interpersonal neurobiology, counseling, psychotherapy, and spiritual transformation
DESCRIPTION
Interpersonal Neurobiology, Counseling, Psychotherapy, and Spiritual Transformation. Gary Sibcy, II, Ph.D. Licensed Clinical Psychologist, Piedmont Psychiatric Center Director, PhD Program in Professional Counseling Liberty University Lynchburg, Virginia Tim Clinton, EdD, LPC, LMFT - PowerPoint PPT PresentationTRANSCRIPT
![Page 1: Interpersonal Neurobiology, Counseling, Psychotherapy, and Spiritual Transformation](https://reader036.vdocuments.site/reader036/viewer/2022081418/568134ea550346895d9c2299/html5/thumbnails/1.jpg)
Gary Sibcy, II, Ph.D.Licensed Clinical Psychologist, Piedmont Psychiatric Center
Director, PhD Program in Professional CounselingLiberty UniversityLynchburg, Virginia
Tim Clinton, EdD, LPC, LMFTPresident, AACCExecutive Director, Liberty University Center for Counseling and Family Studies
![Page 2: Interpersonal Neurobiology, Counseling, Psychotherapy, and Spiritual Transformation](https://reader036.vdocuments.site/reader036/viewer/2022081418/568134ea550346895d9c2299/html5/thumbnails/2.jpg)
The Mind and the Brain are completely separate from each other
![Page 3: Interpersonal Neurobiology, Counseling, Psychotherapy, and Spiritual Transformation](https://reader036.vdocuments.site/reader036/viewer/2022081418/568134ea550346895d9c2299/html5/thumbnails/3.jpg)
![Page 4: Interpersonal Neurobiology, Counseling, Psychotherapy, and Spiritual Transformation](https://reader036.vdocuments.site/reader036/viewer/2022081418/568134ea550346895d9c2299/html5/thumbnails/4.jpg)
The embodied process that regulates the flow of energy and information
◦ Energy the physical properties that propel us to take action
◦ Information is the representation of something other than itself (e.g., words and ideas)
![Page 5: Interpersonal Neurobiology, Counseling, Psychotherapy, and Spiritual Transformation](https://reader036.vdocuments.site/reader036/viewer/2022081418/568134ea550346895d9c2299/html5/thumbnails/5.jpg)
The neuro-circuitry through which energy and information flow—◦ Concentrated primarily in the head, but extends
through the entire body
![Page 6: Interpersonal Neurobiology, Counseling, Psychotherapy, and Spiritual Transformation](https://reader036.vdocuments.site/reader036/viewer/2022081418/568134ea550346895d9c2299/html5/thumbnails/6.jpg)
How energy and information is shared as we connect and communicate with one another
Relationships are co-regulators of energy and information
I Corinthians 12: 12ff
![Page 7: Interpersonal Neurobiology, Counseling, Psychotherapy, and Spiritual Transformation](https://reader036.vdocuments.site/reader036/viewer/2022081418/568134ea550346895d9c2299/html5/thumbnails/7.jpg)
General Systems Theory—how complex systems develop◦ Undifferentiated
◦ Differentiated—separate/individuated with specialized functions and sovereignty
◦ Integration—linked together but retains separateness in specialized functions
The whole is greater than sum of parts
Disintegration and Fragmentation
![Page 8: Interpersonal Neurobiology, Counseling, Psychotherapy, and Spiritual Transformation](https://reader036.vdocuments.site/reader036/viewer/2022081418/568134ea550346895d9c2299/html5/thumbnails/8.jpg)
