Exeter conference day 2: mindfulness & health anxiety, body dysmorphic disorder, therapeutic alliance, and politics
Last updated on 30th May 2025
So we're past yesterday's workshops and into the first day of the conference proper. Two and a half days now involving about 51 symposia, 5 panel debates, 8 open paper sessions, 2 poster sessions, and 17 keynote addresses. I really like this Exeter campus with it's trees and little paths. Easy to get lost, but lovely. I also really like the many casual conversations - in coffee queues, at breakfast, with whoever's sitting beside you in a lecture. Lots of interactions. The conference attenders are almost universally friendly and easy to strike up chats with. We all have the shared interest of psychotherapy, so it's very straightforward to hit the ground running when talking to complete strangers. At the same time, I sometimes find these conferences quite lonely - great for social integration, not so great for social intima
Exeter. I really like the way that the British Association for Behavioural and Cognitive Psychotherapies (BABCP) conferences rotate around a whole series of UK university towns. This is the 37th BABCP Annual Conference, and I guess I've been to a dozen or more of them over the years. They tend to follow a similar pattern - beginning with a choice of optional one day workshops, followed by two and a half days or so of conference proper. There are about 20 one day workshops to choose from this year, and I've plumped for Ed Watkins's "CBT to treat anxious and depressive rumination" (click on the workshop title for a fuller description).
I'm a bit slow on reporting this, but at the end of May the UK's National Institute for Health and Clinical Excellence (NICE) published a guideline on "Early management of persistent non-specific low back pain". I've blogged before about NICE. They publish very widely with, for example, 82 guidelines on musculoskeletal disorders generally. They have also recently launched NHS evidence which aims " ... to provide easy access to a comprehensive evidence base for everyone in health and social care who takes decisions about treatments or the use of resources - including clinicians, public health professionals, commissioners and service managers - thus improving health and patient care. It will build on NICE's significant international reputation for developing high quality evidence-based guidance.
I read a lot of research. When I find an article of particular interest I download it to my bibliographic database - EndNote - which currently contains over 13,000 abstracts.
Every few weeks I scan through all the articles I've found interesting in the previous month (in the general areas of stress, health & wellbeing) and then filter them into three narrower, more specific mailings. One is to the British Association for Behavioural & Cognitive Psychotherapies (BABCP) communal email list. This set of abstracts focuses particularly on cognitive therapy in its many applications (anxiety, depression, psychotic disorders, etc). Click on BABCP mailing to see the 26 papers (mostly from June journals) that I recently sent out.
I do think that Matt Hertenstein and colleagues came up with an eye catching title here:
Hertenstein, M., C. Hansel, et al. (2009). "Smile intensity in photographs predicts divorce later in life." Motivation and Emotion 33(2): 99-105. [Abstract/Full Text] [Free Full Text]
The June edition of the journal "Clinical psychology: science and practice" focused on bipolar disorder. This is very valuable and the fact that all the articles are freely viewable in full text makes the publication even more helpful. As Youngstrom & Kendall write in their introductory article (see below) "Knowledge about bipolar disorder is rapidly advancing. One consequence is that current evidence about the diagnostic definitions, prevalence, phenomenology, associated features and underlying processes, risk factors and predictors, and assessment or treatment strategies for bipolar disorder is often markedly different than the conventional wisdom reflected even in recent textbooks and clinical training." Karam & Fayyad (see below for all articles mentioned, with abstracts and links) discuss diagnosis and the boundaries of the bipolar spectrum. Merikangas & Pato review recent research on bipolar epidemiology and write "During the past decade, there has been increasing recognition of the dramatic personal and societal impact of bipolar disorder I and II (DSM-IV).
This is the third of three posts giving handouts & questionnaires on compassion & criticism. There are a dozen MP3 recordings listed below. It would be possible to use these tracks as a "compassionate mind training" sequence, although I've listed them more to illustrate the kind of approach that it's probably sensible to use. The twelve recordings make up a four exercise training. Each exercise includes a brief (1 to 3 minute) introductory track and then a medium length (15 to 18 minute) and longer (24 to 28 minute) meditation. If you want to follow this sequence, please read the Suggestions for goodwill practice handout (below) first.
Here are six recently published research papers. Barnhofer and colleagues report on encouraging results using mindfulness-based cognitive therapy (MBCT) for sufferers from chronic-recurrent depression while they are still depressed. The three major studies published already have used MBCT for recurrent depression while the sufferers are reasonably well. The next step will clearly be a fuller randomized controlled trial. Heeren and colleagues report on the how MBCT acts to reduce overgeneral autobiographical memoriy in formerly depressed patients.
Archer and colleagues describe the successful development and assessment of a group-based cognitive behavioural intervention for sleep problems. Participants' satisfaction ratings with the training were very high and there were very encouraging reductions in their sleep problems and depressive symptoms. Morin and coworkers also report on CBT for sleep problems, this time singly or combined with sleep medication. They concluded that "In patients with persistent insomnia, the addition of medication to CBT produced added benefits during acute therapy, but long-term outcome was optimized when medication is discontinued during maintenance CBT."
This the second of three posts on handouts & questionnaires for Compassion & criticism. It contains a series of loosely linked downloads about compassion, self-criticism, hostility, self-esteem and related subjects. To see the earlier post on this subject click on Compassion & criticism (first post).
Compassionate/self-image goals scale and background - this is a scale from Crocker's fascinating work on compassionate and self-image goals. See too the "Self and social motivation laboratory" website at http://rcgd.isr.umich.edu/crockerlab
Contingencies of self-worth scale - this is another questionnaire from the Crocker lab (see above). Interesting way of probing what people's self-worth is based on ... and what the subsequent effects then are.