Time-limited Psychodynamic Psychotherapy with Adolescents and Young Adults

Time-limited Psychodynamic Psychotherapy with Adolescents and Young Adults (TAPP)
A 2-day training workshop at London with Professor Stephen Briggs
London, 16 and 17 March 2018
limited number of early bird tickets
option to pay in 2 equal instalments available
In this practical and in-depth two-day course, that would be of value to psychotherapists, psychologists, health care professionals and CBT practitioners, Professor Stephen Briggs explains the time-limited approach of TAPP (Time-limited Adolescents and Young Adults Psychodynamic Psychotherapy) – a distinctive, brief (20 sessions), manualised, dynamic therapy model developed at Tavistock Clinic’s Adolescent Department. The model has been specifically developed for working therapeutically with young people across the child / adult divide (14 – 25 years).
TAPP innovatively combines a psychodynamic approach with a psycho-social focus on the experiences of transitions in contemporary social contexts. It incorporates a problem solving approach through active client participation in contracting and reviewing.
TAPP has the capacity to meet the needs of young people experiencing a wide range of difficulties during the adolescent and early adult years. Experience shows that the model is particularly relevant for young people who have:
  • Complex presentations of mental health diagnoses with psychosocial vulnerabilities
  • Difficulties in relationships (including e.g. (self)destructive relationships and self-harm/suicidality)
  • Anxieties and difficulties around separation
  • Depression
  • A need for second treatments
  • An external time-limit
  • Post-traumatic presentations
  • To face transitions from children’s to adult services
  • complex situations, where longer term treatment plans are not clear
Drawing on his work at Tavistock Clinic and using a psychodynamic framework, Professor Briggs elucidates the therapeutic implications for practitioners working with young people; explaining in detail how we can recover a young person’s capacity to meet developmental challenges. The two-day course uses theoretical discussions and case vignettes to explain the value and challenges of a time-limited approach.
What does the training consist of?
The course provides an overview of TAPP and a detailed exploration of the key components of the model, linked to the key skills needed to work effectively with TAPP. These are:
  • Applying psychodynamic theories of adolescent development in contemporary contexts
  • The role of observation
  • Assessing for TAPP, including identifying a developmental focus across the age range (14-25 years)
  • Contracting with the young person
  • Working with different mental health needs and difficulties in young people including ‘internalising’ and ‘externalising’ problems
  • Achieving the therapeutic stance and working with transference and counter transference
  • Working with the developmental focus
  • Working in-depth and identifying change and growth
  • Processes of ending and review
The course takes a case focussed approach through following the experiences of (fictionalised) young people in TAPP, to link practice experiences with the principles and framework of TAPP. The course is interactive and participative throughout, using group discussion and exercises including case discussion and role play. Key information is provided through short presentations.
About the speaker
Stephen Briggs is Professor of Social Work and Director of the Centre for Social Work Research at the University of East London. His current research interests include psychotherapy with young people and adolescent mental health, including suicide and self-harm. He worked in the Adolescent Department at the Tavistock Clinic for over 20 years as a clinician, teacher and researcher. He has written widely on adolescent mental health, self-harm and suicide, infant mental health and infant observation. His books include: Working with Adolescents and Young Adults: A contemporary psychodynamic approach (2008), Growth and Risk in Infancy (1997), and Relating to self-harm and suicide; psychoanalytic perspectives on practice, theory and prevention (2008, edited with Alessandra Lemma and Will Crouch). He led the brief psychodynamic service in the Adolescent Department, and has written the manual for Time Limited Adolescents (and young adult) Psychodynamic Psychotherapy (TAPP). His papers on Time-limited psychodynamic psychotherapy for adolescents and young adults include:
  • Briggs, S. and Lyon, L. (2012) Time limited psychodynamic psychotherapy for adolescents and young adults; in Lemma, A. ed. Contemporary Developments in Adult and Young Adult Therapy: the work of the Tavistock and Portman Clinics, London, Karnac Books
  • Briggs, S. Time limited psychodynamic psychotherapy for adolescents and young adults. Journal of Social Work Practice, 2010, 24, 2, 181-196
  • Briggs, S. & Lyon L. (2011) A developmentally focussed time-limited psychodynamic psychotherapy for adolescents and young adults: origins and applications, Revue Adolescence, 76, 415-434
  • Briggs, S., Maxwell, M., & Keenan, A. (2015) Working with the complexities of adolescent mental health problems: applying Time-limited Adolescent Psychodynamic Psychotherapy (TAPP), Psychoanalytic Psychotherapy, 29(4), pp. 314- 329

