Abstract
This chapter examines the use of Cognitive Analytic Therapy (CAT) with men who are experiencing depression. It is argued that since CAT can be seen as a radically interpersonal, humane and transparent psychotherapy which takes as its focus the developmental experiences of an individual and how these may be later unhelpfully and—to begin with—unwittingly re-enacted, CAT can be a particularly useful model to use when working with adult men. By paying careful attention to the therapeutic alliance, we suggest, on the basis of our clinical experience, that CAT can be an excellent vehicle via which many men can come into open, honest contact with previously disavowed feelings, integrating them into their self-understanding—and so take a significant step forward in their recovery.
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References
Bahktin, M. M. (1986). Speech genres and other late essays. Austin: University of Texas Press.
Beynon, J. (2002). Masculinities and culture. Milton Keynes: Open University.
Bowlby, J. (1988). A secure base: Clinical applications of attachment theory. London: Routledge.
Brannon, R. (1976). The male sex role: Our culture’s blueprint for manhood and what it’s done for us lately. In D. David & R. Brannon (Eds.), The forty-nine percent majority: The male sex role (pp. 1–48). Reading, MA: Addison-Wesley.
Calvert, R., & Kellett, S. (2014). Cognitive analytic therapy: A review of the outcome evidence base for treatment. Psychology and Psychotherapy: Theory, Research, and Practice,87(3), 253–277. https://doi.org/10.1111/papt.12020.
Carney, R. M., & Freedland, K. E. (2016). Depression and coronary heart disease. Nature Reviews: Cardiology. Online advance publication. https://doi.org/10.1038/nrcardio.2016.181.
Clare, A. (2000). On men: Masculinity in crisis. London: Arrow.
Cochran, S. V., & Rabinowitz, F. E. (2000). Men and depression: Clinical and empirical perspectives. San Diego: Academic Press.
Connell, R. W. (2005). Masculinities. 2nd ed. Cambridge: Polity.
Corbridge, C., Brummer, L., & Coid, P. (2018). Cognitive analytic therapy: Distinctive features. Oxon: Routledge.
Denman, C. (2004). Sexuality: A biopsychosocial approach. London: Palgrave.
Elliott, K. (2016). Caring masculinities: Theorizing an emerging concept. Men and Masculinities,19(3), 240–259. https://doi.org/10.1977/1097184X15576203.
Farrell, W. (1994). The myth of male power: Why men are the disposable sex. New York: 4th Estate.
Farrell, W., & Gay, J. (2018). The boy crisis: Why our boys are struggling and what we can do about it. New York: Houghton Mifflin.
Fitzpatrick, T. R. (1998). Bereavement events among elderly men: The effects of stress and health. The Journal of Applied Gerontology,17, 204–228.
Frosh, S., Phoenix, A., & Pattman, R. (2002). Young masculinities: Understanding boys in contemporary society. London: Palgrave.
Gilbert, P. (2010). The compassionate mind. London: Constable.
Hepple, J. (2011). The chicken and the egg. Reformulation, 4, 19.
Hick, S. F., & Bien, T. (Eds.). (2010). Mindfulness and the therapeutic relationship. New York: Guilford Press.
Kelly, G. (1955). The psychology of personal constructs. New York: W. W. Norton.
Kingerlee, R. (2012). A transdiagnostic model of male distress. Psychology and Psychotherapy: Theory, Research and Practice,85(1), 83–99. https://doi.org/111/j.2044-8341.2011.02017.x.
Leiman, M. (1992). The concept of sign in the work of Vygotsky, Winnicott and Bakhtin: Further integration of object relations theory and activity theory. The British Journal of Medical Psychology,65, 209–221.
Leiman, M. (1995). Early development. In A. Ryle (Ed.), Cognitive analytic therapy: Developments in theory and practice (pp. 103–120). Chichester: Wiley.
