Changing the Adult State of Mind With Respect to Attachment: An Exploratory Study of the Role of EMDR Psychotherapy

2019 ◽  
Vol 13 (3) ◽  
pp. 176-186 ◽  
Author(s):  
Cristina Civilotti ◽  
Martina Cussino ◽  
Chiara Callerame ◽  
Isabel Fernandez ◽  
Maria Zaccagnino
Keyword(s):  
Exploratory Study ◽  
Adult Attachment Interview ◽  
Mechanisms Of Change ◽  
Narrative Coherence ◽  
Internal Working Model ◽  
Traumatic Memories ◽  
Internal Working ◽  
State Of Mind ◽  
Emdr Therapy

We aimed to assess changes in the attachment internal working model and reflective function (RF) as mechanisms of change in eye movement desensitization and reprocessing (EMDR) treatment for patients with traumatic memories. Twenty adult female patients with parenting and relational problems participated in the study. Attachment organization was assessed with the Adult Attachment Interview (AAI) and the RF coding scale pre- and posttreatment. We found that EMDR therapy increased patients' narrative coherence and RF. We noted a significant decrease in the number of participants classified as unresolved following the course of EMDR treatment in which loss and/or trauma were resolved. This article summarizes the changes after EMDR therapy regarding attachment status and its efficacy to reprocess early traumatic memories in a more adaptive way. Finally, our results also support the usefulness of the AAI as a tool for understanding the changing processes during a therapeutic treatment.

Attachment and selective attention: Disorganization and emotional Stroop reaction time

2009 ◽  
Vol 21 (1) ◽  
pp. 99-126 ◽  
Author(s):  
Leslie Atkinson ◽  
Eman Leung ◽  
Susan Goldberg ◽  
Diane Benoit ◽  
Lori Poulton ◽  
...  
Keyword(s):  
Reaction Time ◽  
Selective Attention ◽  
Distributed Processing ◽  
Adult Attachment Interview ◽  
Disorganized Attachment ◽  
Emotional Stroop ◽  
Internal Working Model ◽  
Strange Situation ◽  
Working Model ◽  
Internal Working

AbstractAlthough central to attachment theory, internal working models remain a useful heuristic in need of concretization. We compared the selective attention of organized and disorganized mothers using the emotional Stroop task. Both disorganized attachment and emotional Stroop response involve the coordination of strongly conflicting motivations under conditions of emotional arousal. Furthermore, much is known about the cognitive and neuromodulatory correlates of the Stroop that may inform attempts to substantiate the internal working model construct. We assessed 47 community mothers with the Adult Attachment Interview and the Working Model of the Child Interview in the third trimester of pregnancy. At 6 and 12 months postpartum, we assessed mothers with emotional Stroop tasks involving neutral, attachment, and emotion conditions. At 12 months, we observed their infants in the Strange Situation. Results showed that: disorganized attachment is related to relative Stroop reaction time, that is, unlike organized mothers, disorganized mothers respond to negative attachment/emotion stimuli more slowly than to neutral stimuli; relative speed of response is positively related to number of times the dyad was classified disorganized, and change in relative Stroop response time from 6 to 12 months is related to the match-mismatch status of mother and infant attachment classifications. We discuss implications in terms of automatic and controlled processing and, more specifically, cognitive threat tags, parallel distributed processing, and neuromodulation through norepenephrine and dopamine.

Anorexia Nervosa and EMDR: A Clinical Case

2017 ◽  
Vol 11 (1) ◽  
pp. 43-53 ◽  
Author(s):  
Maria Zaccagnino ◽  
Martina Cussino ◽  
Chiara Callerame ◽  
Cristina Civilotti ◽  
Isabel Fernandez
Keyword(s):  
Body Mass Index ◽  
Anorexia Nervosa ◽  
Attachment Style ◽  
Body Mass ◽  
Clinical Case ◽  
Behavioral Therapy ◽  
Adult Attachment Interview ◽  
Social Challenges ◽  
State Of Mind ◽  
Emdr Therapy

