Although the Conversational Model began as an approach to seeing difficult patients, often on the wards as well as outpatients and of varying length, it became more associated in Australia with intensive long term therapy for complex trauma. This talk will instead outline some of the various shorter term applications of the CM including: 1) ultra- brief work in the ED, clinic, wards or general practice; 2) Formal Psychodynamic Interpersonal Therapy (PIT) of 4-8 sessions and its evidence base; 3) the CM as a model of trauma-informed care for individual clinicians and team, including acute care teams and their supervision.
A later talk will focus on the STDIP. This talk will outline the common framework of fostering the bond with the patient, developing a shared understanding of the problem (the formulation) to inform an agreement on treatment and the way real experience and feeling language are used to help the healing process.
By the end of this lecture the student will be able to:
1) Describe several shorter term applications of the Conversational Model
2) Outline the evidence base for Psychodynamic Interpersonal Therapy (PIT)
3) Take a framework of the process common to shorter term work in the CM to
their clinical encounters: fostering the bond; developing a share
understanding (formulation) and using feeling and feeling language in the
In 2015, a senior British judge, Sir James Munby, stated that nontherapeutic childhood male circumcision must be a “significant harm”. His reasoning was that the law currently treats all forms of nontherapeutic cutting or alteration of female genitalia as significantly harmful, including forms that are less invasive than male circumcision (such as “pricking” of the clitoral hood). In his words, “to dispute that the more invasive procedure [i.e., male circumcision] involves the significant harm involved in the less invasive [female] procedures would seem almost irrational”. Against this view, one could note that most men who were circumcised in infancy do not appear to regard themselves as “significantly harmed” by the procedure, seeing it instead as “normal” in their culture or community.
Introduction and objective: Women with disorder of sexual desire persistently manifest clinically significant discomfort with distress because of decreased sexual interest / arousal or due to significant interference with quality of life, well-being and their interpersonal relationships (1). Prevalence studies on sexual dysfunction in the general female population suggest that it affects 10% to 52% of women (2), and low sexual desire seems to be the most common sexual dysfunction, with a prevalence ranging from 8% to 30% (3,4). Its etiology is complex and may include biological, psychological and sociocultural factors. For this reason, when addressing this dysfunction, it is an important objective to know and consider the different factors that can affect it to make a correct diagnosis.
For many years, women with sexual pain were told that it is “in their heads” and were sent off for counselling sessions. These sessions were probably beneficial on many levels, but it seldom cured the pain. Scientific research and clinical practice have since taught us that there are, in most cases, very specific medical conditions causing the pain these women are experiencing. All over the world, more and more clinicians are taking the hands of their multidisciplinary team members and are starting to treat these women holistically and effectively.
Next year the World Health Organisation intends to approve the ICD-11 diagnostic manual; the first ICD revision in over a quarter century. Some of the changes proposed in areas of sexual disorder and sexual health are highly controversial. In this presentation I examine some of the proposals, drawing on my experience as a member of the WHO Working Group from which most of the proposals have come. Focussing on proposed revisions to the following ICD-10 diagnostic blocks; ’psychological and behavioural disorders associated with sexual development and orientation’ (proposal to remove the block entirely); ’disorders of sexual preference’ (proposals for significant revisions), and ’gender identity disorders’ (proposals for renaming and relocation). I adopt a critical perspective, and will share previously unavailable information with the audience.
The harm and damage of male circumcision has for generations been ignored and only now is being openly discussed. Evidence exists to provide conclusive proof that the practice can have a lifelong negative impact for a significant number of men. Because of the lack of empathy, people have been reluctant to seek professional help and support.
Young people ought to be at the centre of discussions about pornography and its meanings and place in teenagers’ lives but how they are placed in these must be properly considered. In this presentation I will consider how young people’s engagements with pornography have been researched, and the key problems with much of this research.