By Brad A. Alford PhD, Aaron T. Beck MD
Textual content at the thought of cognitive treatment and its purposes as a stand on my own strategy and as an integrative paradigm for psychotherapy. For therapists.
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Extra resources for The Integrative Power of Cognitive Therapy: An Integration of Contemporary Theory and Therapy
Beneath the monolithic label of anxiety are ‘camouflaged’ a wealth of incomplete and identifiable somatic responses, sensations, and bodily feelings. These body experiences represent the individual’s response to past experience, but also to their ‘genetic potential’ in the form of unrealized defensive responses. The recognition that these instinctive orientation and defensive behaviours are organized motor patterns, that is, prepared motor acts, helps to return the body to the head. Anxiety derives ultimately from a failure to complete motor acts.
A depressed mother had meant a lack of stimulating interaction (which builds the sympathetic capacity) and an absence of comfort (parasympathetic). Janet rarely cried but my attention to bodily signs of vulnerability and the very immediate support and contact provided by my body put her in touch with new depths of sadness and longing. At another point, observing the grasping motions she was making with her hands, I gave her a cushion and suggested she let her hands do what they needed to. The physicality of trying to tear it to pieces – a motoric expressive act – enabled her briefly to tap into the fierceness of her rage.
Maintain a coherent, continuous and unified sense of self; this is anchored in and emerges from motoric, autonomic and peptidergic regulatory patterns, which are critically influenced by the early relational environment. When the right-brain metabolism is weak, as a result of insufficient coregulation of states in early life, the individual is easily overwhelmed by stressful bodily states. This may manifest as dissociation: the inability to integrate bodily, emotional and relational-contextual information.