Handbook of Forensic Psychiatric Practice in Capital Cases
Figure 1: Example Formulation Diagram Vulnerability factors
• Mental health • IQ/Neurological difficulties • Poor self-esteem/image • Locus of control • Personality/Early life insult • Attachment style • Modelling of problem behaviour
Problems
(Insert description of offending behaviour and other significant issues here)
Maintaining factors • Implicit theories
• Minimisation/denial • Maladaptive coping • Low self-esteem
Protective factors
•Attitudes or cognitions supporting offending
• Problem behaviour is reinforcing/meeting a need
• Support system collusive • Mental health • Immature defence mechanisms • Lack of support • Deviant peers
• Insight into difficulties/coping • Previous engagement in therapy • Psychologically minded • High IQ • High self-esteem • Willing to engage in treatment • Internal locus of control • High self-efficacy • Mature defence mechanisms • Functional coping strategy • Optimistic attributional style • Accepts there is a problem • Good social support
Then add psychometric info.
Stable dynamic factors For example:
• Anti-social peers and current social models
• Family/partner/friends collude with excusing offending behaviour
• Intimacy deficits/lack of supportive family/ partner
• Pro-offending attitudes
• Self- regulation, that is, impulsivity, poor problems solving skills, easily frustrated, hostility
Acute dynamic factors For example
• Opportunities to offend (e.g. access to victims, weapons etc.)
• Emotional collapse/crisis in personal life • Collapse of social support/end of relationship • Hostility being voiced • Substance misuse • Conflict with others • Distorted attitudes
Recommendations/ Future risk 58 Precipitants / triggers
• Mood • Stress • Anger (context?) • Disinhibited • Loss • Financial difficulties
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