Épisodes

  • Ten misconceptions about CBT for psychosis with Dr Katherine Newman-Taylor

    Ten misconceptions about CBT for psychosis with Dr Katherine Newman-Taylor
    Nov 12 2025

    In this episode, Steph talks with clinical psychologist and CBT therapist Dr Katherine Newman-Taylor about her paper "Ten Misconceptions About CBT for Psychosis", recently published in The Cognitive Behaviour Therapist.

    Katherine shares insights into how CBT for psychosis has evolved from its early days, when psychological approaches were thought to have little place in treating psychosis, to its current role as a recommended, evidence-based therapy. They discuss some of the most common misunderstandings that still persist today including:

    · The myth that CBTp is about "thinking positively" or correcting thoughts

    · Misconceptions around the role of the therapeutic relationship in CBTp

    · The belief that some people are "too complex" for CBTp

    Katherine discusses why these misconceptions matter, how they can lead to people missing out on effective therapy, and what clinicians can do to challenge them. She also reflects on the importance of delivering high-quality, full-dose, evidence-based CBT for people with psychosis, ensuring that all clients receive the same standard of care we'd wish for our own loved ones.

    Read the paper: 10 Misconceptions About CBT for Psychosis in The Cognitive Behaviour Therapist
    Feedback or questions: podcasts@babcp.com
    Follow us: @babcppodcasts on Instagram and Bluesky

    Don't forget to subscribe, rate and review the show. And check out our sister podcasts — Let's Talk About CBT and Practice Matters — for more conversations on CBT in practice and research.

    Credits:

    Music is Autmn Coffee by Bosnow from Uppbeat

    Music from #Uppbeat (free for Creators!): https://uppbeat.io/t/bosnow/autumn-coffee

    License code: 3F32NRBYH67P5MIF
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    34 min
  • Integrating religious beliefs and practices in CT-PTSD with Katherine Wakelin

    Integrating religious beliefs and practices in CT-PTSD with Katherine Wakelin
    Jul 30 2025
    In this episode of Let's Talk about CBT- Research Matters, Steph speaks with clinical psychologist Katherine Wakelin about her recently published clinical guidance paper, Cognitive therapy for moral injury in post-traumatic stress disorder: integrating religious beliefs and practices, in The Cognitive Behaviour Therapist. Together, they explore how therapists can compassionately and effectively incorporate clients' religious beliefs into cognitive therapy when working with moral injury. Katherine shares the motivation behind writing this paper, guidance on involving spiritual leaders in treatment, and practical tips for therapists who may feel apprehensive about discussing religion in therapy. Read the full paper here Explore more from the Cognitive Behaviour Therapist Find our sister podcasts and all our other episodes in our podcast hub here: Have feedback? Email us at podcasts@babcp.com Follow us on Instagram & Bluesky: @BABCPpodcasts If you found this episode helpful, please rate, review and subscribe so more people can discover these important conversations. Credits: Music is Autmn Coffee by Bosnow from Uppbeat Music from #Uppbeat (free for Creators!): https://uppbeat.io/t/bosnow/autumn-coffee License code: 3F32NRBYH67P5MIF Transcript: Steph: Hello and welcome to Let's Talk about CBT- Research Matters, the podcast that explores some of the latest research published in the BABCP journals with me Steph Curnow. Each episode, I'll be talking to a recently published