Recovery and Self-Care Tool-Kit for Helping Professionals and First Responders A 2-day workshop at London with Babette Rothschild London, 29 May and 30 May 2019, Wednesday and Thursday 10:00am - 4:00pm on both days There are two main avenues where helping professionals (counsellors, psychotherapists, psychiatrists, psychologists, social workers) and first responders (firefighters, paramedics, hospital workers—including doctors and nurses) are most vulnerable to the impact of the trauma suffered by those they are endeavouring to help: On the scene of trauma (accidents, bombings, war, crime, emergency room, and the like), personnel, mainly first responders, are exposed to gruelling scenes of bodily harm and, often, death. Being a first-hand witness to violence and death is one of the major categories of trauma exposure that can lead to posttraumatic stress disorder (PTSD). Moreover, many first responders suffer injury themselves, further putting them at risk for PTSD After the fact, those who regularly hear the recounting of traumatic experiences, primarily helping professionals as well as friends and family, face different, though nonetheless incapacitating, risks: compassion fatigue, vicarious trauma, and debilitating countertransference Anyone working in these types of situations is at risk of primary as well as secondary traumatisation Any and all of these conditions can amplify to the degree of burnout It is critical to note that what hurts and what helps is different for each individual. Therefore, the aim of this professional training is to equip each of the delegates with a personalized tool-kit for preventing, intervening in, and healing whichever (single or combination of) conditions they either suffer from or are at risk for. Think of this workshop as offering a buffet of theories, tools, and skills drawn from trauma studies, neuroscience, mindfulness, and somatic psychology, — all for tasting, sampling, and experimenting. What ultimately comprises a particular participant’s own tool-kit will be unique to them. The tool-kit buffet will include: Theory Brain Structure Sensory Nervous System: identifying the present moment Autonomic Nervous System: monitoring and adjusting arousal Empathy: dialling resonance up and down Mirror Neurons: how our brains connect us to others Skills and Interventions Keep Cool: don’t flip your lid! How, When, and How Much to Share? Down Regulating Mindfulness: anchoring in the present moment Exteroceptors: identifying safety and danger Unmirroring: reduce resonance Imagery: minimizing the impact of listening Separating Mine from Thine: in body and mind Balance: for mind as well as body Quality Time Off: Transitioning between work and free time Participants will each receive a laminated version of Babette’s new 6-colour ANS (Autonomic Nervous System) table to keep and continue to use in their work and for their own self-care.
The Enacted Unconscious: A Neuropsychological Model of Unconscious Processes and Therapeutic Change A 2-day workshop at London with Dr Efrat Ginot author of: The Neuropsychology of the Unconscious: Integrating Brain and Mind in Psychotherapy London, 7 June and 8 June 2019, Friday and Saturday 10:00am - 4:00pm on both days As therapists, whenever we are attempting to comprehend our clients’ internal and interpersonal struggles, we inevitably look for unconscious motivation, conflicts, relational patterns and dissociative processes – often, however, we may not be considering the neuropsychological attributes of such processes. At this practical and intellectually stimulating new workshop, Dr Efrat Ginot draws on affect theory, cognitive neuroscience, recent neuropsychological findings and therapeutic experiences to present a new way of understanding the unconscious – a way that continues to evolve from the integration of neuropsychological research with clinical practice. With a view to deriving therapeutic implications from our comprehension of the pervasive and ongoing influence of unconscious self-states; the workshop examines how implicit patterns are created, enacted and repeated. Current theory and findings in neuropsychology reveal an unconscious realm that is not a static and hidden aspect of our psychological structure. Rather, the unconscious can be described as an amalgamation of brain / mind / body processes that characterise much of who we are. Dr Ginot explains how the new model emphasises the connection between unconscious and conscious processes – especially the brain /mind’s propensity to automatically enact entrenched patterns. Not only will we examine the role of the fear system in establishing self-states, but we will also gain a deeper understanding of the unconscious by looking at clinical issues including resistance, repetition compulsion and enactments in transference / countertransference. Using illustrative case studies, the material presented begins to answer two key questions: 1. Why are emotional and behavioural difficulties so enduring, stubborn and repetitive, even when we gain insight? 2. Why do we continue to engage in behaviours and interactions that cause misery to ourselves and others? To address these questions, we will look at a wide range of brain / mind / body processes that give rise to unconscious self-states or patterns including: The evolutionary roots of unconscious processes The characteristics of the unconscious realm The role of sub-cortical and prefrontal regions The continuum of conscious-unconscious processes The role of intersubjectivity, learning and early childhood memory traces in establishing unconscious patterns The centrality of the fear / anxiety system and amygdala activity to unconscious patterns, PTSD and defense mechanisms The centrality of enaction and automatic repetition Enactments as manifestation of unconscious patterns Self-narratives as aspects of unconscious patterns The intergenerational transmission of affect and trauma Therapeutic entanglements and enactments Equipped with this understanding, the workshop highlights both implicit and explicit therapeutic approaches that leverage our new comprehension of the interplay between the conscious and the unconscious.