![Page 9: Interpersonal Neurobiology, Counseling, Psychotherapy, and Spiritual Transformation](https://reader036.vdocuments.site/reader036/viewer/2022081418/568134ea550346895d9c2299/html5/thumbnails/9.jpg)
The brain is open system-
◦ Open systems of capable of being influenced by external factors
◦ Dynamic, nonlinear, complex systems
◦ When integrated, this type of system is most flexible and adaptive
![Page 10: Interpersonal Neurobiology, Counseling, Psychotherapy, and Spiritual Transformation](https://reader036.vdocuments.site/reader036/viewer/2022081418/568134ea550346895d9c2299/html5/thumbnails/10.jpg)
FlexibleAdaptiveCoherentEnergizedStable
![Page 11: Interpersonal Neurobiology, Counseling, Psychotherapy, and Spiritual Transformation](https://reader036.vdocuments.site/reader036/viewer/2022081418/568134ea550346895d9c2299/html5/thumbnails/11.jpg)
A river, with an ever changing central channel of integration and harmony
On one bank is Rigidity-- On the other bank is Chaos—
![Page 12: Interpersonal Neurobiology, Counseling, Psychotherapy, and Spiritual Transformation](https://reader036.vdocuments.site/reader036/viewer/2022081418/568134ea550346895d9c2299/html5/thumbnails/12.jpg)
Screen clipping taken: Siegel, Mindsight
![Page 13: Interpersonal Neurobiology, Counseling, Psychotherapy, and Spiritual Transformation](https://reader036.vdocuments.site/reader036/viewer/2022081418/568134ea550346895d9c2299/html5/thumbnails/13.jpg)
Psychospiritual health is the function of integration
Psychopathology is a deviation from integration◦ Rigidity◦ Chaos
![Page 14: Interpersonal Neurobiology, Counseling, Psychotherapy, and Spiritual Transformation](https://reader036.vdocuments.site/reader036/viewer/2022081418/568134ea550346895d9c2299/html5/thumbnails/14.jpg)
Re-experiencing Symptoms Hyperactivation Avoidance/numbing/Dissociation Associated Tension Reduction Behaviors
◦ Alcohol, drugs, other addictions◦ Cutting◦ Suicide Rehersal
![Page 15: Interpersonal Neurobiology, Counseling, Psychotherapy, and Spiritual Transformation](https://reader036.vdocuments.site/reader036/viewer/2022081418/568134ea550346895d9c2299/html5/thumbnails/15.jpg)
As we grow older the number of neurons decrease but the brain actually grow larger
![Page 16: Interpersonal Neurobiology, Counseling, Psychotherapy, and Spiritual Transformation](https://reader036.vdocuments.site/reader036/viewer/2022081418/568134ea550346895d9c2299/html5/thumbnails/16.jpg)
How the brain grows◦ Bottom to top; right to left
Integrated, regulated brain◦ Top to bottom; left and right
Finding the Zone—◦ Support—safe, regulated◦ Challenge—emotional activation◦ Think—label, communicate, problem solve◦ Relate—attend, back-and-forth, collaborative
![Page 17: Interpersonal Neurobiology, Counseling, Psychotherapy, and Spiritual Transformation](https://reader036.vdocuments.site/reader036/viewer/2022081418/568134ea550346895d9c2299/html5/thumbnails/17.jpg)
Brain wires itself based on experience Asks several questions:
◦ Is the world a safe place?◦ Can I count on my caregiver’s to help me in time
of need?◦ Can I get the care I need when I need it?
