Psychological Interventions Clinic for oUtpatients with
Psychosis (PICuP) - Spring 2014 Workshop:
CBT for Post-Traumatic Stress Reactions in Psychosis
By Dr. Amy Hardy & Dr. Elaine Hunter
Where: Ortus Learning Centre, Maudsley Hospital Campus, Denmark Hill, SE5
8AZ
When: Friday 7th March 2014, 9.30am - 5.00pm
Background:
A growing body of evidence highlights the prevalence and potential causal role of
childhood and/or adult trauma in psychosis (Varese et al. 2012). Further, higher rates
of post-traumatic-stress disorder (PTSD) symptoms are identified in people with
psychosis and are associated with worse clinical and functional outcomes (Subica,
2013). Cognitive behavioural models have highlighted the impact of trauma on affect
regulation, intrusive memories and beliefs about the self and others, which in turn
may lead to the development of post-traumatic stress reactions in psychosis (Gumley
et al, 2010; Morrison et al. 2003; Mueser et al. 2002; Read et al. 2001; Steel et al.
2005). Emerging evidence from research trials using trauma-focused CBT to treat
trauma symptoms in clients with psychosis is promising (Frueh et al. 2009: Mueser et
al. 2008, van den Berg and van der Gaag, 2012).
This workshop is aimed at practitioners with experience of working with psychosis,
who want to develop their confidence in formulating and intervening with posttraumatic stress reactions in this client group. The workshop will provide an update on
the evidence base for the impact of trauma on psychosis, and will help the clinician
understand and formulate cases using a trauma-focused CBT approach. A protocol
for working with post-traumatic stress reactions in psychosis will be discussed, and
possible interventions outlined and practiced during the workshop.
Key learning objectives:
The key learning objectives are to:
1. Update knowledge on the evidence base for the impact of trauma on psychosis
2. Practice using a formulation template for working with post-traumatic stress
reactions in psychosis
3. Outline an overall protocol to guide working with this client group
4. Practice a range of techniques for working with post-traumatic stress reactions
in psychosis
Training modalities:
The workshop will consist of didactic teaching, case discussion, role-play, and small
group exercises.
Key references:
Morrison AP, Frame L & Larkin W (2003) Relationships between trauma and
psychosis: a review and integration. Br J Clin Psychol 42:331–352
Mueser KT, Rosenberg SD, Xie H, Jankowski MK, Bolton EE, Lu W, Hamblen JL,
Rosenberg HJ, Mchugo GJ & Wolfe R (2008) A randomized controlled trial of
cognitive-behavioral treatment for posttraumatic stress disorder in severe mental
illness. J Consult Clin Psychol 76(2):259–271
Varese F, Smeets F, Drukker M, Lieverse R, Lataster T, Viechtbauer W, Read J, van
Os J & Bentall R (2012) Childhood adversities increase the risk of psychosis: A metaanalysis of patient-control, prospective- and cross-sectional cohort studies. Schizophr
Bull 38: 661-671.
Downloads
[include booking form here]
If you do not have Internet access and/or require a hard copy of the abstracts or
registration form please call Dorothy Abrahams on 020 3228 3524 or e-mail
picup@slam.nhs.uk
Speakers
Dr Elaine Hunter is a Principal Clinical Psychologist and the training Lead for the
Psychological Interventions Clinic for oUtpatients with Psychosis (PICuP), South
London and Maudsley NHS Foundation Trust. She is the Joint Programme Leader for
the Postgraduate Diploma in CBT for Psychosis course at the Institute of Psychiatry,
and Clinical Lead at the Depersonalisation Disorder Clinic at the Maudsley Hospital.
Her PhD. research in 1999 looked at the impact of early childhood trauma on memory
and she has continued to conduct research and clinical work into trauma, dissociation
and psychosis since this date.
Dr Amy Hardy is a Research Clinical Psychologist for the Psychosis Research
Partnership at the Department of Psychology, Institute of Psychiatry and works as a
trauma psychosis specialist in the Lambeth Promoting Recovery pathway, South
London and Maudsley NHS Foundation Trust. Her PhD research examined the
relationship between trauma and hallucinatory experience in psychosis, and she is
currently involved in projects investigating the psychological processes that play a
role in maintaining PTSD in psychosis. She was a trial therapist for a RCT of CBT
for post-traumatic stress reactions in psychosis (Steel et al., in prep), and is interested
in the development of psychological therapies for this client group.
Additional information
Cost of workshop is £175
Contact information
Dorothy Abrahams,
PICuP Administrator
PICuP, PO79, Maudsley Psychology Centre,
Denmark Hill, London SE5 8AZ
e-mail: picup@slam.nhs.uk
 Fax: 020 3228 5278
 Phone: 020 3228 3524