Accelerated Experiential Dynamic Psychotherapy Over Time

Name: Accelerated Experiential Dynamic Psychotherapy Over Time
Price: 399.00 USD
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ISBN: 978-1-4338-3132-4

With Diana Fosha, PhD

ISBN: 978-1-4338-3132-4

September 2019

Item # 4310011

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$399.00

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Alexander Street Press Part 1 Alexander Street Press Part 2 Alexander Street Press Part 3 Alexander Street Press Part 4

Part of the Series VIII: Psychotherapy in Six Sessions

Available as part of the APA PsycTherapy database, through your or your institution’s subscription. Questions? Contact Psycdatabases@apa.org.

Description

Aloneness in the face of overwhelming emotion is at the center of emotional suffering. Undoing aloneness is thus key to being able to process the emotions of trauma and reap the benefits of the adaptive resources that come with those emotions.

AEDP (accelerated experiential dynamic psychotherapy) is a healing-oriented, mind–body psychotherapy that seeks to put positive neuroplasticity into action, undo the client's aloneness, and cocreate a safe relationship as early in the therapeutic relationship as possible. Thus accompanied, and with the dyadic affect regulation of what formerly was too much to deal with, the client can process those overwhelming emotions.

Characteristic AEDP interventions include being on the lookout for glimmers of healing, undoing the client's isolation, and using metatherapeutic processing to work through the experience of transformation to systematically support the client's flourishing, resilience, and well-being.

Over the course of six therapy sessions, Dr. Diana Fosha demonstrates AEDP's intimate, moment-to-moment work with a client suffering from intense unresolved traumatic emotions. In their work together, Dr. Fosha helps the client not only experientially process negative emotions, she also uses metatherapeutic processing to systematically work with the client's positive emotions to make the most their potential.

AEDP has been described as a model of therapy that transforms emotional suffering into flourishing: We witness that in this 6-session therapy.

Approach

Accelerated experiential dynamic psychotherapy (AEDP), is a healing-oriented, mind–body treatment that works experientially with trauma and attachment trauma (Fosha, 2000; 2017, 2018; Fosha et al., 2009; Gleiser et al., 2008; Lamagna & Gleiser, 2007; Lipton & Fosha, 2011; Prenn, 2009; Prenn & Fosha, 2016; Russell, 2015; Tunnell, 2011; Yeung & Fosha, 2015).

Experientially refers to an intensive focus on present-tense (i.e., here-and-now) internal experience, especially affective experience as it arises in the body, encouraging clients' attention to it, and then proceeding to work with it. From the get-go, AEDP seeks to put positive neuroplasticity into action, moment-by moment, session to session, in each and every therapeutic dyad in the context of work to transform the negative emotions associated with trauma and emotional suffering. Then, through metatherapeutic processing, the experience of change along with the positive emotions that accompany it, are also worked with to promote positive neuroplasticity.

Integrative, nonpathologizing, and transformation-focused, AEDP is healing oriented. It assumes a healthy core within all people, emphasizes adaptive motivational strivings, works actively and explicitly to cocreate the experience of safety in the therapeutic relationship, and stresses the importance of experiential work with evolutionarily adaptive affective change processes, like emotion, attachment, and transformation.

AEDP's healing-oriented, change-based metapsychology reflects an integration of many sources: neuroplasticity research (Davidson & Schuyler, 2015; Lazar et al., 2005), affective neuroscience (Craig, 2015; Damasio, 2003; Panksepp, 2009, 2010), attachment theory and research on developmental dyads (Schore, 2012; Trevarthen, 2009); interpersonal neurobiology (Porges, 2011; Siegel, 2015), emotion theory (Darwin, 1872; Ekman, 2015); transformational studies (Buber, 1965; James, 1902; Loizzo, et al., 2017; Stern et al., 1998); as well as two decades of AEDP practice by a growing number of practitioners worldwide (Fosha, 2018a; Fishman et al., 2019).

Its theory of therapeutic change as rooted in naturally occurring change mechanisms is supported by research demonstrating the potential for neuroplasticity from the cradle to the grave (Doidge, 2007; Davidson, et al., 2003; Hanson, 2017; Lazar, et al., 2005) and documenting the nature of the conditions that bring positive neuroplasticity to the fore (e.g., Davidson & Schuyler, 2015).

