Principles of Trauma-Focused Therapy: working towards restoration and repair A 2-day training workshop at London with Dr. Jamie Marich London, 28 & 29 April 2017, Friday & Saturday 9:30am - 4:30pm on both days Despite the proliferation of scholarly research on Post Traumatic Stress Disorder (PTSD); as practitioners, we can feel overwhelmed with the actual, practical steps we need to take to restore and repair when working with trauma. At this 2-day workshop, which would be relevant for therapists and counsellors across modalities, Dr Jamie Marich demystifies the entire process from trauma assessment to restorative growth. Using real-world approaches and strategies with proven efficacies, the workshop allows us to make informed decisions based on setting, client preparedness and other contextual variables. On Day 1, we look at effective assessment and case conceptualisation. We comprehend specific interventions for stabilization, grounding and symptom management. The content of Day 2 is slightly more advanced and is aimed at helping us ‘delve deeper’ with trauma interventions. We compare and contrast multiple approaches including cognitive methodologies like DBT and ACT, somatic and movement therapies, EMDR Therapy, brainspotting, DNMS and Gestalt approaches. Our learning objectives over the two days include: comprehend trauma from multiple perspectives including etymological, clinical, psychological, neurobiological and diagnostic standpoints consider the similarities between working with trauma and addressing grief / loss and mourning understand the Triphasic / consensus model of trauma treatment and articulate current research-based challenges to this long-standing model highlight the role of the therapeutic relationship and boundary setting in effective trauma therapy develop a plan of stabilization / affect regulation for our clients implement and understand at least five trauma-informed stabilization skills discuss qualities of effective trauma therapies, including the ability to assess our own capacity for working with trauma define processing within the context of the adaptive information processing (AIP) model discuss the range of therapy options available for helping clients process trauma, considering the advantages and disadvantages of each come to grips with reintegration, post-traumatic growth, and resilience, and explain the relevance of each to overall trauma treatment comprehend how self-care amongst clinicians working with trauma is a quality of care issue further details & bookings
Narcissism in Clinical Contexts and Everyday Life A one day seminar with Frances Thomson Salo, Jan McGregor Hepburn & Anne Manne Melbourne, Australia, 29 April 2017, Saturday 10:00am - 4:00pm From outwardly senseless acts of rampage to the disturbing rise of assaults in public life, narcissistic expressions of individuality are increasingly all around us – in society, in mainstream media, in our patients and amongst ourselves. Is self before all here to stay and is it a phenomenon that is shaping our identities as therapists and societal beings? At this intellectually stimulating and thought provoking one-day seminar, we look at this issue from multiple, practical perspectives – through the latest works in psychology, through the lens of infant-observation and through its inextricable linkages with reparative and persecutory guilt. The seminar draws together leading thinkers in the field - Anne Manne, author of the recent bestselling book ‘The Life of I - The New Culture of Narcissism’; Frances Thompson- Salo, author of the recent seminal book – ‘Infant Observation- Creating Transformative Relationships’ and Jan McGregor Hepburn who is internationally renowned for her research and clinical expertise in Guilt and Infant-Observation – who discuss, debate and bring to life new ways of thinking about and working with narcissism in all its forms. Through interactive engagements with participants and seminar sub-sections, we specifically consider: Narcissism on the rise?: is narcissism on the rise in society and amongst our patients? How do we look past the interpretations offered by popular media and make up our own minds? What tools from psychology help us comprehend the developmental pathways through which narcissism develops? Clinical challenges of narcissism: we are aware that ‘a narcissistic illusion of being loved’ can alter a patient’s interpretations of reality. How do we meet the therapeutic needs of a patient where client presentation is overshadowed by narcissistic relational expectations? As practitioners, what can we learn from narcissistic functioning and how can we apply this understanding to enhance the efficacy of our therapeutic work? Narcissism and infant-observation: How can infant observation illuminate the pathways to narcissistic expressions? How does parent-infant psychotherapy help us comprehend the linkages between guilt and narcissism? Through discussions between the speakers and audience members, this stimulating and innovative day attempts to link perspectives across psychology, social philosophy and infant-observation. The aim is to consider the ways in which both clinical work and citizenship can be informed by thinking about narcissism and guilt. Jointly, we will look at constructive ways in which we can ameliorate the effects of a family and societal culture which can tend to stimulate pathological narcissism. The day will be of interest to psychotherapists, psychologists, student counsellors, philosophers, teachers and all those who study and think about culture and society. further details & bookings
