Psychosis, trauma and dissociation new insights and new approaches

Transcription

1 ISPS UK and Lancashire Early Intervention Service one day conference Hope Health Recovery Psychosis, trauma and dissociation new insights and new approaches 9:45 am to 4.45 pm (registration from 9:00am) WESTLEIGH CONFERENCE CENTRE, PRESTON, LANCASHIRE A conference for professionals of all disciplines who work in psychosis or psychological therapy services, and for service users and carers. Participants will have opportunity to reflect on different models for understanding psychosis, to consider implications for their own practice, and approaches which are effective, cost-effective and acceptable to clients. Speakers Richard Bentall, Trevor Eyles, Angela Kennedy, Brian Martindale, Simone Reinders, Anders Schakow Programme contents Contemporary thinking about trauma, dissociation and psychosis Is psychosis a dissociative disorder? Are psychosis services a dissociative response? Can we distinguish psychosis and dissociation? Service user and carer perspectives. Neurobiological aspects. Different conceptual approaches - cognitive behavioural, psychodynamic, voice dialogue, systemic, arts therapies If you are interested in making a poster presentation please contact admin@ispsuk.org ISPS UK MEMBERS: before after NON-MEMBERS: before after SERVICE USERS AND CARERS: (Please also enquire about free places) Fee includes light lunch and refreshments To book, please complete the attached application form and forward to Ali Haddock, admin@ispsuk.org Tel: Artwork thanks to Startmc, part of Manchester Mental Health and Social Care Trust

2 9.00 Registration Programme 9.45 Welcome Jen Kilyon, Chair. Parent of someone experiencing psychosis long term, independent consultant and trainer in mental health issues, ISPS Committee member Heather Tierney Moore, Chief Executive, Lancashire Care NHS Foundation Trust Conceptual and therapeutic overlaps between dissociation and psychosis Dr Angela Kennedy, Consultant Clinical Psychologist, Service Lead for Trustwide Tertiary Psychosis Service, Tees, Esk and Wear Valleys NHS Trust Coffee Dissociative disorders and schizophrenia: Similarities and differences Dr A.A.T.Simone Reinders, PhD, Image analyst with lecturer status, Institute of Psychiatry, King s College, London. Presentation prepared jointly with Professor Andrew Moskowitz, Department of Clinical Psychology, Aarhus University, Denmark. Head of Attachment, Dissociation and Traumatic Stress Research Unit New approaches to working with voices in state run services. Trevor Eyles, Development Consultant, Social Psychiatric Services, Aarhus, Denmark Anders Schakow, Former voice hearer, Denmark Workshops Opportunity for discussion from different theoretical perspectives Lunch Psychosis: How to succeed and fail at creating a new reality Dr Brian Martindale Consultant Psychiatrist, Early Intervention in Psychosis, Northumberland, Tyne and Wear Foundation NHS Trust, Chair of ISPS (International) and Hon President of the European Federation of Psychoanalytic Psychotherapy Coffee Specific types of adversity affect specific cognitive and emotional processes, leading to specific symptoms: The case of trauma, dissociation and hallucinations Professor Richard Bentall Professor of Clinical Psychology, University of Bangor Panel discussion and summing up ISPS AGM Non members interested in ISPS are invited to come along as non voting observers