![Page 18: Interpersonal Neurobiology, Counseling, Psychotherapy, and Spiritual Transformation](https://reader036.vdocuments.site/reader036/viewer/2022081418/568134ea550346895d9c2299/html5/thumbnails/18.jpg)
Right Hemisphere==◦ Develops first◦ Imagery, emotional, holistic thinking, nonverbal
language, autobiographical memory Left Hemisphere
◦ Develop later, logic, verbal, linear
Horizontal Integration is linking these two sides of the brain
![Page 19: Interpersonal Neurobiology, Counseling, Psychotherapy, and Spiritual Transformation](https://reader036.vdocuments.site/reader036/viewer/2022081418/568134ea550346895d9c2299/html5/thumbnails/19.jpg)
Nervous system ascends from bottom (our bodies and gut) to top (brain stem, limbic system, prefrontal cortex)
Vertical integration is about linking these different areas together, bringing bodily sensation up into awareness
![Page 20: Interpersonal Neurobiology, Counseling, Psychotherapy, and Spiritual Transformation](https://reader036.vdocuments.site/reader036/viewer/2022081418/568134ea550346895d9c2299/html5/thumbnails/20.jpg)
Autonomic Nervous System◦ Two Branches
Sympathetic—Gas pedal Fight Flight
Parasympathetic—Break Freeze
![Page 21: Interpersonal Neurobiology, Counseling, Psychotherapy, and Spiritual Transformation](https://reader036.vdocuments.site/reader036/viewer/2022081418/568134ea550346895d9c2299/html5/thumbnails/21.jpg)
http://brainandgender.files.wordpress.com/2011/03/limbsys2.jpgScreen clipping taken: 9/26/2011 11:57 AM
![Page 22: Interpersonal Neurobiology, Counseling, Psychotherapy, and Spiritual Transformation](https://reader036.vdocuments.site/reader036/viewer/2022081418/568134ea550346895d9c2299/html5/thumbnails/22.jpg)
Emotional Control Center in Brain encodes emotionally charged experiences Forming of key mental models/schemas
about◦ Self◦ Others◦ World
Conditioned Emotional Responses Associative learning
![Page 23: Interpersonal Neurobiology, Counseling, Psychotherapy, and Spiritual Transformation](https://reader036.vdocuments.site/reader036/viewer/2022081418/568134ea550346895d9c2299/html5/thumbnails/23.jpg)
The middle prefrontal cortex◦ Anterior cingulate◦ Orbital prefrontal cortex◦ The mediate prefrontal◦ Ventral lateral◦ All work together as a team
![Page 24: Interpersonal Neurobiology, Counseling, Psychotherapy, and Spiritual Transformation](https://reader036.vdocuments.site/reader036/viewer/2022081418/568134ea550346895d9c2299/html5/thumbnails/24.jpg)
![Page 25: Interpersonal Neurobiology, Counseling, Psychotherapy, and Spiritual Transformation](https://reader036.vdocuments.site/reader036/viewer/2022081418/568134ea550346895d9c2299/html5/thumbnails/25.jpg)
Body regulation-- Attuned communication-- Emotional balance-- Response Flexibility-- Insight— Empathy
Theory of mind
Mindsight--mentalization
Fear modulation Accessing intuition Morality
![Page 26: Interpersonal Neurobiology, Counseling, Psychotherapy, and Spiritual Transformation](https://reader036.vdocuments.site/reader036/viewer/2022081418/568134ea550346895d9c2299/html5/thumbnails/26.jpg)
Implicit Memory—◦ Present at birth◦ Includes behavioral, emotional, perceptual, body◦ Mental models—states become traits◦ Conscious attention not required for encoding◦ No sense of recollection when memories recalled◦ Does not involve hippocampus—mostly amygdala
![Page 27: Interpersonal Neurobiology, Counseling, Psychotherapy, and Spiritual Transformation](https://reader036.vdocuments.site/reader036/viewer/2022081418/568134ea550346895d9c2299/html5/thumbnails/27.jpg)
Explicit Memory◦ Emerges in second year of life◦ Sense of recollection when recalled◦ If autobiographical, sense of self and time present◦ Includes semantic (factual) and episodic
(autobiographical)◦ Requires conscious attention◦ Involves hippocampus—converts to context◦ If autobiographical—involves prefrontal cortex
![Page 28: Interpersonal Neurobiology, Counseling, Psychotherapy, and Spiritual Transformation](https://reader036.vdocuments.site/reader036/viewer/2022081418/568134ea550346895d9c2299/html5/thumbnails/28.jpg)
Mind is the container/organizer/regulator of content, but is not the same things as the content itself
![Page 29: Interpersonal Neurobiology, Counseling, Psychotherapy, and Spiritual Transformation](https://reader036.vdocuments.site/reader036/viewer/2022081418/568134ea550346895d9c2299/html5/thumbnails/29.jpg)
You are not your thoughts!
