Cognitive-analytic therapy

Cognitive therapy

Electronic books

Remote;text;Intro -- INTRODUCING COGNITIVE ANALYTIC THERAPY -- CONTENTS -- List of figures -- About the authors -- Preface -- Acknowledgements -- 1. THE SCOPE AND FOCUS OF CAT -- CAT is an integrated model -- CAT is a collaborative therapy -- CAT is research based -- CAT evolved from the needs of working in the public sector and remains ideally suited to it -- CAT is time-limited -- CAT offers a general theory, not just a new package of techniques -- CAT has applications in many clinical settings -- 2. THE MAIN FEATURES OF CAT -- The early development of CAT practice -- The theoretical model -- The development of the basic model of practice -- The development of sequential diagrammatic reformulation -- The course of therapy -- Time limits -- The development of a Vygotskian object relations theory -- The scope of CAT -- Case history: Bobby -- background -- assessment and reformulation -- the course of therapy -- termination -- follow-up -- Further reading -- 3. DEVELOPMENT OF THE SELF: BACKGROUND CONSIDERATIONS -- Evolutionary psychology -- The evolution of cognitive capacities and of culture -- Evolutionarily pre-programmed psychological tendencies -- Genetics and temperament -- Implications of our evolutionary past and biology for psychotherapy -- Further reading -- 4. NORMAL AND ABNORMAL DEVELOPMENT OF THE SELF AND ITS IMPLICATIONS FOR PSYCHOTHERAPY -- The CAT concept of self -- The permeability of the self -- Contrasts with other psychodynamic concepts of self -- Cultural relativity of models of self -- Studies of infant development -- The contribution of Vygotsky's ideas -- Vygotskian ideas in CAT -- Developmental studies of role acquisition -- Bakhtinian contributions -- Models of individual development and their relation to CAT -- psychoanalytic models -- attachment theory -- cognitive psychology and cognitive therapy.;Abnormal development and therapeutic change -- persistent negative role patterns -- avoidant, defensive and symptomatic role replacements or 'coping strategies' -- dissociation -- Common therapeutic factors -- Childhood development and the CAT model of therapeutic change -- Who does the therapist speak for? -- Avoiding collusion -- Self-esteem -- The 'false self' -- Underlying philosophical divergences -- dialogism versus Cartesianism -- dialogism -- Conclusion -- Further reading -- 5. SELECTION AND ASSESSMENT OF PATIENTS FOR INDIVIDUAL CAT -- Referral -- Assessment data -- The conduct of the assessment interview -- Nora -- David -- Nick -- Debby -- Evelyn -- Diana -- the six cases -- Other considerations -- Combining CAT with other treatment modes -- depression -- anxiety -- obsessive-compulsive symptoms -- somatisation -- Implications of some specific diagnoses and behaviours -- Assessing the risk of suicide -- Assessing the potential for violence -- Assessing motivation -- Other therapeutic modes -- Paper and pencil devices -- Treatment contracts -- Conclusions -- 6. THE REFORMULATION SESSIONS -- Case formulation and CAT reformulation -- The process of reformulation -- The effects of reformulation -- The reformulation letter -- case example -- general principles of writing reformulation letters -- Diagrammatic reformulation -- simple flow diagrams -- the principles of sequential diagrammatic reformulation -- sequential diagrammatic reformulation -- practical procedures -- case example (continued) -- single or multiple cores in diagrams -- sequential diagrams and self state sequential diagrams-a recapitulation -- how many cores in a diagram? -- The order of reformulation -- The impact of reformulation -- Exits -- Further reading -- 7. THE THERAPY RELATIONSHIP: WORKING AT CHANGING -- The working alliance in the ZPPD.;Transference and countertransference -- Psychoanalytic understandings -- CAT understandings of transference and countertransference -- Personal and elicited countertransference -- Identifying and reciprocating countertransference -- Dialogic Sequence Analysis -- case example: Alistair -- Transference, countertransference and the working relationship of therapy -- Technical procedures -- Rating progress -- Recognising procedures as they occur -- Recapitulating and reviewing the