Erotic Transference and Countertransference in Psychotherapy and Supervision A one day workshop with Professor Joy Schaverien London, 5 May 2017, Friday 10:00am - 4:00pm Erotic transference reveals much about the client’s way of being in the world and forms the centre of the psychoanalytic project in many ways; but it is also highly sensitive, raising issues of intimacy, love and hate. These dynamics can induce shame, guilt and confusion in the client and engage the therapist-as-person, bringing to the fore the fear of acting out. This can severely challenge the therapist’s sense of personal and professional identity. Needless to say, confronting erotic transference and countertransference in our therapeutic practices as well as in supervision, is absolutely vital. This workshop is designed for psychotherapists, psychologists and counsellors across modalities to consider this sensitive clinical topic in an atmosphere of exploration and collaboration. The meaning and purpose of erotic transference In the morning session, we evaluate erotic transference using clinical material illustrated with dreams and pictures. We consider a brief history of erotic transference, comparing and contrasting the ever-changing mores and professional etiquette required from us as professionals. Our focus is clinical and we consider present day concerns including gender identity and sexual orientation in the consulting room. Exploration of Erotic Countertransference in Supervision In the afternoon sessions, our focus is on supervisors as well as supervisees. It may be extremely difficult to discuss the erotic in supervision, especially if there is sexual arousal or fear of acting out. We consider factors that may inhibit full and open disclosure in supervision, especially within a climate of potential litigation. We look closely at the symbolic aspects of the therapeutic relationship and how acting out may be confusing the symbolic with the real. Overall, the workshop helps us comprehend: How we can address these sensitive topics within the psychotherapeutic frame What do we do if we are attracted to our client? How can we talk about love and sexual feelings without being seductive Gender and sexual orientation The border between the personal and the professional The symbolic and the real Potential sexual acting out Eroticized transference as a form of eroticized hatred further details & bookings
Working with couples: Common Clinical Dilemmas A one day workshop with Harriet Drake and Andrew Grimmer London, 6 May 2017, Saturday 10:00am - 5:00pm Couples often present unique dilemmas to us, as therapists, and we cannot apply individual therapy solutions in such instances. How do we work with secrets between the couple for example, or affairs and betrayals of trust? Drawing on their clinical work and practical insights from psychodynamic, cognitive and psychological domains, Harriet and Andrew have designed this workshop to be of practical utility for couple therapists across modalities. Using case vignettes, the workshop helps us comprehend the therapeutic process we can follow for couple dilemmas, with a view to fostering an effective therapeutic alliance. The workshop starts with an explanation of practical steps that can allow for engendering a relatively calm and effective therapeutic alliance environment within which couples can communicate effectively. Specifically, we consider situations where: Both partners are not equally communicative and as therapists we are expected to moderate their discussions Situations where there is explicit resistance to change and how our emphasis can be on altering unhelpful cognitions How we can promote acceptance of inevitable differences between partners and change perceptions of conflict The afternoon sessions of the workshop focus on two particularly problematic areas for couple therapists: how to work with the disclosure of a secret and how to work with couples where one partner has had an affair There will be opportunities throughout the day for participants to discuss their own casework and consider how they can effectively work with specific difficulties that they have encountered in couple work. further details & bookings
The Well-Resourced Therapist: Preventing burnout and vicarious trauma A one day training workshop with Miriam Taylor Dublin, 6 May 2017, Saturday 10:00am - 4:30pm Fundamental to our therapeutic work with Trauma is our awareness and active control of vicarious traumatization; empathic engagement with the Trauma narrative can otherwise leave us emotionally drained and professionally ineffective. It is vital for our clients and our own self-care that the process of counter-transferential traumatisation is not just well recognised by us but also prevented proactively, ethically and responsibly. At this practical workshop which would be especially relevant for psychotherapists, psychologists, counsellors and psychiatrists, Miriam draws upon her longstanding experience in specialist trauma services and her somatically informed, relational approach to therapy, as she explains: The evidence offered by neuroscientific research for vicarious traumatisation and how this can be utilised in a preventive manner The resources that are available to us, as therapists, through which we can not only enhance our resilience but also bear witness to the trauma narrative without dissociating or allowing ourselves to be pulled into the trauma contagion Paying close attention to our own history of trauma and caretaking and the impact these can potentially have on the therapeutic relationship Building our own somatic awareness and that of our clients with a view to enhancing safety, grounding and resilience Applying reflective practice for mutual healing How we can rethink our traditional theoretical models from a relational standpoint, so as to best prevent occupational burnout Utilising clinical vignettes that illustrate the key dilemmas faced by therapists, together with relational and somatic examples, the workshop allows us to reflect on our therapeutic approaches while highlighting the most effective methods for building and sustaining resilient, relational containers. further details & bookings
