The Growth-Promoting Role of Mutual Regressions in Deep Psychotherapy Master Class with Dr Allan Schore London, 23 September 2017, Saturday 10:00am - 5:00pm Dr Allan Schore’s ground-breaking work on enactments, mutual regressions, and deep psychotherapy has influenced recent neuropsychoanalytic theory and research, and informed therapeutic work of practitioners around the world. At this new workshop, in which Dr Schore draws on his next two Norton volumes, Right Brain Psychotherapy and The Development of the Unconscious Mind – he elucidates and explains his ongoing work on the mechanisms of psychotherapeutic change that operate at implicit levels of the therapeutic alliance, beneath the exchanges of language, explicit cognitions, and voluntary behaviour. The workshop cites neurobiological research which highlights that the creative therapist’s interpersonal skill in empathically resonating with and regulating the client’s conscious and especially unconscious affective communications is central to facilitating structural changes and promoting growth. Such neuroplastic changes are vital for adaptive progressions of the client’s right brain emotion processing, relational, and stress regulating systems. In line with the current two-person relational trend in psychotherapy, Dr Schore explains that such interpersonal neurobiological mechanisms occur in heightened affective moments of clinical regressions – defined as the process of returning to an earlier stage of development, a place of origin. Although the paradoxical process of regression may reflect a clinical deterioration, it may also represent a creative return to fundamentals and origins that can facilitate a potential reorganization; leading to better integration, healthy individuation, and increases in the adaptive capacities of play and intimacy. Citing from his forthcoming books and using clinical case examples, Dr Schore presents neuropsychoanalytic models that differentiate spontaneous regressions in enactments of attachment trauma from controlled mutually synchronized regressions at different stages of therapy. He argues that the concept of regression, banished by the end of the last century, needs to return to the therapeutic domain. further details & bookings
Affect Regulation Theory: Clinical Applications A 2-day interactive training workshop with Dr Allan Schore Dublin, 25 & 26 September 2017, Monday and Tuesday 9:30am - 5:00pm on both days At this interactive training workshop over 2 days, Dr Schore describes his ongoing work on Affect Regulation Theory, an evidence-based interpersonal neurobiological model of development, psychopathogenesis, and treatment of the early forming emotional core of the right brain subjective self. Of particular relevance to psychotherapists, counsellors, psychologists and psychiatrists, the workshop uses a series of PowerPoint lectures, audience dialogues and examples of early Attachment Trauma; together with essential themes from Dr Schore’s latest book, The Science of the Art of Psychotherapy to elucidate how, as therapists, we can: focus on our own right brain functions so we can effectively process and regulate our client’s unconsciously communicated bodily-based affective states gain a deeper comprehension of regulated enactments and allow these to inform our therapeutic approaches interpret recent neurobiological data – that allows us to enhance our therapeutic creativity and understand data from neuroscience, developmental psychology, pediatrics, endocrinology, and psychiatry that explains gender differences in brain and developmental psychopathology Overall, the workshop focusses on the pragmatic clinical applications of Affect Regulation Theory, with specific attention to the psychoneurobiological change mechanisms embedded in the psychotherapy relationship. About the speaker Dr Allan Schore is on the clinical faculty of the Department of Psychiatry and Biobehavioral Sciences, UCLA David Geffen School of Medicine. He is author of four seminal volumes, most recently The Science of the Art of Psychotherapy, as well as numerous articles and chapters. His contributions appear in multiple disciplines, including neuroscience, psychiatry, psychoanalysis, developmental psychology, infant mental health, attachment theory, trauma studies, behavioral biology, clinical psychology, and clinical social work. He is past editor of the Norton series on Interpersonal Neurobiology and a reviewer or on the editorial staff of 45 journals across a number of scientific and clinical disciplines. He has received a number of honors for his work, including an Award for Outstanding Contributions to Practice in Trauma Psychology from the Division of Trauma Psychology and the Scientific Award from the Division of Psychoanalysis of the American Psychological Association, Honorary Membership by the American Psychoanalytic Association, and the Reiss-Davis Child Study Center Award for outstanding contributions to Child and Adolescent Mental Health. He has had a private psychotherapy practice for over four decades. further details & bookings
