Constructing shared understanding - A grounded theory exploration of team case formulation from multiple perspectives

Herhaus, Jenny (2014) Constructing shared understanding - A grounded theory exploration of team case formulation from multiple perspectives. D Clin Psy thesis, University of Glasgow.

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Abstract

Objectives: The use of formulation in teams is becoming increasingly established. Yet, research into this area is still limited. This study set out to explore team formulation from multiple perspectives in the context of an early intervention first episode psychosis service. Method: A social constructionist version of grounded theory was used to explore experiences of team formulation and care of fifteen participants (clinical psychologists, other multidisciplinary team members, and service-users), using semi-structured interviews. A phased approach to data collection and analysis facilitated theoretical sampling and triangulation. Transcripts were subjected to line-by-line and focused coding to support the development of categories grounded in the data. Results: An emerging model of team formulation arose from the data, comprised of two levels - ‘value and function’ and ‘processes’ - that were interrelated and made up of sub-themes. ‘Value and function’ of team formulation ultimately was to improve engagement and care for service-users at risk of arrested recovery. This was seen to be facilitated by ‘constructing understanding’ and ‘broadening perspectives’, resulting in ‘flexibility, consistency and empathy’ that allowed for person-centred care planning and the establishment of better relationships with service-users. Team formulation involved and required staff to ‘negotiate roles’ and ‘manage uncertainty’. The data indicated the importance of a system or space that promotes the development of mutuality of meaning and shared understanding. Conclusions: This study indicated the systemic value of team formulation in supporting people who have difficulties engaging with services and staff working with them. The emerging model derived provides a meaningful departure point to develop a more comprehensive theory of team formulation that could provide a foundation for improving, developing and disseminating this practice.

Item Type: Thesis (D Clin Psy)
Qualification Level: Doctoral
Keywords: team formulation, recovery, psychosis, grounded theory
Subjects: B Philosophy. Psychology. Religion > BF Psychology
Colleges/Schools: College of Medical Veterinary and Life Sciences > Institute of Health and Wellbeing > Social Scientists working in Health and Wellbeing
Funder's Name: UNSPECIFIED
Supervisor's Name: Gumley, Professor Andrew
Date of Award: 2014
Depositing User: Ms Jenny Herhaus
Unique ID: glathesis:2014-5726
Copyright: Copyright of this thesis is held by the author.
Date Deposited: 13 Nov 2014 11:10
Last Modified: 18 Nov 2014 14:04
URI: http://theses.gla.ac.uk/id/eprint/5726

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