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Programme Specification for Therapeutic Communication with Children PgCert

This programme is only offered at: Tavistock and Portman NHS Trust.

Final award

PgCert

Intermediate awards available

N/A

UCAS code

N/A

Details of professional body accreditation

N/A

Relevant QAA Benchmark statements

Psychology

Date specification last up-dated

November 2005

Profile

The summary - programme advertising leaflet

Programme content

The programme aims to provide an understanding of children’s communications and the therapeutic process, through knowledge and application of basic psychoanalytic concepts for those who have no formal training in psychoanalytic psychotherapy with children.

The programme aims to develop students’ understanding of psychoanalytic concepts to inform current workplace practice and enhance the quality of direct work with children. The programme is multidisciplinary and aimed at staff from social services, child and family consultation centres, special schools, residential units, family centres and similar organisations who work with children.

The programme integrates theory and practice to enhance the students’ understanding of the unconscious communications of children and their interactions with their child clients.

Admission requirements

The most important entry requirement is that the student is currently in a work situation in which they are engaged in direct work with children. Whilst many are already professionally qualified and have a basic degree, we also accept those who may not have had standard higher educational backgrounds. For those who do not have a degree applicants may be admitted on the basis of relevant working experience, which demonstrates appropriate knowledge and skills. We apply the principle of equality of opportunity and encourage the recruitment of those with special needs.

Programme structure

The programme is part-time, one afternoon a week for one year.

Learning environment

Theory is taught through lectures by senior members of the Tavistock staff with special expertise. The whole student group attends (usually 20) and these are conducted in an interactive style, chaired by the Organising Tutor and involving discussion. The presence of the Organising Tutor maintains continuity of learning between lectures and initiates review and feedback throughout the year. Work discussion seminars are in small groups of 5 with a group leader, all Child and Adolescent Psychotherapists. These small seminars involve application of students’ own work from their current child case load.

Assessment

Assessment is based on two written submissions during the programme of the year. The Theory essay is 3,000 words and is submitted in March. Students will draw on the lectures, their own reading and apply this theoretical knowledge of basic psychoanalytic concepts to their interactions with children. The Work Discussion essay is 4,000 words and is submitted in June. It provides an opportunity for students to reflect on their learning and experience of being with child clients in their own professional roles, which may constrain or promote the development of therapeutic relationships. The award is based on reaching a satisfactory standard in these submissions – ie 50%. Client confidentiality is protected by changing the names of individuals and institutions.

Relevance to work/profession

The programme offers the opportunity for each student to enhance and deepen their professional understanding of their work with children within their particular role and work setting. Students consider the boundaries of their professional role and they explore the possible conscious and unconscious meanings of the events and behaviour of children with whom they are interacting and communicating. They also consider possible dynamics at play within their work setting that may inhibit or promote therapeutic working practices with children and families.

Thesis/Dissertation/project work

There is no dissertation in this programme, but students are encouraged to take further their own ideas gained throughout the programme by considering extending their learning and continuing with other programmes if appropriate. Individual tutors encourage this thinking throughout their contact with the student.

Added value

This programme is not a professional training, but it enhances the skills and competencies of those involved in therapeutic work with children. The work place benefits from the added knowledge and skills brought back to it by staff who have participated.

Your future career

While this is not a clinical training programme, it can be used as a way of entering a training escalator for those who feel comfortable using this framework of thinking. Routes to further study for those who have a social work training include going on to further programmes in Social Work; some Educational Psychologists do this programme as part of their Doctoral programme; further programmes for those involved in the discipline of nursing as the programme is ENB credited; those in an educational setting may go on to D1- Emotional factors in teaching and learning which now has a counselling component; and those who are interested in possibly doing a full professional training in psychoanalytic psychotherapy with children and adolescents are encouraged to begin the pre-clinical M7 Psychoanalytic Observational Studies programme. Completion of this can then be a gateway to full clinical training; Some are encouraged to take the equivalent programme D33 in work with adolescents. Others may be interested in pursuing the programme D42 for primary mental health workers or those interested in a systemic model may pursue training in family therapy.

