scholarly journals The Merits of Integrating Accelerated Experiential Dynamic Psychotherapy and Cultural Competence Strategies in the Treatment of Relational Trauma: The Case of "Rosa"

2018 ◽  
Vol 14 (1) ◽  
pp. 1
Author(s):  
Nicole Vigoda Gonzales
Keyword(s):  
Emotional Processing ◽  
Treatment Plan ◽  
Integrative Model ◽  
Trauma Survivors ◽  
Affective Processing ◽  
Complex Ptsd ◽  
Dynamic Psychotherapy ◽  
Traumatic Memories ◽  
Self Compassion ◽  
Relational Trauma

The psychological sequelae of prolonged and repeated exposure to relational trauma can manifest into a challenging clinical picture typically known as Complex PTSD. Accelerated Experiential Dynamic Psychotherapy (AEDP) is a multimodal and integrative model particularly designed to address attachment disturbances and extreme forms of affective avoidance and dysregulation commonly seen in survivors of relational trauma. Conducting this treatment in a language that is not the patient’s native tongue may interfere with emotional processing, a key component of AEDP. The purpose of this study is twofold. First, it aims to examine the benefits of experiential and attachment-based models for the treatment of "Rosa," a bilingual woman and survivor of relational trauma, who presented to treatment with depressive and Complex PTSD-like symptom. Second, the study explores whether actively incorporating Rosa’s bilingualism and ethnic identity into the treatment enhanced her capacity for emotional processing and other related aspects of AEDP. This exploration constitutes an ideal avenue for documenting the clinical challenges one may encounter in doing psychotherapy with bilingual trauma survivors. For in this type of therapy, the affective processing of traumatic memories can be lost in translation. This requires the creation of an individualized treatment plan that can address these barriers, amplifying the emergence of relational safety and ultimately facilitating the patient’s new experience of core state (Fosha & Yeung, 2006), an integrated state of clarity, ease, and self-compassion.

Symptom Profiles on the MCMI-III for Women Trauma Survivors With and Without Complex PTSD

2012 ◽  
Author(s):  
Estee S. Marchesani ◽  
Patricia L. Kaminski ◽  
Laura C. Collier ◽  
Tara N. Mckelvy ◽  
Derek Bassey
Keyword(s):  
Trauma Survivors ◽  
Complex Ptsd ◽  
Symptom Profiles

scholarly journals Facing the Music: Further Thoughts on Integrating Music into Psychotherapy

2019 ◽  
Vol 15 (2) ◽  
pp. 206
Author(s):  
G. Paul Blimling
Keyword(s):  
Group Psychotherapy ◽  
Individual Psychotherapy ◽  
Bicultural Identity ◽  
Dynamic Psychotherapy ◽  
Relational Trauma ◽  
Constructive Criticism ◽  
Literary Writing ◽  
The Impact ◽  
Made In

In this article, I respond to the insightful commentaries by Karen Riggs Skean (2019), by Richard Harrison (2019), and by Ben Adams (2019) on my hybrid case study of "James," a survivor of chronic relational trauma (Blimling, 2019). These commentaries have stimulated me to think further about the impact of music on my individual psychotherapy work, both with James and with subsequent clients, and specifically with regard to its impact on my approach to group psychotherapy work. In addition, these commentaries have raised particular issues that I respond to, including, (a) constructive criticism by Skean and Harrison regarding the potential further use of "metaprocessing" and the developments made in Accelerated Experiential Dynamic Psychotherapy (AEDP) since I completed the Case of James; (b) Skean’s perceptive point explaining how an individual therapist can take a personal passion—like music or literary writing or bicultural identity—and use it to enhance his or her enlivened presence in therapy with a client; and (c) Adams’ thesis that music and psychotherapy both have their origins in the shamanistic practices of our hunter-gatherer ancestors, suggesting that the combination of psychotherapy and music is a kind of return to our very roots.

scholarly journals One minute of grief: Emotional processing in short-term dynamic psychotherapy for adjustment disorder.

