Tag Archives: Cognitive Analytic Therapy

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A Starting State for Cafe CAT

 

On October 11th 2017 a gathering of the northern CAT community took place at Z Arts  in Hulme, Manchester, for the first of our new Cafe CAT evening meetings. We are pleased that a couple of those attending kindly took up the invitation to write a blog on the event. We therefore welcome some new voices to our blog: those of Vikki Aadahl and Lucinda Bolger.

For the Café CAT debut a warm welcome was received at the Z-arts centre in Hulme. Young people noisily occupied in an art group and later a choir provided an engaging backdrop for a creative discussion under the title of, ‘what state are we in?’.  Clive Turpin, CAT psychotherapist, greeted group members as they arrived with old and new colleagues re-connecting as everyone took their seats. Clive set the tone for the group as an open opportunity to come together to discuss, debate, share ideas and reflections on a particular CAT related theme. No presentation or teaching more a space and time for sharing thoughts, reflections and ideas.

Kicking us off was the question of, ‘what state are we in?’ What do we even mean when we start talking about states – state of mind? A state of being? A state of an organisation like the NHS? Or even the state of the world? When writing down some common states the majority of group members wanted this to be encircled:

enraged    omnipotent    elated    child-like    sadness

Where had the urge to circle states come from? Teaching? Reading? There was a felt sense of wanting to contain the visual representation of states with a visual circle. Is this paralleled with therapist’s desire to contain states? And/or are the people engaging in CAT wanting states to be contained? Do states feel uncontained?

Most group members had an understanding of states as parts of the self. So it was considered how people move between these different parts of self.  What happens relationally to create a state shift? How aware are people of state shifts and the contributing factors to this shift? Members shared a common experience of individuals feeling like state shifts happen without awareness/warning.

If visually representing states on a map it was suggested that reciprocal roles can be included within the state. Some had chosen to develop understanding of a state by giving it a name – ‘zombie’, ‘hulk’,  ‘behind glass.’  And naming the physical experience of the state – what happens in the body in this state? Further detail of a state was developed by thinking about what mood is generally felt in each state? Do some states give greater access to moods/emotions/feelings? Thinking relationally, can some states be more likely to lead to a rupture in the therapeutic relationship? Should this be discussed early in therapy to help prevent a rupture? Hilary Beard’s self-states form was passed around as a potential tool to facilitate these discussions. Consideration of the zone of proximal development (ZPD) was highlighted in the same way it would be with any other part of CAT therapy. For some it can be hard to name/discuss/acknowledge some states. Also shared was the potential of including a hopeful/functioning/positive state on someone’s map.  Can this be represented as a ‘safe place?’ Others used the term ‘healthy island.’

The bar at the Z-arts centre was open for the break providing some sustenance to keep energy going for the second hour. In individual groups we took the state ‘helpless’ to consider sharing ideas for understanding the state. We considered the see saw between helpless and hopeful/rescue/striving state. We thought about the potential history of the state, the contributing factors, the responses of others, the potential functions of the state, feelings connected with it, potential exits or helpful responses and so on. Within a 10 minute exercise we were surprised to have generated lots of ideas.

Drawing the time to a close Clive invited suggestions for future topics for Café CAT. He invited others to host and facilitate future groups if they would want to, being open to the evolvement of the group to suit the needs of group members. An engaging start to what hopes to be a successful future for Café CAT!

Vikki Aadahl @vikkiharry

I attended the inaugural Cafe CAT meeting last week, so as to re-immerse myself into the CAT world. Sometimes an integrative way of working can feel like it risks diluting the best bits, and it is refreshing to surround myself with other people who see the world through CAT eyes.

It was helpful to have a structure (scaffolding?) which on this occasion was ‘states’, and to be given the opportunity to explore what that meant to us. After our discussions we had an opportunity to make sense of a ‘helpless’ state by drawing it out in small groups.

I would really encourage those with an interest in CAT to attend the next meeting in January.

Lucinda Bolger

The next Café CAT is titled ‘Exploring CAT tools: what’s kept post training’ and will be held on Wednesday 24th January 2018 from 18.15 to 20.15. We look forward to seeing you then. If you’d like to lead a future Café CAT meeting, or have any ideas or suggestions for topics, then please contact us.