Just because you have a thought doesn’t mean its true
Just because you think a thought doesn’t mean you believe it
![Page 30: Interpersonal Neurobiology, Counseling, Psychotherapy, and Spiritual Transformation](https://reader036.vdocuments.site/reader036/viewer/2022081418/568134ea550346895d9c2299/html5/thumbnails/30.jpg)
Intentionality/Volition/Agency Focused attention Belief—epistemic evaluation Endorse/promote Entertain
![Page 31: Interpersonal Neurobiology, Counseling, Psychotherapy, and Spiritual Transformation](https://reader036.vdocuments.site/reader036/viewer/2022081418/568134ea550346895d9c2299/html5/thumbnails/31.jpg)
![Page 32: Interpersonal Neurobiology, Counseling, Psychotherapy, and Spiritual Transformation](https://reader036.vdocuments.site/reader036/viewer/2022081418/568134ea550346895d9c2299/html5/thumbnails/32.jpg)
Hub
Sensation
images
feelings
thoughts
![Page 33: Interpersonal Neurobiology, Counseling, Psychotherapy, and Spiritual Transformation](https://reader036.vdocuments.site/reader036/viewer/2022081418/568134ea550346895d9c2299/html5/thumbnails/33.jpg)
Attachment Relationships
![Page 34: Interpersonal Neurobiology, Counseling, Psychotherapy, and Spiritual Transformation](https://reader036.vdocuments.site/reader036/viewer/2022081418/568134ea550346895d9c2299/html5/thumbnails/34.jpg)
Sensitive, timely responses to child’s distress
Enhance regulation, brain stem, limbic system
◦ Stimulate integration of these systems
◦ ultimately through integration of these systems with the middle prefrontal cortex
![Page 35: Interpersonal Neurobiology, Counseling, Psychotherapy, and Spiritual Transformation](https://reader036.vdocuments.site/reader036/viewer/2022081418/568134ea550346895d9c2299/html5/thumbnails/35.jpg)
Secure Base
Self-Confidence/Exploration
Perceived Threat
Felt security
Attachment System
Signaling
Proximity Seeking
Safe Haven
Caregiver’sSignal detection
![Page 36: Interpersonal Neurobiology, Counseling, Psychotherapy, and Spiritual Transformation](https://reader036.vdocuments.site/reader036/viewer/2022081418/568134ea550346895d9c2299/html5/thumbnails/36.jpg)
Secure Base
Perceived Threat
Felt security
Attachment System
Signaling
Safe Haven
Caregiver’sSignal detection
Sense of Self
Sense of Other
Balancing
![Page 37: Interpersonal Neurobiology, Counseling, Psychotherapy, and Spiritual Transformation](https://reader036.vdocuments.site/reader036/viewer/2022081418/568134ea550346895d9c2299/html5/thumbnails/37.jpg)
![Page 38: Interpersonal Neurobiology, Counseling, Psychotherapy, and Spiritual Transformation](https://reader036.vdocuments.site/reader036/viewer/2022081418/568134ea550346895d9c2299/html5/thumbnails/38.jpg)
![Page 39: Interpersonal Neurobiology, Counseling, Psychotherapy, and Spiritual Transformation](https://reader036.vdocuments.site/reader036/viewer/2022081418/568134ea550346895d9c2299/html5/thumbnails/39.jpg)
Inconsistent/Role reversal
Responsive/Attuned
Avoidant
Ambivalent
Disorganized
Secure
Frightening/Threatening/Dissociated
Rejecting/disengaged/overly Intrusive
Parent Responses Themes Attachment Style
![Page 40: Interpersonal Neurobiology, Counseling, Psychotherapy, and Spiritual Transformation](https://reader036.vdocuments.site/reader036/viewer/2022081418/568134ea550346895d9c2299/html5/thumbnails/40.jpg)
![Page 41: Interpersonal Neurobiology, Counseling, Psychotherapy, and Spiritual Transformation](https://reader036.vdocuments.site/reader036/viewer/2022081418/568134ea550346895d9c2299/html5/thumbnails/41.jpg)
AAI Classifications
of Pre-term Mothers in Third
Trimester of Pregnancy Child Strange
Situation Classification
At Twelve –Months
AAI Classification 16 To 20
Years Later
70% ACCURACY
75% TO 78%
ACCURACY
![Page 42: Interpersonal Neurobiology, Counseling, Psychotherapy, and Spiritual Transformation](https://reader036.vdocuments.site/reader036/viewer/2022081418/568134ea550346895d9c2299/html5/thumbnails/42.jpg)
Self Other
•Am I worthy? •Am I capable?•Am I willing?