author about their research, what was the motivation behind it and how they hope it will impact the world of CBT. In this episode, I am joined by Katherine Wakelin. Katherine is lead author of the paper Cognitive therapy for moral injury in post-traumatic stress disorder: integrating religious beliefs and practices which was published in the cognitive behaviour therapist Hi, Katherine Welcome to the podcast. Katherine: Hello. Thank you for having me Steph. Steph: Thank you for coming. So just before we start, would you please tell the listeners a little bit about yourself and the areas that you work? Katherine: Sure. My is Katherine, Katherine Wakelin, I'm a clinical psychologist. I did my training at the University of Surrey and since then have always part of training and after training worked in a range of different specialist trauma services, so I guess certainly work in PTSD has been a specialist interest of mine for quite a few years now. I currently work in a community mental health team in Hampshire, and I guess my role within the team is in a specialist trauma place there as well. And by the time this airs I'll also be working at the University of Southampton as part of their doctorate programme as well. So that's a bit of my background and yeah what I'm currently doing. Steph: Great. And congratulations on your new role then. That's exciting. So I probably collared you about this paper this time last year, maybe we were at the conference, because it was in progress. And I really wanted to chat to you about it, because I thought it was a really interesting paper. And I was like, if it gets published, do you want to come on the pod? You very, very kindly agreed. So often on the podcast, we often talk to people about research papers, what they did, why they did it. This is slightly different because this is a clinical guidance paper where you're giving actually practical guidance for CBT therapists on how to work with this client group. So was there any particular motivation behind writing this paper, how did this come about? Katherine: Definitely. Well, I guess it probably brewed over a few years. I think the first case I worked with, which was a PTSD case using cognitive therapy for PTSD, where moral injury was a big component in it, was when I was working at the Traumatic Stress Service in South West London with my colleague Sharif, who co-authored the paper with me. And I guess that certainly was a really exciting piece of clinical work where I drew, with lot of Sharif's encouragement and support, but drew on the client's religious beliefs that were largely underpinning and driving the moral injury that initially we'd overlooked that aspect. And then I guess as time has gone on, worked with similar cases across different religions and different religious backgrounds, but really clearly seeing this theme, particularly when working with moral injury, actually the real value if religion is a key part of somebody's identity, then the real relevance to their PTSD and their distress and that ongoing maintenance, unless that's considered. So that's something that over time kept coming up and with Sharif's encouragement, he'd been saying all along, we should publish a paper on this. And I was like, yeah, yeah, sure. But then I guess when, over time when that kept coming up, we thought, okay, this is an idea actually that I think is a key part of the missing puzzle that perhaps didn't seem to be written about or widely talked about ...
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    32 min
  • How to treat someone suffering with PTSD following rape in adulthood with Dr Kerry Young

