iapt is underway - babcp. · pdf fileiapt is underway.....now get ready for ... sites,...

CBT Today: December 2008 1

IAPT is underway...

...now get ready forthe second wave!

Within the past few weeks the firstwave of the new IAPT expansion

sites, together with the new IAPT High and Low Intensity training courses have started.

This development is funded from the first£33 million of the £173 million that theDepartment of Health has allocated toIAPT over the next 3 years. 35 new IAPTservices have been established acrossEngland employing somewhere in theregion of 500 therapists who will be joined by nearly 500 trainees who are now enrolled into one of the 20 HighIntensity, and a further 300 in the 18 LowIntensity courses.

Our congratulations to both the new sitesand the education providers for meeting analmost impossible deadline, and we wish

everyone involved well for what is goingto be a demanding and testing year.

The outcomes and standards expectedfrom everyone involved are high, and thesuccess of the IAPT programme is goingto fall heavily on these pioneering sitesand courses.

BABCP and many of its members are fullyinvolved in IAPT with almost all of thetraining providers having previously runCBT training courses, and many of theclinical leads of the new IAPT servicesbeing prominent CBT therapists andmembers of BABCP.

Our role will extend to the accreditationof the High Intensity training courses,and to contributing to the “top-up”training that therapists working in thenew sites may need. We hope that ourinvolvement will ensure that thestandards of training and clinical practiceare maintained, and that the large-scaledevelopment of IAPT will not compromisethe high standards that BABCP has beenable to maintain through its accreditationprocess.

The launch of the 35 new IAPT servicesand training courses took place on the28th October with nearly 200commissioners - service leads, trainingproviders and clinicians - meeting at theMillennium Gloucester Hotel, London.The launch, entitled Talking Success waschaired by the BBC Home Affairs EditorMark Easton and it was also used tointroduce two new IAPT reports.

Commissioning for the wholecommunity is a new publicationintended to assist commissioners(including practice-basedcommissioners) to deliver ImprovingAccess to Psychological Therapiesservices that are effective andappropriate for the whole community,using innovative ways of meeting theneeds of local people.

Pathfinders - Achievements andChallenges reports on the progressmade by the IAPT Pathfinder sites,celebrating their achievements andseeking to learn from the challenges

Volume 38 Issue 4: December 2008

INSIDE THIS ISSUE:£15,000 grant award for hi-intensity studyNew CBT register launched online4 pages of book reviewsPsychologists and the BABCP - the Presidentreplies…Young researchers praised

Continued on page 2

By Rod Holland

Seasonsgreetings to

all CBT’ers

Seasonsgreetings to

all CBT’ers

Lord Layard and BBC Home Affairs EditorMark Easton at the launch of 35 newIAPT services and courses.

2 CBT Today: December 2008

Official Patrons:Rt.Hon Sir Mark andLady Rachel WallerProfessor Lewis Wolpert

CBT Today is the official magazine ofthe British Association forBehavioural and CognitivePsychotherapies, the lead organisationfor CBT in the UK. The magazine ispublished quarterly, is posted free toall members and can be downloadedfrom our web site. All editorialcontributions should be sent to:[email protected].

Next issue:

Copy Deadline:13th February 2009

Distributed:16th March 2009

To advertise in CBT Today or atwww.babcp.com, please contact:

BABCPVictoria Buildings9-13 Silver StreetBURYBL9 0EU

Tel: +44 [0]161 797 4484Fax: +44 [0]161 797 2670

All adverts should be sent [email protected]

BABCP does notendorse thecontent of anyadvertisement.

© Copyright 2008 by the BritishAssociation for Behavioural andCognitive Psychotherapies. No part ofthis publication may be reproduced,stored in a retrieval system ortransmitted by electronic,mechanical, photocopying, recordingsor otherwise, without the priorpermission of the copyright owner.

CBT news...

they have faced. Most of the Pathfinder sites haveprogressed to become part of the first year of nationalrollout of the IAPT programme. Their experience in seekingto meet the needs of all sections of the community,collecting effective outcomes data, and successfullyimplementing new services, will be particularly valuable toother PCTs involved in this roll-out.

Following the launch came the first meeting of the new IAPTservice leads and course directors with David Clark,National Clinical Advisor to the IAPT Programme. Thisprovided an opportunity for those people who will takeforward the programme to meet together.

Particular areas covered included clinical protocols andpathways, outcomes measurement, supervision (oncourses and in-services) and top-up training for existing

staff. BABCP was invited to the meeting in its role in accrediting the High Intensitytraining courses and was represented by Gillian Haddock, Rod Holland and ChrisBrannigan. There will be further meetings offering opportunities to share experiences ofthe first year of the IAPT programme.

While the new sites and the educationproviders are gathering speed so too is thecommissioning of the next wave of sites andadditional training providers. An additional£70 million will be allocated to PCT’s to set upthe new services next year, which is likely tomean that a further 70 IAPT sites will be upand running across the country from October2009. The process of selecting these sites iswell underway and the results will be knownearly in 2009. That means that in October2009 another 1500+ high and Low Intensitytrainees will start their training on the courses

that have been running this year, and on additional trainingcourses that will be commissioned over the next fewmonths. BABCP will continue to work closely with IAPT andthe new sites to ensure that they are able to recruit to thisgrowing workforce.

In the next edition of CBT Today we hope to report on theexperiences of the new sites across England, so if you haveany reports on the development of IAPT in your area or apersonal experience of working in the new services as atrainee or trained therapist then please let us know [email protected]

USA honours BABCPmember Nick TarrierNick Tarrier was honoured at the recent 42nd Annual Convention of the Associationfor Behavioural and Cognitive Therapy in Orlando, Florida where he received the“Trail Blazer Award” from the Association's Schizophrenia Special Interest Groupfor his lifetime achievement in the area. Nick collected his award at the conferenceon 14th November and is the first overseas person to receive the award.

IAPT is underway... now getready for the second wave!(Continued from page 1)

IAPT pioneer professors Dave Richardsand David Clark in collaboration

Lord Layard points theway to improving accessto talking therapies

David Clark andRod Holland, author ofthis article


ANEW on-line register, CBT Register UK (www.cbtregisteruk.com) will give the public access to all accredited Cognitive Behavioural Therapy (CBT) practitioners in the UK.

The BABCP and the Association for Rational and Emotive Behaviour Therapy (AREBT)have come together to form a single CBT Register UK.

It means members of the public who are looking for an accredited CBT therapist will beable to find one within just a few clicks.

More than 1,400 therapists, who are working within the NHS, private practice, or both,are accredited on the new CBT Register UK. This means they have specialist skills andknowledge, having undergone training and supervision to recognised standards.

The BABCP and AREBT say it is vital that members of the public are able to easily andquickly find an accredited Cognitive Behavioural Therapist on-line. The new register, witheasy to access information, is an essential aid for those seeking CBT for emotionalproblems or a range of mental health conditions.

“This is the first and only definitive and complete register of accredited CBT and AREBTtherapists in the country,” said BABCP President, Professor John Taylor.

“Members of the public who are looking for a CBT therapist will be able togo straight to the CBT Register UK which is a specially dedicatedwebsite. It is a web-based, one-stop shop for talking therapists.”

