MINI WORKSHOP PROGRAMME
15th - 17th July 1999
As usual delegates attending the BABCP Annual Conference will be able to attend one or more of the half day workshops (3 hours) scheduled in the programme on Thursday and Friday. There is a small extra charge of £15 for each of these workshops and you can use the form at the back of this programme to make a booking in advance. Alternatively you can register when you arrive at the conference. Places will be limited for each workshop and will be allocated on a first come first served basis.
THURSDAY 15TH JULY - Morning (9.00 - 12.00 noon)
WORKSHOP I: The Possibilities of Integrating Cognitive Behaviour Therapy and Gestalt Therapy
Frank Wills and Brian Hunter, University of Wales College Newport
Cognitive Behaviour Therapists, such as Judy Beck and Dave Edwards, have suggested that techniques from Gestalt Therapy, particularly those associated with activating and working with intense emotion, can be usefully integrated into Cognitive Behaviour Therapy. Steven Hayes has suggested that other therapies, particularly Gestalt, have been ' smarter' in appreciating some of the paradoxical effects of therapy - for example, sometimes 'hard work' in therapy only compounds the problem. Cognitive Behaviour Therapists such as Adrian Wells, Marsha Linehan and John Teasdale have suggested 'Mindfulness' techniques can be very helpful.
This workshop seeks to open up a dialogue between the two therapies, with Frank as a Cognitive Behaviour Therapist from Bristol and Brian as a Gestalt Therapist from South Wales. Workshop participants will be invited into full involvement in this dialogue in a series of case conceptualisations, theory discussions, experiential exercises and skill rehearsal.
THURSDAY 15TH JULY - Afternoon (2.00 pm - 5.00 pm)
WORKSHOP 2: Formulating and Treating Shame, Humiliation and Guilt in Chronic Post Traumatic Stress Disorder: A Cognitive-Behavioural Approach.
Deborah Lee, The Trauma Clinic, London and Peter Scragg, University College London
This is a workshop for clinicians who already have experience in working with PTSD. The first session will focus on theoretical issues of shame and guilt and how they manifest in traumatic stress reactions. Clinical models to aid formulations of shame and guilt reactions in traumatised individuals will be presented and followed by small group formulation exercise. The second session will be spent focusing on treatment techniques for alleviating feelings of shame, humiliation and guilt in traumatised clients. Role-play and a video demonstration will be used.
WORKSHOP 3: Chronic Pain
Frances Cole, General Practitioner
This workshop will be a practical introduction to working with people who have chronic benign pain. Participants will become familiar with the range of unhelpful beliefs people can have about themselves and their pain. There will be opportunities to practice several cognitive behavioural techniques, particularly behavioural experiments, with case material provided.
WORKSHOP 4: Anger Treatment with Difficult Patients
Raymond W Novaco, University of California, Irvine, USA
Engaging seriously disordered and historically assaultive patients in treatment for their anger dyscontrol problems present multiple challenges. Such patients are typically avoided by clinicians because of their treatment resistant characteristics and because of the risks faced by the clinician. Advances in cognitive- behavioural anger treatment with such patients, demonstrated in evaluated outcome studies, will be presented with regard to facilitating and maintaining therapeutic engagement. Major issues arising in the recruitment, referral, assessment, and preparation of such patients for treatment will be discussed. Core themes arising in the treatment process, strategies for managing anger episodes, and ways of obtaining leverage for change will be presented. The key ingredients of the cognitive-behavioural approach to severe anger are overviewed, and new methods of assessment will be presented, along with discussion of ongoing work at high security hospitals.
