DOCSLIB.ORG

Facilitating Transformance for Couples - 14Th June 2021 View Online At

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Facilitating Transformance for Couples - 14Th June 2021 View Online At Facilitating Transformance for Couples - 14th June 2021 View online at https://aedpinstitute.org Facilitating Transformance for Couples A Comparison between Structural Family Therapy and AEDP By Gil Tunnell Abstract. The author compares the similarities and differences between Structural Family Therapy and Accelerated Experiential Dynamic Psychology applied to couples, and then discusses how he incorporates principles of both models in his work with couples. Bowlby’s attachment theory is described, with an emphasis on the importance of balancing both the need for connection and the need for autonomy with couples. A clinical case illustrates how he integrates Minuchin’s concept of complementarity with AEDP’s emphasis on experiencing core affects, resulting in a healing experience for the couple. Diana Fosha (2008, 2013b) has defined “transformance” as an individual’s innate drive to be transformed, to self-heal, to right one’s self, to grow, to be authentic and be known, connected, and recognized by the other, even in the face of misfortune and trauma. Accelerated Experiential Dynamic Psychotherapy (AEDP; Fosha, 2000) is a model of individual treatment that sets up conditions for transformance to unfold. From family therapy, Salvador Minuchin (1974) also believed that couples desire to heal and grow with one another, even in the face of relational conflict, and his model of treatment is designed to help them discover their own “hidden resources” to accomplish that (Genijovich, 1994). I have been very fortunate to have been trained by both Fosha and Minuchin. Not only are they master clinicians, they are creative theoreticians with very different ideas about the conditions required for transformation and growth. In brief, Minuchin believes people change when they are challenged and made to feel anxious; Fosha believes people change when they feel safe. Despite this striking theoretical difference, they share several therapeutic similarities, the key one being: Making something happen in the session. Both are highly “active” therapies. Minuchin challenges and confronts couples to change their behavioral interaction in the here and now of the session, whereas Fosha empathically and affirmatively supports the individual to feel deep affects in the safety of the session, pushing the usual defenses aside. This paper focuses mainly on the differences between the two models, expands the definition of “transformance” to include couples, and then presents ways of adapting individual AEDP to more traditional couple therapy. Structural Family Therapy Structural family therapy is a systemic therapy that focuses on the interpersonal context of behavior. In initial sessions the structural therapist maps out the interactional dance of the couple and delineates what is dysfunctional. After a period of “joining” with a new couple, in which the therapist builds trust and forms a “good enough” therapeutic relationship, the structural family therapist asks the couple to do an “enactment,” (Talk to one another Page 1 Facilitating Transformance for Couples - 14th June 2021 View online at https://aedpinstitute.org rather than to me). Enactments are necessary because only then can the therapist witness the couple’s systemic dynamic. As the couple talks to one another, structuralists step back to observe the couple’s circular interactions, and then identify the complementarity of the positions they take with one another. Much like individual AEDP does “moment-to- moment” tracking of the patient’s nonverbal behavior, structuralists put far more weight on the partners’ nonverbal styles as they talk, than on the content of their words. With this systemic map in hand, the structural therapist goes about creating change within the session (Greenan & Tunnell, 2003). In structural family theory, the fundamental mechanism of change is unbalancing, that is, to challenge and confront the couple’s behaviors head on (Nichols & Minuchin, 1999). To change relational dynamics, the couple is made to feel anxious about their dynamic, usually challenging one person at a time. Minuchin believed that if someone was not made to feel anxious during the session, it was not a productive session that would produce change. Hence structural treatment is purposely designed to raise anxiety to effect change (Tunnell, 2006a, 2006b). AEDP believes the opposite: That lowering anxiety and making the individual feel safe is the way to effect change. Again, although their therapeutic methods are vastly different, Fosha and Minuchin share a belief in transformance. Just as Fosha believes there is a “self-at- best” lying latent underneath the defenses of the individual patient (and mines for it), Minuchin believes that healthier relational behavior exists beneath the maladaptive behavior and challenges the couple to find it (Greenan, 2010). Just as Fosha believes there is a “self-at-best” dormant under the defenses, Minuchin would argue that there is a “couple-at-best” hiding beneath dysfunctional dynamics. The structural therapist is not always a confrontational provocateur. Throughout treatment, the structural therapist alternates between joining and challenging. Minuchin was fond of describing structural interventions as a two-step combination of “stroke and kick,” “stroking” and being softer and more supportive when people begin to change, but “kicking” when they persist in old behaviors. In my four years training with Minuchin, I never got comfortable with the kicking part. In search of treatment models that that did not require the therapist to take such adversarial and challenging positions, I began applying to couple therapy (Tunnell, 2006a; 