session -- Homework -- Accessing painful memories and feelings -- Not recognising procedures as they occur -- The CAT model of resistance -- Dropping out of therapy -- Recognising procedures at termination -- goodbye letters -- The course of therapy -- Case history: Rita -- Further reading -- 8. THE DETAILED CAT MODEL OF THERAPIST INTERVENTIONS AND ITS USE IN SUPERVISION -- CAT, psychodynamic psychotherapy and cognitive-behaviour therapy (CBT): a comparison of practice -- Evidence for the specific effects of CAT techniques -- Therapist interventions in CAT -- acknowledgement, exploration and linking -- negotiation, seeking consensus, explanation and contacting unassimilated feelings -- Apparently psychologically unsophisticated patients -- case example: Grace -- Supervision of therapists in CAT -- Audiotape supervision -- Group supervision -- 'Parallel process' -- Distance supervision -- 9 CAT IN VARIOUS CONDITIONS AND CONTEXTS -- The problem of diagnosis -- competing paradigms -- The scope of CAT -- Practical methods-symptom monitoring -- Procedural monitoring -- Strategic issues: when to address symptoms directly -- Panic and phobia -- Generalised anxiety disorder -- Obsessive-compulsive disorders -- case example: Susan -- Post-traumatic stress disorder -- case example: Richard -- case example: Hannah -- Depression -- Somatisation -- Deliberate self-harm -- Eating disorders.;CAT and the management of medical conditions -- management of insulin-dependent diabetes -- management of asthma -- Substance abuse -- CAT in old age and early dementia -- Gender issues -- The effects of childhood sexual abuse -- true or false recollections of abuse -- Unresolved mourning -- CAT in primary care -- Psychosis -- current models of psychotic disorder -- current psychological treatments for psychotic disorders -- a CAT-based model of psychotic disorder -- case example: Sarah -- case example: Andrew -- Learning disabilities -- CAT in groups and organisations -- Further reading -- 10. THE TREATMENT OF PERSONALITY DISORDERS -- The concept of personality disorder -- Borderline personality disorder (BPD) -- the causes of BPD -- the CAT multiple self states model of BPD -- recognising partial dissociation -- the reformulation and therapy of borderline patients -- Case history: Deborah -- results -- the course of therapy -- Narcissistic personality disorder (NPD) -- Case history: Olivia -- Case history: Sam -- conclusion -- The treatment of BPD: research evidence -- The relation of CAT to current models of BPD -- Further reading -- 11. THE 'DIFFICULT' PATIENT AND CONTEXTUAL REFORMULATION -- Causes of difficult behaviour -- physical causes -- psychiatric causes -- staff team dynamics -- General approaches to the 'difficult' patient -- Contextual reformulation -- Constructing a contextual reformulation -- Examples of simple contextual reformulations -- case example: Brenda -- case example: Paula -- Uses and applications of contextual approaches to the 'difficult' patient -- Further reading -- AFTERWORD -- Distinctive features of CAT -- The continuing expansion of CAT -- The evidence base and research -- The implicit values of CAT -- Glossary -- Appendix 1: CAT-related research publications and the evidence base for CAT.;Appendix 2: The Psychotherapy File -- Appendix 3: Personality Structure Questionnaire (PSQ) -- Appendix 4: Repertory grid basics and the use of grid techniques in CAT -- References -- Index.;This is a comprehensive, up-to-date introduction to the origins, development, and practice of cognitive-analytic therapy (CAT). Written by the founder of the method and an experienced psychiatric practitioner and lecturer, it offers a guide to the potential application and experience of CAT with a wide range of difficult clients and disorders and in a variety of hospital, community care and private practice settings. Introducing Cognitive Analytic Therapy includes a wide range of features to aid scholars and trainees: ? Illustrative case histories and numerous case vignettes ? Chapters summaries, further reading and glossary of key terms ? Resources for use in clinical settings Essential reading for practitioners and graduate trainees in psychotherapy, clinical psychology, psychiatry and nursing.

