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'BRIEF ECLECTIC PSYCHOTHERAPY - IFP

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3 rd <strong>IFP</strong>-Training-Workshop:<br />

‘BRIEF <strong>ECLECTIC</strong> <strong>PSYCHOTHERAPY</strong><br />

AN INTEGRATED EVIDENCE-BASED APPROACH FOR THE TREATMENT OF PTSD.’<br />

Friday 12 October – Sunday 14 October 2007, <strong>IFP</strong>, Vienna, Austria<br />

Workshop trainers:<br />

Prof.dr. Berthold Gersons, professor of Psychiatry, Dep. of Psychiatry, AMC de<br />

Meren, University of Amsterdam, Netherlands, b.p.gersons@amc.uva.nl<br />

Mirjam Nijdam, MSc, psychologist / researcher, Center for Psychological Trauma,<br />

Dep. of Psychiatry, AMC de Meren, University of Amsterdam,<br />

Netherlands, m.j.nijdam@amc.uva.nl<br />

Place: Vienna 13, Kardinal König Haus, Kardinal König Platz 3 (Lainzerstr.)<br />

Time: Fri 12. Oktober (14.00) – Sun 14. Oktober 2007 (13.00)<br />

Price: <strong>IFP</strong>-members or members of <strong>IFP</strong>-societies 280,- Euro<br />

Booking before Aug. 31 st : 250,- Euro<br />

Non-members of <strong>IFP</strong><br />

330,- Euro*<br />

Booking before Aug. 31 st : 300,- Eruo<br />

* Membershipfee per year 30,- Euro (15 UE)<br />

The seminar will be held in German language.<br />

Application: c.erpenbeck@ifp.name<br />

Workshop objective:<br />

‣ To understand the framework of this effective treatment for PTSD;<br />

‣ To understand and become familiarized with the different modules of this treatmentprotocol;<br />

‣ To reach level I certificate to start practicing BEP with supervision;<br />

What is BEP?<br />

The 16-sessions Brief Eclectic Protocol (BEP) was originally developed for police officers (n-<br />

300) with PTSD and proved to be effective in a randomized controlled trial (RCT). A recent<br />

RCT has shown again its effectiveness with neuro-imaging and a significant decrease of the<br />

heart rate. Meanwhile BEP has been used with excellent results for a range of other PTSD<br />

patients e.g. following disasters (n-1300). The treatment starts with psychoeducation on<br />

PTSD. The patient and his or her partner learn to understand the symptoms of PTSD as<br />

dysfunctional, and caused by the traumatic event. The patient will then receive 4-6 sessions<br />

of relaxation and imaginal exposure, focused on the suppressed intense emotions of sorrow.<br />

1


Memorabilia is used to stimulate remembrances of the traumatic event and a writing task to<br />

write a letter to someone or an institution blamed for the traumatic incident. The letter is<br />

specifically used to help to express the aggressive feelings. Most symptoms will then<br />

disappear and the patient is able to concentrate on what the impact of the trauma has been<br />

on his view of him or herself and on their world. During BEP there should be considerable<br />

change and a new equilibrium should be reached. This is called the ‘domain of meaning<br />

phase’.<br />

Recent research by Edna Foa, has shown the need of context after exposure to prevent new<br />

episodes of PTSD. The treatment will end by a farewell ritual with the partner in which the<br />

letter and or mementos are burned to leave the traumatic incident behind, as a way to turn<br />

and face life and the future, at the same time never to forget, but not hindering the<br />

individual anymore in their daily life.<br />

The workshop will cover 2,5 days in which all elements of the protocol will be trained.<br />

Schedule:<br />

Friday 12 October, 14.00 – 19.00:<br />

Afternoon:<br />

‣ Learning to know each other and presentation of expectations<br />

‣ Diagnostics of PTSD.<br />

‣ BEP- Introduction.<br />

Evening:<br />

‣ Psychoeducation.<br />

‣ Imaginary exposure.<br />

Saturday 13 October, 9.00 – 17.00:<br />

Morning:<br />

‣ Discussion of cases;<br />

‣ Use of memorabilia and letter writing;<br />

Afternoon:<br />

‣ Domain of meaning<br />

‣ Farewell ritual.<br />

Sunday 14 October, 9.00 – 13.00:<br />

‣ Indications and contra-indications;<br />

‣ Comorbidity;<br />

‣ Transference and countertransference;<br />

‣ BEP and CBT and EMDR;<br />

‣ Evaluation and diplomas;<br />

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Short biographical sketch.<br />

CV professor dr. Berthold Gersons<br />

Berthold Gersons (61) is a psychiatrist, distinguished AMC-professor and professor of<br />

psychiatry at the Academical Medical Center of the University of Amsterdam, the<br />

Netherlands. In 1980 he started research on trauma and PTSD in the police force and he<br />

established the first self-help-team in Dutch police force. Currently 10% of the Dutch police<br />

officers are member of the ‘occupational support teams’ after trauma. He developed the Brief<br />

