Speakers

Richard Wilkinson

Professor Emeritus of Social Epidemiology at the University of Nottingham Medical School

'How inequality comes between us’

This lecture will focus on the psychological effects of large income differences between rich and poor.  It will show how inequality undermines feelings of self-worth, damages social relationships, and contributes to the heavy burden of stress and mental illness in rich developed countries.  The material is taken from the The Inner Level, the new book by Wilkinson and Pickett, which shows that inequality is not merely about economics and living standards, but affects us all intimately, changing the nature of social life and reducing levels of confidence.  It describes some of the social and psychological processes which lead to the increased rates of health and social problems shown in their earlier book, The Spirit Level.

Biography

Richard Wilkinson studied economic history and the philosophy of science at the London School of Economics before training in epidemiology. He is now Professor Emeritus of Social Epidemiology at the University of Nottingham Medical School, Honorary Professor at University College London and Visiting Professor at the University of York.  His early research on the causes of health inequalities resulted in the British Government setting up the inquiry which, in 1980, produced the Black Report on Inequalities in Health and stimulated the development of research internationally in the field. Since then his books and research papers have drawn attention to the tendency for societies with bigger income differences between rich and poor to suffer a heavier burden of health and social problems.

Two of his books have been the subject of documentary films – The Great Leveller (for the Channel 4 TV’s Equinox series broadcast in 1996) was based on his Unhealthy Societies.  The Divide (based on The Spirit Level) was released in April 2016 (available on Netflix).  The Spirit Level, written with Kate Pickett is now in 24 languages.  It won the 2011 Political Studies Association Publication of the Year Award and the 2010 Bristol Festival of Ideas Prize.  His TED talk ‘How economic inequality harms societies’ has been watched over 3 million times.  In 2013 Richard Wilkinson (with Kate Pickett) received Solidar’s Silver Rose Award and the 2014 Irish Cancer Society’s Charles Cully Memorial medal.  In 2017 Wilkinson was The Australian Society for Medical Research’s medallist of the year. In 2018 he and Kate Pickett published their latest book, called The Inner Level: how more equal societies reduce stress, restore sanity and improve everyone’s wellbeing

In the last few years he has given many hundreds of conference addresses and media interviews round the world, including at WHO, the EU, OECD, IADB and the World Bank.


Equality, Diversity and Inclusion Committee (EDIC)

'Us in the world and the worlds in us: pushing and moving in CAT through some of ACAT's multiple voices'

In  an ever-changing world, rife with inequalities, is CAT fit for purpose or only for a favoured few?  We, members of the EDIC, want to highlight some different perspectives and the application of the 3Rs of CAT in our world today. We bring with us different angles, from both a professional and personal stance.  Our different experiences mean the world has shaped us in different ways, and we each contain a multitude of voices.  We invite the audience to join us in a dialogue aimed at including diverse voices in CAT so that together we can push where CAT can move, improve it, keep it up to date, and relevant to all.  

 

Steve Potter

'Divided selves in a divisive world.   How the conversational process of CAT mapping can combine emotional healing with relational awareness and an outwardly social story of the self'

There is an emotional healing process when conversationally mapping our patterns of relating side-by-side in therapy or reflective practice.  In such a process transference and trauma need working with as two sides of the same relational coin.   Using examples with CAT colleagues this plenary presentation will offer relational maps and examples of some of the divisive processes in contemporary societies and look afresh at the ideas of a divided self (James, Fromm, Winnicott, Laing, Bromberg) using the ideas of reciprocal roles and multiple self-states.  Therapists in any approach can learn to use the tools of CAT mapping to formulate the relational awareness that can understand, heal and, if necessary, live within a divided self.    We need ways (CAT offers them) to supervise moments when the deepest parts of our sense of self are being pulled in, attacked, overlooked or burdened and we cope by developing a divided self

Biography

Steve Potter is a CAT psychotherapist who teaches and supervises on different courses in the UK and internationally.  He is based in London.


Dr Lawrence Welch 

CAT Psychotherapist

'Dialogue and Diversity'

As human beings we are very diverse, each seeing things either slightly or completely differently alongside connecting socially and learning from someone else’s knowledge.  We ‘simplify’ the complexity of the world through narratives which bring meaning to us. An illustration of this is the therapeutic relationship which is central to the effectiveness of psychotherapy though there is much debate about what is meant by the concept (e.g. Hill C.E. 2017, Norcross 2017)  CAT’s concept of Reciprocal Roles (RRs) provides a powerful framework for understanding this process.  However, like all concepts, there are always ways in which the therapeutic relationship and the idea of RRs can be seen slightly differently, and this can lead to either conflict or development.    Our largely unconscious capacity to communicate our ideas can lead the other to a position of an overly ‘connected’ place or to a dismissive, conflictual place.  The idea of dialogue over our differences provides a space to think about how we can maintain awareness of our own ideas without either becoming overly connected to the other or being trapped in the conflictual space.  I hope in my presentation I can convey the ideas in a dialogical and understandable way!

Biography

Dr Lawrence Welch is a founder member of ACAT and of the ACAT North/Catalyse training group.  He completed his PhD on the reliability, validity and process of reformulation in 2010.  He worked as a psychotherapist in the NHS since 1996 with his last five years as a Consultant Psychotherapist in North Tyneside Psychological Therapies Services before being made redundant in December 2014.  He has a special interest in the relationship between the macro political issues and the micro psychological experience

 

Caroline Greenwood Dower

'Embodying Subjectivities in CAT:  On difference, differentiation and belonging'

“Love is the extremely difficult realisation that something other than oneself is real” – Iris Murdoch.  

