Wednesday 8th September
A programme of 20 one-day Workshops will be held on Wednesday 8th September on the day before the Congress. The workshops will begin at 9.30 and finish at 17.00. These workshops, many of them by internationally recognised experts, offer participants an opportunity to develop practical skills in the assessment and treatment of a range of areas. A description of each workshop is given below and you can register online or using the application form included with this programme. The number of places available is limited so early application is advised to avoid disappointment.
The Deadly Triad: Borderline Personality Disorder,
Substance Abuse, and Suicidal Behaviour
Our thanks to Psychological Corporation for
their support for Professor A.T. Beck's Masterclass
CBT for Psychological Difficulties in Traumatised Refugees and Asylum
Theory and Practice of Mindfulness
Cognitive Therapy for Generalised
Mind Training for Shame and Self-Attacking Inner Dialogues
Behaviour Therapy of Obsessions
University of British Columbia, Vancouver, Canada
University of Concordia, Canada
Oxford University, UK
|Workshop A6||Laboratory Research
Bases for CBT/Interpersonal/Experiential Therapy for Worry and Generalized
Penn State University
|Workshop B1||From Engagement to Intervention: Basic
Principles in Cognitive Therapy for Psychosis
University of Manchester, UK
|Workshop B2||Family Interventions for Psychosis
Elizabeth Kuipers, and Juliana Onwumere,
Institute of Psychiatry, London and
University College London, UK
|Child and Adolescents|
|Workshop C1||Family Cognitive Behavioural Therapy
for Anxiety Disorders in Children and Adolescents
University of Maastricht, The Netherlands
|Workshop C2||Cognitive Behaviour Therapy for Post
Traumatic Stress Disorder in Young People
William Yule, Patrick Smith and Sean Perrin
Institute of Psychiatry, London, UK
|Workshop C3||Introduction to Cognitive Behaviour Therapy
Skills for Mental Health Professionals/practitioners Working with Children,
Young People and Families.
Nicky Dummett and Kath Davies,
Child and Adolescent Services, Yorkshire, UK
Assessment and Treatment of Anger in Psychiatric,
Forensic and Intellectual Disability Populations
|Workshop E1||Cognitive Behaviour Therapy with Chronic
Zoe Clyde and Jannie Van Der Merwe,
INPUT Pain Management Unit, St Thomas Hospital, London, UK
|Workshop E2||Cognitive Behaviour Therapy for Neuropsychological
Jonathon Evans and Fergus Gracey,
Princess of Wales Hospital, Cambridgeshire, UK
|Workshop E4||CBT for Life Threatening Illnesses
South London and Mausley NHS Trust, London, UK
|Workshop F1||CBT for Anorexia
Nervosa - Outpatient and Inpatient Treatment.
Chris Fairburn &
University of Oxford
Riccardo Dalle Grave,
Villa Garda, Verona, Italy.
|Workshop F2||Helping Change Addictive Behaviours;
An overview of CBT and related treatment approaches
University College London, UK
|Therapeutic and Clinical Applications Issues|
|Workshop G1|| Resolving Roadblocks in Cognitive Behavioural
American Institute for Cognitive Therapy, NYC and Weill-Cornell Medical School, USA
|Workshop G2||Cognitive Therapy and
the Self: If I Don’t Know Who I Am, How Can I Know What I Think?
Oxford Cognitive Therapy Centre, UK
|Workshop G3||Effective Peer Supervision
for Cognitive Therapists
Mark Freeston and Peter Armstrong,
Newcastle Cognitive and Behavioural Therapies Centre, UK
|Workshop G4||An ounce of action is worth a pound
of words: Integrating effective
behavioural experiments into cognitive therapy.
Melanie Fennell, Ann Hackmann, Martina Mueller and James Bennett-Levy,
Oxford Cognitive Therapy Centre.