FRIDAY 16th JULY - Morning (9.00 - 12.00 noon)
WORKSHOP 5: Developing Brief Focused Cognitive Behavioural Group Treatments for Adolescents with Specific Clinical Presentations
Anne Aubin. Exeter Child Adolescent and
Family Consultation Service; and
The facilitators will present examples of therapeutic exercises, home training assignments, and written materials given to young people and parents, from a treatment manual developed for a workshop series entitled "Winning Friends and Beating Enemies" aimed at adolescent victims of peer abuse at school (bullying). Reference will also be made to group treatments for other specific clinical presentations including school refusal, chronic fatigue syndrome, and victims of sexual abuse. Participants will have the opportunity to experience some of the exercises and to discuss in small groups the development of their own brief focused therapeutic interventions. Topics discussed will include:
WORKSHOP 6: Getting Ground Down with 'Got To'
Peter Tyler, Clinical Psychologist, Chester and North Wales
Of all that has been contributed by the Rational Emotive model of therapy, perhaps enabling us to tackle the matter of 'musts' has been of greatest value.
The manner in which we engage in dictatorial self-talk represents a veritable minefield of unhelpfulness. The minefields we lay for ourselves are based on ingrained and entrenched habits, so 'automatic' that we don't know we're doing it. We do not see the elephant traps we're digging for ourselves.
But, further, we don't fully understand just how the traps are constructed, anyway. No one's informed us. We may have honed up our capacity to engage in dictatorial self talk at school, but we weren't shown its unhelpful effects, or the manner in which they came about.
So how on earth can we be expected to do anything about it?
This workshop provides a compact yet coherent framework, via which we can give clients (and ourselves!) an opportunity to get to grips with 'got to'. It's done in a way which makes the concept of 'absolutist thinking' accessible, and easy. Clients can be set upon their way with a basis of clear understanding.
Handouts represent both content and structure for the psycho-educative process. There are materials also for elementary practice, and guidance on more complex considerations. They add up to a package upon which the therapeutic focus can be firmly established, with focus upon 'me', on others... on the present, past, and future.
WORKSHOP 7: Working with Images and Memories in Cognitive Therapy for PTSD
Ann Hackman. Warneford Hospital, Oxford
Re-experiencing is a central feature of posttraumatic stress disorder. To date one of the most effective treatments for PTSD has been imaginal exposure, or reliving of the trauma. Recent work at Oxford suggests that whilst reliving is a superb method of accessing important meanings treatment can be accelerated by using imagery techniques to restructure the memories in ways which transform their meanings. Sometimes this occurs spontaneously as the material, previously stored in implicit memory, is brought into full awareness. Frozen fragments of memory become contextualised and linked to other autobiographical memories. This echoes finding in EMDR and other imagery therapies. In this workshop the new model of PTSD proposed by Ehlers and Clark will be explored, though discussion, video material and practical exercises involving role-plays using case material, and techniques taught in the workshop. The material will be centred around how best to access and transform meanings using imagery and other cognitive therapy techniques.
FRIDAY 16th JULY - Afternoon (2.00 pm - 5.00 pm)
WORKSHOP 8: Cognitive Therapy of Generalised Anxiety Disorder
Adrian Wells, University of Manchester
Generalised Anxiety Disorder (GAD) is characterised by chronic and uncontrollable worry, and has proven to be a difficult problem to treat effectively. This workshop will outline a new cognitive model of GAD (Wells 1995, 1997), and describe the treatment based on the model. This approach proposes that GAD is maintained by an interaction between positive and negative beliefs about worry (metacognitions), and the use of a range of avoidance and mental control strategies that prevent belief change. Cognitive therapy based on this approach will be described, and workshop participants will learn case conceptualisation and a range of specialised treatment techniques. The implementation of techniques will be illustrated with video-tape material.
WORKSHOP 9: Using Cognitive Behaviour Therapy with Somatisation and Chronic Illness Presentations
Chris Williams, University of Leeds
This workshop will teach how to offer a systematic approach to CBT assessment to this difficult group of patients. Some knowledge of cognitive behaviour therapy will be needed by those who attend. The following areas will be covered.
Response to illness/illness behaviour (patient, doctor, family)
Acute and chronic illness presentations: how are they different?
The problem of somatisation: what starts this process and what keeps it going?
Engaging patients in treatment
Assessment, formulation and management
Stirling Moorey is well known for his work in offering CBT interventions in the setting of terminal illness. Chris Williams has extensive experience of CBT in chronic illness settings and has co-ordinated a four year trial of chronic fatigue syndrome.
Tick workshops required