Numerous studies have identified links between psychopathology and a history of traumatic life events and dysfunctional attachment relationships. Hence, given the possible traumatic origins of this pathology, it may be useful to provide a trauma-focused intervention such as the eye movement desensitization and reprocessing (EMDR) therapy. This article illustrates a clinical case by describing the positive results of the EMDR therapy in the recovery of unremitting anorexia nervosa in a 17-year-old inpatient. She had previously been hospitalized on 4 occasions in the previous 4 years and received both psychodynamic and cognitive-behavioral therapy. At pretreatment, the client weighed (28 kg, 62 lb) and had a body mass index of 14. She was designated with a dismissing attachment style on the Adult Attachment Interview. EMDR therapy was provided for 6 months in hospital, in twice weekly 50-minute sessions and consisted of standard procedures primarily focusing on her relational traumas, interspersed with psychoeducational talk therapy sessions, and integrated with ego state therapy. At the end of treatment, the client weighed (55 kg, 121 lb) and had a body mass index of 21.5. She no longer met diagnostic criteria for anorexia nervosa, and her attachment style had changed to an earned free-autonomous state of mind. She reported an increase in self-confidence and in her ability to manage various social challenges. Results were maintained at 12 and 24 months follow-up. The treatment implications of this case study are discussed.

scholarly journals Close partner relationships

Psihologija ◽  
2002 ◽  
Vol 35 (1-2) ◽  
pp. 81-95
Author(s):  
Tatjana Stefanovic-Stanojevic
Keyword(s):  
Adult Attachment Interview ◽  
Early Age ◽  
Internal Working Model ◽  
Working Model ◽  
Internal Working ◽  
Emotional Relationships ◽  
Close Relationship ◽  
Partner Relationships ◽  
American Authors

According to the theory of emotional attachment, specific emotional relationships are being established at an early age between a child and its parents. On the basis of the quality of these relationships the child creates the so-called internal working model ie the image of itself as well as others. The working model persists throughout one's lifetime, shaping in part the quality of adult relationships. Thus, a dominant adult relationship is a close, partner or love one. Within the indicated theoretical context, we were interested in finding out whether there is a statistically significant link between the emotional ties of parents and their children formed in early childhood. The investigation included 180 grown-ups of the same sex and age. For investigating close partner relationships the test Experience in Close Relationship by the American authors (Brenan K.A., Clark C.L., & Shaver P.R. 1998.) was used, while the early emotional relationships were investigated using a test which has been the only one so far to measure this quality in adults - Adult Attachment Interview, (Main M., Casidy J., & Kaplan N., 1985). The results show there is a statistically significant link between the observed variables.

scholarly journals Recovery, Interrupted: The Zeigarnik Effect in EMDR Therapy and the Adaptive Information Processing Model

2020 ◽  
Vol 14 (3) ◽  
pp. 175-185
Author(s):  
Jeremy G. Fox
Keyword(s):  
Brain Network ◽  
Future Research ◽  
Traumatic Memory ◽  
Information Processing Model ◽  
Traumatic Memories ◽  
System Activation ◽  
Adaptive Information Processing ◽  
Emdr Therapy ◽  
Physiological Substrates

This theoretical article proposes that the Zeigarnik effect (ZE) (i.e., better memory for interrupted rather than completed tasks) explains the formation of traumatic memories as incomplete tasks. These tasks are thought to foster pathological rumination toward their completion while simultaneously stoking avoidance. After looking at the role of the ZE in the development and maintenance of posttraumatic stress disorder (PTSD), the article examines the physiological substrates of the ZE, including brain network imbalance, excessive autonomic nervous system activation, and prospective memory acuity for incomplete events. Eye movement desensitization and reprocessing (EMDR) therapy is proposed as uniquely capable of providing closure to interrupted facets of traumatic recollection, as this treatment may facilitate greater memory reconsolidation and inhibition of Zeigarnik reminders than extinction-based models. The ZE may be implicated in the overall EMDR treatment effect, as it is activated in several EMDR phases. Specifically, the use of brief interrupted exposures during EMDR reprocessing may benefit from the ZE in resolving traumatic events. Eye movements themselves are also considered interruptions to rumination upon traumatic memory. Recommendations for the further use of the ZE are described, and suggestions are made for future research. Protocol modifications and interweaves which mobilize the preceding insights are also provided.

