Key References to Research in CAT

Bedford, A., Davies, F. and Tibbles, J., 2009. The Personality Structure Questionnaire (PSQ): a cross-validation with a large clinical sample. Clinical Psychology and Psychotherapy, 16, pp 77-81.
Bennett, D and Parry, G. (1998) The accuracy of reformulation in cognitive analytic therapy: a validation study.  Psychotherapy Research, 8, 84-103.
Bennett, D and Parry, G. (2004) A measure of psychotherapeutic competence derived from Cognitive Analytic Therapy.  Psychotherapy Research, 14, 176-192.
Bennett, D, Pollock, P and Ryle, A. (2005) ‘The States Description Procedure: The Use of Guided Self-Reflection in the Case Formulation of Patients with Borderline Personality Disorder’.  Clinical Psychology and Psychotherapy, 12, 50-57.
Bennett, D, Parry, G. and Ryle, A. (2006)   Resolving threats to the therapeutic alliance in cognitive analytic therapy of borderline personality disorder: a task analysis.  Psychology and Psychotherapy: Theory, Research and Practice. 79, 395-418
Brockman, B., Poynton, A., Ryle, A. & Watson, J. P. (1987) Effectiveness of Time-limited Therapy carried out by trainees. British Journal of Psychiatry, 151, 602 - 610.
Chanen, A.M., Jackson, H. J., McCutcheon, L. K., Jovev, M., Dudgeon, P., Yuen, H. P., Germano, D., Nistico, H., McDougall, E., Weinstein, C., Clarkson, V., and McGorry P. D. (2008) Early intervention for adolescents with borderline personality disorder using cognitive analytic therapy: randomised controlled trial. The British Journal of Psychiatry, 193, 477-484.
Chanen A.M., McCutcheon L., Germano D., Nistico H., Jackson H. J., & McGorry P.D. (2009a) The HYPE Clinic: An Early Intervention Service for Borderline Personality Disorder.  Journal of Psychiatric Practice, 15, 163-172.
Chanen A.M., Jackson H.J., McCutcheon, l.K et al. (2009b) Early intervention for adolescents with borderline personality disorder: quasi-experimental comparison with treatment as usual.  Australian and New Zealand Journal of Psychiatry, 43, 397-408.
Daly, A-M. , Llewellyn, S. and McDougall, E. (2010). Rupture resolution in the cognitive analytic therapy for adolescents with borderline personality disorder.  Psychology and Psychotherapy: Theory, Research and Practice, 83, 273-288.
Dasoukis, J., Garyfallos, G., Bozikas, V., Katsigiannopoulos, K., Voikli, M., Pandoularis, J., Lombtziannidou, M., Zagora, C., Giannakou, M. and Adamopoulou, A., 2008. Evaluation of Cognitive-Analytic Therapy (CAT) outcome in patients with Borderline Personality Disorder. Annals of General Psychiatry, 7, pp Supplement 1.
Duignan, I. and Mitzman, S. (1994) Change in patients receiving time limited cognitive analytic group therapy.  International Journal of Short-Term Psychotherapy, 9, 2/3, 151-160.
Fosbury J.A., Bosley, C.M., Ryle, A., Sonksen, P.H. and Judd, S.L., 1997. A Trial of Cognitive Analytic Therapy in Poorly Controlled Type 1 Diabetes Patients. Diabetes Care, 20, pp 195-203.
Fosbury, J., 1996. Psychological treatment (CAT) with poorly-controlled diabetic patients.. Practical Diabetes International, 13, pp 158-162.
Fosbury, J., Moore, S., Kidd, J., Sonksen, P. and Amiel, S., 1996. Psychological issues in the diabetes clinic. Practical Diabetes International, 13, pp 92-93.
Golynkina, K and Ryle, A. (1999) The identification and characteristics of the partially dissociated states of patients with borderline personality disorder.  British Journal of Medical Psychology, 72, 429-445.
Hepple, J. & Sutton, L. (eds) (2004) Cognitive Analytic Therapy and Later Life: A New Perspective on Old Age.  Brünner-routledge, Hove and New York.
Hepple, J. (2012) Cognitive Analytic Therapy in a Group.  Reflections on a dialogic approach.  British Journal of Psychotherapy (accepted for publication).
Katsigiannopoulos, K., Garyfallos, G., Pazarlis, P. and Adamopoulou, A., 2008. Effectiveness of cognitive-analytic therapy (CAT) in major depression and systemic lupus erythematosus: a case report. Annals of General Psychiatry, 7, pp Supplement 1.
Kellett, S. (2005) The Treatment of Dissociative Identity Disorder with Cognitive Analytic Therapy: Experimental Evidence of Sudden Gains.  Journal of Trauma & Dissociation 6, 55-81.
Kellett, S. (2007) A time series evaluation of the treatment of histrionic personality disorder with cognitive analytic therapy. Psychology and Psychotherapy: Theory, Research and Practice, 80, 389-405.