Safe Trauma Therapy: Accurately Gauge and Modulate Arousal Level – In Clients and Yourself A one day seminar with Babette Rothschild, author of The Body Remembers, Volumes 1 & 2 Video Recordings now Available In her newest book, The Body Remembers, Volume 2, Revolutionizing Trauma Treatment (WW Norton, 2017), Babette Rothschild presents, among other topics, an updated and integrated view of the Autonomic Nervous System that includes a new, innovative tool for more precise observation and modulation of arousal states. At the start of Chapter 2 she writes: Three or so decades ago, one of my clients, Greta, after much preparation, was ready, we agreed, to process memories of a very traumatic childhood incident. This was the first time she had wanted to talk about it and I was interested. Too interested. We both became so engrossed in her account that it was only when she was finished that either of us realized something had gone terribly wrong. Rather than feeling better from the telling, she was extremely anxious and so stiff she could barely move. During the next week she was plagued with panic attacks and called me multiple times for support and stabilization. For her, what should have been an exciting progression in her therapy backfired into regression. In another situation, a new client, Hans, easily answered all of the usual intake and assessment questions and told me he was, “fine.” Nonetheless, when he left my office he became very confused and lost his way several times on his familiar route home. He was so distressed that he cancelled the next appointment we had scheduled and never returned. Could I have prevented these therapeutic disasters? Babette goes on to lament that a more nuanced understanding of the ANS could have spared suffering … … I would have noticed as Greta’s facial expression gradually lost its animation, her respiration quickened, and her skin tone slowly blanched. Those observations would have led me to slowing down or stopping her narrative, putting on the brakes, to reduce arousal and stabilize before she went on. It might even have meant pacing her memory processing in a different way, taking it slower and in smaller pieces. Likewise, with the necessary information and greater understanding, I might have seen that Hans was not “fine,” that his pupils were dilating, I could have enquired about the temperature of his hands and feet, and I may have noticed as his posture became more collapsed. Such experiences and reflections led to the theory and tools that form the basis for this seminar … … [they] peaked my interest in passing on what I learned about making trauma treatment safer through observation and modulation of the ANS…I aim to give trauma therapists a new and improved tool that they can use to gauge and monitor their client’s—and their own –level of autonomic arousal at any given moment in time. By doing so, therapists will always be in the position to know whether their clients are able to safely manage what is happening and if they are able to integrate what is being worked on in therapy. Likewise, the therapist will also know if she, herself, is able to think clearly despite the level of stress in herself and her client. At this practical and unique seminar, which would be particularly relevant for psychotherapists, psychologists, body psychotherapists, counsellors and psychiatrists, Babette Rothschild draws on her longstanding experience to explain both traditional and more recent theories of ANS organization, including those of Stephen Porges. The result is an integrated, cohesive understanding that is more precise and easier to monitor, leading to trauma therapy that is much more safe for both client and therapist. further details & bookings
Attachment as a Relational Construct A one day workshop with Dr Ruth Schmidt Neven London, 6 October 2017, Friday 10:00am - 4:30pm Designed to be of practical value to psychotherapists, psychologists, psychiatrists and family mental health practitioners, this workshop by Dr Ruth Schmidt Neven takes a unique look at Attachment – linking it to developmental stages throughout the life cycle of our clients and identifying how therapists can have a positive impact on cognitive processes. The workshop helps us comprehend how attachment as a relational construct expands over the lifespan and provides continuity between early childhood experiences, later development and adult life. The workshop starts by recognising that all behaviour has meaning, and is a communication. Within this context, positive infant-parent relationships have a transforming function that create the potential for mutuality, reciprocity and shared meaning, and thereby provide a continuing protective system through to adulthood. The absence of a ‘secure base’ and an ‘internal working model’ has an impact on: how children ‘speak’ their family through their behaviour, and how adults ‘speak’ their childhoods in the consulting room The workshop looks closely at the therapeutic challenges we face as practitioners when there is a breakdown in the attachment process. How do we link this and therapeutically address cognitive functioning, brain development and the perpetuation of trauma for the developing child? Through illustrative case vignettes, a video presentation and examples from her clinical work in UK & Australia, Dr Ruth Schmidt Neven helps both new practitioners and those with many years of experience to view Attachment in a relational and developmental perspective, bringing to life the opportunities we have in our therapeutic interactions. By the end of the workshop participants will: Gain familiarity with the conceptual framework of attachment which emphasises the interdependence of systems with respect to developmental imperatives, relational and meaning making interactions between and infant and caregiver, and what Bowlby has referred to ‘evolutionary adaptedness’ Have an understanding of some of the evidence base of attachment in particular - The Strange Situation Test and the Adult Attachment Interview Examine the role of attachment in promoting regulatory behaviour in the infant and young child, specifically with respect to developing opportunities for higher levels of cognitive processing, the acquisition of empathy and the controlling and balancing of emotions Gain insight into using an attachment and meaning making model in clinical work with children, parents and young people further details & bookings