Masterclass M1The Deadly Triad: Borderline Personality Disorder, Substance Abuse, and Suicidal Behaviour
University of Pennsylvania, USA
The cognitive approach to Borderline Personality Disorder (BPD), Substance Abuse (SA), and attempted suicide (A.S.) is based on the conceptual model, which is tailored to specific characteristics of the individual case. The cognitive model accounts for all of the salient features, such as unstable relationships, fluctuating moods, poor impulse control, craving for relief through self-medication, and finally total demoralization leading to suicide. The cognitive therapy of BPD-SA-AS is based on an adaptation of traditional cognitive therapy using basic cognitive strategies, such as fostering a trusting relationship, collaborative empiricism, and guided discovery. In addition to the standard cognitive therapy techniques, there is a greater emphasis on exploring early childhood traumas activating traumatic past events so the can be re-processed and a focus on exploring patients' core beliefs.
The master class will focus specifically on three areas: A - Reducing patients' hypervulnerability, poor control, overcraving and impulses, and powerful urges to escape via suicide. B - Addressing patients' pain, guilt, and shame. C - Increasing self-confidence and self-control. Through the presentation of case examples and role-plays, I will demonstrate relapse prevention for addictive behaviors and also for attempted suicide.
CBT for traumatized refugees and asylum seekers
Nick Grey, Institute of Psychiatry, London, UK and
Who the workshop is aimed at: It should be suitable to clinicians of all levels, but some experience of both treating PTSD and working with asylum seekers and refugees would be advantageous. Familiarity of the general cognitive model and basic clinical skills are assumed.
Rationale: Increasingly clinicians are working with asylum seekers and refugees who present with multiple psychological and social problems. Almost invariably these clients have faced one or, more usually, a number of traumatic events both in their country of origin and also the UK. There are relatively few guidelines as to how best to approach treatment and therapists sometimes have unhelpful beliefs of their own about the difficulty of working with such cases. This workshop will outline a possible treatment pathway for clinicians to follow. This includes the role of asylum status, housing, and developing / integrating into social networks. Specific cognitive behavioural strategies to address depressive and posttraumatic stress symptoms will be detailed, including discussion of when and how to best use reliving / exposure techniques. Direct comparisons will be made between using ‘testimony’ and cognitive-behaviour therapy. The workshop will also address the issue of working with interpreters / translators. The main message for clinicians to take away is that they have the basic skills to work with such cases and that with careful thought about the timing and particular application of interventions progress can be made.
Learning objectives: Participants should
Teaching Methods: Use will be made of clinical examples including video and audiotape. Participants are encouraged to bring their own case material for discussion.
Workshop Leaders: Kerry Young, Traumatic Stress Clinic, Camden & Islington NHS Trust, & University College London, and Nick Grey, Centre for Anxiety Disorders and Trauma, Maudsley Hospital, & Institute of Psychiatry. Both presenters have worked for many years in specialist outpatient trauma services for adults including working with asylum seekers and refugees, particularly survivors of torture.
Mindfulness-Based Cognitive Therapy for Depression
Mark Williams, University of Oxford, UK and
Background: Mindfulness-based cognitive therapy (MBCT), like more conventional cognitive therapy (CT), is based on the cognitive model of emotional disorders. In contrast to CT, MBCT seeks to reduce the effects of maladaptive thinking patterns by changing patients' relationship to their thoughts and feelings, and the way that they are processed, rather than by changing belief in thought content. Specifically, MBCT trains patients to enter a mode of intentional (non-automatic) processing in which they are aware of thoughts and feelings as passing events in the mind, rather than as self, or as necessarily valid reflections of reality.
Learning Objectives: The
aims of this introductory workshop are:
Teaching Methods: Training modalities will include expereiential exercises, video clips, didactic presentation, and interactive communication within each of these modalities.
Workshop Leaders: Mark Williams and John Teasdale are research clinical psychologists who have each worked for more than 20 years on cognitive approaches to understanding and treating depression. Over the last 11 years, they have collaborated with Zindel Segal to develop and evaluate MBCT, a theory-driven integration of mindfulness training and cognitive therapy designed to prevent relapse and recurrence in major depression.
