Accelerated Experiential Dynamic Psychotherapy W E N D Y B E L T E R, K P U ; N Z U L A T A V O R M I N A, U B C

Accelerated Experiential Dynamic Psychotherapy W E N D Y B E L T E R, K P U ; N Z U L A T A V O R M I N A, U B C

Overview Introductions Brief mindfulness meditation Confidentiality agreement Setting the context: trauma in post-secondary students What makes AEDP different? Watch clip of counselling session Interspersed with discussion and Q and A Summary

Setting the Context More post-secondary students are experiencing significant mental health concerns Shrinking community-based mental health resources mean that college and university counsellors are often students best bet for mental health care How do we address students significant needs when our campus-based services are also under pressure?

deteriorating hygiene late/missing assignments angry bizarre thoughts/behaviour missing classes can t speak in class zones out substance abuse poor concentration freezes on tests suicidal thoughts withdrawn distracted crying both parents are severely mentally ill emotional abuse survived childhood cancer sexual abuse, 2 family members, from age 5 severe emotional neglect parents divorced; used child as a pawn sexual abuse, age 6 put in foster care at age 4 mom is mentally ill both parents are addicts early separation repeatedly witnessed family violence sexual abuse from age 3 sexual abuse, family member, from age 4 dad is violent alcoholic witnessed murder, age 8 severe physical abuse twin committed suicide

What is AEDP? Developed by Diana Fosha (2000). AEDP is a: healing-centered treatment approach which integrates experiential and relational elements within an affect-centered psychodynamic framework. (http://www.apa.org/pubs/videos/4310759.aspx)

What Distinguishes AEDP? 1. Attachment relationship between therapist and client as the key healing ingredient 2. Emphasis on the somatic experience of emotions 3. Defense work, and the role of anxiety in suppressing emotion 4. Metaprocessing of healing affect

What Distinguishes AEDP? 1: Attachment Focus on attachment relationship: Infant development research Affective neuroscience Emotion theory Interpersonal psychotherapy

What Distinguishes AEDP? 1: Attachment A sense of we-ness : Therapist/client are in this together Accompanying the client to places where they have felt unbearably alone: Can you sense me here with you? Pathology is unbearable aloneness in the face of overwhelming emotions

What Distinguishes AEDP? 1: Attachment Self-disclosure: Therapist s feelings are central to relationship My heart feel warm in hearing you say that. I feel sad when you refer to yourself that way. What do you see in my eyes? Unit of intervention is what the therapist says and how the client receives it How does it feel to hear that from me? What s that like to know that I m angry on your behalf? What happens in your body when you hear my sadness for you? My joy for you? What do you see in my eyes?

What Distinguishes AEDP? 2: Somatic Somatic Experiential Process: Emotions are centred in the body Emotions need to be experienced to completion in the presence of a caring other Dyadic affect regulation Stay with that I m right here with you Let s make space for that

What Distinguishes AEDP? 3: Defense Work Defenses Anxiety Awareness Core Affect

What Distinguishes AEDP? 3: Defense Work Defenses Anxiety; Shame Awareness Core Affect

What Distinguishes AEDP? 4: Metaprocessing metaprocessing processing core affect to completion

What Distinguishes AEDP? 4: Metaprocessing Metaprocessing prompts: After a wave of emotion processed to completion: What s it like to experience this anger/sadness/joy? What s it like to share this with me? What do you notice as you hear yourself saying that? At the end of the session: How was it to do this work with me today? What stands out for you from today s session?

Counselling Session Kevin

Summary Sample Article Website for Trainings Bibliography

Learn More About AEDP AEDP Website http://www.aedpinstitute.org/ Books and Book Chapters Fosha, D. (2000). The Transforming Power of Affect: A Model of Accelerated Change. New York: Basic Books. Fosha, D. (2002). The activation of affective change processes in AEDP. In J. J. Magnavita (Ed.), Comprehensive Handbook of Psychotherapy. Vol. 1: Psychodynamic and Object Relations Psychotherapies. New York: John Wiley & Sons.

Learn More About AEDP Books and Book Chapters Continued Fosha, D. (2003). Dyadic regulation and experiential work with emotion and relatedness in trauma and disordered attachment. In M. F. Solomon & D. J. Siegel (Eds.), Healing Trauma: Attachment, Mind, Body, and Brain. New York: Norton. Fosha, D. (2007). Transformance, recognition of self by self, and effective action. In K. J. Schneider, (Ed.), Existential-Integrative Psychotherapy: Guideposts to the Core of Practice. New York: Routledge. Fosha, D. (2009) Healing attachment trauma with attachment (and then some!). In M. Kerman (Ed.), Clinical Pearls of Wisdom: 21 Leading Therapists Offer their Key Insights. New York: Norton.

Learn More About AEDP Books and Book Chapters Continued Fosha, D., Siegel, D., & Solomon, M. (2009). The Healing Power of Emotion: Affective Neuroscience, Development & Clinical Practice. New York: W. W. Norton & Company. Fosha, D., & Yeung, D. (2006). AEDP exemplifies the seamless integration of emotional transformation and dyadic relatedness at work. In G. Stricker & J. Gold (Eds.) A Casebook of Integrative Psychotherapy. Washington DC: APA Press. Frederick, R. (2009). Living like you mean it: Use the wisdom and power of your emotions to get the life you really want. San Francisco: Jossey-Bass.