2015 ◽  
Vol 83 (1) ◽  
pp. 187-198 ◽  
Author(s):  
Ueli Kramer ◽  
Antonio Pascual-Leone ◽  
Jean-Nicolas Despland ◽  
Yves de Roten
Keyword(s):  
Emotional Processing ◽  
Adjustment Disorder ◽  
Short Term ◽  
Dynamic Psychotherapy

scholarly journals Self-Compassion Moderates the Mediating Effect of Self-Criticism in the Link Between Childhood Maltreatment and Psychopathology

2021 ◽  
pp. 088626052110629
Author(s):  
Dana Lassri ◽  
Ateret Gewirtz-Meydan
Keyword(s):  
Childhood Maltreatment ◽  
Significant Interaction ◽  
Psychological Symptoms ◽  
Mediating Effect ◽  
Self Report ◽  
Integrative Model ◽  
Convenience Sample ◽  
Self Blame ◽  
Self Compassion ◽  
Low Levels

Childhood maltreatment (CM) has been associated with psychological symptoms (i.e., psychopathology) among clinical and nonclinical samples. The mechanisms underlying this link have been understudied, especially among well-functioning adults. Arguably, exposure to CM may be translated into negative and critical self-appraisals and self-blame, reflected in high self-criticism. CM may also result in difficulty in extending kindness towards oneself, that is, low self-compassion. These characteristics are linked with elevated psychopathology. Nevertheless, no study has yet tested the extent to which self-criticism and self-compassion may serve as independent mechanisms linking CM and psychopathology and whether in this context self-compassion buffers the link between self-criticism and psychopathology. Here, we tested an integrative model in which the relation between CM and psychopathology was mediated by self-compassion and self-criticism, and the path between self-criticism and psychopathology was moderated by self-compassion. A convenience sample of 914 individuals completed online self-report questionnaires. Results indicated that CM was related to psychopathology through the mediation of self-compassion and self-criticism, with a significant interaction between self-criticism and self-compassion. Showing a moderated-mediational effect, the link between self-criticism and psychopathology was weaker under high than under low levels of self-compassion. Our findings highlight the importance of self-compassion, a robust resilience factor related to reduced psychopathology and moderating the link between self-criticism, a potent transdiagnostic risk factor, and psychopathology in the context of CM. These results thus provide empirical evidence for the relevance of compassion and mindfulness in counseling settings, particularly with CM survivors, who are at greater risk for psychopathology.

scholarly journals Investigating real-life emotions in romantic couples: a mobile EEG study

2020 ◽  
Author(s):  
Julian Packheiser ◽  
Gesa Berretz ◽  
Noemi Rook ◽  
Celine Bahr ◽  
Lynn Schockenhoff ◽  
...  
Keyword(s):  
Emotional Processing ◽  
Real Life ◽  
Hemispheric Dominance ◽  
Affective Processing ◽  
Alpha Power ◽  
Neural Basis ◽  
Power Asymmetry ◽  
Beta Power ◽  
Hemispheric Activation ◽  
The Brain

AbstractThe neural basis of emotional processing has been largely investigated in constrained spatial environments such as stationary EEGs or fMRI scanners using highly artificial stimuli like standardized pictures depicting emotional scenes. Typically, such standardized experiments have low ecological validity and it remains unclear whether their results reflect neuronal processing in real-life affective situations at all. Critically, emotional situations do not only encompass the perception of emotions, but also behavioral components associated with them. In this study, we aimed to investigate real-life emotions by recording couples in their homes using mobile EEG technology during embracing, kissing and emotional speech. We focused on asymmetries in affective processing as emotions have been demonstrated to be strongly lateralized in the brain. We found higher alpha and beta power asymmetry during kissing and embracing on frontal electrodes during emotional kisses and speech compared to a neutral control condition indicative of stronger left-hemispheric activation. In contrast, we found lower alpha power asymmetry at parieto-occipital electrode sites in the emotional compared to the neutral condition indicative of stronger right-hemispheric activation. Our findings are in line with models of emotional lateralization that postulate a valence-specific processing over frontal cortices and right-hemispheric dominance in emotional processing in parieto-occipital regions. Overall, we could thus support theories of emotional asymmetries which suggest that affective processing is not uniformly lateralized across the brain using a highly ecologically valid paradigm.

