Recovering the true self: Affirmative therapy, attachment, and AEDP in psychotherapy with gay men.

Medley, Ben

doi:10.1037/int0000132

Cited by 18 publications

(17 citation statements)

References 53 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Towards that end, I want to bring in the core constructs identified by Owen (2013) and his colleagues (Davis et al, 2018;Owen et al, 2017Owen et al, , 2018 as central in the multicultural orientation framework. I also want to bring into the discussion two other published systematic case studies of successful AEDP therapies with clients identified as belonging to oppressed minorities (Medley, 2018;Simpson, 2016).…”

Section: Discussionmentioning

confidence: 99%

“…To further evaluate AEDP from within a multicultural orientation framework, in addition to Vigoda Gonzalez's case of Rosa, we have two other published, systematic case studies documenting effective AEDP therapies with clients who are members of oppressed minorities: Simpson's (2016) successful AEDP treatment of an African American man and Medley's (2018) successful AEDP therapy with a male client self-identified as gay. In both therapies, the application of AEDP techniques informed by its fundamentally healing orientation and affirmative ethos allowed corrective emotional experiences for both clients.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Introduction to Commentaries on Sociocultural Identity, Trauma Treatment, and AEDP Through the Lens of Bilingualism in the Case of “Rosa”

Fosha¹

2018

PCSP

View full text Add to dashboard Cite

The papers in this collaborative commentary explore the importance of engaging issues of sociocultural identity in trauma treatment in general, and specifically in the AEDP treatment of Nicole Vigoda Gonzalez's (2018) case of Rosa. Issues addressed include the role of language, bilingualism and language switching in therapy in general, and a fortiori when trauma or relational trauma is involved. After brief autobiographical sketches of the contributors, organized around each author's personal bilingualism story, there are three separate commentaries: Raymond Rodriguez (2018) begins by elaborating on the construct of sociocultural identity, exploring clients' identification around their native language, and emphasizes how crucial it is to address those concerns in therapy. Next, Yamilka Urquiza Mendoza (2018) introduces the importance of specificity in addressing multicultural issues, proposing that overly broad categories risk cluelessness, just at a higher level of magnification. Taking off from Rosa's being born on a Spanish Caribbean Island, Urquiza Mendoza illustrates how applying the term Hispanic to all Spanish speakers misses the huge ethnic and cultural diversity contained within that overly broad term. In the third commentary, referencing some neurobiological findings on how the traumatized brain processes language, Huan Jacquie Ye-Perman (2018) discusses how choosing to speak in one's non-native language in treatment is not always about distancing and can often be a vehicle for differentiation and exploring new aspects of self-identity. My concluding reflections are on the specific aspects of stance and intervention that allow AEDP to embody fundamental elements, as described by Owen (2013), of the multicultural therapist’s paradigm—i.e., cultural humility, benefitting opportunities, and developing cultural comfort—and to seamlessly manifest them in the nitty gritty of day-to-day, moment-to-moment clinical work. I end with some reflections on what AEDP, with its motto of "make the implicit explicit, and the explicit experiential," needs to do to actively keep optimizing its interventions to meet the challenges of the multicultural orientation framework and to do justice to these vital considerations.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Introduction to Commentaries on Sociocultural Identity, Trauma Treatment, and AEDP Through the Lens of Bilingualism in the Case of “Rosa”

Fosha¹

2018

PCSP

View full text Add to dashboard Cite

show abstract

“…In this chapter we will describe how events cause emotional pain and represent the dynamics of these 3 types of pain in the form of triangles following Malan (1979) At the bottom of these triangles is the uncompromised core experience (e.g. an emotion or a need).…”

Section: -Affective Systems and Emotional Painmentioning

confidence: 99%

“…From these theories we selected those that in our view are most helpful and complementary in explaining emotional pain. We tried to create an integrative framework in which we brought together theories on emotion (Greenberg, 1993;Panksepp, 2009;Timulak, 2015), attachment (Bowlby 1973;Ainsworth, 1991, Mikulincer & Shaver 2007 psychodynamics (Freud, 1900, Malan, 1979, Fosha 2000, emotional development (Tronick 2007, Trevarthen 2005, trauma (van der Kolk, 2015, Fisher 1999, learning and memory.…”

