The Oxford Handbook of Cognitive Analytic Therapy presents a comprehensive guide to the cognitive analytic therapy (CAT) model. It balances established theory and practice alongside a focus on innovation in both direct work with clients and the application of CAT more broadly within teams, organizations, and training, and as a model for leadership.
The volume includes a range of innovations in 'doing' and 'using' CAT, which are directly applicable for those studying and working in health, social care, and private services, across many specialties encompassing the entire lifespan. This includes child and adolescent services; working age through to older adults; individuals engaged with mental health services and within forensic and prison populations; and those experiencing physical health and neurological difficulties, both in community and inpatient settings. Given the social and dialogic origins of CAT, the book acknowledges the importance of the wider social, cultural, and political factors that can shape an individual's understanding of self and other, with chapters that both apply a CAT understanding to key issues such as racism and social context, and provide a critique to the extent in which CAT engages with these issues in practice.
This volume also has a focus on professional standards and governance (encompassing training, supervision, and a competency framework), and throughout the book the editors have endeavoured to include clients' voices, including personal reflections, extracts from actual CATs, and co-produced chapters, to ensure the book holds true to the collaborative nature of CAT.
A comprehensive guide to the cognitive analytic therapy (CAT) model, balancing established theory and practice alongside a focus on innovation in both direct work with clients and the application of CAT more broadly within teams, organizations, and training.
SECTION ONE: INTRODUCTION1. Overview to the Oxford Handbook of Cognitive Analytic Therapy, Laura Brummer, Marisol Cavieres, and Ranil Tan2. The evolving CAT model and its current core features, Ian B. Kerr and Hilary BeardSECTION TWO: CAT THEORY AND MODEL DEVELOPMENT3. Theoretical underpinnings of CAT, Eva Burns-Lundgren4. The 'D' in CAT, Jason Hepple5. The development of the multiple self states model, Mark WestacottSECTION THREE: CAT PRACTICE6. The structure of therapy, Deborah Tee7. Reformulation: Creating a shared understanding in CAT, Alison Jenaway8. Recognition: The development of a compassionate observing eye, Elizabeth Wilde McCormick9. Revision: Understanding how change is achieved, Julie Lloyd10. Endings in CAT, Deborah PickvanceSECTION FOUR: UNDERSTANDING PEOPLE IN THEIR SOCIAL, CULTURAL AND POLITICAL CONTEXT11. CAT in social context, Rhona Brown12. Othering and otherness in CAT: Exploring race, racism, and racial dialogues within a relational framework, Jessie Emilion13. Gender, sexuality, and CAT, Anne Benson and Josephine F. Discepolo AhmadiSECTION FIVE: DEVELOPMENTS IN CAT THEORY, RESEARCH, AND PRACTICE14. Working with enactments in CAT, Dawn Bennett, Glenys Parry, and Liz Fawkes15. Mapping and writing as a co-creative therapeutic process, Steve Potter16. Eight session CAT: The evidence and the approach, Stephen Kellett, Alex D. Young, Jason Hepple, and Stephen White17. Group CAT, Laura Brummer and Cheryl Delisser18. Do no harm: Balancing risk and safety in CAT, Glenys Parry19. Evaluating CAT: Research practice and future direction, Peter James Taylor, Olympia Gianfrancesco, and Samantha Hartley20. Semiotic object relations theory (SORT) as the basic CAT theory?, Mikael LeimanSECTION SIX: APPLICATIONS OF CAT21. CAT in the perinatal period, Sarah Douglass22. A cognitive analytic approach for working alongside young people, Nick Barnes23. Helping young people early: A model of early intervention for people living with a diagnosis of borderline personality disorder, Louise K. McCutcheon, Jessica O'Connell, and Andrew M. Chanen24. Getting the balance right: CAT for eating distress, Julia Coleby, Sarah Haycock, Jill Finnigan, Hannah Roberts, and Caroline Wyatt25. Using CAT to understand and work with complex trauma: Asylum seeker and refugee populations, Claire Wilson26. CAT and psychosis: Working with unusual experiences and extreme states, Ranil Tan, Alex Perry, and Olympia Gianfrancesco27. CAT for people with a diagnosis of bipolar disorder, Mark Evans28. CAT and intellectual disability: Working with individuals and systems, Natalie Bork and Jo Varela29. CAT within adult mental health inpatient settings, Marisol Cavieres and Ranil Tan30. CAT within forensic settings part one: An overview, Mark Ramm and Karen Shannon31. CAT in forensic settings part two: Clinical applications, Kerry Manson, Sue Ryan, and Peter Lock32. Clinical neuropsychology: The use of the multiple self states model to understand behaviour following traumatic brain injury, Karen Addy33. A relational approach to working with medically unexplained symptoms (or not yet explained symptoms), Nadine Bearman and Alison Jenaway34. CAT for long term health conditions, Andrew R. Thompson and John R. Fox35. CAT in a cancer setting: Working with people with cancer, carers, and staff, Susie Black and Jason Davies36. Attending to later life: A CAT approach to working with the legacy of complex trauma, Michelle Hamill, Ellen Khan, and Paul CatlinSECTION SEVEN: CAT WITHIN AND ACROSS SYSTEMS37. Five session CAT care planning approach, Angela Carradice and Andrea Daykin38. CAT consultancy for enhancing team functioning, Sarah Craven-Staines and Jayne Finch39. 