NZ College of Clinical Psychologists Canterbury Branch presents:
Radically Open Dialectical Behaviour Therapy
Dr Sophie Rushbrook, UK
Date/Time: Friday 27th September, 9am – 4.30pm
Radically Open Dialectical Behavior Therapy (RO DBT) is a new evidence based treatment targeting a spectrum of disorders characterized by excessive self control, often referred to as overcontrol (OC). It is supported by 20 years of clinical experience and translational research that parallels established guidelines for treatment development.
Self-control, the ability to inhibit competing urges, impulses, or behaviors is highly valued by most societies. However, excessive self-control has been linked to social isolation, aloof interpersonal functioning, maladaptive perfectionism, constricted emotional expressions, and difficult-to-treat mental health problems, such as anorexia nervosa, obsessive compulsive personality disorder and refractory depression.
The aim of this workshop is to introduce clinicians to the theoretical foundations and new skills underlying Radically Open-Dialectical Behavior Therapy (RO DBT) for disorders of overcontrol. RO DBT is fully manualized and supported by three randomized controlled trials (RCTs) for refractory depression, two open-trials targeting adult Anorexia Nervosa, and one non-randomized trial targeting treatment resistant overcontrolled adults.
While resting on many of the core principles of standard DBT, the therapeutic strategies in RO-DBT are often substantially different. For example, RO-DBT contends that emotional loneliness represents the core problem for overcontrol, not emotion dysregulation. The biosocial theory for overcontrol posits that heightened threat sensitivity and diminished reward sensitivity transact with early family experiences emphasizing “mistakes as intolerable” and “self-control as imperative” to result in an overcontrolled coping style that limits opportunities to learn new skills and exploit positive social reinforcers. A novel thesis linking the communicative functions of emotional expression to the formation of close social bonds will be introduced, as well as new skills emphasizing receptivity, self-enquiry and flexible responding. New approaches designed to activate a neurobiological-based social-safety system, signal cooperation, and encourage genuine self-disclosure will be introduced using slides, handouts, video clips, and role plays.
Upon completion of this one-day training, participants will be able to:
- Explain a new biosocial theory for OC
- Describe the RO-DBT treatment structure
- Describe new RO-DBT treatment strategies designed to enhance willingness for self-inquiry and flexible responding.
- Describe the RO-DBT treatment hierarchy
- Describe a novel treatment mechanism positing open expression = trust = social connectedness
- List examples of strategies designed to improve pro-social cooperative signaling via activation of the parasympathetic nervous system’s social-safety system
Dr Sophie Rushbrook is a UK based Consultant Clinical Psychologist who is the Head of the Intensive Psychological Therapy Service in Dorset. This is a tertiary service for adults with severe and complex difficulties in the community. The majority of patients have histories of chronic trauma, abuse and/or neglect and reach diagnosis for an average of 3 Personality Disorders. This service has been nominated for Beacon status in the UK, and it is one of the leading centres for PD in the country. She is trained to adherence in standard Dialectical Behaviour Therapy, Radically Open Dialectical Behaviour Therapy and Cognitive Analytic Therapy. She is also trained in Acceptance and Commitment Therapy, Compassion Focussed Therapy, Eye Movement Desensitisation Reprocessing and Prolonged Exposure -DBT. She is an accredited practitioner with the Association of Cognitive Analytic therapy and registered with the Health Professions Council.
In nearly twenty years working of mental health clinical work Sophie has seen clients with a broad spectrum of difficulties specialising in working with those who have complex and hard to treat problems. She has supervised and managed a range of mental health practitioners, has been involved in clinical research and has presented her work in the UK, Europe and the U.S.A.
YOU MUST REGISTER in order to attend: $300 for NZCCP members, $350 for non-members, $100 for NZCCP student members, $150 for non-member students (with ID). (Morning and afternoon tea and lunch are included)