Personality Disorders & Affect Regulation A one-day seminar with Dr Gwen Adshead

10:00AM – 4:00PM 
Ambassadors Bloomsbury, 12 Upper Woburn Place, WC1H 0HX
Early childhood adversity, neglect and childhood sexual abuse are just some of the risk factors that can directly impact behaviours we associate with Personality Disorders. An explanation for such linkage is that clients with personality disorders experience great difficulty in establishing and sustaining interpersonal relationships that require good affect regulation. Their inability to regulate negative affects increases the likelihood of unregulated hostility and angry responses. This actually puts such clients at an enhanced disadvantage – not only do they tend to alienate caregivers, but they are likely to do so at times of greatest need.
At this practical seminar which would be especially relevant for psychotherapists, psychologists, counsellors and psychiatrists, Dr Adshead suggests that it is impractical to provide therapy for behavioural manifestations without a proper understanding of underlying cognitive schema and neurobiological basis. She presents evidence on the development of affect regulation within attachment relationships that explains both the symptoms of and effective therapeutic strategies for personality disorders. By viewing personality disorders through the lenses of attachment and affect regulation, she equips us to recognise the multiple challenges faced by clients:heightened perception of threats, inability to repair emotional states stimulated by threat or fear and the shift in locus from external to internal affect regulation.
We comprehend the specific nature of affect dysregulation for personality disorders according to clusters:
  • Cluster A: paranoid personality disorders
  • Cluster B: borderline personality disorders
  • Cluster C: anxious / avoidant personality disorders
By drawing our attention to Affect Regulation as only one, but arguably the most critical aspect of personality disorders, Dr Adshead helps us inform our therapeutic approaches when working with mild to moderate disorders across the spectrum.
About the speaker
Dr Gwen Adshead is a psychotherapist, group analyst and forensic psychiatrist. She trained as a psychiatrist, and then as a forensic psychiatrist after completing a master’s Degree in medical law and ethics at King’s College, London.  She was lecturer in victimology at the Institute of Psychiatry, where she studied interpersonal trauma and its effects; then trained as a psychotherapist, with a particular interest in Attachment Theory. She first started work at Broadmoor Hospital as a senior psychiatric trainee in 1990; and over the last twenty years has worked as a responsible clinician, as well as a consultant psychotherapist.
Her research interests include moral reasoning in psychopaths and antisocial men; the attachment narratives of abusive mothers; and how psychotherapies work with violent people. Gwen has published over 100 papers, book chapters and commissioned papers; co-edited three books and is working on three more.
Gwen’s principle training is group dynamic; but she also has experience of cognitive approaches to therapy, DBT, and mentalization based therapies.
Seminar Schedule
10:00AM: Session 1: Affect dysregulation and personality disorders
In the first session, we comprehend how individuals who have experienced insecure attachment are at risk of developing dysregulated and disorganised affective systems. Specifically, we consider:
  • The move towards a more self-preservative behaviour in personality disordered clients
  • The regulation of negative affect
  • The heightened expectation of an external solution – creating challenges for the therapist
  • Optimal right hemispheric maturation
11:30AM: Coffee Break 
11:45AM: Session 2:  

