Integrated Body, Integrated Mind: Sensorimotor Interventions for Trauma, Attachment, and Dissociation

Ogden, Pat; Fisher, Janina

doi:10.1037/e608922012-008

Cited by 50 publications

(79 citation statements)

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“…Initially, patients engaged in daily training with MyCalmBeat (or another type of relaxation exercise if unable to use MyCalmBeat) to downregulate baseline arousal. The use of MyCalmBeat, combined with body-awareness training ( Ogden & Fisher, 2015 ), enabled the child/adolescent to somatically experience what her body felt like when it was in a ‘calm’ versus a ‘revved up’ state. Patients practised their body-awareness skills on a daily basis and documented their somatic sensations on body maps (see Figure 1 ).…”

Section: Resultsmentioning

confidence: 99%

Psychogenic non-epileptic seizures in children and adolescents: Part II – explanations to families, treatment, and group outcomes

Kozlowska

Chudleigh

Cruz

et al. 2017

Clin Child Psychol Psychiatry

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Psychogenic non-epileptic seizures (PNES) – time-limited disturbances of consciousness and motor-sensory control, not accompanied by ictal activity on electroencephalogram (EEG) – are best conceptualized as atypical neurophysiological responses to emotional distress, physiological stressors and danger. Patients and families find the diagnosis of PNES difficult to understand; the transition from neurology (where the diagnosis is made) to mental health services (to which patients are referred for treatment) can be a bumpy one. This study reports how diagnostic formulations constructed for 60 consecutive children and adolescents with PNES were used to inform both the explanations about PNES that were given to them and their families and the clinical interventions that were used to help patients gain control over PNES. Families were able to accept the diagnosis of PNES and engage in treatment when it was explained how emotional distress, illness and states of high arousal could activate atypical defence responses in the body and brain – with PNES being an unwanted by-product of this process. Patients and their families made good use of therapeutic interventions. A total of 75% of children/adolescents (45/60) regained normal function and attained full-time return to school. Global Assessment of Functioning scores increased from 41 to 67 (t(54) = 10.09; p < .001). Outcomes were less favourable in children/adolescents who presented with chronic PNES and in those with a chronic, comorbid mental health disorder that failed to resolve with treatment. The study highlights that prompt diagnosis, followed by prompt multidisciplinary assessment, engagement, and treatment, achieves improved outcomes in children/adolescents with PNES.

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Section: Resultsmentioning

confidence: 99%

Psychogenic non-epileptic seizures in children and adolescents: Part II – explanations to families, treatment, and group outcomes

Kozlowska

Chudleigh

Cruz

et al. 2017

Clin Child Psychol Psychiatry

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“…In order to pursue these goals successfully, therapeutic techniques specifically designed for the traumatic-dissociative dimension must be mastered, alone, or in combination with pharmacological therapies. A detailed description of these techniques or of the integration modes used in different treatments exceeds the scope of this article; we shall therefore just name some of them and make reference to the relevant literature for a more complete discussion (Chu, 1998; Dworkin, 2005; Classen et al., 2006; Ogden et al., 2006; Van der Hart et al., 2006; Courtois et al., 2009; Spermon et al., 2010; Cloitre et al., 2011; Howell, 2011; Van der Kolk, 2014; Frewen and Lanius, 2015; Ogden and Fisher, 2015; Fisher, 2017).…”

Section: Construction Of Therapeutic Alliance Of Safety and Securitymentioning

confidence: 99%

The Role of Attachment Trauma and Disintegrative Pathogenic Processes in the Traumatic-Dissociative Dimension

Farina

Liotti²,

Imperatori

2019

Front. Psychol.

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Epidemiological, clinical, and neurobiological studies of the last 30 years suggest that traumatic attachments during the early years of life are associated to specific psychopathological vulnerabilities based on dissociative pathogenic processes. It has been observed that the dissociative pathogenic processes caused by these traumatic attachments either may contribute to the genesis of well-defined mental disorders (e.g., dissociative disorders) or may variably occur in many other diagnostic categories, complicating their clinical pictures and worsening their prognosis. For this reason, we proposed to define the dimension of psychopathological outcomes linked to traumatic attachments and dissociative pathogenic processes as the “traumatic-dissociative” dimension (TDD). The clinical complexity of the TDD requires specific training to enable mental health professionals to recognize the signs of traumatic developments and to implement specific treatment strategies. The present article aims to review some crucial points about the clinical meaning and treatment strategies of the TDD, the dissociative pathogenic processes characterizing the TDD, as well as of the role of attachment trauma in the TDD. We also focused on the clinical and theoretical evidence suggesting that dissociation and dis-integration may be considered two different processes but highly correlated. The usefulness of clinical reasoning in terms of psychopathological dimensions, instead of distinct diagnostic categories, as well as several therapeutic implications of these issues was finally discussed.

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“…This finding accords well with the finding of Allen et al ( 2009 ) that participants in Mindfulness Based Cognitive Therapy for prevention of recurrent depression, pointed to the usefulness of “intentional, deliberate responses that shifted attention from a negative focus towards either a neutral or positive focus” (Allen et al, 2009 , p. 419). Regulating anxiety through shifting the focus of attention to concrete bodily sensations can also be understood in terms of acquiring grounding techniques to handle difficult emotional states (Ogden & Fisher, 2015 ). A central clinical feature of anxiety disorders is the tendency for scarce attentional resources to be bound up in a hypervigilant scanning for cues of threat or danger (Bar-Haim et al, 2007 ).…”

Section: Discussionmentioning

confidence: 99%

Participant experiences of change in mindfulness-based stress reduction for anxiety disorders

Schanche

Vøllestad

Binder

et al. 2020

International Journal of Qualitative Studies on Health and Well

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Aim: To explore experiences of change among participants in a randomized clinical trial of mindfulness-based stress reduction (MBSR) for anxiety disorders. Method: Semi-structured interviews were conducted to explore the subjective experiences of change for individuals with anxiety disorders after a course in MBSR. Interviews were analysed employing hermeneutic-phenomenological thematic analysis. Results: Five main themes were identified: 1) Something useful to do when anxiety appears, 2) Feeling more at ease, 3) Doing things my anxiety wouldn't let me, 4) Meeting what is there, and 5) Better-but not there yet. Most participants used what they had learned for instrumental purposes, and described relief from anxiety and an increased sense of personal agency. A few reported more radical acceptance of anxiety, as well as increased selfcompassion. Conclusion: Participants of MBSR both describe mindfulness as a tool to "fix" anxiety and as bringing about more fundamental change towards acceptance of their anxiety. The complexity of reported change corresponds with better handling of areas representing known transdiagnostic features of anxiety disorder, such as dysfunctional cognitive processes (including attentional biases), emotional dysregulation, avoidance behaviours, and maladaptive self-relatedness. This supports MBSR as a transdiagnostic approach to the treatment of anxiety disorders.

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Integrated Body, Integrated Mind: Sensorimotor Interventions for Trauma, Attachment, and Dissociation

Cited by 50 publications

References 0 publications

Psychogenic non-epileptic seizures in children and adolescents: Part II – explanations to families, treatment, and group outcomes

Psychogenic non-epileptic seizures in children and adolescents: Part II – explanations to families, treatment, and group outcomes

The Role of Attachment Trauma and Disintegrative Pathogenic Processes in the Traumatic-Dissociative Dimension

Participant experiences of change in mindfulness-based stress reduction for anxiety disorders

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