How we support you

An important part of the learning experience is that students meet with their individual tutors twice a term to reflect on the experience of the programme and their progress on it. Brief notes are kept by the tutor as an aide memoire to the learning and feedback process and in order to follow up on agreed action. The tutor will be expected to be aware of the student’s work context and to think about possibilities for future learning and further training or professional development opportunities. The Organising Tutor advises on study skill methods and essay writing. Students with special needs are individually monitored so that any extra input required in terms of academic support can be addressed. Seminar leaders create a climate in the small groups for careful reflection on the academic content and its individual application to the particular work settings of the students.

Bonus factors

The Tavistock Clinic is an international centre of excellence for a psychoanalytic framework of understanding of therapeutic work with children. Students are exposed to lecturers who are leaders in their field of work with particular groups of children eg. those who are fostered and adopted or those with autistic spectrum disorders . The Tavistock Centre has an excellent library system, which all students are encouraged to make use of to the fullest extent possible. Students are exposed to clinicians and teachers of high calibre and meet a wide range of colleagues on the programme from a diversity of work settings from whose work they benefit enormously. Students take back to their places of work knowledge and understanding that they then share with others on their teams.

Outcomes

Programme aims and learning outcomes

What is this programme designed to achieve?

This programme is designed to give you the opportunity to:

  • To develop skills in understanding the communications of child and adolescent clients.
  • To develop skills in detailed observation and recording of interaction with children.
  • To develop skills in understanding emotional reactions to clients and to be able to begin to develop an understanding of the impact of the client on the worker. To begin to use this understanding to make formulations about clients.
  • To enable you to develop confidence in liaison and referral within the professional network.
  • To begin to use the psychoanalytic framework of thinking when making assessments of interactions with children and applying this understanding to the child’s communications.
  • To promote sensitivity to cultural, racial and gender differences and their impact on the relationship between worker and child.
  • To enable students to gain an understanding of the impact of various forms of trauma on emotional development.
  • To facilitate the development of confidence in co-operative practice with parents and carers.

What will you learn?

Knowledge

  • An overview of basic psychoanalytic concepts like transference and counter-transference, container-contained, the internal world, projection and projective identification
  • How these ideas are applied in child development – infancy, latency and adolescence
  • Elements of a therapeutic relationship – the importance of making emotional contact

Thinking skills

  • The capacity to integrate and apply the theoretical knowledge to the work setting
  • The capacity to make links and connections in understanding children’s communications on a symbolic level
  • The independent development of a particular understanding of the student’s therapeutic role, leading to a greater range of responses with the child and in the decision-making process

Subject-Based Practical skills

  • The capacity to engage and communicate with the child and to be able to sustain the relationship within the boundaries of a therapeutic setting
  • The capacity to understand elements of defensive processes
  • The capacity to develop observational skills and write up detailed reports of interaction with child clients, noticing one’s own emotional responses

Skills for life and work (general skills)

  • Encourages the capacity to become more self reflective
  • Enriches the student’s capacity to tolerate the personal intensity and vulnerability of showing others how one works and thinks about one’s work
  • Enhances ability to think and discuss ideas in a large and in a small group
  • Helps students pay appropriate attention to issues of difference and to maintaining thoughtful anti-discriminatory practice
  • Introduces the idea of networks around children that may act out some dynamics of the case

Structure

The programme structure

Introduction

All programmes are credit-rated to help you to understand the amount and level of study that is needed.

One credit is equal to 10 hours of directed study time (this includes everything you do e.g. lecture, seminar and private study).

Credits are assigned to one of 5 levels:

  • 0 - equivalent in standard to GCE 'A' level and is intended to prepare students for year one of an undergraduate degree programme
  • 1 - equivalent in standard to the first year of a full-time undergraduate degree programme
  • 2 - equivalent in standard to the second year of a full-time undergraduate degree programme
  • 3 - equivalent in standard to the third year of a full-time undergraduate degree programme
  • M - equivalent in standard to a Masters degree

Credit rating

The overall credit-rating of this programme is 60 credit for PgCert.