Relational therapies enhance our sense of subjectivity; an emerging awareness of ourselves and our relationality is intertwined and unfolds with a deepening sense and experience of the Other.  

CAT technologies are well-placed to translate experiential work into useable insight, but do how we do this without further ‘objectifying’ self and other?  How might our theory and practice evolve to support ‘subjectifying’ ourselves and our clients – finding safety whilst being different and a sense of belonging whilst exercising agency and autonomy?  I will explore the crucial and integrating roles of both somatic experience and verbal insight in these processes of differentiation and individuation and the management of conflict and rupture.

Biography

Caroline is an Integrative Psychotherapist, CAT Practitioner, Supervisor and Trainer in private practice, and is currently conducting academic research on anxiety in young adults.  Caroline is the former Head of Counselling and Mental Health Services at Durham University and a former Consultant Psychotherapist in the NHS.  She has a particular interest in the integration of movement-based experience and insight into relational therapeutic approaches, drawing on CAT and Gestalt frameworks. 

 

Professor Charles Fernyhough 

'The Voices in Our Heads'

When people are asked to reflect on their conscious experience, they often report that it contains a fair amount of language: the everyday internal conversation that psychologists term inner speech. My interest as a developmental psychologist is in where these words in the head come from, what they are doing there, and what it is like to experience them. Empirical studies of self-directed speech point to it having important cognitive functions. Improved methodologies for studying these phenomena in children and adults support Vygotskian / Lurian conceptions of inner speech as constituting a functional system, whereby initially independent neural systems are ‘wired together’ in new ways by social experience. I present some recent findings relevant to this account, and consider prospects for a cognitive neuroscience of inner speech that is sensitive to its development and phenomenology.

I then consider a less typical experience which is often thought to be symptomatic of severe mental illness: hearing the voice of another person when there is no one speaking (also known as auditory verbal hallucination). A dominant model of voice-hearing holds that it involves a disturbance to the process by which inner speech is attributed to the self. Accounting for the phenomenological richness and varied pragmatics of voice-hearing requires, however, an equally nuanced conception of the functional and structural heterogeneity of the ordinary voices in our heads. I review some key recent findings on voice-hearing and inner speech, and explore their implications for three main areas of enquiry: the paradox of the apparent ubiquity of inner speech, the value of reading some forms of voice-hearing as inner dialogue rather than as atypical communicative acts, and the dynamic interaction in voice-hearing of inner speech and memory.

Biography

Charles Fernyhough is a psychologist and writer. The focus of his recent scientific work has been in applying ideas from mainstream developmental psychology to the study of psychosis, particularly the phenomenon of voice-hearing (in which individuals hear voices in the absence of any speaker). He is PI on the interdisciplinary Hearing the Voice project, supported by the Wellcome Trust. He is a Professor of Psychology at Durham University, and is active in outreach and public engagement work on themes relating to his research, with regular contributions to mainstream media. His latest non-fiction book is The Voices Within: The history and science of how we talk to ourselves, published by Profile Books/Wellcome Collection. His other non-fiction books include The Baby in the Mirror: A child’s world from birth to three (Granta, 2008) and Pieces of Light: Memory and its stories (Profile, 2012; shortlisted for the 2013 Royal Society Winton Prize for Science Books). He is the author of two novels: The Auctioneer (Fourth Estate, 1999) and A Box of Birds (Unbound, 2013). He is the editor of Others (Unbound, 2019), an anthology exploring how books and literature can show us other points of view, with net profits supporting refugee and anti-hate charities.

 

Steve Kellett

Co-presenters: Charlotte Bee, Jess Smithies, Mel Simmonds-Buckley, Niall Power,  Emma Headley and Annie Wray

'CAT guided self help for mild-to-moderate anxiety; a randomised patient preference trial'

Supporting patient choice is both morally correct and there is good evidence that providing informed choice enhances a range of clinical outcomes and the service experience.  A workbook version of CAT has been developed for delivery at step 2 of IAPT services to be delivered by psychological wellbeing practitioners (PWPs) over 6-8 35 minute sessions.  This is called cognitive analytic therapy guided self-help (CAT-GSH) and previous pilot evidence suggested that it was deliverable and effective.  This presentation will report on the various research strands of a fully powered patient preference randomised control trial that has been completed in an IAPT service (N=271).  CAT-GSH has been evaluated for its efficacy compared to treatment as usual (cognitive behavioural guided self-help; CBT-GSH).  Charlotte and Jess will report on the recruitment and screening and play an extract of CAT-GSH to give people a sense of the intervention, Annie will report on treatment acceptability for PWPs, Niall will report on the competency analysis, Mel will report the main findings of the trial and Emma will report on idiographic changes on those that benefited from the interventions. The presentation will therefore provide an overview of all the processes and outcomes of this large project.      

 

Equality, Diversity and Inclusion Committee (EDIC)

'Us in the world and the worlds in us: pushing and moving in CAT through some of ACAT's multiple voices'

In  an ever-changing world, rife with inequalities, is CAT fit for purpose or only for a favoured few?  We, members of the EDIC, want to highlight some different perspectives and the application of the 3Rs of CAT in our world today. We bring with us different angles, from both a professional and personal stance.  Our different experiences mean the world has shaped us in different ways, and we each contain a multitude of voices.  We invite the audience to join us in a dialogue aimed at including diverse voices in CAT so that together we can push where CAT can move, improve it, keep it up to date, and relevant to all.  

 

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