“We believe the register will make CBT much more widelyavailable to more people.”said AREBT Chair, Irene Tubbs

“The CBT Register UK gives the public easyaccess to highly trained and fullyqualified therapists, ensuring qualityprovision.”

New online CBT register launched


CBT News...

This is my first report to members asHon. Sec so I hope you will bear with

me as I find my feet in the new role.

Part of my new responsibilities will be tooffer support to the BABCP’s newPresident, our new Company Secretaryand our staff in taking the Association’saims forward.

A key part of this will be helping todevelop a well-worked out but flexibleBusiness Plan for the Association as weface up to some new challenges andexciting times ahead.

As a Board, we have already begun to tryand map out where we see the BABCP infive years time, but there is still a lot ofwork to do in fleshing out the detail andmaking sure that we have the capacity to deliver.

This process will be something that wewill be focussing on very deliberately inthe coming months.

As the IAPT programme rolls out acrossEngland, these are changing andstimulating times for the BABCP and formany of us working within the NHS.

In my professional life, I am thoroughlyimmersed in IAPT, so I really dounderstand some of the difficulties andchallenges which daily confront manymembers of the BABCP, as we work tomake CBT more accessible to the public.

Another key area of activity for mepersonally and in my role within BABCPin the future will be the forthcomingGovernment regulation of psychotherapyand counselling.

For the first time, therapy will beregulated as a profession - a crucial stepforward on behalf of both the therapistsand the clients.

I was therefore very pleased to berecently informed that my nomination bythe BABCP to the Professional LiaisonGroup of the Health Promotions Councilhas been officially approved.

Ultimately, it is the HPC which will reportto the Government on the future shape of regulation.

This additional role means that I will beresponsible for putting forward theAssociation’s views on regulation to theHPC and keeping BABCP members fullyinformed of new developments.

It is anticipated that my variedbackground and dual training will enableme to make a positive contribution,which understands and respects the fullrange and diversity of other therapeuticapproaches.

Already the BABCP has been active,putting forward a series ofrecommendations for further discussion -we hope to help make real progress inthis vitally important area.

Finally a word about the changing natureof the BABCP.

Our membership is at an all-time high atjust over 7,000, we have more SpecialInterest Groups than ever before (andstill growing!) and our branches appearvery active and thriving.

It is also good to see some new faces onthe Board, reflecting a full range of age,professions, interests, backgrounds andskills.

This can only be a healthy developmentfor the BABCP as membership continuesto grow and we, hopefully, welcome onboard the many changes that theinevitable range of IAPT employees willbring to BABCP’s door.

“Exciting times ahead forthe BABCP”- Hon. Sec.

Linda Matthews is the BABCP’snew Honorary Secretary and works4 days a week as a ConsultantPsychotherapist within the NHS inBarnsley, South Yorkshire. She iscurrently leading a primary carepsychological service, and is theclinical lead for the ImprovingAccess to Psychological therapiesprogramme within her Trust. Lindaalso has a small private practice asa clinical manager for ThePsychology Service which is anindependent provider of qualitypsychological therapy serviceswith an emphasis on trauma related disorders.

Glasgow-born of Italian parents andwith grown-up children, Linda, whomanages to fit in being amagistrate, has a backgroundwithin the voluntary sector and inforensic work as a probation officer,before going on to complete an MAin psychodynamic counselling andan MSc in CBT. She was elected tothe three-year position of HonorarySecretary at the BABCP’s AnnualGeneral Meeting in July, after a yearon the Board as a Trustee. For fiveyears previous to this, she has beenthe Association’s representative onthe UKCP.

Linda is an accredited member ofthe BABCP, an accredited supervisorand has served on the Accreditationand Registration Committee for thelast six years.


Astudy into hi-intensity CBT traininghas won the BABCP’s annual £15,000

research grant.

Dr Jennifer Wild and Ms Sheena Liness, ofthe Department of Psychology at theInstitute of Psychiatry in London, wereawarded the grant for their researchproject: Evaluating training in CBT:Assessing disorder-specific competenciesand clinical outcomes in IAPT high-intensity CBT Training.

The BABCP received six applications forthe grant which was awarded by acommittee of three assessors from theScientific Committee, Warren Mansell,Roz Shafran and Philip Tata.

Warren said:

“The judges unanimously viewed theproposal as highly relevant to thedevelopment of CBT in its considerationof the key cognitive and therapeuticprocesses that predict outcome in apractice setting. The project was welldesigned and planned, and regarded asshowing excellent value for money forthe award.”

In recent years the evidence base inCBT has been generated via thedevelopment and evaluation ofdisorder-specific rather than genericCBT interventions.

Yet therapist competency is stillassessed via measures of genericskills. Such generic CBT competencymeasures are problematic andunsuited for assessing disorder-specific core competencies.

But there are no scales to assessdisorder-specific competencies andlittle is known about the effects oftraining on generic or disorder specificcompetencies, and how this relates toclinical outcomes.

This study advances CBT byestablishing links between trainingspecific competencies and outcome, aswell as by validating measures ofdisorder-specific competency scales.

The study capitalises on data alreadybeing collected as part of the new high

intensity CBT course at the Institute ofPsychiatry (IOP) that is part of theImproving Access to PsychologicalTherapies (IAPT) initiative.

The IAPT implementation plan requiresthat trainees achieve a level ofcompetence at the end of training in linewith the therapists who delivereddisorder-specific CBT on theRandomised Control Trials thatestablished the NICE guidelines.

Although NICE recommend disorder-specific rather than generic CBTinterventions for depression and anxietydisorders, there are no scales to assesstherapist competencies in disorder-specific interventions and no studiesassessing whether training improvesthese and whether this relates topatient recovery. We have developeddisorder-specific competency scales forcommon, disabling anxiety disorders:panic disorder, social phobia, and PTSD.

The project will evaluate trainees'disorder-specific competencies andclinical outcomes for 240 cases. We willestablish whether training improvesdisorder-specific competency andwhether this leads to improved clinicaloutcomes.

The results will identify which corecompetencies are most predictive ofclinical improvement, and hence mostimportant to train.

The results will hone disorder-specificteaching in subsequent years of IAPTand lead to validation of disorder-specific competency scales for wideruse in training and research.

Hi-intensity training studywins £15,000 research award

Jennifer Wild Sheena Liness

Summary of the successful research project

Excellence awards foroverseas researchers


CBT news...

Two researchers won awards forexcellence in posters and oral

presentations at the BABCP Annualconference in Edinburgh.

The awards are designed to commendindependent contributions to the scienceand practice of CBT.

The winners, Elske Salemink (Posters)from Utrecht University in theNetherlands and Amy Kercher (OpenPaper) a Research Fellow from the NewSouth Wales Institute of Psychiatry inAustralia, will get free registration to thenext BABCP Annual conference.

The awards are open to PhD students aswell as clinical trainees and individualswith no more than one year's post-doctoral research experience.

The entries were chosen by two membersof the scientific committee, Nick Hawkesand Sarah Halligan, with Warren Mansellchecking the decisions.