•Are you trustworthy?•Are accessible?•Are you capable?•Are you willing?
![Page 43: Interpersonal Neurobiology, Counseling, Psychotherapy, and Spiritual Transformation](https://reader036.vdocuments.site/reader036/viewer/2022081418/568134ea550346895d9c2299/html5/thumbnails/43.jpg)
Secure AttachmentSecure AttachmentSelf DimensionSelf DimensionI’m worthy of loveI’m worthy of loveI’m capable of getting the love I needI’m capable of getting the love I need
Other DimensionOther DimensionOthers are willing and able to love meOthers are willing and able to love meI can count on you to be there for meI can count on you to be there for me
Avoidant AttachmentAvoidant AttachmentSelf DimensionSelf DimensionI’m worthy of love (false pride)I’m worthy of love (false pride)I’m capable of getting love I want and need I’m capable of getting love I want and need (false sense of mastery)(false sense of mastery)
Other DimensionOther DimensionOthers are incompetentOthers are incompetentOthers are untrustworthyOthers are untrustworthy
Ambivalent AttachmentAmbivalent AttachmentSelf DimensionSelf DimensionI am not worth of love (I feel flawed)I am not worth of love (I feel flawed)I’m not able to get love I need without being I’m not able to get love I need without being angry or clingyangry or clingy
Other DimensionOther DimensionCapable but unwilling (bc my flaws)Capable but unwilling (bc my flaws)May abandon me (bc my flaws)May abandon me (bc my flaws)
Fearful AttachmentFearful AttachmentSelf DimensionSelf DimensionI’m not worthy of loveI’m not worthy of loveI’m unable to get the love I needI’m unable to get the love I need
Other DimensionOther DimensionOthers are unwillingOthers are unwillingOthers are unableOthers are unableOthers are abusive, I deserve itOthers are abusive, I deserve it
Other
Sel
f
+
_
+ __
![Page 44: Interpersonal Neurobiology, Counseling, Psychotherapy, and Spiritual Transformation](https://reader036.vdocuments.site/reader036/viewer/2022081418/568134ea550346895d9c2299/html5/thumbnails/44.jpg)
Secure AttachmentSecure Attachment Full rangeFull rangeGood controlGood controlSelf-soothesSelf-soothesShares feelingsShares feelingsOk with others’ feelingsOk with others’ feelingsCapable of accurate empathyCapable of accurate empathy
Avoidant AttachmentAvoidant AttachmentRestricted RangeRestricted RangeToo much controlToo much controlUses things to soothe self, prone to Uses things to soothe self, prone to addictionsaddictionsKeeps feelings at a distanceKeeps feelings at a distanceDoesn’t share feelingsDoesn’t share feelingsRestricted empathyRestricted empathy
Ambivalent AttachmentAmbivalent AttachmentFull rangeFull rangePoor controlPoor controlCan’t self sootheCan’t self sootheShares Feelings too muchShares Feelings too muchOverwhelms others with their feelingsOverwhelms others with their feelingsUses feelings instrumentally to gain Uses feelings instrumentally to gain proximityproximity
Disorganized AttachmentDisorganized AttachmentFull Range, but few positive feelingsFull Range, but few positive feelingsPoor controlPoor controlCan’t self-sootheCan’t self-sootheCan’t really share with othersCan’t really share with othersOverwhelmed by others feelingsOverwhelmed by others feelingsDissociates when in face of strong emotionDissociates when in face of strong emotion
![Page 45: Interpersonal Neurobiology, Counseling, Psychotherapy, and Spiritual Transformation](https://reader036.vdocuments.site/reader036/viewer/2022081418/568134ea550346895d9c2299/html5/thumbnails/45.jpg)