    How to treat someone suffering with PTSD following rape in adulthood with Dr Kerry Young
    Jun 12 2025
    In this episode, Steph Curnow is joined by consultant clinical psychologist Dr Kerry Young to discuss the paper "How to Treat Someone Suffering with PTSD Following Rape in Adulthood", published in The Cognitive Behaviour Therapist. Kerry shares the motivation behind the paper and reflects on over two decades of clinical experience in trauma services. Listeners will gain insight into: Why evidence-based trauma-focused therapy for PTSD following rape is so effectiveCommon myths that prevent therapists from engaging in this workPractical guidance for assessment and treatment using CT-PTSDThe importance of addressing dissociation, self-blame, and shameStrategies therapists can use to protect their own wellbeing while doing this workThe powerful impact this intervention can have on clients' lives This episode also highlights the invaluable video resources linked to the paper, which show exactly how to put the guidance into practice. Kerry offers encouragement to therapists: if you know how to do CT-PTSD, you already have the skills to help survivors of rape and it's some of the most rewarding work you can do Read the full paper here Explore more from the Cognitive Behaviour Therapist Find our sister podcasts and all our other episodes in our podcast hub here: Have feedback? Email us at podcasts@babcp.com Follow us on Instagram & Bluesky: @BABCPpodcasts If you found this episode helpful, please rate, review and subscribe so more people can discover these important conversations. Credits: Music is Autmn Coffee by Bosnow from Uppbeat Music from #Uppbeat (free for Creators!): https://uppbeat.io/t/bosnow/autumn-coffee License code: 3F32NRBYH67P5MIF Transcript: Steph: Hello and welcome to Let's Talk about CBT- Research Matters, the podcast that explores some of the latest research published in the BABCP journals with me Steph Curnow. Each episode, I'll be talking to a recently published author about their research, what was the motivation behind it and how they hope it will impact the world of CBT. Today I'm talking to Dr Kerry Young. Kerry is one of several authors on the paper How to Treat Someone Suffering with PTSD Following Rape in Adulthood published in the Cognitive Behaviour Therapist. Hi Kerry, welcome to the podcast. So, it's so nice of you to come on and talk to us today about this paper. I think most people will probably know who you are already, but for any listeners that don't, would you mind just introducing yourself and telling everyone a bit about you and the areas that you work in? Kerry: Yes, hi. So I'm Kerry Young. I'm a consultant clinical psychologist and I've worked in specialist trauma services. I worked it out just now for 28 years. I'm a bit tired. And at the moment I run a PTSD service for refugees and asylum seekers in West London near Paddington station. Steph: So, the paper we are talking about today is How to Treat Someone Suffering with PTSD Following Rape in Adulthood. That's the title of the paper and it does exactly what it says on the tin. So, I really wanted to get you onto the podcast to talk about it because it's such a comprehensive and helpful paper. Would you mind just talking a little bit about where the motivation to write this paper came from? How did it come about? Kerry: Yeah, so as I said, I've been working in trauma services since the late 1990s. And I think when you start out working in specialist trauma services, you really appreciate how treatable PTSD is. So we would be expecting, if we treat PTSD for someone really not to have any symptoms anymore. So it really is a wonderful thing to treat. And over the years, I've done more and more supervising in other services. And in fact, I've been part of the NHS England funded top up for NHS Talking Therapies to work with PTSD. And what I think all of our supervisors noticed doing this is that people are a bit sheepish about treating PTSD following sexual violence. There's lots of myths and there's lots of things that get in the way, but for good reasons, I think. But we were, all of us, I think, feeling really worried, not just in NHS Talking Therapies, but in other people we supervise that, you know, if someone has PTSD to rape or sexual violence, their chances of getting someone to treat it in an evidence-based way were quite variable, I think. And I just found that really upsetting really, because you'll hear all of these stories about people being raped, you know, maybe in their teens, in their twenties, and it changing the whole course of their life. And them going through the rest of their life really feeling to blame for what happened or feeling really bad about themselves. And this sort of one moment really kind of can change the course of someone's life and that's very particularly the case if they have PTSD. And so what I was noticing is that people are flashing back to being raped day in, day out, dreaming about it when they're asleep. And it's reinforcing this, they're feeling really bad about ...
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    42 min
  • Is it time for a more individual approach to adolescent eating disorder treatment – with Dr Daniel Wilson

