List of Figures vii About the Authors ix Preface to the Second Edition xi Preface to the First Edition (2002) xvii Acknowledgments xix The Structure of the Book xxi 1 The Scope and Focus of CAT 1 2 The Main Features of CAT 9 3 The CAT Model of Development of the Self 31 4 The CAT Model of Abnormal Development of the Self and Its Implications for Psychotherapy 55 5 The Practice of CAT: Selection and Assessment of Patients for Therapy 75 6 The Practice of CAT: The Early Reformulation Sessions 95 7 The Practice of CAT: Later Phases of Therapy, Working at Changing and Ending 121 8 The CAT Model of Therapist Activity and of Supervision 141 9 CAT in Various Conditions and Contexts 161 10 The Treatment of "Severe and Complex" Personality-Type Disorders 225 11 The "Difficult" Patient, Contextual Reformulation, Systemic Applications, and Reflective Practice 265 Afterword 283 Glossary 287 Appendix 1: The Psychotherapy File 291 Appendix 2: Cognitive Analytic Therapy (CAT) Competences for Individuals with Personality Disorder 297 Appendix 3: Personality Structure Questionnaire (PSQ) 311 Appendix 4: Repertory Grid Basics and the Use of Grid Techniques in CAT 313 References 315 Index 351
ANTHONY RYLE, DM (Oxon), was a Consultant Psychotherapist at St. Thomas' Hospital, London, having initially worked as an inner London GP, and then as Director of Sussex University Health Service. As a GP, he undertook clinical research in mental health and developed an interest in psychotherapy integration, which ultimately led to the development of CAT. After his retirement from St. Thomas', he remained actively involved in teaching, supervision and research in the NHS and through the UK Association for Cognitive Analytic Therapy (ACAT) until his passing in 2016. IAN B. KERR, MD (Edin), has been a Consultant Psychiatrist and Psychotherapist in the NHS in London, Sheffield, and Lanarkshire in the UK, and currently works in Northland, New Zealand-Aotearoa. He undertook a range of psychotherapy trainings including in CAT with Anthony Ryle, with whom he worked closely over many years. His clinical and research interests centre around working with 'severe and complex' and 'difficult' presentations, including systemically and cross-culturally. He has taught on and been trainer for many CAT courses in the UK and internationally.