Good Enough Psychiatry:
What makes psychiatrists effective for people who experience psychosis?
2nd July 2013
The Human Rights Action Centre,
17-25 New Inn Yard, London EC2A 3EA
Programme
Chair: Dr Brian Martindale, Chair of ISPS, Psychiatrist and Psychoanalyst
9.00
COFFEE AND REGISTRATION
9.30
Introduction: What makes a good psychiatrist?
Dr Kevin Healy, Chair, Faculty of Medical Psychotherapy, Royal College of Psychiatrists
10.15 Lighthouses
Ms Elisabeth Svanholmer, trainer, relative/friend, former service user, The Hearing Voices Project,
Aarhus, Denmark
Walk a metre in my shoes?
Mrs Jen Kilyon, mother, campaigner, ISPS Trustee, and Soteria Trustee
11:00 COFFEE
11.15 Ways of talking about psychotic experience
Professor John Read. Chair of Clinical Psychology, and Programme Director for the Doctorate in
Clinical Psychology, University of Liverpool.
12.00 Cognitive therapy for psychosis or just clinical practice?
Professor David Kingdon, University of Southampton
12.45 LUNCH
1.30
Psychotherapeutic aspects of routine psychiatric encounters
Dr Rose McCabe, Senior Lecturer, Queen Mary University of London
2.15
Small group discussion
3.00
COFFEE
3.15
Continuity in Discontinuous Worlds
Dr Carine Minne, Consultant Psychiatrist in Forensic Psychotherapy at Broadmoor Hospital, West
London Mental Health NHS Trust and the Portman Clinic, Tavistock & Portman NHS Foundation
Trust.
4.00
Panel discussion
4.30
CONFERENCE ENDS
Good Enough Psychiatry:
What makes psychiatrists effective for people who experience psychosis?
Details of presentations
Introduction: What makes a good psychiatrist?
Dr Kevin Healy, Chair, Faculty of Medical Psychotherapy, Royal College of Psychiatrists
I suggest that a good psychiatrist relates well, contains anxiety, uses knowledge thoughtfully, leads
by example, conveys understanding and encourages development. I explore how these
characteristics arise from nature and nurture and link this exploration to RCPsych position
statements and to current knowledge from the neurosciences. I specifically explore what is known
as right brain to right brain communication in the developmental neurosciences and challenge other
speakers to do likewise in their contributions throughout the day.
Experiencing psychiatry: service user and family perspectives
Lighthouses
Ms Elisabeth Svanholmer, trainer, relative/friend, former service user, The Hearing Voices
Project, Aarhus, Denmark
During my years as a service user I met many whose intentions were to help me. But I only met a
few who actually managed to connect with me and make a difference. I would like to share stories
and reflections about my relationships with those wonderful people.
Walk a metre in my shoes?
Mrs Jen Kilyon, mother, campaigner, ISPS Trustee, and Soteria Trustee
I will talk about my experiences as a mother who has been stuck far too long in the mental health
system. Many of my encounters with psychiatrists have been difficult, but I will focus on interactions
that have been helpful.
Ways of talking about psychotic experience
Professor John Read. Chair of Clinical Psychology, and Programme Director for the
Doctorate in Clinical Psychology, University of Liverpool.
Assessment, diagnosis and formulation are in themselves interventions, which may or may not be
helpful therapeutically. Naming, categorizing and explaining people’s experience can have effects
on identity, self-stigmatization, and self-efficacy. Is it always necessary to offer diagnoses? What
impact do different explanatory models have? This presentation will discuss these issues and
consider the evidence for different approaches, and possibilities for working with an integrated, nonbiologically loaded, formulation based approach.
Cognitive therapy for psychosis or just clinical practice?
Professor David Kingdon, University of Southampton
Cognitive therapy for psychosis developed in clinical settings and has been evaluated as an
effective therapeutic intervention especially in people with persistent distress and disability. A
fundamental component of its application is the development of a good therapeutic relationship but
does CBT assist with this or add anything over and above ‘good clinical practice’?
Psychotherapeutic aspects of routine psychiatric encounters
Dr Rose McCabe, Senior Lecturer, Queen Mary University of London
Communication between psychiatrists and people with psychosis varies considerably in practice. I
will present findings from micro-analysis of video recorded outpatient psychiatrist-patient
encounters and examples of how psychotherapeutic aspects are integrated into these encounters.
Continuity in Discontinuous Worlds
Dr Carine Minne, Consultant Psychiatrist in Forensic Psychotherapy at Broadmoor Hospital,
West London Mental Health NHS Trust and the Portman Clinic, Tavistock & Portman NHS
Foundation Trust.
This talk will address the importance of providing long term continuity of treatment, and treaters, to
certain patients suffering from chronic, enduring mental disorders. This offers those patients the
chance to make mental structural changes, which otherwise remain unchanged with short term
treatments, meaning that relapses are more frequent and possibly more severe. I will illustrate what
I mean by presenting a case treated over many years, where I will describe the mental structural
changes made, using the OPD (Operationalised Psychodynamic Diagnostics) system.
Good enough psychiatry
What makes psychiatrists effective for people who experience psychosis
2nd July 2013, The Human Rights Action Centre, 17-25 New Inn Yard, London EC2A 3EA
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