Eclectic Psychotherapy (BEP) protocol consisting of 16-sessions for police officers and other<br />

trauma-I victims and showed the effectiveness in randomised trials. BEP has been<br />

recognized in the NICE Guidelines (2005). He has been advisor for the Dutch Government<br />

after major disasters in the Netherlands, like the El Al air crash in 1992 and the Enschede<br />

firework disaster in 2000. He is a member of the Board of the Dutch Veterans Institute and<br />

was an advisor for the Ministry of Defence. His group with dr. Miranda Olff is active in<br />

research on treatment and biological factors. He has been member of the board of the<br />

Journal of Traumatic Stress, of the Board of the ISTSS and ESTSS. Currently he is president<br />

of the European Society of Traumatic Stress Studies. He has published over 200 papers in<br />

scientific journals and books and has lectured around 500 in his home country and in various<br />

countries all over the world.<br />

CV Mirjam Nijdam, MSc<br />

Mirjam Nijdam is a psychologist at the Center for Psychological Trauma at the Department of<br />

Psychiatry of the Academic Medical Center at the University of Amsterdam, the Netherlands.<br />

After obtaining her Master’s Degree in Clinical Psychology, she specialized in the diagnostic<br />

assessment and treatment of trauma and posttraumatic stress disorder. Her PhD project is a<br />

randomized controlled trial that compares the efficacy of two psychotherapies for<br />

posttraumatic stress disorder; Brief Eclectic Psychotherapy (BEP) and Eye Movement<br />

Desensitization and Reprocessing Therapy (EMDR). She has been teaching in education<br />

programs for students of medicine and psychology, and has been a supervisor for<br />

psychology students in their internship. Other interests include the neuropsychology of<br />

posttraumatic stress disorder and the psychology of terrorism.<br />

Reference:<br />

Gersons, B.P.R., Patterns of posttraumatic stress disorder among police officers following shooting<br />

incidents; the two-dimensional model and some treatment implications. J. of Traumatic Stress 2:3,<br />

247-257, 1989<br />

Gersons, B.P.R., Carlier, I.V.E., Post-traumatic stress disorder; the history of a recent concept, British<br />

J. of Psychiatry 161, 742-748, 1992<br />

Carlier, I.V.E., Lamberts, R.D., Gersons, B.P.R., Risk factors for posttraumatic symptomatology in<br />

police officers: a prospective analysis, the Journal of Nervous and Mental Disease 181:8, 498-506,<br />

1997<br />

Carlier, I.V.E., van Uchelen, J.J., Lamberts, R.D., Gersons, B.P.R. Clinical utility of a brief diagnostic<br />

test for Posttraumatic Stress Disorder, Psychosomatic Medicine, 60:1, 42-47, 1998<br />

3


Carlier, I.V.E., Voerman, B.E., Gersons, B.P.R., Intrusive traumatic recollections and comorbid<br />

posttraumatic stress disorder in depressed patients, Psychosomatic Medicine 62:26-32, 2000<br />

Carlier, I.V.E., Voerman, B.E., Gersons, B.P.R., The influence of occupational debriefing on<br />

posttraumatic stress symptomatology in traumatised police officers, British Journal of Medical<br />

Psychology 73,87-98, 2000<br />

Gersons, B.P.R., Carlier, I.V.E., Lamberts, R.D., van der Kolk, B., A randomized clinical trial of brief<br />

eclectic psychotherapy in police officers with posttraumatic stress disorder, Journal of Traumatic<br />

Stress 13 (2):333-347,2000<br />

Gersons, B.P.R., Historical background: social psychiatry and crisis theory, in: R. Orner, U. Schnyder,<br />

Reconstructing early intervention after trauma; innovations in the care of survivors. Oxford University<br />

Press, 2003<br />

Lindauer, R.J.L, Vlieger, E.J., Jalink, M., Olff, M., Carlier, I.V.E., den Heeten, G.J., Gersons, B.P.R.,<br />

Smaller hippocampal volume in Dutch police officers with posttraumatic stress disorder, Biological<br />

Psychiatry 56:5;356-363, 2004<br />

Lindauer, R.J.L, Booij J, Habraken JB, Uylings HB, Olff M, Carlier IV, den Heeten GJ, van Eck-Smit BL,<br />

Gersons BPR, Cerebral blood flow changes during script-driven imagery in police officers with<br />

posttraumatic stress disorder. Biological Psychiatry 56:5;356-363, 2004<br />

Olff M, Lindauer RJL, Gersons BPR, The effect of psychotherapy on psychophysiological responses to<br />

trauma imagery in patients with posttraumatic stress disorder. International Journal of<br />

Psychophysiology 54 (1-2):176-177, 2004<br />

Olff M, Langeland W, Gersons BP, Effects of appraisal and coping on the neuroendocrine response to<br />

extreme stress. Neurosci Biobehav Rev. 2005 May;29(3):457-67<br />

Gersons BP, Olff M. Coping with the aftermath of trauma. British Medical Journal 2005 May<br />

7;330(7499):1038-9.<br />

Lindauer, R.J.L, Vlieger, E.J., Jalink, M., Olff, M., Carlier, I.V.E., Majoie, C.B.M.L., den Heeten, G.J.,<br />

