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The following is a log that briefly describes the content of each meeting.
Please do not feel intimidated by this if unfamiliar with the group.
Everything is explained on the day these matters are discussed. You do not need
to "catch up."
- 08/22/08
- Cases
- Working with the body
- 08/08/08
- Cases
- Fishbowl demonstrations
- 07/18/08
- Cases
- Fishbowl demonstrations
- 06/27/08
- Attachment review
- Assessment
- 06/13/08
- Neuroendocrine review
- Assessment
- 05/23/08
- Performing "The Interview"
- Brain review
- 04/18/08
- Discussed and observed severe cases of disorganization within couples
and partners.
- 03/28/08
- Clinical examples of using movement and touch with partners.
- Clinical example of avoidance strategy, as seen in body movement,
posture, and other physiological markers.
- 03/14/08
- Clinical example of dissociation and disorganization, while utilizing
formalized dialogue as a differential diagnostic tool for parsing short-term
memory difficulties.
- Discussion of disorganization, as viewed in partners with unresolved
trauma and loss.
- 02/15/08
- Overview of adult attachment interview as modified for couples.
- Video example of administering the adult attachment interview to a
couple.
- 01/25/08
- In-depth lecture on the Attachment Interview, Avoidant partner,
therapist coherency, and two-person psychological systems.
- 01/10/08
- 10/26/07
- Clinical example of high arousal couple with a sociopathic partner.
- 09/26/07
- Discussed signs and symptoms of disorganization/disorientation during
attachment interview.
- Demonstrated the use of psychodramatic techniques.
- Will continue the Schutz article on the parietal lobe at next
meeting.
- 09/14/07
- Started the Schutz article on the right parietal lobe. To be
continued at next meeting.
- 08/10/07
- Case study and supervision.
- Practicing doing couples therapy.
- 07/27/07
- Discussed mindfulness and the brain.
- Lectured on history of mindfulness.
- Discussed recent neuroimaging studies on the effects of mindfulness.
- Practiced various mindfulness techniques.
- Viewed an excerpt from a clinical video.
- 07/13/07
- Watched and discussed Rhawn Joseph video on limbic system.
- Started Paul Ekman facial expression training.
- 06/29/07
- Discussed couples approach using body movements and posing.
- 05/18/07
- Reviewed psychobiological theory of couples therapy.
- Viewed and discussed clinical videos.
- 04/20/07
- Viewed and discussed clinical videos.
- 03/23/07
- Viewed and discussed clinical videos.
- 02/16/07
- Discussed the notion of vagal tone and the function of parasympathetic
activation in the down regulation and recovery from hyperarousal.
- Discussed the ventral tegmental area and neural pathways between the
ventral medial prefrontal cortex, limbic structures, midbrain, brainstem
including particular formation, and the central nervous system.
- Discussed borderline pathology and neuroimaging studies that suggest
unusual lag times in communication between the visual cortex and the
prefrontal cortex as well as lack of perfusion in general in the frontal
cortex.
- Discussed dissociative processes in the avoidant individual stemming
from an early reliance on autoregulation and a one-person psychological
orientation.
- Discussed sexual addiction and its connection to early neglect as well
as current research suggesting comorbid issues such as alexithymia,
dissociation, and lack of frontal lobe activity.
- Watched a clinical video involving a high arousal couple during an
argument in demonstrating interventions that include moving and posing
partners in order to obtain quick state changes resulting in down regulation
from hyperarousal.
- Ran out of time and so did not go over the Cohen and Shaver article that
was assigned.
- 01/26/07
- Discussed the measuring of heart rate variability and demonstrated its
possible application with couples.
- Demonstrated a neurofeedback device for inducing parasympathetic
activation and increased heart rate variability.
- Demonstrated the use of this neurofeedback device in a videotaped
clinical session with a high arousal couple.
- Discussed the overall purpose and meaning of vagal tone and its role in
recovery and down regulation.
- 12/08/06
- Primer on neuroscience: clinically relevant structures and functions of
the brain.
- Demonstration: working with a low arousal couple.
- Demonstration: working with an avoidant and angry/resistant partnership.
- 11/17/06
- Watched clinical video demonstrating use of psychodrama in pre-marital
therapy.
- 10/13/06
- Watched clinical video illustrating use of the attachment interview.
- 9/01/06
- Watched two clinical videos demonstrating massive dysregulation in a
high arousal couple and a confrontation intervention to deal with a lack of
parasympathetic "braking," and another clinical example of a two-hour
initial consultation with two avoidant partners.
- 07/28/06
- Started to read and discuss Allan Schore's pediatric article.
- Discussed attachment issues with adoption.
- 06/30/06
- Watched clinical video demonstrating extreme avoidance in a couple
situation involving sexual attraction. Discussed video and interventions.
- Handed out but did not read pediatric article by Allan N. Schore.
Handout to be read prior to next group meeting.
- 05/19/06
- Watched portion of McEwen video on allostatic load.
- Watched brief segment from The Iceman Interviews to demonstrate
incoherency (dead/not dead).
- Discussed overview of couples therapy model.
- Briefly went over Britton and Ohman articles on facial recognition and
amygdala activation.
- 04/28/06
- Watched portions of the videotaped session with a couple brought in by
one of the group members.
- Watched a brief video clip demonstrating left eye preference for
social-emotional cueing and tying this to a couple's case involving trauma
and avoidance.
- Briefly discussed allostatic load which was tied into a case involving
Mother-Child dysregulation and endometriosis.
