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A grounded theory of cognitive analytic reflective practice groups
Sasha Priddy1, Stephen Kellett1,2, Shona Goodall2
1Rotherham, Doncaster and South Humber NHS Foundation Trust, Rotherham, UK.
Psychology and Psychotherapy
|November 11, 2024
Summary
Cognitive Analytic Reflective Practice (CARP) groups enhance staff awareness and relational dynamics in care systems. This model demonstrates how CAT principles improve reflective practice and reciprocity within teams.
Area of Science:
- Psychology
- Organizational Behavior
- Healthcare Management
Background:
- Cognitive Analytic Therapy (CAT) is an indirect intervention with limited application in reflective practice.
- There is a need to understand how CAT principles can be integrated into staff development and team functioning.
Purpose of the Study:
- To develop a process model for Cognitive Analytic Reflective Practice (CARP) groups.
- To explore the application of CAT in enhancing reflective practice among staff teams.
Main Methods:
- A constructivist grounded theory approach was employed.
- Twenty-four participants from four staff teams in a secure children's home attended CARP groups over one year.
- Quantitative measures of helpfulness and group cohesion supplemented qualitative analysis of transcribed sessions.
Main Results:
- A three-category model of CARP was constructed: facilitator processes, group processes, and outcomes.
- Facilitator processes focused on establishing a reflective space.
- Group processes widened awareness of self, others, and the system, leading to changed relational dynamics and 'exits'.
Conclusions:
- The developed CARP model provides an empirical understanding of CAT's role in reflective practice.
- The model highlights the importance of reciprocity in the dynamics of care systems.
- This approach can enhance team functioning and therapeutic relationships within care settings.
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