Isabel Clarke – papers in psychology

Cognitive Behaviour Therapy for Inpatient Units Symposiums at WABCP and BABCP conferences The Construction of the Self Anger and Stress Management Recovery

See also Psychosis and spirituality Home page Email

Interacting Cognitive Subsystems underpinning 3rd Wave CBT.

The publications and therapeutic approaches that follow employ ICS as a way of approaching CBT across diagnoses – because:  ICS provides a cognitive science based rationale for:

• The disjunction between thought and emotion
• The centrality of arousal in understanding mental health difficulties
• Attachment and relationship as central to the self, and central to the therapeutic process
• The role of mindfulness in providing a way into the process between thought and emotion and behaviour
• Deconstructing diagnosis (see recent book chapter on coping mechanisms)

Recent Presentations

ISPS Conference 9th and 10th March 2010. Hayes Conference Centre, Near Derby.

Power point presentations for the following Symposium held on 9th March:

How do we deliver & measure the impact of Recovery based services?

Working with the individual — today

Working with staff & teams — tomorrow

Other presentations

On May 8th 2009 Donna Rutherford and myself presented on the 'What is Real and What is Not' programme at the meeting of the BPS Assertive Outreach Network. See Powerpoint File

On June 3rd 2009 I presented on 'Negative Symptoms: a critical look and a motivational approach' at the meeting of the BPS Rehabilitiation and Recovery Network. See Powerpoint File

Both were meetings of networks of the BPS Faculty of Psychosis and Complex Mental Health.

Past Workshops

36th BABCP Annual Conference, University of Edinburgh 16th-19th July 2008: Pre-Conference Workshop (16th July).

CBT for inpatient and crisis settings; a newly developed CBT approach to enable the individual to make sense of crisis, and enhance the milieu.
Isabel Clarke and Dr. Hannah Wilson.

ICS Symposium 2008

Bridging the gap between Cognitive theory and therapy: using ICS to inform CBT

Using ICS to Inform Clinical Work with Complex Cases. Professor Peter Kinderman
Visceral Impact Formulation; engaging heart as well as head using ICS. Isabel Clarke
Interacting Cognitive Subsystems and Anxiety. Dr.Nick White
Using ICS to Inform Formulation with Complex Cases. Dr. Michael Townend

 

Cognitive Behaviour Therapy for Inpatient Units.

Since June 2004, I have been employed as a consultant clinical psychologist and lead for psychological therapies at Woodhaven Acute Inpatient Unit (Adult Mental Health).  This is an innovative, new build hospital that serves the New Forest and West Southampton.  With my colleague, Dr. Hannah Wilson (clinical psychologist), we have been developing and evaluating an approach to delivering therapy within the inpatient environment, that fits within the "third wave" CBT paradigm.

Publications:

• A pilot evaluation of this project is described in
  Durrant, C., Clarke, I., Tolland, A. & Wilson, H.  (2007)  Designing a CBT Service for an Acute In-patient Setting: A pilot evaluation study , Clinical Psychology and Psychotherapy 14, 117-125.
  
•  Recent publication:
  
  Clarke, I. & Wilson, H.Eds.Cognitive Behaviour Therapy for Acute Psychiatric Inpatient Units; working with clients, staff and the milieu. London: Routledge.
  Sample chapters from this book, describing the problems and the approach 

  • CONTENTS
  • Chapter 1 - Introduction
  • Chapter 6 - Individual CB

Manuals:

Manuals for 2 groups designed to be delivered in an Acute Inpatient Setting.

• The What is Real and What is Not Group.
  This is a 4 session psychosis group that normalizes openness to unusual/anomalous experiences and so combats the stigma of diagnosis.
• The Making Friends with Yourself Group.
  This is a 3 session group that takes a compassionate mind approach to raising self esteem.

Anxiety and stress Management. Guide; Facilitator's Guide

Presentations:

• Powerpoint version of a poster presentation describing the Woodhaven Psychological Therapies Service approach to CBT for inpatient units.  Poster presented at a number of venues, including BABCP conference in Warwick, 2006, and the Division of Clinical Psychology of the BPS December conference, 2006.
• Day workshop
  "A Third Wave approach to working with staff and individuals in the Inpatient Setting"
  (delivered at the MSc for PSI course, University of Sunderland 2006 and 2008, and Southampton University Doctoral Course in Clinical Psychology: 2008.)

Symposiums for WABCP and BABCP conferences: Barcelona and Brighton 2007

I convened a Symposium on " CBT for Acute Inpatient Units' at both of these conferences, in order to bring together people concerned with this type of service, and to demonstrate the good practice that is out there.
Some of the presentations given follow:

Designing a CBT Service for an Acute In-patient Setting:
A pilot evaluation study.
Caroline Durrant, Isabel Clarke, Abigail Tolland and Dr. Hannah Wilson.

Creating a Therapeutic Milieu in an Acute Psychiatric Inpatient Setting
Drs. Vivia Cowdrill and Laura Dannahy.
Department of Psychiatry. Royal South Hants Hospital. Southampton

Mindfulness in acute inpatient settings
Dr. Susan Gledhill.
Gershwin Unit, Epsom Hospital.

Training Ward Staff in Psychological Approaches to Challenging Behaviours
Dr. Hannah Wilson
AMH Woodhaven. Calmore. Totton. Hampshire.

The Construction of the Self

• Cognitive Therapy and Serious Mental Illness. An interacting Cognitive Subsystems Approach. Clinical Psychology and Psychotherapy, 6, 375 - 383.  1999
• Integrating approaches to complex cases using Interacting Cognitive Subsystems. Presentation of workshop illustrating the power of ICS to explain complex trauma (personality disorder) and introduce a therapeutic approach to working with this.

Anger and Stress Management

From 1993 - 2004, I organised a anger management service in Southampton.  This was evaluated through a RCT, and two papers relating to this are forthcoming and submitted.

• Naeem, F., Clarke, I. & Kingdon, D. A randomized controlled trial to assess an anger management group program. The cognitive Behaviour Therapist, 2009, 2, 20–31 (Copyright © 2009 British Association for Behavioural and Cognitive Psychotherapies).  
• Bradbury, K.E., & Clarke, I.  Cognitive Behavioural Therapy for Anger Management: Effectiveness in Adult Mental Health Services.  Behavioural and Cognitive Psychotherapy. Forthcoming
• Anger management programme Manual
• Anxiety and stress Management. Guide; Facilitator's Guide

Recovery

• Introductory Presentation on the Recovery Approach
• Core Philosophy underlying Recovery, CBT and DBT. Presentation

ICS and Psychosis

Top