Search found 31 matches

by reefflex
Tue Feb 18, 2014 11:03 am
Forum: Clinical Issues
Topic: Honesty in goodbye letters
Replies: 3
Views: 2598

Re: Honesty in goodbye letters

I am guessing you mean a goodbye letter in the tradition of narrative therapy, and I agree that if it is going to be helpful to your client, it needs to address the difficult issues that have come up in the therapy. So if you want to make a difficult message easier for your client to hear, you need ...
by reefflex
Tue Oct 15, 2013 4:17 pm
Forum: Clinical Issues
Topic: Grounding Techniques
Replies: 5
Views: 3653

Re: Grounding Techniques

The best grounding resource I have found is the chapter on "detaching from emotional pain" that is in Najavits' Seeking Safety protocol for comorbid PTSD/substance misuse. There is a 10 minute "taster" script in the book which takes the client through lots of different kinds of g...
by reefflex
Thu Apr 25, 2013 3:47 pm
Forum: Clinical Issues
Topic: Critical approaches to "psychosis"
Replies: 50
Views: 22557

Re: Critical approaches to "psychosis"

interesting follow up interview to vaughan's article in the guardian

http://mindhacks.com/2013/04/24/deeper- ... /#comments
by reefflex
Tue Apr 09, 2013 2:59 pm
Forum: Clinical Issues
Topic: Critical approaches to "psychosis"
Replies: 50
Views: 22557

Re: Critical approaches to "psychosis"

Nice article suggesting that the strongest arguments against diagnostic constructs like schizophrenia are ironically coming from neurobiology and genetics, ratherthan social constructionism.

http://www.guardian.co.uk/science/2013/ ... ughan-bell
by reefflex
Wed Mar 27, 2013 7:32 pm
Forum: Clinical Issues
Topic: Diagnosing on AXIS using ICD-10
Replies: 14
Views: 6212

Re: Diagnosing on AXIS using ICD-10

It is not quite true that UK clinical psychologists don't do diagnosis. In routine practice it is very common to carry out diagnostic assessments, not least because all the evidence-based treatments we have are specific treatments for specific diagnostic categories. There is no general evidence base...
by reefflex
Tue Mar 19, 2013 7:58 pm
Forum: Clinical Issues
Topic: Imagery Rehearsal Therapy for nightmares, Barry Krakow
Replies: 6
Views: 5996

Re: Imagery Rehearsal Therapy for nightmares, Barry Krakow

His website has a lot of good stuff on it http://www.nightmaretreatment.com/ There are also a couple of books mentioned on the website including "Turning nightmares into dreams" It is a form of rescripting treatment and as such sits well conceptually with other imagery based treatments inc...
by reefflex
Mon Mar 18, 2013 6:21 pm
Forum: Professional/Employment Issues
Topic: Campaign for a Royal College of Psychologists
Replies: 60
Views: 35248

Re: Campaign for a Royal College of Psychologists

I'm sorry but this line about the BPS being unable to take any kind of principled stand because it is a charity is just rubbish. What are Amnesty International, Freedom from Torture and the World Wildlife fund all doing if not commenting on political issues? The simple fact is that the BPS chooses n...
by reefflex
Mon Feb 18, 2013 12:10 pm
Forum: Clinical Issues
Topic: "Just Right" OCD Formulation
Replies: 25
Views: 11372

Re: "Just Right" OCD Formulation

There is a some useful stuff on this in the oxford behavioural experiments book (bennet levy et al), specifically, experiment 5.12 - inappropriate critieria - waiting until it feel s right (p115) Also in the difficulties subsection - unclear feared consequences (p.117) Basically suggests doing exper...
by reefflex
Fri Feb 25, 2011 4:56 pm
Forum: Clinical Issues
Topic: Discrimination Training in PTSD
Replies: 7
Views: 4811

Re: Discrimination Training in PTSD

Discrimination training in PTSD was initally derived from behavioural models of PTSD, that describe the role of stimulus discrimination and generalisation in the failure of extinction of the fear response following trauma. A good summary of this is: Rothbaum (2003)Applying Learning Principles to the...
by reefflex
Thu Feb 03, 2011 12:31 pm
Forum: Clinical Issues
Topic: PTSD short video clip
Replies: 10
Views: 4715

In terms of fiction Batman Begins has some good examples of having "flashbacks" to his parents' murder. Also good military examples are Born on the Fourth of July, the Deer Hunter and Jacobs Ladder. In terms of documentaries there was a really good one on Channel 4 recently called Forgotte...
by reefflex
Thu Jan 27, 2011 6:04 pm
Forum: Clinical Issues
Topic: Behavioural activation - key text
Replies: 15
Views: 5601

I think it is important to distinguigh between "old school" behavioural activation, which basically involved filling the day with activities and rating pleasure and mastery for each one; and "new school" which does not aim to fill the day, but to make activities meaningful in ter...
by reefflex
Fri Dec 04, 2009 12:04 pm
Forum: Clinical Issues
Topic: PTSD
Replies: 3
Views: 1911

The IES (or rather the IES-R) is a good clinical measure but cannot be used to confirm a diagnosis as it does not corredspond to the DSM-IV criteria. The industry standard diagnostic questionnaire is probably the Posttraumatic Diagnostic Scale (PDS, Foa et al 1997) The best screening instrument is p...
by reefflex
Sat Oct 03, 2009 3:11 pm
Forum: Professional/Employment Issues
Topic: HPC not BPS?
Replies: 34
Views: 17120

and as I've argued before there are some very good reasons NOT to join the BPS, http://www.clinpsy.org.uk/forum/viewtopic.php?t=1511&highlight= ...including most recently that they appear to have convinced a lot of psychologists to join at no small expense, with the promise of being transferred ...
by reefflex
Wed Feb 20, 2008 12:11 pm
Forum: Professional/Employment Issues
Topic: Qualified but not Chartered? DCP advice re regulation
Replies: 16
Views: 12142

Hi Miriam,

Is the letter from the HPC that you linked to in the public domain, because I couldnt find a copy either on the BPS site or the HPC?

If it is, are you happy for it to be more widely distributed?