Cognitive Therapy for Generalised Anxiety Disorder
Adrian Wells, University of Manchester, UK
Workshop. Generalised Anxiety Disorder (GAD) is characterised by chronic and out of control worry. It has proven to be a difficult disorder to treat with only approximately 50 per cent of patients improving with standard CBT. GAD patients normally present a challenge to therapists. This workshop describes the metacognitive model of GAD (Wells, 1995; 1997) and the treatment based on it. In this model, dysfunctional worry in GAD in maintained by a combination of positive and negative beliefs (metacognitions) about worry, and a range of unhelpful coping strategies that prevent belief change. Treatment based on the model requires therapists to develop a particular framework that focuses on metacognition (i.e. factors that control, monitor, and appraise thinking) rather than challenging primary worry content. Workshop participants will learn case conceptualisation based on the model and a range of specialised treatment techniques. Therapy will be illustrated with videotape material, and a range of assessment instruments will be available.
Compassionate Mind Training for Shame and Self-Attacking Inner Dialogues
Paul Gilbert, University of Derby and
Workshop. Shame and inner self-criticism/attacking is associated with a range of psychological difficulties, particularly those relating to long-standing issues of self-worth. These are often underpinned by shame and self-dialogues that are highly self-critical/condemning. This workshop will use social mentality theory to explore the nature of shame based, negative self-evaluations. It is suggested that self-criticism often takes the form of inner dialogues and operates as an internal hostile-dominant/fearful/subordinate relationship. This workshop will describe how to conduct a functional analysis of self-criticism, exploring self-attacking as a form of safety behaviour. Participants will learn how to work with these inner dialogues using cognitive-emotional and imagery techniques. A care focused social mentality, that is sensitive to well-being, distress and nurturing, can be elicited and fostered as an alternative self-to-self relating style. People can learn to compassionately re-focus, re-evaluate and re-attribute. A powerful aid to the development of inner compassion is via imagery and the generation of compassionate feelings for the self. In this workshop participants will have the opportunity to practice compassionate imagery, including the generation of images of “the perfect nurturer”.
Outcome At the end of the workshop participants will have insight into the complexity and functions of self-attacking, and will be able to formulate the role of safety behaviours and shame in maintaining self-attacking. They will have some experience in using compassionate mind techniques for the development of self-soothing strategies, which help emotional regulation.
2. Gilbert, P. & Irons, C. (In press) Therapies for shame and self-attacking, using cognitive, behavioural, emotional imagery, and compassionate mind training. In P. Gilbert (Ed) Compassion: Conceptualisations research and use in psychotherapy. London: Brunner-Routledge.Lee, D. (In press)
3. The perfect nurturer. A model to develop a compassionate mind within the context of cognitive therapy. In P.Gilbert (Ed). Compassion: Conceptualisations research and use in psychotherapy. London: Brunner-Routledge.
Cognitive-behaviour therapy for obsessions.
S. Rachman, University of British Columbia, Vancouver,
Background: Understanding and treating OCD have been successful, they are more applicable to checking and washing compulsions than to other manifestations of OCD, such as obsessions without compulsions. A new cognitive approach to obsessions (Rachman, 1997, 1998) has produced a promising new treatment which will be the focus of this workshop. Following a review of the theory, treatment strategies for obsessions will be discussed and demonstrated with clinical examples, role play and group exercises. Participants are encouraged to bring clinical examples to the workshop for analysis.
Learning Objectives: You will learn about background empirical and theoretical work that produced the treatment as well as skills relevant to case conceptualization, treatment formulation and specific assessment and intervention strategies related to the cognitive model of obsessions.
Laboratory Research Bases for CBT/Interpersonal/Experiential
Therapy for Worry and Generalized Anxiety Disorder
From Engagement to Intervention: Basic principles in Cognitive Therapy for Psychosis
Gillian Haddock, University of Manchester, UK
Background: This workshop will provide an overview of the application of cognitive-behaviour therapy as applied to people with psychosis. The emphasis will be on providing people who have not had a large amount of previous training in CBT for psychosis some basic information and skills for working in this area. The workshop will begin with an overview of the research literature supporting the effectiveness of CBT for psychosis followed by more practical sessions on engagement, assessment, formulation and intervention in psychosis. The main focus of the day will be on working with people with chronic psychosis although some attention will be paid to people with recent onset psychosis. Complex issues such as substance use and aggression in psychosis will also be discussed.
Teaching Methods: The workshop will use case material in the form of case studies and video material to illustrate the approach.
Family intervention in psychosis
Elizabeth Kuipers, Juliana Onwumere, Institute of Psychiatry,
London, UK, and
Background: The NICE Guidelines for schizophrenia (2003) found strong
evidence that family intervention improves outcomes for those living with
(or in close contact with) the family.