    Is it time for a more individual approach to adolescent eating disorder treatment – with Dr Daniel Wilson
    Apr 16 2025
    In this episode of Let's Talk about CBT- Research Matters, Steph speaks with Dr Daniel Wilson, a clinical psychologist and researcher based in Brisbane, Australia. Dan is the lead author of the paper "CBT-E following discontinued FBT for adolescents with eating disorders: time for a more individual approach?" published in The Cognitive Behaviour Therapist. Steph and Dan explore key findings from the study, which compared the effectiveness of CBT-E (enhanced cognitive behavioural therapy) for young people who had previously discontinued FBT (family-based treatment) versus those who had not tried FBT at all. The research offers important insights into treatment options for adolescents with eating disorders and highlights the value of providing alternative pathways to recovery. Links & Resources: Read the paper: "CBT-E following discontinued FBT for adolescents with eating disorders: time for a more individual approach?" - https://bit.ly/3Eysxd0 Explore more from the Cognitive Behaviour Therapist Find our sister podcasts and all our other episodes in our podcast hub here: Have feedback? Email us at podcasts@babcp.com Follow us on Instagram & Bluesky: @BABCPpodcasts Credits: Music is Autmn Coffee by Bosnow from Uppbeat Music from #Uppbeat (free for Creators!): https://uppbeat.io/t/bosnow/autumn-coffee License code: 3F32NRBYH67P5MIF Transcript: Steph: Hello and welcome to Let's Talk about CBT- Research Matters, the podcast that explores some of the latest research published in the BABCP journals with me Steph Curnow. Each episode, I'll be talking to a recently published author about their research, what was the motivation behind it and how they hope it will impact the world of CBT. In this episode, I'm talking to Dr Daniel Wilson. Dan is lead author on the paper CBT-E following discontinued FBT for adolescents with eating disorders: time for a more individual approach? Which was published in the Cognitive Behaviour Therapist. Hi Dan. Welcome to the podcast. Dan: Thank you very much. Thanks for having me. Steph: It's really exciting to have you on. Actually, you are our first guest from Australia. So would you like to tell the listeners a little bit about yourself, maybe where you work and your research areas? Dan: Yep. Sure. So I'm a clinical psychologist. I'm from Brisbane, Australia, and my work here in Brisbane, I do a little bit of a mix. So I am working at Children's Health Queensland at a specialist eating disorders clinic for our child and youth mental health service and I work clinically there as part of the CBT-E team. I'm on a research fellowship for the last two years and we're researching eating disorders generally and what factors contribute to treatment outcomes amongst adolescent eating disorders. And also do a little bit of work in private practice as well. Steph: Okay, brilliant, thank you. So I was really keen to get you on the podcast. It was Eating Disorders Awareness Week here in the UK a couple of weeks ago. And, as we just talked about off air, we also recorded a Practice Matters podcast with Rebecca Murphy, which you said you listened to as well for Eating Disorders Week, talking all about it. So I thought this would intersect really nicely with that. We don't actually get many eating disorders papers into the journal as well, so I thought it'd be really nice to showcase this one and talk about what you do. So could you tell us a little bit about how this paper came about? Was there any particular motivation for the research? Dan: Yeah, so I guess in part, it was on behalf of our young people, on behalf of the treatments that we offer as well. I think unfortunately still with all the evidence we've got with treatment with eating disorders, sometimes they can get a bit of a bad rap. Not so much within our service, but they can be perceived as people that are hard to treat, or the treatments don't work, or people don't recover, despite there being like really good evidence for outcomes. And so what in particular we noticed as well was with family-based treatment, it's a treatment that a lot of people have heard of. It's probably the most well studied treatment for adolescent eating disorders and when it's not going well or it hasn't completely worked, then that kind of perception that, oh, they're not going to recover, can be even worse. And sometimes when family-based treatment doesn't go well, it can not look too good. There can be a lot of distress, there can be a lot of like argumentativeness so that the perception- this is very much anecdotally- is well, if they haven't been able to recover with full family support, what hope is there? And that they're not suitable for an individual treatment. But within our service, what we noticed was that when we'd had sort of some young people that hadn't done quite so well with FBT and we gave them a chance for CBT-E, a good proportion of them did really well and engaged really well on the treatment. So we thought that was really important...
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    23 min
  • Flashforward Mental Imagery in Adolescents with Dr. Alex Lau-Zhu

