Enter - Australian and New Zealand Association of Psychotherapy

ANZAP Conversational Model ANZAP Conversational Model ANZAP Conversational Model ANZAP Conversational Model ANZAP Conversational Model ANZAP Conversational Model Psychoanalysis Psychoanalytic psychoanalytically informed psychotherapy psychotherapeutic Complex posttraumatic stress disorder complex post traumatic stress disorder Borderline personality disorder (BPD) is a serious mental illness. Due to scepticism about the effectiveness of its treatment, the care of these patients is neglected. In this study we evaluated the effect of treatment 5 years after its ending, of patients with BPD. Method. Thirty subjects were treated twice weekly for 1 year by psychotherapy based on the ‘ Conversational Model ' of Hobson. Outcome measures included time in hospital, number of episodes of violence and self-harm, number of medical appointments, drug use and work history. A ‘ morbidity budget ' made up of these items was collated for the year before treatment, the year following treatment, and for the year preceding the 5-year follow-up. Additional measures included DSM-III criteria and a self-report of symptoms. These outcomes were compared to a hypothetical natural history of BPD constructed from the DSM scores of 150 borderline patients aged between 18 and 52 years. Results. Except for one measure, the improvements evident 1 year following treatment were maintained 4 years later. This improvement was not predicted by the hypothetical natural history. Conclusion. A particular form of treatment of BPD has relatively long-lasting, beneficial effects. P3a and P3b event-related brain potentials to auditory stimuli were recorded for 17 unmedicated patients with borderline personality disorder, 17 matched healthy controls and 100 healthy control participants spanning ¢ve decades. Using high-resolution fragmentary decomposition for single-trial event-related potential analysis, distinctive disturbances in P3a in borderline personality disorder dependencies from100 controls suggest that natural age-related decline in P3a amplitude is reduced in borderline personality disorder patients and is likely to indicate failure of frontal maturation. On the basis of the theories of Hughlings Jackson, this conceptualization of borderline personality disorder is consistent with an aetiological model of borderline personality disorder. NeuroReport The Conversational Model: An Outline Russell Meares The Self in Conversation: On Narratives, Chronicles, and Scripts Episodic Memory, Trauma, and the Narrative of Self Russell Meares The Contribution of Hughlings Jackson to an Understanding of Dissociation Russell Meares Five-Year Outcome of Outpatient Psychotherapy with Borderline Patients Janine Stevenson, Russell Meares and Roberto D'Angelo The Persecutory Therapist Russell Meares and Robert Hobson A Specific Developmental Deficit in Obsessive-Compulsive Disorder: The Example of the Wolf Man Distinct Pattern of P3a Event-Related Potential in Borderline Personality Disorder Russell Meares, Dmitriy Melkonian, Evian Gordon and Leanne Williams In this paper I suggest that the origins of the “contamination/ cleaning” form of obsessive compulsive disorder (OCD) include a developmental history characterized by marked overprotectiveness allied with parental failure to respond to core aspects of the child's personal reality. The combined effect of these parental behaviors is likely to impede the establishment of a mature conception of the boundary between inner and outer worlds. The consequence of such a deficiency is the persistence of the magical form of thinking which is essential to the production of OCD. In addition, the individual is left with a disruption of personality development, the main features of which include timidity and falseness. The Wolf Man provides an example of both the characteristic development history in OCD and its consequences. Treatment based on this theoretical background may provide benefit not predicted by current psychoanalytic pessimism. ALTHOUGH FREUD WROTE 14 PAPERS ON OCD he found, toward the end of his life, that “as a problem it has not yet been mastered” Arthur, Ms Elizabeth Hamilton VIC and Hamilton VIC Australia Baddeley, Mr Mark Leura NSW Australia Bajpe, Dr Vasanth South Hurstville NSW Australia Bannerman, Mr Douglas Lyneham ACT Australia Banning, Dr Anna Balmain NSW Australia Barral, Ms Cecile Lilyfield & Inner West NSW and Southern Highlands NSW Australia Bayliss, Mr Ian New Zealand Bennett, Mr Joss Katoomba NSW and Katoomba NSW Australia Birch, Ms Martha Beecroft NSW Australia Blom, Dr Graham Drummoyne NSW Australia Brownsdon, Mr Allan Macquarie ACT Australia Bryce, Mr Wayne North Sydney NSW and Castle Hill NSW Australia Clarke, Ms