Clinical Insights for Practitioners

Articles, reflections and clinical insights from Rebecca Higgins — on EMDR, trauma, betrayal trauma, supervision and psychodynamic practice.

This is a space for practitioners who want to think more deeply about their work.

Here you'll find articles, clinical reflections, practical insights, and emerging ideas drawn from more than 16 years of specialist clinical practice, supervision, training, and ongoing research. Topics range from trauma, EMDR, betrayal trauma, addiction, and attachment to case conceptualisation, therapist development, and the complexities of the therapeutic relationship.

Whether you're looking for practical guidance, fresh perspectives, or simply a place to pause and reflect, these resources are designed to support your growth as a practitioner and deepen your understanding of the work we do.

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Althea Samson Althea Samson

Recognition in the Room: Subjectivity, Rupture and Repair

Most clinicians know the moment. A client who has been working well suddenly says, "You don't understand," or goes quiet, or begins to comply a little too smoothly. Our training pulls us toward technique — reflect, validate, check the formulation. But something else may be happening. The client may be testing whether we are actually here, as a separate person, capable of surviving them.

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Althea Samson Althea Samson

The Development of 'Self' Through the Conversational Model

Most of us were trained to think of the self as something a person has: a structure, an internal object that can be strengthened, repaired or, in the language of much of our field, "rebuilt." The Conversational Model asks us to hold that assumption more loosely. It proposes that the self is not a thing at all but a process, one that emerges moment by moment in the space between people and can only be understood within a relationship.

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Rebecca Higgins Rebecca Higgins

What Makes Supervision Truly Effective? Why Relational Holding Matters More Than Competency Checklists

Supervision is one of the most important relationships in a practitioner's professional life, yet it is too often experienced as a procedural requirement rather than a genuinely transformative relational process. In this article, I explore what the research tells us about effective supervision, why relational holding matters, and what it means to work with a supervisor who understands that the goal is not compliance; it is clinical growth.

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