2012) several principles of individual AEDP. Individual AEDP and Its Implications for Couple Therapy As an individual treatment, AEDP in early sessions creates a safe attachment bond between therapist and patient, as a platform to help the patient begin to uncover and process warded-off emotions. All attachment bonds are based initially on positive affective experiences. Thus in the very first session, the AEDP therapist explicitly expresses affirmation, empathy and compassion for the patient. In the first and in all subsequent sessions of treatment, an AEDP therapist offers safety and remains explicitly positive toward the patient, always affirming and complimentary, at times praising the patient’s ability to cope and survive thus far in life, all the while recognizing the desire for symptom relief. Page 2 Facilitating Transformance for Couples - 14th June 2021 View online at https://aedpinstitute.org Once safety is established, the AEDP therapist actively helps the patient—by providing continual empathic support—to identify and access “core affects” somatically in his body (sadness/despair, fear, anger, joy, pleasure, shame, disgust), moving from State 1 “top of the triangle” where anxiety and defenses reside, to State 2 core affects (Fosha, 2000), which have often been repressed or warded off by means of some other defense. “Core affects” are naturally occurring, universal and hard wired into our physiological systems (Tomkins, 1962, 1963), because they have survival value, have adaptive action tendencies, and are a guide to living (Frederick, 2009). Feelings do not necessarily have to be acted upon, but they are ignored at our peril. Most individuals as children learned to repress some (or all) emotions in order to maintain an attachment relationship with one or both parents; many parents can’t handle affect. As Fosha (2000) has written, expounding on Bowlby, in sacrificing emotional authenticity for attachment security, children learn it is not safe to express affects that could upset the attachment figure on whom they depend. To cope with that dilemma, they develop defenses against feeling in general, and a reticence to express emotion to intimate others in particular. While defenses may have been partly adaptive then—because they preserved their attachment ties to the parent—defenses also left them cut off from their innermost feelings, as well as thwarting the development of a deeper relationship with the parent. The flow of an individual AEDP session is quite different from traditional individual psychodynamic therapy: The AEDP individual therapist actively and frequently interrupts the patient’s narrative and slows him down as he tells his story, even in the very first session. Through moment-to-moment tracking of nonverbal signs that the patient is experiencing emerging signs of affect (e.g., a sigh, a change in facial expression, a shift in gaze, nervous twitching), the AEDP therapist attempts to down-regulate any anxiety and bypass the patient’s usual defenses, so that he begins to experience the core emotions that accompany his narrative. Unlike the parent reproachful of the child’s affects, the AEDP therapist provides a safe space where the patient can connect with her body physiologically, describe the somatic sensations verbally, and express the emotion in its entirety, e.g., cry in response to sadness, feel the anger in the body. In AEDP’s technical terms, this sequence in which the therapist actively helps the patient access, express and manage warded-off emotional states is called “dyadic regulation of affect” (Fosha, 2001). The emotional experience is processed to completion and shared with the therapist. The AEDP therapist functions as a midwife for the patient to have a full emotional experience. As the wave of fully expressed emotion subsides, and that experience is processed with the therapist (State 3), Fosha
Load more

Recommended publications
  • Conference Program
    Program 49th Annual International Meeting June 27-30, 2018 Amsterdam, Netherlands Final Program Society for Psychotherapy Research 49th Annual International Meeting Amsterdam, Netherlands June 27-30, 2018 2 President Paulo P.P. Machado Past President J. Christopher Muran President Elect Mariane Krause General Vice-President Bruce Wampold Executive Officer Marna S. Barrett Regional Chapter Presidents Latin America Fernanda Serralta United Kingdom Felicitas Rost North America Shelley McMain Europe Stig Poulsen Program Planning Committee Mariane Krause (Program Chair), Jack Dekker (Local Host), Carolina Altimir, Paulina Barros, Claudia Capella, Marcelo Cárcamo, Louis Castonguay, Paula Dagnino, Kim de Jong, Gary Diamond, Ulrike Dinger, Daniel Espinosa, Fredrik Falkenström, Shigeru Iwakabe, Clara Hill, Claudio Martínez, Shelley McMain, Nick Migdley, Mahaira Reinel, Nelson Valdés, Daniel Vásquez, Sigal Zilcha-Mano. Local Organizing Committee Jack Dekker (Chair Local Organizing Committee), Kim de Jong. Web & IT Sven Schneider Meetingsavvy.com Brad Smith Copyright @ 2018 Society for Psychotherapy Research www.psychotherapyresearch.org 3 Preface Dear Colleagues, The members of the Conference Program Planning Committee and Local Organizing Committee warmly welcome you to Amsterdam for the 49th International Meeting of the Society for Psychotherapy Research. Amsterdam is known worldwide for being a diverse, open, and tolerant city that combines a strong culture with modern and sustainable development. In keeping with our host city, the theme for SPR’s 49th Annual International meeting is "Integrating Diversity into Psychotherapy Research". As part of our commitment to making our society even more inclusive and international, diversity gives us the chance to foster integration and inclusion while at the same time enriching our discipline. The program of this new version of our annual meeting reflects this diversity.
