Developmental Attunement, Relational-Needs and Therapeutic Presence


A 2-day training workshop at London on Relational Psychotherapy with

Dr Richard G. Erskine


London, 24 & 25 June 2016, Friday & Saturday

9:30am - 5:00pm on both days


“The healing of cumulative neglects, traumas, and attachment disruptions occurs through a contactful therapeutic relationship”


A contact-oriented and Relational psychotherapy through inquiry, attunement and involvement responds to the client’s current needs for an emotionally nurturing relationship that is reparative and sustaining. The aim of such therapy is the integration of the affect-laden experiences and an intrapsychic reorganization of the client’s beliefs about self and others while acknowledging, validating and normalizing the client’s essential relational needs. As therapists, how do we allow affective, behavioural, cognitive and physiological dimensions to inform our therapeutic direction while effectively interpreting whether ego state regression, activation of the intrapsychic influence of introjection and presence of defence mechanisms are indications of contact deficits that seek fulfilment?


At this unique and practical training workshop, Dr Richard Erskine draws on an integrative therapeutic approach and explains Relational Psychotherapy as a process of making whole: taking disowned, unaware, unresolved aspects of the ego and making them part of the cohesive self. He especially highlights how ‘developmental attunement’ is key to this reparative process – through which, we as therapists can sensitise our therapeutic responses to a client’s regression, while remaining aware that such regression allows clients to access defended memories and experience otherwise forbidden affect.


Through lecture, case vignettes, videos & therapy demonstrations and clinical discussions, the workshop helps us comprehend a series of psychotherapeutic methods that include:


• the creation of interpersonal contact;

• the formation of a healing relationship;

• the therapeutic use of phenomenological inquiry;

• the relational centrality of attunement to the client’s affects and rhythm;

• the timing of relational-inquiry;

• the significance of resonating with the client’s level of emotional development;

• the affirming use of acknowledgement, validation, and normalization;

• the distinction between a reactive and responsive countertransference;

• the centrality of therapeutic presence


Keeping in mind the therapeutic challenges we face as psychotherapists, psychologists, counsellors and psychiatrists, Richard describes the Eight Relational-Needs essential for human development and wellbeing. He focusses on the centrality of an involved therapeutic relationship while emphasizing the in-depth methods of a psychotherapy that integrates the client's affect, cognition, physiology and behaviour. Emphasis will be placed on:


• the clinical application of therapeutic methods that reverse the effects of neglect and trauma;

• the use of a co-constructive involvement in forming therapeutic methods;

• the importance of working intersubjectively; and

• the effective utilization of relational methods


Learning Objectives:


At this workshop, participants will:


• assimilate and comprehend a series of therapeutic interventions that reflect relational, co-constructive and intersubjective sensitivity

• differentiate between various forms of therapeutic inquiry and apply the skills of acknowledgement, validation and normalization

• formulate a therapeutic perspective that will include the significance of attunement to the client’s affects and rhythm while resonating with the client’s level of emotional development

• critique a psychotherapy demonstration and describe what they think is therapeutically effective




further details & bookings

Deepen Your Clinical Practice on the Back of a Napkin: Writing Your Way to New Depths


A clinical writing webinar with Suzi Naiburg, PhD. LICSW

Author of Structure and Spontaneity in Clinical Prose: A Writer’s Guide for Psychoanalysts and Psychotherapists (Routledge 2015)


30 June 2016, Thursday

6:00pm - 9:00pm, London, UK Time


As therapists, we realise that writing about our clients, ourselves and our clinical practice can help us gain valuable insights, share experiences and provide important opportunities for reflection and internalization. At this unique and experiential online workshop, experienced writing coach and psychoanalyst/psychotherapist Suzi Naiburg follows a step-by-step guidance process that resonates with clinicians regardless of their modalities and writing anxiety levels. This is how Suzi describes it:


‘This webinar is for all health care professionals who see clients in their practice, whatever their practice or discipline, however experienced they are, and whatever anxiety they may have about writing. The writing we do together will all be “low stakes” writing, as Peter Elbow calls ungraded writing, but high value writing as we “court surprise” (Stern) and make the implicit explicit, extending the reach of what we know by letting the momentum of the writing process lead us.


