First Person Plural
Dissociative identity disorders association

Our training courses

FPP has several pre-designed courses which we have delivered successfully on many occasions.  All can be commissioned to run in-house, some are also run regularly by FPP (some of these in collaboration with ESTD-UK) and can be booked by individuals.

Trauma-related Complex Dissociation – Origins & Consequences Parts 1 & 2

The Evolving Therapeutic Relationship from D.I.D. clients’ perspectives

Complex Dissociation & 3 Phases of Therapy

ESTD-UK Foundation Course – Understanding & Working with Traumatic Dissociation

ESTD-UK Post-Foundation Course – Working Therapeutically with Complex Traumatic Dissociation

ESTD-UK Working with DID Clients Supervision Masterclass

Dissociative Identity Disorders for Helpline Workers

Introduction to Dissociative Identity Disorder

Organised Ritual Abuse – an introduction

Trauma-related Complex Dissociation – Origins & Consequence Parts 1 & 2


To enquire about commissioning this course contact us.

To register to attend when the course runs in CARDIFF on 19th & 20th October 2017  Book online

Part 1 of Trauma-related Complex Dissociation can be delivered on its own or together with Part 2 to provide a two day access level course.  This training is suitable for anyone (regardless of profession or job title) whose work includes supportive or therapeutic contact with vulnerable individuals.  Vulnerable people, no matter what the current identified cause of their vulnerability is, commonly have a history of childhood trauma and may therefore experience complex patterns of dissociation which may not be recognised.  Recognised or not such complex dissociation will affect their needs, their relationship with any supporters and how they respond to any supportive or treatment intervention. Thus, an access level of understanding will be beneficial to anyone working in primary health care (including GPs), mental health, education, supported living, domestic abuse, drug/alcohol services, rape & sexual violence / childhood abuse services, criminal justice or social and pastoral care in the statutory, voluntary or private sector.  Counsellors, psychotherapists and similar who already have some training and experience of working with dissociative clients have found these training days a useful addition to their learning, because of the unique perspectives generously shared by our experts-by-experience trainers.  Well supported stable survivors who have a complex dissociative disorder, and their family and friends may find the course a useful psycho-educational resource.

Part 1 : Learning Objectives:

  • To raise awareness of dissociation and its role in surviving abuse or trauma.
  • To introduce the dissociation continuum and the spectrum of dissociative disorders, including dissociative identity disorder (DID)
  • To understand the reality of living with dissociative identity disorder
  • To explore practical ways of supporting people who experience complex dissociation.

Part 2: Learning Objectives:

  • To improve understanding of the complexity and contradictions in how DID clients present
  • To provide complex dissociation-specific information and practical suggestions which support participants existing professional knowledge and training
  • To develop participants’ practice when supporting a DID client in crisis

The Evolving Therapeutic Relationship from D.I.D. clients' perspectives


To enquire about commissioning this course contact us.

In the dyad of the therapeutic relationship with complexly dissociative clients, the client is sometimes unable to express their own experience of the relationship and there is the complication of the different perspectives on the relationship that each part or alter of the multiple client can have.  This is particularly an issue in the early stages but not exclusively so. Though each person’s experience is different there are some common threads.  This workshop introduces some ideas about these.  The facilitators are experts-by-experience with personal lived experience of Dissociative Identity Disorder who are very experienced and respected professional trainers in the field of complex trauma-related dissociation.  They are able to reflect on and have good insight into their own journeys through therapy.  They are articulate, open and generous in their sharing of what has helped and hindered them towards recovery.

Participants will expand understanding of clients’ perspectives on living with dissociation; how this can affect their experience of and ability to develop and utilise the therapeutic relationship effectively as it evolves and fluctuates throughout therapy.  Participants will gain some practical ideas for what might work to support their complexly dissociative clients.

The workshop is intended to extend knowledge & explore practice when working in a therapeutic role with complex, traumatic dissociation.  It’s primary target audience is professionally qualified psychotherapists, counsellors or clinical psychologists who are currently working therapeutically with at least one client/patient who has a complex trauma-related dissociative condition. Participants are expected to have some familiarity with key components and stages of therapy for this client group.

