Multiple Trauma: How and when to work with trauma memories


It is the exception rather than the rule that traumatised clients present with a single experience of trauma. Therapists are frequently faced with dilemmas about how to work with people who have been exposed to multiple traumas, some in adulthood, others in childhood and many in both. This includes those traumatised by experiences such as repeated childhood sexual abuse, domestic violence and occupational trauma.

Clients may present with:
memories that are not distinct from each other
are related in terms of meaning
are impressionistic, rather than clear
or with many memories to different events  which requires adaptation to standard PTSD protocols.

There is little by way of evidence-based guidance as to how to overcome the challenges of this work, so how are therapists to make these difficult decisions?

This workshop will use a combination of teaching and interactive exercises to enable the therapist to begin to address these difficulties. It will consider:
the status of the evidence base,
how best to apply sound principles of assessment and formulation to enable realistic treatment planning
preparation for working with memories
how to make decisions about whether, when and how to use reliving and other trauma memory interventions in order to work safely
how to prioritise between different aspects of treatment
how to use Narrative Exposure Therapy for multiple trauma memories

Presenters

Alison Croft, Consultant Clinical Psychologist

Alison Croft

Alison Croft trained as a clinical psychologist in Oxford. She has over 25 years’ experience of working in various adult mental health teams from primary to tertiary care and has extensive experience of applying CBT with a wide range of clinical presentations. She is accredited as a CBT practitioner, supervisor and trainer with BABCP.

Alison’s specialist clinical interests include promoting good mental health in doctors, working with anxiety disorders and with complex presentations related to trauma. She currently works in Oxford as a Consultant Clinical Psychologist with the Medic Support Service and a CBT clinician, trainer and supervisor with the Oxford Cognitive Therapy Centre (OCTC).  Alison is course director for the PG Cert in CBT and a course tutor on the PG Cert in CBT for Psychological Trauma. She has experience of delivering training and supervision to a wide range of clinicians, from beginner to expert level, both in the UK and overseas. She has published several book chapters related to CBT practice and research papers in the areas of CBT training and service innovations, and physician mental health.

Martina Mueller, Consultant Clinical Psychologist

Martina Mueller is a Consultant Clinical Psychologist who has worked with OCTC since its inception. She is widely respected for her innovative clinical work and specializes in the assessment and treatment of PTSD and other complex reactions following adult trauma. She founded the Postgraduate Certificate in CBT for Psychological Trauma and led the trauma service for the Oxford Health Mental Health Care Trust for many years. She has worked on a European Union funded multi-centre research on innovative approaches to working with traumatized refugees and has a special interest in the treatment of occupational and multiple and prolonged trauma.  Martina is one of the editors of the Oxford Guide to Behavioural Experiments in Cognitive Therapy and is lead editor of the Oxford Guide to Surviving as a CBT Therapist, published by OUP.

Additional Information

Cancellation & changes policy

If you cancel more than 14 days prior to your booked event, we will refund your fee minus a charge of 15% to cover our administration costs. We regret that cancellations 14 days or less before the booked event cannot be refunded or changed/transferred.

If you wish to change/transfer your booking after confirmation we will do our best to accommodate you if you notify us 14 days prior to your booked event, and if there is space to do so. However there will be an administration charge of £15 per change/transfer.

Confidentiality

Workshops often contain clinical material. This is always anonymised as far as possible but delegates are none the less reminded to respect confidentiality.

All that is discussed in your therapy sessions will be treated as confidential, with the following exceptions.
We are required to seek supervision by our professional body (The British Psychological Society or equivalent) as a means of ensuring good practice. We will usually inform your referrer of your progress, but the details that we disclose will be discussed with you. We do have a statutory obligation to break confidentiality under rare circumstances, namely, if we believe that a client is of danger to themselves or to others (under the Mental Health Act, 2001) or if we believe that a child is at actual risk of physical or sexual abuse (The Children Act, Section 47, 1989).

If we felt that it would be helpful to request additional medical, social or legal information, we could only do this with your consent. Similarly, should another medical, social or legal professional request information from us, we would not release this without your consent.

Disclaimer

OCTC makes every effort to ensure that this programme is delivered as advertised. However, should a presenter have to cancel, we will endeavour to find another suitable presenter. We will inform attendees as soon as is reasonably practical and, if requested, will offer a refund. In the rare event that we are unable to substitute a presenter, we may cancel a workshop and refund payments already made by attendees. OCTC will not refund travel and accommodation costs that attendees may incur.
All the workshops in this programme are carried out by highly experienced therapists and trainers. The individual presenter is responsible for the content of the workshop and any views expressed do not necessarily represent those of OCTC.
Although highly informative, none of the open workshops or workshop series confer a formal qualification or assurance of competence in CBT (or a specialist area of CBT) since we are unable to assess attendee competency within the training event. However, credit and award-bearing courses that lead to formal qualifications are offered by OCTC in conjunction with the University of Oxford. More about these courses is available on our website www.octc.uk

Levels of competence

Before booking a place on a workshop, please ensure that it is pitched at the appropriate level of competence for you. The guide to levels is as follows:

Basic

Basic workshops are for people from a variety of backgrounds, who have at least one year’s clinical experience. Cognitive behavioural knowledge is not necessary for attendance at these workshops, though in practice, a number of attendees will have some skills in the area, and are refreshing/updating their knowledge.

Intermediate

Intermediate workshops are directed towards people who already have knowledge of CBT, and experience in using cognitive formulations and treatment methods – for instance, they are able to identify and test automatic thoughts, and design behavioural experiments. Most participants will be using CBT as part of their clinical practice, and may still be acquiring new CBT skills.

Advanced

Advanced courses are directed towards those professionals who use CBT routinely as part of their clinical practice. They have probably undertaken a significant number of training courses and/or workshops, and use a broad range of cognitive behavioural strategies to work with a range of presentations at varying levels of complexity.

Making reservations

Bookings can only be considered confirmed after we have received your online registration or application form and payment (or invoicing details, including an official purchase order document). Please note that registration to workshops closes 7 days prior to the event date.

If you are booking a workshop place for someone else, you must complete your own details in the billing field, but ENTER THE WORKSHOP PARTICIPANTS NAME/ADDRESS in the shipping field. If you wish to order items using a paper order form instead of online, you can view or download an order form in Adobe Acrobat (PDF) format. Once downloaded, print it out, fill it in, and send off with your payment [cheque made payable to OXFORD HEALTH NHS FOUNDATION TRUST] to the address on the form.

Refreshments

The cost of the workshops includes hot drinks on arrival, mid-morning and mid-afternoon, but not usually lunch unless stated. However, for workshops that do include lunch, if you have any special dietary requirements please let us know at the time of application.

Special needs

We welcome applications from diverse backgrounds. If you have any particular needs, please contact us
prior to booking.