Introducing Cognitive Analytic Therapy

Ryle, Anthony; Kerr, Ian B.

doi:10.1002/9780470713587

Cited by 327 publications

(66 citation statements)

References 163 publications

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“…It appears that much of the formation of the self occurs through the internalisation of benign or adverse interpersonal and sociocultural experiences [45,68]. This contributes to the development of a higher supra-ordinate ‘idiographic' [33], or ‘autobiographical' [44], narrative self which is characterised by subjective self-awareness, identity, intersubjectivity and agency [16,25,43,44,45,46,47,58].…”

Section: Definition Of ‘Self'mentioning

confidence: 99%

“…Interestingly, the concept of the self did not occupy a major role in traditional Freudian theory, with the self being seen as simply a representation within the ‘ego' [41,42]. In ‘object relations' and relational and attachment psychotherapy, the self, if defined, is seen as principally constituted through internalised relational and social experience [34,42,43,44,45]. Such a view of the self has been extended to include concepts of a ‘dialogical' or narrative self [25,46,47] and has been implied in social psychological approaches during the last century by e.g.…”

Section: The Concept Of the Self Its Range Of Usage And Its Correlatesmentioning

confidence: 99%

“…We now offer a provisional definition of the ‘Self' (deliberately capitalised to imply a substantive entity), based on the literature reviewed here, as well as on the definition offered by the cognitive analytic therapy (CAT) model [45], with which our group works clinically. In our view, ‘Self' should most helpfully be seen as: …”

Section: Definition Of ‘Self'mentioning

confidence: 99%

“…This contributes to the development of a higher supra-ordinate ‘idiographic' [33], or ‘autobiographical' [44], narrative self which is characterised by subjective self-awareness, identity, intersubjectivity and agency [16,25,43,44,45,46,47,58]. This process of relational internalisation is enabled by the human capacity for intersubjectivity, attunement, empathy and the predisposition to joint meaning-making and companionship, which are present from birth [69,70,71,72,73,74].…”

Section: Definition Of ‘Self'mentioning

confidence: 99%

“…Individuals with BPD are understood to switch when stressed, anxious or threatened into different ‘self-states', characterised by different relational positions (‘reciprocal roles'), with resultant disturbance to interpersonal relations and executive functioning. CAT also offers a formal, albeit limited, definition of a ‘phenotypic' self [45]. A concept of the self that is socially formed and located is implicit in group therapy and therapeutic community approaches for BPD [60,115].…”

Section: The Self In Bpd Treatment Modelsmentioning

confidence: 99%

See 4 more Smart Citations

The ‘Self' and Borderline Personality Disorder: Conceptual and Clinical Considerations

Kerr

Finlayson-Short²,

McCutcheon³

et al. 2015

Psychopathology

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Some concept of self has been used by many, although not all, researchers and clinicians as an ‘organising construct' for borderline personality disorder (BPD). There is considerable variation in this usage and how clearly researchers have defined the self. Given this diversity, and that ‘self' is often used interchangeably with parallel concepts (e.g. psyche, brain-mind, ‘person') or with features of self (e.g. self-awareness, identity), unqualified use of the term is problematic. This is further complicated by the heterogeneity and ‘comorbidity' of BPD and the limitations of syndromally based psychiatric nosology. Still, BPD remains in current classification systems and can be reliably diagnosed. A considerable body of research on self and BPD has accrued, including a recent profusion and confluence of neuroscientific and sociopsychological findings. These have generated supporting evidence for a supra-ordinate, functionally constituted entity of the self ranging over multiple, interacting levels from an unconscious, ‘core' self, through to a reflective, phenotypic, ‘idiographic' and relational self constituted by interpersonal and sociocultural experience. Important insights have been generated regarding emotional and social-cognitive dysregulation, disorder of self-awareness, relationality, identity, and coherence and continuity of the self. Many of these are shared by various trauma-related, dissociative disorders. A construct of the self could be useful as an explanatory principle in BPD, which could be construed as a ‘self-state' (and relational) disorder, as opposed to a less severe disorder of aspects of the self (e.g. mood or memory). We offer a tentative description of ‘Self' in this context, noting that any such construct will require a clear definition and to be evaluable.

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