Tyrer, R and Masterson, C (2019) Clients' experience of change: an exploration of the influence of reformulation tools in Cognitive Analytic Therapy. Clinical Psychology and Psychotherapy, 26 (2). pp. 167-174. ISSN 1063-3995
Abstract
Case formulation is considered important in both the development of the therapeutic relationship and in starting the process of therapeutic change. Cognitive analytic therapy describes the developmental origins and maintenance of a client's problems in both written (reformulation letter) and diagrammatic form (Sequential diagrammatic reformulation; SDR). This study aimed to investigate the effects of these reformulation tools on insight and symptom change. A small‐N repeated measures design was employed with quantitative and qualitative measures collected from six therapist/client dyads. Participating therapists kept a record of their delivery of CAT reformulation tools. Participating clients completed the insight sub‐scale of the Self‐Reflection and Insight Scale (SRIS‐IN) every fourth session and the Clinical Outcomes in Routine Evaluation‐10 (CORE‐10) every session. Qualitative data from client change interviews regarding their experiences of CAT and attributions of change was explored using template analysis. Participants demonstrated improvements (symptom reduction and insight increases) over the course of the intervention. Administration of reformulation tools did not consistently result in significant changes on insight and symptom measures. However, the tools were identified by participants as leading to insight and emotional change within the context of a good therapeutic relationship. These findings suggest that a genuine therapeutic relationship is an important change mechanism operating through, and strengthened by, CAT‐specific tools.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | This article is protected by copyright. All rights reserved. This is the peer reviewed version of the following article: Tyrer R, Masterson C. (2018) Clients' experience of change: an exploration of the influence of reformulation tools in Cognitive Analytic Therapy. Clin Psychol Psychother., which has been published in final form at https://doi.org/10.1002/cpp.2339. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving. Uploaded in accordance with the publisher's self-archiving policy. |
Keywords: | Mechanisms; CAT‐specific tools; Reformulation; Formulation; Insight; Change |
Dates: |
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Institution: | The University of Leeds |
Academic Units: | The University of Leeds > Faculty of Medicine and Health (Leeds) > School of Medicine (Leeds) > Leeds Institute of Health Sciences (Leeds) > Academic Unit of Psychiatry and Behavioural Sciences (Leeds) |
Depositing User: | Symplectic Publications |
Date Deposited: | 19 Oct 2018 10:57 |
Last Modified: | 10 Oct 2019 00:39 |
Status: | Published |
Publisher: | Wiley |
Identification Number: | 10.1002/cpp.2339 |
Related URLs: | |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:137320 |