Metatherapeutic processing as a change-based therapeutic immediacy task: Building an initial process model using a task-analytic research strategy.

Iwakabe, Shigeru; Conceição, Nuno

doi:10.1037/int0000016

Cited by 21 publications

(38 citation statements)

References 43 publications

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“…• Tremulous Affects of fear/excitement and positive vulnerability associated with new and unsettling, even if preferred, experiences of rapid change and "traversing the crisis of healing change" (Fosha, 2018, p. 9) • Healing Affects of gratitude and tenderness towards the other (e.g., therapist) and/or feeling moved and touched or poignantly emotional within the self • Realization Affects of wonder, amazement, and awe associated with taking in new emergent understanding and grasping the magnitude of changes within the self taking place. • Enlivenment Affects (Iwakabe & Conceiçaõ, 2015) of exuberance and inspiration, excitement and motivation that accompany the emergent new sense of self as unbroken.…”

Section: The Second Avatar Of Aedpmentioning

confidence: 99%

A Bridge Over Troubled Water: Commentary on Paul Blimling’s Case of "James" Integrating Music Listening into AEDP

Harrison¹

2019

PCSP

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The integration of music listening into Accelerated Experiential Dynamic Psychotherapy (AEDP) is explored through discussion of Dr. Paul Blimling’s (2019) composite case study, "James." AEDP is a healing-oriented, non-pathologizing, experiential therapy model in which the therapist actively seeks to harness glimmers of resilience from the outset of treatment, and to co-engender safety within the therapy relationship in order to unleash the transforming power of attachment and emotion (Fosha, 2000, 2003, 2009, 2018). Blimling’s incorporation of music listening into the treatment of a highly defended, initially hostile patient helped bypass defenses, foster attachment within the therapy relationship, and access and co-regulate the patient’s affective experience. Key AEDP change mechanisms in the treatment included: undoing aloneness; affirmative work with defenses; dyadic affect regulation; emotion processing; and (to a lesser extent), metatherapeutic processing (metaprocessing for short). The latter is a unique and important contribution of AEDP to our field. Since the publication of Fosha’s The Transforming Power of Affect (2000), AEDP itself has evolved from an attachment- and emotion-focused model to also focus increasingly and explicitly on transformational experience as an agent of change. The experience of positive change itself is now seen as an equally important AEDP change mechanism, alongside attachment and emotion processing. Metatherapeutic processing of patients’ experiences of positive change, which involves a recursive alternation between exploration of new experience and reflection on that experience, frequently results in an expansive spiral of the transformational processes and affects identified by Fosha (2009, 2018). In addition to affirming Blimling’s choice of AEDP and his sensitive and skillful integration of music listening into the treatment, I envision how the transformational process described in the case study might have been further expanded, deepened, and consolidated, had the therapist more assiduously and experientially explored the patient’s experiences of positive change.

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Section: The Second Avatar Of Aedpmentioning

confidence: 99%

A Bridge Over Troubled Water: Commentary on Paul Blimling’s Case of "James" Integrating Music Listening into AEDP

Harrison¹

2019

PCSP

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“…This component was introduced in 2009 (Fosha, 2009a, b) and elaborated since (Fosha, 2017a;Fosha & Gleiser, in press;Iwakabe & Conceição, 2015;Russell, 2015). State 3 describes the phenomenology that results from systematic experiential processing of transformational experiences, i.e., from successive rounds of metaprocessing.…”

Section: Statementioning

confidence: 99%

“…A healing-oriented phenomenological sensibility informs both clinical and conceptual aspects of AEDP, one that is extending and expanding the phenomenology of emotion (Darwin, 1872;James, 1890James, , 1902Tomkins, 1962). The expanded phenomenology of emotion includes (a) receptive affective experiences (Fosha, 2017b;Lamagna, 2011;Russell, 2015), (b) relational phenomena (Lipton & Fosha, 2011;Prenn, 2011), and (c) the positive affective phenomena associated with both positive neuroplasticity (Hanson, 2017) and cascading transformational processes (Fosha, 2009(Fosha, , 2013(Fosha, , 2017aFosha & Gleiser, in press;Frederickson, 2013;Fredrickson & Joiner, 2002;Iwakabe & Conceição, 2015). Because phenomena lie at the nexus of neuroscience and clinical process, a commitment within AEDP research and practice to descriptive phenomenology can substantively contribute to the emergent conversation among clinicians, affective neuroscientists, and developmentalists around emotion, attachment and transformation, allowing us to transcend territorial and terminological battles that impede progress.…”