- Ran out of time and did not cover three journal articles on borderline
pathology, sensory empathy and enactment, and peer-reared children in
connection to deficits involving the serotonin transporter system.
- 03/10/06
- Watched and discussed a video involving a high arousal couple.
- Watched and discussed a video demonstrating emotional priming and its
effect on couple dysregulation.
- Discussed attachment issues affecting adult sexuality and problems
arising in pseudo-secure couples.
- 02/24/06
- Discussed articles on affect regulation in couples therapy.
- Watched and discussed clinical examples of interventions with difficult
couples using theories of psychobiology and attachment.
- 01/13/06
- Discussed to cases as they related to interactive regulation and
attachment theory.
- Watched portions of McEwen lecture on allostatic load.
- 12/09/05
- Discussed studies on mindfulness meditation and its effect on the
prefrontal cortex.
- Demonstrated mindfulness meditation for use with patients.
- Discussed interventions with couples utilizing manipulation of body
position.
- Discussed "reuniting" exercise for use with couples.
- Went over portions of Tatkin's new article for The Therapist magazine.
- 10/28/05
- Case consultation regarding a disorganized five-year-old child.
- Discussed article on Munchausen's by proxy disorder.
- Discussed the primacy of the face and the attachment distance that must
be achieved in order to work through right brain implicit processes.
- Talked more about the dorsal and ventral vagal systems, under verses
over responders, and in brain activity found in both conditions.
- Discussed the five articles on meditation that were distributed prior to
our meeting; the role mindfulness meditation plays in the activation of the
prefrontal cortex in general and the right orbitofrontal cortex
specifically.
- Talked about the upward and downward streams connecting the
orbitofrontal cortex and the amygdala.
- 9/23/05
- We began a discussion on the neuroscience and attachment issues
underlying the "high arousal" couple. We watched video clips from a current
case to illustrate the challenges in treating couples involving two
hyper-aroused partners. To be continued next meeting.
- 8/19/05
- Went over several articles covering neurobiology of eating disorders in
relation to various forms of dissociation, PTSD, and Borderline Personality
Disorder.
- Discussed articles concerning the use of neuroimaging for predicting
therapeutic and pharmacological outcome and for tracking progress.
- Viewed and discussed video of rocking child.
- 7/22/05
- Discussed the psychobiological imperatives in couples therapy.
- Discussed argument for longer than 50 minute sessions with individuals
and couples.
- Briefly discussed the use of videotaping in couples therapy.
- Briefly discussed Iacoboni article, Right-hemisphere motor
facilitation by self-descriptive
personality-trait words
- 6/24/05
- Discussed Schore Pediatric article.
- Discussed object relations vs. attachment perspective on couples
therapy.
- Discussed the usefulness of a psychological approach to divorce
mediation (high session frequency/intensity for holding and containment).
- Discussion of dorsal vagal action in trauma, dissociation,
self-mutilation, and the helpless-hostile state; tied this in with Mahler's
"conservation of energy" response to separations and anaclitic depression.
- 5/20/05
- Discussed new structure for group: curriculum in a time-ended structure
(6-10 months).
- Discussed Yehuda 9/11 article.
- HPA axis review.
- Insula review.
- 4/24/05
- Discussed articles on mirror neurons and bridging to psychotherapy.
- Discussed preoccupied/angry-resistant attachment strategy.
- Viewed example of angry-resistant attachment.
- 3/25/05
- Discussed Krystal paper on trauma.
- Discussed integration of neuroscience, arousal and affect regulation,
and attachment theory.
- Discussed application of the above to working with couples.
- 1/14/05
- Discussed recent articles published to this library.
- Discussed maternal holding (left side vs. right side) as referred to in
Sieratzki study.
- Discussed two tracks of alexithymia as referred to in Larsen study.
- Discussed treatment of couples utilizing a theory of affect regulation.
- 12/10/04
- Discussed recent articles published to this library.
- Went over right hemisphere socio-affective processing as relevant to
couples therapy.
- Worked with Paul Ekman's micro facial expression training tool and
subtle facial expression training tool.
- 10/29/04
- Discussed allostatic load as related to trauma history and the brain
systems involved in hyper and hypo arousal (e.g. the amygdala).
- Related to chronic stress, the neuronal hypertrophy of the amygdala and
the atrophy of the hippocampus.
- The role of the hippocampus in learning and memory.
- Watched a portion of the HBO documentary The Iceman Interviews
for the purpose noticing incoherency in autobiographical narrative.
- Watched a portion of Emde's use of the Strange Situation with type D
babies.
- Next month's meeting is cancelled due to a speaking event that day.
- 9/24/04
- Discussed structure and focus of meetings. Case consultation remains an
unwanted feature.
- Went over role of the right orbitofrontal region in holding emotion; in
waiting; the developmental implications of.
- Briefly touched on new journal articles focused on couples therapy.
- Talked about the use of the body in psychotherapy.
- 8/27/04
- 7/23/04
- Viewed Sroufe's Attachment Relationship video demonstrating the Strange
Situation and a securely attached infant.
- Viewed video of the Strange Situation demonstrating a disorganized,
avoidant
infant.
- Reviewed reading assignments:
- Diamond article on disorganized/disoriented attachment and
psychoanalytic theory.
- Critchley study on the right anterior insula (rAI) and
interroceptive ability.
- Tied the two articles to attachment theory, neurobiology and
therapeutic encounters.
- 1/23/04 - 6/25/04
- No log kept prior to 7/23/04.
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