Typical duration

This is a part-time programme - one afternoon a week for one year.

How the teaching year is divided

The teaching year is divided into three 10 week academic terms, starting in October and ending in July.

What you will study when

All teaching for this one year part-time programme takes place on a Monday afternoon. Lectures are from 1.45-3.00pm. There is a break for 45 minutes when students may go to the canteen for tea, coffee biscuits etc. During this time they can get to know one another, use the library or have an individual tutorial (two per term). From 3.45-5.00pm the Work Discussion Seminar takes place.

Year

Unit title

credit

status

1

Basic theoretical concepts – term 1

10

Core

1

A Psychoanalytic understanding of Child Development – term 2

10

Core

1

Understanding particular client groups – term 3

10

Core

1

Work Discussion Seminars – detailed discussion of material brought from the students’ work settings – all three terms

30

Core

Requirements for gaining an award

  • In order to gain a Postgraduate Certificate, you will need to obtain 60 credits at Level M.
  • In order to gain a Postgraduate Diploma, you will need to obtain 120 credits at Level M
  • In order to obtain a Masters, you will need to obtain 180 credits at Level M. These credits will include a 60 credit level M core unit of advanced independent research.

Masters Award Classification

Where a student is eligible for an Masters award then the award classification is determined by calculating the arithmetic mean of all marks and applying the mark obtained as a percentage, with all decimals points rounded up to the nearest whole number, to the following classification

70% - 100%

Distinction

60% - 69%

Merit

50% - 59%

Pass

0% - 49%

Not Passed

Assessment

Teaching, learning and assessment

Teaching and learning

Knowledge is developed through

  • Lectures and discussion of basic psychoanalytic concepts and issues of race and culture in therapeutic work with children
  • Broadening this knowledge through reading and application of theoretical ideas in practical work situation
  • Integrating theory and practice through writing essays, organising material and presenting work in small seminars

Thinking skills are developed through

  • Making links to work setting through interacting with lecturers in larger group
  • Presenting own work and commenting on thoughts stimulated by the presentation of colleagues’ work in small group and making links with knowledge gained through theoretical study in larger group
  • Developing sensitivity to what is happening in the interactions with a child and the effects or consequences of intervention
  • Reflecting on knowledge gained by putting thoughts together in two essays
  • Individual discussions with personal tutor on standards required for the written submissions and integrating material for these submissions

Practical skills are developed through

  • Applying theoretical knowledge to individual work setting with particular child clients
  • Developing observational skills in writing detailed accounts of interactions with child clients, involving writer’s own actions and emotional reactions as well as those of clients
  • Observing the relationship between direct clinical experience and theoretical concepts
  • Developing an ability to prepare for and participate fully in seminar presentations
  • Considering and discussing the professional decisions the worker has made
  • Extending the worker’s frame of reference and understanding so that interventions can be based on a fuller appreciation of the emotional factors at work in relationships involving therapeutic communication with children
  • An appreciation of the scope and limitations of their own individual professional roles and a sense of group processes in the work setting or institutional factors which may influence the setting in benign or maladaptive ways

Skills for life and work (general skills) are developed through

  • Discussion based seminars enhance the capacity for self reflection and the transferable skills of making links between what is observable in the external world and what is happening in terms of emotional responses in the internal world of the worker and their client
  • Students develop the ability to tolerate the anxiety of having their working practice observed in detail by others
  • Feeling states may be exposed and brought to the surface in the small group setting and the range of feeling states can be extended and understood in terms of the interaction with particular child clients

Assessment

List here the assessment methods that you use. Once again, in order to demonstrate that all learning outcomes are assessed, it might be helpful if you use one of the approaches suggested above e.g..

