Week 4 Flashcards
Right Brain Dominance
- Right brain is for implicit, nonverbal communication, intuition, holistic processing and social interaction
Brain Hemispheres
- Right & Left hemispheres have different priorities
- Right seeks new threats and opportunities, is sensorial and implicit memory
- Left side strongly linked to cognitive processes, Likes to organise information
Right Brain is Dominant in Therapy
Implicit, nonverbal, intuitive, holistic processing of emotional information and social interactions
Schore 2014
Developmental and Affective Neuroscience
- When a therapist tunes into the client experience
- Shift from cognitive left brain to right brain unconscious and emotional, holistic functions
Attunement
- Appears between mothers and babies
- Appears to be both right brains communicating
- Babies only have right brain functioning
- Left brain still developing
- Best therapy is right brain intuitive
Attachment Neurobiology
- Mother-infant communication happens quickly
- Is unconscious therefore right brained
- Left side is cognitive and conscious
Regulation Theory
- Maturation of the right brain
- The caregiver teaches the infant to regulate their affect
- Using nonverbal, rightside visual-facial cues, auditory prosodic cues
Co-regulation
- Initial regulation of nervous system relies on comfort & support of caregiver
- Needs responsive approach that supports distress of child
- Early co-regulation promotes self-regulation when there is no one to lean on
Neurochemicals That Will Soothe Us
- Oxytocin mainly in females
- Vasopresin mainly in males
- The care system and natural opioids, endorphins and dopamine
- Hugs help release these naturally
Secure Attachments
- Positive caregiving fosters this
- Helps self-regulation and auto-regulation
Empathic Therapist
- Conscious Explicit attending to client’s language
- Objective diagnosis and rationale of dysregulation and symptomology
- Active listening to interact at an implicit level
Left Brain Communication
- The sharing of conscious and constructed ideas
- Both sides are important in their own way
- Get clients to describe their anxiety and what the feeling is
- Get them to connect the emotion to left brain activity
Relational Trauma
- When early attachments fail affect regulation is poor
- We need to develop affect regulation and positive implicit interactions
- Must occur in a therapeutic context
Core Clinical Skills
- Right Brain Implicit Capacities
- Ability to sensitively register changes in emotion
- Immediate awareness of own subjective experience
- Regulation of own and patient’s affect
Neuroception
- Neurophysiological process that happens without awareness
- Could be called gut instinct
- Evaluates risk and triggers adaptive responses to threat
- Uses implicit cues of safety: faces, gestures, prosody
- Connecting with present and cognitive supports change
What is Therapeutic Prescence?
- Grounded contact with own healthy self
- Open, receptive, immersed in what is important in the moment
- Larger sense of expansion of awareness and perception
- Intention of being with client and serving their healing
Components of Neuroception
- Body feelings and emotions can be influenced by others
- Bidirectional communication with brain, body and nervous system of others
- Not aware its happening, can be gut feeling
- Makes us alert within social interactions
Function of Neuroception
- An adaptive mechanism that turns off defenses to engage socially
- Or prepares us for defensive strategies connected with fight/flight or shutdown
Bidirectional Influence
- Feelings are contagious
- Therapist can influence client’s feelings and vice versa
- Geller & Porges 2014 say it is specifically right brain connection that creates state regulation
Regulation Theory
- A process of anchoring and adjusting our performance
- Is both mental and physical in nature
- Responses to corrective feedback within our social and physical environment.
Modern Attachment Theory
The development of affect regulation
Right Brain lateralisation of visual, auditory and gesture communication
Primary caregiver regulates infants distress