Cognitive therapies Cognitiveanalytical therapy

Cognitive-analytical therapy combines cognitive and analytical approaches and has been applied to the treatment of personality disorders, particularly the borderline group.(22) The clinical manifestations of this condition are postulated to be a set of partially dissociated 'self-states' which account for the clinical features of this disorder. Such patients typically describe rapid switching from one state of mind to another, experiencing intense uncontrollable emotions or alternatively feeling muddled or emotionally cut off. Such 'dissociative states' (different from the conditions of similar name formerly linked to hysteria) are said to be activated by severe external threats and to be maintained by repetitions of threat and reinforcement by memories or situations which are similar to the original source of threat.

Cognitive-analytical therapy is concerned with the identification of these different self-states and helping patients to identify 'reciprocal role procedures', or patterns of relationships which are learned in early childhood and are relatively resistant to change. (22> The patient is taught to observe and try to change damaging patterns of thinking and behaviour which relate to these self-states and to become more self-aware. The therapist's role is to gather information about the patient's experience of relationships and the different states he or she experiences, including interpretation where necessary.

Beat Depression Now

Beat Depression Now

Let me be up front. My intention is to sell you something. Normally, it's not wise to come out and say that. However, I can do so because I have such an incredible deal for you that you'd be crazy to pass on it.

Get My Free Ebook


Post a comment