Jack Rachman described mental contamination in Obsessive Compulsive Disorder (OCD) ‘It looks clean but it feels dirty’ – an internal sense of dirtiness or wrongness that the person seeks to avoid and get rid of via acts (safety-seeking behaviours / compulsions) to reduce the internal feeling. What appears as a response to ‘contact contamination’ e.g. excessive handwashing can be a response to an internal sense of mental contamination. Without addressing the meaning of mental contamination (betrayal, physical or psychological violation, self-contamination and fear of ‘morphing’), and exploring the origins of this feeling, ERP or CBT may not be effective. Specific knowledge and understanding of mental contamination enables clinicians to identify particular ‘contaminating’ experiences and beliefs that are pertinent to successful treatment.
Participants will gain knowledge of:
- The cognitive model of mental contamination in OCD
- Forms of mental contamination including following physical or psychological violation including betrayal, self-contamination and fear of ‘morphing’
Participants will gain skills in:
- Recognising the key features of mental contamination
- Conducting an assessment of mental contamination OCD
- Engaging with people experiencing mental contamination and building a sound therapeutic relationship
- Normalising the features of mental contamination
- Identifying the key threat appraisal that drives mental contamination
- Collaboratively deriving a specific OCD formulation that forms a shared understanding between the person with OCD and the therapist
- Developing a Theory A / Theory B – an alternative, less threatening belief
- How to effectively use metaphor
- Active work on beliefs about mental contamination
Paul Salkovskis, Director of OCTC
Professor Paul Salkovskis qualified as a clinical psychologist in 1979 at the the Institute of Psychiatry and Maudsley Hospital. He worked in Yorkshire as a clinical psychologist before moving to the University of Oxford as a Research Clinical Psychologist. In Oxford he became Professor of Cognitive Psychology, before leaving to work at King’s College London Institute of Psychiatry as Professor of Clinical Psychology and Applied Science and Clinical Director in the Centre for Anxiety Disorders and Trauma at the Institute of Psychiatry (2000-2010). He led the SLaM and national outpatient OCD service, and the outpatient NCG service and was Director of a joint University/NHS national specialist anxiety disorder clinic. He was then Programme Director for the Clinical Psychology Doctorate Programme at Bath.
Paul has now returned to Oxford as Professor of clinical psychology, where is he Director of the Oxford Institute of Clinical Psychology and of the Oxford Cognitive Therapy Centre. He is currently Editor of Behavioural and Cognitive Psychotherapy, and on the editorial board of many international journals. He is Patron of several OCD and anxiety disorder charities. He has published over 300 articles and chapters on the understanding and treatment of psychological problems and anxiety disorders. He is President of the British Association for Behavioural and Cognitive Psychotherapy, and was recently awarded the MB Shapiro Prize for Distinction in Clinical Psychology.
Victoria Bream, Consultant Clinical Psychologist
Victoria Bream trained as a Clinical Psychologist at the Institute of Psychiatry, Kings College London, and completed the Postgraduate Diploma in Cognitive Therapy at the OCTC. She has joined OCTC after 15 years working in the Centre for Anxiety Disorders and Trauma at the Maudsley Hospital, specialising in using CBT with people with obsessive compulsive disorder (OCD) and related problems, and hoarding disorder. She has provided supervision and teaching to a wide range of trainees and professionals in the NHS, and in local authorities. She is a co-author of the self-help book ‘Break Free from OCD’ and co-author of the clinician guide ‘CBT for OCD’ published by OUP. Victoria is part of the team in the newly established Oxford Health Specialist Psychological Intervention Centre (OHSPIC), an NHS national referral clinic for people with anxiety disorders, trauma and psychosis.
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.
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.
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
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 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 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 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.
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).
The registration closing date for each workshop is shown on the workshop description page. Please note that no applications received after this deadline will be permitted.
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.
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.
We welcome applications from diverse backgrounds. If you have any particular needs, please contact us
prior to booking.