'Struggling well': Using CAT to make sense of organisational hurt, Sue Walsh and Kate Freshwater40. CAT-informed leadership: Navigating the emotional and relational pressures of the workplace, David HarveySECTION EIGHT: INCORPORATING OTHER THERAPEUTIC APPROACHES AND TOOLS WITHIN CAT41. Adapting the six-part story method (6PSM) to CAT, Kim Dent-Brown42. Incorporating compassion focused therapy into CAT: Theory, perspectives, and applications, Pam Jameson43. Incorporating eye movement desensitisation and reprocessing (EMDR) into CAT, Mark J. Walker44. Creativity in CAT and the contributions of arts therapies to its theory and practice, Yvonne J. Stevens and Vicky Petratou45. Embodiment as a relational resource in CAT when working with developmental trauma, Tim Sheard46. CAT and technology: Where do we meet?, Cal NieldSECTION NINE: PROFESSIONAL ISSUES AND REFLECTIVE PRACTICE47. Developing relational reflective practice for individuals and teams: The 4Ps framework, Lindsay Jones and Phyllis Annesley48. Relational supervision in CAT, Yvonne J. Stevens and Jay Dudley49. Training in CAT, Dawn Bennett, Liz Fawkes, and Yvonne J. Stevens50. Competence in CAT, Glenys Parry and Dawn Bennett51. Ethics and CAT: Dare to be aware, Henrietta BatchelorSECTION TEN: CONCLUSION52. Future developments and challenges for the current CAT model, Ian B. Kerr and Hilary BeardAPPENDIX: CAT TOOLSPsychotherapy filePsychotherapy file (adapted)The personality structure questionnaire (PSQ)The states description procedure (SDP)Psycho-social checklistLife chartRating sheets (2 examples)
Dr Laura Brummer is a clinical director for Sussex Partnership NHS Foundation Trust, a consultant clinical psychologist and accredited cognitive analytic therapist and supervisor. Laura gained her DClinPsy from the University of Southampton and a PgDip in professional practice in health care (leadership and innovation) from Bucks New University. She gained her accreditation as a cognitive analytic therapist with Sheffield Hallam University and is also accredited with the Society for Dialectical Behaviour Therapy (SfDBT) as a therapist and supervisor. Laura has spent her career in psychology working in mental health services in the NHS. Laura has a special interest and passion for working with adults with mental health needs and improving how the NHS delivers services to working age adults and older people. Alongside her clinical work, Laura has co-authored 'Cognitive Analytic Therapy, Distinctive Features' published in 2018, as well as a number of research articles.
Dr Marisol Cavieres is a principal clinical psychologist, and accredited cognitive analytic therapist, supervisor, trainer, and moderator of cognitive analytic therapy (CAT) training courses. Marisol gained her BSc (Hons) and DClinPsy from the University of Liverpool. Throughout her career, Marisol has worked in adult mental health within the NHS and independent practice, in the UK and New Zealand (NZ). Over the past two decades Marisol has provided a range of accredited CAT trainings in the UK and internationally. She was course director for accredited CAT skills courses and helped to establish CAT training within NZ. Marisol has a particular interest in the adaptation of CAT as a brief intervention within acute mental health in-patient settings, and the use of reformulation to emphasise a relational perspective to provision of care. Marisol works for Avon and Wiltshire Mental Health Partnership NHS Trust as the lead clinical psychologist for acute care in Wiltshire.
Dr. Ranil Tan is a consultant clinical psychologist, and accredited cognitive analytic therapist and supervisor. Ranil gained his BSc (Hons) from York University, and his DClinPsy from the Universities of Keele and Staffordshire. Ranil works for the Leeds and York Partnerships NHS Foundation Trust, and has worked in the NHS for 20 years. Ranil has predominantly worked in specialist services for those with experiences of psychosis and those who have complex emotional and interpersonal difficulties (across both community and inpatient settings). Ranil has a particular interest in relational approaches to mental health care, as well as the social and political sources of distress. He has published a number of articles in these areas. Ranil is involved in the development and delivery of workshops and training in relation to CAT both within and outside of the NHS.
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