Workshops

Riga goes virtual: ESSPD Workshops on Personality Disorders
Skills Training for Effective Treatments

Online registration is now closed

Date

June 3–5, 2021

Faculty & general topics

  • Anthony Bateman – Structured Clinical Management
  • Arnoud Arntz – Schema Therapy
  • Bo Bach – ICD-11 Classification of Personality Disorders
  • Michaela Swales – Dialectical Behaviour Therapy
  • Svenja Taubner – Mentalization-Based Treatment
  • Stephan Doering – Transference-Focused Psychotherapy

Participation Fees

For the workshops the following participation fees will apply.
Full program (6 workshops / 3,5 hours each):

Full participation fee
For participants from Australia, Austria, Belgium, Canada, Denmark, Finland, France, Germany, Greece, Hong Kong, Iceland, Ireland, Italy, Japan, Luxembourg, the Netherlands, New Zealand, Norway, Portugal, Singapore, South Korea (Republic of Korea), Spain, Sweden, Switzerland, UK, United States: 240€

Reduced fee
For all nurses, social workers, students and participants from all countries not listed above : 120€

Single workshop : 80€

Note

  • Please note that the deadline for registrations will be 01st June, last minute registrations might result in delayed processing
  • The Workshops will be organized as a virtual event with on-line participation of speakers and participants.
  • All times are Eastern european Summer time
  • If participation is cancelled by 20th May 2021, the participation fee will be reimbursed, minus a processing fee of € 25,- per person. After this time, no refund will be issued.

Organizers

ESSPD in collaboration with University of Latvia Faculty of Medicine, Latvian Association of Cognitive and Behavioural Therapies, Latvian Association of Medical Psychotherapists and The Baltic Schema Therapy Institute.

Preliminary Programme

Eastern European standard time

9:00–12:30

Workshop 1:

Anthony Bateman – Principles of Structured Clinical Management for borderline personality disorder

SCM is a pragmatic and atheoretical psychological approach to emotionally unstable personality disorder (EUPD) / borderline personality disorder (BPD) (Bateman and Krawitz 2013). SCM follows the principles of consistency, coherence, and continuity of interventions to target the specific symptoms of an individual’s personality disorder (PD) thereby meeting all the recommendations for structured clinical care outlined in the NICE Guidance for BPD (NICE 2009).

It is not so much a specialist psychosocial treatment for a specific category of PD but more a psychological approach targeting the acute symptoms of PD and is allied to similar approaches described elsewhere (Choi-Kain and Gunderson 2019, Livesly 2003). The treatment approach is in the range of competence of generalist mental health professionals. This workshop is therefore suitable for a wide range of mental health professionals including mental health nurses, counsellors, social workers, clinical psychologists, counselling psychologists, psychiatrists, occupational therapists, psychology assistants, and other health care workers.

Aims and Objectives

The aim of the course is to provide an understanding of BPD and the clinical processes underpinning structured clinical management as a psychological approach for EUPD/BPD, and how this is translated into a coherent intervention strategy for treatment in community mental health services. The clinical skills covered in the workshop include how to:

  • Develop a formulation for treatment
  • Make effective crisis plans
  • Use group intervention skills
  • Skilfully teach and engage patients in using problem solving strategies,
  • Deliver interventions to improve affective dysregulation, impulsivity, and interpersonal problems.

At the end of the workshop participants will be able to:

  1. Demonstrate a detailed understanding of EUPD/BPD
  2. Demonstrate a critical understanding of the research evidence for structured clinical management/general psychiatric management as an intervention for BPD
  3. Conceptualise clinical phenomena of BPD within the framework of SCM
  4. Develop a detailed personalised conceptualisation of a client’s presenting problems using a problem orientated framework
  5. Be aware of the skills commonly used in group SCM to help patients manage emotional distress, impulsivity, and interpersonal problems
  6. Be reflective and use interpersonal skills to help manage interpersonal issues arising as part of clinical work and as a result of other stressors in a professional manner

Bateman, A. and R. Krawitz (2013). Borderline Personality Disorder: an evidence based guide for generalist mental health professionals. Oxford, OUP.

Choi-Kain, L. and J. Gunderson (2019). Applications of Good Psychiatric Management for Borderline Personality Disorder: a practical guide. Washington DC, American Psychiatric Association Publishing.

