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Editorial

Scott Stewart, M., Nuttall, S.,, 2003. Editorial. Reformulation, Summer, p.3.

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Editorial

Another bumper edition of Reformulation! thanks to a conference which brought to the surface more variations and depth in CAT. This year the contributions move into the areas of shame and perversion. These areas are traditionally seen as the site for analytical ideas, so much is written about perversion in the analytical literature. In the working in the transference in both object relations and Jungian psychology the feelings of disgust and shame associated with the shadow side of the self often seem to be the essential area of exploration. Psychoanalysts pride themselves on being able to work with the projections that result from self-loathing. In the articles by Paul Gilbert and Heather Wood we can see the translation of experiences of shame and perversion into cognitive and CAT language, and different or extended ways of working with disgust. People with Borderline Personality Disorder experience much self hatred, and Liz Fawkes’ and Val Fretten's contribution describes the overwhelming nature of the feelings that have to be named and navigated by both therapist and patient. Paul Webster and Claire Tanner, in ‘Narcissism, a CAT Perspective’, show a deepening of the integration of Kernberg's work into the Reciprocal Role Descriptions. Kernberg is such an important figure in work on Borderline Personality Disorder, so it is exciting to see this kind of integration happening in clinical work.

Following the last edition we are continuing the section: CAT and the NHS. Julie Lloyd and Barbara Williams explore CAT within NHS services for people with learning disabilities. Their paper ‘Reciprocal Roles and the Unspeakable Unknown’, not only gives the background to the problem of challenging behaviours, it also shows working with SDRs and grappling with Recognition and Reformulation in this setting. They describe their work as “some thoughts and initial hopes for a CAT approach” and invite others to respond and network with them. We hope readers can take up this generous offer. Lawrence Welch adds some grist to the mill of thinking about the NHS from an interesting historical perspective, in the letters page.

In both ‘Reciprocal Roles and Unspeakable Known’ and Rachel Pollard’s review of a new book on Bakhtin we have a chance to think about how professionals position themselves in relation to patient groups. Peter Good, a psychiatrist, set out to clarify the worlds differentiated by Bakhtin as chronotopes for those accepted by, and for those on the margins of society. He put himself into a psychiatric hospital and experienced the other side of the tracks for himself. This contributes much to the literature, Laing et al, that explores this kind of moving across the boundaries of sanity and insanity.

There has been a call for voices to respond to the insanity of war. We tapped into a mine of passionate thinking, found in the letters section. The impact of the war will go on in the effects of fear, shame and hopelessness. How do we deal with this in ourselves and in our work with patients? We would like to hear more. We hope you enjoy the issue as much as we have and look forward to your responses.

Mog Scott Stewart         Editor
Serena Nuttall               Editor

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Scott Stewart, M., Nuttall, S.,, 2003. Editorial. Reformulation, Summer, p.3.

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