Nick Hawkes said: “Amy Kercher receivedthe young researchers' award forexcellence for her Open Paper lookinginto the aetiology and maintenance ofdepression in a large sample ofadolescent girls. This was ambitious inscope and had a high quality of design,analysis and presentation.

“Elske Salemink was awarded the youngresearchers' award for excellence for herPoster investigating modification ofinterpretation biases in anxiety, withsome predicted findings and some novelresults warranting further investigation.”

He added: “The competition was strong,with submissions of direct clinicalrelevance and high quality experimentalstudies. It was also good this year to seethe increasing presence of creative andrigorous qualitative research andilluminating case studies.

“The attraction of the conference tointernational researchers is reflected inthe award winners.

“We encourage any contribution fromnew researchers from basic research toclinical practice and service delivery.

SummariesDr Elske Salemink, Utrecht University,Faculty of Social and BehaviouralSciences, Clinical and Health Psychology:Modification of interpretations: Effects in

patients with anxiety disorders

There is overwhelming evidence thatanxiety is associated with a maladaptivetendency to interpret ambiguousinformation in a threatening way. Recentstudies have shown that this interpretivebias plays a causal role in anxiety:manipulation of interpretations affectsanxiety. This capacity to successfullymodify interpretations with effects onanxiety holds the clinical promise of

treating anxiety by directly targetingbiased interpretations.

As a first step to examine the potentialclinical effects of Cognitive BiasModification of Interpretations (CBM-I),we selected a clinical sample and thosepatients received an eight-day positiveinterpretations training or a controlcondition.

In total, 36 patients who met diagnosticcriteria for the following anxietydisorders, participated: panic disorderwith or without agoraphobia, generalizedanxiety disorder, social phobia, andposttraumatic stress-disorder. Theinterpretive bias training encompassedeight training days and was offeredonline. Various measures of mood wereobtained before and directly aftertraining as well as three months aftertraining cessation. Solution of thefragment disambiguated the story in apositive way.

Results showed that positive interpretivebias training is effective in modifying

interpretations in patients with anxietydisorders. Patients who had received thepositive training interpreted newambiguous information significantly morepositive and less negative than patientsin the control group. Furthermore, adecrease in trait anxiety, depressivesymptoms, and general psychopathologicalsymptoms was observed in both thepositive and the control group. This gainin negative mood was maintained atthree months follow-up.

The finding that positive training resultedin more positive interpretations and lessnegative mood states in patients withanxiety disorders is promising in the lightof potential therapeutic value of suchbias modification procedure.

Amy Kercher, Macquarie University,Sydney, Australia: Neuroticism, LifeEvents and Negative Thoughts in theDevelopment and Maintenance ofAdolescent Girls’ Depression

Theories of depression suggest thatcognitive and environmental factors mayexplain the relationship betweenpersonality and depression.

This study tested such a model in earlyadolescence, incorporating neuroticism,stress-generation and negative automaticthoughts in the development ofdepressive symptoms.

Participants (896 girls, mean age 12.3years) completed measures ofpersonality and depressive symptoms,and 12 months later completed measuresof depressive symptoms, recent stressorsand negative automatic thoughts.

Path analysis supported a model in whichneuroticism serves as a distalvulnerability for depression, conferring arisk of experiencing dependent negativeevents and negative automatic thoughts,which fully mediate the effect ofneuroticism on later depression.

A second path supported a maintenancemodel for depression in adolescence,with initial levels of depressionpredicting dependent negative events,negative automatic thoughts andsubsequent depressive symptoms.

This study establishes potentialmechanisms through which personalitycontributes to the development ofdepression.

Elske Salemink and (inset) Amy Kercher

“Creative and rigorousresearch.”


New moves to involve users in BABCP

Adiscussion has begun about how the BABCP can best involve the public

and CBT users in the work of theAssociation.

President John Taylor recently chaired apreliminary meeting with fourrepresentatives of user organisations todiscuss possible ways forward.

The aim was to hear their suggestionsand enlist their help in mapping out aroute for the BABCP to properly engagewith the public and CBT users to betterpromote the work of the Association.

Attending the day-long meeting were:

Alison Islin, from London, an activemember of Barnet Voice, a supportgroup for mental health patientswhich has developed the only user-led, run and managed weekend crisishouse.

Bill Davidson, a former headteacherfrom East Yorkshire, who has workedon a variety of mental health researchprojects and is now the userrepresentative with a number ofnational bodies.

Di Wright, Regional Manager for theExpert Patient Programme in EasternEngland, which delivers and supportsself-management courses for peoplewith long-term conditions.

And her colleague Pete Moore, who isBusiness Development Manager andhas written extensively about painmanagement, developed a six-weekcourse for patients and deliverededucation workshops for health careprofessionals in the UK and Europe.

The group were given presentationsabout the history and development of theBABCP, its activities, objectives andorganisational structure.

They discussed potential models andapproaches for public and user

participation in the Association and howit could be adequately supported, bothorganisationally and financially, to makean effective contribution to theorganisation's development.

John Taylor said: “It was an extremelyuseful discussion which has certainlyhelped us to think through the implicationsof public and user involvement in theBABCP more fundamentally.

“The panel made some valuablesuggestions and came up with somegreat ideas, which we will now need tothink very hard about.

“It is early days yet for this initiative, butthis preliminary meeting has helped us tofocus on what the major issues will be ifwe do try to open our doors more to CBTusers and the general public.

“No doubt there will be some challengesinvolved for everyone, but we areconvinced that as CBT becomes morewidely available, it is right that weshould try to engage and involve usersmore fully in the development of theBABCP and the promotion of CBT.”

I read with interest Phil Mollon’sobservations on the Increasing Access

to Psychological Therapies Initiative(IAPT), along with David Clark andGraham Turpin’s response (Letters,October 2008).

It has been apparent over the summerperiod that postgraduate courses in lowand high-intensity psychotherapy havebeen set up at universities up and downthe land.

The requirement for a training post onthese courses is accreditation with theBritish Association of Behavioural andCognitive Psychotherapy (BABCP), or atleast clear eligibility for it.

The BABCP makes much of its currentstatus in government circles, for exampleit is stated on the BABCP website: “TheBABCP is the only Government-approvedorganisation which accredits CBTtherapists.”

Furthermore, it is clear that the BABCPdoes not consider applied psychologiststo be trained or competent in the correctdelivery of CBT.

For example, their website states:“Training to be a CognitiveBehaviouralTherapist will usually involve being firsttrained in a core profession such asClinical Psychology… and thenspecialising in CBT by gaining arecognised CBT qualification.”

Thus clinical psychologists will need


additional qualifications besides theirpsychology degrees and three-yeardoctorates. It seems that the BABCPcurrently sees itself as the governmentapproved arbiter of who is competent tocarry out, train and supervise CBTpractice, and psychologists do not fit the bill.

Turpin and Clark object strongly to thesuggestion that being a governmentadviser and prominent within the BABCPrepresents a conflict of interest. However,in my view there is a much moreimportant conflict of interest, whichMollon did not mention.

This is the conflict between the statedposition of the BABCP on the one hand,and the professional interest ofpsychology and the British PsychologicalSociety on the other.