Livesley, W. J. (2003). Practical management of personality disorder. New York, NY, Guilford Press.

NICE (2009). “Borderline Personality Disorder: treatment and management.” http://www.nice.org.uk/Guidance/CG78/NiceGuidance/pdf/English.

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12:30–13:30

Lunch and virtual social gathering

13:30–17:00

Workshop 2:

Michaela Swales – Dialectical Behaviour Therapy: Treating Complexity and Risk

This workshop will briefly describe the underlying therapeutic principles of DBT and how they are delivered in practice. We will focus on the practical application of DBT principles and will give participants experience of using behavioural analysis, validation and dialectics via role-play, video and small group exercises.

Note

There are short breaks throughout workshops

9:00–12:30

Workshop 3:

Bo Bach – Rationale, essential features, and clinical application of the ICD-11 personality disorder classification

This workshop will provide an overview of the ICD-11 personality disorder classification. The rationale of using a common dimension of personality functioning (i.e., mild, moderate, severe) will be presented, and the underlying principles of using trait domain qualifiers (i.e., negative affectivity, detachment, dissociality, disinhibition, and anankastia) will be elucidated.

We will also dive into more details about the ICD-11 diagnostic guidelines for personality disorders using clinical examples. The specific core capacities of personality functioning will be elucidated, and the clinical information derived from trait domain combinations will be demonstrated. Participants will also be given the opportunity to try out the classification of personality disorder severity and individual trait expressions based on case vignettes.

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12:30–13:30

Lunch and virtual social gathering

13:30–17:00

Workshop 4:

Arnoud Arntz – Imagery Rescripting as a transdiagnostic technique

Many disorders are related to adverse experiences early in development. Imagery Rescripting is a technique to change the meaning attached to such experiences, which might have a strong effect on present problems. This lecture offers an introduction in the technique, including how it can be used when patients do not present with a list of traumas (as they do in case of PTSD), an overview of different areas of application, and a discussion of the evidence base. Imagery Rescripting can be used as a standalone technique, or integrated in other treatments. It turns out to have a high effectiveness in a wide variety of disorders, and seems to be especially helpful for more complex presentations.

Note

There are short breaks throughout workshops

9:00–12:30

Workshop 5:

Svenja Taubner – Mentalization-Based Treatment for adolescents and young adults

In the workshop basic elements of Mentalization-Based Treatment (MBT) will be explained, discussed and demonstrated using video examples and role play. MBT has been developed for the treatment of personality disorders in adults and has been further developed for the treatment of adolescents and young adults with emerging personality disorders.

Key elements of MBT is a focus of enhancing mentalizing which is the imaginative ability to understand human behaviour thinking about underlying mental states such as emotions, cognitions, aims, beliefs, wishes, etc. In personality disorders, the mentalizing capacity is often dysfunctional which is regarded a key to understand problems in personality functioning.

To enhance mentalization involves a specific form of communication that establishes epistemic trust and attachment security in the patient as well as a constant challenging of inaccurate mentalizing as well as empathic validation of subjective experiences. Every intervention is adjusted to the current level of mentalizing and arousal which will be practiced during the workshop. In young patients it is also often necessary to involve the social network of family members, peers and romantic partners as well as other professionals and institutions. Thus, MBT for families will also be demonstrated.

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12:30–13:30

Lunch and virtual social gathering

13:30–17:00

Workshop 6:

Stephan Doering – Introduction to Transference-Focused Psychotherapy

This workshop gives an introduction to Transference-Focused Psychotherapy (TFP), which is a psychodynamic treatment for Borderline Personality Disorder. TFP has been manualized and has demonstrated its efficacy in the treatment of borderline patients in randomized-controlled trials. Thus, it can be regarded empirically validated.

TFP was developed by Otto F. Kernberg and is based on psychoanalytic object relations theory. A distinguishing feature of TFP in contrast to many other treatments for BPD is the belief in a psychological structure that underlies the specific symptoms a borderline individual suffers from. In other words, the focus of treatment is on a deep psychological make-up — a mind structured around a fundamental split that determines the patient’s way of experiencing self and others and the environment. In such a psychological organization, thoughts and feelings about self and others are split into dichotomous experiences of good or bad, black or white, all or nothing.

