long periods of time, and is described by her father as in your face’ and ‘very ‘difficult to get away from’. loves music. Her favourite singer is Daniel O’Donnell and her favourite “Patricia band is One Direction. She has been to concerts featuring both, thoroughly enjoying them. She can amuse herself hours’, according to her mother, with her One ‘for Direction and Daniel O’Donnell DVDs and CDs. is viewed by family members as they say she only behaves “Patricia ‘manipulative’: like this to get her own way.” Patricia speaks to the nurse and says she is very unhappy now her brother is back home. She says he gets drunk a lot and that he used to hit her when drunk when she was younger. He doesn’t do this anymore, but she is still a bit scared of him. She nevertheless tells the nurse that she can as good as I get now!” “give Patricia is very angry at her family because she thinks they don’t appreciate the difficulties she experiences; she feels is always treated a we’an”. She wants “like more time away, but describes cloud in her head” when she gets angry and she “a hits out before realising what she’s doing. The family don’t seem to communicate well with each other and the nurse notes that for much of her assessment, she feels like she’s “refereeing”. All family members appear stressed and irritable. Either by yourself, or with your mentor, complete the following. Use the 5 Ps formulation template (Figure 4.1) to identify factors that might explain Patricia’s current presentation. Suggest materials that be used to support the development of a shared formulation with Patricia. What amendments might be made when developing a shared formulation with Patricia’s family?
long periods of time, and is described by her father as ‘very in your face’ and ‘difficult to get away from’. “Patricia loves music. Her favourite singer is Daniel O’Donnell and her favourite band is One Direction. She has been to concerts featuring both, thoroughly enjoying them. She can amuse herself ‘for hours’, according to her mother, with her One Direction and Daniel O’Donnell DVDs and CDs. “Patricia is viewed by family members as ‘manipulative’: they say she only behaves like this to get her own way.” Patricia speaks to the nurse and says she is very unhappy now her brother is back home. She says he gets drunk a lot and that he used to hit her when drunk when she was younger. He doesn’t do this anymore, but she is still a bit scared of him. She nevertheless tells the nurse that she can “give as good as I get now!” Patricia is very angry at her family because she thinks they don’t appreciate the difficulties she experiences; she feels is always treated “like a we’an”. She wants more time away, but describes “a cloud in her head” when she gets angry and she hits out before realising what she’s doing. The family don’t seem to communicate well with each other and the nurse notes that for much of her assessment, she feels like she’s “refereeing”. All family members appear stressed and irritable. Either by yourself, or with your mentor, complete the following. Use the 5 Ps formulation template (Figure 4.1) to identify factors that might explain Patricia’s current presentation. Suggest materials that be used to support the development of a shared formulation with Patricia. What amendments might be made when developing a shared formulation with Patricia’s family?
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