Application of dev to therapy - week 15 Flashcards
good parenting = attune to child’s need 30% of the time
TRUE
mindsight?
ability to perceive other’s internal experience
make sense of that imagined experience
enables us to offer compassionate responese
4 components of human relationships (cozolino)
- safe & trusting relationship with an attuned therapist
- maintenance of moderate levels of arousal
- activation of cognition and emotion
- co-construction of narratives that reflect a positive optimistic self
fear trumps love
TRUE
fear is:
faster automatic unconscious spontaneously generalized multisensory resistant to extinction
(attachment in therapy)
Avoidant: concerns
concerns: isolation impacts relationships intense emotions muted mindsight restricted basic emotional needs not met by anyone
(attachment in therapy)
Avoidant: in therapy
In Therapy:
comes to therapy at insistence of partner
partner feels relationship is too distant
lacks awareness of relationship pain
never learned that another can help
prefers logical discussions
needs gentle and un-intrusive attunements
make right to right hemisphere connections btwn therapist and client
AVOIDANT
(attachment in therapy)
Ambivalent: concerns
Concerns:
intense sense of vulnerability
loss of the self
feels perpetually at risk of losing connection to others/self
meeting others needs is a learned reflexive public adaption
may withdraw & approach
avoids shame & abandonment
AMBIVALENT
(attachment in therapy)
Ambivalent: recommendations
Recommendations: watchful of micro-moments of interaction respond to client's nonverbal signals therapist must actually feel the feelings repair misattunements
(attachment and psychopathology)
anxiety/depression
AMBIVALENT
(attachment and psychopathology)
strongest relationship disturbances
DISORGANIZED
(attachment and psychopathology)
aggression, conduct, depression
AVOIDANT
precursors of individual psychopathology through their role in establishing fundamental patterns of emotional regulation
TRUE
by the second half-year if the parent misreads the signal, the infant changes the behavior to accommodate the parent
TRUE
research has established a firm relationship btwn early regulation and ________ & ________
relationship btwn early regulation and:
later behavioral problems & emotional disturbance
In social phobia, anxiety & fear are the conscious aspects of our body’s appraisal of danger
TRUE
in social phobia, a person is anticipating shame. Why?
a child experiences shame as a threat to survival because it is an impactful disconnection from the caregivers
social phobia brain processes
amygdala fires without conscious processing
information bypasses hippocampus & frontal lobes for conscious processing and evaluation of the information
In borderline PD, early attachments were highly traumatic
TRUE
borderline PD
disruption in regulation of emotions & impulses
as children, they experienced themselves as objects of disgust which became their sense of self
brain = high alert for danger & decreases inhibition, reality testing & emotional control
Borderlines become overwhelmed and unable to use conscious processing to tests their reactions or solve problems
TRUE
in borderline, self harm is used to?
keep childhood trauma alive through:
criticism
rejection
abandonment
at the core of borderline PD is?
self-loathing projected onto others
In the brains of Borderline PD
experiences of negative feelings =
become overwhelmed, unable to use conscious cortical processing to test their reactions or solve problems
they lose:
perspective
ability to remember ever feeling good
overwhelming fear and lack of perspective = their life is at risk
borderline’s lack the ability to be mindful of their own thoughts when they are emotionally aroused
TRUE
they are unable to self-reflect or regulate emotions
borderline patients have an over-activation of the amygdala (emotions) which inhibits the frontal hippocampus = unable to make sense of and reduce intensity of response
TRUE
those who engage in self-harm
childhood abuse, neglect, shame or teasing
self-harm is used to keep childhood trauma alive
TRUE
fundamental emotion at the core of borderline
shame –>self-loathing
shame = self is bad, defective or unworthy
the extreme reactions in borderline may be a function of the need to escape their unbearable self
early experiences pair sense of self with disgust due to shame
disorders have common etiology of early and severe stress & disorders are manifested through different strategies of adaption to early and overwhelming experiences
TRUE
early relationships greatly impact the developing social brain due to the disruptions of bonding, attachment and loving care
TRUE
difficulties in emotional regulation and relationship difficulties are intertwined. Emotional regulation is the defining feature of all close relationships and the central goal of early primary relationships
early attachment = emotional regulation