I have serious issues with psychologistsbeing involved in organisations such asBABCP that undermine the credibility andcompetence of psychologists in the eyesof government.

I would urge colleagues within the BPS tomove quickly to review accreditationprocedures of professional trainingprogrammes, to ensure that core andoptional competencies are welldocumented.

We then need to move swiftly on to ensurethat government and the public at largeare aware that applied psychology is thehome discipline of psychological therapy.

It is encouraging that psychology hasmoved to enable other disciplines to usepsychological therapy through theauspices of organisations such as the BABCP.

However, I am sure that many colleagueswill appreciate with me the irony of thehome profession, having developed andestablished evidence-based approaches,finding itself now judged incapable ofdelivering what used to be seen as a coreskill.

This will be particularly galling for manycounselling psychologists that use CBTas a main approach.

Their training will have included 450hours of supervised client work,extensive coverage of theory andproduction of numerous case reports.

Furthermore, they will have developedthe sophistication to see that such anarrow approach as CBT will not fit thebill for all clients, and will have a range of other approaches to psychologicaltherapy at their disposal.

Now that the BPS is about to give up itsregulatory role, I would urge colleaguesto rediscover its campaigning roots.

We need to get out there and fight for the profession.

Tony WardHead of Psychology and CounsellingNewman University CollegeBirmingham

CBT remains at the core ofthe £173million programmeto improve access topsychological services,according to HealthSecretary Alan Johnson.

In a Statement of Intent, Mr Johnson hasconfirmed the Government’s commitmentto all NICE-approved talking therapies,such as CBT.

But Mr Johnson also held open the doorto other therapies which have anestablished evidence base.

He said: “While Cognitive Behavioural Therapy,which has an established evidence base,will remain at the core of thepsychological therapies programme, itwill not do so at the exclusion of otherequally valid forms of therapy.

“Today I am publishing a Statement ofIntent. It confirms our commitment toimproving access to talking therapies -not just CBT, but all NICE-approvedpsychological therapies.”

The Statement of Intent promises to worktowards ensuring all Primary Care Trustsgive patients a choice of NICE approvedpsychological interventions. They will beasked to offer an appropriate choice oftherapies as their IAPT services matureand to develop training for other NICEapproved interventions.

Full details at www.babcp.com

The Secretary of State was speaking atthe launch of the New Savoy PartnershipConference which aims to improve accessto talking therapies such as CBT.

CBT news...

“I have serious issues with psychologistsbeing involved in the BABCP” - Tony WardIn a ‘call to arms’in a recent issue of The Psychologist, Tony Ward questioned the role and legitimacy of the British Association for Behavioural and Cognitive Psychotherapies (BABCP) in the accreditation of CBT therapists,including applied psychologists (Letters, November 2008). We reproduce his letter (below) and BABCP President John Taylor’s response (opposite), which is due to be published in The Psychologist in January..

CBT ‘at core of IAPT’ – Health Secretary

9CBT Today: December 2008

The BABCP was founded in 1972 and itspurpose is to advance the theory and

practice of cognitive and behaviouralpsychotherapies (including CBT) by thepromotion of scientific research and theapplication of evidence based practiceincluding assessment, therapy andconsultancy.

BABCP is a charitable organisation thathas 7,000 members, including just under3,000 psychologists, 429 of whom areaccredited cognitive behaviouraltherapists.

Along with BABCP, the BPS supports theGovernment’s Improving Access toPsychological Therapies (IAPT)programme. In fact, the establishment ofa psychological therapist career pathwayto help to deliver safe and effectivepsychological interventions was one ofthe Society’s recommendations in its NewWays of Working for AppliedPsychologists 2007 report publishedjointly with the Department of Health(see www.newwaysofworking.org.uk/psychology.aspx).

As the only organisation in the UK thatcurrently accredits CBT specific trainingcourses, BABCP was invited and is wellplaced to support the IAPT programme inthe accreditation of high intensitytraining. Clearly this is in line with theAssociation’s purpose. This arrangementwas supported by the BPS members onthe IAPT Education and Training ProjectGroup and the accreditation process is infact supervised by ‘AccreditationOversight’ group that includesrepresentatives from the BPS and otherstakeholder organisations.

BABCP acknowledges and welcomes thefact that other organisations (includingthe BPS) may become involved in IAPTaccreditation, although the likelyregulation of psychotherapists by theHealth Professions Council in the nearfuture will change the whole landscape.

Beyond its work to support the initial£173 million investment in IAPT, BABCP,through a well established liaison group,is working with and indeed has providedsome resources to help the BPS look athow psychologists with relevant CBTcompetences can be accredited in themost efficient way in future.

In fact, this joint work on psychologists’CBT competences significantly pre-datesthe IAPT concept and inception. Further,

along with the BPS and otherstakeholder groups, BABCP continues tosupport and lobby for the expansion ofthe IAPT programme to include otherevidence based psychological therapies,to improve access to effective therapiesfor a wider range of client groups (e.g.those with longer term mental healthproblems, children and adolescents,people with intellectual disabilities), and to extend the initiative to the otherhome nations.

Thus, Ward’s claim that BABCP“undermines the credibility andcompetence of psychologists” is withoutfoundation and the evidence points tothe contrary. BABCP, rather like thetherapeutic approaches it promotes, isworking in a collaborative and inclusive

way with the BPS and otherstakeholders. Instead of a call to arms tofight for passé inter- and intra-professional rivalries that will likelyalienate service users and policy makersalike, I would encourage BPS colleaguesto join with a collaborative and concertedcampaign to extend the IAPT programmeto better meet the needs of more ofthose who would benefit from access tosafe and effective psychologicaltherapies.

John L. Taylor

Chartered Clinical and ForensicPsychologist

President, British Association forBehavioural and CognitivePsychotherapies

The BABCP and IAPT – “collaborative andinclusive” - John Taylor

“BABCP continues to lobby for IAPT toinclude other evidence based therapies”


What happens if the therapist’sresonations speak only of the

realms of body and mind?

What sort of thoughts and thusknowledge will be gained and will thisultimately lead to client wellbeing?

As we move closer to a world wherescientific evidence is king, how do wehold on to humankind's longer standingconcept of spirituality and how can weensure this aspect of holistic health isnot left out of our practice of CognitiveBehavioural Psychotherapy?

Many authors acknowledge spirituality asbeing an essential component of mentaland emotional wellbeing and links arebeing made between spiritual discordand feelings of hopelessness, lowselfesteem and a poor sense of self(Swinton 2001, Sinclair 2006, Durie 1994,Egan 2007, D’Souza & Rodrigo, 2004).

Unfortunately though there seems to bea lack of psychological andpsychotherapeutic models readilyavailable that seem to acknowledge theimportance of spiritual health byincluding it within treatment. ManyCognitive Behavioural models appear toleave its inclusion up to the prerogativeof the client and clinician. But how manyclinicians openly bring up spiritual healthwithin treatment? Do our clients feel ableto put it on the table for discussion

if we do not make reference to it intherapy? Is the topic of spirituality asdifficult to broach within our sessions asit appears to be in everyday life? Howoften are client-perceived spiritualexperiences pathologised by healthprofessionals?

