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The Black Dog Institute’s hierarchical model and the MAP – a clinically useful model of depression and the online tool to support it.

The Black Dog Institute’s hierarchical model and the MAP – a clinically useful model of depression and the online tool to support it.

Over the last 20 years clinicians and researchers at Sydney’s Black Dog Institute, led by Professor Gordon Parker, have developed a model of depression that is more useful in guiding the management of patients with depressive illness than the traditional unitary model. The model is based on the premise that not all depression is the same. The hierarchical model suggests that we are not dealing with different intensities of the same illness but different subtypes of illness, each with different presentations based on personality style and with different levels of contribution from the many aetiological factors that drive depressive illness from the whole biopsychosocial spectrum.

The optimal treatment for each subtype is different. The model provides a rational framework for management decision making, whether the choices be pharmacological or otherwise, and is easy to apply even at a primary care level. The online Mood Assessment Program (MAP), launched in mid 2010 after extensive validation, provides easy access to a suite of instruments that gives practitioners a vast amount of information about their patient, including reliable guidance about the likely sub-type of depression and the appropriate management strategies

Speakers: Dr Jan Orman
Areas of Interest / Categories: WCP 2011

WCP 2011

The individual and the couple in the context of the perinatal experience. A dream or a nightmare?

"There is no such thing as marriage - merely two scapegoats sent out by their families to perpetuate themselves". Whittaker & Keith 1981. This presentation will explore the experience of Anxiety and Depression for both men and women, in the perinatal period. The perinatal period offers a unique opportunity to provide comprehensive care for parents diagnosed with perinatal Anxiety and/or Depression. There is significant evidence that the partner's risk for developing a related Anxiety or Depression, is increased from 4.8% to 36% at 6 weeks postnatally. 

Complex trauma: voices of healing

Within the context of the recent natural disasters occurring around the world, attention has been focussed on trauma's psychological consequences. The trauma spotlighted here is on that of childhood maltreatment and the effects on subsequent adult life. Described in this paper are experiences of recovery from patient perspectives, and an examination of how these are different from, and interact with, representations of therapy derived from published expert theoristpractitioner experience. It is based on a phenomenological study of reports from seven women with histories of chronic childhood maltreatment. These women have since been through significant recovery from dissociative symptoms, and it is this part of their journey that was the focus of this research. From the data, two models are proposed.

The universality of infant-parent psychotherapy - a South African model

The birth of the democratic South Africa opened up the possibility of meeting with fellow citizens who had previously been kept apart.  Since 1995 a model of  infant-parent psychotherapy has been developed resulting in a mental health service which has come to be valued within the community.

The Light In Darkness - Art-therapy, a powerful tool in Palliative Care!

Over the years, we as health care providers have proven that a good perinatal preparation, a good birthing process and a good postnatal care ensures the physical and mental well being of the newborn and his mother. A similar opportunity for quality outcome should be afforded at life`s final phase - preparation and a good 'gateway' for the dying person, as well as a good follow - up period of those left behind. A good death needs guidance to settle outstanding issues, to articulate values, beliefs and doubts and to live the remaining period of life in the fullest and most meaningful way. Early contact is pivotal to learn about our client and his life history. This time is needed to build our client`s trust, to endorse our commitment, and to collect the tools needed to guide him through the gateway and when taking his last breath. It is equally important to meet the immediate needs of his family and to develop the crucial trusting partnership that will ensure a good dying process for their loved one in setting of his choice, and a better acceptance of their loss. It is realistic to assume that people in the future will invest in their final time. 

Lateral violence and Indigenous peoples.

Lateral violence occurs when the violence associated with oppression is internalised by those who are oppressed, and redirected between the members of the oppressed group. Among Aboriginal and Torres

Clinical dream incubation and body

For 1000 years during the beginning of Western medicine (500 B.C. - 500 A.D.,) of the hundreds of medical treatments offered at the time, only dream-based medicine was ubiquitously practiced throughout

Effects of childhood sexual abuse on marital functioning: implications for couples therapy

The goal of this workshop is to sensitize marital and family therapists to the unique issues involved in treating couples with history of childhood sexual trauma in one or both partners, and to prepare them to successfully meet the challenges inherent in working with this population. Individual therapists working with adults abused as children can also benefit from the workshop. First, is reviewed existing literature and research on gender-specific impact of childhood sexual trauma on adult functioning in the area of sexuality and intimate relationships. Second, a familiarization with existing models of treating couples with history of childhood sexual trauma such as psychoeducation, sex therapy, Susan Johnson's Emotionally Focused Therapy, and integrative model of Basham and Miehls. Third, a focus on practical implications: challenges for the therapists and common pitfalls and risk factors in working with such couples, including issues of vicarious traumatization, countertransference, complex dynamics of projective identification, and role of cultural factors.