    [Show full text]
  • T~~E Evolution of Psychotherapy. a Conference
    T~~E EvoluTioN of PsycHOTHERApy. SM A CoNfERENCE. Sponsored by The Milton H. Erickson Foundation Cosponsored by University of California, Irvine-Department of Psychiatry & Human Behavior California State University, Fullerton-Department of Psychology December 12-16, 1990 Anaheim, California FEATURING: Beck, Bugental, Ellis, Glasser, M. Goulding, Haley, Hillman, Kaplan, Lazarus, Lowen, Madanes, Marmor, Masterson, May, Meichenbaum, Minuchin, Palazzoli, E. Polster, M. Polster, Rossi, Szasz, Watzlawick, Whitaker, Wolpe and Zeig. KEYNOTE ADDRESSES Viktor Frankl Betty Friedan PsycheScapes= Positions & Projections Featuring: Aaron Beck, M.D. James Bugental, Ph.D. Albert Ellis, Ph.D. William Glasser, M.D. Mary Goulding, M.S.W. Jay Haley, M.A. James Hillman, Ph.D. Helen Singer Kaplan, M.D., Ph.D. Arnold Lazarus, Ph.D. Alexander Lowen, M.D. Cloe Madanes, Lie. Psychol. Judd Marmor, M.D., Ph.D. James Masterson, M.D. Rollo May, Ph.D. Donald Meichenbaum, Ph.D. Salvador Minuchin, M.D. Mara Selvini Palazzoli, M.D. Erving Polster, Ph.D. Miriam Polster, Ph.D. Ernest Rossi, Ph.D. Thomas Szasz, M.D. Paul Watzlawick, Ph.D. Carl Whitaker, M.D. Joseph Wolpe, M.D. Jeffrey Zeig, Ph.D. This second Evolution of Psychotherapy Conference, PsycheScapes: Positions and Projections, is dedicated to those presenters from the 1985 Conference who cannot be with us here, but who will always be with us in spirit. Their wisdom and contributions have added to the well-being of humankind. Bruno Bettelheim Murray Bowen Ronald D. Laing Carl Rogers Virginia Satir Lewis Walberg And to Robert Goulding who could not attend the Conference due to ill health. THE HONORABLE CITY COUNCIL FRED HUNTER, Mayor IRV PICKLER, Mayor Pro Tern MIRIAM KAYWOOD, Councilwoman WILLIAM D.
