Understanding Sequential Diagrammatic Reformulations (SDRs) in CAT

CAT diagrams or SDRs are developed in the course of CAT therapy to guide therapists and clients on the therapy journey (Ryle, 2003). They are used to illustrate problem procedures and are referred to throughout the therapy to aid recognition and identify exits. SDRs are unique to CAT and central to the process of the therapy. However there is little research of clients’ experience of SDRs and no systematic research of therapists’ experience.

The aim of this research is to explore both clients’ and therapists ‘experience of using SDRs in CAT therapy. Clients and their therapists will be interviewed separately using semi-structured interview protocols. The data will be analysed using Interpretative Phenomenological Analysis (IPA, Smith, Flowers & Larkin, 2009) to explore the lived experience of the participants.

The intended sample size will be 3-6 therapist-client dyad pairs. The research will take place in the Psychotherapy Department and the South Hackney Community Mental Health Team in City and Hackney. The study is being conducted as Jessica Osborne’s thesis for her Doctorate in Clinical Psychology at Royal Holloway, University of London. It is being supervised by Maxine Sacks, Consultant Clinical Psychologist at the Hackney Psychotherapy Department and Michael Evangeli, Lecturer in Clinical Psychology, Royal Holloway University of London.

Data collection started in December 2010 and will be completed by July 2011.

Further information about the study can be obtained from:
Jessica Osborne, Trainee Clinical Psychologist, Royal Holloway University of London

Jessica Osborne || February 2011

November 2014 Update:
This study is complete and currently being written up


ACAT Calendar for March
22nd March 2018
CPD Event: Youth CAT CPD Day & AGM - Re-integrating Youth
99th March 2018
CPD Event: ACAT: CAT and the Embodied Mind
1717th March 2018
CPD Event: The Psychotherapist's Self-Care - offered by Confer
1919th March 2018
CPD Event: States, Self-states and State Shifts - offered by Catalyse
2121st March 2018
CPD Event: ACAT's Annual Meeting of Trainers and Supervisors

More information:

Current Research Using a CAT approach to make sense of psychosis Team based Interventions with 5 session CAT consultancy RCT of CAT with adolescent and borderline patients Integrating Embodied Awareness into CAT Comparison of Treatment of Anorexia in Adults with CAT Case Series Research - in intellectual disability (community and forensic) services Research Awaiting Publication Deconstruction of CAT The case formulation task in psychotherapy Therapists’ Construction and Application of the Reformulation Diagram in Clinical Practice Understanding SDRs in CAT CAT Sequential Diagrammatic Reformulation (SDR) to explore service users' experience of CAT formulation: a qualitative thesis project 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 Cognitive analytic therapy: A review of the outcome evidence base for treatment 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 Cognitive analytic therapy at 30 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 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 Key References to Research in CAT Support for CAT research Research and Communication Committee

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