Introducing Cognitive Analytic Therapy

Ryle, Anthony; Kerr, Ian B.

doi:10.1002/9781119375210

Cited by 70 publications

(141 citation statements)

References 0 publications

Supporting

Mentioning

123

Contrasting

Unclassified

Order By: Relevance

“…This understanding of consciousness is implicit in psychoanalysis, from Freud's early work in his Project for a Scientific Psychology (1895), to the clinical experience of psychotherapists and psychoanalysts of the constant ongoing resonance between current and past experience held in memory, memories of reciprocal roles that contain information on the emotional impact of events (pain-pleasure; liking-disliking) for the self (e.g. Ryle and Kerr, 2002;and Matte Blanco's, 1980, description of the Unconscious as Infinite Sets). It also conforms to the emerging work within neuroscience on active inference, interoceptive inference and selfhood Seth et al, 2012Seth et al, , 2016.…”

Section: A Default Sensory Consciousness (Dcs)mentioning

confidence: 99%

The human default consciousness and its disruption: insights from an EEG study of Buddhist jhāna meditation

Dennison¹

2018

Preprint

View full text Add to dashboard Cite

The "neural correlates of consciousness" (NCC) is a familiar topic in neuroscience, overlapping with research on the brain's "default mode network". Task-based studies of NCC by their nature recruit one part of the cortical network to study another, and are therefore both limited and compromised in what they can reveal about consciousness itself. The form of consciousness explored in such research, we term the human default consciousness (DCs), our everyday waking consciousness. In contrast, studies of anaesthesia, coma, deep sleep, or some extreme pathological states such as epilepsy, reveal very different cortical activity; all of which states are essentially involuntary, and generally regarded as "unconscious". An exception to involuntary disruption of consciousness is Buddhist jhāna meditation, whose implicit aim is to intentionally withdraw from the default consciousness, to an inward-directed state of stillness referred to as jhāna consciousness, as a basis to develop insight. The default consciousness is sensorily-based, where information about, and our experience of, the outer world is evaluated against personal and organic needs and forms the basis of our ongoing self-experience. This view conforms both to Buddhist models, and to the emerging work on active inference and minimisation of free energy in determining the network balance of the human default consciousness. This paper is a preliminary report on the first detailed EEG study of jhāna meditation, with findings radically different to studies of more familiar, less focused forms of meditation. While remaining highly alert and "present" in their subjective experience, a high proportion of subjects display "spindle" activity in their EEG, superficially similar to sleep spindles of stage 2 nREM sleep, while more-experienced subjects display high voltage infraslow-waves reminiscent, but significantly different, to the slow waves of deeper stage 4 nREM sleep, or even high-voltage delta coma. Some others show brief posterior spikewave bursts, again similar, but with significant differences, to absence epilepsy. Some subjects also develop the ability to consciously evoke clonic seizure-like activity at will, under full control. We suggest that the remarkable nature of these observations reflects a profound disruption of the human DCs when the personal element is progressively withdrawn.

show abstract

Section: A Default Sensory Consciousness (Dcs)mentioning

confidence: 99%

The human default consciousness and its disruption: insights from an EEG study of Buddhist jhāna meditation

Dennison¹

2018

Preprint

View full text Add to dashboard Cite

show abstract

“…Theoretically, CAT integrates personal construct and object relations theory (Ryle, 1985), to assert that mental representations of the self and others are founded in (and then maintained) by developmental early interactions with care providers and other significant figures (Ryle & Kerr, 2002). CAT theory consists of three theoretical foundation stones; reciprocal roles, target problem procedures and the multiple self-states model (MSSM).…”

Section: Cognitive Analytic Therapy; Theoretical Frameworkmentioning

confidence: 99%

“…Green, Brown & Chew's (2017) meta-analysis (N = 2215) showed that individuals with histories of childhood maltreatment and current psychosis had double the risk of perpetrating violence. In CAT, target problem procedures (TPPs; Ryle & Kerr, 2002) are labelled as traps (i.e. vicious circles), snags (i.e.…”

Section: Cognitive Analytic Therapy; Theoretical Frameworkmentioning

confidence: 99%

“…This paper reports the results from a feasibility patient preference quasi-experimental research study of a manualised MT with MDOs delivered in groups, theoretically grounded in cognitive analytic therapy (Ryle & Kerr, 2002) -thereafter named group cognitive analytic music therapy (G-CAMT;Compton Dickinson, 2015). Manualization enables well-defined…”

