Overview
How do we establish therapeutic contact with clients who have good reason not to trust us?
This workshop explores the quality of attunement in therapeutic relationships, with particular attention to its role in engaging parents and families in contexts shaped by relational trauma, child protection concerns, epistemic mistrust and complex presentations.
Drawing on ideas from Goal Corrected Empathic Attunement — GCEA, developed by Una McCluskey, alongside Sara Ruddick’s concept of maternal thinking, the workshop will consider how therapists and practitioners can cultivate forms of attention, responsiveness and disciplined care that support genuine engagement.
The workshop will also explore key ideas from the Lighthouse MBT-Parenting programme, currently running in specialist perinatal and infant-parent mental health services in the NHS. Particular focus will be given to the role of epistemic trust, agency, and alien self phenomena in understanding why some clients may experience professional help as intrusive, threatening, shaming or irrelevant.
Key themes will include
• The quality of attunement in therapeutic and helping relationships
• Goal Corrected Empathic Attunement and its relevance to clinical practice
• Maternal thinking, disciplined care and therapeutic responsiveness
• Epistemic mistrust in clients with relational and complex trauma histories
• Establishing epistemic trust in hostile, wary or hard-to-reach clients
• Agentive- and alien-self phenomena and their relevance to MBT-informed work
• Practical skills for working with rupture, suspicion, shame and defensive hostility
Workshop format
The workshop will combine theoretical reflection with live clinical exploration and skills-based learning.
There will be opportunities for discussion, reflection and practice, including the possibility of a “goldfish bowl” real-play*, where a small number of participants join the facilitator to explore the concepts of agentive and alien self in relation to their own personal and professional selves. This will allow participants to observe and reflect on the use of attunement, mentalizing and engagement skills in real time.
There will also be an opportunity for a participant to bring a difficult clinical encounter or “stuck” client situation for live exploration through role play and consultation.
Who is this workshop for?
This workshop is suitable for psychotherapists, psychologists, psychiatrists, parent-infant practitioners, social workers, perinatal and infant mental health clinicians, family workers and other professionals working with parents, infants and families where trauma, mistrust, risk or child protection concerns are present.