Case formulation using pattern-based formulation (PBF) methodology: clinical case 4

2018 ◽  
Vol 26 (6) ◽  
pp. 662-666
Author(s):  
Irosh Fernando ◽  
Lisa Lampe

Objectives: To provide a further example of the utility of the pattern-based model in formulation, and to introduce some further patterns. Methods: A case study was carried out using the Pattern-based Formulation (PBF). Results: Based on the case of a patient with a past history of trauma who developed late onset somatic symptoms, post-traumatic stress disorder and major depression, the PBF approach enabled development of a comprehensive formulation to explain the patient’s current presentation. Four patterns were utilised. Conclusions: The PBF method of using patterns as building blocks enables development of a psychobiological formulation that can accommodate considerable complexity. PBF represents a broadly applicable method that may assist psychiatry trainees and others to develop good quality formulations.

1988 ◽  
Vol 152 (1) ◽  
pp. 116-121 ◽  
Author(s):  
Alexander Cowell McFarlane

The onset of post-traumatic stress disorders in a group of firefighters who had an intense exposure to a bushfire disaster was investigated using a longitudinal research design. Contrary to expectation, the intensity of exposure, the perceived threat, and the losses sustained in the disaster, when considered independently, were not predictors of post traumatic stress disorder. By contrast, introversion, neuroticism, and a past history and family history of psychiatric disorder were premorbid factors significantly associated with the development of chronic post-traumatic stress disorders.


2018 ◽  
Author(s):  
Unsa Athar ◽  
Saad-Ur Rahman ◽  
Hafeez Ur Rehman ◽  
Waqar Ahmed ◽  
Shaarif Kaleem

UNSTRUCTURED ABSTRACT: Life perspective, behavior, feelings and social health changes in a victim of acid burn attack. Objective: To determine the changes and life perspective and social health in acid burn victims. Study Design: Case report study Study Duration and Place: The study was conducted in 6-month duration in the department of Plastic Surgery, Mayo Hospital, Lahore. Methodology: This is a case study of unmarried woman and her young sister, who suffered acid burn violence. Two sessions were held. First was to develop the rapport while the second was an in depth interview. Data were collected using a question guide, and was analyzed using Grounded theory. Results: The patient suffered from structural and functional loss after the incident and also suffered from post-traumatic stress disorder. She feels socially stigmatized and isolated. Her life perspective has changed. She received informal social support but required formal social rehabilitation. Lack of legislation has made her feel hopeless because she has not received justice. Conclusion: Our patient is a 20 years old woman, who suffered from an acid throwing attack from a neighbor. Her young sister who was sleeping beside suffered too. The incident has led to a negative change in her behavior, feelings, and life perspective. She is socially isolated. She has had informal support but she needs better formal support. The need of the hour is improvement of public sector rehabilitation for acid burn victims and proper legislation. Keywords: Acid burn victims. Life perspective, social health


Author(s):  
Luvuyo G. Sifo ◽  
Maake J. Masango

This article investigates the impact of spousal violence on children. Spousal violence in the home affects children negatively and its impact goes beyond their childhood years into adulthood. Some children become dysfunctional in life as a result of their exposure to violence between their parents. These children may exhibit symptoms associated with post-traumatic stress disorder (PTSD) later on in life. A case study of a family exposed to violence was undertaken. Findings from this case scenario were measured against existing literature. A pastoral care method of responding to the victims is proposed in order for them to be healed.


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