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Statement of the Problem: Anxiety and depression are often viewed in terms of just symptoms when they may be personality syndromes. They can be life long styles of personality, which require a different type of treatment. The Psychodynamic Diagnostic Manual -2 (PDM-2) is a new taxonomy that has reformulated mental disturbances. The PDM-2 includes Anxious and Depressive personality syndromes. The Personality Syndromes in the PDM-2 are: Depressive, Dependent, Anxious, Obsessive and Compulsive, Schizoid, Somatizing, Hysterical, Narcissistic, Paranoid, Psychopathic, Sadistic, and Borderline Personalities. They are arranged in order from internalizing to externalizing. Each personality syndrome may be organized at the neurotic, borderline or psychotic levels. The PDM-2 uses the Psychodiagnostic Chart-2 as an assessment tool (PDC-2, search for a copy to help understand and score the PDM-2). Robert Bornstein and I developed the PDC so that practitioners could easily operationalize the PDM-2. The PDM-2 also assesses mental functions. For example, no two people with depression will have the same prognosis since they may differ in such mental functions as insightfulness, ability to relate, ability to learn and so on.

Methodology & Theoretical Orientation: Although the PDM-2 is based in psychodynamic theory, the taxonomy is based on empirical research and the taxonomy has been found to be helpful to practitioners of all the major theoretical orientations.

Conclusions & Significance: When anxiety and/or depression are personality syndromes, they often do not respond well to medications or psychotherapies that just focus on the symptoms. That is because the anxiety and depression are part of who the person is, rather than just what they have.

Recommendations: A through psychological assessment and a PDM-2 formulation is needed to help determine if the anxiety and depression are symptoms (as in an adjustment disorder) or if they are personality syndromes. The latter requires long-term work on identity for any lasting changes to occur.

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Biography:

Mike Lawrence is a highly experienced senior manager gained within the private and public sector namely cosmetic, IT, civil service and leisure industries coupled with an insatiable passion and background in holistic therapy spanning 15 years, which lead to the opening of his successful holistic therapy clinic in the UK. His energic, modern and forward-thinking techniques are underpinned by studying the works of Sigmund Fraud, Milton Erickson on psychanalysis and Dr Thurman Fleet he was an amazing chiropractic healer and teacher of metaphysics who called his work concept therapy which had the effect of stress relief in the body.

Abstract:

Statement of the Problem: Britain in the grip of a stress epidemic because of 'always on' workplace culture. 73% of UK employees suffer from work related stress, leading to an annual £57 bn loss in productivity and 49% of all working days lost in 2016-2017. However, since the publication of the guide implementing a European Social Partner agreement in 2014 jointly drawn up by the CBI, TUC, CEEP UK, FPB HSE and the DTI the levels of stress are still on the increase.

Purpose: The purpose of this study is to describe what should be done in order to tackle this growing epidemic.

Methodology & Theoretical Orientation: Provide employers and employees with a framework of measures which will identify and prevent problems of work-related stress and help to manage them when they do arise. Under the agreement, the responsibility for determining the appropriate measures rests with the employer. These measures are carried out with the participation and collaboration of workers. These measures can be collective, individual or both. They can be introduced in the form of specific measures targeted at identified stress factors or as part of an integrated stress policy encompassing both preventive and responsive measures.

Conclusion & Significance: As the work environment continues to shift and grow, it is increasingly important for organisations to take on and implement a more holistic occupational fulfilment view of the employee. Identifying the triggers of stress and providing coping mechanisms for employees. Employees would feel more positive towards their employer if they were offered better health and wellbeing benefits good line management and a supportive team. However there’s also evidence that when employees perceive that they’re ‘cared for,’ they are happier and better employees.

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Biography:

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Counseling, coaching and short-term therapy became more and more popular in Germany. The problems, wishes, requirements are varying in a wide range as well as the personalities, fates and experiences of the clients. It is challenging to build up a trustful client-coach-relationship in several hours, sort the demands of the clients, identify the main problem and root cause, find the best fitting technique and accompany the client through the process. Some clients report serious life events, negative experiences, irrational behavior and anxiety. Sometimes clients change their view on their problems, have strong negative emotions, produce transference, feel fury and become unstable during the coaching process. Although this is a progress it lowers the capability of the client for effective goal-oriented work and cost time. The Polyvagal-Theory describes the three stages of the autonomous system the frozen state (dorsal vagus nerve), the flight-fight state (sympathicus) and the social engagement system SES (ventral vagus nerve) activation. Clients exhibit a preferred activation state for example the permanent action-oriented/fight mode of workaholic. The problems which suffer a client are mostly coupled with one of the flight-fight-freeze stress reaction which means with the dorsal vagus nerve or sympathicus activation. For the coaching process which bases on positive social interaction and re-learning with positive emotions the SES state is the most effective. This state can be reached quite quickly by safety mediating instructions and embodiment techniques which activates the SES related brain nerves. In contradiction to existing procedures positive affirmations and relaxation will not be used in the beginning of the process. The paper will explain the implications of the Polyvagal-Theory for effective short-term counseling (coaching) and therapy investigations and it will present a concept for the activation of the SES in an early stage of the work with the clients.