You’ll leave this workshop with new ways to write and a handful of short writing exercises to use, which allow you to explore, for example, what was so emotionally challenging about that last clinical hour, what went unsaid, what color the silence was, or what might be shifting in the intersubjective field.’




further details & bookings

Attachment perspectives on Borderline Personality Disorder: client and therapist’s use of self A one-day workshop with Professor Jeremy Holmes Dublin, 17 September 2016, Saturday 10:00am - 4:00pm Psychotherapeutic work with clients suffering from borderline personality disorder (BPD) is especially challenging, since the two main clinical tools available to the therapist - countertransferential capacity and 'affect co-regulation’ – can both be rendered ineffective. This explains some of the difficulties BPD clients have in forming a therapeutic alliance. Attachment needs in such clients are highly aroused, but difficult to assuage. Unsurprisingly, therapists are often viewed by their borderline clients as unconcerned, abandoning, hostile or intrusive. At this practical and interactive workshop that would be relevant for psychotherapists, clinical psychologists, counsellors and psychiatrists, Professor Holmes outlines an Attachment based approach that: • Assists in effective understanding of borderline pathology • Builds on our comprehension of disorganised attachment and its sequelae • Informs our psychotherapeutic work with borderline sufferers Using exposition, group discussion and ‘live supervision’, he outlines how in healthy development the child’s sense of self emerges from the extended self of the care-giver/infant dyad, and points to parallels with the therapeutic relationship. He also develops the idea of borderline as a ‘disease of civilisation’ elucidating how family patterns; which form the seedbed for pathology are often reproduced in social arrangements, including health services, and how these risk factors might be mitigated. further details & bookings
The Relational Challenges of Sexuality in the Consulting Room An online webinar with Paul Renn 22 September 2016, Thursday 6:00pm - 9:00pm, London, UK time Even though the last few decades have focused on post-Freudian developmental theories, resulting in a certain de-eroticization and de-sexualization of psychoanalysis, research has shown that sexuality is, in fact, very much alive in the consulting room. In this webinar, which would be of value to psychotherapists, psychologists, psychiatrists and counsellors, Paul Renn explores the sexual attraction between therapist and patient from a relational standpoint. He draws on developmental studies and ‘moments’ theory to explore the relational and ethical challenges of sexuality in the consulting room, while highlighting enactments and the contentious issue of self-disclosure. Paul demystifies the evolution of sexuality in psychoanalytic thinking and questions the efficacy of developmental perspectives. The webinar uses both theoretical discussion and a clinical case study to help us understand the many facets of consulting room sexual attraction. further details & bookings
Postnatal Anxiety & Depression A one day seminar with Dr Stella Acquarone London, 24 September 2016, Saturday 10:00am - 4:00pm A psychoanalytic understanding of the ‘mother-baby’ dyad has particular relevance for practitioners. In this practical seminar that would be of value to psychotherapists, clinical psychologists, counsellors and psychiatrists, Dr Stella Acquarone first demystifies the aetiology of post natal anxiety and depression; providing us with an understanding of contributing factors. This introduction leads to a discussion on therapeutic implications including effectively assessing and working with manifestations of severe anxiety, depression, mood swings, extreme stress and suicidal tendencies for mothers. The seminar then builds on our psychoanalytic understanding to discuss practical implications for clinical work including: • What factors trigger the feeling ‘I have a beautiful baby but I just want to die’ • Postnatal anxiety & depression: signs to look out for • How can we distinguish between Postnatal anxiety and depression • Triggering factors for both • Differences in therapeutic interventions for postnatal anxiety and depression • Post traumatic delivery & special needs • Therapeutic interventions for cases of early child abuse With the aid of video vignettes and examples, Dr Acquarone explains how therapists can enhance their client’s capacity for consistent childcare and help them avoid the negative repercussions of poor coping strategies. further details & bookings
Assessment and Treatment of Suicidality: A Psychological Approach A one-day training workshop with Dr Eoin Galavan Cork, 1 October 2016, Saturday London, 22 October 2016, Saturday 10:00am - 4:30pm The effective assessment of Suicidality and its treatment can be overwhelmingly anxiety provoking for therapists. Over the last two decades, new psychological theories of suicidal behaviour have been described with evidence to support their credibility. New models of treatment and techniques have been designed to help aid those of us who encounter suicidality in our work. 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 suicidality, with specific emphasis on explaining the therapeutic approach of the evidence-based model: Collaborative Assessment and Management of Suicidality (CAMS) (authored by Professor David Jobes). The one day workshop first introduces the psychology of suicide, and then proceeds to overview, demonstrate, and allow practice of the CAMS model. By the end of the workshop, participants will: • Gain familiarity with psychological theories of suicide and suicidal behaviour (including an understanding of the works of Professor Thomas Joiner, Professor Edwin Scheidman, Professor Israel Orbach and Professor David Jobes) • Be able to identify suicidal risk early in the clinical engagement and use the Suicide Status Form (SSF) to collaboratively assess suicidal risk • Develop SSF-based suicide specific outpatient treatment plans that emphasize the development of a stabilization plan and the identification of suicidal ‘drivers’ as a focus of treatment • Clinically track, assess and treat drivers with problem-focused interventions • Be able to prepare a stabilisation or crisis response plan • Handle and document a range of clinical outcomes using CAMS Overall, the workshop helps us as practitioners to comprehend the myriad challenges stemming from the client’s suicidal wish, provides us with a working model of handling suicidality in our therapeutic relationships and familiarises us with evidence-based therapeutic techniques that are at the cutting edge of our work. further details & bookings