    [Show full text]
  • The History of Family Therapy
    AA01_GLAD8906_06_SE_FM.indd01_GLAD8906_06_SE_FM.indd PagePage iiiiii 29/03/1429/03/14 7:327:32 PMPM//205/PH01382/9780133488906_GLADDING/GLADDING_FAMILY_THERAPY6_SE_9780133488906/SE/2 f-w-155-userf0-w5-/P15H50-1u3s8e2r /9780133488906_GLADDING/GLADDING_FAMILY_THERAPY6_SE_9780133488906/SE/ ...... PREFACE PHILOSOPHY Therapeutic work with families is a recent scientific phenomenon but an ancient art. Throughout human history, designated persons in all cultures have helped couples and families cope, adjust, and grow. In the United States, the interest in assisting families within a healing context began in the 20th century and continues into the 21st. Family life has always been of interest, but because of economic, social, political, and spiritual val- ues, outsiders made little direct intervention, except for social work, into ways of helping family functioning until the 1950s. Now, there are literally thousands of professionals who focus their attention and skills on improving family dynamics and relationships. In examining how professionals work to assist families, the reader should keep in mind that there are as many ways of offering help as there are kinds of families. How- ever, the most widely recognized methods are counseling, therapy, educational enrich- ment, and prevention. The general umbrella term for remediation work with families is family therapy . This concept includes the type of work done by family professionals who identify themselves by different titles, including marriage and family therapists, licensed professional counselors, psychologists, psychiatrists, social workers, psychiatric nurses, pastoral counselors, and clergy. Family therapy is not a perfect term; it is bandied about by a number of professional associations, such as the American Association for Marriage and Family Therapy (AAMFT), the American Counseling Association (ACA), the American Psychological Association (APA), and the National Association of Social Workers (NASW).
    [Show full text]
  • FAMILY THERAPY Concepts and Methods
    FAMILY THERAPY CONCEPTS AND METHODS A01_NICH3062_12_SE_FM.indd 1 17/12/2019 20:51 A01_NICH3062_12_SE_FM.indd 2 17/12/2019 20:51 Twelfth Edition FAMILY THERAPY CONCEPTS AND METHODS Michael P. Nichols College of William and Mary Sean D. Davis Alliant International University A01_NICH3062_12_SE_FM.indd 3 17/12/2019 20:51 Please contact https://support.pearson.com/getsupport/s/contactsupport with any queries on this content Copyright © 2021, 2017, 2013 by Pearson Education, Inc. or its affiliates, 221 River Street, Hoboken, NJ 07030. All Rights Reserved. Manufactured in the United States of America. This publication is protected by copyright, and permission should be obtained from the publisher prior to any prohibited reproduction, storage in a retrieval system, or transmission in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise. For information regarding permissions, request forms, and the appropriate contacts within the Pearson Education Global Rights and Permissions department, please visit www.pearsoned. com/permissions/. Acknowledgments of third-party content appear on the appropriate page within the text. PEARSON, ALWAYS LEARNING, REVEL, and MYLAB are exclusive trademarks owned by Pearson Education, Inc. or its affiliates in the U.S. and/or other countries. Unless otherwise indicated herein, any third-party trademarks, logos, or icons that may appear in this work are the property of their respective owners, and any references to third-party trademarks, logos, icons, or other trade dress are for demonstrative or descriptive purposes only. Such references are not intended to imply any sponsorship, endorsement, authorization, or promotion of Pearson’s products by the owners of such marks, or any relationship between the owner and Pearson Education, Inc., or its affiliates, authors, licensees, or distributors.
    [Show full text]
  • The Alcoholic Family and Larger Systems : a Systemic Assessment of Interactional Patterns and Metaphoric Communication
    University of Massachusetts Amherst ScholarWorks@UMass Amherst Doctoral Dissertations 1896 - February 2014 1-1-1983 The alcoholic family and larger systems : a systemic assessment of interactional patterns and metaphoric communication. Dusty, Miller University of Massachusetts Amherst Follow this and additional works at: https://scholarworks.umass.edu/dissertations_1 Recommended Citation Miller, Dusty,, "The alcoholic family and larger systems : a systemic assessment of interactional patterns and metaphoric communication." (1983). Doctoral Dissertations 1896 - February 2014. 2208. https://scholarworks.umass.edu/dissertations_1/2208 This Open Access Dissertation is brought to you for free and open access by ScholarWorks@UMass Amherst. It has been accepted for inclusion in Doctoral Dissertations 1896 - February 2014 by an authorized administrator of ScholarWorks@UMass Amherst. For more information, please contact [email protected]. THE ALCOHOLIC FAMILY AND LARGER SYSTEMS: A SYSTEMIC ASSESSMENT OF INTERACTIONAL PATTERNS AND METAPHORIC COMMUNICATION A Dissertation Presented By DUSTY MILLER Submitted to the Graduate School of the University of Massachusetts in partial fulfillment of the requirements for the degree of DOCTOR OF EDUCATION May 1 983 Education Dusty Miller © All Rights Reserved THE ALCOHOLIC FAMILY AND LARGER SYSTEMS: A SYSTEMIC ASSESSMENT OF INTERACTIONAL PATTERNS AND METAPHORIC COMMUNICATION A Dissertation Presented By DUSTY MILLER Approved as to style and content by: Evan Imber Coppersmith, Chairperson of Committee Charlotte Rahaim, Member Theodore Slovin, Member Hariharan Swaminathan, Department Head School of Education i i i . ACKNOWLEDGEMENTS I would like to thank my teacher and mentor, Dr. Evan Irnber Coppersmith for her professional support, personal encouragement and endless challenges provided over the past three years. I would also like to thank Dr.
