Krakow Poster Presentations

Poster presentations at 2011 Krakow conference

Dittopoulos, Adamopoulou & Garyfallos: CAT outcome in patients with panic disorder with/without AG

Fiorelli, C. & Poggioli, M: Poster presentation on Italian PSQ and Normalisation on Eating disordered sample

Hamilton & Kerr: A randomized controlled trial on the impact of CAT on mental health during pregnancy.

Jääskeläinen, A: CAT perspective on psychoeducational group for depression

Nyberg, Jenny: Introduction to CAT perspective for the youth workers in a group home for adolescents

Potter, Steve and Martin, Elaine: Some examples of National Identity Maps

Savolainen, Juha: Changes in observer position during short-term CAT group

Potter, Steve and Lloyd, Julie Can CAT maps helps understand our responses to war – The case of Libya

1. Poster Presenter: Introduction to CAT perspective for the youth workers in a group home for adolescents

1. Poster Presenter: Introduction to CAT perspective for the youth workers in a group home for adolescents

This project describes an internal training program in a community residential facility, a group home for adolescents. The program was designed to give basic insight into the cognitive analytic perspective. The training program was a pilot attempt to answer to the youth workers increasing need for finding ways to understand, cope and deal with the maladaptive behaviour of the adolescent residents. The youth workers were introduced to the elementary principles of CAT: reciprocal role procedures, dialogical sequences and self-states. They were also trained to avoid collusive interaction with the residents. In addition to the presentation of the pilot training program, this paper also reviews the outcomes and discusses the theoretical and practical dilemmas of interpreting a psychotherapeutic approach to fit the needs of a caregiver in a group home.

Jenny Nyberg is a Finnish psychologist who has been in private practice as a cognitive analytic psychotherapist since she finished her training in 2010. Before her accreditation she has mainly worked with troubled adolescents in schools and groups homes.

2. Poster presentation: Italian PSQ and Normalisation on Eating disordered sample

2. Poster presentation: Italian PSQ and Normalisation on Eating disordered sample
Cristina Fiorani, Marisa Poggioli
Cristina Fiorani worksfor the AUSL in Piacenza as a Psicologo Psicoterapeuta
Marisa Poggioli is HPC registered Practitioner Psychologist, Cat Practitioner and CAT Supervisor
Short title of presentation or poster
Poster will be on our PSQ Normalisation and data from Clinical sample in Italy

CAT perspective on psycho educational group for depression
CAT-therapist Anne Jääskeläinen

Coping with Depression courses (Levinsohn, Munoz, Youngren & Zeiss, 1986; a revised Finnish version Koffert & Kuusi, 2005) are based on cognitive methods to prevent and reduce depression and burnout at work. In these groups self help techniques are learned through a personal workbook. The depression courses build on structured, psychoeducational and experiential learning in a guided group process.

The cognitive treatment model on depression emphasizes that mood, actions and thoughts are closely linked. In learning and understanding how thoughts and actions are related to emotions the patient also begins to observe his/her mood changes and becomes more aware of these changes. Work in depression groups focuses on the present. The goal is to set off a change process that leads to an improved mood and better skills in the everyday life of the patient.

This poster presents my experiences in guiding the Coping with Depression courses in the years 2005-2010. At that time I was also training to be a CAT therapist in Finland. During my CAT training I found out that CAT perspective seemed to fit very well into these groups. This stance was confirmed by the fact that also my colleague in guiding these groups was a CAT therapist. Our common background of using CAT formulations and concepts helped us to create a reflective and lively atmosphere for self observation in the group. The group work deepened through CAT practices e.g. reformulation letters and goodbye letters.

The reformulation letter for the entire group strengthened the group spirit, opened new and deeper levels to the dialogue between the group members. It gave the feeling that we have been seen and heard as well as individuals as a group. The letter made it easier to focus on the basic procedures. It was considered as a productive formulation of the themes from the early sessions of the group. The good bye letter formulated the group process on both individual and group levels. The good bye letter also described the challenges for the group members to work on after the ending of the group.

As therapists we aimed at strengthening the observer position of the group members by offering a new and an alternative position for the group and its members to observe itself as a group and as individuals. This led to insights and helped to built up the subject position in relation to oneself and one’s means of containing the mood and procedures of managing everyday life. The support provided by the peer group turned out to be very important in building up the empathic observer position.

These positive experiences of our application of CAT perspective into the depression groups are described in the poster.

3. Poster presentation: Changes in observer position during short-term cognitive analytic group therapy

3. Poster presentation: Changes in observer position during short-term cognitive analytic group therapy
Psychotherapist Juha Savolainen, Male, work experience in psychiatric hospital and psychotherapy unit in private doctor station

In psychotherapy the client’s self-reflection develops and her/his relation to the target problems changes. The aim of this study is to examine and describe the changes of observer position during a short-term cognitive-analytic group therapy in a psychiatric hospital. The study describes the group members’ initial quality for self reflection and follows the development of observer position during the cognitive-analytic group therapy with 12 sessions. The group therapy process and its effects on the group members are discussed. Although each client had an individual path in the development of self observation, on the whole results were positive. The role of choosing group members into a short term group is emphasized. Sometimes therapeutic work on self reflective
capacity is needed before it is meaningful to set other aims.

4. Poster Presentation Parallel process in CAT supervision t. Juha Majapuro

4. Poster Presentation Parallel process in CAT supervision t. Juha Majapuro
The aim of this case study is to describe how a recurring pattern of a client is manifested. The case focuses on how this pattern is enacted in the supervision session between the therapist in training and his supervisor.

The case is a training client for the therapist on his last year of CAT training. Case material for this study are one audio taped and transcribed session, the 40th session in a long CAT therapy, and one session of supervision after this therapy session. The supervision was also audio taped and transcribed.

CAT reformulation had been shared earlier in the therapy. The pattern shown on the therapy session was formulated by CAT concepts, dialogical pattern and self-state by the therapist.

The results present one excerpt from the therapy session and one excerpt from the supervision session and show the formulated pattern. The pattern was shown in the client’s narrative, but it was not manifest as an enactment
between the client and the therapist during the therapy session. However, the pattern was enacted during the supervision session between the therapist and the supervisor. This is called a parallel process in supervision.
Using audiotapes and transcripts of therapy sessions to focus on the problematic patterns of the client is a common practice in Finnish CAT training. This case study shows that also audio-taped and transcribed
supervision sessions may reveal important aspects of the case.

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