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Relational and defensive patterns
Representing an event with reduced connection to its affect.
Fit, function and alternatives
A contextual factor earns a place in the formulation when case evidence links it to the presentation, not because it is present.
Check alternatives
Do not infer the process from a label, search phrase or diagnosis alone. Assess actual circumstances and source-specific population limits.
Next steps
Elicit case evidence, examine alternatives, discuss the hypothesis with the person, and revise when relevant evidence changes.
Qualification
Consider medicine effects, dissociation, communication style and neurodevelopmental differences. Do not equate flat expression with lack of feeling.
Caveats for this record