About the Book

With a variety of case examples and contributions from experienced clinicians, this book introduces Cognitive Analytic Therapy (CAT) in practical, user-friendly language, and for the first time guides readers on how to use it with people with intellectual disabilities.

CAT is increasingly recognised as an effective approach for working with people with intellectual disabilities. It focuses on observing and describing typical patterns of how the client relates to others, how they behave in relationships and how they see themselves. By considering how these patterns first developed and how they can be revised in a more constructive direction, CAT can encourage change to occur as the result of healthier relationships. The contributors describe in straightforward terms how CAT may be used with people with intellectual disabilities, and provide CAT tools adapted specifically for this client group. CAT and autism, CAT with people with intellectual disabilities in forensic settings and CAT with survivors of domestic abuse who have intellectual disabilities are also explored in detail.

This is essential reading for any clinician wishing to use CAT with people with intellectual disabilities, including psychiatrists, psychologists, psychotherapists, social workers and support workers, as well as professionals across forensic services.

Table of Contents:
Dedication. Acknowledgements. Foreword by Val Crowley, Consultant Clinical Psychologist and CAT Psychotherapist. Part 1: Overview of Cognitive Analytic Therapy and People with Learning Disabilities. 1: Introduction. Julie Lloyd, Clinical Psychologist and Cognitive Analytic Therapist and Steve Potter, Psychotherapist, Coach, Trainer and Supervisor. 2. The Adaptation and Adoption of Tools in CAT for People who have a Learning Disability and their Carers. Philip Clayton, Cognitive Analytic Psychotherapist. 3. How CAT is being used in Services for People with Learning Disabilities. Julie Lloyd and Hilary Brown, Professor of Social Care, Canterbury Christ Church University, UK and Cognitive Analytic Psychotherapist. 4. Formulating and Working Therapeutically with the Concept of Learning Disability in the CAT Model. Jo Varela, CAT Practitioner and Consultant Clinical Psychologist. 5. Relational Intelligence. Steve Potter and Julie Lloyd. 6. The Helper's Dance. Steve Potter. 7.  What Aspects of Intelligence are Needed to Understand the Concept of Reciprocal Roles? Julie Lloyd. Section 2 Using Cognitive Analytic Therapy in the Community. 8. The Problems of Caring and Being Cared For (or how to get your shoelaces tied for you). David Wilberforce, Lecturer at the University of Hull and the University of York, UK, and therapist and trainer in private practice. 9. Using CAT in a Systemic Context with Staff Teams: Reflections on the Process of Facilitating an Intervention. Helen Elford, Clinical Psychologist and Zoe Ball, Chartered Clinical Psychologist. 10. CAT and Behaviours that Challenge. Jo Varela. 11. Heroic or Stoic: Why do we try so hard, or give up so easily, in helping with severe autism? Julie Lloyd and Steve Potter. 12. What is the 2005 Mental Capacity Act and how can CAT help us to make sense of the decision-making process at its heart? Hilary Brown and Julie Lloyd. Section 3: Using Cognitive Analytic Therapy in Forensic Settings. 13. Behind the Mask: A Case Study of using CAT with a Woman with Learning Disabilities who Suffered Domestic Violence. Michelle Anwyl, CAT practitioner and Pamela Mount, Clinical Nurse Specialist, Psychological Treatment Service, North West Forensic Learning Disability Service. 14. CAT Integrated into a Therapeutic Community Approach. Philip Clayton and Simon Crowther, Clinical Psychologist. 15. A Group Approach: The Brooklands Offender Relationship Treatment Programme. Nicola Murphy, Senior Clinical Psychologist and Cognitive Analytic Therapist. 16. The Application of CAT both Therapeutically for Personality Disorder and Offending Behaviour, and Contextually within a Secure Service. Nicola Murphy. 17. CAT in Forensic Learning Disability Settings. Perry Morrison, Consultant Lead Clinical Psychologist, Forensic Learning Disability Service, Southern Health Foundation Trust. Afterword. Val Crowley, Phil Clayton, Julie Lloyd and David Wilberforce. The Editors. The Contributors. Glossary. Appendix I: The Psychotherapy File. Appendix II: The Psychotherapy File. Appendix III: The Psychotherapy File Adapted for People with Learning Disabilities. Appendix IV: Personality Structure Questionnaire. Appendix V: 1:1 CAT Care Plan with Nursing Staff. References. Index.