CAT has a well-established approach to team-based training which is used throughout the UK. This can be particularly helpful for clients with complex presentations who may struggle to form collaborative treatment relationships and whose interpersonal difficulties may play out in the team or systems around them.
Clarifies the team task
Offers a shared language for formulation
Non-collusion with problem patterns
How not to get caught up in automatically responding to the patient’s difficult behaviour and emotional reactions.
Contextual reformulation is an approach which has evolved out of attempts to address more complex processes involved in the perpetuation and exacerbation of an individual’s psychopathology.
In contrast to a CAT personal reformulation:
“Contextual reformulation integrates an understanding of the patient’s difficulties with problematic professional responses, reframing what it means to hold an adaptive professional position when trying to help such patients”. (Ian Kerr).