Learn More About AEDP Books and Book Chapters Continued Malan, D. (1999) Individual Psychotherapy and the Science of Psychodynamics (2nd edn). Oxford: Butterworth-Heinemann. McCullough, Leigh et al. (2003). Treating Affect Phobia: A Manual for Short-Term Dynamic Psychotherapy. New York: Guildford. McCullough, Leigh. (1997). Changing Character: Short-Term Anxiety-Regulating Psychotherapy for Restructuring Defenses, Anxiety and Affect. New York: Basic. Prenn, N. (2009). I second that emotion! On self-disclosure and its metaprocessing. In A. Bloomgarden and R. B. Mennuti (Eds.), Psychotherapist Revealed: Therapists Speak About Self-Disclosure in Psychotherapy. New York: Routledge.

Learn More About AEDP Books and Book Chapters Continued Tunnell, G. (2011). An attachment perspective on the first interview. In C. Silverstein (Ed.), The Initial Psychotherapy Interview: A Gay Man Seeks Treatment. New York: Elsevier Insight Books. Tunnell, G. (2012). Gay male couple therapy: An attachment-based model. In J. J. Bigner & J. L. Wetchler (Eds.), Handbook of LGBT- Affirmative Couple and Family Therapy. London: Routledge. Articles Fosha, D. (2000). Meta-therapeutic processes and the affects of transformation: Affirmation and the healing affects. Journal of Psychotherapy Integration. 10, 71-97.

Learn More About AEDP Articles Continued Fosha, D. (2001). The dyadic regulation of affect. Journal of Clinical Psychology/In Session. 57 (2), 227-242. Fosha, D. (2001). Change: Emotion, body and relatedness. In A. Guerini, F. Osimo, & M. Bacciagaluppi (Eds.), Core Factors in Experiential Short-Term Dynamic Psychotherapy. Quaderni di Psichiatria Pratica. 17/18, 105-116. Fosha, D. (2001). Trauma reveals the roots of resilience. Special September 11th Issue. Constructivism in the Human Sciences. 6 (1 & 2), 7-15.

Learn More About AEDP Articles Continued Fosha, D. (2004). Nothing that feels bad is ever the last step: The role of positive emotions in experiential work with difficult emotional experiences. Special issue on Emotion, L. Greenberg (Ed.), Clinical Psychology and Psychotherapy. 11, 30-43. Fosha, D. (2004). Brief integrative psychotherapy comes of age: reflections. Journal of Psychotherapy Integration. 14, 66-92. Fosha, D. (2005). Emotion, true self, true other, core state: Toward a clinical theory of affective change process. Psychoanalytic Review. 92 (4), 513-552.

Learn More About AEDP Articles Continued Fosha, D. (2006). Quantum transformation in trauma and treatment: Traversing the crisis of healing change. Journal of Clinical Psychology/In Session. 62 (5), 569-583. Fosha, D. (2013). Speculations on emergence. The Neuropsychotherapist. 1, 120-121. Fosha, D., & Slowiaczek, M. L. (1997). Techniques for accelerating dynamic psychotherapy. American Journal of Psychotherapy. 51, 229 251. Gleiser, K., Ford, J. D., & Fosha, D. (2008). Exposure and experiential therapies for complex posttraumatic stress disorder. Psychotherapy: Theory, Research, Practice, Training. 45 (3), 340-360.

Learn More About AEDP Articles Continued Hendel, H. (2015). It's not always depression. New York Times, March 10, 2015. Lamagna, J., & Gleiser, K. (2007). Building a secure internal attachment: An intra-relational approach to ego strengthening and emotional processing with chronically traumatized clients. Journal of Trauma and Dissociation. 8 (1), 25-52. Lamagna, J. (2011). Of the self, by the self, and for the self: An intra-relational perspective on intra-psychic attunement and psychological change. Journal of Psychotherapy Integration. 21 (3), 280 307.

Learn More About AEDP Articles Continued Lipton, B., & Fosha, D. (2011) Attachment as a transformative process in AEDP: Operationalizing the intersection of attachment theory and affective neuroscience. Journal of Psychotherapy Integration. 21 (3), 253-279. Prenn, N. (2011). Mind the gap: AEDP interventions translating attachment theory into clinical practice. Journal of Psychotherapy Integration. 21 (3), 308 329. Russell, E., & Fosha, D. (2008). Transformational affects and core state in AEDP: The emergence and consolidation of joy, hope, gratitude and confidence in the (solid goodness of the) self. Journal of Psychotherapy Integration. 18 (2), 167-190.

Learn More About AEDP Articles Continued Shapiro, S. (2009). It's not about you. Psychotherapy Networker Magazine, Jan/Feb 2009, 23-24. Tunnell, G. (2006). An affirmation approach to treating gay male couples. Group. 30 (2), 133-151.