Cited by 0Migration, Health and TraumaCounseling Practices and SupervisionPsychoanalysis and Psychopathology Research

The DOI matches its Crossref record; 40 of the 41 references it cites were found in a registry or an index; 8 of the 39 sources its claims cite were checked for support.

Person‐Centered Case Formulation: A Culturally Responsive and Trauma Informed Reconceptualization for Psychotraumatology Practice

Open access
O'Brien, Charlotte, Charura, Divine·2026·MultiPsych

Abstract

This is a conceptual‐practice paper proposing a person‐centered formulation, illustrated with a clinical case study derived from qualitative research data. This paper aims to update and promote the use of a culturally responsive and trauma‐informed model of a person‐centered formulation for individuals seeking refuge and asylum, utilizing accessible language and a holistic approach. It adopts two methods, namely, (i) a qualitative case study approach to collaboratively explore a client's narrative of trauma and displacement, (ii) it develops a new person‐centered formulation based on a culturally responsive and trauma‐informed model. This paper demonstrates how a person‐centered approach may facilitate a more holistic conceptualization of trauma, relational distress, and systemic adversity amongst refugee and asylum‐seeking populations, enabling a more effective, nonpathologizing therapeutic exploration and process. It advocates for the inclusion of a person‐centered formulation in psychotraumatology practice with individuals seeking refuge and asylum as part of a culturally responsive and trauma informed approach to psychotherapy. Finally, it highlights the potential clinical implications for working with clients from various cultural contexts, and the importance of language considerations and a holistic therapeutic approach.

Overview

AI snapshot

Written from the paper’s full text.

TL;DR

This conceptual-practice paper proposes a culturally responsive, trauma-informed person-centered case formulation model for psychotraumatology practice with refugees and asylum seekers, illustrated by an anonymized case, “Ade.” It argues for an eight-stage, holistic, nonpathologizing formulation process that integrates culture, language, spirituality, embodiment, and systemic adversity.

Key findings

  • The paper proposes an interconnected eight-stage person-centered formulation model, centered on the person within a bio-psycho-social-sexual-spiritual-existential-cultural framework, rather than a rigid linear or diagnostic tool.
  • The illustrative case, Ade, was a man of Pakistani heritage aged 45–54, unemployed, divorced, and seeking refuge in Northern England with his daughter; he scored 10 out of 10 on the Trauma Screening Questionnaire (TSQ), signifying likely PTSD.
  • Ade’s distress included anxiety, exhaustion, loneliness, hopelessness, bodily pain, and suicidal thoughts, with maintaining factors including asylum uncertainty, financial hardship, social isolation, language barriers, and discrimination; protective factors included his daughter, religious faith and spiritual community, helping others, exercise, and willingness to engage in therapy.
  • Language and interpretation were central: Ade struggled to understand questions even with an interpreter, and his culturally embedded expression of “banging one’s head against the wall” illustrated distress communicated through culturally specific metaphors not readily accommodated in conventional formulation.

Methods

  • Conceptual-practice paper using a qualitative case study methodology, drawing on McLeod’s (2010) articulation of case study research; the case is drawn from a doctoral thesis study on embodied trauma among refugee and asylum-seeking populations and is used illustratively rather than representationally.
  • The case data came from a qualitative semi-structured interview with a structured TSQ section and seven open questions covering embodied trauma, body/self-concept, and refuge/asylum dislocation, followed by a body mapping exercise; reflexive thematic analysis was used with a sample of 13 participants, and Ade’s raw data appear in Appendix A.
  • The new model integrates a scoping review on embodied trauma and culturally re-envisions Simms’ (2011) person-centered formulation; ethical approval was gained from York St John University’s School of Education, Language and Psychology Ethics Committee (Approval Code: RECCOUN00025).

Limitations

  • Stated: the paper uses a qualitative in-depth case study of one participant, and the conceptualized domains are specific to that participant and not generalizable to all clients; further exploration and evidencing of the model in practice are recommended.
  • Stated: although the model attempts to move beyond westernized assumptions, it remains situated within counseling psychology discourse and may still reflect western epistemological foundations; empirical research on clinical utility, acceptability, and therapeutic outcomes is needed.
  • Stated: broadening the approach beyond classical client-centered psychotherapy to “person-centered” may dilute the potency of a puristic approach. Evident from the text: no clinical outcome or effectiveness data are reported, and the formulation is presented as conceptual and illustrative only.

Model-written summary. Check it against the paper before relying on it.

Integrity signals

Registry

Crossref · 10.1002/mps2.70012

Cites

40 of 41 references verified1 citation errors · 0 not checkable

Statistics

Nothing to recompute.

Figures

Image 1
CC-BY · From the PDF
FIGURE 1 Culturally and trauma informed person-centered formulation model.
FIGURE 1 Culturally and trauma informed person-centered formulation model.CC-BY · From the PDF
FIGURE 2 Culturally and trauma informed person-centered formulation for Ade.
FIGURE 2 Culturally and trauma informed person-centered formulation for Ade.CC-BY · From the PDF

Verification

Claims the paper makes

39 Own interpretation · 16 No basis given · 10 Own result · 9 Sources not found · 8 Own method · 4 Partly supported · 4 Not checked yet · 3 Supported · 2 No full text of the sources · 1 Supported so far · accuracy not yet measured

  • Probably not a substantial claim. 45
  • It may state two separate claims as one. 28
54 of 54
  • The paper relies on this without support.

