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IBCT Case Formulation

IBCT Case Formulation
💡 Clarification 🧠 Cognition

A structured description of the couple's problem through three elements: theme (the difference), trap (polarization), and mutual trap. The formulation becomes a shared map for the couple and the therapist.

Step-by-step guide

  1. Conduct joint and individual interviews, gather information about the conflicts
  2. Identify the theme — the fundamental difference between the partners (closeness vs autonomy, control vs spontaneity, etc.)
  3. Describe the trap (polarization): how each one's attempts to solve the problem amplify it
  4. Show the mutual trap: how both get stuck in roles they do not want
  5. Present the formulation to the couple as a shared map, not as an accusation of either of them
  6. Check: do both recognize themselves in the description? Adjust together

When to use

  • At the start of therapy after assessment
  • Revise the formulation as understanding deepens

Key phrases

Your central theme seems to be [closeness vs autonomy]. This is not a problem — it is a fundamental difference between you.

Follow-up questions

Here is the trap: when one tries to solve the problem this way, the other reacts in a way that amplifies it.
Both of you get stuck in roles you do not want.
Do you recognize yourselves in this map?

Warnings

  • ⚠️ If one partner takes the formulation as an accusation — reformulate
  • ⚠️ Both must see their role in the pattern

Source: Christensen, A. & Jacobson, N. (1996). Integrative Couple Therapy

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Materials are informational and educational and summarize publicly available scientific sources. They are not medical or psychological advice, are not intended for self-diagnosis or self-treatment, and do not replace consultation with a qualified professional.