ABSTRACT

The therapeutic relationship is an essential element of the revision stage, as it is throughout the whole course of therapy. The most important change strategy within Cognitive Analytic Therapy (CAT) is recognising and reflecting on procedures as they occur during the time within therapy and in particular as they occur in the room with the client. In CAT the changes and new ways of relating that are beneficial to the client are referred to as ‘exits’. A client can practise new ways of relating, experience being listened to and respected in this, and then risk trying this new way outside of therapy. The identification of possible exits in CAT is very specific to the reformulation of the client as well as the specific strengths and areas of need of that client. It is this which is a particular strength of CAT, as teaching and modelling are clearly linked to the client’s individual needs.