Teaching Methods: This workshop uses a mixture of didactic and experiential techniques and it is necessary for participants to be prepared to join in order to understand the issues involved and develop the clinical skills required for this particular work. Ongoing clinical supervision will be required to further develop and maintain such skills.
Workshop Leaders: Elizabeth Kuipers is a leading researcher and practitioner in area of family therapy for psychosis. She has written numerous articles and co-written one of the most influential therapy manuals within the discipline. Juliana Onwumere and Ben Smith have worked with Elizabeth Kuipers for the last 2 years as research therapists within a randomised control trial aimed at evaluating the effectiveness of family therapy in reducing relapse rates within psychosis
Family Cognitive Behavioural Therapy for anxiety disorders in children and adolescents
Susan Bögels, University of Maastricht, The Netherlands
Who the workshop is aimed at: Experience in cognitive-behavioural treatment of anxiety (in adults and/or children) is needed in order to follow this workshop.
Background: Anxiety disorders run in families; an overlap of 60-80% has
been found between parental and child anxiety disorders. Next to genetic
factors, “anxiety enhancing” parenting behaviours, like modelling
of anxious behaviour, overprotection, and restriction of open expression
of opinions and feelings, seem to contribute to this relationship. Family
CBT has been found equally effective or more effective in treating child
anxiety disorders, and is potentially more cost-effective because more
family members are treated at the same time. The goal of family CBT is
to decrease child anxiety, parental anxiety, and anxiety-enhancing parenting.
Learning Objectives: Participants will acquire the following skills:
Teaching Methods: In this workshop the three components of the treatment will be taught through instruction, modelling, and practice (role-plays).
Workshop Leader: Susan Bögels (clinical psychologist/psychotherapist) works as a researcher and practitioner in the area of child and parental anxiety disorders. One of her major themes of interest is how parents of anxious children influence the anxiety of their child through their own dysfunctional beliefs, their own upbringing, and the interaction between parental and child anxiety. She is currently conducting a Randomised Clinical Trial in 8 centers of child psychiatry in Holland, to compare the effects of family CBT with child CBT for children and adolescents with clinical anxiety disorders.
Cognitive Behaviour Therapy for Post Traumatic Stress Disorder in Young People
William Yule, Patrick Smith and Sean Perrin. Institute of Psychiatry, London, UK
Introduction to CBT skills for mental health professionals/practitioners working with children, young people and families.
Nicky Dummett, Kath Davies, Child and Adolescent Services, Yorkshire, UK
Who the workshop is aimed at: Child and adolescent mental health professionals/practitioners with some CBT experience but who have not undergone a formal (e.g. year-long) training course.
Teaching Methods: Lecture and experiential techniques (e.g. roll play, modeling, “in-session” behavioural experiments).
Workshop Leaders: Nicky Dummett and Kath Davies have extensive experience of CBT with children and young people and also of teaching fellow professionals and students. We deliver regular CBT training to CAMHS professionals within Yorkshire, including a year-long introductory course in CBT with children, adolescents and families.
Assessment and Treatment Of Anger in Psychiatric, Forensic and Intellectual Disability Populations
Ray Novaco, University of California, Irvine, USA
Background: Providing clinical services for people having recurrent anger problems is a challenging clinical enterprise. This turbulent emotion, ubiquitous in everyday life, is a feature of a wide range of clinical disorders. It is commonly observed in various personality, psychosomatic, and conduct disorders, in schizophrenia, in bipolar mood disorders, in organic brain disorders, in impulse control dysfunctions, and in a variety of conditions resulting from trauma. The central problematic characteristic of anger in the context of such clinical conditions is that it is "dysregulated" -- that is, its activation, expression, and experience occur without appropriate controls. Because anger is a common precursor of aggressive behaviour, it may be recognized as a salient clinical need, yet be unsettling for mental health professionals to engage as a treatment focus. Anger assessment itself presents many challenges, because of reactivity to the testing situation and the multi-dimensionality of anger. Effectively targeting anger treatment, as well as ascertaining therapeutic gains hinges on assessment proficiency.
