Cognitive Analytic Supervision : A relational approach book cover
1st Edition

Cognitive Analytic Supervision
A relational approach

Edited By

Deborah Pickvance

ISBN 9781315716145
Published September 13, 2016 by Routledge
312 Pages

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Book Description

 Cognitive Analytic Supervision: A relational approach is the first book to present a cognitive analytic perspective on psychotherapy supervision. This edited collection of original chapters reflects the ways in which CAT therapists and supervisors have developed the model and used it in diverse settings. It is a significant contribution to the literature on relational psychotherapy supervision, written by established CAT supervisors, trainers and therapists who, together, have an enormous amount of professional and clinical experience.

The book covers important areas such as:

         the relational theory and practice of CAT supervision

         a cognitive analytic conceptualization of narcissistic difficulties

         intercultural issues in supervision (based on CAT training experience in India)

         ethical and clinical dilemmas in supervision

         supervision of consultancy work

Cognitive Analytic Supervision will be of interest to CAT supervisors, therapists and trainee supervisors, as well as supervisors and therapists working in other therapeutic models, in particular those with a relational approach. This book may be a useful bridge into relationally informed supervision for therapists who do not have an explicitly relational focus.

Table of Contents



List of contributors


Section 1: CAT supervision: theory, process and evidence

Chapter 1

CAT supervision: a relational model

Deborah Pickvance

Chapter 2

The Healthy Supervisor: a CAT understanding of the process of psychotherapy supervision

Annie Nehmad

Chapter 3

The CAT model and the practice of CAT supervision

Eva Burns-Lundgren

Chapter 4

What makes supervision helpful? A review of research

Carolyn Lawson


Section 2 Challenges in relational supervision

Chapter 5

Clinical and ethical challenges in relational supervision

Deborah Pickvance and Glenys Parry

Chapter 6

The use of the CAT model in the supervision of CAT therapists working with borderline personality disorder

Liz Fawkes and Val Fretten

Chapter 7

Are narcissists a special case? Narcissism and supervision

Annie Nehmad

Chapter 8

Intercultural supervision: acknowledging cultural differences in supervision without compromise or complacency

Jessie Emilion and Hilary Brown

Section 3 Methods and tools of supervision

Chapter 9

CAT group supervision: the social model in action

Jane Blunden and Hilary Beard

Chapter 10

Using CAT mapping in relational supervision

Steve Potter

Chapter 11

Integration of competency assessment into CAT supervision: a practical guide

Stephen Kellett and Dawn Bennett


Chapter 12

Using mindfulness in CAT supervision

Elizabeth Wilde McCormick

Chapter 13

The microcosm in CAT supervision

Jason Hepple


Section 4 Supervision in different contexts

Chapter 14

The supervision relationship in a training context

Yvonne Stevens

Chapter 15

Supervising non-CAT therapists

Mark Westacott

Chapter 16

Supervising CAT consultancy in mental health teams

Angela Carradice

Chapter 17

Supervising CAT with young people

Louise K. McCutcheon, Lee Crothers, Steve Halperin 

Chapter 18

Dilemmas in relational supervision in intellectual disability services

Julie Lloyd

Chapter 19

CAT supervision in forensic practice: working with complexity and risk

Karen Shannon



Appendix 1: Resources

Appendix 2: ACAT Code of Ethics and Practice for Training and Supervision

Appendix 3: Competence in CAT measure (CCAT)

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Deborah Pickvance is a UKCP registered cognitive analytic psychotherapist, an accredited supervisor and trainer in cognitive analytic therapy. Her experience of psychotherapy supervision spans thirty years; this includes supervising therapists and supervisors practising in many different settings at trainee and post-qualification level. She has worked in NHS psychotherapy and psychology departments, primary care and women’s therapy services.


'CAT emerged from many years of practice and supervision but not from the intention of founding the new model which eventually emerged. In this book experienced CAT supervisors and teachers reflect upon their practice and consider the relation of what they do to other models. They show how CAT has continued to grow through reflection based on extensive supervised practice and reassure me that the model, drawing on the participation of therapists and patients, generates continuing development.' - Anthony Ryle, founder of Cognitive Analytic Therapy

'This superb volume, edited by Deborah Pickvance, makes a major contribution to the development of Cognitive Analytic Therapy (CAT) and to the field of psychotherapy supervision in general. Although, as Pickvance makes clear,  both CAT and CAT supervision have always been implicitly relational in nature, this book explicitly highlights the relational features of CAT supervision including: the centrality of the supervisory alliance, the recognition that learning takes place in a relational context, the emphasis on the supervisor’s (and therapist’s) use of the self, and the importance of maintaining an ongoing awareness of relational patterns being enacted by both supervisee and supervisor. Chapters present masterful overviews of a range of important areas including: mindfulness in CAT supervision, the CAT supervisory relationship, the health of the CAT supervisor, and supervision of CAT therapists working with borderline personality disorder. This book will be appreciated by CAT therapists, CAT supervisors, and both therapists and supervisors practicing a wide range of other therapeutic modalities as well.' - Jeremy D. Safran, Ph.D., Chair & Professor of Psychology, The New School for Social Research

'This book makes a very useful contribution to the field of Supervision, showing how the integrative and relational approach of Cognitive Analytic Therapy can be applied to Supervision. Supervisors of all traditions will find value in many of the thoughtful and reflective chapters in this book.' - Professor Peter Hawkins, Lead Author of Supervision in the Helping Professions and many other books (

Cognitive Analytic Supervision makes a significant contribution to the literature on supervision. The first book to be written about supervision from a Cognitive Analytic Therapy (CAT) perspective, it brings the reader the most contemporary information about working with relational processes in supervision. With multi-professional contributions from experienced therapists, trainers, researchers, supervisors and supervisees, this is an invaluable resource for CAT practitioners and trainees as well as for those working within other models of psychotherapy. Use of clinical and supervision examples from a wide range of settings makes the material highly accessible in a way that readily can be applied.’ - Linda Steen, Clinical Director, Clinical Psychology Doctoral Programme, The University of Manchester, co-author of Fleming, I. and Steen, L. eds., 2013. Supervision and clinical psychology: Theory, practice and perspectives. (Routledge)