    [Show full text]
  • Jay Haley Collection, 1957-2007 M1733
    http://oac.cdlib.org/findaid/ark:/13030/kt6870384x No online items Guide to the Jay Haley Collection, 1957-2007 M1733 Andrea Castillo Department of Special Collections and University Archives July 2011 Green Library 557 Escondido Mall Stanford 94305-6064 [email protected] URL: http://library.stanford.edu/spc Guide to the Jay Haley Collection, M1733 1 1957-2007 M1733 Language of Material: English Contributing Institution: Department of Special Collections and University Archives Title: Jay Haley collection creator: Haley, Jay source: Richeport-Haley, Madeleine Identifier/Call Number: M1733 Physical Description: 28 Linear Feet(55 boxes) Date (inclusive): 1957-2007 Abstract: The Jay Haley collection, consisting of 28 linear feet and spanning from the 1950s to 2007, documents Haley’s career through correspondence, papers, book typescripts, and media materials. Among Haley’s papers documenting his multiple professional activities are his writings on: psychotherapy as a profession; teaching therapy; studies on Milton H. Erickson M. D.; the Bateson Project; marriage and family therapy; schizophrenia; his work with the Philadelphia Child Guidance Clinic, and his activities as editor for the Journal Family Process. The collection also includes Haley’s fiction writings, and his training films on topics such as: strategic and family therapy, Milton H. Erickson M.D., documentation of specific cases, and trance and dance in Bali. Physical Description: The collection contains paper and audio visual materials Access to Collection Accession 2009-287 is conditionally open for research, with written authorization required in accordance with Special Collections and University Archives Access to Health Information of Individuals Policy. Also case studies in series 3.3 and 8.5 are closed and will be available one hundred years from the date of creation.
    [Show full text]
  • Structural Family Therapy
    CHAPTER 12 Structural Family Therapy She flips through a magazine on the blue-striped couch sometimes entertained but often bored, while he gulps down popcorn and televised football, feeling occasionally excited yet often empty. At midnight when the lights go off and the news of the day and the games are decided, She lays in anticipation, but without hope, of his touch while he tackles fullbacks in his sleep and ignores his needs and hers. Alone, they together form a couple, together, all alone, they long for a relationship. Gladding, 1991c CHAPTER OVERVIEW From reading this chapter, you will learn about ■ Why structural family therapy was created and the importance of boundaries and hierarchies in this approach. ■ The major theorists, premises, techniques, roles of the therapist, processes, and outcomes of structural family therapy. ■ The uniqueness of the structural family therapy approach. As you read, consider ■ What type of family boundaries and subsystems were most prevalent in your family of origin. ■ The feminist argument that structural family therapy promotes sexual stereotypes. ■ How comfortable you would be acting like a theater director if you were a structural family therapist. 297 298 Part 2 • Therapeutic Approaches to Working with Families tructural family therapy was initially based on the experiences of Salvador Minuchin and his colleagues at the Wiltwyck School, a residential facility in Esopus, New SYork, for inner-city delinquents. The treatment was created out of necessity. Long- term, passive, and historically based approaches to working with the families of these children proved unsuccessful ( Piercy, Sprenkle, & Wetchler, 1997 ). The active and often aggressive nature of family members at the Wiltwyck School and their tendencies to blame others and react immediately meant therapists had to be powerful and quick.