    Flashforward Mental Imagery in Adolescents with Dr. Alex Lau-Zhu
    Feb 18 2025
    In this episode of Research Matters, host Steph Curnow talks to Dr. Alex Lau-Zhu, lead author of the paper "Flashforward Mental Imagery in Adolescents: Exploring Developmental Differences and Associations with Mental Health," published in Behavioural and Cognitive Psychotherapy. Alex discusses his research into flashforward mental imagery—vivid mental pictures of future events that can be intrusive and emotionally powerful. We explore how these flashforwards relate to anxiety in adolescents, why mental imagery isn't always a focus in CBT, and how young people may benefit from imagery-based interventions. Guest Bio: Dr. Alex Lau-Zhu is an MRC Clinician Scientist Fellow at the University of Oxford's Department of Experimental Psychology and a clinical psychologist supporting young people affected by trauma. His full list of publications and research areas can be found here: https://www.psy.ox.ac.uk/people/alex-lau-zhu Links & Resources: Read the paper: "Flashforward Mental Imagery in Adolescents: Exploring Developmental Differences and Associations with Mental Health" - https://bit.ly/3Eysxd0 Explore more from Behavioural and Cognitive Psychotherapy –https://www.cambridge.org/core/journals/behavioural-and-cognitive-psychotherapy Find our sister podcasts and all our other episodes in our podcast hub here: https://babcp.com/Podcasts Have feedback? Email us at podcasts@babcp.com Follow us on Instagram & Bluesky: @BABCPpodcasts Credits: Music is Autmn Coffee by Bosnow from Uppbeat Music from #Uppbeat (free for Creators!): https://uppbeat.io/t/bosnow/autumn-coffee License code: 3F32NRBYH67P5MIF Transcript: Steph: Hello and welcome to Let's Talk about CBT- Research Matters, the podcast that explores some of the latest research published in the BABCP journals with me Steph Curnow. Each episode, I'll be talking to a recently published author about their research, what was the motivation behind it and how they hope it will impact the world of CBT. Today, I'm talking to Dr. Alex Lau-Zhu, Alex is lead author on the paper "Flash Forward Mental Imagery in Adolescence: Exploring Developmental Differences and Associations with Mental Health" which has been published in Behavioural and Cognitive Psychotherapy. I really enjoyed this chat with Alex. We talked all about his paper, and we also talked about maybe why mental imagery isn't explored so much with adolescents, or even in CBT in general. It's a really interesting listen, so I hope you all enjoy. Hi Alex. Welcome to the podcast. Alex: Hi Steph, thank you for having me. Steph: You're welcome. So, before we get into talking about your paper, would you mind introducing yourself to the listeners and telling us a little bit about who you are and the areas you work in? Alex: Yeah, of course. I'm currently an MRC clinician scientist fellow at the Department of Experimental Psychology at the University of Oxford, and I also work as a clinical psychologist in our local county in Oxfordshire, supporting young people who are affected by trauma. Steph: Thank you. So we're talking today about the paper that was published in the last issue of Behavioural and Cognitive Psychotherapy, which is about flash forward mental imagery in adolescents. So could you tell us a bit about how this paper came about? Was there any particular motivation for the research? Alex: Yeah so I work with a lot of young people in my clinical work and often find that they sometimes struggle with expressing themselves, sometimes around identifying what goes on in their minds in particular, which is really a key part of doing CBT, for example. And speaking to other clinicians, also working with young people, it seems like actually sometimes they do find thinking on mental images perhaps a bit easier to thinking about, for example, using visual mediums or drawings to express how they feel and what they think, but sometimes it goes to be around talking about mental images that they experience inside their mind, just describing what is it that they see, what is it that they hear, as a way to then better understand some of those thinking processes or what we might call as distortions in CBT. And that led me to think kind of more broadly around how much do we know about these sorts of processes in young people. And actually, we know incredibly little. There's some really I think exciting work that has happened in the last 20 or 30 years in working with adults and doing CBT with adults around thinking about mental images, not just verbal thinking. But that knowledge somehow hasn't really trickled down to working with young people as much. So I'm really curious more generally in, in understanding mental imagery in young people and whether that can help us improve our treatments. Steph: And would you mind just explaining what flash forwards are for anyone who might not be aware of the term? Alex: Yeah, I think it's probably a term that if once I explain what it means, then you might realise it's something that...
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    29 min
  • 'Crossing the reflective bridge': how therapists synthesise personal and professional development from self-practice/self-reflection during CBT training...with Vickie Presley

