We are the tools of our trade: Attachment, Enactment and The Psychology of the Therapist An evening webinar with Dr David Wallin Online, 28 February 2019, Thursday 6:00pm - 8:00pm, London, UK time Just as the psychology of the parent shapes parenting, the psychology of the therapist shapes therapy. Because we are the tools of our trade, no factor influences our clinical conduct more than our own attachment history and patterning. Rather than our theories or techniques, it is who we are—and who we can become—that ultimately determines our capacity to create with our patients a genuinely therapeutic relationship. In this webinar, David Wallin, author of Attachment in Psychotherapy, will explore the potential of our own psychology not only to impede, but also to inform and inspire our efforts to be of help to our patients. Of paramount importance here is our focus on the largely non-verbal realm of here-and-now experience that is evoked, embodied, and enacted. Illustrating his approach with vivid case material, he will show how the therapist's mindfulness and reflection can transform impasses generated by attachment history into opportunities for insight and growth. Using attachment research to clarify the impact of who we are as people on what we do as clinicians, he highlights the reality that for the patient to heal, the therapist must also change. The webinar will be especially useful for psychotherapists, psychologists and counsellors who are interested in learning how to integrate the finding of attachment theory research into their clinical work. Webinar participants will learn how to: Utilize the new attachment relationship as a crucible of therapeutic change. Identify and “decode” our own attachment patterns rather than be defined or dominated by them. Recognize the collusions and collisions that arise where our attachment patterns interlock with those of our patients. Work with the enactments of transference/countertransference that make up the nonverbal subtext of the therapeutic conversation. Recognize the legacy of trauma and shame that provokes the therapist’s “compulsion to heal”—and the problem of trying too hard to be “good.”
Self-harm and Suicidal Behaviour in Young People: Current issues and contemporary practice A one day workshop with Professor Stephen Briggs and Dr Terence Nice London, 1 March 2019, Friday 10:00am - 5:00pm As the reported numbers of young people with self-harm and suicidal thoughts and behaviour continue to increase, finding effective and meaningful responses is crucial. This workshop will focus on: Understanding self-harm and suicidal thoughts and behaviour in young people Considering how to provide effective therapeutic interventions Drawing on current knowledge from research, clinical guidelines and practice experience, the discussion will explore how to maintain a helpful therapeutic position which actively engages young people understand the meaning of self-harm/suicidal feelings for each individual help to reduce self-destructive ways of relating and behaving help to recover and enhance the individual’s capacity to meet developmental challenges The workshop will ask, and then address, some key questions arising in current practice: these will include: undertaking risk assessments for repeated self-harm and suicide attempts the influence of peers and other groups on suicidal behaviour how to understand the interplay between the destructive and communicative aspects of self-harm working as therapists, including holding multiple cases, with the emotional experiences of self-harm and suicide The 1-day course will use presentations, group discussions and case vignettes.