The workshop will present psychometric, interview, and staff-rated methods for assessing anger as a clinical problem. Issues of validity will be delineated, and recommendations for clinical service strategy will be given. Among the assessment topics to be covered are assessing anger on intake at mental health facilities and in conjunction with forensic practice, adaptations for persons with intellectual disabilities, anger and trauma, children exposed to violence in the home, and the evaluation of treatment gains. Participants will also be shown an interview for assessing readiness for anger treatment and given opportunity for practice.
Getting treatment engagement with chronically anger people presents multiple challenges. High anger patients can be worrisome for clinicians because of their treatment-resistant characteristics and because of safety risks faced by the clinician seeking to treat them. Advances in CBT anger treatment will be presented, having demonstrated efficacy with patients in secure hospitals, patients with intellectual disabilities, and a variety of community outpatients, including war veterans with severe posttraumatic stress disorder. Core themes arising in the treatment process and ways of obtaining leverage for change through a “preparatory phase” will be presented. Key components of the stress inoculation approach to severe anger problems will be described, with some demonstration. Extensions from individual anger treatment to group-based anger management will be presented, along with assault risk reduction strategies for clinicians.
Teaching Methods: The format for the workshop will be didactic and experiential. It is an intermediate-level workshop, aimed at mental health professionals with several years of CBT experience.
Workshop Leader: Professor Ray Novaco pioneered the cognitive-behavioural treatment of anger. His ongoing research includes studies being conducted in Scotland and England with patients in secure facilities and with psychotic patients in the community, and also with women and children in domestic violence shelters.
Psychological factors in Chronic Pain / Exposing fear of pain
Jannie van der Merwe, A Williams, & Zoe Clyde, INPUT Pain Management Unit, St Thomas’ Hospital, London, UK
Who the workshop is aimed at: those who are interested in the application of CBT in a clinical setting. We will both (i) give an overview of the psychological factors in chronic pain and the latest developments in the field and (ii) explore the rapidly developing area of assessment and treatment of pain-related fears, which are powerful determinants of patients' behaviour. The format will be interactive, involving voluntary discussion of participants’ own experiences and fears and those of the patients they work with. Group work and discussion will be used to explore case material.
Background: We aim to increase your understanding of the psychological factors in chronic pain and pain related fears. This will involve and overview of CBT and chronic pain and the exploration of the connection between fear, cognition and avoidance. The importance of cognitive processes such as catastrophising and the meaning of fear to individual patients will be discussed as will the conceptualisation of pain-related fears in relation to other anxiety disorders.
Assessment of pain-related fears is complex. For example, when a patient says, ‘I physically can’t get on the floor’, the reason for this is not clear. Patients rarely present fear as the reason for stopping activity. It is hard for health professionals to identify whether avoidance of activity is due to a lack of practice and hence confidence in general, or due to a specific pain-related fear. We will introduce assessment tools that are currently in use in chronic pain management settings and discuss the practical implications of their use.
Evidence has shown CBT, which involves graded activity, is effective for chronic pain management (Morley et al.1999). Single case studies have shown graded exposure to be more effective than graded activity in addressing pain-related fears (Vlaeyen et al.2001). The danger of missing pain-related fears and using graded activity rather than graded exposure is that it can lead to the confirmation of the patient’s worst fear and result in further avoidance undermining their success in applying pain management skills
We suggest that pain-related fear is not confined to chronic pain settings. It is hoped that discussion, drawing on participants’ clinical experiences, can lead to the identification of other clinical settings where pain-related fear occurs and where the assessment and treatment methods highlighted can be used.
Workshop Leaders: Dr Zoë Clyde has worked clinically at INPUT Pain Management Unit for the last 4 years, and has a special interest in chronic pain and depression. She recently completed a diploma in cognitive therapy at Oxford, which generated interest in use of imagery when applying CT to chronic pain, particularly when working with pain-related fear. Dr Johannes D. van der Merwe is the Clinical Head of the INPUT Pain Management Unit at St Thomas' Hospital, London. He has a special interest in chronic pain and post-traumatic stress disorder. He is a member of the Pain Society of Great Britain and the International Association of the Study of Pain.
