Core pain:reformulation and dialogue with Dr Lawrence Welch
16th January 2016
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At the centre of therapeutic work is reformulating the patient's core pain in order to help them discover a way of entering into dialogue with the pain rather than either being cut off from it or being overwhelmed by it. However this brings with it the risk that the therapist's focus is on relieving the pain and when the inevitable difficulties arise in the process, can lead to a powerful sense of personal failure. This process is hugely exacerbated by the current pressure in the NHS to demonstrate good outcomes without any acknowledgement of the complexity of the work and the early stage science is at in this area.
The workshop aims to both give an outline of how we reformulate the patient's core pain though our understanding of reciprocal roles and to give space to consider how we can use our awareness of our own struggles to appreciate better the difficulties that arise in dialoguing with the patient over issues which are often hidden from conscious view.
Dr Lawrence Welch is a founder member of ACAT and an ACAT North/Catalyse trainer. He completed his PhD on the reliability, validity and process of reformulation in 2010. He worked as a Consultant Psychotherapist in North Tyneside psychological therapies services for five years before being made redundant in December 2014. He has a particular interest in the relationship between the macro political issues and the micro psychological experience.
Core pain: reformulation and dialogue Overview
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