Couple Therapy: Dynamic Approaches for Working with Anger and Aggression A one day workshop with Susanna Abse Dublin, 8 June 2019, Saturday 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.
Somatic Psychology as Integrated into Evidence Based Trauma Treatment A 2-day workshop at London with Dr Arielle Schwartz London, 13 June and 14 June 2019, Thursday and Friday 10:00am - 4:00pm on both days On these two days, Dr Arielle Schwartz offers an experiential workshop on Somatic Psychology and how it interfaces with evidence-based trauma treatments. When clients suppress emotions, they can present somatically. Traditional approaches to therapy attend to the cognitive and emotional aspects of clients’ lives, while the somatic experience is often left out of the room. “Talk therapy” can have limited effectiveness for clients with somatization symptoms, developmental trauma, dissociative defenses, or debilitating feelings of shame. It is therefore, important for therapists to become skilled at working with client’s nonverbal and somatic communications. Interventions to enhance embodiment in trauma treatment expand the therapeutic experience beyond where words can take a client. Somatic Psychology brings the body into therapy by highlighting physiological patterns and their influence on human behaviour. In this workshop, we look at the history of somatic psychology and foundational principles that underlie this work. Interventions are drawn from a wide range of somatic psychotherapy modalities including Integrative Body Psychotherapy, The Hakomi Method, Body-Mind Psychotherapy, Authentic Movement, Formative Psychology, Focusing, The Moving Cycle, Somatic Experiencing and Sensorimotor Psychotherapy. Most importantly, you will be introduced to the underlying principles that comprise a unified approach to somatic psychology as a trauma treatment. We also look at the science of embodiment and why somatic psychology is essential for helping clients work with dysregulated affect and arousal states that accompany PTSD. We will explore how to integrate body-centred interventions into existing and evidence based trauma treatment approaches including relational, trauma focused CBT, narrative exposure, EMDR and parts work therapies. Throughout the 2 days, somatic interventions will be explored didactically and experientially allowing participants to experience first-hand the value of interventions that enhance embodiment in trauma treatment. Dr Schwartz will discuss specialized treatment considerations that allow clinicians to address preverbal trauma memories, attachment trauma, somatization symptoms, and chronic pain. We conclude with a focus on somatic approaches to self-care for therapists to address vicarious traumatization and burnout. Learning Objectives discuss a phase oriented, evidence-based approach to trauma treatment as a structured approach to therapy describe at least three principles that are part of the unified approach to somatic psychology recognize how polyvagal theory provides an essential foundation of understanding arousal states as related to trauma reprocessing explain how mutual regulation serves as a precursor to self-regulation in treatment engage practical mind-body therapy tools to help clients feel resourced and prepared for trauma processing. describe how to help clients build affect and sensation tolerance in preparation for trauma processing recognize how working within the “Window of Tolerance” can help reduce the likelihood of re-traumatization describe how “top-down” and “bottom up” interventions can speed up or slow down the pacing of trauma treatment practice at least three interventions for working with somatic symptoms in trauma treatment recognize how client’s “parts” related to early developmental trauma can contribute to somatic symptoms understand how to work with preverbal memories by attending to somatic sensations identify self-care practices for therapists to manage somatic countertransference and vicarious trauma
Working with Infidelity in Couples: Developmental and Destructive Dynamics A one-day workshop at London with Susanna Abse London, 14 June 2019, Friday 10:00am - 4:00pm More than 40% of spouses admit to having cheated on their partner, yet fidelity remains a powerful ideal within relationships and an affair is often experienced as a catastrophic event which can be challenging not only for the couple, but also for the therapist. In working with affairs how does the therapist manage the powerful feelings of shock and moral judgement that are aroused both between the couple and in the therapist? Can affairs ever be understood as servicing a developmental purpose? Are some betrayals shared enactments that can be understood as attempts to reset a relationship? How does the therapist understand the nature and meaning of an affair and the unconscious phantasies that are attached to the ideal of fidelity whilst helping a couple struggle with the reality of relational disappointment? And how do therapists help couples through this relational storm? This practical and interactive seminar, relevant to psychologists, psychotherapists and counsellors will help practitioners to: Learn about societal attitudes to affairs Understand different kinds of affairs and their underlying meanings and purpose Explore our conscious and unconscious attitudes to infidelity Understand some of the underlying relational causes of affairs Gain an introduction to psychoanalytic concepts relevant to couples who have been unfaithful Explore the practitioner’s anxieties about managing the boundaries of therapy where affairs are a feature Provide a framework for containment for couples who are in crisis Understand how affairs can offer developmental opportunities Find ways to support couples to manage their feelings better Help couples mourn and recover trust 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.