The Application of Cognitive Therapy in the Context of Neuro-Rehabilitation
Jonathan Evans and Fergus Gracey, Oliver Zangwill Centre for Neuropsychological Rehabilitation
Background: There is evidence which demonstrates high rates of mood disorder following acquired brain injury (ABI). The impact of mood disorders on psychosocial functioning, functional outcome and rehabilitation following acquired brain injury is also thought to be significant. The aetiology of mood disorders following brain injury is complex, and traditional psychiatric diagnoses may be challenged by the impact of the combination of organic, cognitive and psychosocial consequences of ABI. Traditional psychotropic medications may be inappropriate or contra-indicated. One study suggests that 33% of psychiatric patients report a history of head injury. There is thus a ready need for the development of psychosocial therapies to address the range of distressing and debilitating emotional consequences of brain injury in both neuro-rehab and adult mental health contexts. Suggestions and guidelines for the use of cognitive and behavioural therapies following stroke and head injury have been published. Evidence from case studies suggest that a cognitive-behavioural approach may be effective for treating anxiety disorders and depression. Evidence of efficacy from group based studies is more variable. One case report notes an adverse effect of a cognitive-behavioural intervention which suggests that a more fine-grained understanding of cognition-emotion interactions is required to use CBT with this client group. Other case studies note the beneficial reciprocal relationship between Neuro-rehabilitation and CBT, noting common underpinning principles, features, and aims, and the readiness with which CBT can be adapted to take into account potential barriers such as cognitive impairment. There is thus some evidence for the use of CBT with this client group, in addition to a rationale based on the adaptability of CBT particularly for the needs of this client group. However, caution is warranted and further research is required. CBT may offer potential for adaptation to address the emotional needs of clients who have an acquired brain injury, and the theoretical base of CBT could in turn be developed through systematic case studies demonstrating interactions between cognition and emotion.
Teaching methods:a combination of didactic, small group and group discussion will be used.
Workshop leaders: Jon
Evans is Associate Director of Research and
Consultant Clinical Psychologist at the Oliver Zangwill Centre for
Neuropsychological Rehabilitation in Ely, Cambridgeshire. He is also
a visiting scientist at the MRC Cognition and Brain Sciences Unit in
Cambridge. From October 2003, he will take up the post of Professor
of Applied Neuropsychology at the University of Glasgow.
CBT for Life Threatening Illness
Stirling Moorey, South London and Maudsley Trust, London, UK
Background: Potentially fatal illness threatens our sense of ourselves, our relationship with the world and our life plans. Cognitive conceptualisations can help us to understand how our reactions to possible death are shaped by our underlying beliefs and characteristic coping strategies. Developing a formulation can guide us in our choice of cognitive, behavioural and supportive techniques. The changing course of physical illness and the effects of fatigue and disability require a flexible approach in the application of CBT techniques. This workshop will demonstrate the power of the cognitive model as a tool for conceptualising and planning treatment, so that effective interventions can be selected, even if it is not possible to carry out a full course of therapy. People with adjustment difficulties may need assistance in processing the emotional impact of illness, so the therapist must acquire skills in combining emotional-supportive techniques and CBT interventions. The importance of emotional validation and the facilitation of emotional processing will be discussed. Therapists can also be daunted by the presence of apparently realistic negative thoughts in people facing death, and also be overwhelmed by the patients’ own feelings of helplessness and hopelessness. Methods for working with “realistic” negative thoughts will be described and illustrated. In physical illness such as cancer, the approach may differ depending on the stage of illness. In early stage disease with a good prognosis, there is more emphasis on challenging misperceptions about the impact of the illness, while in advanced and terminal illness the emphasis is on coping with the progress of disease and disability. The interplay of fighting, coping and acceptance in working with serious illness will also be considered during the workshop.
Teaching Methods: Training will combine didactic, experiential and demonstration (video and role play) of skills. Workshop participants will have the opportunity to practise conceptualisation and therapy skills in role play and group discussion. They should bring case details of a patient with a serious physical illness to the workshop if possible.
Workshop Leader: Dr Moorey is Consultant Psychiatrist in CBT at the Maudsley Hospital. He has been actively involved with cognitive therapy since 1979 and was co-founder of the Institute of Psychiatry Cognitive Therapy Course. From 1986-1991 he was a CRC research psychiatrist at the Royal Marsden Hospital, and worked with Dr Steven Greer to develop a cognitive based treatment for patients with cancer which has been evaluated in two RCT’s. He is currently researching the efficacy of CBT in palliative care.
