Yesterday was the first full day of the two & a half day (plus one day of pre-conference workshops) BABCP summer conference in Glasgow.  It feels like I've been going to these annual BABCP get-togethers for a thousand years.  In so many ways, I think they're great ... although, for a society that prides itself on being evidence-based (more on this later in this post), I do think that the way these conferences are delivered is pretty dusty & traditional.  Basically we sit in large tiered lecture halls and listen to major plenary lectures or we sit in smaller rooms for workshops that are very largely just lectures in more extended formats. 

I have written a series of blog posts about my recent experience of donating a kidney ... the last was "Kidney donation: the operation & first few postoperative days".  My hope is that these posts will be useful for other would-be kidney donors & their families ... and some of the posts (for example this one) may also be of help for people facing surgery more generally.  As Kortram & colleagues highlighted in their 2014 paper on "The need for a standardized informed consent procedure in live donor nephrectomy: a systematic review" - "Procedures vary greatly between centers, and transplant professionals vary in the information they disclose.

A high percentage of chronic pain sufferers seem to be affected by recurrent imagery that is linked to and aggravates their pain.  Often the imagery's occurrence only emerges with careful questioning.  "Rescripting" these images is associated with impressive short term improvements in pain and distress.  What's exciting is the potential for longer term benefits from this kind of rescripting approach ... not only for chronic pain sufferers but also for people suffering from other persistent distressing states like depression and anxiety.

In June I wrote a series of five posts reporting on a pre-conference workshop (about treating chronic fatigue) and the first day of the British Association for Behavioural & Cognitive Psychotherapies (BABCP) main annual conference, held this year in Leeds.  Then last month I wrote a further couple of posts.  Now here is the eighth and final report in the sequence:

The last day of the BABCP main annual conference in Leeds was the usual mix of presentations & conversations.  I had breakfast with a couple of delightful researchers earnestly discussing the technicalities of a proposed new questionnaire about genital dissatisfaction.  Mm ... not a very appetising topic over the tea & toast. 

Here are mixed bag of psychotherapy-relevant studies.  Foy & colleagues' meta-analysis highlights the value to patients/clients of having good communication between their primary care physician and their mental health professional.  The second paper I mention - free full text - by Mollen et al is a bit of a wake-up call for me.  The authors write " ... we will discuss why people conform to social norms and then extend this knowledge to the field of health communication and behaviour change. We will elaborate on the advantages and disadvantages of using social norm messages, and then offer alternatives for the use of social norms in health communication messages ... Clearly, there is a substantial evidence suggesting that, when unhealthy behaviour is highly prevalent, descriptive norms should not be conveyed in health promotion campaigns.

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We camouflage our true being before others to protect ourselves against criticism or rejection.  This protection comes at a steep price.  When we are not truly known by the other people in our lives, we are misunderstood.  When we are misunderstood, especially by family and friends, we join the "lonely crowd."  Worse, when we succeed in hiding our being from others, we tend to lose touch with our real selves.  This loss of self contributes to illness in its myriad forms.

” - Sidney Jourard

Here are the handouts, recordings, and reflection/record sheets for the sixth Autogenic training session.  There are four overlapping themes to this 'lesson'.  Obviously a key issue is the next Autogenic Training step - the focus on the abdominal area.  I usually initially get trainees to put a hand or both hands on their abdomen when they are learning this exercise.  The hand(s) are positioned a little below the belly button, unless the trainee has specific abdominal symptoms - when positioning the hand(s) over the troublesome area may be more appropriate.  The hand(s) don't have to be in direct contact with the skin.  A sense of gentle, warm contact through clothing is fine.  This typically helps one focus on the abdominal area and the hand contact also merges easily with the feeling of belly relaxation and warmth that one begins to allow. 

Here are a disparate pair of subjects for a research update.  One is the recent NICE guideline on " ...