No
single diagram totally summarizes a complex structural
problem, but working on such a diagram can help a therapist develop their observations of a family into a structural formulation, for example, as when using a genogram to discuss a
session with others
in a supervisory group.
Fortunately, conducting randomized trials over the decades, intervention researchers have produced numerous manual - guided, evidence - based treatments (EBTs) for depression, anxiety, and conduct
in youth.2 Unfortunately, these treatments have not been incorporated into most everyday clinical practice.3 - 5 A common view is that the complexity and comorbidity of many clinically referred youths, whose
problems and treatment needs can shift during treatment, may pose
problems for EBT protocols, which are typically designed for
single or homogeneous clusters of disorders, developed and tested with recruited youths who differ from patients seen
in everyday clinical practice, and involve a predetermined sequence of prescribed
session contents, limiting their flexibility.3 - 8 Indeed, trials testing these protocols against usual care for young patients
in clinical practice have produced mixed findings, with EBTs often failing to outperform usual care.7, 9