2024-03-28T16:04:41Z
https://eprints.whiterose.ac.uk/cgi/oai2
oai:eprints.whiterose.ac.uk:514
2014-06-04T10:49:12Z
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https://eprints.whiterose.ac.uk/514/
Clinical and service implications of a cognitive analytic therapy model of psychosis
Kerr, I.B.
Birkett, P.B.L.
Chanen, A.
Cognitive analytic therapy (CAT) is an integrative, interpersonal model of therapy predicated on a radically social concept of self, developed over recent years in the UK by Anthony Ryle. A CAT-based model of psychotic disorder has been developed much more recently based on encouraging early experience in this area. The model describes and accounts for many psychotic experiences and symptoms in terms of distorted, amplified or muddled enactments of normal or ‘neurotic’ reciprocal role procedures (RRPs) and of damage at a meta-procedural level to the structures of the self.
Reciprocal role procedures are understood in CAT to represent the outcome of the process of internalization of early, sign-mediated, interpersonal experience and to constitute the basis for all mental activity, normal or otherwise. Enactments of maladaptive RRPs generated by early interpersonal stress are seen in this model to constitute a form of ‘internal expressed emotion’. Joint description of these RRPs and their enactments (both internally and externally) and their subsequent revision is central to the practice of CAT during which they are mapped out through written and diagrammatic reformulations.
This model may usefully complement and extend existing approaches, notably recent CBT-based interventions, particularly with ‘difficult’ patients, and generate meaningful and helpful understandings of these disorders for both patients and their treating teams. We suggest that use of a coherent and robust model such as CAT could have important clinical and service implications in terms of developing and researching models of these disorders as well as for the training of multidisciplinary teams in their effective treatment.
2003-10
Article
PeerReviewed
text
en
https://eprints.whiterose.ac.uk/514/1/birkettpbl1.pdf
Kerr, I.B., Birkett, P.B.L. and Chanen, A. (2003) Clinical and service implications of a cognitive analytic therapy model of psychosis. Australian and New Zealand Journal of Psychiatry, 37 (5). pp. 515-523. ISSN 0004-8674
http://www.blackwellpublishing.com/journal.asp?ref=0004-8674
doi:10.1046/j.1440-1614.2003.01200.x
oai:eprints.whiterose.ac.uk:8585
2013-02-08T16:58:24Z
7374617475733D707562
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https://eprints.whiterose.ac.uk/8585/
Time perception and its neuropsychological correlates in patients with schizophrenia and in healthy volunteers
Lee, K.H.
Bhaker, R.S.
Mysore, A.
Parks, R.W.
Birkett, P.B.L.
Woodruff, P.W.R.
Disordered time perception has been reported in schizophrenia. We investigated time perception dysfunction and its neuropsychological correlates in patients with schizophrenia. Participants comprised 38 patients and 38 age- and sex-matched healthy volunteers who were compared in an auditory temporal bisection paradigm using two interval ranges (a 400/800 ins condition and a 1000/2000 ms condition). In the temporal bisection, subjects were required to categorise a probe duration as short or long, based upon the similarity with two reference durations. All subjects also completed a battery of neuropsychological tests measuring sustained attention, short- and long-term memory and executive function. In the 400/800 ins condition, patients judged durations significantly shorter than did control subjects. Patients also exhibited decreased temporal sensitivity in both conditions. We found in both groups a negative association between temporal sensitivity and sustained attention for the 400/800 ms condition, and between temporal sensitivity and long-term memory for the 1000/200 ms condition. In patients, short-term memory performance was negatively associated with duration judgement in both conditions, while executive dysfunction was correlated to a general performance deficit in the 400/800 ms condition. These findings suggest the possibility that time perception abnormalities in schizophrenia are part of neuropsychological dysfunction and are likely to adversely impact upon activity of daily living. (c) 2008 Elsevier Ireland Ltd. All rights reserved.
Elsevier
2009-04-30
Article
PeerReviewed
text
en
https://eprints.whiterose.ac.uk/8585/2/Lee_Time_perception.pdf
Lee, K.H., Bhaker, R.S., Mysore, A. et al. (3 more authors) (2009) Time perception and its neuropsychological correlates in patients with schizophrenia and in healthy volunteers. Psychiatry Research, 166 (2-3). pp. 174-183. ISSN 0165-1781
http://dx.doi.org/10.1016/j.psychres.2008.03.004
10.1016/j.psychres.2008.03.004
oai:eprints.whiterose.ac.uk:10335
2013-02-08T17:39:45Z
7374617475733D707562
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https://eprints.whiterose.ac.uk/10335/
Time perspective, depression, and substance misuse among the homeless
Pluck, G.
Lee, K.H.
Lauder, H.E.
Fox, J.M.
Spence, S.A.
Parks, R.W.
Using the Zimbardo Time Perspective Inventory (ZTPI; P. G. Zimbardo & J. N. Boyd, 1999), the authors found that homeless people, in comparison with a control group, had a significantly more negative outlook concerning their past and present as evinced by high Past-Negative and Present-Fatalistic scores and low Past-Positive scores on the ZTPI. However, the homeless individuals were almost indistinguishable from control participants on measures of Present-Hedonism and Future thinking. The homeless individuals had significantly higher levels of depression, with 31 out of 50 (62%) reaching criteria for probable depression. However, this finding was unrelated to their atypical time perspective. There was no significant relation between substance misuse and time perspective. Despite their current difficulties, including depression and drug abuse, the homeless individuals maintained a propensity toward future thinking characterized by striving to achieve their goals..
Taylor and Francis
2008
Article
PeerReviewed
text
en
https://eprints.whiterose.ac.uk/10335/1/WRRO_10335.pdf
Pluck, G., Lee, K.H., Lauder, H.E. et al. (3 more authors) (2008) Time perspective, depression, and substance misuse among the homeless. Journal of Psychology, 142 (2). pp. 159-168. ISSN 0022-3980
http://dx.doi.org/10.3200/JRLP.142.2.159-168
10.3200/JRLP.142.2.159-168