Public Health Services in countries withan indigenous population such as NewZealand are currently devising a numberof ways of including Te Taha Wairua(spiritual health) within treatment as thisis seen by Maori as being one of the fouressential components of wellbeingalongside Te Taha Hinengaro(psychological health), Te Taha Tinana(physical health) and Te Taha Whanau(family health). The previouspathologising of Maori client’sexperiences of Matakite (a gift ofclairvoyance and being able to seespirits) as merely symptoms of psychosis

has caused serious therapeutic rupturesbetween health professionals and theclient and whanau (family).

There has been an emergence in the lastdecade of spiritually inclusive treatmentmodels such as Spiritually AugmentedCognitive Behavioural Therapy (SACBT),(D’Souza & Rodrigo, 2004)Compassionate Mind Therapy (Gilbert,2000) and Spiritually-OrientatedCognitive Behavioural Therapy (Tan &Johnson, 2005). Some of theseapproaches have shown in initial studiesto alleviate feelings of hopelessness anddespair, reduce relapse, improvecollaboration in treatment and enhancefunctional recovery in controlled studies(D’Souza & Rodrigo, 2004). Gilbert’s(2000) Compassionate Mind Therapywhich draws upon the Eastern religionsof Buddhism, is now a well known andutilised method for treating a number ofexperiences such as shame that oftenimpede wellness by assisting in thedevelopment of self-compassion and inmy opinion, a connection to the internalspiritual self.

Some authors however believe thatpsychotherapists should receive specifictraining prior to addressing clientspirituality (Pargament, 2007) howeverothers do not see this as necessary(Peres, Simao & Nasello, 2007) thoughsuggest it should be addressed in ahighly professional, ethical manner witha level of knowledge and skill that willensure no harm is done and the focus

remains on the beliefs of the client, notthe therapist.

At the end of the day, it appears thatignoring the client’s spiritual health andleaving out this crucial ingredient oftreatment may be making our jobs moredifficult and perhaps some self reflection,additional knowledge and courage willassist us in bringing the ‘spirit’ intosessions.

D’Souza R, Rodrigo A. (2004). Spirituallyaugmented cognitive behavioural therapy:Australias Psychiatry. 2004: 12: 148-152.

Durie, M. (1994). Maori HealthDevelopment: Whaiora. Oxford Press.Auckland.

Egan. R. (2007). Spirituality and MentalHealth. Mindnet, Winter 2007: 10

Pargament, K. (2007). SpirituallyIntegrated Psychotherapy; Understandingand Addressing the Sacred. GuilfordPress. New York.

Peres, J.F.P, Simao, M.J.P & Nasello, A.G.(2007). Spirituality, religiousness andpsychotherapy. Revista de PsiquiatriaClinica, 2007. 34: 1: 58 - 66

Sinclair, S. (2006). A Thematic Review ofthe Spirituality Literature within PalliativeCare. Journal of Palliative Medicine.2006: 9: 2.

New Zealand-bornAnna Elders iscurrently working as atrauma-focusedCognitive BehaviouralPsychotherapist inLeeds.

Anna, BABCPBranch Chair in Yorkshire, isreturning to New Zealand next yearto take up a position within aninpatient service developing thedelivery of CBT in Auckland, for anarea that serves a large populationof Maori.

Anna hopes to work alongside otherclinicians attempting to develop amore culturally appropriate model of care.

As the great spiritual festival of Christmas approaches, Anna Elders asks:

Is therapy paying enoughattention to spirituality?

M––a te rongo, ka m–ohio;

M––a te m–ohio, ka m–arama;

M––a te m–arama, ka m–atau;

M–a te m–atau, ka ora.

(Through resonance comes cognisance;through cognisance

comes understanding;through understanding

comes knowledge; through knowledge comes life

and wellbeing.)

CBT book reviews...

11CBT Today: December 2008

Matthew and Ainsley Johnstone,Constable and Robinson(available January 2009) £7.99

Winston Churchill originally named hisdepression ‘the black dog’. A few

years ago, a patient of mine told me thather father had brought her a new bookcalled ‘I Had A Black Dog’. I lookedthrough it with her and found it to be apersonal, insightful, humorous yetrespectful visual account of the effects ofdepression. She immediately identifiedwith the impact of having a “black dog”following her around and interfering inher life. She was also able to externalisethe depression and thus challenge it.

That first book was highly successful andthe author has now teamed up with hiswife to produce this companion book.

This time, the focus is on the carer’sperspective. The same style of drawingsand brief statements are used.

The book begins with aspects ofdepression that the carer can look out for,then unhelpful and helpful things the carermay say or do. It then moves ontoacceptance and management of the black

dog and how the carer can look afterthemselves. There is guidance ondeveloping a crisis plan and finally a usefulglossary of terms used and organisationsfor further information and support.

The book is a very accessibleintroductory text and would be of use toits intended audience. At only 80 pages,it can be thumbed through quite quickly.However I would question its utility as alonger term resource book.

Overall, I would recommend this book tocarers, especially those whose lovedones have recently become depressed(e.g. in a primary care setting).

This book would also benefit those carerswho are too busy or stressed to read andabsorb anything more demanding.

James Binnie,Cognitive Behavioural Psychotherapist,Email: [email protected]: 020 3228 0321

Expertly drawn key elements of Mindfulness“Mindfulness-Based Cognitive Therapy” Rebecca Crane, Routledge, £9.99

To paraphrase Frank Zappa, writing about mindfulness is like dancing about architecture. However,mindfulness literature has an important role in linking together the ‘doing’ of clinical work with the

‘being’ of mindfulness.

Interest in Mindfulness-based Cognitive Therapy (MBCT) has grown in the few years since thepublication of the excellent ‘Mindfulness-Based Cognitive Therapy for Depression’ by Segal, Williams

and Teasdale (2002). That text is occasionally referred to as ‘the Green Book’, and now Rebecca Crane has provided us withthe ‘Little Green Book’ - small enough to fit in your pocket but crammed full of expertly drawn descriptions of the keyelements of MBCT.

At first glance, the format (as in all ‘CBT Distinctive Features’ Series) of 15 distinct features of theory and 15 of practice seemsrather arbitrary. However, this choice of structure works surprisingly well, allowing ‘chunks’ of information and learning to beprocessed with ease.

Rebecca Crane (a Research Fellow and mindfulness trainer at Bangor University) has neatly synthesised the main componentsof MBCT over the ‘30 features’ framework.

She clearly explains the theory underpinning MBCT, making reference to its Buddhist origins, evolutionary psychology and up-to-date scientific enquiry. Equally, her careful description of the MBCT course structure covers all of its important aspectsin a fresh and accessible style.

Particularly welcome for me is the helpful description and exploration of the Enquiry process - a highly significant, andarguably the most difficult, element for the MBCT course trainer.

I am unsure of the book’s value to MBCT course participants - the style seems aimed at the interested practitioner, rather thanthe ‘self-help’ reader. However, I highly recommend this book for clinicians wanting to learn of the theory, philosophy andstructure of MBCT, and as an excellent resource for the more experienced mindfulness practitioner/trainer.

