Grounding clinical and cognitive scientists in an interdisciplinary discussion

Stuttering is a speech fluency disorder with varied etiological explanations. It is important to identify symptoms early so that adequate and timely intervention can be delivered with focus on management and recovery. Stuttering, besides affecting speech fluency, might have a number of negative psychosocial consequences for the sufferer that may lead to immense anxiety, besides other symptoms. Therefore, it is thus imperative to include multiple dimensions in the holistic treatment of stuttering. Cognitive behavior therapy and mindfulness equip the client with the skills to manage the problems that occur as a result of stuttering. Since the rate of relapse in this condition is high, the chosen therapeutic paradigm must involve booster sessions over a long term. Periodic, detailed assessment would update the therapist about the barriers in treatment and would help in devising appropriate methods to get rid of these hindrances.

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“…Analysis to identify the relation between the case of clients and the most beneficial interventions is required. [626566]…”

Section: Methodological Limitationsmentioning

confidence: 99%

“…[136364] An elegant perspective about grounding clinical and cognitive scientists in an interdisciplinary discussion for conditions which straddles the domains of mind and body has been put forward in this regard. [65]…”

Section: Cognitive Behavior Therapy and Mindfulnessmentioning

confidence: 99%

Management of stuttering using cognitive behavior therapy and mindfulness meditation

et al. 2019

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“…Furthermore, according to significant findings in embodiment research [46,47,48] the reverse direction of effect also applies in the sandwich model. The bidirectionality principle of embodiment theory suggests that movement and body interaction are comprised of basic sense-making with afferent feedback loops to emotional and cognitive levels [49,50].…”

Section: Introductionmentioning

confidence: 93%

“…EFT has acquired some scientific grounding in several empirical studies [46,86] and is considered an empirically validated treatment for depression, couples’ therapy as well as other disorders [45,47,48,51,87,88,89,90]. In recent years, the trans-diagnostic topic of emotion regulation has become increasingly important.…”

Section: Integration Of Cbt With Emotionally Focused Treatment (Efmentioning

confidence: 99%

Embodied Cognition and the Direct Induction of Affect as a Compliment to Cognitive Behavioural Therapy

Pietrzak

Lohr

Jahn

et al. 2018

Behavioral Sciences

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We make the case for the possible integration of affect experience induced via embodiment techniques with CBT for the treatment of emotional disorders in clinical settings. Theoretically we propose a possible integration of cognitive behavioural theory, neuroscience, embodied cognition and important processes of client change outcomes such as the therapeutic alliance to enhance client outcomes. We draw from evidence of bidirectional effects between embodiment modes of bottom-up (sensory-motor simulations giving rise to important basis of knowledge) and top-down (abstract mental representations of knowledge) processes such as CBT in psychotherapy. The paper first describes the dominance and success of CBT for the treatment of a wide range of clinical disorders. Some limitations of CBT, particularly for depression are also outlined. There is a growing body of evidence for the added value of experiential affect-focused interventions combined with CBT. Evidence for the embodied model of cognition and emotion is reviewed. Advantages of embodiment is highlighted as a complimentary process model to deepen the intensity and valence of affective experience. It is suggested that an integrated embodiment approach with CBT enhances outcomes across a wide range of emotional disorders. A description of our embodiment method integrated with CBT for inducing affective experience, emotional regulation, acceptance of unwanted emotions and emotional mastery is given. Finally, the paper highlights the importance of the therapeutic alliance as a critical component of the change process. The paper ends with a case study highlighting some clinical strategies that may aid the therapist to integrate embodiment techniques in CBT that can further explore in future research on affective experience in CBT for a wider range of clinical disorders.

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“…Among the body-oriented psychotherapy, we could also include other forms of therapies: bioenergetic analysis, revolving around the Reichian idea of “character armor” (muscular tensions reflecting repressed emotion: Reich, 1945; Lowen, 1975); psychosomatic practice, with its holistic approach to patient management, encompassing psychosocial factors (Fava et al., 2017); different kinds of group psychotherapy (e.g., Schermer, 2010); massage therapy, gaining popularity as complementary to medical treatment (Moyer et al., 2004); mindfulness, aimed at reducing cognitive vulnerability to stress and emotional distress (Bishop et al., 2004; Bedford, 2012); and new clinical approaches that integrate bodily and psychological aspects as, for instance, neo-functionalism (Ottoboni, 2013). While acknowledging the important clinical value and theoretical interest of these approaches, psychoanalytic psychodrama differs from all of them not only for its extreme flexibility but also for the following distinctive aspects: the individual on stage is permanently an active subject; on stage, the subject does have the opportunity of directly experiencing that the change is achieved through a shift in physical-psychological perspective; her own actions’ reshaping allows to break through immutable dynamics.…”

Section: Why Adopt Psychoanalytic Psychodrama?mentioning

confidence: 99%

Re-enacting the Bodily Self on Stage: Embodied Cognition Meets Psychoanalysis

Scorolli

2019

Front. Psychol.

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The embodied approach to cognition consists in a range of theoretical proposals sharing the idea that our concepts are constitutively shaped by the physical and social constraints of our body and environment. Still far from a mutually enriching interplay, in recent years embodied and psychoanalytic approaches are converging on similar constructs as the ones of intersubjectivity, bodily self, and affective quality of verbal communication. Some efforts to cope with the sentient subject were already present in classical cognitivism: having expunged desires and conflicts from the cognitive harmony , bodily emotions re-emerged but only as a noisy dynamic friction. In contrast, the new, neural, embodied cognitive science with its focus on bodily effects/affects has enabled a dialogue between neuro-cognitive perspectives and clinic-psychological ones, through shared conceptual frameworks. I will address crucial issues that should be faced on this reconciling path. With reference to two kinds of contemporary addictions – internet addiction disorder and eating disorders – I will introduce a possible therapeutic approach that is built upon the core role of the acting-sentient bodily self in a dynamic-social and affective environment. In Psychoanalytic Psychodrama, the spontaneous re-enactment of a past (socially and physically constrained) experience is actualized by means of the other, the Auxiliary Ego. This allows homeostatic and social-emotional affects, i.e., drives and instincts, to be re-experienced by the agent, the Protagonist, in a safe scenario. The director-psychoanalyst smoothly traces back this simulation to the motivated, and constrained, early proximal embodied interactions with significant others, and to the related instinctual conflicting aims. The psychoanalytic reframing of classical psychodrama does not merely exploit its original cathartic function, rather stands out for exploring the interpersonal constitution of the self, through an actual “re-somatization” of psychoanalytic therapy. Unspoken/unspeakable feelings pop up on stage: the strength of this treatment mainly rests on re-establishing the priority of the embodied Self over the narrative Self . By pointing out the possible conflicts between these two selves, this method can broaden the embodied cognition perspective. The psychodramatic approach will be briefly discussed in light of connectionist models, to finally address linguistic and methodological pivotal issues.

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Grounding clinical and cognitive scientists in an interdisciplinary discussion

Cited by 6 publications

References 49 publications

Management of stuttering using cognitive behavior therapy and mindfulness meditation

Management of stuttering using cognitive behavior therapy and mindfulness meditation

Embodied Cognition and the Direct Induction of Affect as a Compliment to Cognitive Behavioural Therapy

Re-enacting the Bodily Self on Stage: Embodied Cognition Meets Psychoanalysis

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