In yesterday's post I talked generally about the presentations at the BABCP spring conference.  Today I'd like to look more closely at what for me was the day's highlight - Willem Kuyken's talk on "Compassion in mindfulness-based cognitive therapy: therapist embodiment and client change".  One reason I liked the talk a lot was that it was a good example of how painstaking research gradually adds stepping stones of knowledge across the swamp of our ignorance.  There's so much to learn.  As Ralph Sockman put it "The larger the island of knowledge, the longer the shoreline of wonder".  And it's true.  The more I know, the more questions come up about what I realize I still don't know.

Friday was the "conference" day.  A real old fruit salad of presentations.  Nearly always I find it hard to stay awake and focused during this kind of "educational event".  It does however allow a lot of speakers to throw a lot of information at the audience!  The 2007 Marinopoulos et al review on the "Effectiveness of Continuing Medical Education" commented that " ...

“ Perhaps all the dragons of our lives are princesses who are only waiting to see us once beautiful and brave. ” - Rainer Maria Rilke

Here are a set of handouts and questionnaires that I often use when I'm running interpersonal process groups.  Also on the left of this page you'll find links to a session-by-session description of one such group.  As the "Group therapy, background information" leaflet (see below) comments: "Group therapy simply means that therapeutic work is done in groups rather than one-to-one. Many different types of therapy have been tried in group format. Rather than construct a long list of such therapies, it may be more helpful to divide the many types of therapy group into two general categories - structured groups and process groups. Structured group therapy often involves the transfer of skills and knowledge. It may feel a bit like a classroom situation. Frequently, structured groups are used as a cost-effective way of delivering similar forms of therapy to individual one-to-one work.

See the earlier blog post "Interpersonal group work 1" for comments and handouts particularly orientated to pre-group assessment.  It's usually time very well spent, orientating would-be participants to what interpersonal process groups are likely to involve.  This both speeds up the time it takes new group members to start engaging helpfully in group interactions, and reduces drop-out rates.  Participants who know roughly what the group is going to be like, why the experience is relevant to what they want to change in their lives, and how they can best engage with the group to gain most benefit, are likely to be participants who get most from the group experience.  Below I've listed various handouts that can be relevant in this orientation process.

This post is also available as a Word format download.

Here are half a dozen research papers that have recently interested me in the broad areas of emotional and relationship "intelligence" (all details & abstracts to these studies are given further down this blog posting).  Kelley et al report on "Patient and practitioner influences on the placebo effect" which in this study was " ... twice as large as the effect attributable to treatment group assignment."  Practitioners assigned to give warm, empathic consultations achieved considerably better outcomes than those assigned to neutral consultations, although the " ...

I'm a doctor and psychotherapist who's interested in using attachment ideas to improve how helpful I can be for clients.  Awareness of attachment issues informs therapy, it doesn't dictate it.  An obvious question is whether it's sometimes worth assessing attachment in a "formal" way.  I'm no expert in this area.  I'm an "informed amateur" and, after reading and exploring a good deal around the subject, my impression is that it can be pretty useful at times to assess attachment.  The Wikipedia article on Attachment measures provides an excellent overview of the field while, for much more in depth information, the two attachment books and the various websites that I've described in previous blog post

Last week I wrote about "A couple of fine books on attachment".  Today I want to highlight what a fantastic resource the internet is - below are details of half a dozen websites that offer lots of attachment information, and also details of further websites that are helpful but more limited.

Here are half a dozen research papers that have recently interested me (all details & abstracts to these studies are given further down this blog posting).  The first by Fournier et al is about whether to choose antidepressants or psychotherapy to treat depression.  They found that marriage, unemployment and having experienced a greater number of recent life events all predicted a better response to cognitive therapy than to antidepressants.  In the second study Luby et al looked at depression in children aged between 3 and 6 years old.  Worryingly they found forms of depression even in kids this young.  They also found over two years of follow-up that "Preschool depression, similar to childhood depression, is not a developmentally transient syndrome but rather shows chronicity and/or recurrence."  Hopefully this kind of research will mean these troubled children have a bit more chance of being identified and helped.