1. Early Intervention for Psychosis Service Dr Beth Coleman, Clinical Psychologist Jane Hetherington, Psychotherapist Kent and Medway NHS and Social Care Partnership Trust

2. Contents 1. Why these professions? 2. Similarities and differences
3. Why Open Dialogue?
4. Research base

3. Matched the long list of characteristics I wanted from a job
1. Why these professions
Clinical psychology
Matched the long list of characteristics I wanted from a job
Voluntary work with young people but more was needed

4. Integrative Psychotherapy
1. Why these professions
Integrative Psychotherapy
Late onset psychotherapist
Seeing clients who needed more than a legal intervention
Do not believe “one size fits all”
Belief in self actualisation mine/others
Belief in the therapeutic alliance

5. Integrative Psychotherapy
2. Similarities and differences: Training
Clinical Psychology
Integrative Psychotherapy
Degree (any, often in social care),
Relevant experience
Life experience (older)
Integrative Psychotherapy MSc
Psychology BSc (Hons)
Relevant experience
Doctorate in Clinical Psychology (ClinPsychD)

6. Integrative Psychotherapy
2. Similarities and differences: Philosophical underpinning
Clinical Psychology
Integrative Psychotherapy
Four-year part-time
Integrative Psychotherapy is the considered and intentional use of a relationship, grounded in the therapeutic alliance, in the service of the goals of the client
Three-year full-time
Clinical Psychology doctorate integrates clinical, academic and research practice to achieve the highest quality of professional training

7. Integrative Psychotherapy
2. Similarities and differences: What we do
Clinical Psychology
Integrative Psychotherapy
Aim to reduce psychological distress and enhance and promote psychological well-being using the relational perspective in an integrated manner
Aim to reduce psychological distress and enhance and promote psychological well-being using different psychological models

8. Our personal journeys …
3. Why Open Dialogue?
Jane
Beth
Interested for 3 years/attended workshops
Natural follow on to the use of the therapeutic relationship
Emphasis on engagement
Non-hierarchical element of the model
Working in drug services -family is part of the solution
Behavioural Family Therapy in E.I.P
Work with families is essential for most of the clients I see
Most success when the family is involved
Do not believe problem is located in an individual
“It’s good to talk”
Based on psychological theory
Non-hierarchical
Our personal journeys …

9. 4. Research base: for psychological therapies
Current emphasis in the National Institute for Health and Clinical Excellence (NICE) guidelines for Randomised Controlled Trials (RCT’s)
RCT’s require manualized therapies to test a specific intervention
Qualitative and quantitative research is required to measure long term efficacy and POD will develop this base
Supervision model and support

10. 4. Research base: for open dialogue
“Research and development on dialogical practices have to be true to dialogical principles, not because of some drive for a harmony of elements but for the need to acknowledge the otherness of others. People are not alike, nor are contexts; one size does not fit all, and this is the fundamental fact to come to terms with. This otherness is not an obstacle, unless there is a drive towards unifying contexts. It is what makes dialogues- and thus also rich polyphonic understanding- necessary and possible……Doing realistic research, research that does not shape real life to fit research designs but shapes research designs to fit real life, is more challenging…..it is demanding pioneering work”
Seikkula and Arnkil 2014

11. Any questions?