Psychopathic Traits, Inhibition, and Positive and Negative Emotion: Results from an Emotional Go/No-Go Task

2020 ◽  
Author(s):  
Lauren Frances Fournier ◽  
Julia Blayne McDonald ◽  
Peter E Clayson ◽  
Edelyn Verona
Keyword(s):  
Cognitive Control ◽  
Inhibitory Control ◽  
Emotional Processing ◽  
Negative Emotion ◽  
Community Sample ◽  
Event Related Potentials ◽  
Psychopathic Traits ◽  
Affective Processing ◽  
Emotional Stimuli ◽  
Related Potentials

Inhibitory control, the ability to stop or prevent an action, is of relevance to disorders marked by increased disinhibition and impulsivity, including some facets of psychopathy. Because aspects of cognitive control (including inhibitory control) and emotion are theorized to compete for processing resources, emotional conditions may exacerbate aggressive, impulsive, and potentially harmful behaviors. The present study examined relationships between specific facets of psychopathy and inhibitory control in the context of positive, negative, and neutral emotional stimuli in a community sample using event-related potentials during an emotional-linguistic Go/No-Go task. Results indicated distinct cognition-emotion interactions for each facet of psychopathy. High scorers on the interpersonal facet exhibited decreased inhibitory processing in the presence of emotional stimuli, and decreased emotional processing in the presence of inhibitory demands, suggesting reciprocal interference between cognition and emotion. Higher scores on the callous affect facet were associated with lower emotion and inhibition processing, except when stimuli were most engaging (emotional No-Go trials). Higher lifestyle facet scores related to reciprocal facilitation between inhibition and emotion processing. Finally, higher scores on the antisocial facet were associated with poorer behavioral inhibition overall. Results provide novel evidence for interactions between affective processing and cognitive control among individuals high on distinct psychopathic traits.

scholarly journals Sharp Wave-Ripples in Human Amygdala and Their Coordination with Hippocampus during NREM Sleep

2020 ◽  
Vol 1 (1) ◽  
Author(s):  
Roy Cox ◽  
Theodor Rüber ◽  
Bernhard P Staresina ◽  
Juergen Fell
Keyword(s):  
Emotional Processing ◽  
Nrem Sleep ◽  
Brain Structures ◽  
Affective Processing ◽  
Brain State ◽  
Cooperative Interactions ◽  
Sharp Wave ◽  
Sharp Waves ◽  
Direct Support ◽  
Intracranial Recordings

Abstract Cooperative interactions between the amygdala and hippocampus are widely regarded as critical for overnight emotional processing of waking experiences, but direct support from the human brain for such a dialog is absent. Using overnight intracranial recordings in 4 presurgical epilepsy patients (3 female), we discovered ripples within human amygdala during nonrapid eye movement (NREM) sleep, a brain state known to contribute to affective processing. Like hippocampal ripples, amygdala ripples are associated with sharp waves, linked to sleep spindles, and tend to co-occur with their hippocampal counterparts. Moreover, sharp waves and ripples are temporally linked across the 2 brain structures, with amygdala ripples occurring during hippocampal sharp waves and vice versa. Combined with further evidence of interregional sharp-wave and spindle synchronization, these findings offer a potential physiological substrate for the NREM-sleep-dependent consolidation and regulation of emotional experiences.

