EFT-Attachment

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					                        MHPN – EFT / Attachment Presentation.



PowerPoint – Attachment

   1. Attachment slides
   2. Developed by – Secure Attachment – Secure Base to explore the world, Safe Haven
      to return to. Secure Attachment Behaviour – proximity seeking when stressed,
      behaviour used to maintain that proximity. Child – Adult in couple therapy.
      Separation distress when separated.
   3. Secure Attachment – child stranger situation
      Emphasis depth of Attachment – baby helpless, being left alone cannot defend itself
      cannot feed, clothe, clean itself. Scale of 1 – 10 what level do you experience?
      Liken to adult given a big feed and drink, then placed in a straight jacket, speaking in
      a foreign language, tied feet together, thrown on a bed and door shut, shouted at –
      others going away, hear your car driving away. Scale 1 -10 what level now?
      How long did it take to get to that stress level?
      What is the difference between your scores?
   4. Change of concept of maturity
   5. John Bowlby described 3 styles of attachment but alluded to a fourth
      Secure – safe soothing parent
      Anxious resistant – parent not consistent, may support sometimes or dismiss other
      Anxious avoidant – parent mostly not there expects to be rebuffed – tries to become
      self-sufficient
      Disorganised/disoriented – parent source of pain and comfort, physically abusive,
      grossly neglectful, parent bipolar, erratic and unpredictable. Child begins to move
      towards safety of the attachment figure then remembers source of pain and stops.

   6. Sue Johnson – Bonnie Badenoch - four styles of adult attachment
      Secure - Open to new ideas, new experiences, communication, being assertive but
      not aggressive, problem solving, being supportive of the other, accepting of self
      Secure (BB) – free (not dominated by history in ways that interfere with
      relationships), autonomous, able to attune to others & rapidly repair when this is lost,
      able to sooth their children, able to help their children amplify positive states and
      moderate negative ones.

      Anxious – Vigilant, easily disappointed, ambiguous messages, Frightened, Insecure
      Withdrawal of attachment figure triggers alarm – fear of death – parent may have
      threatened abandonment as a means of control, partners often do the same.
      Ambivalent – parent – child relationship chaotic, mother's perceptual bias from past
      affects mothering. Integration of right limbic system to middle prefrontal cortex is
      patchy, which means that left hemisphere processing has difficulty making sense of
      the over-whelming emotional and bodily energy evident when triggered. People
      withdraw as they feel over-whelmed which triggers more panic in this person.

      Avoidant (BB) – avoidant parent – when child reaches for reassurance it triggers fear
      of connection in the parent who then signals the child to move away – go and play
      outside – child learns to seek attachment results in pain – longing for attachment is
      suppressed – (still present) – speculation on brain process – vertical integration
      interrupted between middle pre-frontal cortex and amygdala, also horizontal
      integration for right & left hemispheres, "Interestingly the longing for connection
      appears to be embedded in neural cells in the chest around the heart – making

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                          MHPN – EFT / Attachment Presentation.


         sense of the subjective experience of heartache and broken heart" kept away from
         consciousness in the avoidant person. Yet avoidant people still experience high levels
         of physiological responses – increased heart rate, perspiration, but below conscious
         level – pathway thru the Insula. Sue and Bonnie both use body awareness to
         overcome this disassociation.

         Disorganised (BB) (page 71)– some parents hate or reject their children, others are so
         preoccupied with past pain they are continually immersed in terror.
         Unresolved trauma reflects dissociated neural networks, when triggered emotionally
         overwhelm any modulation by the pre-frontal cortex.
         If model is that of a victim may continually be in the midst of trauma, if model is that
         of perpetrator may repeat scenario with own children.
         Victimised child and terrifying perpetrator may both reside inside the mind.
         Can create multiple-personality because of rigidly compartmentalised pairs of parent
         –child relationships. Relationship to Ego State Therapy?
         Research indicates that 82% of neglected children are likely to have as disorganised
         attachments, same as those children who were abused.
         May develop other attachment style with another person, in parallel.
         Emotions may include shame – which has a perceptual bias acutely sensitive to
         criticism.

   7. Tenants of Attachment Theory
      Attachment is an innate motivating force.
      Secure dependence complements autonomy
      Attachment offers an essential safe haven
      Attachment offers a secure base
      Emotional accessibility and responsiveness builds bonds
      Fear and uncertainty activate attachment needs
      The process of separation distress is predictable
      A finite number of insecure forms of engagement can be identified
      Attachment involves working models of self and other
      Isolation and loss are inherently traumatising

   8. Quote from Minuchin

Video:          Sue Johnson on Attachment

Start: - 7:00 min stop at 22:00 or offer to go to 30:00??




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                        MHPN – EFT / Attachment Presentation.