Reference: Segal, Z.V, Williams J.M.G and Teasdale, J.D (2002) “Mindfulness-Based Cognitive Therapy for Depression”,Guilford Press

Kieran Fleck, Cognitive Behavioural Therapist, BABCP accredited memberContact: [email protected]

When a dog is not just for Christmas...“Living with a Black Dog: How to take care of someone living withdepression while looking after yourself”


CBT book reviews...

As the editors of this book, Daniel Freeman, Richard Bentall and

Philippa Garety, acknowledgedauthorities on psychosis in their ownright, have drawn together the work ofother eminent clinicians and researcherson persecutory delusions in a singlevolume, ‘Persecutory Delusions:assessment, theory and treatment’.

The editors maintain that persecutorythinking, which is evident in up to 15% ofthe general population, is an importantconcept in itself, rather than merely asymptom to be considered when arrivingat a diagnosis.

Over forty authors have contributed to‘Persecutory Delusions’, which consistsof twenty one chapters, and which isdivided into the following six sections: apersonal account; assessment,epidemiology and prognosis;psychological processes; biologicalprocesses; treatment overviews; andtherapy examples.

Although all of the topics covered in thebook are relevant, the last section of thebook, ‘Therapy examples’ will be ofparticular interest to cognitive therapistswho work with people who experiencepersecutory delusions.

The section includes a chapter on copingwith paranoia in which one of the co-authors describes his personal

experience of cognitive therapy to helpwith paranoid thinking.

The authors of this chapter suggest thatmental health professionals will share itwith people experiencing paranoia in thehope that it will be of benefit to them.The remaining chapters cover cognitivetherapy for paranoia for individuals athigh risk of developing psychosis; casestudies of three people experiencingpersecutory delusions; and person-basedcognitive therapy for ‘poor me’ paranoia.

The book is comprehensive yetinteresting and readable, and providesreaders with a contemporaryunderstanding of persecutory delusionsfrom a variety of different perspectives.

In conclusion, ‘Persecutory Delusions’ isa valuable resource on the subjectmatter, and should be essential readingfor those with a professional interest inthe understanding of psychosis.

Tim Grace

Registered Mental Health Nurse/ClinicalCo-ordinator, Early Intervention inPsychosis Service, Tees, Esk & WearValleys NHS Foundation Trust, PeterleeHealth Centre, Bede Way, Peterlee,County Durham SR8 1AD. email: [email protected]: 0777 359 5678

Daniel Freeman, Richard Bentall &Philippa Garety (editors),Oxford University Press, £32.95

IS IT ME, OR AM I BEINGPERSECUTED?“Persecutory Delusions: assessment, theory and treatment.”

Working with children“Cool Connections with CognitiveBehavioural Therapy: Encouraging Self-esteem, Resilience and Well-being inChildren and Young People Using CBTApproaches.”

Laurie SeilerJessica Kingsley Publishers, £19.99

“Cool connections” is a practical bookpresented as a programme to be useddirectly with a group of children between9-14 years old.

Through four characters, Jack, Lauren,Harry and Katie the eye-catchingworksheets (which are perfect forphotocopying) present different topics

such as learning ‘to catch thoughts’.

The ten sessions include a mixture of fungames, educational material, therapeuticcontent and strategies.

For those that have run out of ideasabout which activities to do in a CBTgroup, “Cool connections” guarantees tokeep group attention going by using role plays, discussions, art activities and more.

Following the CBT framework eachsession has a section for homework thatthe children can take away.

I really like the idea of the children self-referring themselves, for example, byholding an assembly at schools informing


CBT book reviews...

Learning about the different areas of the brain and their specialised

functions can be complex.

This book approaches the subject in anovel way. The brain as a whole isreferred to as a small town; within eachneighbourhood lives a character.

The brain community is discussed as awhole and then each resident isintroduced, e.g. Fredrick Foresight (thefrontal lobes) and Annie Almond (theamygdala).

The neighbours, relationships, roles andkey functions in the community areaddressed, as is what happens when anyare unwell.

This approach helps the reader identifywith and understand each characterbefore a more traditional approach istaken using case examples.

Each chapter introduces a new characterwith the main parts of the brain covered.

At first this approach seemed to workand was quite engaging and humorous.

However with over 30 “characters”discussed, it remained challenging tohold in mind how they all relate to eachother and what their functions are.

Kenneth Nunn, Tanya Hanstock & BrianLask, Jessica Kingsley Publishers, £13.99

The final chapter does try to remedy thisby describing a party that all theresidents attend and the shenanigansthat occur!

I would recommend this book as arelatively easy way of getting to gripswith the structure and function of the brain.

Personally I thought that by giving eacharea of the brain a character, personality(and therefore an intention) thatimportant aspects such as themind/brain debate were overlooked byconstant reference to homunculi.

Despite this, the book will serve as auseful and accessible tool to explore thecomplex subject of the brain and itsfunctions.

James Binnie,Cognitive Behavioural PsychotherapistEmail: [email protected]: 020 3228 0321

children about the programme, and thenusing a simple questionnaire to expresstheir wish to take part.

The author recognises that self-volunteering may be impractical in aclinical setting, but let’s not forget thatthis book is aimed for use as an earlyintervention tool.

Exercises have been developed followingconsultations with children who havetaken part. These help children todistinguish between different thoughtssuch as, positive, negative and neutralthoughts (mindfully observing thoughts).

It aims to teach how to identify feelings,thoughts, and body signals and offerstools for goal setting and facing fears.

“Cool Connections” is an excellentresource for anyone wanting to work withchildren in a group format.

This book would be worthwhile for everyschool with tips to introduce activities aspart of the National Curriculum.

It can be easily used by nearly anybodythough the author recommends regularsupervision for unqualified staff.

Maria Barquin

Adolescent CBT SpecialistCAMHS Clinical Psychologist, email: [email protected]: 07985 473 072

Discovering atown called ‘Brain’“Who’s who of the Brain”


CBT book reviews...

Dr. Sadbana Damani & Larissa Clay, Blue Stallion, £12.99

This self-help guide on relationships isthe first one in a new series called

‘Resolving’. The book is aimed atcouples who are experiencing problemsin their relationships.

It is divided into two parts – the firstintroduces the concept of CBT and, usingthe exercises and worksheets suggestedin the book, gives the reader a chance tofind out more about themselves,concentrating on identifying theirnegative emotions, assumptions andbeliefs as well as their strengths.

The authors give tips about how to makethe most of the conversations betweencouples that evolve from the worksheets;they base their ideas on a therapy modelincluding ground rules and timing; theygive advice on good communication,

acceptance of the other’s ideas, andnegotiation.

Throughout part one, the authors refer tocouples who have used the techniquesgiven in the book to help them withsituations; this is useful as it grounds theideas in reality.

In part two there are activities andexercises the reader can do to enhancetheir well-being, including relaxation,focusing the mind and mindfulness.

There is also a section called Workingthrough issues, which places particularemphasis on dealing with the differingemotions each may be facing.

Also included in part two was a list ofdo’s and don’ts.