Gersons, B.P.R., Effects of psychotherapy on hippocampal volume in out-patients with post-traumatic<br />

stress disorder: a MRI investigation, Psychological Medicine 2005, 35, 1-11<br />

Olff M, Langeland W, Gersons BP., The psychobiology of PTSD: coping with trauma.<br />

Psychoneuroendocrinology. 2005 Jun 15;<br />

Ramón J.L. Lindauer, Berthold P.R. Gersons, Els P.M. van Meijel, Karin Blom, Ingrid V.E. Carlier, Ineke<br />

Vrijlandt, Miranda Olff, Effects of Brief Eclectic Psychotherapy in patients with posttraumatic stress<br />

disorder: randomized clinical trial, Journal of Traumatic Stress 2005; 18:205-212<br />

R.J.L. Lindauer, M. Olff, E.P.M. van Meijel, I.V.E. Carlier, B.P.R. Gersons, Cortisol, learning, memory,<br />

and attention in relation to smaller hippocampal volume in police officers with posttraumatic stress<br />

disorder, Biol Psychiatry 2005<br />

M.L. Meewisse, M.J. Nijdam, G.J. de Vries, B.P.R. Gersons, R.J. Kleber, P.G. van der Velden, A.J.<br />

Roskam, B. Christiaanse, A.N. Drogendijk, M. Olff, Disaster-related posttraumatic stress sympotoms<br />

and sustained attention: evaluation of depressive symptomatology and sleep disturbances as<br />

mediators, Journal of Traumatic Stress 18:4;299-302, 2005<br />

Lindauer RT, van Meijel EP, Jalink M, Olff M, Carlier IV, Gersons BP. Heart rate responsivity to scriptdriven<br />

imagery in posttraumatic stressdisorder: specificity of response and effects of psychotherapy.<br />

Psychosom Med. 2006 Jan-Feb;68(1):33-40.<br />

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M. Olff, M.L. Meewisse, R.J. Kleber, P.G. van der Velden, A.N. Drogendijk, J.G.C. van Amsterdam, A.<br />

Opperhuizen, B.P.R. Gersons, Tobacco usage interacts with postdisaster psychopathology on circadian<br />

salivary cortisol, Int Journal of Psychophysiology 59 (2006) 251-258<br />

Sijbrandij M, Olff M, Reitsma JB, Carlier IVE, Gersons BPR. Emotional or educational debriefing after<br />

psychological trauma: Randomised controlled trial. Br J Psychiatry. Br J Psychiatry. 2006 Aug;189:150-<br />

5.<br />

Sijbrandij M, Olff M, Reitsma JB, Carlier IVE, De Vries MH, Gersons BPR. Treatment of acute<br />

posttraumatic stress disorder with brief cognitive behavioral therapy: A randomized controlled trial.<br />

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disorder in a prison setting. British Journal of Community Nursing, (2000), 5, 1, 26-31.<br />

Kitchiner N.J. The use of cognitive behavioural therapy to treat a patient with hypochondriasis.<br />

Mental Health Practice, (2000), 3, 7, 15-20.<br />

Rogers. P., Gray N., Williams T., & Kitchiner N.J., Behavioural treatment of PTSD in a perpetuator of<br />

manslaughter: A single case study. Journal of Traumatic Stress, (2000), 13, 3, 511-519.<br />

Kitchiner N.J. & Rogers P. The treatment of hypochondriasis using CBT: a continuing education<br />

paper. Mental Health Practice, (2001),41, 8, 3237.<br />

Kitchiner N.J. Drawing the dotted line. Practice social phobia. Mental Health Care, (2001), 4, 12, 409-<br />

412.<br />

Rogers P., Gray N., Williams T., & Kitchiner N.J. PTSD following manslaughter: the outcome of<br />

exposure therapy. Psychiatry Review Series, (2001), 3, 10, 22-23.<br />

Kitchiner N.J. & Aylard P. Psychological treatment of post-traumatic stress disorder: a single case<br />

study of a UK police officer. Mental Health Practice, (2002), 5, 6, 34-38.<br />

Short N. & Kitchiner N.J. The nature and assessment of panic disorder. Continuing education paper.<br />

Mental Health Practice, (2002), 5, 7.<br />

Short N & Kitchiner N.J. Implementing cognitive behaviour therapy in routine clinical practice. Journal<br />

of Psychiatric & Mental Health Nursing, (2003),10, 484-493.<br />

Bisson J.I. & Kitchiner N.J. Early Psychosocial and Pharmacological Interventions after Traumatic<br />

Events. Journal of Psychosocial Nursing & Mental Health Services, (2003), 41, 10, 42-51.<br />

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Therapy in Mental Health Care'. Sage Publications, London.<br />

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cognitive behavioural therapy model. Mental Health Practice, (2004), 8, 1, 30-35.<br />

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Kitchiner N.J. Psychological treatment of three urban fire fighters with post-traumatic stress disorder<br />

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treating anxiety disorders. Journal of Psychiatric and Mental Health Nursing, (2005), 12, 95-99.<br />

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Neurology and Psychiatry, (2005),9, 8, 19-22.<br />

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Behavioural and Cognitive Psychotherapy<br />

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