Cognitive Analytic Therapy for Adult Survivors of Childhood Abuse: Approaches to Treatment and Case Management

337 Pages·2001·1.2 MB·English

by  Philip H. Pollock

COGNITIVE ANALYTIC THERAPY
FOR ADULT SURVIVORS OF
CHILDHOOD ABUSE
Approaches to Treatment and Case Management
PHILIP H.POLLOCK
MV Psychology Consultancy,Belfast
Down Lisburn Trust,Northern Ireland
With specialist contributions from
Sue Llewelyn
Oxford University,UK
Sue Clarke
Dorset Healthcare Trust,UK
Teresa Hagan and Kath Gregory
Community Health,Sheffield,UK
Mark Stowell-Smith
Knowsley and St Helens Hospital Trust,UK
Michael Göpfert
Webb House Therapeutic Community,Crewe,UK
Susan Mitzman
North Mersey Community NHS Trust,UK
Martin Bamber
York NHS Trust,University of Teesside,UK
JOHN WILEY & SONS, LTD
. . . . .
Chichester New York Weinheim Brisbane Singapore Toronto
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COGNITIVE ANALYTIC THERAPY
FOR ADULT SURVIVORS OF CHILDHOOD ABUSE
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COGNITIVE ANALYTIC THERAPY
FOR ADULT SURVIVORS OF
CHILDHOOD ABUSE
Approaches to Treatment and Case Management
PHILIP H.POLLOCK
MV Psychology Consultancy,Belfast
Down Lisburn Trust,Northern Ireland
With specialist contributions from
Sue Llewelyn
Oxford University,UK
Sue Clarke
Dorset Healthcare Trust,UK
Teresa Hagan and Kath Gregory
Community Health,Sheffield,UK
Mark Stowell-Smith
Knowsley and St Helens Hospital Trust,UK
Michael Göpfert
Webb House Therapeutic Community,Crewe,UK
Susan Mitzman
North Mersey Community NHS Trust,UK
Martin Bamber
York NHS Trust,University of Teesside,UK
JOHN WILEY & SONS, LTD
. . . . .
Chichester New York Weinheim Brisbane Singapore Toronto
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Library of Congress Cataloging-in-Publication Data
Pollock,Philip,1968–
Cognitive analytic therapy for adult survivors of childhood abuse :approaches to
treatment and case management / Philip H.Pollock ;with specialist contributions by
Sue Llewelyn ...[et al.].
p.cm.
Includes bibliographical references and index.
ISBN 0-471-49160-8—ISBN 0-471-49159-4 (pbk)
1.Adult child abuse victims—Mental health.2.Cognitive-analytic therapy.I.
Llewelyn,Susan P.II.Title.
RC569.5.C55 .P65 2001
616.85'82230651—dc21
2001024249
British Library Cataloguing in Publication Data
A catalogue record for this book is available from the British Library
ISBN 0-471 49160-8 (cased)
ISBN 0-471-49159-4 (paper)
Typeset in 10/12pt Times by Dorwyn Ltd,Rowlands Castle,Hants
Printed and bound in Great Britain by Biddles Ltd,Guildford and King’s Lynn
This book is printed on acid-free paper responsibly manufactured from sustainable
forestry,in which at least two trees are planted for each one used for paper production.
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Til ma faither Hugh an ma mither Sarah Ann
Fur thair minefu bield o ma rairin
To Amy and Conor,proof of God’s work
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Contents
List of figures and tables ix
About the author xi
List of contributors xiii
Foreword byAnthonyRyle xv
Preface xvii
Acknowledgements xxi
Part I:CAT reformulation of traumatic experiences in childhood
Chapter 1 Conceptualising the developmental outcomes of abuse 3
Chapter 2 The language and practice of CAT:assessment and 12
treatment procedures
Chapter 3 CAT and the Multiple Self-States Model of trauma 52
Chapter 4 Psychological models and therapies for traumatic 78
experiences
Part II:CAT practice and illustrations of the model
Chapter 5 Adult psychological problems and abuse 107
SUELLEWELYNANDSUECLARKE
Chapter 6 A case of borderline personality disorder 123
SUECLARKEANDSUELLEWELYN
Chapter 7 A case of dissociative identity disorder 144
Chapter 8 Forensic romances and violence in the therapy room:the 164
challenge of the abuse-to-abuser dimension
Chapter 9 Group work with survivors of childhood sexual abuse 190
TERESAHAGANANDKATHGREGORY
vii
viii CONTENTS
Chapter 10 Group CAT for people with a history of sexual 206
victimisation
MARKSTOWELL-SMITH,MICHAELGÖPFERTAND
SUSANMITZMAN
Part III:Clinical issues in applying CAT
Chapter 11 Clinical outcomes in the application of CAT for adult 231
survivors
Chapter 12 The Personality Structure Questionnaire: 239
a measure of identity integration in CAT
Chapter 13 An independent commentary on CAT for adult survivors 257
of abuse
MARTINBAMBER
Appendix 1 The CAT Psychotherapy File,States Grid and 270
Dissociation Questionnaire
References 282
Index 312