The Deluded Self: A Discussion on Narcissistic Disorders An evening seminar and discussion with Dr Gwen Adshead Discussions hosted by Jan Hepburn London, 20 June 2019, Thursday 6:30pm - 9:00pm Despite an overall increase in awareness of narcissistic disorder manifestations, the specific causes, symptomatology as well as therapeutic approaches for these are little understood. This could partly be attributable to lack of credible research into the neurological underpinnings of narcissistic disorders – especially the linkages of empathy and emotional regulation with Attachment security have largely been left unexplored. As therapists, not only do we need to be cognizant of the continuum of narcissism, from adaptive to malignant; but also be able to work therapeutically with its more sadistic and / or psychopathological manifestations. At this intellectually stimulating and clinically oriented evening event, Dr Gwen Adshead and Jan Hepburn discuss theories of narcissistic disorders and illustrate that there is actually a spectrum of dysfunction. They explore different aspects of pathological narcissism; especially the potential explanatory role of Attachment Theory. Key discussion themes for the evening include: Narcissism as a spectrum Narcissistic personality disorder The roots of narcissistic disorders Behaviours associated with Narcissistic disorders Indicated treatment for these disorders and their problems Countertransference issues
Attachment Theory, Affect Regulation and Psychopathology A 2-day workshop at London with Dr Gwen Adshead London, 28 June and 29 June 2019, Friday & Saturday 10:00am - 4:00pm on both days Our comprehension of Attachment Theory has evolved over the years, as evidence from neurobiological and relational studies has enhanced the original models of secure base representations to integrated approaches that lay emphasis on regulation of Affect. Such a broader understanding that incorporates affective somatic processes, biological development and relational transactions has the capacity to inform our therapeutic approaches, allowing us as practitioners, to clearly assess our clients’ defence strategies, dependency levels, patterns of self-representation and enhancements of agency. At this practical and therapeutically oriented seminar which would be especially relevant for psychotherapists, psychologists, counsellors and psychiatrists, Dr Adshead draws on modern interpretations of Attachment thought, recent neurobiological findings and her long-standing psychodynamic and clinical experience to help us comprehend: Attachment as ‘hidden regulator’ for physiological, psychological and sociological processes: revealed at times of threat, crisis, illness Attachment inscribed in body and brain Our clients’ ability to manage distress – how we can understand this from relational and neurobiological standpoints? What is it to be incapable of distress? The dandelion orchid hypothesis and how this links with developmental patterns Attachment patterns and their linkages with Affect Regulation strategies (including de-activation, hyper-activation and disorganised) Affect Regulation and Mentalizing – the relevance to mental health Attachment dysregulation and psychopathology: the relevance of mentalising Evidence of insecure attachment and poor mentalising in various disorders: especially personality disorder, substance misuse, somatic disorders Assessment and therapeutic implications What therapies are indicated for people with insecure attachment systems? Mentalizing failures and Therapy as learning to mentalize The impact on therapists: our own attachment systems Coming to terms with hate in countertransference Viewing Attachment based approaches through the lens of ‘an organised personality structure’, Dr Adshead explains how therapists can apply these learnings in clinical settings and allow for provision of relational security at multiple levels.
