We are delighted and proud to be able to offer you a wonderful pre-congress with two interesting workshops by highly valued colleagues. Highly recommended in the run-up to the congres! We are grateful to RINO Zuid for this wonderful program.
Tuesday 17 May 2022
Online platform open
13:00 – 13:15
Welcome and introduction
Marrik van Rozendaal, Director RINO Zuid
Prof. Dr Chijs van Nieuwenhuizen, Congress President and President of EFCAP
13:15 – 14:45
14:45 – 15:15
Break | let’s meet (with meeting carrousel)
15:15 – 16:45
16:45 – 17:00
Recap of the pre-congress
Online platform closure
“I am a bad child”
How protection leads to alienation and aggression eventually provides language for a miraculous healing.
Inge Heunen Msc, clinical child and adolescent psychologist/ child and adolescent psychotherapist
Rita van den Elzen MSc, child and adolescent psychiatrist
Learning to regulate emotions is one of the most important developmental tasks of children and adolescents. Aggressive behaviour (ranging from explosive to instrumental) peaks in the human lifespan around the age of 27 months. While acquiring language and regulative skills, children learn more constructive ways to cope with uneasy feelings. In our orthopsychiatric clinic we meet a variety of disrupted families who did not manage to achieve this ‘normalising’ path; on the contrary.
In this masterclass we like to explore with the participants the multifarious and miraculous world of disruptive children; full of pitfalls, paradoxes and circular patterns of dysfunctional interactions. We will share our experiences in specific cases, and present a circular pathogenetic model. Together we will explore how relevant factors, and dynamics, for example danger, inability, or destructive reinforcement, can seriously block developmental pathways yet eventually can also and offer language to open ways to recovery.
Rita van den Elzen (Child & Adolescent Psychiatrist) and Inge Heunen (Clinical Psychologist C&A) collaborate intensively for over 10 years in the (Inpatient) Orthopsychiatrie / Transforensic Youth Psychiatry at ‘Mondriaan K&J’ in Maastricht. In this period they gathered a wealth of experiences and expertise in diagnosing and treating children and adolescents with disruptive behaviour and other psychiatric disturbances, and their families. Generally these families suffer from transgenerational comorbidities and trauma related issues. Currently they are developing a youth-‘KIB’ (Intensive Treatment Clinic).
Mild to Bordeline Intelligence Disturbance (MBID)
Recognition through discussion, based on films of adolescents with and without (MBID)
Dr. Annemat Collot d’Escury-Koenigs, associate professor at the Department of Developmental Psychology at the University of Amsterdam
People with Mild Intellectual Disability (MBID) are overly involved in the forensic domain. Nonetheless, they often go unnoticed. Underdiagnoses of MBID most often results in miscommunication, less adherence and sanctions that are too complicated, which in turn often results in incremented sentences, anger and increase of resistance. Underdiagnoses is not surprising as MBID is hard to spot; MBID is invisible, capricious in performance and varies over context. Youngsters with MBID often mask their disabilities, making recognition even more complicated, particularly in a forensic context. They show antisocial behaviour and hide their lack of understanding, pretending to be uninterested or even unwilling: “rather antisocial then dumb”.
In this workshop we focus on recognition and understanding. To do so we designed films with MID and non-MID youngsters (N=12, ages from 16 to 19). In the films youngsters (inter)act with a professional actor, presenting typical theme’s youngsters experience (e.g. a conflict with a guard who forbids you to smoke or park your scooter). Together we discuss whether and why we consider a youngster MBID or not. In discussion with your colleagues you have to substantiate your choices and reconsider MID indications and/or contra-indications. Discussion increased the insight that characteristics do not exist without context and that they should be valued within the context. “You have to look for a pattern; a characteristic by itself might seem representative, but in another context it might not”. For example, being slow is often considered typical for MID. However, a youngster might be slow because he is pondering and weighing the situation, considering different perspectives and thereby taking his time, which is not typical for MID. Professionals argued this increased their ability to recognize MBID characteristics and their ability to understand the impact of these characteristics, which in turn changed their behaviour and treatment of (MBID)juveniles.
Dr. A.M.L. (Annematt) Collot d’Escury is clinical developmental psychologist, Healthcare, Child and Youth specialist. She is working in the clinical field as well as at the Universtity of Amsterdam. She is working with children, adolescents and young adults threatened in their social emotional and social cognitive development. She won several prices in the clinical field for practise based research. Together with the Forensic Care Quality Fund KFZ), in collaboration with adolescents (MBID and not MBID) she prepared a training for professionals: LVBeeld, from discussion to recognition, aimed at: (a) recognition of MBID and MBID characteristics: “how can we see through the camouflage of an MBID?”, and (b) a better understanding of MBID.
The pre-congress has been compiled by RINO Zuid in coordination with the congress committee. The RINO Zuid Foundation stands for the Regional Institute for Continuing Education and Training in Mental Health Care. The organization was founded in Maastricht in 1984 to provide psychotherapist training in the south of the Netherlands. It has now grown into a training institute that provides various postgraduate and dual training courses as well as various refresher courses and in-company trainings for the benefit of mental health care.
RINO Zuid is a network organisation that, in close collaboration with its partners, offers opportunities and possibilities to jointly strengthen and improve mental health care and assistance, with the core concepts of ‘knowledge’, ‘meeting’ and ‘appreciation’. Knowledge of the latest insights and the way in which these are applied in practice. Meeting colleagues and having a conversation with them about the profession. And appreciate, because everyone’s input is appreciated.