TFP is a twice-per-week outpatient individual psychotherapy that combines psychodynamic principles with a structured setting and a treatment contract. The treatment focuses on the transference (the patient’s moment-to-moment experience of the therapist) because it is believed that the patient lives out his/her predominant object relations dyads in the transference. Once the treatment frame is in place, the core task in TFP is to identify these internal object relations dyads that act as the “lenses” which determine the patient’s experience of the self and the world. It is believed that the information that unfolds within the patient’s relation with the therapist provides the most direct access to understanding the make-up of the patient’s internal world for two reasons. First, it has immediacy and is observable by both therapist and patient simultaneously so that differing perceptions of the shared reality can be discussed in the moment. Second, it includes the affect (feelings) that accompanies the perceptions, in contrast to discussion of historical material that can have an intellectualized quality.

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Note

There are short breaks throughout workshops

Presenters

Anthony Bateman

Anthony Bateman biosketch

Prof Anthony W Bateman MA, FRCPsych is Consultant to the Anna Freud Centre, London; Visiting Professor University College, London; Honorary Professor in Psychotherapy University of Copenhagen.

He developed mentalization based treatment (MBT) and structured clinical management (SCM) for borderline personality disorder and studied their effectiveness in research trials.

Adapted versions of MBT are now being used in multi-centre trials for antisocial personality disorder, eating disorders, and drug addiction. He was an expert member of National Institute for Clinical Excellence (NICE) development group for treatment guidelines for Borderline Personality Disorder in UK and was Chair of the National Guideline Development Group for Eating Disorders. His NHS clinical services are recognised by the Department of Health as a national demonstration site for the treatment of personality disorder. He was President of the European Society for the Study of Personality Disorders (ESSPD) from 2012-2015.

He received a senior scientist award from British and Irish group for the Study of Personality Disorder in 2012 and in 2015 the annual award for “Achievement in the Field of Severe Personality Disorders” from the BPDRC in the USA.

He has authored 15 books including Psychotherapy for Borderline Personality Disorder: mentalization based treatment and Mentalization Based Treatment for Personality Disorder: a practical guide (2016) (with Peter Fonagy), numerous book chapters, and over 150 peer reviewed research articles on personality disorder and the use of psychotherapy in psychiatric practice.

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Arnoud Arntz

Arnoud Arntz biosketch

Arnoud Arntz is professor of Clinical Psychology and chair of the Department of Psychology at the University of Amsterdam, the Netherlands. His main research interests lie in the fields of PTSD and personality disorders, both applied and fundamental. He also practices as a therapist at PsyQ in Amsterdam, where he treats patients with trauma and personality disorders. He is a former editor of the Journal of Behavior Therapy and Experimental Psychiatry.

His research focuses on psychological processes underlying personality disorders (PDs), especially borderline personality disorder (BPD), and anxiety disorders, especially PTSD; and their treatment. Using the approach of experimental psychopathology he tested psychological theories of anxiety disorders and PDs and contributed to the development of their psychological treatment. In developing and testing psychological theories and treatments he aims to connect basic research and clinical work. He is perhaps best known for his contributions to the development of Schema Therapy and Imagery Rescripting. He was project leader of the multicenter RCT that compared schema therapy (ST) to Transference Focused Psychotherapy as treatments of Borderline PD, and of another multicenter RCT that compared ST to treatment as usual (TAU) and CCT for 6 other PDs. Currently he is PI of an international RCT comparing working mechanisms of Imagery Rescripting and EMDR for PTSD that originated from childhood traumas, and together with Dr Joan Farrell PI of the international RCT that compares group-ST to TAU for Borderline PD.

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Bo Bach

Bo Bach biosketch

Clinical Psychologist and Research Manager at Center for Personality Disorder Research (CPDR), Slagelse Psychiatric Hospital, Denmark

Biography
Bo Bach is research manager at the Center for Personality Disorder Research (CPDR), Psychiatric Research Unit, Region Zealand – and a part-time clinical psychologist in an outpatient unit at Slagelse Psychiatric Hospital.