Secure AttachmentSecure AttachmentComfortable with closenessComfortable with closenessShares feelings and dreamsShares feelings and dreamsWilling to commitWilling to commitBalances closeness and distanceBalances closeness and distance
Avoidant AttachmentAvoidant AttachmentNot comfortable with closenessNot comfortable with closenessWithholds feelings and dreamsWithholds feelings and dreamsDifficulty with commitmentDifficulty with commitmentDistances Distances
Ambivalent AttachmentAmbivalent AttachmentDesires closeness, but never seems to Desires closeness, but never seems to have enoughhave enoughWants to merge with otherWants to merge with otherPreoccupied with abandonmentPreoccupied with abandonmentClings and criticizesClings and criticizesCrisisCrisisattachmentattachment
Disorganized AttachmentDisorganized AttachmentDesires closeness, but fears and avoids Desires closeness, but fears and avoids ititWants to merge, then wants to Wants to merge, then wants to distancedistanceTerrified of abandonmentTerrified of abandonmentSabotages closenessSabotages closenessAttracted to people who victimizeAttracted to people who victimize
![Page 46: Interpersonal Neurobiology, Counseling, Psychotherapy, and Spiritual Transformation](https://reader036.vdocuments.site/reader036/viewer/2022081418/568134ea550346895d9c2299/html5/thumbnails/46.jpg)
Kirkpatric◦ Reframes attachment within religious context
Christian conception of God satisfies Ainsworth’s attachment criteria:Seeks closeness in times of troubleSafe Haven ExplorationSeparationanxiety/angerLossGrief
Christian Attachment Therapy 48
![Page 47: Interpersonal Neurobiology, Counseling, Psychotherapy, and Spiritual Transformation](https://reader036.vdocuments.site/reader036/viewer/2022081418/568134ea550346895d9c2299/html5/thumbnails/47.jpg)
Philippians 4:4-7 Rejoice in the Lord always. I will say it again: Rejoice! Let your gentleness
be evident to all. The Lord is near. Do not be anxious about anything, but in everything, by prayer and petition, with thanksgiving, present your requests to God. And the peace of God, which transcends all understanding, will guard your hearts and your minds in Christ Jesus.(NIV)
Ps 17:6-10I call on you, O God, for you will answer me; give ear to me and hear my prayer. Show the wonder of your great love, you who save by your right hand those who take refuge in you from their foes. Keep me as the apple of your eye; hide me in the shadow of your wings from the wicked who assail me, from my mortal enemies who surround me. They close up their callous hearts, and their mouths speak with arrogance.(NIV)
Christian Attachment Therapy 49
![Page 48: Interpersonal Neurobiology, Counseling, Psychotherapy, and Spiritual Transformation](https://reader036.vdocuments.site/reader036/viewer/2022081418/568134ea550346895d9c2299/html5/thumbnails/48.jpg)
Ps 46:1-4God is our refuge and strength, an ever-present help in trouble. Therefore we will not fear, though the earth give way and the mountains fall into the heart of the sea, though its waters roar and foam and the mountains quake with their surging. Selah
Christian Attachment Therapy 50
![Page 49: Interpersonal Neurobiology, Counseling, Psychotherapy, and Spiritual Transformation](https://reader036.vdocuments.site/reader036/viewer/2022081418/568134ea550346895d9c2299/html5/thumbnails/49.jpg)
Attachment style impacts how God is viewed◦Secure: He is there, I can count on Him. He will
accepts me, in spite of my flaws◦Avoidant: He isn’t there for me when I need
Him. I will have to go at life alone. I don’t really need Him.
