Prompt

You are the psychiatry registrar. A 28-year-old with chaotic relationships and self-harm after criticism is referred for CAT. Define CAT and reciprocal roles; name traps, dilemmas, snags; outline reformulation letter, SDR map, recognition, revision exits, and goodbye letter; summarise Chanen 2008 and Clarke 2013 plus meta-analytic acceptability; contrast CAT with CBT and MBT; describe safety override and ending risks.

Interpretation

Reveal interpretationShow

Markers want a structured professional answer: CAT as brief collaborative reformulation therapy; RRPs and T-D-S procedures; letter/map/exits/goodbye; honest evidence (Chanen both arms help; Clarke CAT vs TAU); CBT/MBT contrast; safety first and non-shaming letters.^[1]^[2]^[3]^[6]

References7Show

[1]Chanen AM, Jackson HJ, McCutcheon LK, et al. Early intervention for adolescents with borderline personality disorder using cognitive analytic therapy: randomised controlled trial Br J Psychiatry, 2008.PMID 19043151
[2]Clarke S, Thomas P, James K Cognitive analytic therapy for personality disorder: randomised controlled trial Br J Psychiatry, 2013.PMID 23222038
[3]Calvert R, Kellett S Cognitive analytic therapy: a review of the outcome evidence base for treatment Psychol Psychother, 2014.PMID 24610564
[4]Hallam C, Simmonds-Buckley M, Kellett S, et al. The acceptability, effectiveness, and durability of cognitive analytic therapy: Systematic review and meta-analysis Psychol Psychother, 2021.PMID 32543107
[5]Simmonds-Buckley M, Osivwemu EO, Kellett S, Taylor C The acceptability of cognitive analytic therapy (CAT): Meta-analysis and benchmarking of treatment refusal and treatment dropout rates Clin Psychol Rev, 2022.PMID 35914380
[6]Ryle A The contribution of cognitive analytic therapy to the treatment of borderline personality disorder J Pers Disord, 2004.PMID 15061342
[7]Kellett S, Bennett D, Ryle T, Thake A Cognitive analytic therapy for borderline personality disorder: therapist competence and therapeutic effectiveness in routine practice Clin Psychol Psychother, 2013.PMID 22109975

Interpretation

Reveal interpretationShow

References7Show

[1]Chanen AM, Jackson HJ, McCutcheon LK, et al. Early intervention for adolescents with borderline personality disorder using cognitive analytic therapy: randomised controlled trial Br J Psychiatry, 2008.PMID 19043151
[2]Clarke S, Thomas P, James K Cognitive analytic therapy for personality disorder: randomised controlled trial Br J Psychiatry, 2013.PMID 23222038
[3]Calvert R, Kellett S Cognitive analytic therapy: a review of the outcome evidence base for treatment Psychol Psychother, 2014.PMID 24610564
[4]Hallam C, Simmonds-Buckley M, Kellett S, et al. The acceptability, effectiveness, and durability of cognitive analytic therapy: Systematic review and meta-analysis Psychol Psychother, 2021.PMID 32543107
[5]Simmonds-Buckley M, Osivwemu EO, Kellett S, Taylor C The acceptability of cognitive analytic therapy (CAT): Meta-analysis and benchmarking of treatment refusal and treatment dropout rates Clin Psychol Rev, 2022.PMID 35914380
[6]Ryle A The contribution of cognitive analytic therapy to the treatment of borderline personality disorder J Pers Disord, 2004.PMID 15061342
[7]Kellett S, Bennett D, Ryle T, Thake A Cognitive analytic therapy for borderline personality disorder: therapist competence and therapeutic effectiveness in routine practice Clin Psychol Psychother, 2013.PMID 22109975

Cognitive analytic therapy — structured clinical viva

Interpretation

Cognitive analytic therapy — structured clinical viva

Interpretation