Cognitive Analytic Therapy For Offenders

Cognitive analytic therapy (CAT) is an established form of integrated psychotherapy, which has been applied in a variety of clinical settings to a diversity of disorders with promising outcomes. In Cognitive Analytic Therapy for Offenders, the authors describe the application of CAT to forensic settings, illustrating the use of this type of therapy with a range of offence types and clinical disorders. CAT is presented as a new form of forensic psychotherapy which can enhance the understanding, conceptualisation, treatment and management of offenders. The book offers a novel description of clinical practice and describes the innovative application of cognitive analytic therapy to forensic work in a variety of contexts and settings for numerous offence types and clinical disorders, including: CAT in the treatment of child sex offenders in secure forensic settings the use of CAT with women in secure settings CAT for parents within prisons CAT for borderline and psychopathic personality disorder CAT for a stalking offender community-based CAT with perpetrators of domestic violence CAT for homicide perpetrators (rage-type, serial sexual, dissociative homicides) the application of CAT for Court reporting and managing boundary violations. This book provides an account of a fresh, new approach to conceptualisation and treatment in forensic psychotherapy, and offers the first description of CAT presented in the form of a compilation of illustrations of practice. It will be essential reading for clinical psychologists and psychiatrists, occupational therapists, and anyone who works within services for offenders.

The Oxford Handbook of Cognitive Analytic Therapy presents a comprehensive guide to the cognitive analytic therapy (CAT) model. It balances established theory and practice alongside a focus on innovation in both direct work with clients and the application of CAT more broadly within teams, organizations, and training, and as a model for leadership. The volume includes a range of innovations in 'doing' and 'using' CAT, which are directly applicable for those studying and working in health, social care, and private services, across many specialties encompassing the entire lifespan. This includes child and adolescent services; working age through to older adults; individuals engaged with mental health services and within forensic and prison populations; and those experiencing physical health and neurological difficulties, both in community and inpatient settings. Given the social and dialogic origins of CAT, the book acknowledges the importance of the wider social, cultural, and political factors that can shape an individual's understanding of self and other, with chapters that both apply a CAT understanding to key issues such as racism and social context, and provide a critique to the extent in which CAT engages with these issues in practice. This volume also has a focus on professional standards and governance (encompassing training, supervision, and a competency framework), and throughout the book the editors have endeavoured to include clients' voices, including personal reflections, extracts from actual CATs, and co-produced chapters, to ensure the book holds true to the collaborative nature of CAT.

With a variety of case examples and contributions from experienced clinicians, this book introduces Cognitive Analytic Therapy (CAT) in practical, user-friendly language, and for the first time guides readers on how to use it with people with intellectual disabilities. CAT is increasingly recognised as an effective approach for working with people with intellectual disabilities. It focuses on observing and describing typical patterns of how the client relates to others, how they behave in relationships and how they see themselves. By considering how these patterns first developed and how they can be revised in a more constructive direction, CAT can encourage change to occur as the result of healthier relationships. The contributors describe in straightforward terms how CAT may be used with people with intellectual disabilities, and provide CAT tools adapted specifically for this client group. CAT and autism, CAT with people with intellectual disabilities in forensic settings and CAT with survivors of domestic abuse who have intellectual disabilities are also explored in detail. This is essential reading for any clinician wishing to use CAT with people with intellectual disabilities, including psychiatrists, psychologists, psychotherapists, social workers and support workers, as well as professionals across forensic services.

This text provides an accessible, reader-friendly guide to conducting Cognitive Analytic Therapy (CAT) on a one-to-one basis, developed in partnership with service users who have lived experience of CAT. The book will cover the applications of CAT in clinical practice including: assessment; introducing CAT; the main concepts and how to build a therapeutic relationship; mapping; the middle phase and the integration of other models; monitoring; developing exits; the ending and saying goodbye. Grounded in CAT theory, the content will be ordered sequentially, as one would conduct the therapy, and will feature first-hand accounts from CAT-experienced service users including their own perspectives on the model and the impact it had on their wellbeing. A straightforward, beginner’s introduction to practicing CAT, this book will be useful for trainee practitioners, assistant and trainee clinical/counselling psychologists, and those practising CAT-informed therapy in supervision.

Cognitive Analytic Supervision: A relational approach is the first book to present a cognitive analytic perspective on psychotherapy supervision. This edited collection of original chapters reflects the ways in which CAT therapists and supervisors have developed the model and used it in diverse settings. It is a significant contribution to the literature on relational psychotherapy supervision, written by established CAT supervisors, trainers and therapists who, together, have an enormous amount of professional and clinical experience. The book covers important areas such as:  the relational theory and practice of CAT supervision  a cognitive analytic conceptualization of narcissistic difficulties  intercultural issues in supervision (based on CAT training experience in India)  ethical and clinical dilemmas in supervision  supervision of consultancy work Cognitive Analytic Supervision will be of interest to CAT supervisors, therapists and trainee supervisors, as well as supervisors and therapists working in other therapeutic models, in particular those with a relational approach. This book may be a useful bridge into relationally informed supervision for therapists who do not have an explicitly relational focus.

From the ‘nothing works’ maxim of the 1970s to evidence-based interventions to challenge recidivism and promote pro-social behavior, psychological therapy has played an important role in rehabilitation and risk reduction within forensic settings in recent years. And yet the typical group therapy model isn’t always the appropriate path to take. In this important new book, the aims and effectiveness of individual therapies within forensic settings, both old and new, are assessed and discussed. Including contributions from authors based in the UK, North America, Europe, Australia and New Zealand, a broad range of therapies are covered, including Cognitive Behavioural Therapy, Mentalisation Based Therapy, Schema Therapy, Acceptance and Commitment Therapy and Compassion Focussed Therapy. Each chapter provides: an assessment of the evidence base for effectiveness; the adaptations required in a forensic setting; whether the therapy is aimed at recidivism or psychological change; the client or patient characteristics it is aimed at; a case study of the therapy in action. The final section of the book looks at ethical issues, the relationship between individual and group-based treatment, therapist supervision and deciding which therapies and therapists to select. This book is essential reading for probation staff, psychologists, criminal justice and liaison workers and specialist treatment staff. It will also be a valuable resource for any student of forensic or clinical psychology.

This book examines a range of therapeutic approaches used in prisons and other secure settings and explores the challenges in such work. The approaches include Cognitive-Behavioural Therapy (CBT), Cognitive-Analytic Therapy (CAT), Attachment-Based Psychodynamic Psychotherapy and Systemic Psychotherapy. It provides insights into debates about providing therapy in prisons and other secure settings and discusses specific topics such as mental health in-reach teams, working with women in prison, therapy within therapeutic communities and therapy with black and minority ethnic groups. This book addresses developments in mental healthcare by the National Health Service (NHS) within prisons and on-going policy developments which aim to improve access to psychological therapies for prisoners. The contributors draw on experience both in clinical psychology and forensic psychology, as well as psychotherapy and criminology. They draw on experience too in a range of environments, including juvenile and young offender establishments, local prisons and dispersal prisons. Psychological Therapy in Prisons and Other Secure Settings will be essential reading for people who work to improve the psychological wellbeing of individuals in prisons and other secure settings.