Kellett, S., Bennett, D, Ryle, T and Thake, A., 2012.  CAT for BPD: Therapist Competence and Therapeutic Effectiveness in Routine Practice.  Clinical Psychology and Psychotherapy (accepted for publication).
Kerr, I, Dent-Brown, K, & Parry, G (2007) Psychotherapy and mental health teams.   International Review of Psychiatry, 19, 63–80.
Kosti, F., Adamopoulou, A., Bozikas, V., Katsigiannopoulos, K., Protogerou, C., Voikli, M., Zagora, C. and Garyfallos, G., 2008. The efficacy of Cognitive-Analytic Therapy (CAT) on anhedonia in patients with Obsessive-Compulsive Personality Disorder. Annals of General Psychiatry, 7, pp Supplement 1.
Livanos, A, Adamopoulou, A., Katsigiannopoulos, K., Bozikas, V., Voikli, M., Pandoularis, J., Dasoukis, J., Zagora, C. and Garyfallos, G., 2008. Anhedonia in patients with borderline personality disorder: the efficacy of cognitive-analytic therapy (CAT). Annals of General Psychiatry, 7, pp Supplement 1.
Maple, N. and Simpson, I. (1995) CAT in groups.  In: A. Ryle (ed.) Cognitive Analytic Therapy: Developments in theory and practice.  Chichester: Wiley.
Pollock, P. (2001) Cognitive Analytic Therapy for Adult Survivors of Childhood Abuse: Approaches to Treatment and Case Management.  Chichester: Wiley.
Pollock, P.H., Broadbent, M., Clarke, S., Dorrian, A.J. and Ryle, A. (2001) The Personality Structure Questionnaire (PSQ):  A measure of the multiple self states model of identity disturbance in cognitive analytic therapy.  Clinical Psychology and Psychotherapy, 8, 59-72.
Pollock, P., Stowell-Smith, M. and Göpfert, M. (2006) Cognitive Analytic Therapy for Offenders:  A New Approach to Forensic Psychotherapy, Routledge.
Protogerou, C., Garyfallos, G., Katsigiannopoulos, K., Bozikas, V., Voikli, M., Georgiadou, O., Kosti, F., Ziliasopoulou, D., Zagora, C. and Adamopoulou, A., 2004. Evaluation of Cognitive-Analytic Therapy (CAT) outcome in patients with Obsessive-Compulsive Personality Disorder. Annals of General Psychiatry, 7, pp Supplement 1.
Ryle, A. (1967) ‘A Repertory Grid Study of the Meaning and Consequences of a Suicidal Act’, British Journal of Psychiatry, 113, 1393-1403.
Ryle, A. (1975) ‘Self-to-Self, Self-to-Other: The World’s Shortest Account of Object Relations Theory’, New Psychiatry, 12-13.
Ryle, A. (1980) ‘Some Measures of Goal Attainment in Focused Integrated Active Psychotherapy: A Study of Fifteen Cases’, British Journal of Psychiatry, 137, 475-486.
Ryle, A. (1982) Psychotherapy: A Cognitive Integration of Theory and Practice.  London: Academic Press.
Ryle, A. (1990) ‘Cognitive Analytic Therapy’, in Handbook of Integrative Therapies 1 pp 84 - 193.  OUP
Ryle, A. (1996) Ogden’s autistic-contiguous position and the role of interpretation in psychoanalytic theory building.  British Journal of Medical Psychology, 69, 129-138.
Ryle, A. (1997a) Cognitive Analytic Therapy and Borderline Personality Disorder.  The Model and the Method.  Chichester: Wiley.
Ryle, A. (1997b) The structure and development of borderline personality disorder; a proposed model.  British Journal of Psychiatry, 170, 82-87.
Ryle, A. (2001). Constructivism and Cognitive Analytic Therapy (CAT).  Constructivism in the Human Sciences, 6, 51-58.
Ryle, A. (2003). Something more than ‘something more than interpretation’ is needed: a comment on the paper by the process of change group. International Journal of Psychoanalysis; 84:109-118.
Ryle, A. (2007) Investigating the phenomenology of borderline personality disorder with the States Description Procedure: clinical implications. Clinical Psychology and Psychotherapy; 14, 329-341.
Ryle, A. (2010) ‘The view from CAT’ Ch. 3 in Loewenthal, D. & House, R. (Eds) ‘Critically Engaging CBT’.  Maidenhead: Open University Press.
Ryle, A. & Golynkina, K. (2000) Effectiveness of time-limited cognitive analytic therapy of borderline personality disorder: Factors associated with outcome. British Journal of Medical Psychology, 73, 197-210.
Ryle, A. & Kerr, I. (2002) Introducing Cognitive Analytic Therapy: Principles and Practice.  Chichester: Wiley.
Thompson, A.R., Donnison, J., Warnock-Parkes, E., Turpin, G., Turner, J., and Kerr , I.B. (2008) Multidisciplinary community mental health team staff’s experience of a ‘skills level’ training course in cognitive analytic therapy.  International Journal of Mental Health Nursing, 17, 131-137.