The Cost of Caring: Secondary Traumatic Stress and Practitioner Self-Care A one-day seminar at Cork with Christiane Sanderson Cork, Ireland, 29 June 2019, Saturday 10:00am - 4:00pm Care provision and therapy for survivors of traumatic experiences, can inevitably be emotionally and physically draining. At each interaction, the practitioner is exposed to the risk of Secondary Traumatic Stress (STS) – which can potentially shatter our own assumptions about the world, human nature and the meaning of life and death. It is essential that through self-care and preservation of their own well-being, professionals ensure that they remain compassionate and are truly able to accompany the survivor on his or her journey to recovery. Current research indicates that vicarious traumatisation is just one part of STS. Direct exposure to emotionally distressing Trauma narratives can severely impact practitioners at multiple levels, with STS symptoms being close in presentation to those seen in PTSD. Therapists at the risk of STS may experience re-enactments of their own personal trauma, experience hyper / hypo arousal, suffer from alterations to memory and depletion of self-confidence. They may potentially develop mistrust of client interactions and exhibit avoidance behaviour. Needless to say, STS can impact us both personally and professionally. 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 STS 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 STS, its impact and long-term effects on our personal and professional well-being, while explaining how, as practitioners, we can work to restore vitality, enthusiasm, and energy in ourselves, to restore control and to allow for the effective processing of the Trauma narrative. Using illustrative case examples, the seminar will present a range of skills, experiential exercises and self-care strategies while helping us identify the first signs of STS. Specifically, we will consider: Differentiating between STS, Vicarious Trauma and Burnout The role and restoration of Compassion with a recognition of compassion fatigue Minimising the impact on our therapeutic relationships Who is at risk and are there specific forms of trauma with a higher correlation to STS? Assessment measures that can provide us with early warnings Identifying our own vulnerability to STS and ensuring we remain present and engaged in our work Striking the right balance between personal and professional lives – what does this mean for therapists? How do we ensure that we see clients with different presentations – does this really help? The impact of STS on individuals as well as organisations – can organisations take proactive steps to minimise such impact? Retaining our zest for life and assisting our clients with post traumatic growth
Advanced Workshop: Living in a Fog: Dissociation, Complex Trauma and PTSD A one day seminar with Christiane Sanderson London, 5 July 2019, Friday 10:00am - 4:00pm Dissociation is a highly adaptive survival strategy, especially in the presence of systematic and prolonged trauma, characteristic of child sexual abuse (CSA) and / or domestic violence. In the presence of repeated traumatic experiences in which there is no escape, dissociation becomes the default setting, making it hard to remain present in the body. As a result, many survivors of CSA, rape and domestic abuse numb all affect, disconnect from or delete their body and retreat into their head. This can lead to a range of symptoms which are currently subsumed under subtype Post Traumatic Stress Disorder with Prominent Dissociative Symptoms. To fully understand the role of dissociation in complex trauma, it is essential to understand the psychobiological mechanisms that underpin peritraumatic dissociation through the release of a cascade of neurochemicals and the disruption in the usually integrated functions of consciousness, memory, identity and perception; which are the core features of secondary dissociation and structural dissociation. We also need to comprehend how these produce dissociative states and symptoms seen in: Dissociative Disorders Dissociative Disorder Not Otherwise Specified (DDNOS) and Other Specified Dissociative Disorder (OSDD) Many survivors do not initially present with dissociative states or are not aware of the signs or symptoms of dissociation, making it imperative that clinicians are able to link client experiences of ‘living in a fog’, ‘wading through mud’, ‘sieve like memory’ and ‘feeling as through someone else is in control’ as dissociative states. At this practical and unique seminar which would be relevant for psychotherapists, counsellors, psychologists and psychiatrists, across modalities, Christiane draws on her extensive clinical experience to examine the complex nature of dissociation, its origins, its functions and its long-term effects, to explain how we can: Identify clues to dissociation such as distortions in time, perception and memory, changes in verbal and non-verbal communication, bodily sensations and cognitive processing, as well as depersonalisation and derealisation – with a view to helping survivors understand the symptoms of dissociation and how these can be managed more effectively Be aware of our own capacity for dissociation when bearing witness to traumatic experiences and how to ensure that we remain present and embodied, especially when faced with a deep sense of somatic countertransference or somatic empathy Comprehend what dissociation looks like in practice and how we can translate survivors’ reports of their experiencing of the world into clinical formulation of dissociation - and how this can best be managed in the therapeutic setting Work therapeutically with structural dissociation, including parts work Overall, the aim is to facilitate reconnection of mind, body and brain and integration of disavowed parts, to restore presence and embodiment in both client and therapist.

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.