A systematic review of service user ’s experience of cognitive analytic therapy (CAT)
ConclusionsCAT is helpful in supporting service users to understand their patterns and to identify useful coping skills. However, some service users can experience strong emotions in therapy and struggle to trust their therapist. Greater attention to working within the service users ’ zone of proximal development (ZPD) and engendering hope during the reformulation stage may attenuate some of these risks. Recommendations are made for future research directions.Practitioner points CAT therapy enables users to develop insight to their reciprocal roles and patterns and helpful coping skills. The service user ’s ...
Source: Psychology and Psychotherapy: Theory, Research and Practice - September 15, 2020 Category: Psychiatry & Psychology Authors: Nadia Balmain, Yvonne Melia, Helen Dent, Karen Smith Tags: Special issue paper Source Type: research

Developing a competence framework for cognitive analytic therapy
ConclusionsThe framework enables trainees, service users, service managers, and commissioners to better understand a) the core features of CAT and b) what competences need to be in place for CAT to be skilfully delivered in practice.Practitioner points It is possible to define the core competences of CAT. Whilst generic competences are important, there are five CAT ‐specific domains of competence. The CAT‐specific competences reflect the three‐phase structure of the therapy: reformulation, recognition, and revision. (Source: Psychology and Psychotherapy: Theory, Research and Practice)
Source: Psychology and Psychotherapy: Theory, Research and Practice - September 15, 2020 Category: Psychiatry & Psychology Authors: Glenys Parry, Dawn Bennett, Anthony D. Roth, Stephen Kellett Tags: Special issue paper Source Type: research

A systematic review of service user ’s experience of cognitive analytic therapy (CAT)
ConclusionsCAT is helpful in supporting service users to understand their patterns and to identify useful coping skills. However, some service users can experience strong emotions in therapy and struggle to trust their therapist. Greater attention to working within the service users ’ zone of proximal development (ZPD) and engendering hope during the reformulation stage may attenuate some of these risks. Recommendations are made for future research directions.Practitioner points CAT therapy enables users to develop insight to their reciprocal roles and patterns and helpful coping skills. The service user ’s ...
Source: Psychology and Psychotherapy: Theory, Research and Practice - September 15, 2020 Category: Psychiatry & Psychology Authors: Nadia Balmain, Yvonne Melia, Helen Dent, Karen Smith Tags: Special issue paper Source Type: research

A qualitative study exploring adolescents ’ experience of brief behavioural activation for depression and its impact on the symptom of anhedonia
ConclusionsBoth specific Brief Behavioural Activation strategies (e.g., connecting with values) and more generic therapeutic strategies (e.g., self ‐monitoring) may be helpful in treating the symptom of anhedonia in adolescent depression. Motivational aspects of anhedonia, as well as anxiety, fatigue, and academic pressures act as potential barriers to recovery. This highlights the need for psychological treatments for adolescent depression t o include explicit and targeted strategies to enhance motivation.Practitioner points Young people reported that specific Brief Behavioural Activation strategies (e.g., connecting ...
Source: Psychology and Psychotherapy: Theory, Research and Practice - September 12, 2020 Category: Psychiatry & Psychology Authors: Rebecca Watson, Kate Harvey, Laura Pass, Ciara McCabe, Shirley Reynolds Tags: Original article Source Type: research

Targeting dissociation using cognitive behavioural therapy in voice hearers with psychosis and a history of interpersonal trauma: A case series
ConclusionsThe findings of this case series suggest that the reduction of dissociation represents a valuable and acceptable treatment target for clients with auditory verbal hallucinations and a trauma history. Future clinical trials might benefit from considering targeting dissociative experiences as part of psychological interventions for distressing voices.Practitioner points Practitioners should consider the role of dissociation when assessing and formulating the difficulties of voice hearers with a history of trauma. Techniques to reduce dissociation can be feasibly integrated within psychological interventions for...
Source: Psychology and Psychotherapy: Theory, Research and Practice - September 10, 2020 Category: Psychiatry & Psychology Authors: Filippo Varese, Maggie Douglas, Robert Dudley, Samantha Bowe, Thomas Christodoulides, Stephanie Common, Tim Grace, Victoria Lumley, Laura McCartney, Sonia Pace, Thomas Reeves, Anthony P. Morrison, Douglas Turkington Tags: Original article Source Type: research