He is trained in schema therapy with trainer/supervisor qualifications but generally embraces a psychodynamic approach to personality and psychopathology. He is a member of the Hierarchical Taxonomy of Psychopathology (HiTOP) consortium with particular focus on clinical translation. In the final phase before its approval by the World Health Assembly, he has served as consultant for the ICD-11 personality disorder work group. As a researcher and clinician, he is currently focusing on the ICD-11 classification of personality disorders including development of assessment procedures, implementation, and clinical guidelines. He is also involved in the preparation of the upcoming ICD-11 field trial for personality disorders. He is associate editor for the personality disorder section of BMC Psychiatry, consultant editor for Psychological Assessment (personality disorder topics), and editorial board member of Personality Disorders: Theory, Research, and Treatment. Occasionally, he gives workshops or lectures on personality disorders for clinical psychologists, medical doctors, and psychology students, and he also serves as academic advisor on PhD and MSc theses related to personality disorders. Bo Bach is currently involved as ESSPD board member and editorial board member of the ESSPD Academy Newsletter.

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Michaela Swales

Michaela Swales biosketch

Michaela Swales PhD is a Consultant Clinical Psychologist and Professor in Clinical Psychology on the North Wales Clinical Psychology Programme, Bangor University.  She trained in Dialectical Behaviour Therapy in Seattle in 1994 / 95 with Marsha Linehan and for twenty years ran a clinical programme for suicidal young people in an inpatient service.  Professor Swales is the Director of the British Isles Training Team, an International Affiliate of the Linehan Institute.

She has trained more than a thousand professionals in DBT, seeding over 400 programmes, in both the UK and further afield.  She co-authored, Dialectical Behaviour Therapy: Distinctive Features (2009; 2017) and Changing Behavior in DBT: Problem-Solving in Action (2015).  She is the Editor of the Oxford Handbook of DBT (2019).  Her primary research interest is the effective implementation of evidence-based psychological therapies in routine clinical practice. Professor Swales was a member of the Working Group on Classification of Personality Disorders, reporting to the World Health Organisation (WHO) International Advisory Group for the Revision of ICD-10 Mental and Behavioural Disorders.

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Stephan Doering

Stephan Doering biosketch

Dr. Stephan Doering is psychiatrist and psychoanalyst (Vienna Psychoanalytic Society, IPA). He is chair and professor of Psychoanalysis and Psychotherapy and head of the Department of Psychoanalysis and Psychotherapy at the Medical University of Vienna, Austria. His main research foci are psychotherapy research, diagnosis and treatment of personality disorders, neurobiological aspects of psychotherapy, and psychosomatic medicine.

He is editor and co-editor of three scientific journals and member of numerous scientific associations. He is past president of the European Society for the Study of Personality Disorders (ESSPD), vice president of the German Society for Research and Treatment of Personality Disorders (GePs); he is past president of the International Society of Transference-Focused Psychotherapy (ISTFP) and TFP teacher & supervisor.

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Svenja Taubner

Svenja Taubner biosketch

Svenja Taubner is Professor for Psychosocial Prevention at the medical faculty of the University of Heidelberg in Germany. She is the director of the Institute for Psychosocial Prevention at the University-Hospital Heidelberg.

She has studied psychology and received her PhD at the University Bremen (Germany) and has worked as researcher at the universities Ulm, Kassel and Berlin (Germany).

She was professor for Clinical Psychology and Psychotherapy at the University of Klagenfurt (Austria). She has received the Hamburger fellowship for Research on Personality Disorders twice, was fellow of the Hanse Institute of Advanced Study in Delmenhorst and Marsilius Kolleg of Advanced Study of the University Heidelberg, Germany as well as visiting scientist at the Anna-Freud-Centre London, UK and University of Oslo, Norway. She is President of the European Chapter of the Society for Psychotherapy Research (SPR) and member of the German Psychoanalytic Society (DPG), the German Society for Psychology (DGPs) and the European Association of Clinical Psychology and Psychological Treatment (EACLIPT). Her research addresses mentalization, juvenile offending and competence development in mental health professionals and parents with personality disorders. She is currently co-steering a European network within the COST program about individualized treatment for young people in Europe (TREATME).

She is trained in MBT for adolescents (MBT-A) and also supervisor and trainer in this method. She currently evaluates an adaption of MBT-A for the treatment of conduct disorder.

She is editor of the Psychotherapeut, Praxis der Kinderpsychologie und Kinderpsychiatrie as well as Editor-in-Chief of Mental Health & Prevention. She has published four books und over 70 articles.

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