    [Show full text]
  • The Spiritual Approach to Systemic Family Therapies
    SPIRITUAL PSYCHOLOGY AND COUNSELING spiritualpc.net / 2020 Volume: 5 Number: 1 Original Article The Spiritual Approach to Systemic Family Therapies Hasan Kütük1 Ph.D. Candidate 1 Ph.D. Candidate, Marmara University, İstanbul, 34722, Turkey. E-mail: [email protected] Abstract The concept of spirituality has started being included in therapy settings due to the new paradigms showing developments in the world of psychology in the late 20th century and in the 21st century. When examining the literature, many articles and books are seen to have been published related to the topic, and most of the studies have been carried out abroad. These performed studies have contributed new concepts and information to the literature by revealing how the concept of spirituality can be integrated with family therapies. This study has been prepared for the purposes of drawing the attention of researchers who conduct studies in Turkey based on systemic family therapy and of specialists who plan therapy sessions based the relevant theory to the topic and to provide the literature with a topic that finds no examples in the literature of Turkey. How the concept of spirituality can be used in harmony with the systemic family therapy approach and what the techniques of the spirituality-based systemic family therapy are have been prepared by being based on the many studies that have been published abroad. Before beginning the study, theoretical information and basic concepts primarily about systemic family therapies are provided, and then it moves on to spirituality-oriented systemic family therapy by briefly mentioning the concept of spirituality. How the concept of spirituality can be applied to systemic family therapy and the points and ethical situations to which counselors need to pay attention are also mentioned.
    [Show full text]
  • Understanding Trauma in Guatemala
    UNDERSTANDING TRAUMA IN GUATEMALA: A CROSS-CULTURAL PERSPECTIVE A DISSERTATION SUBMITTED TO THE FACULTY OF THE GRADUATE SCHOOL OF APPLIED AND PROFESSIONAL PSYCHOLOGY OF RUTGERS, THE STATE UNIVERSITY OF NEW JERSEY BY JEFFERY BUCHANAN BRAND IN PARTIAL FULFILLMENT OF THE REQUIREMENTS FOR THE DEGREE OF DOCTOR OF PSYCHOLOGY NEW BRUNSWICK, NEW JERSEY OCTOBER, 2015 APPROVED: ___________________________ Monica Indart, Psy.D. ___________________________ Dan Fishman, Ph.D. DEAN: ___________________________ Stan Messer, Ph.D. Copyright 2015 by Jeff Brand Abstract This study provides a qualitative analysis of how a sample of Guatemalan psychologists conceptualize and work with psychological trauma. Ten psychologists living and working in Guatemala completed semi-structured interviews developed by the researcher to investigate their conceptualization(s) and clinical experience of treating trauma. Participants also answered a brief demographic questionnaire about their clinical training and professional practice. Interviews were analyzed for themes, which were grouped into meta-themes around four main areas: re-experiencing memories, unformulated emotional distress, hyperarousal and loss of meaning/connection. Selected interviews were also analyzed holistically as “cases” to examine how the internal logic and assumptions of each perspective varied. Different conceptual models of trauma emerged, and given the diversity of ideas, it is not possible to talk about ideas of a “Guatemalan model” of trauma. While primary themes showed some similarities to occidental ideas, the research also reveals how different participants employ multiple different concepts, each with different organizing assumptions. This includes use of alternative therapies (i.e., energy-based therapies), spiritual elements, social psychologies and interpersonal perspectives. Established trauma concepts— such as PTSD— import their own organizing assumptions, which may or may not be consistent with the basic assumptions of different cultures.
    [Show full text]
  • Psychosomatic Families
    Psychosomatic Families Psychosomatic Families Anorexia Nervosa in Context Salvador Minuchin Bernice L. Rosman Lester Baker With a Contribution by Ronald Liebman HARVARD UNIVERSITY PRESS Cambridge, Massachusetts, and London, England Copyright © 1978 by the President and Fellows of Harvard College All rights reserved Printed in the United States of America This book has been digitally reprinted. The content remains identical to that ofprevious printings. Library of Congress Cataloging in Publication Data Minchin, Salvador. Psychosomatic families. Includes index. 1. Anorexia nervosa. 2. Medicine, Psychosomatic. 3. Family psychotherapy. I. Rosman, Bernice L., joint author. II. Baker, Lester, joint author. III. Title. RC552.A5M56 616.8'5 78-1742 ISBN 0-674-72220-5 To the first diabetic children Karen, Patricia, and Deborah who forced us to look at the critical role of the family in psychosomatic disease Acknowledgments This book is the end result of ten years of research on families with psychosomatic children, supported by Grants NIMH 21336 and NIH AM 13518. The research on the children who were hospitalized in the Clinical Research Center of the Children's Hos­ pital of Philadelphia as part of this study was supported by Grant NIH RR240. The authors of the book represent an interdisciplinary team: psychiatrist, pediatrician, and psychologist. Yet the contributions of these individuals represented far more than the sum of their areas of expertise. In the process of working together, we developed a system of differentiated but interdependent parts. The psychiatric input was enhanced by the contribution of Ronald Liebman, M.D., who wrote Chapter 10 and was the therapist for a number of the cases followed in the outcome study.