Attachment perspectives on Borderline Personality Disorder: implications for therapy A one day workshop with Dr Gwen Adshead London, 13 May 2017, Saturday 10:00am - 4:00pm Attachment theory provides useful perspectives on emotionally unstable or borderline personality disorder (BPD); both in terms of how the disorder develops and in terms of therapy. Both clients and therapists may struggle with trust, high levels of negative affect, and therapeutic ruptures. Attachment needs in such clients are highly aroused and often extremely difficult to assuage. Understandably, BPD clients can not only struggle to participate in the therapeutic alliance, but can also view therapists as aloof, uncaring, antagonistic or unsympathetic. At this practical and interactive workshop that would be relevant for psychotherapists, clinical psychologists, counsellors and psychiatrists, Dr Gwen Adshead will use a perspective based on attachment theory and the tenets of mentalisation to explore: How the psychopathology of emotional instability develops Hostile, helpless states of mind and epistemic trust The relationship with disorganised attachment and its sequelae How this understanding informs our therapeutic approaches How this understanding influences the way we think about families and their therapeutic needs Language and threat: use of ‘why’ questions, silence and poor mentalising Preventing and managing attachment anxiety Gwen will not only present material based on published evidence; but also, use group discussion and ‘live supervision’ of cases brought by participants as part of the workshop. Participants are welcome to bring vignettes of clinical material that can be shared and discussed within the normal boundaries of confidentiality. further details & bookings
Sensuality and Sexuality Across the Divide of Shame An interactive, evening discussion with Dr Joseph D. Lichtenberg London, 13 May 2017, Saturday 6:00pm - 9:00pm Sex, according to an anonymous wit, is the joker in the deck. Originally instinctual sexual drive was the wild card at the core of psychic life. More recent mainstream psychoanalytic literature suggests a reduced significance for sexuality. At this engaging discussion with Dr Joseph D. Lichtenberg, we will reframe the dynamic power of sex through a reformulation of the distinction between sensuality and sexuality. We will examine the understated central influence of cultural values that through shaming cause a divide between sensuality as acceptable forms of attachment, love and love making, and sexuality as transgressive and subversive - giving love with lust its especial flavor. The interplay of early attachment configurations, triangulated love, family systems, and clinical challenges will be illustrated via experience–near observations, and personal and clinical stories. In this unique discussion, Dr. Lichtenberg asks: if sexuality isn’t an instinctual drive, what is it? This question opens many areas of inquiry about adaptive and maladaptive development, attachment, love and lust. Each explored area has the potential of deepening our understanding of the intersubjective interplay in family life, romance, and clinical relatedness. Drawing on his extensive experience with ego psychology, self-psychology, infant observation, attachment theory, and motivational systems theory, Dr. Lichtenberg will delineate the development of sensuality and sexuality. He introduces the concept of shame as a factor leading to prohibitions that in turn lead to transgressive and subversive elements in sexual fantasy and practices. These elements play a role in development and in therapy. Many novel proposals in this discussion will interest and intrigue psychotherapists, counselors, psychologists and psychiatrists across modalities. Dr. Lichtenberg questions many established views on sexuality and the complex yet subtle development of intimacy. His focus on the vicissitudes of sensual love – its role in connecting and belonging and the vicissitudes of sexual love – its role in connecting and disrupting – offer pathways for enhancing the depth of our understanding in therapy. further details & bookings
‘The Science of Sleep’: Psychotherapeutic Approaches for Insomnia A one day workshop with Dr David Lee London, 18 May 2017, Thursday 10:00am - 4:00pm As therapists, we witness the lack of sleep as comorbid with anxiety, depression, trauma and a myriad of other mental health problems. Clients who are ‘losing sleep’ have a heightened tendency to internalise their feelings and the therapist is continuously challenged in steering the client towards expression of feeling. Recent advances in psychobehavioural and CBT approaches have shown efficacy in approaches that allow therapists to provide enduring relief from the debilitating problems of sleep loss, while allowing for effective compartmentalisation with underlying mental health manifestations. At this unique and practical workshop, Dr David Lee draws on his long experience of training healthcare professionals and his clinical work in the delivery of psychobehavioural treatments for insomnia (specifically CBT for Insomnia - CBTi). The workshop, which is especially relevant for psychotherapists, psychologists, CBT practitioners and counsellors, presents only from the evidence-base using models that have proven efficacy in the effective management and treatment of sleep loss and covers: The myths about sleep loss – how much sleep is really needed and how does this requirement change over the lifespan of an individual As therapists, how can we help clients identify and synchronise with their circadian rhythm Insomnia disorder (DSM V) The insomnia spectrum – ranging from Apnoea to Chronic Insomnia The perpetuating, precipitating and predisposing factors for Insomnia and recognising the clinical threshold Therapeutic approaches including: cognitive models, Sleep Restriction Therapy & considerations for complex presentations The psychotherapeutic use of dreams further details & bookings