Personality disorder and the mental representation of early social experience

1994 ◽  
Vol 6 (2) ◽  
pp. 375-388 ◽  
Author(s):  
Matthew Patrick ◽  
R. Peter Hobson ◽  
David Castle ◽  
Robert Howard ◽  
Barbara Maughan
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Object Relations ◽  
Social Experience ◽  
Borderline Personality ◽  
Adult Attachment Interview ◽  
Internal Working ◽  
Internal Object ◽  
Early Social Experience

AbstractControversy surrounds the role of early social experience in the development of personality disorder. In particular, little is known of the means by which continuities from infancy through adulthood might be mediated. One suggestion is that a person's mental representations of relations between him- or herself and other people, either in the form of “internal working models” or “internal object relations,” provide the essential link. We report on an investigation of this issue in which we focused on the formal qualities of accounts of childhood offered by adults who were drawn from two contrasting clinical groups; borderline personality disorder and dysthymia. The results lend support to the claims made by attachment theory and the object relations school of psychoanalysis, that at least in certain groups of individuals, adults' modes of representing early experience are intimately related to styles of interpersonal functioning. More specifically, the form of interpersonal Psychopathology characteristic of borderline personality disorder may be associated with enmeshed and unresolved patterns of responding to the Adult Attachment Interview of George, Kaplan, and Main (1985) and with reports of low maternal care and high maternal overprotection on the Parental Bonding Instrument of Parker, Tupling, and Brown (1979).

The role of collective identifications in family processes of post-trauma reconstruction: An exploratory study with Kurdish refugee families and their diasporic community

2017 ◽  
Vol 5 (2) ◽  
pp. 107-133 ◽  
Author(s):  
Ruth Kevers ◽  
Peter Rober ◽  
Lucia De Haene
Keyword(s):  
Thematic Analysis ◽  
Exploratory Study ◽  
Meaning Making ◽  
Family Processes ◽  
Small Scale ◽  
Refugee Families ◽  
Family Contexts ◽  
Diasporic Community ◽  
And Coping