On what do therapists agree? Assessing therapist evaluations of emotion regulation strategy effectiveness
ObjectiveTo develop more unified, process ‐based, and disseminable psychotherapy treatments, it is important to determine whether there is consensus among therapists regarding intervention strategies.DesignBecause emotion regulation is a cornerstone of modern treatments and a thriving area of clinical research, we assessed therapists ’ ratings of the effectiveness of commonly studied emotion regulation strategies.MethodsTherapists (n = 582) read eleven vignettes describing stressful scenarios and rated the effectiveness of ten emotion regulation strategies in each scenario.ResultsAcross therapists, we fou...
Source: Psychology and Psychotherapy: Theory, Research and Practice - August 27, 2020 Category: Psychiatry & Psychology Authors: Matthew W. Southward, Anne C. Wilson, Jennifer S. Cheavens Tags: Original article Source Type: research

Issue Information
Psychology and Psychotherapy: Theory, Research and Practice, Volume 93, Issue 3, Page i-iv, September 2020. (Source: Psychology and Psychotherapy: Theory, Research and Practice)
Source: Psychology and Psychotherapy: Theory, Research and Practice - August 18, 2020 Category: Psychiatry & Psychology Tags: Issue Information Source Type: research

Shifting as a key executive function underlying cognitive restructuring for individuals with elevated social anxiety
ConclusionsThe standard WCST may be sensitive to capturing the type of mental flexibility which is important for producing helpful alternative thinking during cognitive restructuring.Practitioner points Poorer shifting ability with regard to non ‐emotional stimuli in clients with elevated social anxiety may be related to poorer ability to produce helpful alternative thoughts during cognitive restructuring. For clinicians whose clients with elevated social anxiety are having difficulty with generating alternative thoughts during cognitive restructuring, clinicians should consider poor shifting ability as a potential co...
Source: Psychology and Psychotherapy: Theory, Research and Practice - August 9, 2020 Category: Psychiatry & Psychology Authors: Lauren J. Holder, Ashni Prasad, Jin Han, Michelle Torok, Quincy J. J. Wong Tags: Original Article Source Type: research

Causal explanations of depression on perceptions of and likelihood to choose cognitive behavioural therapy and antidepressant medications as depression treatments
ConclusionsResults indicated that people ’s beliefs about the causes of depression were related to their perceptions of and likelihoods to choose ADM and CBT as depression treatments.Practitioner Points Provides evidence of how different causal explanations of depression influence sufferers ’ likelihoods to choose ADM and CBT as possible treatments for their depression. Provides support for exploring potential patients’ causal explanations about depression prior to recommending a treatment regimen. (Source: Psychology and Psychotherapy: Theory, Research and Practice)
Source: Psychology and Psychotherapy: Theory, Research and Practice - August 4, 2020 Category: Psychiatry & Psychology Authors: Lisa M. Watson, Shadi Beshai Tags: Research Paper Source Type: research

An interpretative phenomenological analysis of service users ’ experiences in a psychosocial addictions intervention
ConclusionsThese findings suggest that the success of the psychosocial intervention may be due to a combination of modality specific factors and also broader holistic aspects that were provided through intervention. Future research is required to generalise these findings to wider addiction populations.Practitioner points Review of the evidence base suggests the need to move beyond testing addiction interventions and instead understand change processes through psychosocial intervention. Narratives of lived experience of those undergoing psychosocial intervention inform us that specific features relating to intervention,...
Source: Psychology and Psychotherapy: Theory, Research and Practice - July 29, 2020 Category: Psychiatry & Psychology Authors: Runa Dawood, John Done Tags: Qualitative Paper Source Type: research

A qualitative examination of the relationship between rumination, distress, and dysregulated behaviours in vulnerable young people
ConclusionsDSH, binge/purge behaviours, and substance misuse represent maladaptive ways to distract from intense and pervasive rumination in this cohort of young people. Theoretical and treatment implications pertaining to these findings are discussed.Practitioner points Rumination is a common experience in young people who engage in dysregulated behaviours including deliberate self ‐harm, binging and purging, and substance misuse Engagement in behavioural dysregulation functions to distract from rumination, which negatively reinforces further engagement in dysregulated behaviours. Interventions in this population sh...
Source: Psychology and Psychotherapy: Theory, Research and Practice - July 27, 2020 Category: Psychiatry & Psychology Authors: Elise Sloan, Richard Moulding, Carlye Weiner, Rose ‐Mary Dowling, Kate Hall Tags: Qualitative Paper Source Type: research

