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Seminars, conferences and online resources on psychotherapy and human relationships
The Psychotic Patient in Therapy
The role of psychodynamic psychotherapy in treating transient psychosis and preventing long-term psychotic illness

Led by Marcus Evans & Dr Brian Martindale

Saturday 14 February 2015

Most psychotherapists will occasionally work with someone who has become psychotic, perhaps unexpectedly in private practice. This day, led by two psychoanalytic psychotherapists with extensive experience in this field, offers an evaluation of the needs of the newly psychotic patient and a treatment approach that is based on understanding their symptoms from a developmental and psychodynamic perspective. It will be proposed that such psychotherapy can play an important part in preventing a transient psychotic episode from becoming a long-term psychotic illness.

This area of work arguably involves skilful therapy that is combined with a more complex framing of the work. At a relational level the therapist may be challenged in maintaining a therapeutic connection with someone who has become detached from reality. At the same time they will be assessing where the patient's symptoms sit within the wide variety of phenomena and content seen in psychosis. On a practical level, collaboration with a mental health team, which may be necessary, involves an understanding of the psychiatric view of the symptoms and treatment strategy. Our speakers will propose that a developmental, psychodynamic approach enables a clearer understanding of the psychotic symptoms, and a direction for the psychotherapy.


Dr Brian Martindale

Dr Brian Martindale is a psychoanalyst and psychiatrist. From 2005-2012 he worked as a psychiatrist in an early intervention in psychosis service. He was founder (with colleagues) of the EFPP, the European Federation of Psychoanalytic Psychotherapy in the Public Sector, its first chairperson and is now Honorary President ( He is chair of the ISPS, International Society for the Psychological Treatments of the Schizophrenias and other Psychoses ( which has a large UK chapter. He was founding editor of the ISPS Book series and has written many articles and chapters in books. He represented psychiatry for Western Europe to the World Psychiatric Association (WPA) for six years and chaired a WPA committee drawing up international guidelines for psychiatrists working in early intervention in psychosis . Since retiring from the NHS he works in private practice as a psychiatrist, psychotherapist and psychoanalyst and continues to lecture and teach nationally and internationally.

Marcus Evans

After qualifying as a psychiatric nurse in 1983 Marcus Evans worked as a clinical nurse specialist in liaison psychiatry and para-suicide in Kings College hospital. and as a clinical nurse specialist in psychotherapy at the Bethlem and Maudsley Hospital. He subsequently trained as a psychoanalytic psychotherapist at the Tavistock Centre, and qualified in 1995. He went on to become the Head of Nursing in the Tavistock and Portman NHS Trust, a position he held until becoming Associate Clinical Director of Complex Needs there in 2011.

Marcus has supervised designed, developed and taught outreach courses for front line mental health staff in various settings for the last 25 years in many mental health trusts including Camden and Islington, The Bethlem and Maudsley, and Broadmoor Hospital School. He was one of the founding members of the Fitzjohns Service at the Tavistock Clinic, an enhanced psychotherapy service offering psychoanalytic treatment to patients who would not ordinarily be offered out-patient psychotherapy. His passion is the application of psychoanalytic psychotherapeutic ideas in mental health settings.


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Self-funded: £140
Organisationally-funded: £200
As part of season ticket: £68
CPD Hours

Certificates of Attendance for 6 hours will be provided at the event

8 All Saints Street
N1 9RL

Registration: 09.30
Start: 10.00
End: 17.00