Working at Relational Depth in Counselling and Psychotherapy A one day workshop with Prof Mick Cooper London, 2 March 2019, Saturday 10:00am - 4:00pm Relational Depth is a state of profound contact and engagement between individuals which can happen at a specific moment or define the ongoing quality of a relationship. At this workshop, which would be especially relevant for psychotherapists, counsellors and psychologists, Professor Mick Cooper draws on his acclaimed book on the topic and his extensive experience to explore the aspects of ‘relational depth’ that can facilitate a more effective therapeutic engagement. He explains how the relational depth informed therapeutic approach: Places emphasis on meeting clients in a two-way, interpersonal dialogue instead of just providing clients with a one-way, reflective space Can help avoid unhelpful therapeutic relationships where clients can feel relationally abandoned Encapsulates authenticity in the therapeutic relationship, together with embodied, non-verbal empathy, deep affirmation and presence Helps us comprehend the anxiety on our client’s part to engage at a deeper than surface level Requires us to let go of some of the aims, anticipations and formulaic methods that our modality may have trained us for The workshop provides delegates with an opportunity to explore their experiences of relational depth, and how it feels to meet others at this level of intensity and intimacy: in both their therapeutic practice and every-day life. Through small group exercises, pairs-work, discussion and theory inputs, the workshop will help participants develop a deeper understanding of such encounters, and also how they can deepen their levels of relating in therapeutic work. Learning Objectives: Understand the nature of relational depth Articulate our own experiences of in-depth relating Comprehend the latest research findings on the nature, impact and prevalence of relational depth in therapy Recognise means of deepening levels of relating with clients Recognise our own chronic strategies of disconnection and other barriers to relational depth
Couple Therapy: Dynamic Approaches for Working with Anger and Aggression A one day workshop with Susanna Abse London, 8 March 2019, Friday 10:00am - 4:00pm As couple therapists, we recognise that aggression, whether in its expressed or repressed form; is often at the heart of the difficulties that many couples bring to therapy. In some cases, the repression of anger and rage is the primary source of difficulties, while in other cases anger and rage seem to be the only ways in which intimate partners are being able to show and share feelings. At this practical and interactive workshop, which would be especially relevant for psychotherapists, psychologists and couple counsellors, Susanna Abse (former CEO of Tavistock Relationships), focusses on the key skills and mentalization-based therapy (MBT) techniques that can enable couple therapists to work effectively with aggression. She considers aggression in couples from a psychoanalytic viewpoint and helps us: Not be daunted by the levels of anger and abuse that some couples bring to the consulting room Learn how to contain and work with escalated levels of conflict between couples Understand how a comprehension of shared unconscious anxieties can help us orientate our interventions Explore unconscious barriers to the expression of ordinary aggression Understand how and why projective processes are employed to disavow anger and avoid conflict Explore the practitioner’s experiences of, and anxieties about working with aggression Find ways to support couples to manage their feelings better Understand the triggers that can lead to angry explosions of feelings Consider anger as the drive for autonomy and evaluate unconscious phantasies about aggression Explore and understand why and when verbal aggression may tip into physical violence Susanna will not only present material based on published evidence; but also, use group discussion and clinical case studies 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.
Shame and Guilt: Impediments to Therapy A one day seminar with Jan McGregor Hepburn and Dr Sue Gottlieb London, 9 March 2019, Saturday 10:00am - 4:00pm As therapists, we understand that the presence of persecutory guilt in our clients can be a considerable obstacle to internal change. While through the therapeutic process we can try to replace persecutory guilt by feelings that lead towards reparation; progress can be challenging and can often be thwarted if the client feels too worthless to be reprieved. Our therapeutic challenges are further exacerbated when guilt coexists with shame, although it may not be explicitly manifest. While shame is associated with unpleasant emotions in most forms, we can also consider shame in the opposite sense, as a necessary component of humility and modesty. Moreover, to make any therapeutic progress now, we need to overcome the fact that shame is more than a primitive precursor to guilt; for shame to exist there has to be a person. If the self has been depersonalised, there is essentially no one to feel shame. How do we work in such situations where shame and guilt co-exist or reinforce each other’s debilitating effects? Also, can we view shame in its constructive form to better comprehend shamelessness – which may be projected into others via scorn, ridicule and disrespect? At this practical and unique seminar, which would be particularly relevant for psychotherapists, psychologists, counsellors and psychiatrists, Jan McGregor Hepburn and Dr Sue Gottlieb draw on their longstanding experience to clearly illustrate two distinct processes which both carry the nomenclature of guilt: feelings of remorse and wishes to make reparation, which are in the service of development, and persecutory guilt, which is experienced as crippling and pervasive but which cannot be mediated by forgiveness or reparation, and is sterile and anti-development They illustrate that in adult life or pathology these feelings are not in fact on a continuum, or indeed intimately connected with one another; they are different internal systems, and it is the persecutory sort which severely affects our clients’ ability to live their lives and which produces severe clinical challenges. Linking these assertions with the co-existence of shame, Jan and Sue also explain how shame and remorse, when temporary and mitigated are part of normal development. Persistent shame can be pathological however, and the absence of shame can be manifest of a psychotic state of mind. They explain how shamelessness is a defensive projection against persecutory guilt and how this interplay can create therapeutic impasses. Overall, the workshop explains how we can comprehend the main drivers for the acquisition and maintenance of persecutory guilt and persistent shame, enabling us, as therapists to recognise what cannot be repaired and what can.