Updated May 2012

Research Support Documents:

ACAT Minimum Data Set Guidance 2013
The measures in this guide have been selected on the basis that they are widely used in the NHS and outcome studies, are reliable and valid, and are free and quick to use. The list is not exhaustive, but suggests the minimum set of measures to enable a meaningful evaluation of the effectiveness of CAT.

ACAT Calendar for January
2121st January 2021
CAT Introductory Event: ACAT: Two Day Introduction to CAT Online
2929th January 2021
CPD Event: Technology-Assisted Cognitive Analytic Therapy - offered by Catalyse

More information:

Support for CAT research Informal Research Advice Current Research and Research Awaiting Publication Deconstruction of CAT Using a CAT approach to make sense of psychosis Team based Interventions with 5 session CAT consultancy The case formulation task in psychotherapy Therapists’ Construction and Application of the Reformulation Diagram in Clinical Practice RCT of CAT with adolescent and borderline patients Understanding SDRs in CAT CAT Sequential Diagrammatic Reformulation (SDR) to explore service users' experience of CAT formulation: a qualitative thesis project Comparison of Treatment of Anorexia in Adults with CAT Case Series Research - in intellectual disability (community and forensic) services Recently Published Research and Research Presentations A Feasibility Trial of Group Cognitive Analytic Music Therapy in Secure Hospital Settings (2014) Assessment of identity disturbance: Factor Structure and validation of the Personality Structure Questionnaire (PSQ) in an Italian sample CAT and Psychosis Cognitive Analytic Therapy for high-risk sexual behaviour Is Cognitive Analytic Therapy (CAT) effective in treating Hoarding Disorder? Testing the Effectiveness of Cognitive Analytic Therapy for Hypersexuality Disorder: An Intensive Time-Series Evaluation Group Cognitive Analytic Therapy for Female Survivors of Childhood Sexual Abuse An eight-eyed version of Hawkins and Shohet’s clinical supervision model: the addition of the cognitive analytic therapy concept of the ‘observing eye/I’ as the ‘observing us’ Outcomes of cognitive analytic therapy delivered by trainees Treatment of Paranoid Personality Disorder with Cognitive Analytic Therapy - A Mixed Methods Single Case Experimental Design Team Consultancy Using Cognitive Analytic Therapy: A Controlled Study In Assertive Outreach Using a cognitive analytic approach to formulate a complex sexual and violent offender to inform multi-agency working: developing a shared understanding Bipolar Trial: CATBiD: A phase one randomised controlled study of Cognitive Analytic Therapy for Bipolar Affective Disorder Development and evaluation of cognitive analytic guided self-help (CAT-SH) for use in IAPT services How change is enabled during cognitive analytic therapy: An exploratory study of the treatment of depression Key References to Research in CAT Summaries and Meta-analyses of CAT Research Cognitive Analytic Therapy at 30 Cognitive Analytic Therapy: A review of the outcome evidence base for treatment Systematic review and meta-analysis Research and Communication Committee ACAT Research Strategy Donate to ACAT Research Fund Researchers Currently Recruiting Through ACAT CAT Research Archives Do people with learning disabilities have a concept of reciprocal roles Exploring endings from therapist's experience RCT for CAT and diabetes A process study evaluating rupture repair in CAT CAT in groups The SPeDi Trial (Sheffield Personality Disorders) Goodbye Letters in CAT The effectiveness of CAT for BPD RCT for CAT informed care planning CAT and CBT for affective disorders

Contact Details

ACAT Administration Manager:Maria Cross

ACAT Administrator:Alison Marfell

ACAT Financial Administrator:Louise Barter

Postal Address:ACAT
PO Box 6793
United Kingdom

Phone:+44(0) 1305 263 511

Office Hours:Monday to Friday
9am to 5pm

News from ACAT

Bookstall clearance sale - additional discount for ACAT members Bookstall clearance sale - additional discount for ACAT members...

ACAT Website Gets Mobile-Friendly Last week ACAT's website was updated to use a "responsive" design framework. This means it now works properly on mobile devices and tablets as well as on laptops and desktop computers....

Click to read all news


This site has recently been updated to be Mobile Friendly. We are working through the pages to check everything is working properly. If you spot a problem please email and we'll look into it. Thank you.