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Cognitive Analytic Therapy for Psychosis: A Case Series

Taylor, Peter J.; Taylor, Peter; Perry, Alex; Hutton, Paul; Tan, Ranil; Fisher, Naomi; Focone, Chiara; Griffiths, Diane; Seddon, Claire

Authors

Peter J. Taylor

Peter Taylor

Alex Perry

Ranil Tan

Naomi Fisher

Chiara Focone

Diane Griffiths

Claire Seddon



Abstract

Objectives: Cognitive Analytic Therapy (CAT) is an effective psychological intervention for several different mental health conditions. However, whether it is acceptable, safe and beneficial for people with psychosis remains unclear, as is the feasibility of providing and evaluating it within a research context. The aim of the current study was to begin to address these questions, and to obtain for the first time a rich and detailed understanding of the experience of receiving CAT for psychosis.
Design: A mixed-methods case series design.
Method: Seven individuals who experienced non-affective psychosis received CAT. They completed assessments at the start of CAT, 16 weeks, and 28 weeks post baseline. Qualitative interviews were completed with four individuals following completion of or withdrawal from therapy.
Results: Six participants attended at least four sessions of therapy and four went on to complete therapy. There were no serious adverse events and self-reported adverse experiences were minimal. Qualitative interviews suggested CAT is acceptable and provided a way to understand and work therapeutically with psychosis. There was limited evidence of change in psychotic symptoms but improvement in perceived recovery and personality integration was observed.
Conclusions: The results suggest that CAT is a safe and acceptable intervention for psychosis. Personality integration, perceived recovery and functioning are relevant outcomes for future evaluations of CAT for psychosis.

Citation

Taylor, P. J., Taylor, P., Perry, A., Hutton, P., Tan, R., Fisher, N., …Seddon, C. (2019). Cognitive Analytic Therapy for Psychosis: A Case Series. Psychology and Psychotherapy: Theory, Research and Practice, 92(3), 359-378. https://doi.org/10.1111/papt.12183

Journal Article Type Article
Acceptance Date Apr 5, 2018
Online Publication Date May 2, 2018
Publication Date 2019-09
Deposit Date Apr 12, 2018
Publicly Available Date May 3, 2019
Journal Psychology And Psychotherapy: Theory, research and Practice
Publisher Wiley
Peer Reviewed Peer Reviewed
Volume 92
Issue 3
Pages 359-378
DOI https://doi.org/10.1111/papt.12183
Keywords Cognitive Analytic Therapy; Psychosis; Feasibility; Case Series
Public URL http://researchrepository.napier.ac.uk/Output/1151515

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Copyright Statement
This is the peer reviewed version of the following article: Taylor, P., Perry, A., Hutton, P., Tan, R., Fisher, N., Focone, C., …Seddon, C. (in press). Cognitive Analytic Therapy for Psychosis: A Case Series. Psychology and Psychotherapy: Theory, Research and Practice, which has been published in final form at https://doi.org/10.1111/papt.12183. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving.


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http://creativecommons.org/licenses/by-nc/4.0/

Copyright Statement
© 2018 The Authors. Psychology and Psychotherapy: Theory, Research and Practice published by John Wiley & Sons Ltd on behalf of British Psychological Society<br /> <br /> This is an open access article under the terms of the Creative Commons Attribution‚ÄźNonCommercial License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.







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