The exploration of the reenactment is embedded in the therapeutic relationship. Therapist and client forming the safe therapeutic alliance becomes both the magnet that draws out the reenactment and the architect of a transitional arena in which the client experiences of self and other can be reconfigured in more harmonious ways.. The Trauma Recovery Institute
““The being who is the object of his own reflection, in consequence of that very doubling back upon himself, becomes in a flash able to raise himself into a new sphere. In reality, another world is born. – Pierre Teilhard De Chardin
1.Relational memories from the triangular family life of the four to six-year-old child are generally revived by means of words, stories, symbols, and impulses that were painfully repressed at the time;
2.The self-consolidation and self-fragmentation relationship memories from the three-year-old relationship era are later remembered in the ways that people seek out, demand, and utilize or fail to utilize self-confirming interpersonal resonances in the present;
3.The four to twenty-four month relational bonding memories become available in the romantic interaction through the affective ways in which we experience each other and our interactions as good, ideal, and enhancing or as bad, abandoning, and damaging;
4.The relational traumas from the last trimester of intrauterine development and the first four months after birth are somato-psychically recalled later in life by people coming to experience intimate trust relationships as being characterized by cruel neglect, terrifying rejection, and life-threatening, body- shaking, and mind- shattering confusion and hatred which become systematically projected into the therapeutic situation and onto the person of the therapist.
is grounded in models such as affect regulation theory, an interpersonal neurobiological model of emotional and social development from early human beginnings and across the lifespan, attachment research, polyvagal theory, traumatology and interpersonal neurobiology. Drawing upon these various scientific and clinical disciplines, our trauma recovery work describes how the structure and function of the right mind and brain are indelibly shaped by experiences, especially those embedded in emotional relationships, and how communicating right brains align and synchronize their neural activities with other right brains. These experiences of interpersonal synchrony are a central focus of Psychosocialsomatic Psychotherapy. At Trauma Recovery Institute we attempt to get to the root of your life challenging symptoms, discomfort, illness and maladaptive behaviours. This is not another talk therapy, we specialise in personality disorders & complex trauma and focus on the brain, body, mind, diet, lifestyle, relationships and most importantly the nervous system of which traumatic experiences have greatly shaped thus priming a predisposition of subsequent adversity. The definition of a traumatic experience is an experience or experiences that overwhlem our capacity to cope. Trauma effects all areas of the brain and all bodily systems often manifesting as cancer, IBS and a host of other chronic illnesses and pain syndromes which can not be otherwise explained.
on how to work more directly and effectively with bodily-based emotions, unconscious affect and transference – countertransference within the therapeutic relationship, especially in “heightened affective moments” of the session. Attention is also placed upon working with the defenses of right brain dissociation and left brain repression that blot out strong emotions from consciousness. This central focus on right (and not left) brain affect regulation in the co-created psychotherapy relationship shifts the clinical focus from a reasoned, coherent cognitive narrative to a spontaneous emotion-laden conversation. In this manner the clinical emphasis moves from objective cognitive insight to the subjective change mechanisms embedded in the emotional attachment bond of the therapeutic relationship itself. Trauma Recovery is a complex pursuit and due to trauma and neglect’s impact on all bodily systems, any approach to address the presenting symptoms will be an oversimplified model, therefore we must approach trauma with a multidisciplinary approach on top of cultivating presence and establishing a strong therapeutic alliance with our clients. Modules of treatments such as SE, EMDR, Neurofeedback etc may be helpful adjuncts but they are way too simplified to be effective treatment for trauma, complex trauma and the presenting symptoms of trauma and neglect. The right brain implicit self represents the biological substrate of the human unconscious mind and is intimately involved in the processing of bodily based affective information associated with various motivational states. The survival functions of the right hemisphere, the locus of the emotional brain, are dominant in relational contexts at all stages of the lifespan, including the intimate context of psychotherapy. The central focus of the psychotherapeutic encounter is to appreciate the client’s motivation, we need to discern the emotional experience he or she seeks. At times, the goal sought will be self- evident to client and [therapist]. At other times, the goal will lie out of awareness and will be difficult to ascertain. The golden thread in assessing motivation lies in discovering the affect being sought in conjunction with the behavior being investigated. In other words, understanding the need underpinning the behaviour, the corrective emotional experience so to speak. The right hemisphere is dominant for the recognition of emotions, the expression of spontaneous and intense emotions, and the nonverbal communication of emotions. The central role of this hemisphere in survival functions is that the right hemisphere operates a distributed network for rapid responding to danger and other urgent problems. It preferentially processes environmental challenge, stress and pain and manages self-protective responses such as avoidance and escape. Emotionality is thus the right brain’s “red phone,” compelling the mind to handle urgent matters without delay. Neurobiological studies also demonstrate that the right cortical hemisphere is centrally involved in “the processing of self-images, at least when self-images are not consciously perceived. Deep psychotherapeutic changes alter not only conscious but unconscious self-image associated with nonconscious internal working models of attachment. Both unconscious negative emotions and unconscious self-images are important elements of the psychotherapy process, especially with the more severe self pathologies. Thus, the essential roles of the right brain in the unconscious processing of emotional stimuli and in emotional communication are directly relevant to recent clinical models of an affective unconscious and a relational unconscious, whereby one unconscious mind communicates with another unconscious mind such at that with the therapeutic alliance.
