Trong điều trị, những mô hình vai trò đối ứng được vẽ trong một sơ đồ tuần tự, hoặc bản đồ, cung cấp một cái nhìn tổng quan của các quốc gia tự của bệnh nhân và các mối quan hệ giữa các cá nhân, giống như Kelly cố gắng làm với lưới điện tiết mục của mình. | COGNITIVE ANALYTIC THERAPY 281 Figure Reciprocal role relationship and procedural diagram over-control nurtures a child that may be controlling of others and over-controlled in themselves. In therapy these reciprocal role patterns are plotted in a sequential diagram or map providing an overview of the patient s self states and interpersonal relationships much as Kelly attempted to do with his repertory grids. Drawing from objects relations theorists an affect arises from reciprocal role patterns. For example abusive abused is associated with terror and rage while the controlling crushed pattern is associated with rebellious anger. Thus a link is made into cognitive theory. Emotion is interrelated with motivation and cognition which are represented by aim and belief respectively in the procedural diagram. The term procedure rather than pattern is used in CAT to illustrate that problematic relationships and behaviours are a closed system which are part of a sequential loop and thus lead to the same outcome or consequence see Figure . The consequence may be a behavioural response or a further procedural sequence. Difficulties arise when the consequences are negative or maintain the individual in the same stuck pattern of maladaptive relationships. Frequently false assumptions problems with emotional processing or coping and maladaptive reciprocal role patterns serve to trap the individual in a vicious negative cycle create a forced choice dilemma or prohibit more adaptive choices of response. It is the restriction and lack of flexibility inherent in these features that make them maladaptive. We all have reciprocal role patterns and cognitive procedures arising from our early life experience that serve as templates for relationships with ourselves and others and it is the maladaptive roles and procedures that are focused upon in therapy. For example a common reciprocal role relationship pattern encountered in patients with eating disorders is controlling .
