By Phil Clayton, Julie Lloyd (eds.)
Members: Val Crowley, Pamela Mount, Hilary Brown, David Wilberforce, Simon Crowther, Perry Morrison, Steve Potter, Helen Elford, Nicola Murphy, Jo Varela, Michelle Anwyl, Zoe Ball
With quite a few case examples and contributions from skilled clinicians, this publication introduces Cognitive Analytic remedy (CAT) in sensible, ordinary language, and for the 1st time courses readers on the right way to use it with individuals with highbrow disabilities.
CAT is more and more acknowledged as a good technique for operating with individuals with highbrow disabilities. It specializes in watching and describing common styles of ways the buyer pertains to others, how they behave in relationships and the way they see themselves. by means of contemplating how those styles first constructed and the way they are often revised in a extra optimistic path, CAT can motivate switch to take place because the results of more healthy relationships. The individuals describe in uncomplicated phrases how CAT can be used with individuals with highbrow disabilities, and supply CAT instruments tailored particularly for this shopper staff. CAT and autism, CAT with individuals with highbrow disabilities in forensic settings and CAT with survivors of family abuse who've highbrow disabilities also are explored intimately.
This is vital analyzing for any clinician wishing to take advantage of CAT with individuals with highbrow disabilities, together with psychiatrists, psychologists, psychotherapists, social staff and aid employees, in addition to execs throughout forensic services.
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Extra resources for Cognitive Analytic Therapy for People with Intellectual Disabilities and their Carers
Instrumental action (learning) may issue from a diffuse, vague and unordered feeling about how a person is positioned, which then is brought forth into action or a higher mental activity. Learning Theory describes how change occurs at a pre-linguistic level, outside higher level thinking. Change occurs through associational learning. When the felt experience of the therapeutic relationship offers new ways and wider options, when the client experiences being able to be with the therapist in a way that is not trapped by previously frustrating procedures, then change happens.
A further aim was that the staff team might see a different side of him. He was very adept at keeping people at a distance, and was not well liked by the staff team because of the self-defeating strategies he engaged in, (swearing at staff, sarcasm, sexually offensive rhetoric, attempting to get staff into trouble). I thereby also trusted that by seeing a different side to him as I had in therapy, which was warmer, caring and thoughtful, and other positive attributes, that the staff team would begin to like him, and facilitate more positive interactions, thereby resulting in him feeling that he could reveal more of his vulnerable side.
When using CAT with people with intellectual disabilities, there are a number of tools that can be used, including using the Psychotherapy File (this is described in Chapter 2 on adapting tools). Much of our assessment work involves drawing stick people with our clients as we try to understand what is going on. Most of us are pretty useless at drawing; this serves the therapy well as our abilities can feel more equal. Reformulation A reformulation letter is a joint endeavour, written by the therapist and the client.
Cognitive Analytic Therapy for People with Intellectual Disabilities and their Carers by Phil Clayton, Julie Lloyd (eds.)