Cognitive-Analytic Therapy: Active Participation in Change A New Integration in Brief Psychotherapy Anthony Ryle, St Thomas’s Hospital, London With contributions from Amanda M Poynton, Guy’s Hospital, London and Bee J Brockman, West Midlands Regional Health Authority, Birmingham. This book presents a time-limited approach to psychotherapy. It describes a new framework for brief therapy—Cognitive - Analytic Therapy—the application of psychoanalytic understanding and of some psychoanalytic techniques within a framework, and with additional treatment methods derived from cognitive psychology and psychotherapy. This therapy involves a high degree of patient participation in the describing and in the learning to recognize and alter recurrent maladaptive procedures. The book is intended as a guide to clinical work—ideas and methods are illustrated with a large amount of case description, with writing from therapists and patients, and with some directly recorded material from sessions. Cognitive - Analytic Therapy is a precise and powerful method which uses active techniques, which recruits the patients’ capacities and which takes account of the complexity of psychotherapeutic change. The approach is brief, effective and researchable and is suitable as the first intervention in most patients. Anthony Ryle’s book will be essential reading to those already engaged in Cognitive - Analytic Therapy and will introduce many others to the possibility of an effective and theoretically coherent integration of psychodynamic, cognitive and behavioural therapies. This book appears in the Wily Series on Psychotherapy and Counselling, Series Editors Franz Epting, University of Florida, and Glenys Parry, University of Southampton.
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Presents the clinical applications of cognitive-analytic therapy (CAT) in treating patients in both primary care and outpatient settings and as an initial treatment for seriously disturbed patients. Delineates the reformulation process in which patients actively participate in defining their problems and modifying their behavior. Describes general treatment methods, more complex reformulations of patients' difficulties and treatment of the more severely disturbed patient. Also discusses the use of CAT procedures in long-term therapy, in couple therapy and in various work settings. Ideas and methods are illustrated with several case descriptions, studies from therapists and patients and directly recorded material from sessions.
About the author Anthony Ryle qualified in medicine in 1949 and was until 1964 in general practice where his interest in neuroses and therapy began and where his first research was carried out. He was Director of the University Health Service at the University of Sussex until 1979. He is currently consultant psychotherapist at the United Medical and Dental Schools of Guy’s and St Thomas’s Hospital in London where he is active in both research and teaching and in the development of Cognitive - Analytic Therapy.
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