Interactive psychobiological regulation provides the relational context under which the client can safely contact, describe and eventually regulate inner experience. It is the client's experience of empowering action in the context of safety provided by a background of the empathic clinician's psychobiologically attuned interactive affect regulation that helps effect change. This form of presence to right brain affect regulation is critical for change process in psychotherapy. - The Trauma Recovery Institute
Transference interpretation is classically defined as making something conscious to the patient that was previously unconscious—specifically, that the patient’s attributions of certain qualities to the therapist derive from past figures. Countertransferential processes are currently understood to be manifest in the capacity to recognize and utilize the sensory (visual, auditory, tactile, kinesthetic, and olfactory) and affective qualities of imagery which the client generates in the psychotherapist. Similarly, Loewald (1986) points out that countertransference dynamics are appraised by the therapist’s observations of his own visceral reactions to the patient’s material. Thus the high and low arousal states associated with, respectively, terror and shame will show qualitatively distinct patterns of primary- process nonverbal communication of “body movements (kinesics), posture, gesture, facial expression, voice inflection, and the sequence, rhythm, and pitch of the spoken words” (Dorpat, 2001, p. 451). Recall that sympathetic nervous system activity is manifest in tight engagement with the external environment and high levels of energy mobilization and utilization, whereas the parasympathetic component drives disengagement from the external environment and utilizes low levels of internal energy. This principle applies not only to overt interpersonal behavior but also to covert intersubjective engagement– disengagement with the social environment, the coupling and decoupling of minds–bodies and internal worlds. Models of the ANS indicate that although reciprocal activation usually occurs between the sympathetic and parasympathetic systems, these two systems are also able to uncouple and act unilaterally (Schore, 1994). Thus the sympathetic hyperarousal and parasympathetic hypoarousal zones represent two discrete intersubjective fields of psychobiological attunement, rupture, and interactive repair of what Bromberg (2006) terms “collisions of subjectivities.” The task that is most important, and simultaneously most difficult for the [therapist], is to watch for signs of dissociated shame both in himself and in his client—shame that is being evoked by the therapeutic process itself in ways that the [therapist] would just as soon not have to face. . . . The reason that seemingly repeated enactments are struggled with over and over again in the therapy is that the [therapist] is over and over pulled into the same enactment to the degree he is not attending to the arousal of shame.
Hyperarousal = Hypermetabolic CNS–ANS limbic–autonomic circuits = stressful, sympathetic-dominant, energy-expending psychobiological states
High-energy explosive dyadic enactments; fragmenting of implicit self
Sympathetic-dominant intersubjectivity; overengagement with social environment
Somatic countertransference to communicated high-arousal affects expressed in heart rate acceleration; focus on exteroceptive sensory information
Regulation/dysregulation of hyperaroused affective states (aggression/rage,panic/terror, sexual arousal, excitement/joy)
Hypoarousal = Hypometabolic CNS–ANS circuits = stressful, parasympathetic- dominant, energy-conserving psychobiological states
Low-energy implosive dyadic enactments; collapsing implicit self
Parasympathetic-dominant intersubjectivity; dissociation/disengagement from
Somatic countertransference to communicated low-arousal affects expressed in
heart rate deceleration; focus on interoceptive information
Regulation/dysregulation of hyporaroused affective states (shame, disgust,
abandonment, hopeless despair)
It is critical that trauma clinicians pay more attention to the energy-conserving parasympathetic-dominant intersubjective field of psychobiological attunement, rupture, and repair. – Schore