Factors contributing to the distress, concerns, and needs of UK Neuroscience health care workers during the COVID ‐19 pandemic
COVID ‐19 research from China suggests health care workers are at risk of distress, have specific concerns, and need support. It remains unknown whether findings are applicable to UK health care staff and whether psychological support based on generic approaches is effective. We administered an online s urvey at a leading neuroscience hospital in the UK to examine how individual staff characteristics contribute to distress, concerns, and interventions most valued during the COVID‐19 pandemic. We found a high incidence of distress, particularly in females and staff with previous mental health hist ory. Concerns fell int...
Source: Psychology and Psychotherapy: Theory, Research and Practice - July 16, 2020 Category: Psychiatry & Psychology Authors: Lisa Cipolotti, Edgar Chan, Patrick Murphy, Natasja Harskamp, Jennifer A. Foley Tags: Brief report Source Type: research

Understanding predictors of change in a day treatment setting for non ‐suicidal self‐injury
ConclusionsPatients who completed a day treatment programme for NSSI evidenced significant change in NSSI frequency, functional impairment, and quality of life at discharge; however, several demographic and clinical variables were associated with change.Practitioner points Patients who engage in NSSI show significant change from admission to discharge in a day treatment programme dedicated to the treatment of NSSI. Quality of life and functional impairment are important outcome variables to consider and evaluate in higher levels of care. It is important to consider demographic and clinical variables when creating a tre...
Source: Psychology and Psychotherapy: Theory, Research and Practice - July 14, 2020 Category: Psychiatry & Psychology Authors: No ël C. Slesinger, Nicole A. Hayes, Jason J. Washburn Tags: Original Article Source Type: research

The Compassionate Kitbag: A creative and integrative approach to compassion ‐focused therapy
ConclusionsThe Compassionate Kitbag's potential therapeutic value lies in offering multifarious creative and tangible means of accessing compassion to a wide range of individuals whom are typically fearful of, blocked, and/or resistant to compassion. Further research into the wider application of the concept of the Compassionate Kitbag is needed.Practitioner points Many patients with ruptured and/or traumatized early attachment relationships can find more traditional talking therapies difficult to access. Compassion ‐focused therapy (CFT) can offer an evolutionary‐based understanding of interpersonal difficulties wh...
Source: Psychology and Psychotherapy: Theory, Research and Practice - July 8, 2020 Category: Psychiatry & Psychology Authors: Katherine Lucre, Neil Clapton Tags: Review Paper Source Type: research

Physical activity in a pandemic: A new treatment target for psychological therapy
We present theoretical perspecti ves and therapy techniques relating to (1) beliefs about physical activity, (2) motivation to be physically active, and (3) the sense of reward achieved through being physically active. We outline strategies to initiate and maintain physical activity during the COVID‐19 pandemic, thereby benefitti ng mental and physical health. COVID‐19 is demanding rapid and substantial change across the whole health care system. Psychological therapists can respond creatively by addressing physical activity, a treatable clinical target which delivers both mental and physical health benefits.Practition...
Source: Psychology and Psychotherapy: Theory, Research and Practice - June 25, 2020 Category: Psychiatry & Psychology Authors: Rowan Diamond, Felicity Waite Tags: Brief Report Source Type: research

Rejection sensitivity and adolescent non ‐suicidal self‐injury: Mediation through depressive symptoms and moderation by fear of self‐compassion
ConclusionsThese findings highlight the need to address adolescents' rejection sensitivity, depressive symptoms, and fear of self ‐compassion in preventing and intervening NSSI.Practitioner points Focusing on rejection sensitivity might help understand the relationships between intra ‐ and interpersonal distress and NSSI. The findings of this study evidenced the risk effect of adolescents' rejection sensitivity on NSSI and the partial mediation of depressive symptoms in the link. Targeting adolescents' rejection sensitivity will be beneficial in developing NSSI‐related preve ntion and intervention programs. This s...
Source: Psychology and Psychotherapy: Theory, Research and Practice - June 23, 2020 Category: Psychiatry & Psychology Authors: Yongqiang Jiang, Yaxuan Ren, Tian Liu, Jianing You Tags: Original Article Source Type: research