Complex Dissociation and the Three Stages of Therapy


To enquire about commissioning this course (or if you are a trauma & dissociation therapist wishing to cascade your learning using this FPP films seminar model and need our guidance on how) contact us.

This seminar series is for qualified clinical psychologists, counsellors, psychotherapists and final year trainees in these professions.  It is based on First Person Plural’s two learning resource films “A Logical Way of Being” and “No Two Paths The Same”.  It is offered in collaboration with ESTD-UK.   It covers Understanding Complex Dissociation (Seminar 1) and each of the three phases of therapy for clients who have a complex trauma-related dissociative disorder – Stabilisation (Seminar 2); Working through trauma (Seminar 3) and Consolidation & Integrated Living (Seminar 4).   The seminars each include a guided viewing of chapters from the learning resource films followed by interactive sessions with questions and shared examples from participants being an important part of the learning experience.  Two facilitators, one from First Person Plural and one a clinician member of ESTD-UK training group, lead the seminars. The series is designed as a complete course and ideally participants should attend ALL FOUR seminars.  It is usually run as 4 x 2 hour sessions run at monthly intervals but other scheduling is possible.

Learning objectives:

  • To review or acquire basic knowledge about dissociation & complex dissociative disorders
  • To understand a three phase model of treatment for complex dissociative conditions
  • To consider and reflect on the evolving nature of each of the three stages and how this may affect the client, therapist, other supporters, family and friends

 

ESTD-UK Foundation Course - Understanding & Working with Traumatic Dissociation


Understanding & Working with Traumatic Dissociation
To enquire about commissioning this course or elements of it contact us.

To register to attend when the course runs in London on 13/14 May & 17/18 June 2017, Book online

A Foundation level course consisting of 4 full days run as 2 x 2 day units usually one month apart. Outlines of each day follow below. Participants must attend all four days.

Developed and delivered by the UK network of the European Society for Trauma & Dissociation (ESTD-UK) in collaboration with experts-by-experience trainers from First Person Plural – dissociative identity disorders association (FPP). It is primarily for counsellors, psychotherapists, clinical psychologists and other professionals working therapeutically with chronically traumatised clients who have a (diagnosed or not yet recognised) complex dissociative disorder, with a focus on dissociative identity and similar disorders. Participants gain a solid foundation on which to build their continuing professional development in a critical knowledge and skills set for recognising and working effectively with the many highly dissociative chronically traumatised individuals who present in NHS mental health and other therapy settings. The course recognises and builds on participants existing knowledge and skills to increase confidence in identifying and working with this client group.

Entry Requirements – please check that you can meet these before booking.
– Professionally qualified psychotherapist/counsellor/clinical psychologist/other psychological therapist or other recognised qualification for working therapeutically with people who have mental health problems
– At least basic knowledge and understanding of trauma and its role in the development of a wide range of mental / emotional health problems

Course Learning Objectives

– Be equipped with basic theoretical knowledge of dissociation & and the dissociative conditions
– Understand the developmental origins of dissociation, its effects and its role in surviving abuse/trauma
– Recognise different categories & levels of dissociation and their relationship, similarities and differences with other aspects of mental health
– Use tools for initial screening and have an outline understanding of a protocol for assessment
– Understand the core components & stages of treatment
– Draw on a range of treatment strategies
– Be equipped for multi disciplinary work.
– Be more confident in supporting those affected by dissociation
– Enhance knowledge & understanding through learning from experts by experience
– Access material via a DVD to inform colleagues and others using a cascade model
– Be equipped to move on to the post-foundation training course provided by ESTD UK

A combination of theoretical in-put, case presentation, experiential exercises & discussion informed by recommended background reading will be used throughout the course.

Certificates of attendance for a total of 24 hours CPD will be issued on completion of the course.

Day 1 : An introduction to assessment and treatment
Presented by Dr Mike Lloyd, Clinical Psychologist, CWP NHS FT

This day sets the scene for the assessment and treatment of someone with a complex dissociative disorder, firstly by understanding the characteristics of dissociation, and then onto how to assess and diagnose. The various screening tools and diagnostic schedule are discussed and explained, as well as how to collect background information safely. There is a focus on Dissociative Identity Disorder (DID) as the most complex of disorders, but attention is also given to dissociative amnesia, depersonalisation / derealisation disorders as well as conversion disorders (i.e. a person with medically unexplained symptoms). There is a ‘how to…’ discussion for beginning therapy, and there will be video footage of actual therapy with a person with DID to help attendees see and understand the process of dissociation in clinical contexts. The phase treatment model of structural dissociation forms the theoretical background for the training. There is an emphasis on open discussion of items in the presentation, drawing on attendees experience and concerns as well as offering numerous case examples to demonstrates successes and failures in therapy.

