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APA Psychotherapy Training Videos are intended solely for educational purposes for mental health professionals. Viewers are expected to treat confidential material found herein according to strict professional guidelines. Unauthorized viewing is prohibited.
In Accelerated Experiential Dynamic Psychotherapy (AEDP), Dr. Diana Fosha demonstrates her healing-centered treatment approach, which aims to capitalize on the client's natural, adaptive, wired-in capacities for healing and transformation. AEDP integrates experiential and relational elements within an affect-centered psychodynamic framework, with the somatic experience of affect in relationship and the moment-to-moment regulation of this experience as the focus of clinical aims to bring about change.
In this session, Dr. Fosha works with a young woman who comes to treatment for help with an unsatisfying marriage. The client is worried that her 3-year-old daughter is being harmed by watching the conflict between the parents. Working to rapidly overcome the client's defenses and fear of emotional closeness, Dr. Fosha helps the client experience and process her deep grief, hurt, and sadness over her own early experiences of being parented. The client experiences a healing transformation and thus accesses confidence in herself and in her own resources.
A model of therapy needs to be at its essence a model of change (Fosha, 2000b). Accelerated Experiential Dynamic Psychotherapy (AEDP)—a model that integrates experiential and relational elements within an affect-centered psychodynamic framework and places the somatic experience of affect in relationship and its dyadic regulation at the center of how it clinically aims to bring about change (Fosha, 2000a)—is rooted firmly in transformational studies, fields of endeavor devoted to investigating naturally occurring progressive transformational processes that operate powerfully, and often rapidly and dramatically yielding substantive changes that are often lasting.
Read more about the approach
the developer of Accelerated Experiential Dynamic Psychotherapy (AEDP) and the director of the AEDP Institute, is the author of The Transforming Power of Affect: A Model for Accelerated Change (2000b) and has written papers on experiential process in dynamic psychotherapy. She also contributed to Healing Trauma: Attachment, Mind, Body and Brain, edited by Marion Solomon and Daniel Siegel (2003).
Dr. Fosha's current work in transformational studies has focused on integrating recent developments in affective neuroscience and developmentally based understandings of the dyadic regulation of affect into clinical work with patients. She is the director of training of the International Experiential Dynamic Therapy Association, serves on the editorial boards of The Journal of Psychotherapy Integration and Constructivism in the Human Sciences, and has done workshops and trainings throughout North America, Europe, and Brazil. Dr. Fosha is also in private practice in New York City.
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- Fosha, D. (2002). The activation of affective change processes in AEDP (Accelerated Experiential-Dynamic Psychotherapy). In J. J. Magnavita (Ed.), Comprehensive Handbook of Psychotherapy. Vol. 1: Psychodynamic and Object Relations Psychotherapies (pp. 309–344). New York: John Wiley & Sons.
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- Fosha, D. (2003). Dyadic regulation and experiential work with emotion and relatedness in trauma and disordered attachment. In M. F. Solomon & D. J. Siegel (Eds.), Healing trauma: Attachment, trauma, the brain and the mind (pp. 221–281). New York: Norton.
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- Fosha, D. (2005). Emotion, true self, true other, core state: toward a clinical theory of affective change process. Psychoanalytic Review, 92 (4), 513–552.
- Fosha, D. (2006). Quantum transformation in trauma and treatment: Traversing the crisis of healing change. Journal of Clinical Psychology/In Session, 62 (5), 569–583.
- Lamagna, J., & Gleiser, K. (in press). Building a secure internal attachment: An intra-relational approach to ego strengthening and emotional processing with chronically traumatized clients. Journal of Trauma and Dissociation.
- Fosha, D., & Yeung, D. (2006). AEDP exemplifies the seamless integration of emotional transformation and dyadic relatedness at work. In G. Stricker & J. Gold (Eds.), A casebook of psychotherapy integration (pp. 165–184). Washington, DC: American Psychological Association.
- Russell, E., & Fosha, D. (in press). Transformational affects and core state in AEDP: The emergence and consolidation of joy, hope, gratitude and confidence in the (solid goodness of the) self. Journal of Psychotherapy Integration.
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