Knowledge is assessed by

  • Theory and Work Discussion Essays. These need to have a clear and straightforward style and structure, with sub-headings if appropriate. They should be well written and proof-read for accurate punctuation and spelling
  • Evidence needs to be shown of an integration of the psychoanalytic literature read on theory and child development, with illustrations from work presented in the work discussion seminars
  • They need to show evidence of awareness of intra and interpersonal processes in interaction during therapeutic communication with children

Thinking skills are assessed by

  • Clarity of style and understanding in the essays, quoting relevant texts
  • Capacity to integrate theory and practice as evidenced in the essays and in the seminars and lecture participation
  • Capacity to explore connections between psychoanalytic theory, culture and race, modes of learning within relationships as child development unfolds; mental processes and family dynamics and their impact on a child’s experience
  • Evidence in the essays of an understanding of the impact of the external environment (including institutional processes) on child development
  • Evidence in the essays and in group discussion of the ability to read and think critically, drawing together key themes

Practical skills are assessed by

  • Written presentations in small groups showing evidence of the developing capacity to observe self and other in interaction
  • Applying theoretical ideas to personal work experience in one’s professional role in essays, presentations and group participation
  • Ability to use help offered by staff and personal tutors in essay writing skills and to use feedback provided during the year

Skills for life and work (general skills) are assessed by

  • Evidence through written submissions and group participation of increasing capacity to hold different points of view and yet make up one’s own mind
  • Markers of essays, group leaders and personal tutors having a sense of the students’ enhanced confidence in expressing themselves and their ideas, tolerating differences and being challenged by being exposed to new ideas on a cognitive level and new areas of experience within the self on an emotional level
  • Students themselves reflecting on their own experience of the programme and discussing this in groups and in written reports or with personal tutor

Quality

How we assure the quality of this programme

Before this programme started

Before this programme started the University checked that:

  • there would be enough qualified staff to teach the programme
  • adequate resources would be in place
  • the overall aims and objectives were appropriate
  • the content of the programme met national benchmark requirements
  • the programme met any professional/statutory body requirements
  • the proposal met other internal quality criteria covering a range of issues such as admissions policy, teaching, learning and assessment strategy, and student support mechanisms

This is done through a process of programme approval which involves convening a panel of academic experts including some subject specialists from other institutions. Each panel scrutinises available documents and talks to the staff who will teach the programme before deciding whether it can be approved

How we monitor the quality of this programme

The quality of this programme is monitored each year through evaluating:

  • external examiner reports (considering quality and standards)
  • statistical information (considering issues such as the pass rate)
  • student feedback

Drawing on this and other information an Annual Quality Improvement Plan is drawn up by the staff who teach the programme that is reviewed at departmental and faculty level.

Once every five years the University undertakes an in-depth review of the whole subject area. This is undertaken by a panel that includes at least three external subject specialists. The panel considers documents, looks at student work, speaks to current and former students and speaks to staff before drawing its conclusions. The result is a report highlighting good practice and identifying areas where action is needed.

The role of the programme committee

This programme has a programme committee comprising all relevant teaching staff, student representatives and others who make a contribution towards the effective operation of the programme (e.g. library/technician staff). The committee is responsible for the quality of the programme. It oversees preparation of the Annual Quality Improvement Plan and proposes changes to improve quality. The programme/subject area committee plays a critical role in the University's quality assurance procedures.

The role of external examiners

The standard of this programme is monitored by at least one external examiner. External examiners have two primary responsibilities:

  • To ensure the standard of the programme
  • To ensure that justice is done to individual students

External examiners fulfil these responsibilities in a variety of ways including:

  • Approving exam papers/assignments
  • Attending assessment boards
  • Reviewing samples of student work and moderating marks
  • Ensuring that regulations are followed
  • Providing feedback to the University through an annual report that enables us to make improvements for the future

Listening to the views of students

The following methods for gaining student feedback are used on this programme:

  • Unit evaluations
  • Student representation on programme committees (meeting 6 times year)
  • Student/Staff consultative committee (meeting 3 times a year

Students are notified of the action taken through:

  • circulating the minutes of the programme committee
  • a newsletter published three times a year
  • providing details on the programme noticeboard

Listening to the views of others

The following methods are used for gaining the views of other interested parties:

  • Questionnaires to former students
  • Industrial liaison committee
  • Placements Officer

Further Information

Alternative locations for studying this programme

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Where you can find further information

Further information about this programme is available from:


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