Levit, D. (1991). Gender differences in ego defences in adolescence: Sex roles as one way to understand the differences. Journal of Abnormal and Social Psychology,61, 992–999.
Marriott, M., & Kellett, S. (2009). Evaluating a cognitive analytic therapy service: Practice-based outcomes and comparison with person-centred and cognitive-behavioural therapies. Psychology and Psychotherapy: Theory, Research, and Practice,82(1), 57–72.
Men and Boys Coalition. (2018). The Harry’s masculinity report. Retrieved June 15, 2017, from http://www.menandboyscoalition.org.uk/wp-content/uploads/2018/01/The-Harrys-Masculinity-Report-pdf.
Office of National Statistics. (2017). Suicides in the UK: 2016 registrations. Retrieved from http://www.ons.gov.uk/ons/rel/subnationalhealth4/suicides-in-the-united-kingdom/index.
Pichot, P., & Hassan, J. (1973). Masked depression and depressive equivalents: Problems of definition and diagnosis. In P. Kielholz (Ed.), Masked depression (pp. 61–81). Berne: Hans Huber Publishing.
Pollack, W. S. (1998). Mourning, melancholia, and masculinity: Recognising and treating depression in men. In W. S. Pollack & R. F. Levant (Eds.), New psychotherapy for men (pp. 147–166). New York: Wiley.
Pollack, W. S. (2005). Masked men: New psychoanalytically oriented treatment models for adult and young adult men. In G. E. Good & G. R. Brooks (Eds.), The new handbook of psychotherapy and counselling for men: A comprehensive guide to settings, problems, and treatment approaches (pp. 203–216). San Francisco: Wiley.
Price, J., & Stevens, A. (2000). Evolutionary psychiatry: A new beginning. London: Routledge.
Ryle, A. (1975). Self-to-self, self to other: The world’s shortest account of object relations theory. New Psychiatry, 12–13.
Ryle, A., Kellett, S., Hepple, J., & Calvert, R. (2014). Cognitive analytic therapy at 30. Advances in Psychiatric Treatment,20, 258–268. https://doi.org/10.1192/apt.bp113011817.
Ryle, A., & Kerr, I. (2002). Introducing cognitive analytic therapy: Principles and practice. Chichester: Wiley.
Schore, A. N. (1994). Affect regulation and the origin of the self: The neurobiology of emotional development. Hillsdale, NJ: Lawrence Erlbaum.
Segal, Z. V., Williams, J. M. G., & Teasdale, J. D. (2002). Mindfulness-based cognitive therapy for depression. New York: Guilford Press.
Trivers, R. (2011). Deceit and self-deception. London: Penguin.
Vygotsky, L. S. (1978). Mind in society: The development of higher psychological processes. Cambridge, MA: Harvard University Press.
Wexler, D. B. (2009). Men in therapy: New approaches for effective treatment. New York: W. W. Norton.
Williams, J. M. G., Teasdale, J., Segal, Z., & Kabat-Zinn, J. (2007). The mindful way through depression. New York: Guilford Press.
Wilde McCormick, E. (2004). Mindfulness and CAT. Reformulation,3, 5–10.
Wilde McCormick, E. (2011). Compassion in CAT. Reformulation,3, 32–38.
World Health Organisation. (2016). Retrieved November 18, 2016, from http://www.who.int/mediacentre/Factsheets/fs369/en/.
Acknowledgements
The authors would like to thank Philip for kindly allowing his material to be used in this chapter; and Dr. Mark Westacott for his insights and support during the writing process.
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Kingerlee, R., Cawdron, J., Barnard, C. (2019). Opening a Dialogue: Using Cognitive Analytic Therapy with Depressed Men. In: Barry, J.A., Kingerlee, R., Seager, M., Sullivan, L. (eds) The Palgrave Handbook of Male Psychology and Mental Health. Palgrave Macmillan, Cham. https://doi.org/10.1007/978-3-030-04384-1_25
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