Day 2 : Understanding the lived experience – perspectives on the origins and consequences of complex dissociation
Presented by Melanie Goodwin & Kathryn Livingston, Trainers & experts-by-experience, First Person Plural

This day uses the presenters’ lived experience of DID to support participants exploration and understanding of the origins and consequences of traumatic dissociation. It focuses on aspects of the structural dissociation of the personality model encouraging insight into how that model fits with the lived experience of DID and the therapeutic process. Experiential exercises provide an opportunity to gain insight into the reality of living with DID. An emphasis is given to the importance of establishing and maintaining a therapeutic relationship based on partnership working between client and therapist, especially in the first phase of therapy, i.e. Stabilisation.

Day 3 : Origins of dissociation in childhood abuse and neglect
Presented by Dr Renée P Marks, Consultant Therapist and Clinical Lead, National Centre for Children with Complex Trauma and Dissociation (Integrate Families); Chair, ESTD Child & Adolescent Committee

This day provides significant insight in the internal world of the child and adolescent who is dissociative. The theoretical aspects of child dissociation are presented at the hand of practical examples. The primary development of the self of the child enables the participant to understand the essential needs in the infant and young child for the necessary nurture and attachment. Without these, trauma might occur, which might lead to significant dissociation in the child. The training uses case studies, drawings, photos of sand trays and DVD’s to allow the child’s voice to be heard during the training and enables the participant to gain a better understanding of the child’s subjective experiences of dissociation.

Day 4 : Attachment, relationships and supportive environments – approaches to treating dissociation in adults
Presented by Andrea Aldridge, Enhanced Art Psychological Therapist, Norfolk & Suffolk NHS FT

This day explores and discusses attachment based case material in the context of dissociation. It aims to increase understanding of the effects of disorganised and confusing attachment experiences. Concepts and approaches to establishing safe and supportive therapy environments for adults experiencing dissociation are considered, including the challenges of unsupportive environments. The day provides an opportunity for participants to discuss together and reflect on their current practice, skills and knowledge; to build on and extend these in relation to working with dissociative clients.

ESTD-UK Post-Foundation Course - Working Therapeutically with Complex Traumatic Dissociation


Working Therapeutically with Complex Traumatic Dissociation

To enquire about commissioning this course or elements of it contact us.

To register to attend when the course runs in London on 14/15 Oct & 18/19 Nov 2017 Book online

A Post-Foundation course consisting of 4 full days run as 2 x 2 day units usually one month apart. Outlines of each day follow below. Participants must attend all four days.

Developed and delivered by the UK network of the European Society for Trauma & Dissociation (ESTD-UK) in collaboration with experts-by-experience trainers from First Person Plural – dissociative identity disorders association (FPP), it is intended primarily for those who have previously attended ESTD-UK’s Foundation course. Its purpose is to extend knowledge & explore practice when working in a therapeutic role with complex traumatic dissociation, with a specific focus on dissociative identity and the similar conditions.

Entry Requirements – please check that you can meet all of them before booking; the course is not suitable for anyone who does not meet these criteria.
– Professionally qualified psychotherapist/counsellor/clinical psychologist/other psychological therapist
– At least one year’s experience of and currently (or recently) working therapeutically with one or more client/patient who has a complex trauma-related dissociative condition. i.e. dissociative identity disorder or similar
– Ability to share problematic issues arising from their own practice.
– Prior attendance on the ESTD-UK 4 Day Foundation Course or other equivalent CPD which includes complex dissociation-specific training course(s) delivered by clinically qualified trainer(s) with significant experience of working therapuetically with complex traumatic dissociation. Equivalent CPD would, at a minimum, cover foundation level understanding of traumatic dissociation, its origins and consequences; the spectrum of dissociative disorders; structural dissociation of the personality; phased model of therapy for trauma & dissociation; traumatic attachment; and an introduction to assessment & screening tools for dissociation.
– Applicants who have not previously attended the ESTD-UK Foundation course must additionally…. watch two training films prior to attendance on this course. These films “A Logical Way of Being” and “No Two Paths the Same” can be purchased from FPP  and have read Herman, Judith : “Trauma & Recovery”; Gerhardt, Sue : “Why Love Matters” and Brand, Bethany L. PhD; et al, “Separating Fact from Fiction: An Empirical Examination of Six Myths About Dissociative Identity Disorder”, Harvard Review of Psychiatry: July/August 2016 – Volume 24 – Issue 4 – p 257