Section: Concluding Remarks: In Praise Of Phenomenology As An Alternative To Manualized Treatmentsmentioning

confidence: 99%

“…In AEDP, a client's transformation is not only a desired goal and a process to be entrained, it is also an experience to be harnessed and mined. Metatherapeutic processing, or metaprocessing for short, is AEDP's contribution to a systematic methodology for working with transformational experiences and the transformational affects, i.e., the innate, invariably positive affects of healing associated with them (Fosha, 2000a(Fosha, , 2009a(Fosha, , 2013bIwakabe & Conceição, 2015;Russell, 2015). We experientially process transformational experiences as assiduously as traumatizing experiences.…”

Section: Introductionmentioning

confidence: 99%

“…(v) the process of delighting in the surprise of the unbrokenness of the self that evokes the enlivening affects (Iwakabe & Conceição, 2015) of pleasure, exuberance, inspiration, excitement, motivation, and exploratory zest; and…”

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confidence: 99%

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Moment-to-Moment Guidance of Clinical Interventions by AEDP’s Healing-Oriented Transformational Phenomenology: Commentary on Vigoda Gonzalez’s (2018) Case of "Rosa"

Fosha¹

2018

PCSP

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This paper, using the methodology of moment-to-moment microanalysis of videotape-based clinical transcripts, explores how Nicole Vigoda Gonzalez’s (2018) case study manifests AEDP’s fundamental transformational phenomenology in clinical action. Vigoda Gonzalez’s highly effective AEDP therapy of Rosa is informed by AEDP’s first "avatar" or iteration (prior to 2008), at the time, a three-state phenomenology. Yet, a close reading of the case reveals the very transformational phenomena, systematically and abundantly reflected in the author’s clinical data, that necessitated the theoretical and clinical developments of AEDP’s second avatar (post-2008) and the current four-state model of transformational change. It is a validation both of the soundness of this student therapist's clinical work and of the accuracy and power of AEDP’s healing-oriented transformational theory that constructs not in the author’s repertoire are nevertheless reflected and illustrated in the unfolding of Rosa’s treatment. This most interesting and unusual experience further illustrates how a descriptive phenomenology, guided by AEDP’s North Star, i.e., its orientation toward the wired-in healing within, can constitute an empirically sound alternative to the manualization of psychotherapeutic treatments. Also uncannily, this parallels the emphasis in Owen's (2013) multicultural orientation (MCO) framework on the need for "values" or "virtues," such as cultural humility, to "inform therapeutic activities as an alternative to the focus on multicultural competencies."

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Introduction: AEDP after 20 years.

Fosha¹

2021

Undoing Aloneness &Amp; The Transformation of Suffering Into Flourishing: AEDP 2.0.

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T wo decades ago, I published The Transforming Power of Affect (Fosha, 2000b) and introduced accelerated experiential dynamic psychotherapy (AEDP), a new clinical model. I would sometimes say that, at that time, there was only one AEDP practitioner in the world-namely, me. Now, 2 decades later, I am no longer alone. Far from it!In the 20 years since the publication of The Transforming of Affect, the number of AEDP practitioners worldwide has grown into the thousands. There is an AEDP Institute with a faculty of more than 20 members and growing; many certified supervisors; scores of certified therapists; and a passionate, engaged, and lively worldwide community. There is a thriving AEDP Practice Research Network , where private practice therapists and psychotherapy researchers collaborate to make possible clinically relevant

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Metatherapeutic processing as a change-based therapeutic immediacy task: Building an initial process model using a task-analytic research strategy.

Cited by 21 publications

References 43 publications

A Bridge Over Troubled Water: Commentary on Paul Blimling’s Case of "James" Integrating Music Listening into AEDP

A Bridge Over Troubled Water: Commentary on Paul Blimling’s Case of "James" Integrating Music Listening into AEDP

Moment-to-Moment Guidance of Clinical Interventions by AEDP’s Healing-Oriented Transformational Phenomenology: Commentary on Vigoda Gonzalez’s (2018) Case of "Rosa"

Introduction: AEDP after 20 years.

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