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Intro -- INTRODUCING COGNITIVE ANALYTIC THERAPY -- CONTENTS -- List of figures -- About the authors -- Preface -- Acknowledgements -- 1. THE SCOPE AND FOCUS OF CAT -- CAT is an integrated model -- CAT is a collaborative therapy -- CAT is research based -- CAT evolved from the needs of working in the public sector and remains ideally suited to it -- CAT is time-limited -- CAT offers a general theory, not just a new package of techniques -- CAT has applications in many clinical settings -- 2. THE MAIN FEATURES OF CAT -- The early development of CAT practice -- The theoretical model -- The development of the basic model of practice -- The development of sequential diagrammatic reformulation -- The course of therapy -- Time limits -- The development of a Vygotskian object relations theory -- The scope of CAT -- Case history: Bobby -- background -- assessment and reformulation -- the course of therapy -- termination -- follow-up -- Further reading -- 3. DEVELOPMENT OF THE SELF: BACKGROUND CONSIDERATIONS -- Evolutionary psychology -- The evolution of cognitive capacities and of culture -- Evolutionarily pre-programmed psychological tendencies -- Genetics and temperament -- Implications of our evolutionary past and biology for psychotherapy -- Further reading -- 4. NORMAL AND ABNORMAL DEVELOPMENT OF THE SELF AND ITS IMPLICATIONS FOR PSYCHOTHERAPY -- The CAT concept of self -- The permeability of the self -- Contrasts with other psychodynamic concepts of self -- Cultural relativity of models of self -- Studies of infant development -- The contribution of Vygotsky's ideas -- Vygotskian ideas in CAT -- Developmental studies of role acquisition -- Bakhtinian contributions -- Models of individual development and their relation to CAT -- psychoanalytic models -- attachment theory -- cognitive psychology and cognitive therapy.

Abnormal development and therapeutic change -- persistent negative role patterns -- avoidant, defensive and symptomatic role replacements or 'coping strategies' -- dissociation -- Common therapeutic factors -- Childhood development and the CAT model of therapeutic change -- Who does the therapist speak for? -- Avoiding collusion -- Self-esteem -- The 'false self' -- Underlying philosophical divergences -- dialogism versus Cartesianism -- dialogism -- Conclusion -- Further reading -- 5. SELECTION AND ASSESSMENT OF PATIENTS FOR INDIVIDUAL CAT -- Referral -- Assessment data -- The conduct of the assessment interview -- Nora -- David -- Nick -- Debby -- Evelyn -- Diana -- the six cases -- Other considerations -- Combining CAT with other treatment modes -- depression -- anxiety -- obsessive-compulsive symptoms -- somatisation -- Implications of some specific diagnoses and behaviours -- Assessing the risk of suicide -- Assessing the potential for violence -- Assessing motivation -- Other therapeutic modes -- Paper and pencil devices -- Treatment contracts -- Conclusions -- 6. THE REFORMULATION SESSIONS -- Case formulation and CAT reformulation -- The process of reformulation -- The effects of reformulation -- The reformulation letter -- case example -- general principles of writing reformulation letters -- Diagrammatic reformulation -- simple flow diagrams -- the principles of sequential diagrammatic reformulation -- sequential diagrammatic reformulation -- practical procedures -- case example (continued) -- single or multiple cores in diagrams -- sequential diagrams and self state sequential diagrams-a recapitulation -- how many cores in a diagram? -- The order of reformulation -- The impact of reformulation -- Exits -- Further reading -- 7. THE THERAPY RELATIONSHIP: WORKING AT CHANGING -- The working alliance in the ZPPD.