Power Point - EFT

    1. Originators – Leslie Greenberg & Sue Johnson
    2. Roots – Humanistic, Gestalt, Minuchin, & Attachment Theory
    3. Process of Change:
        Looking Within- looking at the process of the person's inner experience
        Looking between- looking at the process between the two partners
        Insecure attachment have a restricted outlook – EFT to expand this outlook
        By reprocessing the emotional experience in the present and choreographing more
        positive interactions or enactments.
    4. EFT 4 types of emotions, primary, secondary, maladaptive, & instrumental
    5. Emotions – provide a rapid appraisal of the environment, initiate physiological
        responses to the cue, contribute to the meaning of the situation, initiate action
        tendency. Emotions from the Latin "movere" "to move"
        Source of information – fits between environmental cues & our survival/safety needs
        Vital element in providing meaning
        Primes the action response
        Communicates – assists social interaction
Slide 6
Amygdala emotional memory experiment: (Atkinson, B.J. (2005). Emotional
Intelligence in Couples Therapy.)

Three subjects. P25
   1. Bilateral damage to the Amygdala but not the hippocampus
   2. Bilateral damage to the hippocampus but not the amygdala
   3. Bilateral damage to both the amygdala and hippocampus.
Showed coloured slides in random.
Associated blue slides with load blasts from a horn/learned startle response
Emotional reactions measured by galvanic skin conductance tests & heart rate

Patient 1 (with damaged amygdala but intact hippocampus) could remember which colour
was associated with the noise but had no emotional response.
Patient 2 (with damaged hippocampus but intact amygdala) experienced emotional reaction
to the blue slide, but could not remember which slide was associated with the noise.
Patient 3 (with damage to both) did not develop fear conditioning and could not remember
colour/noise association.

   6. Amygdala – instant action – use car/lights metaphor
      Hippocampus develops between 2.5 yrs & 4.5 yrs.
      Mirror neurons (p. 38) – inferior frontal & posterior parietal areas.
      forming as a baby learning responses from mother/care giver
      Activated during both execution and observation of action. (fearful or joyful)
      Coloured by our own perceptual biases – message sent to superior temporal cortex
      which can then make a representation of the other's next move.
      Used to build empathy with our client.
   7. Emotional Regulation: taught by parents to self sooth, practice, not told to push
      feelings away, but learn to regulate them and work with them.
      Emotion Regulation Dysfunction:- (Right Brain)(Badenoch p.100)
      Depression, anxiety – attempts to regulate negative emotions mediated by attachment
      i.e. unsupportive attachment can increase, supportive attachment decrease.

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                        MHPN – EFT / Attachment Presentation.


       Hyper-arousal (sympathetic high energy system) – explosive, disorganised, panic,
       paralysis, chaos, rage, terror, aggression
       Hypo-arousal (parasympathetic energy conserving system) – collapsing implosive,
       shame, disgust, abandonment, hopeless despair, lack of direction (The Healing Power
       of Emotion – Schore Page 133).
   8. Bringing the awareness to physical responses, physical arousal to bring emotions to
       awareness, encourage acceptance rather than rejection of emotions by validating the
       experience as being a survival skill from the past, by putting words around emotions it
       facilitates assimilation and acceptance, with emphasis on uncovering the primary
       emotion. Expressing the primary emotion, - successful attachment behaviour/
       unsuccessful attachment behaviour.
   9. Collaborative alliance, therapist is a process consultant, safe harbour, secure base,
       nonjudgmental.
       Reflecting in terms of current experience
       Validating current emotional responses because of past experience – for each partner
       Tentatively reflect the emotions (p. 80 – Sue)
       Heighten both emotions and change, repeat, reiterate, use body language
       Another form of heightening around change process, check what is happening
       Self-disclosure of emotions experienced as an observer (p.89 – I know I find it hard to
       take anything in when I'm scared, being scared tends to take up so much space).
   10. Having each partner turn talk to each other when an interaction happens. "what just
       happened then you said .. and he …"?
       2 can you turn to her now and tell her …?
       3 what was that like when you just did that differently
       4 act out new positions and new reactions
   11. Step 1 – De-escalate clients are highly aroused and in one of the cycles
       Pursue – withdraw
       Blame – point out the bad guy, attack/attack
       Withdraw/withdraw one has given up
       Metacognition – see the whole tennis game, not just the ball coming at them.
   12. Step 2 – changing the dance – not as reactive, more accepting, more empathetic, more
       understanding; Step 3 – consolidate the process and reinforce progress & change.
   13. Cycle or infinity sign, the more I ….. the more you, and the more you … the more I ..
   14. Depth of emotional processing, memory aid was to process information. Einstein said
       "knowledge is experience, everything else is information".
       The psychiatrist was Dr Andrew Leggett who talked about MBT Mentalization Based
       Therapy. Spoke about intensive therapy as twice per week, not wanting to do more
       because of fear of overwhelming client. EFT intensive 10 hours in two days or 10
       hours in a week, more satisfactory than weekly sessions.
   15. Various URL's for resources.

Video
Start at
>> 19:00 to 31:00                    12
>> 40:00 to 45:00                    5
>> 46:00 to 52:00                    6


Handouts –    URL's for references


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posted:10/15/2012
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