The three clusters


Our discussion in the second session examines how affect dysregulation specifically influences affective expression in personality clusters:
  • Paranoid, schizoid and schizotypal – consistent under-regulation of fear and terror
  • Borderline, antisocial, histrionic and narcissistic – under and over dysregulation of both positive and negative affects
  • Avoidant, dependent and anakastic – under regulation of social emotions
1:00PM: Lunch (a light lunch is provided as part of the seminar)
1:45PM: Session 3: Substance misuse and Violence: group discussion
This interactive session builds on our understanding from Session 2 and explains how substance misuse and reactive violence can be explained as a consequence of inadequate regulation.
2:45PM: Coffee Break
3:00PM: Session 4: Implications for Therapy
We look at therapeutic implications of our discussions and consider:
  • Affect Regulation as an approach in psychodynamic, cognitive and relationship-based therapies
  • Combining psychotherapies for effective work with mild to moderate degrees of personality disorder
  • Affect Regulation and group processes
  • Recognizing when severe disorders warrant further referral
4:00PM: Close
questions about the seminar? Call us at: + 44 20 7096 1722 or write to:helen.smith@nscience.co.uk
nscience, Endsleigh Street, London, WC1H 0DP United Kingdom

The Therapeutic Care Journal

National Centre News February 2016

Dear Colleagues,This month we have a number of new articles published on the National Centre website The Therapeutic Care Journal. Please follow the links below to read each article.

Happy reading until the next issue of our newsletter!

John Diamond

BPC Trainees’ Conference 2016

BPC Events

Trainees’ Conference 2016

Book here today


Trainees’ Conference 2016

Being Both: the Individual and the Group

5 March 2016, Islington, London

£45 (BPC Trainees & Registrants)

£55 (Non-BPC)

The 2016 Trainees’ Association conference will explore the tensions between our individual identities as practitioners and belonging within the professional community.

The day is jam-packed with debates, papers, workshops and experiencial sessions focusing on the realities of working today.

The event is open to all, both trainees and qualified practitioners.

Conference Exclusive! Attendees at the conference will have access to our ‘career clinics’ with senior practitioners from across the sectors. This is a great opportunity to seek guidance on your career, raise concerns, or just grill experienced practitioners on life as a psychotherapist!

Book online today here

Space at the conference is limited so book soon to avoid disapointment.



10 – 10.30am

10.30 -11.45am
Morning paper
‘When Outside Becomes Inside:The Impact of the Political and Social World on Clinical Practice’ Andrew Samuels

11.45 – 12pm
Coffee Break

Career clinics open – Between 12 and 3.15pm conference participants can book in to see a senior practitioner to seek guidance on their careers, advice, or just
grill about working as a psychotherapist today.

12 -1pm
Tandem sessions
Particpants are free to select which session they’d like to attend. Choose from:

1.    Learning from Others: Q&A with Jane Cook, Henrietta Rose and Gail Taylor
2.    Social dreaming matrix Carola Mathers
3.    The value of working therapeutically in organisation with Anne-Marie Wright

1 – 2pm

2 – 3pm
Tandem sessions
Particpants are free to select which session they’d like to attend. Choose from:

1.    Learning from Others: Q&A with Jane Cook, Henrietta Rose and Gail Taylor
2.    Social dreaming matrix Carola Mathers
3.    The value of working therapeutically in organisation with Anne-Marie Wright

3 – 3.15pm
Coffee Break

3.15 – 4.30pm
Afternoon Plenary
Precarious Work and Precarious States of Mind
Elizabeth Cotton

4.30 – 5pm
Conference Closing Plenary


About the Career Clinics

Ever wanted to grill an experienced practioner on what its really like to practice today?
Find out from senior clinicians what its like working in the NHS, private sector or in other institutions? Or did you ever just wanted to ask, but what is it really like post qualifying, where do I get patients from, how do I set up a practice, find a job, set up a network…?

Now you can! Participants at the BPC trainees’ conference will have the exclusive opportunity to book in time with a senior practitioner for a one to one chat about anything you want to know!

