Jellema A. Fawkes L. Chanen A. Buckley M. Burns-Lundgren E. and Leiman M. Denman C. Sutton L. Salyer K., 2002. ACAT News. Reformulation, Autumn, pp.5,8-9,16,18.


We hope that this will continue to be a regular feature in Reformulation, to act as an inspiration, disseminate information, and to give a feel of what is going on in CAT far and wide.
Send us updates on training, supervision groups, meetings and anything else of interest in your area.
You can find ACATnews throughout Reformulation. Watch for the little black triangle!

CAT in the North-East : Anna Jellema

Although CAT has been offered in the North-East of England since 1994, CAT therapists are still quite thin on the ground, so over the last few years we have been trying to develop our “critical mass” so that we can eventually offer a local Practitioner training. We have had plenty of support in this venture from CAT North and from many other colleagues running Practitioner trainings around the country. Our therapists currently have to travel long distances to train – most of them on the excellent CAT North course based in Manchester - and there is a demand for more locally-based training. Steve Clarke became accredited as a Practitioner this year, and there are six more therapists in Practitioner training. Chris Trippett and Lyndall Wallace have begun the new IRRAPT Psychotherapy course.

Currently four of us – Kate Freshwater, Anna Jellema, Jan Mead and Chris Trippett – meet regularly at Hartlepool as a service development group for the area. Jan and Anna are accredited Supervisors, while Kate is part-way through her Supervisor training. Between us we run several supervision groups (in Sunderland, Hartlepool and York), some for trainees on Practitioner courses, others for mental health professionals who wish to learn to use CAT concepts and tools in their everyday practice – this has proved very successful and there is often a waiting list. Anna also offers a specialist elective placement in CAT to third-year clinical psychology trainees. We have run occasional training events, which is something we hope to develop once there are more of us to share the load. We also take on other course-related roles when requested (e.g. tutor, seminar leader, trainer, training therapist).

In Sunderland we are now looking to recruit another CAT Practitioner/Psychotherapist with substantial training experience and accredited Supervisor status, to help us launch Practitioner training, and also help develop CAT within the local mental health Trust – look out for the advert elsewhere in this edition! There is a lot of enthusiasm about CAT up here, so why not come and help us develop?



The above Trust has secured substantive funding for this exciting new development, and the postholder will join the thriving Adult Psychology Department to work alongside Anna Jellema who has lead responsibilities in developing CAT therapy, training and supervision within this part of the Northern and Yorkshire Region. The successful applicant will also be expected to contribute CAT skills and perspectives to the rapidly developing Inpatient Collaborative which is multi-disciplinary in nature.

We are looking for a CAT Practitioner/Psychotherapist & Accredited Supervisor who has experience in training in CAT, as we aim to develop an accredited CAT Practitioner Course for this area. The post will be managed from the Trust’s Psychology Partnership, but experienced applicants from all mental health professions are welcome. Full C.P.D. support will be available, including membership of the North East CAT Service Development Group. Salary, depending on professional background and experience, will be in the Whitley Council Psychology “B” grade salary range or similar (spine points 42 – 48, approximately £40 - 51K, pro rata).

The North East is an excellent place in which to live and work. We have wonderful countryside and the area is steeped in history; it offers good housing, excellent shopping, fewer traffic jams and a reasonable cost of living. If you wish to discuss this post or request an application form, please contact us before 15th November, and preferably within two weeks of this advertisement appearing in Reformulation. Contact either Anna Jellema (Head of CAT Service) or Kevin Gibson (Head of Adult Psychology) on 0191 5699408 (secretary/ansaphone), or email Anna at:

CPD Update

During the past year ACAT council has formulated its CPD policy in line with the requirements of UKCP, and by the time you read this a copy of it will have been sent to you with the request for re-application for ACAT membership.

Since many of you gave feedback at the end of 2001 about the kind of workshops and seminars you would like to attend, Council have been discussing how to implement a reliable, predictable programme of events from year to year which will give members sufficient time to book and which will attempt to meet their needs in so far as the resources of the network permit. We hope to begin implementation of this programme next year.

There is an urgent need for volunteers to run or co-run workshops and seminars, and this year's request for CPD feedback to the Council is asking for suggestions. Would you see this as part of your own CPD? We'll also be investigating whether we can run an event on training to train.

A report on Council's work on CPD during the past year will be given at the AGM in November.

