INTERRATER RELIABILITY OF COGNITIVE-BEHAVIORAL CASE FORMULATIONS

This study tested the hypothesis that clinicians can agree on two aspe cts of a cognitive-behavioral case formulation: the client's overt pro blems and underlying cognitive mechanisms. To test this hypothesis, 46 clinicians listened to part or all of an initial interview for two an xious, depressed clients and then listed each client's overt difficult ies and rated each client's underlying cognitive mechanisms When group s of five clinicians were considered, clinicians showed moderate agree ment in listing overt problems, and except for one type of belief (dsy functional attitudes) for one client high agreement on ratings of unde rlying cognitive mechanisms.