The Role-Relationship Models Method: A Comparison of Independently Derived Case Formulations

Abstract

Two teams independently constructed sets of psychotherapy case formulations following the Role Relationship Model Configuration (RRMC) method. Formulations were based on transcripts from the first five psychotherapy sessions of a social phobic and an individual with a grief disorder. Intraclass correlation coefficients showed that 20 clinical judges had good agreement as to the similarity of the two sets of formulations. Matched-group t-tests demonstrated that correctly matched pairings of the formulations were more similar than incorrectly matched pairings. Further, the results demonstrated that wish, fear, and symptomatic compromise components of RRMCs contribute different information to the overall formulation.