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Figure: 1: EmpAtECS ® to change psychological states.

Biography:

Maria Teresa Aydemir is a Certified Jungian Analyst, Clinical Psychologist and Individual and Group Analytical Psychotherapist with over 20 years of clinical experience in the field of Psychotherapy and Psychological Assessment. She majored in long-term analytical psychotherapy of patients suffering from various conditions linked to traumatization. During several years, she worked in the health mental clinics in the Upper Silesian Region in south-western Poland. She is currently working only in her own private practice in Katowice, Poland. She is an Individual Member of the International Association for Analytical Psychology and a Founder-Member and the President of the Board of Directors of the Eastern and Central European Community of Jungian Analysts. She is also a President of the Board of Trustees in a charitable Foundation Footprints. She has been a Speaker on several international conferences in Europe and in Japan. She has authored several articles and guest of radio and TV programmes on the mental health.

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The purpose of this presentation is to discuss an issue of stress connected with sexual abuse in childhood. Special attention will be paid to the subject of long-term stress reaction to this type of abuse. Primarily, its impact on a person's adult life will be analyzed. This topic will be illustrated by a case study of a therapy of an adult female patient who persistently fell victim to sexual molestation as a child. The matters of an incest, pedophilia, alcoholism and domestic abuse will also be discussed here. During my over 20-year clinical practice, both in the health mental clinics and private consulting rooms, I repeatedly faced the problem of various types of sexual violence in my patients' life stories. A large number of my adult patients permanently endured long-term stress resulting from sexual assaults which took place in their childhood. As a psychologist and analyst, I accompanied them in their process of recovery. The history of struggling by one of those patients with difficulties in overcoming this ordeal stress will be the guide thread of my presentation. The “Snow White” fairytale will be used as a metaphor to picture the trauma which the patient had to go through. As it was in the case of the main character of the fairytale, my patient's dazzling beauty also put her in trouble. Just like Snow White, she also suffered from a harrowing relationship with her mother. Just like Snow White was abandoned in the forest, my patient, as a child, was also left alone with all her unbearable feelings of pain, dread, helplessness and loss. The lecture will be delivered in the form of a 25-minute multi-media oral presentation in English.

Biography:

Ishita Pateria completed her MSc in Mental Health - Psychological Therapies from Queen Mary University, London, UK in 2012 followed by her second MSc in Counselling Psychology from City University, London in 2016. Previously, she had worked at Jaslok Hospital, Mumbai and Promis Clinics, Each Counselling and NHS in London. She has been involved in the area of Mental Health for over 10 years and has gained experience in diverse clinical settings and populations with complex mental and emotional needs, i.e. depression, anxiety, panic disorders, phobia, stress management, comorbid mental health, addictions, trauma, abuse, PTSD, eating disorders, relationship issues, bereavement, infertility, oncology, self-esteem, etc. She is the Founder of State of Mind – The Emotional Wellness Centre in Mumbai and provides therapeutic care to individuals, couples and families through an integrative approach based on the client’s needs. She also consults at MPower – Mind Matters and Doctor Mashru’s Mumbai Clinic in Mumbai.

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Child sexual abuse (CSA) is a universal problem, and its prevalence varies across cultures and nations. Research suggests that India has the world’s largest number of CSA cases with one in every 10 children being sexually abused. Despite its magnitude, CSA continues to be a hidden issue in India today. People remain silent due to societal norms, social stigma, communication gaps between parents and children and lack of trust towards government and health care professionals. CSA can affect adult developmental outcomes and alters cognitive and emotional orientation by causing distortions in one’s self-concept especially towards trust and intimacy. The long-term consequences span over mental health, psychological wellbeing, sexual risk-taking and physical health. Feelings of guilt, shame and blame are disclosed collectively with symptoms reflecting depression, anxiety, PTSD and eating disorders. Despite its prevalence, most research is restricted and illustrates CSA’s effect on adult mental and physical health. The emphasis on the therapeutic paradigms and its applicability in clinical practice remains limited. This presentation will highlight this gap in existing research globally and specifically within the Indian context. It will examine the inclusion of variables such as gender differences, severity of abuse, timing and response to disclosure, culture, class and education. Existing literature has not studied these variables collectively, which limits and inhibits the complex nature of this problem. However, drawing from this literature as well as my clinical experience, an integrative therapeutic approach will be proposed centred around the individuality and sensitivity required in addressing this multifaceted problem. Previous efforts of existing therapeutic models within this population will be discussed and future directions for research will be suggested. These suggestions can further be used to improve clinical practice including assessment, treatment and professional training not only in India but also globally.

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Biography:

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Introduction: Stress is imbalance between interactions of an individual to his environment. Stress is consequence of long time

Biography:

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