More about CAT
CAT is an integrative model of human development and of psychotherapy drawing on ideas as mentioned below. It is a fundamentally relational model, both in its view of human development and in its practice of psychotherapy. At its heart is an empathic, respectful and collaborative, meaning-making relationship between the client and therapist within the therapeutic boundaries.
What are the origins of CAT?
CAT was developed in the early 1980’s by Dr Anthony Ryle at Guy’s and St Thomas’ Hospital in London. CAT developed as a public health response to the mental health needs of a busy inner London area, and this concern with access and equity remains at the heart of the model. He felt it important to offer a short-term focussed therapy for use in the health service; a therapy that integrated the best of different approaches to people’s problems and that could be researched and refined with the growing experience of clients and therapists.
Theoretically, CAT draws on:
- Psychoanalytic concepts of conflict, defence, object relations and counter transference (particularly from Donald Winnicott).
- Ideas from activity theory and dialogism introduced by Lev Vygotsky and Mikhail Bakhtin. (Dialogism is a particularly kind of dialogue, not limited to two people speaking to each other, but to the whole way in which we act towards each other and expect each other to act towards us.)
- George Kelly's Personal Construct Theory and work with repertory grids; a focus on how people make sense of their world ("man as scientist") and on common sense, co-operative work with patients.
- From cognitive approaches involving step by step planning and measurement of change; teaching patients self-observation of moods, thoughts and symptoms.
What sort of problems can CAT help with?
CAT tries to focus on what a person brings to the therapy (‘target problems’) and the deeper patterns of relating that underlie them. It is less concerned with traditional psychiatric symptoms, syndromes or labels.
CAT has been widely used to help people who have experienced childhood physical, emotional or sexual abuse, neglect and trauma, including people who self-harm. CAT is also used with people with eating disorders, addiction problems (like drugs and alcohol), obsessional problems, anxiety, depression, phobias, psychosis and bipolar illness. CAT therapists also work with adolescents, older people and people with learning difficulties, and in forensic settings.
CAT is mostly offered to individuals, but it can also be used effectively with couples, in groups and to help teams understand the ‘system’ in which they work – an approach called ‘contextual reformulation’.
What Qualifications Can I Expect the Therapist to Have?
ACAT can confirm that all the therapists listed on the ACAT Register are accredited CAT Practitioners or Psychotherapists.
CAT Practitioners usually have either core training as a mental health professional (e.g. as a Psychiatrist, Psychologist, Nurse, Social Worker or Occupational Therapist,) with a minimum of two years post-qualification experience, or previous training in counselling to an accredited level followed by a two year training in Cognitive Analytic Therapy with accreditation following successful completion.
CAT Psychotherapists have qualified as CAT Practitioners and have undertaken an additional in-depth two year training leading to this qualification.
To search the register for an Accredited CAT Therapist click here.
To find an Accredited Private CAT Therapist click here.
CAT Factsheets
