Resolving ruptures in the therapeutic relationship: interactive webinar.

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Understanding and resolving ruptures in the therapeutic relationship: a practical skills interactive webinar.

~ Workshop presented by Dr Robert Watson, Clinical Psychologist, Accredited Cognitive Analytic Therapist & Supervisor, and Vice-Chair of the Association for Cognitive Analytic Therapy.

~ Relevant for any clinician who provides interventions in the context of an ongoing therapeutic relationship i.e. Psychologists, Psychotherapists, Counsellors, Psychiatrists, and Keyworkers.

~ Cost: £70.

~ This is a Zoom online fully interactive training session and you will able to work in pairs in breakout rooms during the day. (See "How will the webinar work" in FAQs below).

This is the fifth run of this workshop following its successful first run for the West London Mental Health Trust Personality Disorder Service on 30th April 2018. All previous participants rated the workshop as excellent or good.

Sample quantitative feedback from September 2018 run:

Of the eleven participants:

6 rated the workshop as excellent, 5 as good.

9 would definitely recommend the workshop to a colleague, 2 perhaps.

10 rated the workshop as extremely relevant to their CAT work

And if you are not a CAT therapist:

9 rated the workshop as extremely relevant to their non-CAT work, 2 of some relevance.

Some examples of what participants have liked so far:

“Discussion about metacommunication and Robert’s willingness to share examples.”

“Brave to offer transcripts. A really helpful day”.

"Very clear guidance of how to notice, understand, and address ruptures. I have had previous lectures on this, but this was the most helpful in practical terms."

"Having more awareness of dynamics and the confidence to speak to clients about it"

"The clinical examples of how to tackle ruptures. Knowing that there is no set way to fix ruptures - it depends on the situation and your own judgement."

This workshop is relevant to the following groups:

This workshop is aimed at CAT therapists and trainees, as well as clinical/counselling psychologists, psychotherapists and counsellors who wish to develop their skills in this area of work and/or deepen their relational skills when using other modalities such as CBT. No prior knowledge of CAT is needed. The workshop was also well received by Psychiatrists and Keyworkers, and indeed would be useful to anyone involved in delivering healthcare on an ongoing basis.

Overview / aims:

Decades of psychotherapy research demonstrates that the therapeutic relationship is fundamental to good outcomes in any therapy. Yet problems and ruptures to the therapeutic relationship are common and stressful, and they can present challenges to therapists across all levels of experience. Understanding and formulating problems in the relationship and making them the focus of collaborative dialogue are all essential components of successfully addressing them.

Is there consensus based on research regarding what are helpful and unhelpful therapist responses to ruptures or strains in the therapeutic relationship? Yes, there is, and interestingly, research suggests that experienced therapists tend to make more unhelpful responses even after intensive training on the subject. Making theory practice links throughout, this workshop will draw on the application of Cognitive Analytic Therapy (CAT) tools and skills to focus on what helps and what does not in this workshop designed to help therapists work better when the therapeutic relationship gets stuck. While drawing ideas from CAT, this workshop will be accessible to therapists working across different modalities, including CBT therapists.

Learning objectives:

1. Provide a relational formulation of the therapeutic alliance with an emphasis on interventions as relational acts i.e. the principle that the same intervention can be experienced differently depending on client’s characteristic ways of relating to themselves and others meaning for example, that a thought diary could be experienced as self-affirming by one client or controlling by another.

2. To give you a hopefully straightforward CAT framework for understanding and describing ruptures relationally and how to use these to aid your work.

3. To describe strategies for resolving problems in the alliance and outline a transtheoretical model of rupture resolution that focuses directly on repairing the relationship.

4. Provide participants with practical skills in how to use CAT formulations as a resource for the purposes of therapeutic metacommunication i.e. creating a dialogue that fosters awareness and understanding of the relational patterns between you and your client, so they can be explored and resolved collaboratively.

5. To help you reflect upon the role of vulnerability (both your clients and your own) in rupture events and their resolution.

The workshop will provide expert teaching, and experiential exercises, allowing delegates to practice skills. Transcripts of rupture events and their resolution from Robert’s clinical work provide real life examples of the theory practice links discussed.

Robert Watson is a Clinical Psychologist with 17 years’ experience and has extensive experience in public and private settings working with clients with complex psychological presentations. He is an accredited CAT therapist and supervisor and is the vice-chair of the Association for Cognitive Analytic Therapy.


Where can I contact the organizer with any questions?

By phone, Dr Robert Watson 07941027765

By email,

How will the webinar work?

This online training session will use Zoom, reliable and good quality software, for holding online meetings and webinars. You will be able to see and interact with your fellow participants throughout the day, and be paired off in breakout rooms to work on tasks. You will be sent a meeting link by email and simply click on the link to reach the webinar. No prior download of software required. It is recommended that you disconnect where possible all your other devices from your Wifi network during the event, as this can sometimes affect the quality of your connection.

What is the refund policy?

Cancellation by delegates:

Cancellations must be made by phone to Dr Robert Watson on 07941027765.

Cancellations made upto 7 days before will receive a full refund. Cancellations after this date will not be entitled to a refund.

Please ensure you have adequate broadband connection as Become Psychology cannot be held responsible or issue refunds for any difficulties with the internet connection.

No refund will be made for non-attendance on the course.

Name changes for attendees will be accepted if sufficient prior notice is given. Please inform Become Psychology 5 working days prior to the event by phone or email.

Cancellation by Become Psychology:

Become Psychology will deliver events as advertised but there may be occasions where, in exceptional circumstances, we have to cancel an event. In the case of event cancellation delegates will either be offered an alternative date, or a full refund. Become Psychology cannot refund any advance, non-refundable travel or accommodation bookings. Please consider this when making arrangements to attend. Please note also that Become Psychology will not compensate for time spent travelling or away from the place of work.

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Refunds up to 7 days before event

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