusive thoughts. Fear. Sense of threat. Escapes from thoughts by slipping into unshared world. Unrealistic (worse) fears. Withdraw - hide away, or Fight - become aggressive. PSYCHOLOGYT LS ® Copyright © 2020 Psychology Tools Limited. All rights reserved. Emotion Focused Formulation The past Experienced physical and sexual abuse from my parents. Recent stress My own children taken into care. Cutting my arms. Downloaded by Aaron Pyne on 2023-11-07 at 19:05:15. Customer ID cus_Oj3f8WhE9NPX4B Feelings released. Hospital visits / inpatient stay. Feels even less likely that I will ever get my children back. PSYCHOLOGYT LS ® Flashbacks of abuse. Fear Sadness Anger “I’m no good” Try to avoid thinking about it / block everything out. doesn’t work. Stay indoor and cut off contact with everyone. Feel a bit safer. Copyright © 2020 Psychology Tools Limited. All rights reserved. About us Psychology Tools develops and publishes evidence-based psychotherapy resources. We support mental health professionals to deliver effective therapy, whatever their theoretical orientation or level of experience. Our digital library encompasses information handouts, worksheets, workbooks, exercises, guides, and audio skillsdevelopment resources. Downloaded by Aaron Pyne on 2023-11-07 at 19:05:15. Customer ID cus_Oj3f8WhE9NPX4B Our tools are flexible enough to be used both in-session and between-session, and during all stages of assessment, formulation, and intervention. Written by highly qualified clinicians and academics, materials are available in digital and printable formats across a wide range of languages. Resource details Title: Emotion Focused Formulation Type: Worksheet Language: English (GB) Translated title: Emotion Focused Formulation URL: https://www.psychologytools.com/resource/emotion-focusedformulation Resource format: Professional Version: 20230717 Last updated by: JP Terms & conditions This resource may be used by licensed members of Psychology Tools and their clients. 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