3 Westleigh Conference Centre, Lea Road, Preston PR4 0RB. Conference overview Lay opinion sees schizophrenia as a split personality, or a personality flipping between parts. Professionals have traditionally protested that this Jekyll and Hyde situation is not the case. Dissociation is a word used to describe varieties of experience in which parts become separated from the whole personality; a self divided. States currently classified as dissociative (conversion) disorders in the World Health Organization's Classification include states that were once called hysterical, such as paralyses and fugues, but do not include schizophrenia or other psychoses. Dissociation may also be an everyday experience. We may all have times of psychic overload or the 'head too full syndrome' in which we feel unable to concentrate on the next social task expected of us, and become preoccupied by a cacophony of internal events.. There is now evidence that both "dissociation" and "psychosis" are associated with various forms of trauma. Could it be that psychosis and schizophrenia are best understood as dissociative experiences? Does therapy which addresses splitting and dissociation offer better hope of recovery? This conference aims to bring together a diverse group of people seeking to integrate multiple perspectives on this issue and explore possible ways forward. Conceptual and therapeutic overlaps between dissociation and psychosis Dr Angela Kennedy Angela will present evidence for role of dissociation in psychosis, and discuss what theories can be drawn on to disentangle the two concepts, and implications for therapists. Dissociative disorders and schizophrenia: Similarities and differences Dr A.A.T.Simone Reinders and Andrew Moskowitz As the DSM V schizophrenia committee is recommending that auditory hallucinations a common symptom in dissociative disorders and schizophrenia be de emphasized in the future diagnostic criteria for schizophrenia, the time is right for a consideration of our current knowledge about the overlap between the dissociative disorders and schizophrenia. In this presentation, recent empirical research using rating scales, psychological instruments and cognitive tasks, to compare persons with dissociative identity disorder and schizophrenia, will be reviewed. In addition, novel data from an ongoing study directed by Simone Reinders will be presented for the first time. Research reveals areas of similarity between the disorders, particularly with regard to auditory hallucinations (probably a dissociative symptom) and childhood trauma, but also important differences, notably in (other) dissociative symptoms such as amnesia, and in interpersonal relatedness and cognitive New approaches to working with voices in state run services. Trevor Eyles and Anders Schakow Recovery oriented practice has become the norm in Aarhus Kommunes social psychiatric services. In respect of hearing negative/distressing voices, the aim has been to provide a broad spectrum of ideas from which the users themselves can choose, according to their own specific and respective needs. We work very closely with the service user. Main areas of focus are selfhelp groups, systematic individual work (i.e. Maastricht Interview), or simple informal one toone sessions to identify options and/or problems. Results have persuaded management to establish, and develop this area of work.

4 Psychosis: How to succeed and fail at creating a new reality Dr Brian Martindale Brian will be proposing that it is possible that dissociation / splitting (of too painful personal reality) is the central mechanism in all psychosis. Like Heinz products, splitting comes in at least 57 varieties. The skill lies in recognising what is being dissociated and in which part of the mind/ brain it is taking place and what mental processes are involved in further disguising personal reality. Specific types of adversity affect specific cognitive and emotional processes, leading to specific symptoms: The case of trauma, dissociation and hallucinations Professor Richard Bentall For the past century researchers and clinicians have attempted to explain severe mental illness by trying to find common biological or psychological abnormalities underlying a wide range of symptoms grouped together under a single diagnosis such as 'schizophrenia'. This approach has failed and there is growing evidence that specific types of unusual experiences ('symptoms' in the language of psychiatry) are the consequence of specific psychological and emotional mechanisms, which in turn are influenced by events early in life. This talk will illustrate this approach by contrasting the processes involved in paranoid beliefs and hallucinatory voices, focusing on recent studies which show specific associations between trauma, dissociation and voices.

5 Westleigh Conference Centre, Lea Road, Preston PR4 0RB. Conference workshops The workshops will offer participants chance to digest and discuss the morning s presentations and to consider the topics from a particular theoretical perspective. Discussion will be facilitated by an individual with expertise in the area. Workshop Arts therapies Cognitive behavioural Psychodynamic Systemic Issues for psychiatrists Working with voices Facilitator Sheila Grandison Art Psychotherapist and Borough Head of Arts Therapies, East London NHS Foundation Trust. Warren Larkin Lead Consultant Clinical Psychologist, Early Intervention Service, Lancashire Care NHS Foundation Trust. Brian Martindale Consultant Psychiatrist, Chair of ISPS International and Hon President of the European Federation of Psychoanalytic Psychotherapy. Jeni Webster and Judith Varley Systemic therapist in private practice, and carer. Christopher Findlay Consultant psychiatrist, Five Boroughs Partnership. Trevor Eyles Development Consultant, Social Psychiatric Services, Aarhus, Denmark.

6 Westleigh Conference Centre, Lea Road, Preston PR4 0RB. Application form Early bird rate (payment received by 7 th October) Non members ISPS UK member Standard rate Non members ISPS UK member Service users and carers (limited places only) A small number of free places are available for service users and carers please contact admin@ispsuk.org. As places are limited, please enquire early. To join ISPS UK and qualify for reduced rates, contact admin@ispsuk.org Title: Name: Job Title: Organisation: address (please print clearly): Contact address: Town: Postcode Telephone (daytime): Special dietary requirements: Access needs: Payment must be made at the time of booking by one of the following methods: cheque payable to ISPS UK bank transfer details on request credit card details: Card type:.. Start date:.. uname on card: Card number: Expiry Date:.. 3 digit security number:.. invoice: name/address for invoice if different from above.. Please return to: Ali Haddock, Administrator, ISPS UK at admin@ispsuk.org ISPS UK, PO Box 7383, Bozeat, Wellingborough, Northants, NN8 9FB. Tel: