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Loyola McLean, BA, MBBS, FRANZCP, PhD

Staff Specialist Psychiatrist, Western Sydney Local Health District, Clovelly,, Australia

A/Prof Loyola McLean, BA MBBS FRANZCP PHD Dip Psychodynamic Psychotherapy, is a Consultation-Liaison Psychiatrist, Psychotherapist and Medical Educator in public, private and academic practice, working as co-coordinator of postgraduate courses at the Brain and Mind Centre, University of Sydney and as a Psychotherapy Educator and Coordinator for Western Sydney, serving on Faculty with the Westmead Psychotherapy Program for Complex Traumatic Disorders and Honorary Research Psychiatrist with Constultation-Liaison Psychiatry at Royal North Shore Hospital, St Leonards in Sydney. She researches stress system dysregulation and integration, interpersonal neurobiology, paths to trauma recovery and psychotherapy process, grounding her research in attachment and trauma theory, the Conversational Model, multi-modal care and mixed methods approaches. She is certified as a reliable coder for the AAI and has attended an Institute with Mary Main and Erik Hesse.

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040.1 – Complex Trauma in the 21st Century: a Conversational Model perspective

Symposium Paper 1: Attachment, the Therapeutic Dyad, and the CM Perspective: Tracking Self-development and Post-traumatic (Re)Integration

Sunday, November 29

1:40 PM - 2:00 PM

Room: Ballroom 1 & 2


Loyola McLean, BA, MBBS, FRANZCP, PhD

Staff Specialist Psychiatrist, Western Sydney Local Health District, Clovelly,, Australia

Human beings develop in connected relationships that begins with the moment to moment interactions of infancy, scaffolded by care-givers in the proto-conversation and the affectively enriched activities involving safety, comfort, care and play, extending throughout life and to the therapeutic context where psychotherapy is a secure base for post-traumatic reintegration and transformation. Connectivity is constructed at every level of the individual and dyadic systems, now explicitly named in the study of interpersonal neurobiology: we experience the joy of companionship, the pride of achievement and the vicissitudes of trauma and loss, shared in conversations that connect and reconnect post-trauma. Parent-infant and attachment research has something to offer in operationalizing the individual and dyadic state and their change over time in our psychotherapeutic conversations.

This talk aims to illustrate the utility of the CARE-Index, examining the music and dance of dyads, and the Adult Attachment Interview, scored via linguistic markers to reveal attachment states of mind and markers of reflective functioning, in assessing the therapeutic interchange and the resolution of trauma in our ongoing process of formulation, reformulation and reformation. These approaches will be outlined and then applied to an adult psychotherapy context, taking examples from earlier and later sessional material (used with permission) to demonstrate change.

These ways of evaluating the music and the dance of self and dyad are helpful to the therapist seeking to reflectively track process and change and foster transformation.