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Whole Psychiatry: Alternatives to Conventional Psychopharmacology with Robert Hedaya

Meds: Myths and Realities: NP0035 – Session 4

Is psychopharmacology is a 'go-to' in your practice? Join Robert Hedaya as he discusses how to treat the bodily systems that underlay many mental health issues while avoiding medication. After the session, please let us know what you think. If you ever have any technical questions or issues, please feel free to email support@psychotherapynetworker.org.

Treating the Mixed-Agenda Couple

Bill Doherty On An Approach For Unaligned Relationships

Tough Customers: Is It Them or Us?

Tough CustomersBy Rich Simon As therapists, many of us practice in two different worlds. In the first, we see polite, well-behaved, articulate clients with solid values. They engage fully in therapy, talk cogently about their problems, listen attentively to our responses, make reasonably good-faith efforts to follow our suggestions, and sooner or later get better. No wonder we genuinely like these people!

Does This Kid Need Medication? with Ron Taffel

Meds: Myths and Realities: NP0035 – Session 3

Do you feel like you could be a more effective therapist with your younger clients? Do you find it hard to determine when interventions--psychological and pharmacological--might be needed? Join Ron Taffel and learn to identify key diagnostic signs that indicate medications could be helpful when dealing with depression, anxiety, AD/HD, and affective disorders. After the session, please let us know what you think. If you ever have any technical questions or issues, please feel free to email support@psychotherapynetworker.org.

You Don’t Have To Choose

Casey Truffo On Doing The Work You Love And Making It Pay

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  • -0.1 NP0008 The Great Attachment Debate → NP0008, Attachment, Session 4, David Schnarch 08.31.2011 13:32
    I appreciated the clear and intriguing presentation by Dr. Schnarch. As an attachmented based therapist I do have to disagree with a couple of his basic premises. Attachment based therapy does have space for dealing with "disgusting" behaviors. Disgusting and traumatizing behaviors are rampant in families with Disorganized Attachment systems, and these patterns of interacting then become programed into the brain, and become generational. There is always the presence of attachment. Attachment Theory is not based on the abssence of something. It is based on understanding the type of attachment system, and seeking to change it. In the process, people might need to be confronted, but the concept of trust and security helps people do this, it doesn't hinder it or rule it out. I take strong issue with the statement that Attachment Theory is not based on science. It certainly is, as Dan Siegel and others explains eloquently. Attachment Theory talks about developing autonomy which can also be referred to as differientation. Attachment science proves that autonomy or differientation grows out of appropriate dependency, and if one has never had appropriate dependency, or a secure enough attachment figure, they do need to have the experience to grow their own autonomy. Development cannot skip steps. One cannot shock or push someone into having something they have not already developed, and science shows that it is the dependency that leads to autonomy or a strong sense of self.

    It seems that Dr. Scharch is acutally supporting secure attachment when he is encouraging people to be in touch with themselves and to be true to themselves--in other words don't discount your sense of yourself (or betray yourself) to please your partner. To have a strong sense of self is attachment based. Dr. Siegel talks about mindfulness being one tool which can repair one's insecure attachment--and thus strengthen one's relationship with one's self.

    Being attuned to another in relationship (to use attachment languate) is not about coddling, or interferring with differentiation. It's about knowing when to welcome and be close, and to encourage being on one's own.

    In my humble opinion, it seems that Dr. Scharch misrepresents some of the basic assumptions of attachment based therapy.

    Again, I appreciate the opportunity to hear Dr. Scharch's viewpoint, and I appreciate the Networker for providing the forum for this attachment debate.

    Christine Walker, LCSW
    Charlottesville, Va
    434-923-8253

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