The acceptability, effectiveness, and durability of cognitive analytic therapy: Systematic review and meta ‐analysis
ConclusionsPatients with a range of presenting problems appear to experience durable improvements in their difficulties after undergoing CAT. Recommendations are provided to guide the further progression of the CAT outcome evidence base.Practitioner points Large pre –post reductions in global functioning and depression outcomes and moderate–large reductions in interpersonal problems are evident after CAT. The effects of CAT appear durable, and interpersonal functioning significantly improves over follow‐up time. CAT produces small–moderate benefits co mpared to trial comparators. CAT appears to be ...
Source: Psychology and Psychotherapy: Theory, Research and Practice - June 15, 2020 Category: Psychiatry & Psychology Authors: Craig Hallam, Melanie Simmonds ‐Buckley, Stephen Kellett, Beth Greenhill, Andrew Jones Tags: Special Issue Paper Source Type: research

When experiences of presence go awry: A survey on psychotherapy practice with the ambivalent ‐to‐distressing ‘hallucination’ of the deceased
ConclusionAfter comparing and contrasting the participants ’ working hypotheses with existing knowledge on experiences of presence, and contemporary theories in the research area, guidelines are presented on how to intervene with people disturbed by their experiences of presence.Practitioner points Perceiving the deceased person, or feeling their presence, is common and normal amongst bereaved people. When these experiences are distressing or ambivalent, therapists ’ share that psychological suffering may originate from the departed–bereaved relationship, pre‐existing mental health issues, or the eff...
Source: Psychology and Psychotherapy: Theory, Research and Practice - June 12, 2020 Category: Psychiatry & Psychology Authors: Pablo Sabucedo, Chris Evans, Anastasios Gaitanidis, Jacqueline Hayes Tags: Qualitative Paper Source Type: research

The Emotional Dysregulation Questionnaire: Development and comparative analysis
ConclusionsResults suggest the EDQ possesses several advantages relative to the DERS, allowing for a more comprehensive and accurate assessment of emotional dysregulation.Practitioner points Emotional dysregulation is a common component of many psychological disorders. The Difficulties in Emotion Regulation Scale is one of the primary self ‐report measures used to asses these difficulties, however, concerns exist that it may not comprehensively assess the construct of emotional dysregulation. A new self‐report measure of comparable length, the Emotional Dysregulation Questionnaire has been developed, with this new ...
Source: Psychology and Psychotherapy: Theory, Research and Practice - June 9, 2020 Category: Psychiatry & Psychology Authors: Duncan Gill, Wayne Warburton, Naomi Sweller, Ken Beath, Peter Humburg Tags: Original article Source Type: research

Trauma ‐focused imaginal exposure for auditory hallucinations: A case series
ConclusionsImaginal exposure for trauma ‐related AH is generally acceptable and may have large effects on AH severity for some people. However, temporary distress and symptom exacerbation are common and can lead to discontinuation. Low referral rates and uptake also suggest feasibility issues for standalone imaginal exposure for AH. The intervention may be more feasible and acceptable in the context of a broader trauma‐focused therapy. Well‐powered trials are needed to determine efficacy and factors that impact on acceptability and therapy response.Practitioner points Some AH can be understood as trauma memory intr...
Source: Psychology and Psychotherapy: Theory, Research and Practice - May 21, 2020 Category: Psychiatry & Psychology Authors: Rachel M. Brand, Sarah Bendall, Amy Hardy, Susan L. Rossell, Neil Thomas Tags: Original article Source Type: research