Section: Current Study; Background Choice Of Measures and Aimsmentioning

confidence: 99%

“…As CAT offers a framework for better understanding the origins and current maintainers impairing effective relating to self and others (Ryle & Kerr, 2002), the primary psychometric outcome measure used in the present study was therefore one of relatedness (i.e. the Person's Relatedness to Others Questionnaire-2 (PROQ-2; Birtchnell & Evans, 2004).…”

Section: Current Study; Background Choice Of Measures and Aimsmentioning

confidence: 99%

See 2 more Smart Citations

Group cognitive analytic music therapy: a quasi-experimental feasibility study conducted in a high secure hospital

Kellett

Hall

Dickinson

2018

Nordic Journal of Music Therapy

View full text Add to dashboard Cite

show abstract

Effect of 3 Forms of Early Intervention for Young People With Borderline Personality Disorder

et al. 2022

View full text Add to dashboard Cite

IMPORTANCE Clinical trials have neither focused on early intervention for psychosocial impairment nor on the contribution of components of borderline personality disorder (BPD) treatment beyond individual psychotherapy. OBJECTIVE To evaluate the effectiveness of 3 early interventions for BPD of differing complexity. DESIGN, SETTINGS, AND PARTICIPANTS This single-blinded randomized clinical trial recruited young people between March 17, 2011, and September 30, 2015, into parallel groups. The study took place at 2 government-funded mental health services for young people in Melbourne, Australia. Inclusion criteria were age 15 to 25 years (inclusive), recent DSM-IV-TR BPD diagnosis, and never receiving evidence-based BPD treatment. A total of 139 participants were randomized (pool of 876; 70 declined, 667 excluded), balanced for sex, age, and depressive symptomatology. Data analysis completed May 2020. INTERVENTIONS (1)The Helping Young People Early (HYPE) dedicated BPD service model for young people, combined with weekly cognitive analytic therapy (CAT); (2) HYPE combined with a weekly befriending psychotherapy control condition; and (3) a general youth mental health service (YMHS) model, combined with befriending. Therefore, the 3 treatment arms were HYPE + CAT, HYPE + befriending, and YMHS + befriending. Participants were randomly assigned both to 1 treatment arm (in a 1:1:1 ratio) and to a clinician. MAIN OUTCOMES AND MEASURESPsychosocial functioning, measured with the Inventory of Interpersonal Problems Circumplex Version and the Social Adjustment Scale Self-report. RESULTS One hundred twenty-eight participants (104 [81.3%] were female; mean [SD] age, 19.1 [2.8] years; HYPE + CAT: 40 [31.3%]; HYPE + befriending: 45 [35.2%]; YMHS + befriending: 43 [33.6%]) who provided postbaseline data were included in the intent-to-treat analysis. Regardless of group, from baseline to 12 months, there was a mean of 19.3% to 23.8% improvement in the primary outcomes and 40.7% to 52.7% for all secondary outcomes, except severity of substance use and client satisfaction. The latter remained high across all time points. Planned comparisons (YMHS + befriending vs HYPE; HYPE + CAT vs befriending) showed that neither the service model nor the psychotherapy intervention was associated with a superior rate of change in psychosocial functioning by the 12-month primary end point. The HYPE service model was superior to YMHS + befriending for treatment attendance (median [IQR], 22 [19] vs 3 [16] contacts; median duration, 200 [139.5] vs 94 [125] days) and treatment completion (44 of 92 [47.8%] vs 9 of 47 [19.2%]). HYPE + CAT was superior to befriending for treatment attendance (median [IQR], 12 [16.5] vs 3 [9.8] sessions) and treatment completion (24 of 46 [52.2%] vs 29 of 93 [31.2%]). CONCLUSIONS AND RELEVANCEIn this randomized clinical trial of 3 interventions for young people with BPD, effective early intervention was not reliant on availability of specialist psychotherapy but did require youth-oriented clinical case management and psyc...

show abstract

Introducing Cognitive Analytic Therapy

Cited by 70 publications

References 0 publications

The human default consciousness and its disruption: insights from an EEG study of Buddhist jhāna meditation

The human default consciousness and its disruption: insights from an EEG study of Buddhist jhāna meditation

Group cognitive analytic music therapy: a quasi-experimental feasibility study conducted in a high secure hospital

Effect of 3 Forms of Early Intervention for Young People With Borderline Personality Disorder

Contact Info

Product

Resources

About