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SKILL CLASS 4 | DAY 1: 2.30 PM - 4.00 PM

Navigating the Angry Protector and Detached Protector Modes in Forensic Settings

by Louise Sainsbury & Rachel Horsman

Participants will be encouraged to consider how their reactions interplay with the core task of reducing avoidance and use of anger to gain interpersonal distance in clients who have used violence as a protective strategy. There will be a focus on  how to deal with negative reactions to the use of empathy and limited parenting and how to use empathic confrontation safely. Consideration will be given to the impact of secure environments on the presentation and maintenance of avoidance, and the response of MDTs to these mode presentations and the dynamic this result within teams and the Schema therapist. Participants will: 

• Gain a clearer understanding of the Avoidant Modes in forensic/challenging clients. 

• Gain an understating of the functions of these modes drawing on the Avoidant Dismissive Attachment Style 

• Practice the application of schema therapy techniques with these Avoidant Modes 

• Explore their schemas and modes in response to working with ‘hard to penetrate' avoidance. 

• Consider the impact of secure environments and MDT Schema Chemistry on the Avoidant Modes and the Schema Therapist. 

• Have an opportunity to bring their clinical material

Level of Experience Required for Participants: 

Intermediate (Participants have had basic Schema Therapy training)

About the Presenters:

Louise Sainsbury

Louise Sainsbury is a chartered Clinical and Forensic Psychologist and has worked in the UK NHS for over 25 years.   She has been using Schema Therapy in UK high secure NHS mental health services for over 15 years.  She has been delivering long term individual and group schema therapy with clients with complex and often contradictory mental health presentations and forensic histories. Louise is a certified Trainer/Supervisors in Individual and Group Schema Therapy and provides training and supervision to a wide range of professionals.  She has specific expertise in the application of Attachment Theory within Schema Therapy and especially in applying this when working with patients with avoidant personality disorder, as well as borderline personality disorder, within a forensic context. Louise is also a consultant with 'Schema Therapy Solutions UK' and provides accredited schema therapy training and supervision.

Rachel Horsman

Rachel Horsman is a Chartered Forensic Psychologist. She has worked as a Forensic Psychologist for 20 + years in the Prison Service and the National Health Service for the last 15 years. She is experienced in delivering individual and group schema therapy in a high secure forensic hospital setting and specializes in severe personality disorder and complex cases.  She has specific expertise in undertaking long term individual and group schema therapy with patients with strong angry protector, paranoid overcontroller, bully attack and predator modes and who have violently offended.  She is a certified supervisor/trainer in both individual and group schema therapy and provides accredited training and supervision to a range of clinicians working in forensic and non-forensic services.  Rachel is also a consultant with 'Schema Therapy Solutions UK' and provides accredited schema therapy training and supervision.

Why Schema Therapy?

Schema therapy has been extensively researched to effectively treat a wide variety of typically treatment resistant conditions, including Borderline Personality Disorder and Narcissistic Personality Disorder. Read our summary of the latest research comparing the dramatic results of schema therapy compared to other standard models of psychotherapy.

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