Assessment of Dissociative Symptoms and Disorders A one-day training workshop with Dr Suzette Boon London, 7 October 2016, Friday 9:30am - 5:00pm As therapists, we witness often, that early and chronic emotional neglect, physical and / or sexual abuse can manifest in our clients as severe dissociative symptoms and disorders in adulthood. As a consequence of poor recognition of their dissociative disorders or symptomatology, such clients may spend many years in the health-care system without receiving adequate care and assessment. Their dissociative disorders are not easy to diagnose however for multiple reasons: • Clients might not present with dissociative symptoms but may instead choose to hide or dissimulate these symptoms • There is a lot of overlap in symptoms with other disorders such as personality disorders • DSM-5 and ICD-10 differ with respect to classification and criteria • Clinicians do not receive systematic training with regard to diagnosis and treatment of dissociative disorders and there is confusion about the concept of dissociation • There is an ongoing polarized debate about the existence of dissociative identity disorder (DID) as a reliable and valid diagnosis At this practical and therapeutically oriented workshop which would be especially relevant for psychotherapists, psychologists, counsellors and psychiatrists, Dr Boon draws on her ground-breaking work on dissociative disorders and her long-standing clinical experience to help us: • Gain a better understanding of dissociation and dissociative symptoms • Use self –report questionnaires and diagnostic interviews such as DES, SCID-D and TADS-I • Comprehend the differential diagnosis of dissociative disorders and chronic trauma-related disorders in DSM-5 and ICD-10 (11), including attention to false-positive diagnoses With an aim of improving our diagnostic and assessment skills for dissociative symptomatology, Dr Boon explains how therapists can recognise the most prevalent symptoms and disorders, apply these learnings in clinical settings and allow for systematic assessment of complex traumatized clients. further details & bookings
Phase Oriented Therapy for Complex Trauma-related Disorders: an overview A one-day training workshop with Dr Suzette Boon London, 8 October 2016, Saturday 9:30am - 5:00pm All therapeutic approaches for individuals suffering from complex trauma-related disorders need to be aligned with the client’s individual capacity for managing intense affects while recognising the myriad psychic defenses that the client may be deploying to manage traumatic memories and triggers. Over the years, a phase-oriented approach has shown proven efficacy in such situations. While the stages of a phase-oriented approach are easy to list, therapists need an acute understanding of the synchronization of affect with each stage and the relative therapeutic time that each stage requires depending on specific situations. At this illustrative and therapeutically oriented workshop which would be especially relevant for psychotherapists, psychologists, counsellors and psychiatrists, Dr Boon draws on her innovative work on complex trauma and her long-standing clinical experience to help us comprehend: • The three phases of therapy: (1) stabilization and symptom reduction; (2) treatment of traumatic memories, realization of the past (3) integration and rehabilitation • Stabilization techniques for clients with complex dissociative disorders • Working with dissociative parts • Working with angry and sadistic parts, and self-destructive behavior • Dealing with difficulties in the therapeutic relationship in phase I; specifically considering the unique transference and countertransference challenges • The prerequisites for moving from Phase 1 to Phase 2 including the regulation of intense emotions Explaining phase-oriented therapy with a specific focus on Complex Dissociative Disorders, Dr Boon explains how therapists can apply these learnings in clinical settings and allow their clients to move towards an acceptance of themselves and their bodies. The workshop provides an overview of the phase-oriented approach and specifically delves deeper into Phase 1 techniques using video vignettes and demonstrations. further details & bookings
Time-limited Psychodynamic Psychotherapy with Adolescents and Young Adults (TAPP) A 2-day training workshop at London with Professor Stephen Briggs London, 28 and 29 October 2016, Friday and Saturday 9:30am - 5:00pm on both days In this practical and in-depth two-day course, that would be of value to psychotherapists, psychologists, health care professionals and CBT practitioners, Professor Stephen Briggs explains the time-limited approach of TAPP (Time-limited Adolescents and Young Adults Psychodynamic Psychotherapy) – a distinctive, brief (20 sessions), manualised, dynamic therapy model developed at Tavistock Clinic’s Adolescent Department. The model has been specifically developed for working therapeutically with young people across the child / adult divide (14 – 25 years). TAPP innovatively combines a psychodynamic approach with a psycho-social focus on the experiences of transitions in contemporary social contexts. It incorporates a problem solving approach through active client participation in contracting and reviewing. TAPP has the capacity to meet the needs of young people experiencing a wide range of difficulties during the adolescent and early adult years. Experience shows that the model is particularly relevant for young people who have: a) Complex presentations of mental health diagnoses with psychosocial vulnerabilities b) Difficulties in relationships (including e.g. (self) destructive relationships and self-harm/suicidality) c) Anxieties and difficulties around separation d) Depression e) A need for second treatments f) An external time-limit g) Post-traumatic presentations h) To face transitions from children’s to adult services i) Are in complex situations, where longer term treatment plans are not clear Drawing on his work at Tavistock Clinic and using a psychodynamic framework, Professor Briggs elucidates the therapeutic implications for practitioners working with young people; explaining in detail how we can recover a young person’s capacity to meet developmental challenges. The two day course uses theoretical discussions and case vignettes to explain the value and challenges of a time-limited approach. further details & bookings

