Developmental Formulation · Capstone Exercise
Hypothesis, Not Biography
One history, two developmental accounts, and nothing in the file that chooses between them. The capstone exercise of the module, and the only one whose correct answer is that you cannot yet decide.
What this exercise practises
Building a developmental formulation across the domains of Section 18, recognising when the available information does not discriminate between competing accounts, selecting questions that could make your own formulation wrong, and offering it in a form the client is able to refuse.
Part 2 has a correct answer that most clinicians dislike. If you find yourself wanting to choose a pathway on the information given, that reaction is what the exercise is for.
Estimated time to complete this exercise: 35 minutes
Before you begin
How this one works
The organising question of developmental formulation is where a sexual meaning came from. The discipline is holding the answer as a hypothesis while it is still the most satisfying thing in the file.
References
- Grubbs, J. B., Perry, S. L., Wilt, J. A., & Reid, R. C. (2019). Pornography problems due to moral incongruence: An integrative model with a systematic review and meta-analysis. Archives of Sexual Behavior, 48(2), 397–415. https://doi.org/10.1007/s10508-018-1248-x
- Nathanson, D. L. (1992). Shame and pride: Affect, sex, and the birth of the self. W. W. Norton.
- Simon, W., & Gagnon, J. H. (1986). Sexual scripts: Permanence and change. Archives of Sexual Behavior, 15(2), 97–120.

