A CAT‐derived one to three session intervention for repeated deliberate self‐harm

A description of the model and initial experience of trainee psychiatrists in using it

Bibliographic Data

ID9616660
AuthorsTim Sheard (University of Bristol, corresponding author), Jonathan Evans (0000-0002-9912-1704, University of Bristol, corresponding author), Debbie Cash (University of Bristol), Jane Hicks (University of Bristol), Amanda King (0000-0002-8708-0327, University of Bristol), Neil Morgan (0009-0009-6168-1640), NEIL L MORGAN (University of Bristol), Ben Nereli (University of Bristol), Ian Porter (0000-0002-2440-8727, University of Bristol), Harvey Rees (University of Bristol), John Sandford (University of Bristol), Rebecca Slinn (University of Bristol), Keerthi Sunder (University of Bristol), Anthony Ryle (Guy's Hospital)
Year2000
Volume73
Issue2
Pages179-196
Publication date2000-06-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueBritish Journal of Medical Psychology (JOURNAL)
Journal identifiersISSN: 0007-1129 • E-ISSN: 2056-5194
PublisherWiley (PUBLISHER • GB)
DOI10.1348/000711200160417
PMID10874478
OpenAlexW2090340341
LanguageEN
Citations received2

We describe a new Cognitive Analytic Therapy (CAT)‐based intervention for those who repeatedly self‐harm. It is specifically designed to be deliverable by staff with no training in psychotherapy. The intervention is simply manualized into sequential tasks that are mediated by new CAT‐style standardized tools. A particular feature of this intervention is the deliberate use of feelings elicited in the therapist (‘counter‐transference’) as (a) a guide to how professional poise is being threatened or lost and (b) an indicator of the appropriate focus for this very brief therapy. The psychiatrists' reflection on their elicited feelings is mediated by a new CAT tool, the ‘Assessor's Response File’ developed in this project. Audiotape analysis suggested that following a very brief learning period, trainee psychiatrists were able to adhere to the structure of the model and arrive at an appropriate reformulation in the first session but tended to be collusive in reciprocating the patients' dysfunctional coping styles

Deliberate self-harm · Harm · Intervention (counseling) · Medical emergency · Poison control · Psychiatry · Psychotherapist · Session (web analytics) · Suicide prevention · Clinical Psychology · Computer Science · Medicine · Mental Health and Psychiatry · Mental Health Research Topics · Psychology · Psychotherapy Techniques and Applications · Social Psychology

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