Reflexology pressing on certain parts of the foot to produce an effect elsewhere in the body." The Australian Government's Department of Health define reflexology as "a system of applying pressure, usually to the feet, which practitioners believe stimulates energy and releases 'blockages' in specific areas that cause pain or illness." In 2015 the Australian Government's Department of Health published the results of a review of alternative therapies that sought to determine if any were suitable for being covered by health insurance; reflexology was one of 17 therapies evaluated for which no clear evidence of effectiveness was found. Accordingly In 2017 the
Cognitive analytic therapy therapy meant that these were not always addressed early and assertively, with the result that therapy, while effective, took a long time to produce results. He proposed a shorter, more active form of therapy which integrated elements from cognitive therapy practice (such as goal setting and Socratic questioning) into analytic practice. This would include explicitly formulating the problems experienced by the patient, and sharing this formulation with the patient to engage them in psychotherapy as a co-operative enterprise. Subsequently CAT has been influenced by ideas from the work of Vygotsky and Bakhtin. From Vygotsky come concepts such as the zone