Florence Dunedin New Zealand Colquhoun, Mrs Dawn Surry Hills NSW Australia D'Angelo, Dr Roberto Sydney NSW AUSTRALIA de Groot, Mr Fraser Aitkenvale QLD Australia Deliefde, Ms Irene Christchurch NZ New Zealand Dermelkonian, Mr Saher Burwood NSW Australia Devereaux, Dr Leslie Campbell ACT Australia Diamond, Dr Michael St Leonards NSW Australia Downey, Dr Thomas Enmore NSW AUSTRALIA Dumbrell, Ms Vicki Nowra NSW Australia Egan, Ms Jan Sydney NSW Australia Eisdell, Ms Nicolette Bondi Junction NSW Australia Ellis, Ms Katina ACT Australia Funnell, Dr Philip Neutral Bay NSW Australia Gaffey, Ms Helen Kings Point (Ulladulla) NSW Australia Glaser, Ms Lyn Sydney NSW Austalia Goddard, Ms Timothea Bondi Junction NSW Australia Goerdel, Dr Maren Sydney NSW Australia Graham, Dr Philip Drummoyne NSW and Newcastle NSW Australia Harden, Ms Atholie Yarraville VIC Australia Harrison, Dr Ann Chifley ACT Australia Hawkins, Mr David Burwood NSW Australia Hay, Ms Errol Christchurch NZ New Zealand Helme, Dr Kevin New Lambton NSW Australia Henson, Dr Kenneth Pymble NSW Australia Hersch, Ms Rochelle Annandale NSW Australia Hodge, Dr Robert Braddon ACT Australia Holliday, Dr Susan Eastwood NSW and Turramurra NSW Australia Hong, Ms Sunny North Ryde NSW Australia Honnery, Dr Michael Neutral Bay NSW Australia Jacobson, Dr Martin Lane Cove NSW Australia Kalmar, Ms Fiona CHIFLEY ACT and Bungendore NSW Australia Kearney, Mr John Darlinghurst NSW and North Sydney NSW Australia Kokot, Mr Michael Stanmore NSW Australia Kondos, Mrs Sandra Paddington NSW and Blaxland NSW Australia Kopel, Ms Ludmila Bondi Junction NSW and Castlecrag NSW Australia Korner, Dr Anthony St Leonards NSW Australia Kyriakou, Ms Aphrodite Kogarah NSW and Double Bay NSW Australia Lauffenburger, Ms Sandra Kay Canberra ACT Australia Lawton, Mr Michael Christchurch NZ New Zealand Lee, Dr Ronald Redvers Mt Waverley & eastern Mel VIC Australia Leon, Dr Andrew Maroubra NSW Australia Levack, Ms Helen Bondi Junction NSW Australia Lewis, Dr Ione Strathfield NSW Australia Lim, Dr Dominic Christchurch New Zealan New Zealand Lindsay, Ms Fay Glebe NSW Australia Lowe, Ms Annetta Middle Park VIC 3206 VIC Australia Lowth, Mr Andrew Newtown NSW Australia Lynch, Ms Jillian Glebe NSW and Leura NSW Australia Macartney, Ms Helen Canberra ACT Australia Mandelberg, Ms Tania Mona Vale NSW 2103 NSW Australia Matthews, Ms Phillipa Drummoyne NSW Australia McBride, Mr Terence Arncliff NSW Australia McGrath, Dr Catherine Wollongong NSW Australia McKenzie, Ms Gail Neutral Bay NSW Australia McPhillips, Dr Brendan North Sydney NSW Australia Middleton, Prof Warwick Brisbane Qld Australia Morris Bannerman, Ms Anne Lyneham ACT Australia Musgrave, Ms Carolyn Bronte NSW Australia Myers, Ms Rody Morisset NSW Australia and Sydney NSW Nicholson, Ms Jane Wellington New Zealand Nolan, Ms Pauline Surry Hills NSW Australia Ogilvie, Ms Renate Chatswood NSW and Blackheath NSW Australia Oliphant, Mr David Central Tilba,South Coast NSW Australia Orr-Wilson, Ms Julie South Otago NZ New Zealand Ossher, Mr Michael Darlinghurst NSW Darlinghurst Ouzas, Dr Arthur Darlingthurst NSW and Annandale NSW Australia Philips, Ms Tessa Bondi Junction NSW Australia Pickering, Dr Judith Surry Hills NSW Australia Pignataro, Mr Anthony Burwood NSW Australia Pitson, Mr Colin Yarralumla ACT Australia Please, Ms Patty Downer ACT Australia Rando, Ms Berinda Wollstonecraft NSW and Sydney NSW Australia Rayment, Dr Colette Sydney NSW and Bellevue Hill NSW Australia Rewais, Mr Sarwat Glebe NSW and Hurstville NSW Australia Rose, Ms Jessica Canberra ACT Australia Rose, Ms Noelene Pyrmont NSW Australia Rousseau, Ms Michele Annandale NSW Australia Russet-Silk, Ms Sandra Ainslie ACT Australia Scanlan, Ms Susan SYDNEY CBD NSW Australia Shillito, Dr Mark Pymble & Cremorne NSW and Paddidngton NSW Australia Simmonds, Mr Derek Epping NSW Australia Smee, Ms Julie Maroubra NSW and Brisbane Qld Australia Stawman, Mr Stuart Northern Beaches NSW Australia and Mosman Steel, Ms Hilary Glebe NSW Australia Stevenson, Dr Janine NORTHBRIDGE NSW and Westmead Hospital NSW Australia Stopford, Ms Annie Petersham NSW Australia Streimer, Dr Jeffrey Sydney NSW Australia Tan, Dr Eng Kong Pymble NSW Australia Touma, Dr Kamal Sydney NSW Australia van Biene, Dr Leo Paddington NSW Australia Vaughan, Mr Gary Sydney NSW Australia Walker, Dr Andrew Wangi Wangi NSW Australia Ward, Dr Jeff Canberra ACT Australia Watson, Mr David Crows Nest NSW and Coogee NSW Australia Way, Dr Raymond Parramatta NSW Australia Wojnar, Ms Dorothea Chisholm ACT Australia Wolff, Ms Diane DOUBLE BAY NSW AUSTRALIA Wroe, Ms Alison Kings Langley NSW Australia Young, Ms Janna Christchurch NZ New Zealand Zanco, Ms Nadia Darlinghurst NSW Australia Zwimpfer, Ms Diane Wadestown NZ and Wellington NZ New Zealand