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Integrating Compassion Focused Therapy into Clinical Practice

Paul Gilbert

1 Nov 2024

Introduction

On November 1st, 2024, Prof. Paul Gilbert will deliver a half-day workshop on integrating compassion focused therapy into clinical practice.

Content

The concept, benefits and recommendations for the cultivation of compassion have been recognized in the contemplative traditions for thousands of years. In the last 30 years or so, the study of compassion has revealed it to have major physiological and psychological effects influencing well-being, addressing mental health difficulties, and promoting prosocial behavior (Gilbert, 2020). It is an integrative, multidisciplinary, process-based therapy that utilizes insights and wisdoms from many of the main schools of psychotherapy with a recent meta-analysis demonstrating that it is effective at improving clinical symptoms and compassion-based outcomes (Millard, Wan, Smith & Wittkowski, 2023).  CFT was developed with and for people with mental health difficulties, particularly those who had not responded to other therapies, who had problems with self-criticism, shame, and trauma, often came from difficult backgrounds and were fearful and/or distrustful of compassion from others and/or for self. While many CBT therapies focus on helping people deal with threats fairly directly and often helpfully, this is mostly by working with the threat system itself either through exposure or cognitive change. CFT, however, seeks to work with basic motivational systems and, in particular, how to create inner capacities for feeling supported, and hence able to activate “safeness processing” and to develop mutually supportive, prosocial, and caring relationships, and to live ethically.

This half-day workshop will begin with an exploration of the evolution of care and the specific functions of care on psychosocial development (which is to provide a secure base and safe haven which in turn sets up an internal regulation of threat by the cultivation of a safeness system or process). It will focus predominantly on how these insights can be used to guide and support psychotherapy and be integrated into practice for clinicians who predominantly work within a cognitive-behavioural framework. The workshop will outline the various interventions and processes of training for developing compassionate mind states and competencies (Gilbert and Simos, 2020). It will provide an overview of the range of practices and interventions such as breathing practices that stimulate the vagus, a range of different visualizations and meditations, exploration of compassionate reasoning, and compassionate behaviour, some of which are guided by understanding the physiological underpinnings of caring compassion. Particularly, important is for clients to begin to understand how to create an inner sense of a secure base and safe haven that counteracts (among other things) shame and self-criticism which they can turn into when distressed and also utilize as a source of encouragement and guidance. These are related to the compassionate self, mind and the compassionate image.

Learning Objectives

Attendees will:

Learn the basic conceptual framework of CFT in terms of basic motives, emotional regulation systems cognitive competencies and behaviours
Gain insight into the nature of compassion focus therapy and its relationship to CBT
Be able to apply CFT principles to mental health difficulties
Be exposed to practises for the development of a compassionate mind and self-identity
Understand the distinction between compassion focused therapy and compassionate mind training
Learn basic compassionate mind training exercises

Training Modalities

PowerPoint presentations
Video presentations
Case discussions
Personal practises

Key References

Gilbert, P & Simos, G. (2022 eds). Compassion Focused Therapy: Clinical practice and applications (chap 6). London. Routledge. (includes chapters on specific difficulties and a systematic review of evidence)

Gilbert, P. (2019). Psychotherapy for the 21st century: An integrative, evolutionary, contextual, biopsychosocial approach. Psychology and Psychotherapy: Theory, Research and Practice. 92, 164-189. DOI: 10.1111/papt.12226

Gilbert, P. (2020). Compassion: From its evolution to a psychotherapy. Frontiers in psychology 11, doi:10.3389/fpsyg.2020.58616 (open access)

Millard, L. A., Wan, M. W., Smith, D. M., & Wittkowski, A. (2023). The effectiveness of compassion focused therapy with clinical populations: A systematic review and meta-analysis. Journal of Affective Disorders. https://www.sciencedirect.com/science/article/pii/S0165032723000228

About the presenter

Paul Gilbert, FBPsS, PhD, OBE is Professor of Clinical Psychology at the University of Derby and honorary visiting Prof at the University of Queensland. He was Consultant Clinical Psychologist for over 40 years the UK National Health Service. He has researched evolutionary approaches to psychopathology with a special focus on mood, shame and self-criticism in various mental health difficulties for which Compassion Focused Therapy was developed, with increasing evidence of effectiveness. He was made a Fellow of the British Psychological Society in 1993, president of the BABCP 2002-2004, and was a member of the first British Governments’ NICE guidelines for depression. He has written/edited 24 books and over 300 papers and book chapters. In 2006 he established the Compassionate Mind Foundation as an international charity with the mission statement To promote wellbeing through the scientific understanding and application of compassion. In 2011 he was awarded an OBE by the Queen in recognition of his services to mental health.

Who should attend

This workshop is suitable for all mental health professionals with an interest in compassion-focused therapy. 

Low Intensity clinical contact hours survey - BABCP Low Intensity Special Interest Group

Please click below if you are interested in contributing to the survey.

 

The BACP Low Intensity SIG are interested in the impact of clinical contact hours on Low Intensity/Wellbeing Practitioner wellbeing. This questionnaire contains six multi-choice questions and a free text box for you to share your experiences. The answers to these questions will help the BABCP SIG plan how to meet CPD topics and other developments within the SIG.  The SIG hope to produce a write up of the answers to this questionnaire to be shared with SIG members and to be used in training.

View Survey

This FREE conference is for Psychological Wellbeing Practitioners working in Talking Therapies for Anxiety and Depression services and is brought to you by Bespoke Mental Health in collaboration with the NHS National PWP Leads Network.

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