Affect regulation in borderline personality disorder: experimental findings from psychophysiology and functional neuroimaging

2002 ◽  
Vol 14 (2) ◽  
pp. 71-75 ◽  
Author(s):  
S. C. Herpertz ◽  
T. Dietrich ◽  
U. Werth ◽  
M. Qunaibi ◽  
G. Lukas ◽  
...  
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Affect Regulation ◽  
Emotional Processing ◽  
Functional Neuroimaging ◽  
Imaging Study ◽  
Borderline Personality ◽  
Affective Processing ◽  
Psychophysiological Study ◽  
Experimental Findings

Background:Intense and rapidly changing mood states are a major feature of borderline personality disorder (BPD), which is thought to arise from affective vulnerability.Objective:There have been only a few studies investigating affective processing in BPD, and particularly neither psychophysiological nor neurofunctional correlates of abnormal emotional processing have been identified so far.Methods:Studies are reported using psychophysiological or functional neuroimaging methodology.Results:The psychophysiological study did not indicate a general emotional hyperresponsiveness in BPD. Low autonomic arousal seemed to reflect dissociative states in borderline subjects experiencing intense emotions. In the functional magnetic resonance imaging study enhanced amygdala activation was found in BPD, and it is suggested to reflect the intense and slowly subsiding emotions commonly observed in response to even low-level stressors.Conclusions:Implications for psychotherapy are discussed.

scholarly journals Facial Emotion Recognition Impairment in Patients with Parkinson's Disease and Isolated Apathy

2010 ◽  
Vol 2010 ◽  
pp. 1-5 ◽  
Author(s):  
Mercè Martínez-Corral ◽  
Javier Pagonabarraga ◽  
Gisela Llebaria ◽  
Berta Pascual-Sedano ◽  
Carmen García-Sánchez ◽  
...  
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Emotion Recognition ◽  
Emotional Processing ◽  
Recognition Task ◽  
Executive Dysfunction ◽  
Facial Emotion Recognition ◽  
Facial Emotion ◽  
Affective Processing ◽  
Affective Disturbances

Apathy is a frequent feature of Parkinson's disease (PD), usually related with executive dysfunction. However, in a subgroup of PD patients apathy may represent the only or predominant neuropsychiatric feature. To understand the mechanisms underlying apathy in PD, we investigated emotional processing in PD patients with and without apathy and in healthy controls (HC), assessed by a facial emotion recognition task (FERT). We excluded PD patients with cognitive impairment, depression, other affective disturbances and previous surgery for PD. PD patients with apathy scored significantly worse in the FERT, performing worse in fear, anger, and sadness recognition. No differences, however, were found between nonapathetic PD patients and HC. These findings suggest the existence of a disruption of emotional-affective processing in cognitive preserved PD patients with apathy. To identify specific dysfunction of limbic structures in PD, patients with isolated apathy may have therapeutic and prognostic implications.

Emotional processing of traumatic emotions and early experiences using the therapeutic letters, role playing and imagination in borderline and other difficult patients

2011 ◽  
Vol 26 (S2) ◽  
pp. 1316-1316
Author(s):  
D. Jelenova ◽  
A. Kovacsova ◽  
T. Diveky ◽  
D. Kamaradova ◽  
J. Prasko ◽  
...  
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Psychiatric Disorders ◽  
Emotional Processing ◽  
Role Playing ◽  
Emotional Reactions ◽  
Borderline Personality ◽  
Traumatic Experiences ◽  
List Type ◽  
Traumatic Memories

In many patients cognitive reconstruction helps to understand their problems in life and symptoms of stress or psychiatric disorders. Change in the thoughts and beliefs help them to feel better. But there are many patients who suffer with strong traumatic experiences deep in their mind and typically dissociate them or want to avoid them voluntarily. There is typical for patients suffering with dissociative disorders, borderline personality disorder and many people with various psychiatric disorders who were abused in childhood. The processing of the traumatic emotions from childhood can be helpful in the treatment of these patients. For the help is important:a) Understanding what was happen in childhoodb) Making clear of repeated figures of maladaptive behaviors, mostly in interpersonal relationsc) Making a connection between childhood experiences and here and now emotional reactions on various triggersd) Experiencing repeatedly the traumatic memories and elaborate them with imaginal coping.We describe:- how to map and elaborate emotional schemas- Socratic questioning with the patients with traumatic memories- how to work with traumatic experiences from childhood in borderline personality disorder.Supported by the research grant IGA MZ CR NS 10301-3/2009

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