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The CAT Articles Review

Knight, A., 2009. The CAT Articles Review. Reformulation, Summer, p.32.

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Marriott, M., Kellet, S. (2009).
Evaluating a cognitive analytic therapy service: practice-based outcomes and comparisons with person-centred and
cognitive-behavioural therapies.
Psychological Psychotherapy, 82 (pt 1), 57-72.

This study compared the outcomes for clients who received therapeutic interventions as part of routine practice within a Cognitive Analytic Therapy Service, a Person-Centred Service and a Cognitive Behavioural Service. The clients were matched in terms of degree of initial presenting psychological distress and length of therapy. Analysis of pre-therapy and post-therapy measures (including the Beck Depression Inventory-II, the Brief Symptoms Inventory and the Inventory of Interpersonal Problems ) suggested that there were broad similarities in outcomes achieved by the 3 services. The paper reflects on the implications of such findings on service delivery and further possible research.

Chanen, A., Jackson, H.J., McCutcheon, L., Joveh, M., Dudgeon, P., Pan Yuen, H., Germano, D., Nistico, H., McDougall, E, Weinstein, C., Clarkson, V. & McGorry, P. (2008).
Early intervention for adolescents with borderline personality disorder using cognitive analytic therapy: randomised controlled trial.
The British Journal of Psychiatry, 193, 477-484.

The aim of this study was to compare the effectiveness of a 24 session Cognitive Analytic Therapy (CAT) to good clinical care (GCC) in out-patients aged 15-18 years who fulfilled two to nine of the DSM-IV criteria for borderline personality disorder. 86 clients were randomised and follow-up data was gathered from 78 clients to examine psychopathology, parasuicidal behaviour and global functioning. Although no significant difference was found between the outcomes of the two treatment groups at a 24-month follow-up assessment, there was evidence that clients offered CAT improved more rapidly. The authors concluded that both CAT and GCC are effective in reducing externalising psychopathology in teenagers with sub-syndromal or full-syndromal borderline personality disorder.

Chanen, A., McCutcheon, L.K., Germano, D., Nistico. H., Jackson, H.J., McGorry, P.M. (2009).
The HYPE Clinic: An Early Intervention for Borderline Personality Disorder.
Journal of Psychiatric Practice, 15, 163–172.

This paper outlines the work carried out within the Helping Young People early (HYPE) Clinical In Melbourne, Australia. This novel approach uses an integrated, team-based intervention model comprising of Cognitive Analytic Therapy, case management and general psychiatric care.

Toye, J. (2008).
Emotionally homeless.
Therapy Today, 19 (9), 26-30.

This article describes how CAT can help to improve the likelihood of homeless people settling in a permanent home. The article provides case examples and draws on the authors work at the Oxford Night Shelter resettlement programme and day centre.

Ourgrin, D., V.Ng, A. & Low, J. (2008).
Therapeutic assessment based on cognitive-analytic therapy
for young people presenting with self-harm: pilot study.
Psychiatric Bulletin, 32, 423-426.

This study compared the use of a therapeutic assessment based on CAT with an assessment as usual in a pilot study of 38 adolescents referred for a psychosocial assessment due to self-harming behaviour. They found that offering a therapeutic assessment based on CAT resulted in a significant increase in future attendance at community follow-up appointments and engagement with services compared to the usual assessment.

Bedford, A., Davies, F. & Tibbles, J. (2009).
The Personality Structure Questionnaire (PSQ):
a cross-validation with a large clinical sample.
Clinical Psychology and Psychotherapy, 16 (1), 77-81.

This study explored the validity of the PSQ which was completed by 1,296 clients referred for psychological therapy. Scores remained stable during time spent on the waiting list and subsequently reduced significantly following therapy. No sex differences were found, however, there was a significant small negative association with age, where higher scores indicated pathology. High statistical significance was found in the intercorrelations between the three clusters of items. The authors make some recommendations for modifications to the questionnaire.

Alice Knight

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