Abstract
In her recent paper, Jane Simms (Simms, 2011) asks if case formulation and the person-centred approach are an uncomfortable fit. The answer she suggests to this is, no, but only so long as the case formulation is ‘conducted in a way that respects clients choice, autonomy and expertise’ (p.35). This answer may on the face of it appear to accord with person-centre values, however I fear her approach does not fully acknowledge some of quite fundamental tensions between the philosophical position assumed within the person-centred approach and more ‘problem-focused’ clinical practices (e.g. Mearns, 2004) within which case formulation plays a central role. Indeed I would go further to argue that the model of person-centred case formulation she offers errs toward the latter and thus moves away from some of the central tenets of person-centred theory and practice.
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