By Philip H. Pollock
This publication considers the aftermath of formative years sexual abuse in the conceptual framework of Cognitive Analytic treatment, and provides a version for remedy.
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Additional info for Cognitive Analytic Therapy for Adult Survivors of Childhood Abuse: Approaches to Treatment and Case Management
Qxd 26/06/01 14:50 Page 23 THE LANGUAGE AND PRACTICE OF CAT 23 patient’s self-perception is identified first, the other person is, by definition, the essential reciprocal to the patient’s procedures. If the patient described defines a recurrent state of mind to be a ‘greedy user’ then women are inferred to be perceived as, perhaps, ‘expendable objects’ (an RRP of exploiting/contemptuous in relation to exploited/inferior). Defining the RRP and naming the self-state provides a structural anchor point to trace patterns which tend to emerge from and circle back to each selfstate in sequences of thinking, feeling and acting.
Within managed health care, the appraisal of clinical effectiveness and efficiency is at the forefront of service provision and justifying the benefit for a client’s general well-being is difficult to operationalise, measure and account for (Spiegel, 1999). CAT emerged within this culture of rationalisation, management and accountability. Messer and Warren (1995) reviewed the evidence base for the effectiveness of time-limited psychotherapies, concluding that they were of comparative benefit to any other psychotherapy.
Ryle (1997) has specified a number of specific forms of transference and CT which occur between therapist and patient and how these responses can be used to improve the planning of treatment and its forms explicitly. Inducement of the therapist to assume a given role, the affect associated with it and analysis of the origin of the underlying RRP is a vital task of therapy. Patients with greater fragmentation and identity disturbances often exert strong pressure upon others in general life and the therapist to collude by assuming the reciprocal role.