While collective identifications of diasporic Kurds have attracted considerable scholarly interest, their possible role in familial processes of post-trauma reconstruction has hardly been studied. The aim of this article is therefore to develop an explorative understanding of the deployment and meaning of collective identifications in intimate family contexts by examining the interconnectedness between the transmission of cultural and political belonging and post-trauma meaning-making and coping in Kurdish refugee families. After contextualising diasporic Kurds’ collective identifications through an ethnographic depiction of the Kurdish diasporic community in Belgium, this article reports on findings from a small-scale, exploratory study with five Kurdish refugee families in Belgium. Thematic analysis of family and parent interviews indicates how cultural and political identifications may operate as sources of (1) dealing with cultural bereavement and loss; (2) commemorating trauma; and (3) reversing versus reiterating trauma. Overall, this study’s findings support an explorative understanding of collective identifications as meaningful resources in families’ post-trauma reconstruction.ABSTRACT IN KURMANJIRola nasnameyên komelî di pêvajoyên malbatî yên vesazkirina paş-trawmayê de: Xebateke raveker li ser malbatên kurd ên penaber û civakên wan ên dîasporayêTevî ku nasnameyên komelî yên kurdên dîasporayê ta radeyeke baș bûye mijara lêkolînan, rola wan a muhtemel di pêvajoyên malbatî yên vesazkirina (selihandin) paş-trawmayê qet nehatine vekolîn. Lewma armanca vê gotarê ew e têgihiştineke raveker pêş bixe li ser rol û wateya nasnameyên komelî yên di çarçoveya mehremiya malbatê de, ku vê yekê jî dê bi rêya vekolîna wê têkiliya rijd bike ya di navbera neqlkirina aidiyetên çandî-siyasî û rêyên sazkirina wateyê û serederîkirina li dû trawmayê di nav malbatên kurd ên penaber de. Piştî diyarkirina çarçoveya nasnameya komelî ya Kurdên diasporayê bi rêya teswîreke etnografîk a cemaeta diasporaya Kurd li Belçîkayê, ev gotar encamên ji xebateke biçûk a bi pênc malbatên kurd ên penaber ên li Belçîkayê pêşkêş dike. Tehlîla babetî ya hevpeyvînên ligel malbatan û dayik û bavan nîşan dide ka çawa nasnameyên çandî û siyasî dikarin bibin çavkanî ji bo (1) serederîkirina bi mehrûmiyeta çandî û windahiyên xwe; (2) bibîranîna trawmayê; û (3) kêmrengkirin an, beramber vê yekê, dubarekirina trawmayê. Bi giştî, encamên vê xebatê wê têgihiştineke raveker tesdîq dikin ku nasnameyên kolektîf çavkaniyên kêrhatî ne di vesazkirina paş-trawmayê ya malbatan de. ABSTRACT IN SORANIDewrî nasname bekomellekan le prose binemalleyîyekanî sazkirdinewey paş-trawmayîda: lêkollîneweyekî şirovekarî binemalle penabere kurdekan û civatî ewan le diyasporaLe katêkda nasname bekomellekanî kurdekanî diyaspora le layen şarezakanewe giringîyekî berçawî pê drawe û serincî ewanî bo lay xoyî rakêşawe, bellam sebaret be egerî dewrî prose binemalleyîyekanî sazkirdinewey paş-tirawma be degmen lêkollîneweyek encam drawe. Ke wate, amancî em wutare perepêdan be têgeyîştinêkî şirovekarane lemerr bekarhênan û manay nasname bekomellekan le bestênekanî têkellawîy binemalleyîdaye, ke le rêgey peywendîy nêwan rewtî gwastineweyî grêdraweyî kultûrî û siyasî, sazbûnî mana û herweha rahatin legell kêşekanî qonaẍî paş tirawma le binemalle kurde penaberekanda taqî krawetewe. Dway awirrdanewe le civakî diyasporay kurd le Belcîka, nasname bekomellekanî kurdekanî diyaspora le bestênî xoyda xwêndinewey bo krawe û bem gêreye lem wutareda lêkollîneweyekî şirovekarane bo qebareyekî biçûk le pênc binemalley kurdî penaber le Belcîka dekrê û encamekanî billaw dekrêtewe. Şîkarîyekî babetiyaney wutuwêj legell binemalle û dayk û bawkekan nîşanî dedat ke çon dekrê nasname kultûrî û siyasîyekan wek serçaweyek bo em sê mijare derbikewn: (1) gîrodebûn be ledestçûn û bizirbûnî kultûr; (2) webîrhênanewey tirawma; û (3) pêçewanebûnî tirawma leberamber dûbarebûneweyda. Beşêweyekî giştî, encamekanî em lêkollîneweye piştgîrî le têgeyîştinêkî şirovekarane le nasname bekomellekan dekat ke wekû serçaweyekî giring bo sazkirdinewey binemallekan le dway qonaẍî paş-tirawma seyr dekrêt.

Red Eyes

2017 ◽  
Vol 11 (3) ◽  
pp. 290-293
Author(s):  
Jasmine Thombs
Keyword(s):  
Therapeutic Alliance ◽  
Therapeutic Process ◽  
Maternal Deprivation ◽  
Severe Reaction ◽  
Grief And Loss ◽  
Internal Working Model ◽  
Internal Working ◽  
Threatening Condition ◽  
Sight Loss ◽  
Red Eyes

This vignette illustrates how an individual with a complex pathology can present with a sight-threatening condition that appears to resist medical treatment in some measure if the psychological component is ignored. The case exemplifies the way in which therapeutic intervention can help in the recovery from a sightthreatening condition and from the underlying trauma associated with it. It is recognised that people affected by sight-threatening conditions will understandably experience very strong and at times overwhelming feelings related to grief and loss. In this case, the possibility of sight loss created a severe reaction of panic and confusion, and disrupted cognitive functions. These problems were often compounded by symptoms including anger, disassociation, apathy, and depression. This vignette showed how Bowlby's concepts of attachment and loss, and maternal deprivation, helped in the therapeutic alliance. The understanding of the client's internal working model was fundamental to the ongoing therapeutic process that allowed her to heal.

