Changing Minds in Therapy: Emotion, Attachment, Trauma, and Neurobiology (Norton Series on Interpersonal Neurobiology)
Margaret Wilkinson
Language: English
Pages: 248
ISBN: 0393705617
Format: PDF / Kindle (mobi) / ePub
Addresses the flurry of questions about the practical application of neuroscience in clinical treatment.
Recent advances in research in the fields of attachment, trauma, and the neurobiology of emotion have shown that mind, brain, and body are inextricably linked. This new research has revolutionized our understanding of the process of change in psychotherapy and in life, and raised a flurry of questions about the practical application of neuroscience in clinical treatment, particularly with those who have experienced early relational trauma and neglect. What insight does neuroscience offer to our clinical understanding of early life experiences? Can we use the plasticity of the brain to aid in therapeutic change? If so, how?
Changing Minds in Therapy explores the dynamics of brain-mind change, translating insights from these new fields of study into practical tips for therapists to use in the consulting room. Drawing from a wide range of clinical approaches and deftly integrating the scholarly with the practical, Margaret Wilkinson presents contemporary neuroscience, as well as attachment and trauma theories, in an accessible way, illuminating the many ways in which cutting edge research may inform clinical practice.
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she saw as a child. It might be that she remembers Bambi, and the hunter that killed the mother deer and left Bambi with the fierce stag father, or she might remember her horror in the Wizard of Oz when it became clear that the tin man hadn’t got a heart. Slowly and painfully they begin to do some more work on the patient’s story. It is not until much later in the therapy that Harriet recalls something of the incident in the park with its very close links to her forgotten early trauma. Patients
mother’s ability to understand her infant’s needs and feelings in an empathic way (Lenzi et al., 2008). The mothers were scanned while watching and imitating faces of their own child and that of someone else’s child. The researchers “found that the mirror neuron system, the insula and amygdala, were more active during emotional expressions, that this circuit is engaged to a greater extent when interacting with one’s own child, and that it is correlated with maternal reflective function”;
My engagement with the gesture, made first as he passed the window on his way into the room and then as he sat talking, was immediate and intense. Little did I know how symbolic a gesture it was, containing reference to both early and current experience. In the first session I felt sometimes as if I was with a newborn baby; in later sessions I would sometimes see a willful toddler or a confused and acting-out adolescent; and much of the time I was in the presence of a sensitive and caring man.
self as we work with our patients in the relational encounter that is special to the consulting room. Case Example: Jill’s Dreams Jill could not remember her father, who had died in a car accident soon after she was born. Jill was an only child and was very close to her mother when she was young. However, she learned early on that her mother was unpredictable: She might be nice or she might be cross and strike out. Much later, in her teens, she realized that her mother had had a drinking
persecutory fantasy and fear to flood into the room and into the relationship. Such difficulties can be guarded against only by adequate self-understanding on the part of the therapist, most fruitfully achieved through the therapist’s own personal therapy, reflection, and supervision. The field of epigenetics, which studies the effects of environmental experience on genetic expression, is yielding much information that may encourage a more proactive approach to those who have experienced early
