Reformulation letters in cognitive analytic therapy: The practitioner's experience

Slettevold, Erlend, Fisher, Paul and Leddy, Adrian ORCID: (2024) Reformulation letters in cognitive analytic therapy: The practitioner's experience. Counselling and Psychotherapy Research, 24 (1). pp. 308-316. ISSN 1473-3145

[thumbnail of Slettevold_etal_2023_CounsAndPsychotherRes]
PDF (Slettevold_etal_2023_CounsAndPsychotherRes) - Published Version
Available under License Creative Commons Attribution Non-commercial.

Download (291kB) | Preview


Objectives: The aim of this study was to explore (1) cognitive analytic therapy (CAT) practitioners' experiences of receiving their own reformulation letter as part of their training and (2) CAT practitioners' perceptions about how receiving their own reformulation letter altered their clinical practice. Design: Semi-structured interviews were used to elicit participants' (N= 9) experiences of having received their personal CAT, with a particular focus on the reformulation letter, and their perceptions of its impact on them as clinicians and their clinical practice. Methods: Inductive “bottom up” thematic analysis was used to analyse the interview transcripts and extract overarching themes and subthemes across all participants. Results: Four overarching themes emerged from the data: the power of the reformulation letter; inhabiting the client's role; absorbing thinking as a CAT practitioner; and evolving the therapist's technique. Conclusions: Cognitive analytic therapy practitioners report experiences of the reformulation letter that indicate a positive impact on their self-awareness, learning about CAT and consciousness about how their own clients experience therapy. This was also the case when the reformulation letter did not resonate with them to the desired extent as learning from their therapist's limitations was experienced as having an impact on their learning and subsequent practice.

Item Type: Article
Uncontrolled Keywords: cognitive analytic therapy,personal therapy,practitioner training,reformulation,therapeutic letters,psychiatry and mental health,clinical psychology,applied psychology ,/dk/atira/pure/subjectarea/asjc/2700/2738
Faculty \ School: Faculty of Medicine and Health Sciences > Norwich Medical School
Related URLs:
Depositing User: LivePure Connector
Date Deposited: 07 Jun 2023 12:30
Last Modified: 26 Jan 2024 02:12
DOI: 10.1002/capr.12665


Downloads per month over past year

Actions (login required)

View Item View Item