    'Crossing the reflective bridge': how therapists synthesise personal and professional development from self-practice/self-reflection during CBT training...with Vickie Presley
    Nov 4 2024
    In this episode, host Steph Curnow interviews Vickie Presley, the lead author of a paper titled "Crossing the Reflective Bridge: How Therapists Synthesize Personal and Professional Development through Self-Practice/Self-Reflection (SP/SR) during CBT Training", published in The Cognitive Behaviour Therapist. Vickie shares her insights from the research, discussing the importance of reflective practice in CBT training and how it shapes therapists' professional growth and personal awareness. If you enjoyed this episode, please rate, review, and subscribe wherever you get your podcasts. Follow us on Twitter at @BABCPpodcasts or on Instagram . Share your feedback or episode suggestions by emailing podcasts@babcp.com. Useful links: The full version of the article being discussed can be found freely available here The SP/SR book that Vickie mentions is "Experiencing CBT from the Inside Out: A Self-Practice/Self-Reflection Workbook for Therapists (Self-Practice/Self-Reflection Guides for Psychotherapists)" by James Bennett-Levy, Richard Thwaites, Beverly Haarhoff, and Helen Perry. Foreword by Christine A. Padesky Credits: Music is Autmn Coffee by Bosnow from Uppbeat Music from #Uppbeat (free for Creators!): https://uppbeat.io/t/bosnow/autumn-coffee License code: 3F32NRBYH67P5MIF Transcript: Steph: Hello and welcome to Let's Talk about CBT- Research Matters, the podcast that explores some of the latest research published in the BABCP journals with me Steph Curnow. Each episode, I'll be talking to a recently published author about their research, what was the motivation behind it and how they hope it will impact the world of CBT. Today, I'm talking to Vickie Presley. Vickie is course director for CBT training at Coventry university. She's also the lead author of the paper "Crossing the reflective bridge': how therapists synthesise personal and professional development from self-practice/self-reflection during CBT training" which she co-wrote with Gwion Jones and is published in the Cognitive Behaviour Therapist. Hi, Vickie. Welcome to the podcast. Vickie: Hi Steph, thanks for having me. Steph: Thank you. It's lovely to have you here. I was wondering if you would mind telling everyone a bit about who you are and the areas where you work. Vickie: Yeah, of course. So my name is Vickie, Vickie Presley. I'm currently the lead for psychological therapies training at Coventry University and the course director for our CBT training programme. And I guess outside of my university role, I'm also a CBT therapist and supervisor in private practice. I guess for the purposes of today as well, it'd be important to say I am also Vickie. I am a lady heading quickly towards my 45th birthday. I am a mum. I'm a wife to a long-suffering husband. I'm a sister. I'm an auntie. I'm a great auntie, Lots of things outside of that sort of professional context. And I guess also I'm a nervous wreck today, if I'm honest. I guess just thinking about conveying things around this research, but it just seems important to say that given we're going to talk about sort of how therapists might synthesise their personal and professional development, there's bits about me that might come through today that are about my personal self, not just my professional self. Steph: Great. Thank you. And that's great that you've sort of brought in some of the personal as well. That's really nice. And I'm always nervous when we start doing podcasts as well. So it's fine. And I've been doing this for a while now. Vickie: Oh, that's good to know. Thanks, Steph. Steph: The paper we're going to be talking about today is about self-practice, self-reflection in CBT training but before we get into talking a bit about the paper, would you be able to tell me a bit about how this research came about? What inspired it? Vickie: Yeah, of course. I mean, I suppose the answer to that question is, one that takes me back, sort of, 15 years or so to my own CBT training. So, I trained at Coventry. Coventry's got quite a long-standing ethos of reflective practice as part of the training course. And for me, I think that allowed me to really think about the role of myself in my therapeutic interactions with clients. And I started to notice as part of my training that I was getting in the way sometimes. So sometimes my own stuff was getting in the way of my work with clients. There's this example that I always give where, I was working with a lady who was very, very depressed, and as part of that presentation she was very perfectionist and held herself to really high standards, which, is something that I have to manage myself. So, there's kind of this schema match, I guess, if you like, that we noticed, and we did some work around that. And technically it was really good. Technically we did this continuum exercise. It worked really well, it was really helpful for her in the session. But right in the last minute, I suggested to her that she took the worksheet home, and she rewrote it ...
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    31 min
  • Ten misconceptions about trauma-focused CBT for PTSD with Dr Nick Grey

