10. Attachment styles Image of the self Image of the other + - - + Fearful avoidant Social avoidant rejector Dismissing avoidant Dismissing of intimacy rejector Ambivalent preoccupied Preoccupied with relationships acceptor Secure Comfortable with Intimacy and autonomy
28. SASB test shows some introjects... “ No problems, … but 3 months later, more insight ”
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44. Some findings from the testing 1. How TC improves secure attachment, intimacy and openness for warm contacts 2. Symptoms relieve after 1F 3. Anxiety reduce effect change 4. Effect change in openness for warmth
This workshop describes the way BP is practiced in TC De Sleutel Some links in the work with the attachment theory will be shown and how we use BP tests for helping the introspection
In the different peer groups clients are invite to facilitate exchange personal experience. The participation in different peer groups triggers the openness. Friday every 1/14d: 9:30-12:30 13:30-15:00 -every even Friday - fixed in the structure Fase 2: First months: Fase 1 is the impulse control. In bonding terms: This confrontation and correction to healthy behaviour in a tender atmosphere make underlying feelings and own needs come into conscious.
Intake = search for a therapy plan: Ex ploring ‘ emotional pain’ if possible. >The TC work flour, the groups, the phase demands give connections: what is the burden and what is connection to reality now. >personal history and ‘struggle’ with caretakers, loneliness, illness.. >Some have clear wishes and need to be planned, Seminar : 1 Group clients end Fase1 2 For families (every trimester The seminars give a theoretical information and is open for discussion The family is informed about the method. They are mostly surprised for how we sustain empowerment for their children and how we handle guild. Clinical board : information exchange for staff 1/wk -2 hrs We use 3 tests , some examples for illustration how it helps. Briefing before group start with Primary staff (30’)
-This is useful to open the eyes for the feeling anxiety as half of the client population don’t ‘know’ this feeling -And it gives a suggestion for the inner conflict in each between intimacy and being on the own feet -Following slides show different attachment styles -The place on the line -between too much an few anxiety can be projected on the hinter ground of normal, ambulant or residential
With the ‘difficult to live’ parts: hope for change in the opposite sector!
With the ‘difficult to live’ parts: hope for change in the opposite sector!
With the ‘difficult to live’ parts: hope for change in the opposite sector!
1 general encounter if needed 2 When we arrive e look for the physical comfort, sleep well? who is missing? teil.? Empathic exploration of clients reality One by one clients talk about the burden they feel, what makes life difficult for the moment Therapist facilitate group dynamic for more FB ` We ask clients to suggest their mate for what is important to work on. By doing this we have more concern and empathy. We explore the suggestion in dialogue until more clarity about the burden For example: “you need to express your anger against your father”, “you have to exercise to say ‘no!’” But even the suggestions are right , what want client self – what is his truth? Homework: is in the rule difficult for clients to remember, example: I should look in the mirror every morning and say that I’m ‘good enough’ -I forgot but I put a photo when I was a child and talk to it...
After 15’ break-- before Att: Choosing another chair! In the middle, clt may suggest the foremat.. What do you find important to do , practice? It may be simple: “I’m angry!” 2. Mostly when in the middle comes an hesitation ... We give time to find a theme. (feelings are slow) Others may suggest but the client in the middle has to look for own words or sentences. Few words. Others are supportive, encourage Encourage to go louder and staying in contact 3. Tender support, but not to much... enough to express presence to help further release. A hug from a mate can give support for further release, and this has to be encouraged! (they avoid!) reconstruction in the brain…: to feel the presence + expressing pain Waiting for client to be open for contact after screaming When client is open of contact, a gentle touch is given or a supportive sentence. Cognitive exploration together with group and client for implementation of the closeness... (Therapists follows “What was needed then and there...) After clt’s work: Group members like to show their closeness and concern too at this moment with a hug! When client is ready and on the chair again : we ask for reactions, who was concerned and want to express this?
Some are pampered too much. A lot of feelings! Pain and depression on the foreground -no energy Eye contact helps, in front of a good mate if this works better Staying here and now, others and therapists explore with client what there is. The body is very important, focusing and dealing this with others. If resistance is high a mate may join and help in the middle if agreed.
Some are pampered too much. Pain and depression on the foreground -no energy Eye contact helps, in front of a good mate if this works better Staying here and now, others and therapists explore with client what there is. The body is very important, focusing and dealing this with others. If resistance is high a mate may join and help in the middle if agreed. Anger has to be found in realizing that demands of others are too high. Exploring how it is… feeling suffocated, no own living, emptiness
They feel better than others, so they have to learn to show emotions and learn to accept their vulnarability. They can become sensitive to the climate in the bonding session, they can feel then a missing; and loss in game -kicks
They feel better than others: they have to learn to show emotions and learn to accept their vulnerability. They can become sensitive to the climate in the bonding session, they can feel then a missing then they become open Temper tantrum helps for feeling limits and experience care from others
group gives them a lot of tension After time they can accept more tension from beeing in the group Egostrenght and be comfortable with own power...
group gives them a lot of tension After time they can accept more tension from beeing in the group Ego strenght and be comfortable with own power... More vulnerable feelings of shame: Important to work through shame and give it back to the offender! “ You must be ashamed!” To take back power over life.
group gives them a lot of tension After time they can accept more tension from beeing in the group Ego strenght and be comfortable with own power... More vulnerable feelings of shame: Important to work through shame and give it back to the offender! “ You must be ashamed!” To take back power over life.
group gives them a lot of tension After time they can accept more tension from beeing in the group Ego strenght and be comfortable with own power... More vulnerable feelings of shame: Important to work through shame and give it back to the offender! “ You must be ashamed!” To take back power over life. (with help from family therapist)
What was touching from others? Express with eyecontact, expressing appreciations What can I do with what happened today?
Historic and deeper emotional work is only possible in a safe environment. Therefore care for the (dis)comfort in the group as a whole is important Borderline traits: then…
Historic and deeper emotional work is only possible in a safe environment. Therefore care for the (dis)comfort in the group as a whole is important Borderline traits: then…
Openness and setting limits always +
As dr Stauss stimulates us to do research on the results, we were curious for the outcome for the TC The results are always an effect of the whole program! from 2F > ending TC program (before halfway house)
Since 2003 on-going more integrated teamwork, BP is warmer, more is possible! Integrating the different aspects of client is difficult task – the more –the better Limitations finding a good way to work together as therapists, different views… Therapist has to stay client… with the age, being aware of old traps in the self with own feelings and projections