Ч. АЙТМАТОВДУН «ТООЛОР КУЛАГАНДА» РОМАНЫНДАГЫ ПЕЙЗАЖДЫК СҮРӨТТӨӨЛӨР

2020 ◽  
pp. 92-94
Author(s):  
Н. Алтыкеева ◽  
Б. Ниясалиева
Keyword(s):  
Full Moon ◽  
The Novel ◽  
Additional Tool ◽  
The Sublime ◽  
The World ◽  
State Of Mind ◽  
Inner World ◽  
Aesthetic Values

Аннотация. Макалада романдын мазмунунан орун алган пейзаждык сүрөттөөлөр талкууланат. Пейзаждык сүрөттөөлөр чыгарманын көркөмдүүлүгүн, эстетикалык баалуулугун арттыруу менен катар эле каармандардын образын тереңден ачып берүүдө, окуялардын өнүгүп-өсүшү жана алдыда боло турган окуялар тууралуу окурманга маалымат берүүдө кошумча каражат катары колдонулат. Жазуучу романда пейзаждык сүрөттөөлөрдү өтө кылдат колдонгону байкалат. Алсак, тоо адамдагы улуулук жана бийиктикти айгинелейт, толукшуган ай жан- дүйнөнүн бөксөрбөй толуп турушун көрсөтөт, ачык асмандын алай-дүлөй түшкөн көрүнүшкө айланышы - каармандын ички сезими, уйгу-туйгу ойлонуусу, жан дүйнөсүнүн бурганак болушун ачып көрсөтүүдө маанилүү болсо, чабалекейлердин тынымсыз учуп чабалакташы, жан алакетке түшүп чыйпылдашы – алдыда боло турган кырсыктуу окуя тууралуу кабар берсе, согуштун апааты жашыл шибердин, бак-дарактардын күлгө айланышы, чымчык-куштардын күздү күтпөй кайдадыр учуп кетип жатышы менен түшүндүрүлөт. Tүйүндүү сөздөр: пейзаж. роман, идея, легенда, эпилог, каарман, негизги окуялар. Аннотация. В статье дается пейзажное описание. Пейзажное описание используется в произведении как дополнительное средство эстетических ценностей и помогает раскрыть образы героев, и действия произведения. Писатель в романе тонко использует пейзажное описание. Например горы возвышенное и самое ценное в человеке, а полная луна – счастливое душевное состояние человека, а превращение безоблачного неба в бущующий вид – указывает, как неспокойно в душе главного героя, его беспокойные мысли, как бушует его внутренний мир, а ласточки неспокойно летающие, предвещают несчастье, птицы улетающие раньше времени, превращение зелёной травы, деревьев в пепел предвещают ужасы войны. Ключевые слова: пейзаж. роман, идея, легенда, эпилог, герой, главное событие Annotation. The article discusses the landscape description. The landscape description is used in the work as an additional tool for aesthetic values and helps to reveal the images of heroes, and in the development of the action of the work/ The writer in the novel subtly uses the landscape description. The mountains are the sublime and the most valuable in a person, and the full moon is a happy state of mind of a person, and the transformation of a cloudless sky into a raging view indicates how restless the soul of the protagonist is, his restless thoughts. How his inner world is raging, and the swallows are restlessly flying, foreshadow the misfortune, the birds flying away ahead of time, the transformation of green grass, trees in the forehead the horrors of war. This article describes the idea of the story "Do not kill" which is given instead of the epilogue in the novel "When the mountains fall" which was written by Ch.Aitmatov. It considers the role of a story that calls to live in peace and to end wars that are occurring in the world. Keywords: Landscapе, novel, idea, legend, epilogue, hero, main event.

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