Miranda Buckley, CPD Co-ordinator, ACAT
Tel: 020 7589 9799


Oxford News

Eva Burns-Lundgren

The Oxford CAT Practitioner Course is just about to start off (23rd September) with 11 trainees, ranging geographically from the South Coast and Kent to the Midlands and Derby.

Most of the trainees are from a background in psychology, but there are also representatives from nursing and OT. We will have 10 training days per year with input from a variety of experienced speakers, as well as seminar groups and individual tutorials.

In addition to the formal training course, interest in CAT is spreading within the Oxfordshire Mental Healthcare Trust. There is an increase in referrals for CAT, which has required us to buy in additional sessions, and more CAT 'outreach' in terms of supervision across departments, consultations with CMHTs and now also early input to the pilot scheme stage of our planned specialist personality disorder service.

Eva Burns-Lundgren

Update from Finland

Mikael Leiman

CAT is steadily growing in Finland. We currently have about 160 members in the association. Our training model is 1+3 years and we now have around 50 accredited psychotherapists and 20 trainers and supervisors. Currently, we are running one training with 27 trainees and plan to begin a new one next year. The curriculum will be revised rather radically compared to our previous trainings.

Instead of emphasising treatment for different clinical groups, the two basic modes of CAT (with integrated clients and dissociated clients) will be emphasised. CAT theory will mainly be taught through the Web. Instead of our previous way of teaching all the different descriptive strategies from dilemmas, traps, and snags onwards, we now start by elaborating the three basic concepts, i.e., reciprocal roles, action sequences (procedures) and self states as the main tools for orientation with the client. It seems to be easier for the trainees to maintain a dialogic approach to the client's experience and action, even when examining their procedural sequences.

Last week our association got its website ready, which will mean a new era in our activity. In addition to informing our members and the larger audience, we can also begin to develop the site for training purposes. The address is Obviously, everything is in Finnish so far, but we have plans to elaborate a Swedish section as well.


4th to 8th JUNE 2003

We are also looking forward to the International Conference on CAT in Finland that was proposed by ACAT and our association in June, in recognition of the growth of CAT, its membership and activities across the world; in, for example, Greece, Australia, the USA and Finland.

This first International Conference is planned in part to celebrate the achievements of Tony Ryle – his contribution to psychotherapy in general and in particular the creation of the CAT model. We are looking for contributions to this Festschrift: a celebration of the life and work of Tony Ryle. Interest has been shown in publishing this material.

We have booked an interesting venue for the meeting, Valamo monastery that is situated near Joensuu in Eastern Finland. It has a history of 900 years. St. Petersburg and Old Valamo are not too far away, and post conference tours will be arranged for those interested. Valamo Monastery has a web page that has some information of our planned venue. Midsummer is a wonderful time to visit Finland; long light nights and clear sparkling days, and the mosquitoes are manageable!

Mikael Leiman,
Steve Potter, and
Ian Kerr,
form the small planning group and programme committee and will need broad support to develop the programme.

News from the Fens

Chess Denman

The University of East Anglia CAT course will be taking a one year break and then returning rejuvinated

The University of East Anglia CAT course will be taking a one year break and then returning rejuvinated under the leadership of Mark WEstacott.

Mark has been appointed to thre faculty of UEA with a specific CAT remit. There may also be further UEA activities with CAT elements such as a course on personality disorders.

Huntington where CAT thrives under Annette Newton, Donald Birmingham, Alison Jenaway, Ken Harbour...the list goes on and on, are running regular one day introductory courses for all comers.

Here in Cambridge limitation of resources and the need for a service for patients with personality difficulties has lead to a restructuring of the service. CAT will now become the main modality used in an intensive outpatient service for "complex cases."

CAT continues to thrive in Norwich despite a more than usually unslakeable thirst amoungst managers for continual revolution and reorganisation - a process which always begins with a "review."

CAT and Later Life

Laura Sutton

Jason Hepple and I have now indeed submitted the manuscript to Brunner-Routledge, for preparation for publication. We still haven't decided our final title but the subtitle is CAT in Dialogue with Later Life. It's got a preface by Prof Peter Coleman, Professor of Psychogerontology at Southampton University, then an introduction by Jason and me. Our main point is that it is hard to have such a book without starting from an ageist viewpoint, as if 'old people' are a distinct group. We wanted to look at developmental issues of ageing to counter the prevalent biological view, looking at both the course of narcissism and borderline states into old age, with commentary around ageism, society, complex/compounded distant trauma, and dementia and involutional states, with a dialogic view of the lifespan, rather than an over-individualistic view. It ends with a chapter on theory in CAT with Mikael, which has been intriguing, giving me insights into the nature of building integrative theory and how sophisticated it is.We're hoping it'll come out in the Spring next year but haven't a date as yet.

