Chapter 2 The Main Features Of CAT Flashcards
In CAT the repetitive maladaptive patterns of thought and behaviour take what three forms?
Traps
Snags
Dilemmas
What two forms of reformulation does CAT make use of?
Narrative
Diagrammatic
Define dilemma
When the possibilities for action or relationships are seen to be limited to polarised choices and where the only apparent options are to follow the less objectionable choice or to alternate between them
Define trap
The maintenance of negative beliefs through generated forms of behaviour that seem to confirm the beliefs
Define snag
The abandoning or sabotaging of an appropriate goal because (or as if) it is believed that its achievement would be dangerous to self or others, or otherwise disallowed
Snag was to go on to become known as an acronym for what?
Subtle negative aspect (of) goal
Dilemmas, traps and snags were used as a framework for Ryle’s initial study of outcomes within psychodynamic therapy practice. What method was used in a second study?
Repertory grid techniques
During CAT’s development repertory grids were used when and for what?
At the beginning of a psychodynamic therapy to measure the significance of a range of relationship descriptions (constructs) and the patient’s relationships with significant others
At the end of therapy to measure change
During CAT’s development and following the development of repertory grids, what aspect of the therapy was to go on to become a key feature of CAT?
The joint reformulation of the patient’s problem
The ‘Psychotherapy File’ is used as a self monitoring tool to record mood changes and symptoms, which are summarised as?
Target problems
Target problem procedures
The procedure or procedural sequence model was to become the theoretical basis of CAT. It is comprised of what four stages?
External factors: events, cues and context
Appraisal: possibility of actions relating to beliefs, values, aims; selection of response or action plan (based on assumptions of efficacy and outcome)
Action: including playing a role in a relationship
Outcome: evaluating consequences, confirming or revising aims, consideration of modifying procedures
External/Appraisal/Action/Outcome
Affect, cognition, meaning and action are understood in relation to past and present relationships with others. What key concept does CAT use to further understand relationships?
Object relations
Object relations theory was to influence what key theoretical development within CAT?
The Procedural Sequence Object Relations Model
With the advent of the PSORM, procedures were to become known as what?
Reciprocal role procedures
A sequential diagrammatic reformulation is usually developed using which two methods?
A jointly constructed descriptive ‘flow chart’ resulting from a patient’s core ‘subjective self’
A descriptive sequence of problem procedures resulting from the patients reciprocal role repertoire (listed at the core of the diagram)
How does CAT understand borderline features?
As the partial dissociation between an individual’s core reciprocal role procedures
How does CAT understand dissociation?
As discontinuities in, and incomplete access between, different reciprocal role procedures
Dissociated RRPs are also known as what?
Self states
During reformulation what essential skill do CAT therapists require?
The ability to see what overall patterns are suggested by detailed events or repetitions
CAT therapists base their comments on what can be seen or has been reported. They do not…?
Offer interpretations of ‘the unconscious’
What phrase is considered preferable to that of ‘defence’?
‘Coping strategy’
The three Rs of CAT are?
Reformulation
Recognition
Revision
The time limited nature of CAT is attributed to whom?
James Mann (1973)
What practice of Mann’s was incorporated into CAT?
The explicit naming of session numbers
The object relations school, largely derived from theory-derived hypotheses, primarily emphasised what tenet of psychoanalytic theory?
That humans contain within them innate conflicting drives
With regard to CAT the work of which two theorists was instrumental in advancing object relations theory?
Vygotsky
Bakhtin
The concept of sign mediation comes from which theorist?
Vygotsky
Concrete sign mediation is used in CAT by what means?
Reformulation
Who replaced the idea of ‘ghosts in the machine’ with the concept of ‘voices’?
Bakhtin
Bakhtin is famous for which of the following ideas?
a) The dyadic self
b) The diabolical self
c) The dialogic self
Natterjack toads in aspic
