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I think the main reason for this change in my behaviour is that a number of the clients I work with experience problems with memory and attention during recovery from psychotic episodes and so report having trouble remembering what we discuss in the sessions.
From my end I have thought that it has been useful to provide a summary, with more detail than the couple of bullet-points that we usually come up with at the end of the session.
Writing a therapeutic letter has got me thinking about the style of letter writing, and how to convey a compassionate, validating stance while also describing my conceptualisation of what is going on for the client, and what I think might help. It provides a challenge to convey psychological concepts in manner that makes sense, is caring, and may move things forward for the client.
Letter writing also feels a more linear activity than a conversation in a session, which allows for dialogue, questions and clarification.
It is harder to judge how the message is coming across, compared to meeting the client and observing body language. Letter writing has a delayed feedback quality while also having more of a permanence than conversation in the therapy room.
It can invite perfectionism, as I try to find the right words and think about how this letter may be something more lasting that the client may refer to. I occasionally have an image of the client reading the letter years later, and that sense of posterity can be a bit intimidating as a writer for me at least.
I know my colleagues who use a cognitive analytic therapy approach put a lot of stock into letter writing as one of the central interventions. I think it could mean that professionals write letters about the details of patients lives in a more compassionate way and the idea of a dialogue between patient and professional is built-in.
The act of writing can, of course, clarify things in my own mind about the approach we are taking.
A letter of explanation is a word letter that sits on file at the three major credit bureaus; TransUnion, Experian and Equifax. This letter then gets sent out to anyone requesting a copy of your credit report, providing context for any negative credit entries. How to Write a Letter of Credit Recommendation by Michelle Hogan - Updated September 26, A credit reference is often required when a person is opening a new business and wishes to start a line of credit with a company for inventory or supplies, is looking to purchase a home or wants to borrow money from an individual or investing company. Lincolnshire Psychological Services: The Psychological Services funded some introductory training in CAT, which included a personal reformulation (a two and half hour session combined with a one hour follow up). This was followed by group coaching sessions in applying the personal CAT diagram, with an emphasis on personal and professional development.
Like good journaling, the meditation of writing a therapeutic letter allows for sustained exposure to my own thoughts and feelings about what it is happening in the therapy room.
This was really valuable to me as this client has tended not to assert herself in the session and it has been hard to judge my efforts so far. The letter both reassured and challenged me:The Rules for Writing a Credit Dispute Letter 27 Sep The Rules for Writing a Credit Dispute Letter Posted at h in Credit Reports by Melissa 0 Comments.
Cognitive Analytic Therapy (CAT) is a form of brief psychotherapy that is useful for a wide range of problems. As its name suggests, it brings together understandings from cognitive psychotherapies (such as CBT) and from psychoanalytic approaches into one integrated, user-friendly therapy.
Of the eight cases required (which should include all three CAT Tools: Reformulation Letter, SDR and Goodbye Letter) six of these should be of 16 or more sessions. Click here for more information on supervised clinical practice as part of CAT training.
May 12, · If you are writing a letter expecting those outcomes, then fugeddaboudit.
In that sense, letters are a waste of your time. If you're writing a kiss-off letter, remember, they are for kissing them off. Simply put, reformulation is a process in fragrance product development where the scent formula of an existing product is changed.
The change can involve the removal of scent elements (either essential or fragrance oils), the integration of new scent elements, the adjustment of the proportional ratios of the scent elements, or some combination of the above.
There are often fears expressed around having to write a prose reformulation, known colloquially by many CAT students as ‘the letter’. Writing is a form of intimate conversation and the CAT reformulation offers us a way of communicating with our patients that lives on in black and white.