    [Show full text]
  • 2009 Fosha Final Nyacadsci
    POSITIVE AFFECTS AND THE TRANSFORMATION OF SUFFERING INTO FLOURISHING DIANA FOSHA, PH.D. In W. C. Bushell, E. L. Olivo, & N. D. Theise (Eds.) Longevity, Regeneration, and Optimal Health: Integrating Eastern and Western Perspectives, pp. 252-261. New York: Annals of the New York Academy of Sciences, 2009. Contact Information: Diana Fosha, Ph.D.,The AEDP Institute, 225 Broadway, suite 3400, New York, NY 10007. E-mail: [email protected] Website: www.aedpinstitute.org Fosha 2009 Suffering to flourishing Annals of the NY Acad of Sciences page 2 Abstract. Three investigative realms with widely divergent methodologies arrive at uncannily similar conclusions about the vital role of positive affective phenomena in optimal adaptation, resilience, affect regulation, cardiac health, and subjective well- being: (a) research on resilience and human flourishing; (b) Indo-Tibetan practices and the emergent yogic sciences; and (c) the practice of AEDP (Accelerated Experiential Dynamic Psychotherapy), a healing-oriented, transformation-based model of psychotherapy. AEDP has explored the vital role of positive emotions in the process of change in general, and, more specifically, in therapeutic work with painful and overwhelming emotional experience, and has identified and descried a phenomenology of positive affective experiences, including the healing affects, and core state, which signal the operation of healing transformational processes. This chapter focuses on how, in the course of one therapeutic hour --through the moment-to-moment tracking of bodily rooted experience and dyadic affect regulation in the context of a relationship in which the individual feels safe and known-- the processing of suffering, i.e., stress-based, traumatizing, painful emotional experiences naturally culminates in flourishing, i.e., deeply positive experiences of aliveness, hope, faith, clarity, agency, simplicity, compassion, joy, and truth.
    [Show full text]
  • Portugal Site for 2008 World Congress November 30 - Early Registration Begins, October 31 - Deadline for Abstract Submission
    The International Family Therapy Association Volume 21, Number 1, Februry 2008 Portugal Site for 2008 World Congress November 30 - Early Registration Begins, October 31 - Deadline for Abstract Submission The 2008 World Family Therapy Congress Costa (Portugal) specializes in opens in Porto, Portugal March 26. intimacy and family therapy; Valentín 2008 World Family Therapy This is IFTA’s 16th World Congress. The Escudero (Spain) is interested in Congress Scientific and Congress organized around the theme of therapeutic alliances in couple and Transformation and Globalizations: Family family therapy; Lynn Hoffman (USA) Hosting Committee Named Therapy in the 21st Century. The Congress is a leading thinker and practitioner in program will include IFTA’s traditional the field of family therapy; Esher Perel The Scientific and Hosting Committees plenaries, workshops, short presentations (USA) focuses on cultural identity and of the 16th World Family Therapy and posters, according to Judith Landau, cross-cultural issues; Rosa Maria S. Congress have been busy planning the IFTA President. Macedo (Brazil) specializes in family Congress. The Scientific Committee therapy training; and Daniel Sampaio is in charge of arranging the speakers and the workshop. “The Scientific Pre- Congress workshops start the (Portugal), is a well-known author and Committee is comprised of 13 includes Congress on Wednesday, March 26. professor. individuals from a variety of countries,” The workshop themes and presenters are: said Dr. Northey, Chair of Congresses. n Nurturing Hidden Resilience across The World Family Therapy Congress Cultures and Contexts; has a rich history of bringing together The Scientific Committee is co- Michael Ungar the greatest clinicians from the chaired by William F.
    [Show full text]