Cognitive Analytic Therapy and the Politics of Mental Health

Routledge (Verlag)
  • erschienen am 25. Oktober 2018
  • |
  • 282 Seiten
E-Book | PDF mit Adobe DRM | Systemvoraussetzungen
978-1-351-39501-4 (ISBN)

Cognitive Analytic Therapy and the Politics of Mental Health provides an overview of the development of cognitive analytic therapy (CAT), and illuminates how the political context affects the way in which therapists consider their work and facilitates their practice.

This book examines how CAT contributes to wider debates over 'the politics of mental health'. With contributions from those working in services - including adult mental health, learning disabilities and child and adolescent therapists - the writers consider how contemporary politics devolves responsibility for mental illness onto those suffering distress. The evolving political and social attitudes clients bring to therapy are also addressed in several chapters, and there is a focus on groups in society who have been marginalized and neglected in mental and physical health services.

Cognitive Analytic Therapy and the Politics of Mental Health offers a fresh understanding of the contemporary politics of mental health that will be of interest to all therapists and mental health professionals.

  • Englisch
  • Milton
  • |
  • Großbritannien
Taylor & Francis Ltd
  • Für höhere Schule und Studium
40 schwarz-weiße Abbildungen, 40 schwarz-weiße Zeichnungen
978-1-351-39501-4 (9781351395014)
weitere Ausgaben werden ermittelt

Julie Lloyd is a clinical psychologist and cognitive analytic therapist and co-editor of Cognitive Analytic Therapy for People with Intellectual Disabilities and their Carers (2014).

Rachel Pollard is a cognitive analytic psychotherapist and the author of Dialogue and Desire: Mikhail Bakhtin and the Linguistic Turn in Psychotherapy (2008).

  • Cover
  • Half Title
  • Title Page
  • Copyright Page
  • Table of Contents
  • List of contributors
  • Abbreviations
  • Acknowledgements
  • Richard Handley's story
  • Foreword
  • Chapter 1: Introduction: cognitive analytic therapy and the politics of mental health
  • Bringing politics out of the shadows
  • The limits to therapeutic dialogue
  • The politics of psychotherapy
  • The economic context
  • The position of CAT
  • Introducing the CAT model
  • Conclusion
  • Notes
  • References
  • Chapter 2: Reciprocal roles in an unequal world
  • Inner and outer worlds
  • Learning inequality in the family
  • Learning about difference
  • Power at the heart of reciprocal roles
  • What are the current contours of inequality?
  • Returning CAT to its radical social roots
  • Bibliography
  • Chapter 3: Putting the social into psychotherapy: implications for CAT
  • The challenge
  • Coping strategies in therapy and CAT
  • The impact of social adversity and the importance of trauma-informed approaches
  • The fit between survival strategies and one's position in the social world
  • Social adversity and the scope of psychotherapy
  • How can CAT meet some of these challenges?
  • Concluding comments
  • Bibliography
  • Chapter 4: The de-radicalisation of CAT: a regressive interaction of economics, theory and practice?
  • Psychotherapy under neoliberal capitalism
  • CAT theory and practice
  • References
  • Chapter 5: The madness of money: the super-rich, economic inequality and mental health
  • Introduction
  • The super-rich and us
  • From the political to the personal and how using CAT can bridge the gap
  • Notes
  • References
  • Chapter 6: The intergenerational transmission of the adverse effects of inequality
  • Introduction
  • The mental health observatory
  • The historical background
  • Deprivation, trauma and human resilience
  • The clinical use of CAT in therapeutic work with families affected by intergenerational disadvantages
  • Case example and discussion
  • Conclusion
  • Bibliography
  • Chapter 7: Using CAT to bridge the gap: attending to the ultimate and the intimate
  • What's in a name? Defining people with learning disabilities
  • The history (creation) of learning disability and IQ
  • Learning disability through a CAT lens: theory and practice
  • Practice and activism: both/and not either/or
  • Dying too soon: reformulation at a systems level
  • Bibliography
  • Chapter 8: From deviance and sin to unmet needs: a CAT conceptualisation of challenging behaviour
  • Introduction: the historical background to behaviour that challenges
  • What is challenging behaviour? A socio-political approach
  • Reformulation of unhelpful dynamics in relation to challenge
  • Working with behaviour that challenges
  • Why do good people do bad things when they are trying to care for people who challenge?
  • Conclusion
  • Bibliography
  • Chapter 9: Responding not reacting to challenging behaviour: a reformulation approach
  • Introduction
  • Using the CAT model to respond to individuals who challenge us
  • The challenging organisation: who is challenging whom?
  • Conclusion
  • Bibliography
  • Chapter 10: Transforming care in England for people who have intellectual disabilities and forensic formulations
  • Forensic formulations
  • Support system
  • Managing risk
  • Conclusion
  • Bibliography
  • Chapter 11: Unequal ground: working with people affected by child sexual abuse
  • Introduction
  • Good honest citizens - abuser/victim
  • Concluding remarks
  • Bibliography
  • Chapter 12: Immorality, illegality and pathology: the sex and gender knots
  • Introduction
  • Social control dressed up as science
  • Intersexed
  • Knots of the psyche
  • Tying sex and gender together in children
  • Increasing the repertoire of sex and gender diversity
  • Politics and power
  • Bibliography
  • Chapter 13: Ignoring it doesn't make it go away: recognising and reformulating gender in CAT
  • Introduction: why think about gender or 'surely we don't need feminism any more?'
  • Formulating the problem
  • Knowing our own history: what got us here
  • Queering CAT?
  • Being explicit . . . turning blank canvasses into maps
  • Taking part in the 'dance'
  • Case examples
  • The way forward: getting our house in order
  • Conclusion
  • References
  • Chapter 14: Why hate matters: an introduction to René Girard's theories of mimesis and the scapegoat mechanism and their relevance to CAT theory and practice
  • Mimetic desire
  • Mimetic theory in clinical practice
  • Politics, mimetic theory and scapegoating
  • Conclusion
  • Bibliography
  • Chapter 15: Owning privilege and acknowledging racism
  • Race and class
  • Note
  • Bibliography
  • Chapter 16: How to relate: the Italian dilemma - trust and cooperation make the world go around, but do we trust and can we cooperate?
  • Introduction
  • A brief introduction to Italy, Italian history and culture from a cognitive analytic perspective
  • Cristina's story
  • Marisa's story
  • The Italian family
  • Bibliography
  • Chapter 17: A social justice framework for training in cognitive analytic therapy: inequalities, power and politics in psychotherapy
  • Introduction
  • Why should inequalities and politics be part of psychotherapy training?
  • Ways forward
  • Being political as a psychotherapist
  • References
  • Appendix: psycho-social checklist
  • Index
'This is a challenging book which should not be ignored. Its authors attempt to ensure that Cognitive Analytic Therapy stays true to its principles of inclusivity and equality and of seeing a person within their social as well as their emotional reality. They also combine to utter a clarion call to society in general, as it struggles with the consequences of neoliberal ideology. They reject complacency and blind acceptance of the status quo and face, head-on, important issues and prejudices which we, and by implication, all practitioners of psychotherapy, too readily avoid.'

Annalee Curran, UKCP registered CAT therapist, supervisor and trainer. Founder Member and first Chairperson of ACAT and now a Life Member.

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