Working with Survivors of Childhood Sexual Abuse A one day seminar with Christiane Sanderson London, 7 October 2017, Saturday 10:00am - 4:00pm Current research indicates that only 1 in 8 survivors of childhood sexual abuse (CSA) report their abusive experiences, often years later. For practitioners, providing effective therapy becomes challenging when both survivors and therapists are not able to recognise the linkages between a range of mental and physical health issues and a history of CSA. Such linkages may be manifest in emotional dysregulation, addictions, self-harm and suicidal ideation, anxiety disorders, sexual health and relational difficulties, personality disorders as well as persistent somatic complaints, chronic pain, autoimmune disorders and chronic fatigue syndrome. The danger of not being able to identity the relationship between CSA and presenting symptoms is that CSA remains undetected which can lead to misinterpretation and pervasive mental and physical health problems. It is critical that practitioners in a wide range of mental and physical health settings have a good understanding of the impact and long term effects of CSA and how this manifests in a range of clinical settings so that they are able to respond appropriately. This seminar, which would be especially relevant for psychotherapists, counsellors, psychologists and psychiatrists, aims to enhance our comprehension of CSA, its impact and long term effects on survivors, while explaining how, as practitioners, we can work effectively using the principles of safe trauma therapy, psychoeducation and stabilisation to restore control and to allow for the processing of the CSA narrative. Using illustrative case examples, the seminar will present a range of skills that facilitate right brain engagement, while emphasising the importance of the therapeutic relationship to build shame resilience and facilitate post traumatic growth. The seminar will also examine the impact of working with survivors on practitioners and explain how we can minimise vicarious traumatisation and secondary traumatic stress through counsellor self-care. In identifying a range of therapeutic skills and the challenges of working with survivors of CSA, practitioners will feel more equipped when working with survivors and appreciate the transformative effects of post traumatic growth for both client and practitioner. Specifically, we will consider: The nature and dynamics of CSA such as: the grooming process, secrecy and the distortion of reality CSA as Trauma and its neurobiological impact The psychological impact and long term effects of CSA The intergenerational transmission of CSA The role of shame and self-blame The principles of safe trauma therapy, psychoeducation and stabilisation The importance of the therapeutic relationship and right brain based therapeutic skills Challenges and impact of working with CSA on practitioners Post traumatic growth further details & bookings
Engaging Traumatized Clients who Avoid Attachment, Closeness & Painful Feelings A 2-day training workshop at London with Dr Robert T. Muller London, 27 & 28 October 2017, Friday and Saturday 9:30am - 5:00pm on both days Note: workshop registrations include a complimentary copy of Dr Muller’s award-winning book: ‘Trauma & the Avoidant Client’ (winner of the 2011 ISSTD award for the year’s best written work on Trauma) This practical workshop, led by Dr Robert T. Muller – a leading expert on therapy for Trauma and globally acclaimed author of the psychotherapy bestseller: ‘Trauma & the Avoidant Client, Attachment-Based Strategies for Healing’ – is aimed at building our therapeutic understanding of clinical work with avoidant clients. While there has been considerable research into treatment of trauma, surprisingly little work has focused on specific intervention strategies to help traumatised clients who are avoidant of attachment. Many clients cope with traumatic intra-familial experiences by minimising painful feelings, by becoming emotionally distant, and by devaluing interpersonal closeness, intimacy and feelings of vulnerability. With individuals who adopt a self-protective help-rejecting stance, psychotherapy can prove extremely challenging for client and therapist alike. Drawing upon attachment theory and research, and upon a wealth of clinical experience, Dr Muller explains how, as psychotherapists, psychologists, counsellors and psychiatrists, we can work with such hard-to-treat clients, how we can find points of entry and ways in which we can make contact. Using a relational, psychodynamic approach, the workshop discusses