Therapy for Depression: A view from both sides A one day workshop with Professor Linda Gask Edinburgh, 20 May 2017, Saturday 10:00am - 4:30pm Professor Linda Gask utilizes a pragmatic bio-psychosocial approach in understanding depression and in her psychiatric education underwent training in psychodynamic therapy. Uniquely, she had the opportunity to be the ‘client’ when she sought therapy for depression & anxiety herself – an experience that she has written about in her new book: ‘The Other Side of Silence- A psychiatrists’ memoir of depression.’ Bringing a deep understanding of both therapist and client experiences to the table, Dr Gask helps us in this workshop to focus our attention on how a client experiences the therapeutic process; highlighting what we can learn when a therapist becomes a ‘client’. Aimed at building a deeper comprehension of the multiple facets of depression, the workshop explores: The range of different subjective experiences that the term ‘depression’ embodies Different models for understanding depression and how it is treated- including managing risk Barriers encountered in accessing care and in particular, psychological interventions Experiencing psychological therapy for depression- including insights from a therapist who has experienced different types of therapy during her own life The importance of active ‘engagement’ in developing the therapeutic alliance and the key skills required Issues arising when working with mental health professionals presenting with emotional distress The workshop will aim to examine and challenge assumptions about how and why people seek help, and what their expectations are of therapy. 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 London, 29 May 2017, Monday 10:00am - 4:00pm 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
Challenges in Trauma Therapy: Working effectively with Chronic Shame and Resistance A 2-day training workshop with Kathy Steele London, 20 and 21 June 2017, Tuesday & Wednesday 10:00am - 4:00pm on both days Resistance can be interpreted as phobic avoidance of what is perceived as overwhelming or otherwise beyond the capacity of our clients to realize. Framing resistance thus, as a phobia of realization, can aid our psychotherapeutic approaches by allowing us to: View therapeutic impasses as co-created stalemates instead of placing the blame on resistant or untreatable clients Return our therapeutic focus to underlying causes of avoidance instead of keeping us fixated on resistance as a problem by itself Recognize and distinguish between physiological and psychological resistance – where client responses of attachment cry, fight, flight, freeze, or collapse are recognized as physiological conditions and not deliberate impediments to the therapeutic process Progressing past resistance is just one of the challenges of therapy for trauma, however, another therapeutic inhibitor we need to address is chronic shame. Just like resistance, shame can involve intense physiological activation – our clients may want to disappear, hide, camouflage themselves or shut down, impeding our therapeutic endeavours in multiple ways. To effectively work with chronic shame, whether co-existing with resistance or otherwise, we not only need to fully comprehend its functions, but the profound disconnection and hiddenness of shame must be compassionately experienced by client and therapist together. Designed to be of practical value to psychotherapists, clinical psychologists, counsellors and psychiatrists, this 2-day workshop by Kathy Steele helps us explore ways of improving our therapeutic effectiveness with two of the most challenging aspects of trauma therapy. On Day 1, we explore chronic shame – how we can recognize it and how we can work effectively with it. We also learn to identify and approach our own shame with compassion and acceptance. The workshop discusses: The several important functions of shame The four main defences against shame that actually maintain chronic shame antidotes to shame and how our clients can build resilience in the face of shame Utilizing therapeutic interventions that deploy relational, somatic and imagery approaches to chronic shame (with the understanding that cognitive approaches may not be sufficient) Recognizing and addressing the dynamics between inner shamer and inner ashamed ego states On Day 2, we focus on understanding ‘resistance’ as protection, and as an inevitable part of therapy that should be both welcomed and expected. The workshop discusses: Identifying our own possible contributions to our client’s resistance from a systems perspective Different types of resistances; ways to approach resistance with compassion and clarity Collaborative goal-setting as a strategy for diminishing resistance At least four different therapeutic interventions we can deploy to reduce and resolve resistance Throughout the workshop, we will consider the role of disorganised attachment and dependency conflicts in addressing both resistance and chronic shame. 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.