Clinical Interview Protocol · PTSD Formulation

Temporal Architecture
Assessment

Based on Wilkins G., University of Notre Dame Australia

Collapsed Deferred Rigid Fragmented
Patient
Date
Clinician
Setting
Presenting
Ask each question and click the response that best matches what the patient describes. More than one answer per question may be selected. The coloured tag on the right indicates which temporal architecture that response corresponds to. The tally updates automatically as you select responses.
Results

Scoring & Formulation

Collapsed
Abolished delay
0
out of 12
Deferred
Incomplete integration
0
out of 12
Rigid
Over-controlled
0
out of 12
Fragmented
Unstable continuity
0
out of 12
Dominant architecture
Select responses above to generate a formulation impression.
Clinical Formulation Reference
Architecture
Core disturbance
Treatment priority
Collapsed
Delay abolished; past invades present with sensory immediacy
Restore past–present differentiation: grounding, EMDR, trauma-focused therapy
Deferred
Delay prolonged; integration incomplete despite preserved distance
Deepen integration and processing: mourning, meaning-making, completion
Rigid
Over-controlled temporal organisation; brittle under load
Preserve structure while increasing flexibility and affective linkage
Fragmented
Continuity unstable; self-states and episodes fail to link
Stabilise continuity and autobiographical linkage before deeper integration
Clinician Notes
Dominant architecture identified
Mixed features (if applicable)
Treatment plan notes
Additional observations

Reference: Wilkins G. Temporal architecture in trauma and autism: A clinical typology with illustrative cases from the New South Wales Police Force. School of Medicine, University of Notre Dame Australia, Sydney NSW.

Copyright & Permitted Use Notice

The conceptual framework, clinical typology, assessment questions, and formulation content contained in this tool are derived from the unpublished manuscript Temporal architecture in trauma and autism: A clinical typology with illustrative cases from the New South Wales Police Force by Gregory Wilkins (School of Medicine, University of Notre Dame Australia), and are the intellectual property of the author.

Permitted use: This tool may be used for individual clinical assessment purposes by qualified health practitioners. It may be shared with clinical colleagues for the same purpose, provided this notice remains intact and unaltered.

Restrictions: This tool may not be reproduced, adapted, published, sold, incorporated into commercial products or services, or used for training, research, or teaching purposes without the prior written permission of the author. Removal or modification of this copyright notice is not permitted.

No warranty: This tool is provided as a clinical heuristic aid only. It does not constitute a validated psychometric instrument and does not replace clinical judgement, formal psychiatric assessment, or established diagnostic frameworks. The author accepts no liability for clinical decisions made on the basis of this tool.

© Gregory Wilkins, 2025. All rights reserved. Enquiries: emale1502@gmail.com

Live tally

Collapsed
0
Deferred
0
Rigid
0
Fragmented
0
Dominant
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