The CAT Articles Review

Knight, A., 2008. The CAT Articles Review. Reformulation, Winter, p.30.


This section of Reformulation aims to bring your attention to recent CAT-related articles. Below are a few that may be of interest.

If you publish anything related to CAT or know of any recent articles that you would recommend please send the details to me at: alice.knight@bolton.nhs.uk

Letters in cognitive analytic therapy:
The patient’s experience 

Hamill, M., Ried, M. & Reynolds, S. (2008). Letters in cognitive analytic therapy: The patient’s experience, Psychotherapy Research, 18 (5), 573-83.

Eight CAT clients were interviewed and the authors carried out a grounded, thematic analysis of their accounts. This suggested 4 general processes:

  1. “Letters offered a tangible, lasting framework for assimilation of a new perspective about themselves and their relationships and facilitated coping with a complex range of emotions and risks this awareness required”
  2. “they demonstrated therapists’ commitment to patient growth”
  3. “they helped to teach participants about the therapy process as an example of an interpersonal exchange”
  4. “they helped participants consider how they wished to share personal information”

Evaluation of Cognitive-Analytic Therapy (CAT)
outcome in patients with Obsessive-Compulsive Personality Disorder

Christia, P., George, G., Konstantinos, K., Vasilios, B., Maki, V., Olga, G., Fontini, K., Despina, Z., Christina, Z. & Aravella, A. (2008). Evaluation of Cognitive-Analytic Therapy (CAT) outcome in patients with Obsessive-Compulsive Personality Disorder. Annals of General Psychiatry, 7 (suppl 1): S109

This study investigated the outcome of CAT in people with a diagnosis of obsessive-compulsive personality disorder (OCPD) with and without an additional axis-I DSM-IV diagnosis. 64 people took part in the study, all of whom had a diagnosis of OCPD or personality disorder not otherwise specified with predominant obsessive compulsive traits. 45 patients attended a 2-month follow-up appointment. Scores on the Minnesota Multiphasic Personality Inventory and the Eysenck Personality Questionnaire  demonstrated a number of significant clinical improvements. The authors conclude that CAT is an effective approach for patients with a diagnosis of OCPD with or without a comorbid axis-I diagnosis.

The efficacy of Cognitive-Analytic Therapy (CAT) on anhedonia in patients with Obsessive-Compulsive Personality Disorder

Fontini, K., Aravella, A., Vasiliios, B., Konstantinos, K., Christina, P., Maki, V., Christina, Z. & Garyfallos, G. (2008). The efficacy of Cognitive-Analytic Therapy (CAT) on anhedonia in patients with Obsessive-Compulsive Personality Disorder, Annals of General Psychiatry, 7 (Suppl 1), S158.

This study investigated the presence of anhedonia in people with a diagnosis of OCPD and evaluated the use of CAT on anhedonia, depression and anxiety. 64 people took part in the study, all of whom had a diagnosis of OCPD or personality disorder not otherwise specified with predominant obsessive compulsive traits. 45 patients attended a 2-month follow-up appointment. Scores on the Beck Depression Inventory and State-Trait Anxiety Index were statistically significant and led the authors to conclude that CAT is an effective approach for reducing anhedonia, depression and anxiety for people with a diagnosis of OCPD.

Alice Knight

Full Reference

Knight, A., 2008. The CAT Articles Review. Reformulation, Winter, p.30.

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The CAT Articles Review
Knight, A., 2008. The CAT Articles Review. Reformulation, Winter, p.30.

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