If you’d like to blog about what you took away from one of our training, CPD or networking events, then please get in touch.  You can subscribe to the Catalyse blog by providing your details below.  If you do, you’ll receive an automatic email notification of any new blog posts when they’re published.

 

 

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What State Are We In? All ready for Cafe CAT

This Wednesday, 11th October, will see the first of our new evening Café CAT events taking place at Z-arts in Hulme, Manchester.  This is an open meeting with a focus on informal CPD and networking for the CAT community in the north.

Clive Turpin will lead the first meeting, introducing the topic of:

What state are we in? Reviewing how states are incorporated into maps and our work

Bring along your thoughts, pens, paper, and of course your states of mind, for an evening of connecting, conversation and mapping.  If you have any favourite papers or resources on the topic that you think will be helpful to share, you can bring them along on the night or leave a comment below.

Entry costs £5 on the door, to cover costs.  We’ll start at 6.15pm and end at 8.15pm.  Please arrive in good time to be with us for the start, when Clive will share some initial thoughts on the topic.

There will be a bar and light snacks available to purchase.  Details of how to find the venue are available here.  There is on-street parking for which there’s no charge after 6 pm.

We hope that others within the local CAT community will get involved in suggesting topics or leading future Café CAT meetings in Manchester or further afield.  So please come along or contact us if you’d like to be involved further.

 

Project Manager Opportunity

We invite you to apply for a temporary Project Manager position to lead an exciting new Catalyse project.

Catalyse want to produce a series of training DVDs and resources that we can use on our accredited trainings in Cognitive Analytic Therapy,  including introductory workshops, CAT skills training and Practitioner training.  These will  illustrate the competencies in the C-CAT measure of CAT competence.

You may have skills or a background in media/marketing/drama as well as your therapeutic profession? You may bring experience of eLearning or other expertise? You may be a CAT therapist excited and thrilled by this opportunity?

Key aspects of the role would include:

  • Liaising with the CAT course trainers and Catalyse Exec to work up scenarios based on real clinical examples
  • Developing a clear sense of the learning/discussion points and creating text with input from the trainers
  • Sourcing and auditioning actors or vetting those offered by the production company
  • Planning the storyboard for one film
  • Working with the production company to film and evaluate a ‘taster’ production
  • Moving on to the task of co-creating up to 20 skills demonstrations

Interested?
We envisage funding you to work one day a week for three months in the first instance (or flexibly to suit) on a daily rate of £300 per day. The project may expand. Refining the job role would be part of the early stages of this post.

Apply! – Closing date for applications Friday 8th September 5pm

Please submit a brief CV and a personal supportive statement of up to 750 words to say why you are interested in this post and what you feel you can bring. Please send your application to Frances Free – frances@catalyse.uk.com

Project-Manager-Advertisement.pdf

Demonstrating Versatile CAT in Forensic Settings

Catalyse Executive member Dr Karen Shannon has recently co-authored a chapter with CAT colleague Philip Pollock in Routledge’s “Individual Psychological Therapies in Forensic Settings: Research & Practice” edited by Jason Davies & Claire Nagi.  Cognitive Analytic Therapy is one of eight therapies featured.  Other models include ACT, CBT, CFT, EMDR, MBT, Personal Construct Psychotherapy, Psychodynamic Psychotherapy and Schema Therapy.

A common chapter framework in the first part of the book compares and contrasts different therapies.  The second part of the book includes chapters on groupwork as an adjunct to individual therapy, ethics, supervision, and selection of therapies and therapists.

The editors note in their foreword that the chapter describes CAT as individual therapy for those whom services can find hard to help.  Moreover, they note how Karen and Philip describe CAT as “an explicit framework to inform staff/team/system care and risk management”Karen is pleased about this acknowledgement of the multipurpose and versatile nature of CAT.  She hopes readers can glean not only what CAT offers as an individual therapy in forensic settings but also how to use it as a broader model to inform care.

Inspection copies are available on application to the publisher by those working within academic institutions considering use of the text within their courses.

You can see more details about the book at this link.

Dr Karen Shannon is a member of Catalyse Executive.  She has several roles including leading on CAT Skills Training, contributing to teaching on our Practitioner Training course, and she also leads our CPD programme.  She and Dr Kerry Manson will be offering a CPD day in 2018 (date and details to be confirmed) on Working with Complexity & Risk: Application of CAT to those who pose a risk of harm to others.  This was previously run with ACAT in February 2017 (see details here.)