Jung Today: Clinical and Cultural Perspectives


a carefully created day designed to appeal to those who are curious about Jungian psychology, as well as to those familiar with it


Christopher Hauke, Andrew Samuels, Joy Schaverien

London, 12 November 2016, Saturday

9:45am - 5:00pm


Interest in Jungian and post-Jungian approaches to psychotherapy, counselling and analysis continues to grow. Jung is understood by many to have been a pioneering figure whose work anticipated many of today’s most exciting trends in psychotherapy and counselling. These may be in humanistic and integrative psychotherapy, and also in several schools of psychodynamic psychotherapy and psychoanalysis.


Jung’s work and that of those who took up Jung’s original ideas – the post-Jungians – are also taught to a varying extent on courses in psychotherapy, counselling, psychoanalysis and the expressive arts therapies - as well as in departments of counselling and clinical psychology. Often, this leaves students and trainees hungry for more.


Jungian approaches to the therapy process address down-to earth questions of meaning and purpose, encompassing both personal and also transpersonal and spiritual dimensions of experience. The Jungian style of psychotherapy is relational with a special concern for embodied imagery, whether via dreams or creative expression.


During the morning session, three well-known Jungian analysts will share why they continue to find Jung to be an inspiring and reliable guide to therapy theory and practice. In the afternoon, they will introduce us to the latest contemporary applications of Jungian ideas in clinic and in culture.


Participants are encouraged to bring clinical vignettes and dilemmas.


By the end of the day:


(1) Participants with varying degrees of pre-existing knowledge will have learned about ideas and practices being employed in contemporary Jungian and post-Jungian analysis, psychotherapy and counselling.


(2) Participants will have understood the relationship of the Jungian body of work to other traditions within psychotherapy and counselling, and in connection with a range of contemporary thinkers.


(3) Participants will be able to evaluate the potential value of utilising Jung and post-Jungian ideas and practices in their own clinical work.


(4) Participants will be able to evaluate the potential value of utilising Jungian and post-Jungian ideas in connection with artistic, cultural and political phenomena.




further details & bookings

Working with Multilingual Clients:

with and without an interpreter


A one-day workshop with Beverley Costa

London, 23 February 2017, Thursday

6:00pm - 9:00pm


At this practical workshop that would be especially useful for psychotherapists, psychologists and counsellors across modalities, Beverley draws on her extensive experience to elucidate how we can work most effectively with multilingual clients – with or without the benefit of an interpreter. Through case studies and practical examples, she acknowledges that while multilingual work can be demanding; the language gap can, in fact, sometimes be a source of creativity and therapeutic potential.


For example, the workshop will refer to research which demonstrates that people are able to access emotions in a second language that have been repressed in the client’s native culture and language and that traumatic scenes experienced in one’s native language may be explored more readily by switching to a second language in order to gain sufficient emotional distance.


The workshop also explores the challenges involved in working with interpreters. Traditionally, clinical work and psychotherapy is conducted between two people and the idea of incorporating a third person into the therapeutic relationship can be unsettling. The workshop will provide ideas and a reflective space to think about the best way in which a collaborative relationship can be formed between the Interpreter and the Practitioner for the best possible outcome for clients. Specifically, the workshop explores the following topics:


• The relationship between the practitioner and interpreter and the implications this has for the therapeutic alliance

• The ways of working therapeutically as a triad rather than as a dyad

• The extent, limitations and professional boundaries of roles in such a triad

• Communicating effectively with interpreters about the nature of therapeutic change


Using case examples that highlight the topics above and drawing from contemporary research, Beverley also presents a series of guidelines and suggested code of practice for working in multilingual settings.



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.

Disclaimer: Individuals pictured are either conference speakers or models. All images are used for illustrative purposes only.


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