AEDP understands "psychopathology" as resulting from the individual's unwilled and unwanted aloneness in the face of overwhelming emotional experiences (Fosha, 2000). Thus, undoing aloneness and the dyadic processing of emotional experiences previously too overwhelming for the individual to deal with alone, are its overarching therapeutic aims.

Through the moment-to-moment, in-depth processing of difficult emotional and relational experiences, clients are helped to recover their sense of core self and experience increased resilience and renewed zest for life (Fosha, 2009a; Russell, 2015). The metatherapeutic processing of the experience of transformation is an AEDP technique for systematically facilitating flourishing in the client (Fosha, 2009b, 2013, 2017; Fosha, Thoma, & Yeung, in press; Iwakabe & Conceicao, 2015).

Four fundamental aspects of AEDP are

an orientation toward healing and its emphasis on healing from the get-go
undoing aloneness
its experiential methodology
the moment-to-moment guiding of intervention choice by an articulated four-state transformational phenomenology

The heart and soul of AEDP is our belief in the self-righting forces wired within us all. AEDP's healing orientation is its North Star: both its theory and moment-to-moment clinical work are guided by the foundational principle that healing (i.e., positive neuroplasticity) is a biological drive, ever present in all of us that can be brought to the experiential fore in the right conditions.

We call this innate, biological drive pulsing toward self-righting and self-expansion "transformance" (Fosha, 2008). The concept of transformance is viewed not just as a generalized inner capacity or drive but as a specific emotional process arising in the therapy room. From the get-go, that is, from the very first moments of psychotherapy, finding and amplifying "glimmers of transformance" and the accompanying "vitality affects" (Stern, 1985), the positive somatic/affective markers that identify it, is a central focus within AEDP.

AEDP has elaborated a detailed, four-state phenomenology of the transformational process (Fosha, 2009a, 2009c, 2018). This four-state phenomenology reveals an arc that organically links suffering with flourishing, negative emotion with positive emotion, trauma with transcendence, stuckness with flow, and languishing with resilience (Fosha, 2005, 2013, 2017).

The goal of the work is to help the client move through the four states, tracking affective phenomena moment-to-moment to pick up subtle fluctuations and significant state shifts. The moment-to-moment guidance of clinical practice by the phenomenology of the four states of the transformational process is foundational to how AEDP therapists work.

Operating as both map and compass, it helps therapists orient where they are in the process and where they want to go, thus guiding their choice of interventions.

Contributor bios

Diana Fosha, PhD, is the developer of AEDP (accelerated experiential dynamic psychotherapy) and founder and current director of the AEDP Institute, internationally recognized for training therapists in a healing-oriented experiential approach to the treatment of attachment trauma. For the last 20 years, she has been active in promoting a scientific basis for AEDP's healing-oriented, attachment-, emotion- and transformation-focused approach.

A leader in the field of transformational studies, Fosha's work focuses on integrating neuroplasticity, recognition science and developmental dyadic research into experiential clinical process work with patients. The author of numerous papers and book chapters, she is the author of The Transforming Power of Affect: A Model for Accelerated Change (Basic Books, 2000); senior editor, with Daniel Siegel and Marion Solomon, of The Healing Power of Emotion: Affective Neuroscience, Development & Clinical Practice (Norton, 2009), and coauthor, with Natasha Prenn, of Supervision Essentials for Accelerated Experiential Dynamic Psychotherapy (APA, 2016).

Described by psychoanalyst James Grotstein as a "prizefighter of intimacy," and by David Malan as "the Winnicott of [accelerated experiential dynamic] psychotherapy," Diana Fosha is known for her powerful, precise yet simultaneously poetic and evocative writing style. Her phrases, — "undoing aloneness," "existing in the heart and mind of the other," "True Other," "make the implicit explicit and the explicit experiential," "going beyond mirroring," "stay with it and stay with me," "rigor without shame" and "judicious self-disclosure" — capture the ethos of AEDP.

Suggested resources

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