Working with Survivors of Childhood Sexual Abuse A 2-day training workshop at London with Christiane Sanderson London, 15 March and 16 March 2019, Friday and Saturday 10:00am - 4:00pm on both days 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 workshop, 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 workshop 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 workshop 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 Trauma 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
Advanced Workshop: DID, BPD and / or C-PTSD? Diagnostic Assessment and Therapeutic Implications A one day workshop with Dr Suzette Boon London, 22 March 2019, Friday 10:00am - 4:00pm There are many areas of overlap in the phenomenology of clients with a dissociative identity disorder (DID), borderline personality disorder (BPD) and Complex Posttraumatic Stress disorder (C-PTSD). Distinguishing these disorders is often very difficult. Both therapist and client may be confused about these diagnoses. Moreover, sometimes a client may also meet criteria for all three disorders. This one-day advanced workshop will focus on the distinction of dissociative disorders, in particular DID, from BPD and CPTSD or imitated DID. In the morning, the focus will be on assessment. Symptom profiles from clients with DID, BPD and CPTSD and imitated DID cases will be discussed and illustrated with videoclips. In the afternoon, consequences for therapy will be discussed and we will consider questions like: Should there be a difference in therapy? When to work with (dissociative) parts or use part language How much stabilization is needed before starting phase 2 treatment of traumatic memories How do you approach clients who are convinced that they have DID when you can’t conform the diagnosis? Learning Objectives Different theoretical concepts of dissociation will be presented and discussed Different ways to assess dissociative symptoms will be discussed Participants will be able to describe similarities and differences in symptom profiles between: DID Complex PTSD BPD Imitated DID Participants will learn to distinguish dissociative parts, from ego states and borderline modes Different therapeutic trajectories will be discussed for DID, Complex PTSD, BPD and imitated DID Participants will learn when they should use ‘part language’ (and why not?)
Formulation in Psychotherapy and Psychology A one day workshop with Dr Lucy Johnstone London, 23 March 2019, Saturday 10:00am - 5:00pm Formulation is a topic of huge interest currently in psychotherapy, psychology and counselling. From a process of therapy perspective, formulation can be viewed as the co-construction of a hypothesis or ‘best guess’ about the origins of the client’s difficulties and challenges, in the context of their relationships, social circumstances, life events and the sense that they have made of these. During the formulation process, as the personal story or narrative develops through discussion, reflection and revision – we not only get a positive validating effect, but also (especially in Trauma-informed formulations) create a basis for drawing up a personal plan for the best way forward. An effective formulation has the potential to reframe our client’s narrative through a focus on strength and survival. Psychological formulation draws on two equally important sources: the therapist brings knowledge derived from theory, research and clinical experience, while the client brings a comprehension of their own life and the meaning of their relationships & circumstances. Through effective formulation, we are attempting to: Form a provisional explanation for a client’s difficulties Test this hypothesis through the therapeutic engagement Integrate psychological, biological, systemic and social factors Inform our plans and decisions for the way forward At this workshop, which would be relevant for practitioners across modalities, Dr Lucy Johnstone uses clinical examples, exercise and debate to illustrate how we can co-construct effective formulations. She draws on her extensive experience and the Division of the Clinical Psychology Good Practice Guidelines to summarise relevant theory and research. She also explores how formulations can be used in team settings. The workshop is based on the core factors that are relevant across psychodynamic, cognitive-behavioural, systemic and integrative domains. Our key objectives at this workshop are: Understand the principles of best practice formulations together with relevant theory and research Gain confidence in our formulation skills Understand the contexts within which formulation has arisen, and the wider implications for therapeutic practice

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.