CBT for Anorexia Nervosa – Outpatient and Inpatient Treatment
Christopher G Fairburn, University of Oxford, UK and
Background: There are no empirically supported treatments for adults with anorexia nervosa yet this disorder is associated with substantial physical and psychosocial morbidity. This workshop will open with a brief review of the research on the treatment of anorexia nervosa. Then a new style of cognitive behaviour therapy for anorexia nervosa will be presented. The theoretical background to the treatment will be outlined and its procedures will be described in detail. This will include description of how the treatment is implemented on an outpatient basis and how the treatment can also be delivered within a hospital setting.
Professor Fairburn will provide the theoretical and research background to the new treatment, and will describe how to provide it on an outpatient basis. Dr della Grave will describe how the treatment can be delivered within an inpatient unit.
Teaching Methods: Didactic combined with extensive collective discussion of clinical problems.
Helping Change Addictive Behaviours; An overview of CBT and related treatment approaches
Paul E Davis, University College, London, UK
Background: Cognitive Behavioural Therapies (CBT) are well established as effective approaches in the treatment of a wide range of addictive behaviours including alcohol, tobacco smoking and drug problems, non-chemical dependencies such as gambling, some patterns of offending behaviour and excessive shopping, as well as other appetitive problems such as in eating disorders. This workshop is intended for both non (addiction) specialist staff who wish to understand CBT approaches as applied in their generic work with substance misusers, problem gamblers etc.; together with specialist staff in addiction services who wish to develop further their CBT understanding and skills. It will combine didactic presentation, small group tasks, video and case vignettes. The topics will include new developments such as Community Reinforcement Approach, CBT techniques and how these are applied to addiction-specific topics, Relapse Prevention programmes, Motivational Interviewing and the use of cognitive therapy to help motivate clients.
The workshop aims to give attendees a knowledge of these addiction-specific techniques and approaches, an understanding of how CBT is used in the treatment of addictive behaviours, and to help develop skills for clinical practice. Attendees are not expected to have specialist expertise in addictions or CBT, but an understanding of the theoretical background to CBT, and some experience or knowledge of how CBT is used with adults, will be assumed.
Resolving Impasses in Cognitive Behavioral Therapy
Robert L. Leahy
Background: Many patients do not adhere to the “rational” and “problem-solving” orientation
underlying cognitive-behavioural therapy. In this workshop we will
examine six areas relevant to resolving these impasses:
In addition, we will examine transference and counter-transference issues within a CBT formulation.
Methods for evaluating each dimension and specific intervention strategies are offered. Attempts to argue the patient out of an impasse may increase non-compliance due to validation demands, emotional avoidance strategies and risk-aversion. These impasses in treatment are viewed within a cognitive model of psychopathology utilizing case conceptualization that integrates behavioral experiments, cognitive schemata, interpersonal processes and emotional processing. Participants in the workshop will learn how to identify impasses, balance validation demands with experiments in change, evaluate emotional processing problems and enhance adaptive emotional schemas, reverse sunk-cost effects, and develop interventions for reducing self-handicapping.
Workshop Leader: Robert Leahy is President of the International Association of Cognitive Psychotherapy, Professor of Psychology in the Department of Psychiatry of Weill-Cornell Medical School, Director of the American Institute of Cognitive Therapy, and the author or editor of fourteen books.
Cognitive Therapy and the Self. If I don't know who I am, how can I know what I think?
Gillian Butler, Warneford Hospital, Oxford and Oxford Cognitive Therapy Centre
Who the workshop is aimed at: Experienced practitioners, familiar with using cognitive therapy in the treatment of complex cases.
Learning Objectives: The main aim of this workshop is to present a collection of ideas and methods for helping people to develop their sense of identity using cognitive therapy. The material presented is the product of clinical observation working with people who have suffered extensive childhood trauma, but potentially has a broad application. It is not, yet, based on research findings. The workshop starts by considering how to understand problems of identity, and three areas of work will then be discussed in more detail: 1. Developing metacognitive awareness, 2. Building a sense of self, and 3. Discovering an identity. Participants will be able to practice some of the skills and techniques relevant for work in each of these areas. The methods presented are understood as a pre-requisite for, or complement to, work on self-esteem and self-confidence. They overlap with it, but not entirely.