Jason and I have been talking about getting the CAT and Later Life Special Interest group going again, so I'd be pleased to hear from anyone who's interested.

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Full Reference

Jellema A. Fawkes L. Chanen A. Buckley M. Burns-Lundgren E. and Leiman M. Denman C. Sutton L. Salyer K., 2002. ACAT News. Reformulation, Autumn, pp.5,8-9,16,18.

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Related Articles

ACATnews: North-East
Jellema, A., 2003. ACATnews: North-East. Reformulation, Autumn, p.6.

CAT in the North-East of England
Anna Jellema, 2006. CAT in the North-East of England. Reformulation, Summer, p.19.

News and Views
Anna Jellema, Tony Ryle and Clare Fisher, 2005. News and Views. Reformulation, Autumn, p.3.

Letter from the Chair of ACAT
Potter, S., 2003. Letter from the Chair of ACAT. Reformulation, Autumn, pp.33-34.

Update on ACAT’s Collaboration with Doctorate Courses in Clinical Psychology
Dawn Bennett, ACAT Vice Chair of Training Committee, 2016. Update on ACAT’s Collaboration with Doctorate Courses in Clinical Psychology. Reformulation, Summer, pp.44-45.

Other Articles in the Same Issue

A CAT Approach to Gaia and The Psyche
Dunn, M., 2002. A CAT Approach to Gaia and The Psyche. Reformulation, Autumn, pp.20-22.

A Personal Study of Core Pain
Martin Sellix, 2002. A Personal Study of Core Pain. Reformulation, Autumn, pp.27-29.

Jellema A. Fawkes L. Chanen A. Buckley M. Burns-Lundgren E. and Leiman M. Denman C. Sutton L. Salyer K., 2002. ACAT News. Reformulation, Autumn, pp.5,8-9,16,18.

Boa, C., 2002. Book Review - INTRODUCING COGNITIVE ANALYTIC THERAPY PRINCIPLES AND PRACTICE: Anthony Ryle and Ian B Kerr. Reformulation, Autumn, p.33.

Brilliant or Doomed: Cognitive Analytic Therapy and Relational Intelligence in Higher Education
Potter, S., 2002. Brilliant or Doomed: Cognitive Analytic Therapy and Relational Intelligence in Higher Education. Reformulation, Autumn, pp.8-12.

CAT and Cognition. A Personal View and Conference Report
Denman, C., 2002. CAT and Cognition. A Personal View and Conference Report. Reformulation, Autumn, pp.23-25.

Developing New Systems for ACAT Administration and Communication
Sloper, J., 2002. Developing New Systems for ACAT Administration and Communication. Reformulation, Autumn, pp.31-33.

Differences Between Borderline and Narcissistic Personality Disorders
Ryle, A., 2002. Differences Between Borderline and Narcissistic Personality Disorders. Reformulation, Autumn, pp.16-17.

Nuttall, S. and Scott-Stewart, M., 2002. Editorial. Reformulation, Autumn, p.2.

In Celebration of Integration and Diversity. CAT in the West Country and Beyond
Fawkes, L., 2002. In Celebration of Integration and Diversity. CAT in the West Country and Beyond. Reformulation, Autumn, p.5.

Letters to the Editors
Deirdre Haslam and Christine Leaman, 2002. Letters to the Editors. Reformulation, Autumn, p.4.

Recommended Reading
-, 2002. Recommended Reading. Reformulation, Autumn, p.26.

The Neurotic Neighbourhood
Elia, I., 2002. The Neurotic Neighbourhood. Reformulation, Autumn, pp.18-19.

Time Limited Therapy: A Necessary Evil in the Managed Care Era?
Salyer, K., 2002. Time Limited Therapy: A Necessary Evil in the Managed Care Era?. Reformulation, Autumn, pp.9-11.

Update on The Melbourne Project - Prevention and Early Intervention for Borderline Personality Disorder
Chanen, A., 2002. Update on The Melbourne Project - Prevention and Early Intervention for Borderline Personality Disorder. Reformulation, Autumn, pp.6-7.


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