Developing a competence framework for cognitive analytic therapy
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Objective: This paper describes the development and summarizes the content of a competence framework for delivery of cognitive analytic therapy (CAT). Design: The framework was developed using the evidence‐based method developed by Roth and Pilling (2008, Behavioural and Cognitive Psychotherapy , 36 , 129). Methods: A review of the CAT outcome literature identified where CAT interventions had evidence of efficacy. Standard texts on CAT were primary sources for details of theory and practice. This process was supported by an expert reference group (ERG). The role of the ERG was to provide professional advice on areas where the evidence base was lacking, but where CAT interventions were commonly used by therapists trained in the model. Results: A framework was produced and structured in terms of core knowledge, core skills, and meta‐competences (which require therapeutic judgement rather than simple adherence to a treatment protocol). Conclusions: The framework enables trainees, service users, service managers, and commissioners to better understand a) the core features of CAT and b) what competences need to be in place for CAT to be skilfully delivered in practice. Practitioner points: It is possible to define the core competences of CAT. Whilst generic competences are important, there are five CAT‐specific domains of competence. The CAT‐specific competences reflect the three‐phase structure of the therapy: reformulation, recognition, and revision.
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Wakefield, S., Delgadillo, J., Kellett, S., White, S., & Hepple, J. (2021) · British Journal of Clinical Psychology · doi:10.1111/bjc.12278 · Cited by 26 · see citing works
Self-citationKellett, S., Alhadeff, L., Gaskell, C., & Simmonds‐Buckley, M. (2022) · Psychology and Psychotherapy Theory Research and Practice · doi:10.1111/papt.12390 · Cited by 8 · see citing works
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- Authors
- Parry, G., Bennett, D., Roth, A. D., & Kellett, S.
- Affiliations
- University of Sheffield (GB)
- Catalyse CAT Ltd UK
- University College London (GB)
- Corresponding author
- Parry, Glenys
- Venue
- Psychology and Psychotherapy: Theory, Research and Practice
- Publisher
- Wiley
- Published
- 2020-09-15
- Volume
- 94
- Issue
- S1
- Pages
- 151-170
- ISSN
- 1476-0835 (ISSN-L)
- 2044-8341
- OpenAlex
- W3085946705
- Cited by
- 33
- References
- 7
- Citations by year
- 2026: 4 · 2025: 5 · 2024: 6 · 2023: 5 · 2022: 7 · 2021: 5 · 2020: 1
- FWCI
- 0.35
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Psychology and Psychotherapy Theory Research and Practice (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- White Rose Research Online (University of Leeds, The University of Sheffield, University of York) (acceptedVersion)
- UCL Discovery (University College London) (submittedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Social Sciences › Psychology › Social Psychology › Counseling Practices and Supervision
- Social Sciences › Psychology › Social Psychology › Competency Development and Evaluation
- Keywords
- cognitive analytic therapy, competence framework, therapist competence, evidence-based practice, meta-competencies, reformulation, recognition, revision, psychotherapy training, treatment efficacy
- MeSH terms
- Cognition, Humans, Psychotherapy, Cognitive Behavioral Therapy
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