Teaching methods: A variety of interactive methods will be used, including discussion between participants, small group exercises and role-play.
Effective peer supervision for cognitive therapists
Mark Freeston and Peter Armstrong, Newcastle Cognitive and Behavioural Therapies Centre, Newcastle, UK
Who the workshop is aimed at: Established cognitive therapists (e.g. Post qualification training in CT plus experience in CT) either wanting to set up effective peer supervision or those who have already been involved in peer supervision and want to improve the quality of the experience through conceptual grounding and upgrading skills
Background: As many would acknowledge, supervision in cognitive therapy is conceptually and procedurally complex. Most of us learn to supervise by imitation or by trial and error. As a result there is much implicit knowledge, several procedural accounts, but few explicit formulations. In the absence of such formulations our ability to consistently replicate best practice is limited. Since 2001 we have tapped into the implicit knowledge of experienced and less experienced supervisors and developed an explicit conceptual map of CBT supervision. We have used this map to inform supervision practice, establish a conceptual base for training and provide supervision of new supervisors. We recognise that many practitioners are not involved in supervision with a more experienced practitioner, either because none are accessible or available or because they are already experienced practitioners themselves. Although initially developed for master-novice supervision, the Newcastle framework has enabled us to better understand some key features of peer supervision. For example, effective peer supervision requires 1) a clear understanding of the organisational and professional context in which it occurs, 2) explicit consideration of the relationship(s) between the peers, 3) clear structures that ensure that required outputs are achieved through the alternating between the necessary roles and functions. Experience working within this understanding has shown that close but readily achieved attention to these and other factors leads to a clearer understanding of peer supervision, concrete steps to setting it up, ways of understanding any obstacles that may arise, and paths to rectifying any such problems.
Learning Objectives: At the end of the day, participants will 1) have developed an understanding of the key factors influencing the peer supervision process, 2) be able to set up peer supervision in a way that increases the likelihood of effective learning, 3) possess heuristics that identify problem points in peer supervision and address them.
Teaching Methods: Brief didactic presentations, observing and participating in role-plays, reflection on and formulation of the supervisory processes observed, reflection on and integration of personal experience.
Workshop leaders: Mark Freeston is an experienced researcher and trainer in CBT approaches for anxiety disorders. He is currently Course Director of the Newcastle Postgraduate Diploma in Cognitive Therapy and Director of Training and Research at NCBTC. Peter Armstrong is an experience cognitive therapist and supervisor and has a particular interest in interpersonal process in therapy. He is Deputy Course Director for the Newcastle Course. They provide a range of supervision training based on the Newcastle model.
Background reading: Although background reading of the supervision literature would be useful, we would particularly like participants to prepare by reflecting on their recent experience of peer supervision. Specifically, please reflect on those occasions where supervision went particularly well or got noticeably stuck.
An ounce of action is worth a pound of words: Integrating effective behavioural experiments into cognitive therapy.
Melanie Fennell, Ann Hackmann, Martina Mueller and James Bennett-Levy
Background: Behavioural experiments have long been recognized as a powerful agent for change in cognitive therapy. This workshop addresses the process by which cognition and behaviour interact to maintain problems and prevent unhelpful perspectives from being updated in the light of experience.
Learning Objectives: Participants will focus
Teaching Methods:The workshop will be interactive, with opportunities for role-play, direct personal experience and discussion. It is aimed at those with a background in cognitive therapy, who wish to hone their skills in designing and implementing behavioural experiments. The workshop will highlight the value of therapist assisted, in-session experiments in opening the door to new learning.
Workshop leaders: The presenters are all
experienced practitioners with a reputation for offering high quality
training and supervision through OCTC. Melanie
Fennell and Ann Hackmann have worked in research groups developing treatment
protocols for a variety of disorders, while Martina
Mueller has expertise
in the treatment of complex PTSD. James Bennett-Levy has a special interest
in experiential approaches to cognitive therapy training. All four are
editors of the forthcoming Oxford Guide to Behavioural Experiments in