ABSTRACT

Perhaps more than any other time-limited therapeutic model, Cognitive Analytic Therapy (CAT) acknowledges the importance of endings in therapy. In doing so, CAT makes it explicit that the therapy has a time limit and as a result a predictable structure that will be transparent between therapist and client throughout. The commencement of any therapy can produce a sense of idealisation in the therapist and the therapy. This honeymoon period can often be replaced by a sense of disillusionment as the realities of the therapy become clearer and awareness of the ending re-emerges. Tony Ryle describes the ‘mid-term blues’ when the ending of therapy becomes more of a concern for clients. Research has found most clients appreciate the opportunity to discuss their reactions to ending, both positive and negative, with their therapist. Because the ending is on the agenda from the beginning, CAT allows for a focus to remain throughout the therapy.