and demonstrates strategies for developing the therapeutic relationship, such that we can assist the client regain a sense of trust in others. We explore therapeutic techniques through which the client is encouraged to take interpersonal risks, to mourn losses, and to face vulnerabilities. Uniquely, Dr Muller illustrates how the frustrating challenges that arise in the therapeutic relationship can in fact be used as a productive force in the therapeutic process. Throughout the workshop, Theory is complemented by case examples and segments from Dr Muller’s own therapeutic sessions. The workshop focusses on clinical skills that are directly applicable in our work as therapists. Course aims The course aims to provide an integrative training approach that enables practitioners using different therapeutic modalities to integrate the relevant elements of Attachment Theory and Research with their existing skills, which they can then apply to their work, so as to: recognise characteristics of avoidant attachment productively use trauma-related symptoms maximise client engagement throughout the process work with affect recognise and utilise client transference plan for the termination phase of therapy A CPD certificate for 14 CPD hours is provided at the end of the course. further details & bookings
Working with PTSD & Complex PTSD from an Attachment Perspective A 2-day training workshop at London with Dr Felicity de Zulueta London, 3 & 4 November 2017, Friday and Saturday 10:00am - 4:00pm on both days This practical workshop, led by Dr Felicity de Zulueta – one of UK’s leading experts on PTSD and complex PTSD – begins by discussing the latest diagnostic criteria for simple PTSD, and its dissociative manifestations, as they are presented in the new DSM V. The workshop highlights how these diagnostic criteria ignore the existence of a wide range of presentations that arise in survivors of childhood abuse and emotional neglect as well as those who have suffered from chronic and severe exposure to traumatic events, a condition unofficially referred to as ‘developmental PTSD’ and ‘complex PTSD’. Such a state of affairs can leave therapists treating these clients / patients with little or no guidance in relation to the aetiology, diagnosis, assessment and treatment of their symptoms and makes research in the field very difficult. Dr Zulueta demonstrates how an understanding of PTSD and complex PTSD from an attachment perspective, enables one to make sense of both the psychological and somatic symptoms clients / patients present with and the recent epigenetic findings relating to transmission of PTSD down the generations. By integrating her clinical experience with Attachment research, Dr Zulueta outlines the process by which psychotherapeutically trained practitioners can assess and prepare traumatised clients for the ‘journey of therapy’ whilst bearing in mind their need for emotional regulation and a sense of security. The workshop discusses different therapeutic approaches to stabilisation & treatment of PTSD and the way severe traumatic attachments can lead to resistance to change. Viewing the assessment and treatment of PTSD through the lens of Attachment Theory, the workshop helps practitioners understand how a rupture in the neurobiological capacity to attune and the capacity to mentalise is fundamental to our understanding of traumatised individuals, while also providing practical new approaches to therapy for both complex and developmental PTSD. Utilising a series of video vignettes and clinical case examples, Dr Zulueta helps us comprehend the linkages between PTSD, Borderline Personality Disorder, dissociative disorders and violent behaviour. Course aims The course aims to provide an integrative training approach that enables practitioners using different therapeutic modalities to integrate the relevant elements of Attachment Theory and Research with their existing skills, which they can then apply to their work with people suffering from Complex PTSD in particular. A CPD certificate for 10 CPD hours is provided at the end of the course. further details & bookings
Trauma Therapy: working with Fear and Dissociation A one day workshop with Miriam Taylor London, 23 June 2017, Friday 10:00am - 4:00pm For individuals who have suffered severe trauma, fear and dissociation can tend to determine their way of being in the world. Hypervigilance and avoidance can define behaviour for our clients for whom, it isn’t just a recurring fear of traumatic triggers in their external environment that is causing significant anxiety – their internal world, somatic experience and felt sense have also become sources of terror. Therapeutic interactions can become extremely challenging, especially since concomitant dissociation may be leading to an absence of association, integration, assimilation, coherence and engagement. At this practical and clinically oriented workshop which would be relevant for all practitioners working with Trauma (including PTSD, Complex Trauma and Dissociative Disorders), Miriam Taylor highlights the case for therapists to adopt a trauma-oriented mindset, while explaining the neurobiological bases that maintain fear and dissociation. She explains how this core understanding can then be used to inform trauma sensitive interventions, including working with the body to open up the possibility of gaining control