Trauma in counselling and psychotherapy – 13th November 2013
Trauma in counselling and psychotherapy is a deeply challenging issue; yet it is poorly understood, and the literature is patchy and inconsistent. It challenges us theoretically, ethically and therapeutically to understand and work with it effectively; and to avoid doing harm. It is so deeply challenging because we need to view it widely, and take account of perspectives that are outside our theoretical frame. In working with trauma, it is necessary to think about biology, neuro-science and evolutionary psychology – as well as other more familiar ideas. The workshop approaches the subject from the point of view of practitioners who are striving to incorporate an understanding of the subject into their practice. On Wednesday 13th November we will repeat our successful workshop at Manchester Institute for Psychotherapy. Within the participative framework of the workshop we will argue that all counsellors and psychotherapists work with the after effects of trauma, even if they avoid clients with a diagnosis of PTSD; or symptoms of post traumatic stress. The condition becomes somatised and symbolised in complex ways that are not always obvious in the presentation of the client or the issues that they bring. We will also argue that a direct approach is not always appropriate, because of: retraumatisation; the triggering of avoidant patterns of thinking; and the strengthening of already intractable defences. We believe that less direct approaches are often more effective and less likely to cause harm.
The workshop will cover:
- Medical definition of trauma, post-traumatic stress and post traumatic stress disorder
- NICE guidelines on the treatment of PTSD
- Wider understandings of trauma
- Working with trauma in different theoretical perspectives (person-centered, psychodynamic, cognitive-behavioural) and touching on EMDR
- Resolution of traumatic memories using metaphor and ‘clean language’
It will appeal to all counsellors and psychotherapists; students of these disciplines; and other caring professionals who work with traumatised clients or patients. The morning focuses on various different perspectives on trauma and approaches to working with it. In the afternoon, there will be a session on the resolution or traumatic memories using metaphor and ‘clean language’. This is an approach originally developed by the clinical psychologist David Grove that can be particularly effective in cases where it is difficult, impossible or counterproductive to talk directly about the trauma. The workshop is lead by Jonathan Lloyd and George Macdonald, who run Mindsite. We hope that it exemplifies the type of CPD and training that Mindsite was set up to promote – relevant, challenging and, we hope, inspirational. We looked for some relevant thought starters on working with trauma. Firstly here is a reminder of the biological basis of PTSD and some insights from neuro-science. http://www.youtube.com/watch?v=VrjYwl9sgow Next a conventional view of the treatment of the after effects of trauma with psychotherapy. (How comfortable are you with this approach?) http://www.youtube.com/watch?v=GKXlLw_GCRw Finally a quick look at the use of EMDR. We will not cover EMDR in the workshop but it provides another insight into the embodied nature of trauma. http://www.youtube.com/watch?v=SQ_TnyknP5I
Participants will gain:
- increased understanding of the nature of trauma
- greater confidence in working with various forms of trauma
- the opportunity to discuss issues and ask questions relating to this crucial topic
Jonathan Lloyd is an NCS accredited counsellor and ahypnotherapist who runs a busy private practice in Bramhall (see www.calmminds.com). He has a diploma in counselling and hypnotherapy and an MA in counselling (The University of Manchester). He will shortly complete a Doctorate in Counselling researching the use of metaphor in therapy. He lectures in counselling at Stockport college and hypnotherapy at Tameside General Hospital. Jonathan has an interest in many different models of counselling and psychotherapy; and has specific interests in ASD, metaphor, stress and the integration of hypnosis and counselling. George MacDonald is a BACP accredited counsellor and psychotherapist, who works in private practice and volunteers with a number of agencies. He has a diploma in counselling and an MSc in Psychology and counselling. His experience was gained in a variety of settings, including primary and tertiary care in the NHS. Although his initial training and most of his current practice is integrative, he has strong psychoanalytic foundations. He has trained in group psychotherapy and is studying for the Institute of Group Analysis Diploma in Groupwork Practice. He is currently completing the Professional Doctorate in counselling at the University of Manchester, where his research topic is ‘Culture as a positive resource in therapy’.
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