    Ten misconceptions about trauma-focused CBT for PTSD with Dr Nick Grey
    Oct 1 2024
    In this episode of Let's Talk about CBT – Research Matters, host Steph Curnow speaks with Dr. Nick Grey, a consultant clinical psychologist with extensive experience in anxiety disorders and PTSD. Together, they discuss the paper "Ten Misconceptions about Trauma-Focused CBT for PTSD," co-authored by Nick and published in the Cognitive Behaviour Therapist. The paper addresses common myths and challenges in trauma-focused CBT, offering insights for both therapists and researchers in the field. Key misconceptions discussed include: Misconception 1: "Trauma-focused treatments are not suitable for complex or multiple trauma." Misconception 2: "Stabilisation is always needed before memory work." Misconception 10: "Cognitive Therapy for PTSD is rigid and inflexible." If you enjoyed this episode, please rate, review, and subscribe wherever you get your podcasts. Follow us on Twitter at @BABCPpodcasts or on Instagram . Share your feedback or episode suggestions by emailing podcasts@babcp.com. Useful links: The paper discussed is: Murray, H., Grey, N., Warnock-Parkes, E., Kerr, A., Wild, J., Clark, D. M., & Ehlers, A. (2022). Ten misconceptions about trauma-focused CBT for PTSD. The Cognitive Behaviour Therapist, 15, e33. doi:10.1017/S1754470X22000307 The full version of the article can be found freely available here: https://bit.ly/47KIwPL Transcript: Steph: Hello and welcome to Let's Talk about CBT- Research Matters, the podcast that explores some of the latest research published in the BABCP journals with me Steph Curnow. Each episode, I'll be talking to a recently published author about their research, what was the motivation behind it and how they hope it will impact the world of CBT. Today I am talking to Dr Nick Grey. Nick is a consultant clinical psychologist and has worked in the field of anxiety disorders and PTSD for many years. He is also one of the authors of the paper we are going to be talking about today which is titled "Ten misconceptions about trauma-focused CBT for PTSD" and is published in the Cognitive Behaviour Therapist. So Nick, welcome to the podcast. Nick: Thank you, Steph. It's nice to be here. Steph: It's great to have you. So before we get talking about the paper, I was wondering if you would just mind telling everyone a bit about who you are and the areas in which you work. Nick: Yeah, sure. So, I'm a clinical psychologist by professional background and a sort of a CBT therapist by sort of flavour of psychological therapy. And I work down in Sussex now, based in Brighton working across Sussex partnership and for many years I worked up in London at the Centre for Anxiety Disorders and Trauma and continue to work together with David Clark, Anke Ehlers and other members of the Wellcome Trust anxiety disorders team who are based in Oxford. And, and that's where a lot of the work that we're going to be talking about has originated in both London and Oxford and in particular the paper is pulled together by the Oxford team. What I should also say and just wanted to say up front is that the paper is lead authored by Hannah Murray, who sadly passed away after a long illness in December 2023 and her input, not just to this paper, but to us as a group has been unbelievably crucial and, both us as a team, but I know that the wider, sort of CBT community will really miss her. Miss her contribution. Steph: Absolutely. And thank you for mentioning Hannah. She was a great friend to the journals as well. She spent so much time contributing to both of our journals, mentoring people, reviewing for us. Yeah, we really miss her. So I really wanted to talk to you about this paper today, because not only is it one of our most widely read papers, which is brilliant, but the format of this paper was so popular, it's actually sparked a whole new series of papers for us. We're doing a whole new set of "10 Misconceptions" papers now that we're currently commissioning. I just wanted to ask how did this come about? What was the idea for this? Nick: The idea came around because we found ourselves, doing a lot of training, a lot of supervision over a number of years, particularly for the treatment that we provide Cognitive Therapy for PTSD, which is one of the types of trauma focused kind of CBT. And we found ourselves saying many of the same things again and again, really sensible questions that people would raise in training workshops, really sensible questions people would raise in supervision, and we thought it would be helpful for us and therefore for all the people that we are also sort of like supervising and training to have us almost perhaps a single resource. So like an FAQs, around some of the things in this line of work. Steph: Before we get into talking about the misconceptions themselves, you've worked in PTSD and trauma for a long time now. If you don't mind me asking, when you started out were there any myths or misconceptions that you held about working with clients with PTSD? Nick: Yes, all ...
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    44 min
  • "Things that shouldn't be": Understanding the meaning of violation in OCD and trauma with Sandra Krause

