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.
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Online supervision with Cal Nield - offered by Sussex Partnership NHS FT
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ACAT Louise Yorke CPD Event Creativity for CAT Therapists and Supervisors
31st March 2025
ACAT: Trainers and Supervisors Meeting
2nd April 2025
ACAT: Relational Skills in CAT Supervision Residential
8th May 2025
Restoring Regenerating and Rewilding residential - offered by the WildCAT SIG
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