Although useful if taken separately, theyappear overwhelming presented in thisway, particularly as the authors exhort

couples to “incorporate them into yourday-to-day interactions with each other”!

‘Resolving Relationship Difficulties’would be a useful aid if couples werealready attending relationship therapy,but could equally stand alone for thosewishing to have a structure to help themdeal with their issues.

Lynne Reynolds,CBT therapist, Email: [email protected]

Robert M Post & Gabriele S Leverich,W.W Norton & Company, £32.00

Post and Leverich have produced an insightful and comprehensive

guide that covers myriad aspects ofbipolar disorder.

The book has fifteen main sectionscovering the phenomenology of thecondition, the use of singular andcombination medications, non-typicaltreatments, co-morbidity and childhoodonset. These sections are furtherdivided into manageable chapters.

Although the book is over 600 pagesand covers a complex array ofinformation it is a lot more accessiblethan one would first think.

The authors state in their introductionthat the book has been designed forclinicians and patients and it does thisby relating each chapter to a specificclinical case.

This approach draws the reader in,allowing reflections on a patient’s storyover time, how their narrative can beidiosyncratically formulated and whatinterventions can be used.

Each chapter has a summary whichdelineates the salient points. These arethen rated on a four point scaleindicating whether the evidence base is

strong or preliminary.

This is a great system that allows thereader to appreciate where theevidence is substantial and where it ismore speculative.

However, it would be helpful if theauthors directly referenced thesummary, this would allow the reader tolook at the supporting evidence.

The writers also refer topsychotherapeutic interventionsthroughout (mood charts, early warningsigns and contingency contracts) whichare particularly useful but no specificchapters are dedicated to particularinterventions such as CBT, FamilyTherapy or Motivational Interviewing;

readers would benefit from them.

This book is extremely detailed andcompliments should be paid to Postand Leverich who are erudite andsensitive to a complex subject area. Iwould recommend this book to clients,carers and all clinicians in the field ofmental health.

Rob Aston,Research Cognitive BehaviouralPsychotherapist

[email protected] Tel: 07515 685137

Bipolar clients and clinicians“Treatment of Bipolar Illness: A Casebook for Clinicians and Patients”

When the talking has to start…“Resolving Relationship Difficulties with CBT”


Accreditation:More questions than answers?

I have never asked so many questions in such a short period of time, since I became Accreditation Liaison Officer three months ago. And every answer has

prompted a new set of questions!

The Accreditation process is certainly complex.

Charlie McConnochie is now Senior Accreditation Liaison Officer and together wedeal with queries, support applicants, process applications and work ondeveloping the Accreditation process.

However, Charlie is also the link with both the Accreditation and RegistrationCommittee and other Committees within the BABCP. We don’t call him Charlie‘Superglue’ McConnochie for nothing!

Early in November, we ran a Training Day for the panel of Accreditors, which ismade up of thirteen volunteers.

They come from a variety of backgrounds and their primary role is to be the FirstAccreditor to process applications, usually from those applicants who have thesame core profession.

Ten members of the panel attended (pictured) and all said it was a useful day.

Following the recent changes to Provisional Accreditation, some interestingquestions were raised which generated further questions to discuss at theAccreditation & Registration Committee.

In January, we will also be running Accreditor training for Knowledge, Skills andAttitudes (KSA), as the number of KSA applicants increases.

The training day did bring an improved sense of being part of a team. I have hadunlimited access to Charlie, so have not known the same sense of isolation whichmembers of the Accreditation panel have experienced.

The training day brought people together and we have agreed a more teamapproach, using the Accreditation Jiscmail list, which includes the Accreditation &Registration Committee members.

I am currently working on a comprehensive Frequently Asked Questions (FAQ)document and a separate KSA FAQ. Anne Gorse (Accreditation Administrator) andI are also developing a CBT Training Course database. This is likely to be anarduous task, but over time should be useful in helping applicants evidence theirCBT training, and streamline the Accreditation process.

“As Senior Accreditation Liaison Officer, my working life hasbeen made considerably easier by the appointment of anAccreditation Liaison Officer who has eased some of thepressure and has been a willing and enthusiastic additionto our overworked and overburdened team”.

Charlie McConnochieSenior Accreditation Liaison Officer

Chris Moore

Freda Jones

Jan Rose

Linda Butler

Virginia Cooper

Lynn Mackie

Molly McKay

Nick Crichton

Philip Kinsella

Sue SaltmoreCharlie McConnochie and Tamera Bateman-Wright

by Tamera Bateman-Wright


Branch news...

North West Wales

In memory of Sheila Jenkins…

The NWW BABCP Branch had the pleasure of organising aone day conference hosted by Bangor University in

memory of Sheila Jenkins (ASW).

Shelia was one of the pioneers of CBT in North Wales andspearheaded the development of mental health services inthe area.

The conference was attended by local MP Hywel Williams,mental health professionals and people who knew Sheila.

We had very distinguished speakers including

Prof. Chris Cullen, who gave a very informative andentertaining talk on ACT

Prof. David Richards from the University of York whotalked about an alternative “prescription” for the highprevalence of mental health disorders

Prof. Judy Hutchings of Bangor University who talkedabout the experiences in North Wales of helping parentsof challenging children to develop positive parentingpractices and

Dr. Michaela Swales, also from Bangor University, whotalked about her experience of implementing DBT inhealthcare settings.

The NWW branch would like to thank all the speakers andthe people who attended this event for making it such amemorable day.

Save the date!BABCP Central Branch is pleased to announce forthcomingevents for 2009 in Oxford...

January Evening Lecture by Dr John Lawson: Conceptualizing Autism on the Cognitive Level

February Evening Lecture by Dr Victoria Bream Oldfield:Intensive OCD Treatment

March Workshop by Dr Warren Mansell:CBT for Mood Swings and Bipolar Disorders

April Workshop in association with Oxford CognitiveTherapy Centre by Dr Robert Leahy:Cognitive Therapy for Chronic Worry

May Evening Lecture by Dr Ann Hackmann:Imagery Rescripting in Axis I Disorders

Professor John Taylor and Dr Emily Holmes will also bepresenting workshops later in the year. Please refer to theBABCP website, Branch Events, for further details of ourevents or contact us at: [email protected]

May we also add that Central Branch is delighted to havebeen awarded ‘Branch of the Year’ by the BABCP. A warmwelcome to our many new committee members who helpedtowards earning this honour.

Please contact us (at [email protected]) if you wouldlike to join our committee.


South East Branch

Richmaterialon BDDAone day conference was presented by

BABCP Past President, David Vealeon Body Dysmorphic Disorder for theBABCP South East branch.

It was attended by almost 4O delegatesas part of the Branch's rolling programmeof annual events.

What followed was a thorough andinformative presentation of this complex,challenging and under diagnoseddisorder. An emphasis was placed on thetherapist skills necessary to develop aformulation that differentiated betweencontent and process.

Exploration of factors which maintaindistress led to an overview of the creativestrategies used to limit the excessivepreoccupation and rumination which isone of the hallmarks of this distressingand disabling condition.

Material was supplemented by relevantvideo clips of client and therapistdeveloping formulation anddemonstrating techniques like imageryrescripting.

