By Katharina Manassis MD FRCPC
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Copyright 2014 by The Guilford Press. Permission to photocopy this figure is granted to purchasers of this book for personal use only (see copyright page for details). com/manassis2-forms. 42 CASE FORMULATION WITH CHILDREN AND ADOLESCENTS risk), precipitating (recent risk), and perpetuating (current risk) factors and list “protective factors” as a fourth category.
Children from certain cultural or religious groups can experience discomfort with secular ideas and attitudes in the public school system. Any of these could contribute to Malcolm’s morning stomachaches. Parental disagreements about the nature of children’s problems are often a clue to other types of family conflict. Therefore, it would have been helpful to interview Malcolm alone and ask him about how people in his family get along. The practitioner also could have made an effort to reach Malcolm’s father and obtain his perspective on the family.
Do family members agree on the rules and abide by them? •• Are the rules overly rigid or inflexible? Role of emotions •• Do family members talk about emotions and personal matters easily? •• Are family members able to help each other at times of emotional distress? Problem solving •• Are family members able to solve problems together? •• Do family members tend to avoid solving problems? •• Do family members tend to argue when trying to solve problems? •• Does the family struggle with solving practical problems, emotional problems, or both?