over distressing symptoms. The workshop considers dissociation as a natural consequence of extreme experience and explores the ways that this can manifest in clinical settings. Through experiential elements and case vignettes, the workshop helps us comprehend: The neurobiology of trauma – the triune brain, the vagus nerve, HPA axis and the window of tolerance; Hebb’s axiom Positive and negative triggers that elicit dysregulated arousal, an autonomic defensive response or both State dependent memory and the challenges this presents for the therapeutic alliance How being in therapy itself carries the risk of relationship, of reliving traumatic events, of remembering what dare not be remembered The neurobiological processes that explain why response to threat involves visceral, sensory and motor elements, making the experience of fear a whole-body phenomenon The hierarchy of defensive responses (including heightened orienting responses, Attachment and social engagement systems) that we, as therapists, are tasked to reverse during the therapeutic process How we can handle therapeutic engagements where dissociation may be causing shutting-down rather than high-alert The ambiguous relationship many trauma victims can have with pain and how we can work with somatoform dissociation Dissociation, distorted perceptions of space and working with boundary difficulties Working with self-states, attentional shifts and intervening at a somatic level further details & bookings
Working Therapeutically with Violent Behaviour A one day workshop with Dr Eoin Galavan London, 24 June 2017, Saturday 10:00am - 4:30pm It can be especially challenging for therapists to work with clients who have had a history of violent behaviour or who continue to rely on violence or aggression as a coping strategy. It is critical that therapists feel confident and well equipped in assisting clients in managing such potentially violent manifestations. The challenge is further accentuated by the fact that therapists are simultaneously trying to avoid vicarious traumatisation and struggling with the countertransference issues that such behaviour provokes. This practical and therapeutically inclined one-day workshop by Dr Eoin Galavan, which will be especially relevant for psychotherapists, psychologists, CBT practitioners, psychiatrists and counsellors, overviews current psychological research and clinical approaches to managing violent behaviour, elucidating the relevance of attachment experiences, mentalisation, modelling and conditioning. The workshop explores effective assessment and therapy within a non-forensic setting and uses case vignettes to highlight appropriate psychological approaches to working with violent behaviour. Drawing on his long standing experience and the works of Peter Fonagy & James Garbarino, Dr Galavan helps us, as practitioners to not just understand the underlying psychology of violent behaviour but feel confident in our assessment, frameworks and therapeutic approaches when faced with aggression. further details & bookings
Supervision in Psychotherapy: A Psychodynamic and Relational Approach A one day workshop with Dr Diana Shmukler London, 1 July 2017, Saturday 10:00am - 4:00pm Utilising learnings from a case-study of an extremely challenging and yet successful long-term individual therapy, this workshop considers how even experienced therapists can sometimes feel exasperated with certain therapeutic relationships. Progress seems stalled and psychoanalytic techniques allow for little headway. While supervision may be at hand, the dilemma remains whether we are being too rash in translating supervision input into therapeutic action. Equally, we might have delayed the call for supervision adding to the sense of therapeutic urgency. Drawing on Winnicottian thought and real-life clinical material, the workshop explains why supervision is an integral part of any therapeutic endeavour. By integrating theory and practice, elucidating the efficacy of two-person psychology and drawing attention to our subjectivities – Dr Shmukler demonstrates how the skilful use of supervision can have demonstrable impact on therapeutic outcomes – both for straightforward and complex cases. The workshop will be especially relevant for psychoanalysts and psychotherapists, practitioners and students of integrative psychotherapy, counsellors and psychiatrists. By drawing our attention to how our clients perceive therapy, when and how we should seek supervisory assistance; and also explaining how our provision of supervision can benefit from a flexible approach – Dr Shmukler’s explanations allow us to: Respond better to relational needs Work cognitively with transference with a view to re-evaluating our theoretical approach, and hence enhancing our therapeutic efficacy. further details & bookings

nscience UK is an independent organisation that seeks to explore the interdisciplinary richness of mental health disciplines. Through a series of seminars, workshops and conferences that are conducted throughout the year, we aim to present the latest advances in theory and research to practitioners; with a view to furthering their continuing professional development.

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Continuing professional development through seminars, workshops and conferences for psychotherapists, counsellors and psychologists.