    No comprehensive model has yet been proposed considering the holistic aspects of an individual.

    “However, no comprehensive model has yet been proposed considering these holistic aspects of an individual, despite its urgent requirement in order to provide specific, targeted, relevant, and expedient access to appropriate therapeutic care services in the United Kingdom.”
  • The authors state this as an assumption.

    The person-centered approach is best positioned to support the individualized model required for displaced individuals.

    “We, as researchers and therapeutic practitioners, believe that the person-centered approach is best positioned to support the individualized model required for displaced individuals, and have culturally re-envisioned Simms' (2011) model of person-centered formulation specifically for this client group.”
  • The paper relies on this without support.

    The single case of Ade is sufficient to illustrate the proposed model's domains and dynamics.

    “The case of Ade illustrates how these domains interact dynamically rather than operating independently.”
    “Using the case formulation of “Ade,” this paper has demonstrated how distress amongst displaced individuals may be more accurately understood as relational, embodied, existential, cultural, and socio-political in nature, rather than solely as intrapsychic dysfunction or symptomatology.”
  • The paper relies on this without support.

    The proposed formulation domains are sufficient to capture the complexity of displaced individuals' distress.

    “The formulation therefore provides a holistic map of distress, resilience, and strengths that support recovery which can guide therapeutic engagement while remaining responsive to the client's evolving experiences.”
  • The paper relies on this without support.

    The participant's interview narratives provide a valid basis for formulating his distress.

    “The illustrative case material presented within this paper derives from previous qualitative research conducted by the first author as part of doctoral research exploring embodied trauma amongst refugee and asylum-seeking populations.”
5 of 5

Citations

Cites

Show all 30 references

Research works printed but not linked: 28

  1. Berghofer G., 1996, Client‐Centred and Experiential Psychotherapy: A Paradigm in Motion, 481
  2. Charura D., 2021, Black Identities and White Therapies: Race, Respect and Diversity
  3. Charura D., 2024, Trauma Demystified: A Guide for Students and Practitioners
  4. Charura D., 2015, The Therapeutic Relationship Handbook
  5. Cooper M., 2008, Essential Research Findings in Counselling and Psychotherapy: The Facts Are Friendly
  6. Dudley R., 2006, Formulation in Psychology and Psychotherapy: Making Sense of People’s Problems, 17
  7. Grisaru N., 2016, Functional Somatic Syndromes Among Ethiopian Immigrants in Israel, Harefuah, 155, 741
  8. Hipolito J., 2019, Self Organisation and Complexity: Evolution and Development of Rogerian Thinking Organised by Odete Nunes, Universidade Autonoma De Lisboa
  9. Joseph S., 2015, A person‐centred Perspective on Psychological Theory and Practice
  10. Kleinman A., 1988, Rethinking Psychiatry: From Cultural Category to Personal Experience
  11. Lane D., 2026, The Handbook of Counselling Psychology and Psychotherapy: A Training Companion, 99
  12. Maslow A. H., 2013, A Theory of Human Motivation
  13. Mearns D., 2013, Person‐Centred Counselling in Action
  14. National Institute for Health and Care Excellence [NICE], 2026, Psychosis and Schizophrenia
  15. O’Brien C. V., 2026, The Handbook of Counselling Psychology and Psychotherapy: A Training Companion
  16. Orlinsky D. E., 2004, Handbook of Psychotherapy and Behaviour Change, 307
  17. Paul S., 1996, A Relational Model of Counselling, Counselling Journal of the British Association of Counselling, 7, 229
  18. Rogers C. R., 1951, Client‐Centred Therapy: Its Current Practice, Implication and Theory
  19. Rogers C. R., 1959, Psychology: A Study of a Science, Formulations of the Person, and Social Context, 184
  20. Rogers C. R., 1961, On Becoming a Person
  21. Rogers C. R., 1963, Nebraska Symposium on Motivation, 1
  22. Rogers C. R., 1970, On Encounter Groups
  23. Rogers C. R., 1980, A Way of Being
  24. Schmid P. F., 2007, The Handbook of Person‐Centred Psychotherapy and Counselling, 213
  25. Schmid P. F., 2007, The Handbook of Person‐Centred Psychotherapy and Counselling, 38
  26. Tribe R., 2008, Working With Interpreters in Health Settings: Guidelines for Psychologists
  27. Uphoff A., 2016, The person‐centred Counselling and Psychotherapy Handbook: Origins, Developments and Current Applications, 313
  28. Watters E., 2010, Crazy Like Us: The Globalization of the American Psyche

Cited by

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Metadata

Authors
O'Brien, C., & Charura, D.
Affiliations
  • John Wiley & Sons London UK
  • York St John University (GB)
Venue
MultiPsych
Publisher
Wiley
Published
2026-07-13
Volume
1
Issue
3
ISSN
3069-9711 (ISSN-L)
OpenAlex
W7168145029
Cited by
0
References
30
FWCI
0.00
Type
journal article
Language
en
Open access
Locations
  • MultiPsych (publishedVersion, cc-by)
  • Research at York St John (York St John University) (acceptedVersion)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Migration, Health and Trauma
  • Social Sciences › Psychology › Clinical Psychology › Counseling Practices and Supervision
  • Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
Keywords
trauma-informed practice, psychotraumatology, refugees, asylum seekers, displacement, trauma narratives, relational distress, language access

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