Accelerated Experiential-Dynamic Psychotherapy: The Seamless Integration of Emotional Transformation and Dyadic Relatedness at Work.

Abstract

A bottom-up model that emphasizes dyadic regulation of relatedness and emotional arousal, accelerated experiental-dynamic psychotherapy's (AEDP's) conceptual framework integrates constructs, insights, and findings from attachment theory (e.g., Bowlby, 1982), clinical developmentalists' research into moment-to-moment mother-infant interaction (e.g.

Regulacija Afekta U Superviziji Psihoterapije: Višestruka Studija Slučaja Trenutaka Promjene

“…In recent decades, attachment researchers have expanded and clarified the notion of a secure base largely within the framework of affect regulation. Following their lead, this study first presents the contemporary understanding of this phenomenon, and then describes how the process of affect regulation is integrated into »the therapeutic model of Accelerated Experiential-Dynamic Psychotherapy« (»AEDP«) (Fosha, 2001;Fosha and Yeung, 2006;Fosha, 2009). This model later serves to establish whether the moments of change contain elements of affect regulation.…”

“…This study followed the explanation offered by this model in understanding the affect regulation process. The process of moment to-moment dyadic affect regulation is made up of end-less iterations of the sequence of attunement, disruption, and repair (Fosha and Yeung, 2006). Fosha (2009) defines attunement as the state in which the self and other naturally resonate, to the delight of both; the experience of attunement is a pleasurable one.…”

“…Successful repair results in the establishment of a new, expanded coordinated state wherein differences can be encompassed and integrated; achieving that state is a vitalizing energizing human experience. The dyad can consist of a mother and child, a therapist and patient, or partners in a relationship, and the process is one of emotional communication (Fosha and Yeung, 2006). In that sense, the dyad consists of both a supervisee and supervisor.…”

Transformational affects and core state in AEDP: The emergence and consolidation of joy, hope, gratitude, and confidence in (the solid goodness of) the self.

“…Working in an experiential dynamic therapy characterized by an affirming, explicitly empathic, emotionally engaged stance (Tunnel, in press) and focused on the dyadic regulation of intense emotional experiences (Fosha, 2001(Fosha, , 2003 has led to us to a phase-specific phenomenology (Fosha, 2002;Fosha & Young, 2006) and phase-specific interventions. We have identified what we call the transformational affects, a subgroup of positive affective experiences which emerge from and mark different healing transformational moments in the experiential processing of intense and difficult emotions, both negative and positive (Fosha, 2000a(Fosha, , 2005(Fosha, , 2006. We have also developed a set of interventions for working with them: through metatherapeutic processing --a process involving alternating waves of experience and reflection--the positive affective experiences that arise as an integral part of the healing process become the sustained focus of experiential exploration, leading to a cascade of transformations.…”

“…This cascade in turn culminates in core state, a positive affective state of calm and centeredness in which integration and consolidation of changes takes place, and a coherent self comes to the fore (Fosha, 2000(Fosha, , 2005Fosha & Yeung, 2006). To our knowledge, AEDP is unique in identifying these experiences, understanding their function, and developing specific technical interventions designed to harness their transformational potential in the service of better therapeutic results.…”