Senior practitioners include:

Dr Sally Beeken
Adult, Child and Adolescent Psychoanalytic Psychotherapist

Maureen Boerma
Couple Psychoanalytic Psychotherapist and Director of Training Tavistock Centre for Couple Relationships

Dr James Johnston
Psychoanalytic Psychotherapist Medical Psychotherapist

Prof Brett Kahr
Individual and Couple Psychoanalytic Psychotherapist

Helen Morgan
Chair, British Psychoanalytic Council Jungian Analyst

Lee Smith

David Vincent
Chair of ethics (BPC) and Psychoanalytic Psychotherapist


Book online for the conference here



British Psychoanalytic Council

Unit 7
19-23 Wedmore Street
London N19 4RU
United Kingdom

The Therapeutic Care Journal

National Centre News February 2016

Dear Colleagues,

This month we have a number of new articles published on the National Centre website The Therapeutic Care Journal. Please follow the links below to read each article.

Happy reading until the next issue of our newsletter!

John Diamond

Psychopathy Unpacked

A seminar with Professor Robert Snowden
London, 11 March 2015 (Wednesday)

6:00PM – 9:00PM
Ambassadors Bloomsbury,12 Upper Woburn Place, WC1H 0HX 

As therapists, we work with behavioural disturbance manifestations in clients, reduced capacities for remorse, poor behavioural controls, antisocial behaviour and violent tendencies – all or some of which characteristics may have pathological causes. It is challenging however, to comprehend these as severe representations of Personality Disorders, even when the manifestations appear strongly resistant to therapy. Recent advances in neuropsychology and brain imaging have shown how genetic and environmental dispositions can separately contribute to psychopathy.


At this thoughtful and practical seminar, which would be especially relevant for psychotherapists, psychologists, CBT practitioners and counsellors, Professor Robert Snowden draws on his longstanding research in forensic psychology, evidence from neuropsychology and brain imaging studies to build our comprehension of assessment, cognitive dysfunction and underlying brain functions for individuals who are regarded as psychopathic. He elucidates that a dysfunction in the ability to process emotions lies at the heart of psychopathy and explains the implications for effective assessment and management.


Professor Robert Snowden (PhD, Cantab) is a professor at Cardiff University where he teaches and researches in areas of forensic psychology with particular interest in the causes of violence, sexual violence and suicidal behaviours.  He was educated at York University and Cambridge University before working at MIT (USA). He regularly trains professionals on risk assessment procedures (e.g, HCR20) and is a credited Darkstone Trainer for the UK and Europe for the Psychopathy Checklist-Revised (PCL-R).  He has published over 100 scientific articles in many areas of psychology, including Prediction of violence and self-harm in mentally disordered offenders, Journal of Consulting and Clinical Psychology, Vol 71(3), Jun 2003, 443-451 (with Gray, Nicola S.; Hill, Charlotte; McGleish, Andrew; Timmons, David; MacCulloch, Malcom J.) and Forensic psychology: Violence viewed by psychopathic murderers, Nature 423, 497-498 (29 May 2003) (with Nicola S. Gray, Malcolm J. MacCulloch, Jennifer Smith & Mark Morris).


Seminar Schedule


6:00PM: Session 1:

An introduction to Psychopathy


In this first session we look at the some of the definitions of psychopathy and relate these to behavioural findings for violence, behaviours and therapy response.  We consider how psychopathy should be assessed and briefly consider the recent controversies in this area.  We also consider the idea of the ‘white-collar‘ psychopath.


6:45PM: Session 2: Cognitions and Emotions


Following on from the first session, we look at theories that suggest a dysfunction in the ability to process emotions lies as the heart of psychopathy.  We will ‘unpack‘ this idea and look at some of the evidence for this position.  We then examine what it means for clients and its implications for assessment and management.


7:30PM: Coffee Break


7:45PM: Session 3: Genetic & Environmental factors
Consolidating the learnings from the previous sessions, we revisit the debate: are psychopaths born or made?  We cover the evidence for a genetic contribution and for an environmental contribution to this disorder.  We examine recent evidence from neuropsychology and brain imaging studies and again consider the implications for our work.


9:00PM: Close