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Title: The efficacy of narrative reformulation of depression in cognitive analytic therapy : a deconstruction trial
Author: Stockton, C.
ISNI:       0000 0004 2728 5907
Awarding Body: University of Sheffield
Current Institution: University of Sheffield
Date of Award: 2012
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Literature Review: Therapeutic letters (TLs) are used to augment psychotherapeutic interventions across a range of modalities. This review assimilates and critically evaluates the TL research. It considers their impact on (1) the client, (2) the clinician, and (3) therapeutic processes. Findings suggest TLs may be helpful tools, enhancing therapeutic connections, extending the work of therapy and assisting client management of endings. They may also assist clinicians to manage boundaries effectively, and have utility as professional educational tools. Further research is recommended regarding TLs impact on client outcomes and potential negative effects, their use in clinical practice and impact on therapeutic processes. Empirical Research: This study seeks to investigate (1) the efficacy of narrative reformulation (NR) in Cognitive Analytic Therapy (CAT) for depression, (2) the impact of NR on the therapeutic alliance and perceived helpfulness of therapy and (3) provide initial practice-based evidence of the effectiveness of brief CAT. A randomised and controlled deconstruction trial compared standard CAT with CAT without NR. (Data from both arms examined overall effectiveness). Measures were administered at screening, treatment sessions and follow-up (Patient Health Questionnaire, Working Alliance Inventory, Helpful Aspects of Therapy). NR did not enhance the efficacy of CAT, the therapeutic alliance or helpfulness of therapy. Highly significant reductions in depression were achieved (pre-post) in the full sample. NR does not appear crucial to the efficacy of CAT for depression. Brief CAT appears an effective treatment for depression. Further research regarding the clinical effectiveness and efficacy of CAT is recommended.
Supervisor: Kellett, Stephen ; Parry, Glenys Sponsor: Not available
Qualification Name: Thesis (D.Clin.Psy.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available