A systematic review of the use of acceptance and commitment therapy in supporting parents
ConclusionsDespite these limitations, ACT holds promise as a transdiagnostic intervention that can help with the parenting of children with a range of psychological and physical difficulties.Practitioner points ACT has accrued a relatively strong evidence base for a range of psychological difficulties. Despite some methodological shortcomings, ACT shows promise as an intervention to help parents manage stress and difficulties especially in relation to children with autism, chronic pain, and physical health needs. Further research is required in comparing ACT to more established treatments and helping consolidate initial p...
Source: Psychology and Psychotherapy: Theory, Research and Practice - May 13, 2020 Category: Psychiatry & Psychology Authors: Gary Byrne, Áine Ní Ghráda, Teresa O'Mahony, Emma Brennan Tags: Review Article Source Type: research

The effectiveness of cognitive analytic therapy for borderline personality disorder: Utilizing a withdrawal experimental design to improve sensitivity to abandonment
ConclusionsThe study suggests that the CAT intervention was partially successful and that it is possible to integrate good research practice with clinical innovation. The methodological strengths and limitations of the design and the clinical implications of the results are discussed.Practitioner points Cognitive analytic therapy was partially effective in the treatment of BPD in a case that had been unresponsive to other psychological interventions. Therapists need to complete lengthy and structured follow ‐up to capture any emerging relapse. Therapists need to discuss the patient’s thoughts and feelings about...
Source: Psychology and Psychotherapy: Theory, Research and Practice - May 12, 2020 Category: Psychiatry & Psychology Authors: Stephen Kellett, Joe Gausden, Chris Gaskell Tags: Special issue paper Source Type: research

Do clinical psychologists have a role in clients ’ use of psychotropic medication? A mixed methods investigation exploring current forms of involvement
ConclusionsConsensus was reached in that clinical psychologists do have a role with their clients ’ psychotropic medication, although this varies by clinician and takes on many forms. In the light of the changing role, professional guidance would help to promote clarity and consistency.Practitioner points Clinical psychologists are regularly engaging in roles in relation to their clients ’ psychotropic medication use despite little guidance or training. Findings identify a range of specific roles in relation to psychotropic medication that psychologists can take including formulating the impact of psychotrop...
Source: Psychology and Psychotherapy: Theory, Research and Practice - May 6, 2020 Category: Psychiatry & Psychology Authors: Amy Aston, Sharron Smith, Danielle De Boos, Anna Tickle Tags: Qualitative Paper Source Type: research

Secondary attachment and mental health in Pakistani and Scottish adolescents: A moderated mediation model
ConclusionsThe cross ‐cultural evidence suggests that alongside primary attachment, it is important to target secondary attachment through coping strategies, in order to enhance psychological well‐being and lessen psychological distress in adolescents.Practitioner points Secondary attachment plays a different role from primary attachment in adolescents. Therefore, it is important to target both primary attachment and secondary attachment security to enhance psychological well ‐being and lessen psychological distress. Cross‐cultural differences in coping suggest that differential strategies to target different co...
Source: Psychology and Psychotherapy: Theory, Research and Practice - April 29, 2020 Category: Psychiatry & Psychology Authors: Somia Imran, Angus MacBeth, Ethel Quayle, Stella W.Y. Chan Tags: Original Article Source Type: research

Issue Information
Psychology and Psychotherapy: Theory, Research and Practice, Volume 93, Issue 2, Page i-iv, June 2020. (Source: Psychology and Psychotherapy: Theory, Research and Practice)
Source: Psychology and Psychotherapy: Theory, Research and Practice - April 28, 2020 Category: Psychiatry & Psychology Tags: Issue Information Source Type: research

Pilot service evaluation of a brief psychological therapy for self ‐harm in an emergency department: Hospital Outpatient Psychotherapy Engagement Service
ConclusionsThe results of this service evaluation support the feasibility of the HOPE service, demonstrating good engagement rates given the complexity of the population and context. Whilst there was evidence of reductions in distress, randomized controlled trials are needed to determine if HOPE has clinical efficacy.Practitioner points Rates of engagement with HOPE suggest the service is feasible in an Emergency Department context Working alliance scores were positive for the majority of patients The HOPE service shows promise as a brief intervention for people who self ‐harm but requires further evaluation Randomi...
Source: Psychology and Psychotherapy: Theory, Research and Practice - April 27, 2020 Category: Psychiatry & Psychology Authors: Peter J. Taylor, Kirsten Fien, Helen Mulholland, Rui Duarte, Joanne M. Dickson, Cecil Kullu Tags: Special Issue Paper Source Type: research