◦Ambivalent: I’m too flawed; God is sure to reject me. I probably committed the unpardonable sin
◦Disorganized: I’m flawed, beyond repair. God will strike me down if I turn toward Him. He will surely reject or punish me.
Christian Attachment Therapy 51
![Page 50: Interpersonal Neurobiology, Counseling, Psychotherapy, and Spiritual Transformation](https://reader036.vdocuments.site/reader036/viewer/2022081418/568134ea550346895d9c2299/html5/thumbnails/50.jpg)
The “Secure” Model of Change
![Page 51: Interpersonal Neurobiology, Counseling, Psychotherapy, and Spiritual Transformation](https://reader036.vdocuments.site/reader036/viewer/2022081418/568134ea550346895d9c2299/html5/thumbnails/51.jpg)
Cooking a good soup◦ Know the essential ingredients◦ How the ingredients interact with other,
compliment each other◦ How they may behave differently, each time you
use them◦ A good soup—I love chili—is more than the sum of
its parts//tomatoes, onions, meat, beans, seasoning, etc.
![Page 52: Interpersonal Neurobiology, Counseling, Psychotherapy, and Spiritual Transformation](https://reader036.vdocuments.site/reader036/viewer/2022081418/568134ea550346895d9c2299/html5/thumbnails/52.jpg)
Are you called to do this work God uses those who have been wounded You must come to terms with what has
happened to you— God will work all things to the good of those
who are called according to his purposes Your reliance on God and sensitivity to the
Spirit is essential Take care of yourself—this is hard work
![Page 53: Interpersonal Neurobiology, Counseling, Psychotherapy, and Spiritual Transformation](https://reader036.vdocuments.site/reader036/viewer/2022081418/568134ea550346895d9c2299/html5/thumbnails/53.jpg)
Fostering therapeutic alliance Nurturing collaboration—exploring the story
of “why are you here?” Create a “safety zone” (McCallough) Information gathering, assessment,
diagnosis, goal-setting Structuring sessions—agenda setting,
specificity, secure commitment Instilling hope
![Page 54: Interpersonal Neurobiology, Counseling, Psychotherapy, and Spiritual Transformation](https://reader036.vdocuments.site/reader036/viewer/2022081418/568134ea550346895d9c2299/html5/thumbnails/54.jpg)
More than just Psychoeducation—conveying relevant information—Key to Alliance
Learning new skills—distress tolerance, emotion regulation, interpersonal effectiveness, problem solving, impulse control, behavior activation
Spiritual disciplines—mindfulness-- Neuroempathy—understand problems in
light of underlying neurocircuitry
![Page 55: Interpersonal Neurobiology, Counseling, Psychotherapy, and Spiritual Transformation](https://reader036.vdocuments.site/reader036/viewer/2022081418/568134ea550346895d9c2299/html5/thumbnails/55.jpg)
neuroempathy◦ Your mind and brain are different. You are not
your brain◦ You are not your thoughts◦ Your thoughts are produced automatically by your
brain. ◦ Your mind can chose to believe them or to
engage in brooding
![Page 56: Interpersonal Neurobiology, Counseling, Psychotherapy, and Spiritual Transformation](https://reader036.vdocuments.site/reader036/viewer/2022081418/568134ea550346895d9c2299/html5/thumbnails/56.jpg)
Extends the safety construct Creating a balance between emotional
activation and emotion regulation The therapeutic window
◦ When in this window— Teaching skills in context of emotion Modify old schema
Implicit beliefs about self and others About how to deal with strong emotions Breaks patterns of avoidance
![Page 57: Interpersonal Neurobiology, Counseling, Psychotherapy, and Spiritual Transformation](https://reader036.vdocuments.site/reader036/viewer/2022081418/568134ea550346895d9c2299/html5/thumbnails/57.jpg)
