the conversational model

The Conversational Model is a relational form of psychodynamic psychotherapy that understands emotional distress in the context of developmental history, trauma, and experiences of disconnection or oppression. It recognises the central role of relationship in psychological development, and in healing.

The Conversational Model was developed by Professor Russell Meares and Dr Robert Hobson. It is a psychodynamic and relational approach that places particular emphasis on how early developmental trauma and disruptions in emotional connection can contribute to enduring psychological difficulties in adult life.

The model draws on affect theory, neuroscience, infant development, trauma research, and psychotherapy outcome research. It has an established evidence base in the treatment of depression, deliberate self-harm, complex somatic presentations, and personality disorders.

The Therapeutic Relationship

In the Conversational Model, the therapeutic relationship is not simply the setting in which therapy takes place; it is central to the work itself. For people whose early experiences involved trauma, emotional neglect, or relationships that felt unsafe or overwhelming, the experience of being met with steadiness, curiosity, and genuine emotional presence can be profoundly important.

The therapist pays close attention to the moment-to-moment experience of the relationship: when connection feels possible, when it is difficult to stay close, and when something important begins to emerge but is hard to express. These moments are explored gently, without judgement or pressure.

Over time, a safe and responsive therapeutic relationship can help experiences that once felt fragmented, unbearable, or beyond words become more thinkable and more able to be shared. Through this process, therapy supports the development of a stronger sense of self, greater emotional freedom, and a deeper capacity for connection with others.

The Conversational Model is particularly suited to difficulties that may be longstanding or difficult to treat, including dissociative disorders, treatment-resistant depression, somatic disorders, and personality disorders. Therapy may be short-, medium-, or long-term, depending on the needs of the individual and the nature of the difficulties they are experiencing.