Cognitive Analytic Therapy for psychosis: A case series

Area of Science:

• Psychology
• Psychiatry
• Clinical Psychology

Background:

• Cognitive Analytic Therapy (CAT) is an effective psychological intervention for various mental health conditions.
• Its applicability, safety, and benefits for individuals with psychosis are not well-established.
• Feasibility of conducting research on CAT for psychosis requires investigation.

Purpose of the Study:

• To assess the acceptability, safety, and benefits of CAT for individuals experiencing psychosis.
• To explore the feasibility of providing and evaluating CAT within a research context.
• To gain a detailed understanding of the lived experience of receiving CAT for psychosis.

Main Methods:

• A mixed-methods case series design was employed.
• Seven individuals with non-affective psychosis received CAT.
• Qualitative interviews were conducted with four participants post-therapy.

Main Results:

• Six participants attended at least four CAT sessions, with four completing the therapy.
• No serious adverse events were reported; adverse experiences were minimal.
• Qualitative data indicated CAT was acceptable and therapeutically beneficial for understanding psychosis.
• Limited changes in psychotic symptoms were observed, but improvements in perceived recovery and personality integration were noted.

Conclusions:

• CAT appears to be a safe and acceptable intervention for individuals with psychosis.
• Future research should consider personality integration, perceived recovery, and functioning as key outcomes.
• Conducting research on CAT for psychosis is feasible, with participants reporting positive experiences.