Length of session
15 30 45
2
4
6
8
10
![Page 58: Interpersonal Neurobiology, Counseling, Psychotherapy, and Spiritual Transformation](https://reader036.vdocuments.site/reader036/viewer/2022081418/568134ea550346895d9c2299/html5/thumbnails/58.jpg)
Length of session
15 30 45
2
4
6
8
10
![Page 59: Interpersonal Neurobiology, Counseling, Psychotherapy, and Spiritual Transformation](https://reader036.vdocuments.site/reader036/viewer/2022081418/568134ea550346895d9c2299/html5/thumbnails/59.jpg)
Length of session
15 30 45
2
4
6
8
10
![Page 60: Interpersonal Neurobiology, Counseling, Psychotherapy, and Spiritual Transformation](https://reader036.vdocuments.site/reader036/viewer/2022081418/568134ea550346895d9c2299/html5/thumbnails/60.jpg)
![Page 61: Interpersonal Neurobiology, Counseling, Psychotherapy, and Spiritual Transformation](https://reader036.vdocuments.site/reader036/viewer/2022081418/568134ea550346895d9c2299/html5/thumbnails/61.jpg)
Dealing with treatment relationship ruptures
Helping desensitize toxic implicit relational beliefs that are activated by emotional activation
![Page 62: Interpersonal Neurobiology, Counseling, Psychotherapy, and Spiritual Transformation](https://reader036.vdocuments.site/reader036/viewer/2022081418/568134ea550346895d9c2299/html5/thumbnails/62.jpg)
Helping clients engage in narrative repair— Telling their stories, linking current patterns of
thinking, feeling relating, and communicating with previous relationship experience
How relationships are two way transactions (especially therapy relationship)
How old patterns of relating were healthy at the time, but maladaptive now…
Appreciate the consequence of their interpersonal and intrapersonal behavior
They create much of the pain they experience now Differentiating between toxic others of past and
current therapeutic relationship
![Page 63: Interpersonal Neurobiology, Counseling, Psychotherapy, and Spiritual Transformation](https://reader036.vdocuments.site/reader036/viewer/2022081418/568134ea550346895d9c2299/html5/thumbnails/63.jpg)
Significant Other History Transference Hypothesis Identification of transference hot spots Interpersonal Discrimination Exercises
![Page 64: Interpersonal Neurobiology, Counseling, Psychotherapy, and Spiritual Transformation](https://reader036.vdocuments.site/reader036/viewer/2022081418/568134ea550346895d9c2299/html5/thumbnails/64.jpg)
Schema reconstruction—highly intentional process—understanding personal narrative in light of God’s redemptive story in their lives
Modifying maladaptive, self-defeating patterns of thinking, feeling, behaving—cognitive restructuring, problem-solving skills
Learn to engage in personal experiments that can generate new “data” that may unfreeze negative, rigid, globally negative beliefs—both in and out of session
Practice new patterns of relating to others and giving up old patterns of avoidance, blame, and defensiveness
Fostering forgiveness—self-others
![Page 65: Interpersonal Neurobiology, Counseling, Psychotherapy, and Spiritual Transformation](https://reader036.vdocuments.site/reader036/viewer/2022081418/568134ea550346895d9c2299/html5/thumbnails/65.jpg)
Dealing with resistance and therapeutic ruptures
Begin differentiating between old, toxic relationships and therapy relationship (Interpersonal Discrimination Exercises)
Fostering generalization from safety of therapy office to other context
Anticipating and dealing with relapse prevention
![Page 66: Interpersonal Neurobiology, Counseling, Psychotherapy, and Spiritual Transformation](https://reader036.vdocuments.site/reader036/viewer/2022081418/568134ea550346895d9c2299/html5/thumbnails/66.jpg)