Transference and countertransference -- Psychoanalytic understandings -- CAT understandings of transference and countertransference -- Personal and elicited countertransference -- Identifying and reciprocating countertransference -- Dialogic Sequence Analysis -- case example: Alistair -- Transference, countertransference and the working relationship of therapy -- Technical procedures -- Rating progress -- Recognising procedures as they occur -- Recapitulating and reviewing the session -- Homework -- Accessing painful memories and feelings -- Not recognising procedures as they occur -- The CAT model of resistance -- Dropping out of therapy -- Recognising procedures at termination -- goodbye letters -- The course of therapy -- Case history: Rita -- Further reading -- 8. THE DETAILED CAT MODEL OF THERAPIST INTERVENTIONS AND ITS USE IN SUPERVISION -- CAT, psychodynamic psychotherapy and cognitive-behaviour therapy (CBT): a comparison of practice -- Evidence for the specific effects of CAT techniques -- Therapist interventions in CAT -- acknowledgement, exploration and linking -- negotiation, seeking consensus, explanation and contacting unassimilated feelings -- Apparently psychologically unsophisticated patients -- case example: Grace -- Supervision of therapists in CAT -- Audiotape supervision -- Group supervision -- 'Parallel process' -- Distance supervision -- 9 CAT IN VARIOUS CONDITIONS AND CONTEXTS -- The problem of diagnosis -- competing paradigms -- The scope of CAT -- Practical methods-symptom monitoring -- Procedural monitoring -- Strategic issues: when to address symptoms directly -- Panic and phobia -- Generalised anxiety disorder -- Obsessive-compulsive disorders -- case example: Susan -- Post-traumatic stress disorder -- case example: Richard -- case example: Hannah -- Depression -- Somatisation -- Deliberate self-harm -- Eating disorders.

CAT and the management of medical conditions -- management of insulin-dependent diabetes -- management of asthma -- Substance abuse -- CAT in old age and early dementia -- Gender issues -- The effects of childhood sexual abuse -- true or false recollections of abuse -- Unresolved mourning -- CAT in primary care -- Psychosis -- current models of psychotic disorder -- current psychological treatments for psychotic disorders -- a CAT-based model of psychotic disorder -- case example: Sarah -- case example: Andrew -- Learning disabilities -- CAT in groups and organisations -- Further reading -- 10. THE TREATMENT OF PERSONALITY DISORDERS -- The concept of personality disorder -- Borderline personality disorder (BPD) -- the causes of BPD -- the CAT multiple self states model of BPD -- recognising partial dissociation -- the reformulation and therapy of borderline patients -- Case history: Deborah -- results -- the course of therapy -- Narcissistic personality disorder (NPD) -- Case history: Olivia -- Case history: Sam -- conclusion -- The treatment of BPD: research evidence -- The relation of CAT to current models of BPD -- Further reading -- 11. THE 'DIFFICULT' PATIENT AND CONTEXTUAL REFORMULATION -- Causes of difficult behaviour -- physical causes -- psychiatric causes -- staff team dynamics -- General approaches to the 'difficult' patient -- Contextual reformulation -- Constructing a contextual reformulation -- Examples of simple contextual reformulations -- case example: Brenda -- case example: Paula -- Uses and applications of contextual approaches to the 'difficult' patient -- Further reading -- AFTERWORD -- Distinctive features of CAT -- The continuing expansion of CAT -- The evidence base and research -- The implicit values of CAT -- Glossary -- Appendix 1: CAT-related research publications and the evidence base for CAT.

Appendix 2: The Psychotherapy File -- Appendix 3: Personality Structure Questionnaire (PSQ) -- Appendix 4: Repertory grid basics and the use of grid techniques in CAT -- References -- Index.

Remote

This is a comprehensive, up-to-date introduction to the origins, development, and practice of cognitive-analytic therapy (CAT). Written by the founder of the method and an experienced psychiatric practitioner and lecturer, it offers a guide to the potential application and experience of CAT with a wide range of difficult clients and disorders and in a variety of hospital, community care and private practice settings. Introducing Cognitive Analytic Therapy includes a wide range of features to aid scholars and trainees: ? Illustrative case histories and numerous case vignettes ? Chapters summaries, further reading and glossary of key terms ? Resources for use in clinical settings Essential reading for practitioners and graduate trainees in psychotherapy, clinical psychology, psychiatry and nursing.