Data-Informed Case Formulation with the Trier Treatment Navigator

• Danilo Moggia ^[1] ; Jana Schaffrath ^[1] ; Jana Bommer ^[1] ; Birgit Weinmann-Lutz ^[1] ; Wolfgang Lutz ^[1]
  1. [1] University of Trier

     University of Trier

     Kreisfreie Stadt Trier, Alemania

     
• Localización: Revista de psicoterapia, ISSN-e 2339-7950, ISSN 1130-5142, Vol. 33, Nº. 123, 2022 (Ejemplar dedicado a: Formulación de casos clínicos), págs. 151-171
• Idioma: inglés
• DOI: 10.33898/rdp.v33i123.35971
• Títulos paralelos:
  • Formulación de casos basada en datos con el Navegador de Tratamiento de Tréveris
• Enlaces
  • Texto completo (pdf)
• Dialnet Métricas: 2 Citas
• Resumen
  • español

    El artículo presenta una forma de practicar la formulación de caso a través del uso de aumentación tecnológica en el contexto de una psicoterapia informada por datos. Primero explicamos cómo la formulación de caso guía el proceso de toma de decisiones en psicoterapia y cómo las decisiones tomadas a partir de un juicio clínico intuitivo pueden estar sesgadas. El uso de métodos actuariales se muestra como una forma de abordar estos sesgos, principalmente a través de sistemas de apoyo a las decisiones clínicas basados en herramientas estadísticas y algoritmos de aprendizaje automático. Presentamos el Trier Treatmnent Navigator (TTN), un sistema de apoyo a las decisiones clínicas desarrollado en un programa universitario de formación basado en investigación. A través de un caso clínico mostramos cómo el TTN puede contribuir a una formulación de caso inicial y a sus adaptaciones dinámicas durante el tratamiento. Finalmente discutimos cómo la formulación de caso y la psicoterapia informada por datos están orientadas hacia un mismo objetivo: la personalización del tratamiento. Argumentamos que la formulación de caso y la psicoterapia informada por datos se enriquecen y retroalimentan la una a la otra.

  • English

    The current article presents a way of practising case formulation using technology augmentation in the context of data-informed psychotherapy. First, we explain how case formulation guides the decision-making processes in psychotherapy and how decisions made under an intuitive clinical judgement can be biased. The use of actuarial methods is pointed out as a way of addressing these biases, mainly through clinical decision support systems based on statistical tools and machine learning algorithms. We present the Trier Treatment Navigator (TTN), a clinical decision support system developed in a University research-based clinical training programme. We show how the TTN can contribute to an initial case formulation and its dynamic adaptations during treatment with a clinical case. Finally, we discuss how case formulation and data-informed psychotherapy are aimed at the same goal: treatment personalisation. We argue that case formulation and data-informed psychotherapy enrich and feedback on each other.

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