Delegates commented on the richness ofthe material provided and feedback hasbeen very positive.

We are very grateful to our Liaisonofficer, Liz Jones and committee memberJean Berry for all their efforts in providingall delegates with detailed informationpacks which we hope they found useful.

Patricia Murphy

Professor Stephen Palmer led a three-hour experiential workshop on

Hypnosis and CBT for members of theBABCP South East Branch.

This event provided delegates with aninformed and practical demonstration ofthe uses of hypnotherapy as a techniqueto complement existing CBT strategies inthe treatment of psychological problems.

An emphasis was placed on establishingclient/therapist collaboration soessential for the successful application ofthis technique.

This included debunking some of themyths popularised in the media whichcould result in understandable anxietiesand misconceptions about gullibility andloss of control.

Personalising a script which clients coulduse for themselves was the basis of thework done in pairs by delegates some of

whom enjoyed the benefits of an Indiansummer by practising the hypnosis scriptoutside in warm sunshine on the grass.

Professor Palmer cited research whichindicated that hypnosis as an adjunct toCBT-enhanced treatment outcomeparticularly for obese and depressedclients. It was therefore an extremelyuseful opportunity for delegates todeepen their understanding of how thistechnique could be meaningfully appliedto their clinical work.

We are very grateful to Professor Palmerfor another really valuable contributionto our Branch members. This event wasoversubscribed and unfortunately someof those who reserved a place failed toattend, therefore depriving othermembers of the opportunity. As a resultwe will be reviewing our booking policyfor future free events.

Hypnotised by theIndian Summer...

CBT for Mood Swings and Bipolar DisordersOne Day Workshop

Dr Warren Mansell - Senior Lecturer in Psychology, University of Manchester

Friday 20th March 2009, 10.00am - 4.30pm Location: Oxford

Workshop Aims

• To present an integrative cognitive model of mood swings and bipolar disorder(Mansell et al., 2007)

• To help participants to practice key therapeutic techniques based on the modelincluding: - developing formulations- facilitating the description, acceptance and tolerance of internal states - aiding the consideration of conflicting extreme beliefs about internal states- designing behavioural experiments- facilitating the development of a ‘healthy’ self

£50 for BABCP members, £60 for non-membersFor further details…

See BABCP website or Contact Ms Dhruvi ShahTel: 01865 223 920, Email: [email protected]

BABCP Central Branch Workshop

Hypnotised by theIndian Summer...


BABCP Spring WorkshopsWednesday 1st April 2009

University of Westminster, Marylebone Road, London

Mood Regulation Self-regulatory Approaches to CBT

Full details of these workshops and an application form are included with this copy ofCBT Today and are also available on the website

WORKSHOP 1: Dialectical Behaviour Therapy:Recent Advances in Emotion Regulation StrategiesTOM LYNCHUniversity of Exeter

WORKSHOP 3: Affect Regulation Training:A New Transdiagnostic InterventionMATTHIAS BERKINGUniversity of Bern, Switzerland

WORKSHOP 5: How to Regulate Social AnxietySTEFAN HOFMANNUniversity of Boston, USA

WORKSHOP 2: Using Compassion Focused CognitiveTherapy to Promote Self-soothing inShame Based DifficultiesDEBORAH LEEUniversity of Reading

WORKSHOP 4: The Role of Acceptance in EmotionRegulation, An ACT Perspective MARK WEBSTERChair, BABCP ACT Special Interest Group

WORKSHOP 6: Assessment and Treatment of AngerRAYMOND W NOVACOUniversity of California, Irvine, USA


BABCP Spring ConferenceThursday 2nd April 2009

University of Westminster, Marylebone Road, London

Mood Regulation Self-regulatory Approaches to CBT

Keynote SpeakersPROFESSOR MARK WILLIAMS

University of OxfordHow does mindfulness regulate emotions?

PROFESSOR STEFAN HOFMANNBoston University, USA

The Power of Thinking to Regulate AnxietyPROFESSOR TOM LYNCH

University of ExeterPersonality disorder and emotion dysregulation: current research and clinical issues

ProgrammeTIM DALGLEISHUniversity of Cambridge Seeing the bigger picture: perspective broadening as an emotion regulation strategyTOM WEBBUniversity of SheffieldUsing implementation intentions to regulate attention: The case of social anxietyCATHERINE DEEPROSE AND EMILY HOLMESUniversity of OxfordPlaying with images to regulate emotions:an experimental approachWARREN MANSELLUniversity of ManchesterWhat Is Self-Regulation Theory and howdoes it inform CBT?

BARNEY DUNNUniversity of CambridgeUsing the body to regulate emotions in CBT:Exploring interoceptive awareness inanxiety and depression.MATTHIAS BERKINGUniversity of Bern, SwitzerlandGeneral emotion-regulations skills as atreatment target in psychotherapy - theoryand empirical evidenceSTEPHEN KELLETTUniversity of Sheffield and Barnsley PrimaryCare TrustTreating super-rapid mood variability;identifying mechanisms of change for cyclothymia


Exeter 2009 - 37th Annual Conferenceand Workshops 2009

University of Exeter 15-18th July 2009

The BABCP Scientific Committee invites you to submit proposals for one-day Pre-conference workshops, halfday In-conference workshops, symposia, panel

discussions, open papers and poster session presentations.









Key Themes• Recurrent Thinking Across Disorders

• The Role of the Therapeutic Relationship in CBT

• Lifespan Perspectives on Mood and Cognition

• Prevention and Intervention Across the Spectrumof Mood Disorders

• Personality Disorder: From Basic Science toApplied Interventions on Emotion Regulation

• Implementation and Evaluation of IAPT Programmes

• Methods for Evaluating CBT Across Contexts

• Innovations and Updates from the South West Region

Keynote Speakers confirmed so farChristine Purdon, University of Waterloo, CanadaPaul Gilbert, University of Derby, UKRichard Layard, London School of Economics, UKSusan Nolen-Hoeksema, Yale University, USASabine Wilhelm, Harvard University, USAKelly Vitousek, University of Hawaii, USAJames Coyne, University of Pennsylvania, USAAnne Marie Albano, Columbia University, USAWillem Kuyken, University of Exeter, UKDavid Richards, University of Exeter, UKThomas Lynch, University of Exeter, UKBundy Mackintosh, University of East Anglia, UKDaniel Freeman, Kings College London, UKKen Laidlaw, University of Edinburgh, UKPaul Stallard, University of Bath, UKAndrew Jahoda, University of Stirling, UK

We will be repeating the New Researcher’s Awardsfor oral presentations and both research and casereport posters. Please see the website for furtherdetails.

All contributors will be asked to identify the potential implications of their work for the everyday clinicalpractice of CBT.

Closing Dates for Submissions

Pre-conference workshops, In conference workshops, Symposia and Panel Debates: 12th January 2009Open Papers and Posters: 6th April 2009

Submissions must be sent electronically using the guidelines on the website - www.babcpconference.com

Warren Mansell and Roz ShafranCo-chairs Scientific Committee

Rod HollandConference Organiser

iapt is underway - babcp. · pdf fileiapt is underway.....now get ready for ... sites,...

Documents