Section: Introductionmentioning

confidence: 99%

The Origins of Emotional Pain

Welling¹,

Ofer²

2020

Preprint

View full text Add to dashboard Cite

The authors present an integrative model of emotional pain derived from their The authors present an integrative model of emotional pain derived from their practice with AEDP (Fosha 2000), centered around 3 different types of pain: core emotional pain; relational pain and self pain. They show how each pain originates from 3 different innate fears and how triggering emotional memory of such pain is central in psychological suffering. They argue that correct conceptualization is essential in order to work with the right transformational process, as healing is achieved for each type of emotional pain by 3 distinct processes: 1. regulation of emotion and processing emotions to completion; 2. validation of needs and promoting emotional expression and reception; 3. undoing shame by compassion and the integration of parts that were disowned as unworthy. The authors argue that people generally have several kinds of pain, but some are more dominant than others and that it may be necessary to work on one type of emotional pain first before it is possible to work on other types of pain.

show abstract

“…An affirmative, deliberately positive, attuned and relationally reparative therapeutic stance (Lipton & Fosha, 2011) is required to bring this disposition to the clinical fore. AEDP's healing-oriented, change-based metapsychology reflects a seamless, organic, holistic integration (Fosha & Yeung, 2006) of many sources: neuroplasticity research; affective neuroscience; attachment theory and research on developmental dyads; interpersonal neurobiology; emotion theory; memory reconsolidation; transformational studies; contemplative practices; other experiential, existential and somatic trauma treatments; and two decades of systematic qualitative research on the therapy videotapes of a growing number of certified AEDP practitioners worldwide (Fosha, 2017a;Fosha, Paivio, Gleiser & Ford, 2009;Gleiser, Ford & Fosha, 2008;Hanakawa, 2017Hanakawa, , 2018Klein, 2018;Lamagna, 2011;Lamagna & Gleiser, 2007;Lipton & Fosha, 2011;Medley, 2018;Ofer & Gross, 2017;Prenn, 2011;Prenn & Slatus, 2018;Russell, 2015;Simpson, 2016;Sundgren, 2014;Yamauchi, 2018;Yeung & Cheung, 2008).…”

Section: Introductionmentioning

confidence: 99%

Moment-to-Moment Guidance of Clinical Interventions by AEDP’s Healing-Oriented Transformational Phenomenology: Commentary on Vigoda Gonzalez’s (2018) Case of "Rosa"

Fosha¹

2018

PCSP

View full text Add to dashboard Cite

This paper, using the methodology of moment-to-moment microanalysis of videotape-based clinical transcripts, explores how Nicole Vigoda Gonzalez’s (2018) case study manifests AEDP’s fundamental transformational phenomenology in clinical action. Vigoda Gonzalez’s highly effective AEDP therapy of Rosa is informed by AEDP’s first "avatar" or iteration (prior to 2008), at the time, a three-state phenomenology. Yet, a close reading of the case reveals the very transformational phenomena, systematically and abundantly reflected in the author’s clinical data, that necessitated the theoretical and clinical developments of AEDP’s second avatar (post-2008) and the current four-state model of transformational change. It is a validation both of the soundness of this student therapist's clinical work and of the accuracy and power of AEDP’s healing-oriented transformational theory that constructs not in the author’s repertoire are nevertheless reflected and illustrated in the unfolding of Rosa’s treatment. This most interesting and unusual experience further illustrates how a descriptive phenomenology, guided by AEDP’s North Star, i.e., its orientation toward the wired-in healing within, can constitute an empirically sound alternative to the manualization of psychotherapeutic treatments. Also uncannily, this parallels the emphasis in Owen's (2013) multicultural orientation (MCO) framework on the need for "values" or "virtues," such as cultural humility, to "inform therapeutic activities as an alternative to the focus on multicultural competencies."

show abstract

Recovering the true self: Affirmative therapy, attachment, and AEDP in psychotherapy with gay men.

Cited by 18 publications

References 53 publications

Introduction to Commentaries on Sociocultural Identity, Trauma Treatment, and AEDP Through the Lens of Bilingualism in the Case of “Rosa”

Introduction to Commentaries on Sociocultural Identity, Trauma Treatment, and AEDP Through the Lens of Bilingualism in the Case of “Rosa”

The Origins of Emotional Pain

Moment-to-Moment Guidance of Clinical Interventions by AEDP’s Healing-Oriented Transformational Phenomenology: Commentary on Vigoda Gonzalez’s (2018) Case of "Rosa"

Contact Info

Product

Resources

About