Pure Potential Scotland | CCT
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Contextual – Conceptual Therapy



Contextual-Conceptual Therapy (CCT) is the creation of Fredric Matteson.

For 25 years Fredric worked as a therapist with over 16,000 suicidal patients
on an inpatient mental health unit primarily for suicidal clients.
During that time, Fredric  created an educational program for helping suicidal persons
called: Contextual-Conceptual Therapy: Guiding the Suicidal Patient using Maps, Models, & Metaphors.

Read my summary below about CCT – Suicide Therapy

taken from an article I wrote after attending a Contextual-Conceptual Therapy (CCT) Level One Training workshop

  with Fredric Matteson, James Hayes, & Catherine Hobson in Cork, Ireland in November 2015.

SUICIDE THERAPY by Carolyn E. Wood, Scotland CCT Associate

The thrust of the CCT Level One Training workshop was that suicide is not something we need to medicalise and

try ‘to get rid of’.  Instead, we need to go where the person is – where they are trapped.  The client themselves

directs us there, through their metaphoric language – their words/pictures/signals, and we, the therapist, need

to hear, see and follow these, rather than ignore or treat them (the signals) as ‘madness’.

In CCT, suicide is seen as an identity crisis. The person is struggling between their two ‘selves’ – who they are

trying not to be (who think they are, as in the ‘bad’ person) and who they are trying to be  (the ‘perfect’ or ‘good person).

 But the reality is that neither is the TRUTH – they are based on intrapersonal views of what they believe to be their self.

The suicidal person is caught between these two states yet neither of these states are real – they are both part of

the false self, the ‘you’.  The person struggles between these two and at some point finds this impossible to live

with. It is this that drives the person to want to kill their ‘self’, or what they believe to be their self.

What the person at this point is unable to see (and likewise, neither the family nor the clinicians – thus the

“blindspot” from which the “blindsiding” happens) is that this “struggle” is with the split, or bifurcated, self and

that their TRUE self is hidden beneath this struggle out of view. So when suicidal persons talk of feeling ‘lost’,

‘trapped’, ‘stuck’, or ‘being on another planet’ – they actually do experience this TRUTH but they are initially

unaware of the context that they are operating in. That is why suicide is seen as the only solution – ‘the only way out’.

The suicidal person needs to understand the context they are operating in before they can understand the actual problem.

The beauty of this model is that it works with metaphors, myth and creativity to challenge the false self and

welcome back the TRUE self.  Mythologist Daniel Deardorff, writing about Matteson’s work in “Suicide’s

Untarnished Twin: The Paradox of Self & Soul”, says that when looking at the traditional cultures and initiation

rites of passage, an elder guides the person into this area of the paradox – of the messy, dangerous, dark area –

not ‘away’ from it; and through the person going into this place, a transformation happens and ‘re-birth’ occurs.

This can be seen through other modalities where rituals and more traditionally cultural methods are drawn on,

but which has not been brought into the health services of western cultures in regards to suicide.

So with the CCT model, the therapist does just this. Rather than trying to steer the person away from the pain,

distress, suicide through soothing or sedation, the CCT therapist listens carefully to the person and goes into this

confusion with them. Through entering into this confusion, the therapist works alongside the person both

challenging and welcoming them.  In the process, the limited false self “dies” / is transformed and the true self is reborn.

Visit Fredric Matteson’s website: www.SuicideTherapy.com or email Fredric: Fredric@SuicideTherapy.com

CCT Level 1 training coming to Scotland in Spring 2019 – keep posted for updates!

KING 5 (NBC) New Day Northwest Interview with Fredric Matteson

August 29, 2017 – NBC Seattle affiliate KING 5 television news show New Day Northwest

hosts Fredric Matteson for a discussion on the myths and truths of suicide.

Fredric Matteson talking about youth suicide

CCT Ireland

Gitti Maas – CCT Associate

Creative, gifted, and warm-hearted, Gitti Maas (Dip.Couns, pre-accredited member IACP),

the CCT associate in Ireland is an integrative-humanistic counsellor.

In her work, Gitti draws mainly from the theories of Gestalt, Existential,

and Person-Centred-Therapies, integrating elements of Mindfulness and Meditation.

In her counselling practice in Kenmare, Co. Kerry, she provides

a safe environment, trusting relationship, support, and warmth to her clients.

Email: gittimass@gmail.com

Phone: 086 – 40 10 738

Address: Stone Arch Centre, Shelbourne St, Kenmare, Co Kerry, Ireland

Visit Gitti’s website:  gittimaascounselling.com

For further information about CCT please do not hesitate to get in contact with me.