Course Learning Objectives

– To build on existing training and knowledge of dissociation
– To share practice issues and concerns about working with this client group
– To provide access to peer support and consultation and encourage the formation of an exploratory learning group
– To expand theoretical and practical knowledge
– To develop participants’ own formulation of issues faced by individual clients and this client group as a whole.
– To increase awareness and understanding of the perspective of survivors via case material, the literature and direct input from the experts-by -experience.

A combination of theoretical in-put, case presentation, experiential exercises & discussion informed by recommended background reading will be used throughout the course.

Certificates of attendance for a total of 24 hours CPD will be issued on completion of the course.

Day 1 : Evidence-Based Diagnosis and Informed Treatment for Dissociative Disorders and Complex PTSD: The SCID-D
Facilitated by Remy Aquarone, Analytical Psychotherapist, Director of Pottergate Centre for Dissociation & Trauma, & former president ESTD

Systematic assessment of dissociation is essential for effective treatment of trauma survivors. This workshop provides training in the diagnosis and treatment of Dissociative Disorders and Complex PTSD through the use of the SCID-D Interview (Structured Clinical Interview for DSM-IV-R (and V) Dissociative Disorders). The SCID-D, considered the gold standard for assessing post-traumatic dissociation, allows clinicians to identify the severity of core dissociative symptoms, and from that diagnose guide treatment of dissociative and chronic post-traumatic disorders.

Participants will enhance their diagnostic and therapeutic skills with clients while gaining experience in SCID-D administration, scoring and interpretation. Practical treatment interventions based on SCID-D assessment, including client education, stabilisation, dissociative symptom reduction, and monitoring of treatment progress will be detailed, within a phase-oriented trauma treatment approach.

“The Stuctured Clinical Interview for DSMiv Dissociative Disorders (SCID-D)” by Marlene Steinberg will be used during this module and a copy will be provided at no additional cost to each participant.

“The Interviewers Guide to the SCID-D” by Marlene Steinberg, which participants will also need to refer to during this module, will be provided for shared loan on the day. Alternatively, it is available for purchase (£61.00) from the Pottergate Centre for Dissociation & Trauma

Day 2: Resourcing the Client: One Body – Many Parts
Facilitated by Dr Zoë Pool, UKCP registered psychotherapist; Service Director, Dorset Action on Abuse

This day revisits body-centred resources addressed in the Foundation course. It aims to increase understanding of the importance of safely attending to the body. Participants will develop their understanding and skills in working with clients’ complex, traumatic dissociation. The day includes experiential elements so that participants can experience and practice a range of body-centred and creative resources. It provides opportunities to share practice concerns about body centred work with dissociating clients and to explore diverse perspectives of survivors via own and peers’ case material and the literature. Importantly it encourages participants to develop their own perspectives on diverse issues faced by individual clients and this client group.

Day 3 :- The evolving therapeutic relationship from the perspectives of complexly dissociative clients
Facilitated by Melanie Goodwin & Kathryn Livingston (trainers from First Person Plural)

In the dyad of the therapeutic relationship with complexly dissociative clients, the client is sometimes unable to express their own experience of the relationship and there is the complication of the different perspectives on the relationship that each part or alter of the multiple client can have. This is particularly an issue in the early stages but not exclusively so. Though each person’s experience is different there are some common threads. This module introduces some ideas about these. The value this module brings to this course cannot be over-stated. The facilitators are experts-by-experience with personal lived experience of Dissociative Identity Disorder who are very experienced and respected professional trainers in the field of complex trauma-related dissociation. They are able to reflect on and have good insight into their own journeys through therapy. They are articulate, open and generous in their sharing of what has helped and hindered them towards recovery.
Participants will expand understanding of clients’ perspectives on living with dissociation; how this can affect their experience of and ability to develop and utilise the therapeutic relationship effectively as it evolves and fluctuates throughout therapy. Participants will gain some practical ideas for what might work to support their complexly dissociative clients.