    "Things that shouldn't be": Understanding the meaning of violation in OCD and trauma with Sandra Krause
    Aug 21 2024
    Let's Talk about CBT - Research Matters is a brand-new podcast from the BABCP, hosted by Steph Curnow, Managing Editor for the BABCP Journals Behavioural and Cognitive Psychotherapy and The Cognitive Behaviour Therapist. In this episode, Steph talks with Sandra Krause a senior PhD student at Concordia University. Sandra is lead author on the paper "'Things that shouldn't be': a qualitative investigation of violation-related appraisals in individuals with OCD and/or trauma histories" with her co-author Adam Radomsky published earlier this year in Behavioural and Cognitive Psychotherapy. Sandra explains what is known about the cognitive model for mental contamination and how her research builds on this to explore what her participants with lived experience of OCD or trauma define as violations and the implications of this for clinical practice. You can find Sandra's full paper here: https://bit.ly/3YLyoUn If you enjoyed this episode, please rate, review, and subscribe to the podcast on your preferred platform. Follow us on Twitter @BABCPpodcasts for updates and join the conversation. Have feedback or suggestions for future episodes? We'd love to hear from you! Email us at podcasts@babcp.com. Useful links: You can follow Sandre and Adam Radomsky on Twitter for more updates about their work or follow their lab at the links below: @SandraKrause4 @AdamRadomsky Lab website: https://www.radomskylab.ca/ Credits: Music is Autmn Coffee by Bosnow from Uppbeat Music from #Uppbeat (free for Creators!): https://uppbeat.io/t/bosnow/autumn-coffee License code: 3F32NRBYH67P5MIF Transcript: Steph: Hello and welcome to Let's Talk about CBT- Research Matters, the podcast that explores some of the latest research published in the BABCP journals with me Steph Curnow. Each episode, I'll be talking to a recently published author about their research, what was the motivation behind it and how they hope it will impact the world of CBT. Today I am speaking with Sandra Krause. Sandra is the lead author on the paper 'Things that shouldn't be': a qualitative investigation of violation-related appraisals in individuals with OCD and/or trauma histories published in Behavioural and Cognitive Psychotherapy. Steph: Sandra, welcome to the podcast. Sandra: Thank you. Thanks for having me. Steph: No problem. So before we begin, would you like to introduce yourself and talk a little bit about the research that you do? Sandra: Sure, my name is Sandra Krause, and I'm a senior PhD student at Concordia University, which is in Montreal in Canada. And all of my research that I've done as part of grad school has been in the anxiety and obsessive-compulsive disorders lab. So that's been under the supervision of Professor Adam Radomsky and really, yeah, we've been interested in trying to understand different cognitive mechanisms that are at play. I'm trying to kind of better understand different aspects of anxiety disorders, OCD. My particular interest is in kind of the crossover with trauma, ultimately, really, just so that we can improve treatments and better help people who are suffering from those kinds of issues, so that's kind of the broad strokes of what we do, and clinically kind of work to apply the knowledge that we learned from the research to evidence based approaches to working with individuals who are struggling with those concerns. Steph: Okay. Brilliant. Thank you. So we'll start talking about the paper that you've just had published in BCP. So can you tell me a little bit about what the aims of the study were, and were there any particular motivations behind the research? Sandra: yeah, so when I started grad school, my research interest was on trying to kind of understand, we know a lot about within OCD contamination related symptomatology, but there's kind of a sub section of those types of symptoms that we know less about, and it's called mental contamination. And so this is, we often see people wash excessively, feel dirty in response to kind of intrusive moral thoughts rather than in response to any kind of contact with physical germs or dirt. So, maybe having an intrusive thought about something like incest or paedophilia, or intrusive memories of past assaults, things like this that have happened to them and that that's the driver of kind of the contamination symptoms that they experience. And so coming into my PhD, I was really curious, there's a cognitive model of mental contamination that was proposed initially when sort of the symptom domain was newer, but there's a lot of aspects of the model that aren't super fleshed out. So, for example, a big part of the model is the fact that these feelings, this is feeling of dirtiness and the washing that comes up, comes up because of a perceived violation, but there's not a super clear definition of what is a violation? What constitutes a violation? What kinds of events are violating for people and why? And then also, as the name suggests, the cognitive model kind of proposes ...
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    33 min