Day 4: Struggling for relationship: Exploring complex practice issues
Facilitated by Sue Richardson, Attachment-based Psychotherapist of 30 years’ experience

Exploring and extending their knowledge of the attachment dynamics underpinning some complex practice issues participants will share their experience of relational struggles when working with dissociative clients. There will be consideration of some critical issues such as ‘attachment to the perpetrator’ and clients suffering on-going abuse. The dimension of installed structural dissociation be addressed.

ESTD-UK Working with DID Clients Supervision Masterclass


To enquire about commissioning this course contact us.

Facilitated by Remy Aquarone, Analytical Psychotherapist, Past-President of European Society for Trauma & Dissociation and Director of Pottergate Centre for Dissociation & Trauma, with Dr. Zoë Pool, Psychotherapist.

This masterclass is primarily for counsellors/psychotherapists/clinical psychologists who have previously attended the ESTD-UK Post-Foundation Course in 2015 or 2016.  Participants must currently be working therapeutically with one or more clients who experiences Dissociative Identity Disorder or similar complex dissociative condition.

The masterclas will be interactive with participants involved in helping to understand and relate to the different parts of a clients personality. The focus will be on the counter transference aspects of the therapeutic relationship. Role play will facilitate this. Case examples from some of the participants offering an example of a session with one of their clients, will be used. Strict confidentiality will be expected of not only clients presented but also anything discussed during the day.  Maximum number of participants will be 10, so book early to avoid disappointment.

Dissociative Identity Disorder for Helpline Workers


Only available to be run in-house. To enquire about commissioning this course contact us.

This half day course is for volunteers and others who provide a helpline for vulnerable adults e.g. Mental Health, Samaritans; Rape and Sexual Violence,  Childhood Abuse, Domestic Violence, Human Trafficking, Drug and Alcohol.  Many such helplines respond to DID callers but may not be aware of their needs and how best to respond.

Learning Objectives:

  • To raise awareness of dissociation and its role in surviving abuse or trauma
  • To understand the reality of living with dissociative identity disorder
  • To appreciate the specific needs of DID callers
  • To encourage participants to integrate the training into their own agency’s policies and practice

 

Introduction to Dissociative Identity Disorder


Only available to be run in-house. To enquire about commissioning this course contact us.

A half day course for volunteers and staff working in agencies providing services for vulnerable people.  The training is particularly targeted for those providing a point-of-contact, for example, GP surgeries, mental health teams, specialist mental health services e.g. eating disorders, self-harm; human trafficking, adoption & fostering; housing associations, advocacy services, local council departments, youth services, etc.  Staff and volunteers providing ongoing support or treatment would benefit from attending Part 1 and Part 2 of our two day Trauma & Complex Dissociation course above,  but if time commitment makes that impossible this course will give you an introduction to the subject.

Learning Objectives:

  • To raise an awareness of the possibility of DID when working with a wide range of vulnerable people
  • To understand some of the presenting behaviours of people who have DID
  • To equip participants with some potentially helpful responses

 

Organised Ritual Abuse – an introduction


Only available to be run in-house. To enquire about commissioning this course contact us.

This one day training workshop provides an introduction to the subject of organised ritual abuse; placing it within the wider context of all types of childhood abuse trauma; demystifying it; outlining its relationship to complex dissociative identity disorder and introducing some support needs and responses when working with survivors.   The workshop features a screening for training purposes of “May 33rd” – a BBC drama written by Guy Hibbert which explores the consequences of repeated ritual abuse, as seen through the eyes of Ella (Lia Williams) whose personality has fragmented.

Learning Objectives:

  • To introduce definitions of organised ritual abuse
  • To explore and discuss possible effects on survivors
  • To provide a survivor’s perspective
  • To introduce some ideas about what helps and hinders survivors during their journeys of recovery
  • To provide opportunities for reflection and discussion on the topic