My Networker Login   |   
feed-60facebook-60twitter-60linkedin-60youtube-60
 
Requested page not available (because user or community was deleted)

P004, Attachment, Session 3, Dan Siegel

 

Welcome to “The Attuned Therapist: Attachment Theory in Action,” with Dan Siegel—the third session in our newest webinar course, “The Great Attachment Debate.” As you probably know by now—if you attended the 2010 Symposium, read our March/April 2010 issue on attachment, or heard from Networker Editor Rich Simon in this webinar—a “great debate” on attachment occurred live—spontaneously—at last year’s conference.

At one of Jerome Kagan’s workshops, his comments regarding attachment theory prompted Attachment Theory advocate Dan Siegel, M.D., to unexpectedly get up in front of the crowd and respond on the spot. This heated debate between two respected minds in the field sparked much discussion at the conference and afterward.

In this webinar session, Siegel will discuss how Attachment Theory is integrated into his clinical approach.  He’ll talk about how to use the Adult Attachment Interview in assessing clients, applying brain science in the consulting room, brain integration and how it can enhance self-regulation, and much more.

Please take a few moments to comment on what you felt was most striking, most relevant, or to ask any questions you may have. We encourage you, as always, to include your name and hometown with your comments. Thank you for sharing your thoughts with this community.


04.14.2011   Posted In: P004 New Perspectives on Practice: The Great Attachment Debate   By Psychotherapy Networker
37
Comments
 

  • 0 avatar Gabrielle Sarfaty 04.19.2011 12:32
    What would you recommend is the best way to use attachment theory as a practical way to influence psychotherapy when it is short term - 12 sessions - Is there something more detailed I can read & can readily apply in my practice? Gabrielle Sarfaty, NM
    Reply
    • Not available avatar Dan 04.22.2011 10:39
      Dear Gabrielle: Great question. Please take a look at Sue Johnson's work in EFT which is research validated and short-term for couples. That is a good place to start. There are other approaches, but I am not familiar with their research basis of efficacy. Marion Solomon and others wrote a book called Short Term Therapy for Long-Term Change that would have a number of chapters you might find useful with this topic in mind. I'll be teaching in Santa Fe, near you, this next month so come on by if you have a chance. Thanks, Dan
      Reply
      • 0 avatar Gabrielle Sarfaty 04.25.2011 10:10
        Dear Dan: Thank you for your reply. I will look into your suggested resources. While watching your presentation It had skipped a great part of it so when I tried to watch again it was great, detailed and had many answers to my questions, thank you. What dates will you be in Santa Fe?
        Gabrielle
        Reply
  • Not available avatar Debra Tripp 04.19.2011 14:47
    Thank you for the excellent explaination of how the brain processes relate to attachment. I want to know the % in the non-clinical population for the last two adult attachment styles (E and U). Couldn't tell if the impending end of the time and the moderator's request for a 'walk through' of a client's experience with you cut this section short, or if the data isn't known, or if all the E's and U's are in clinical populations? Also, I noticed there was no mention of Christian meditative practices along with the other mindfulness spiritual orientations, even though there is a long tradition of Christian mystical/mindful meditation (I realize it is not 'mainstream', but it's there). Fr. Thomas Keating has done great work at providing a framework for a Christian understanding of developmental struggles that benefit greatly from a Mindfullness practice, aka 'centering prayer'. He called it "spiritual psychotherapy". Have you heard of this?
    Reply
    • Not available avatar Dan 04.22.2011 10:37
      Hi Debra: This is a great question about percentages...the old findings, that may be replicated but I don't have access to those, is somewhere on the order of 10 to 15% of E in the non-clinical adult AAI population, and somewhere around the same for U. In the Mindful Brain, you'll see me discuss Fr. Thomas Keating's work and I discuss Centering Prayer there, and sorry I did not mention that in this webinar setting, as I agree with you that form of mindfulness, along with the others, is quite important! One more thing, regarding attachment categories, we need to keep a very open mind about what those percentage mean, so they are ballpark old figures and they just give us a gist of what may be going on in the public domain. The specific study, the nature of the assessment, how the data and the subjects were collected, all of these are crucial in interpreting the data. I would recommend looking at any of the metanalyses by Marinus van Izjendoorn in Holland who is a fantastic researcher and clear thinker in these areas. Thanks, Dan
      Reply
  • Not available avatar Penelope Young Andrade 04.19.2011 14:49
    Dan Siegel's enthusiasm and clarity about the growth possibilities of the embodied brain in relationship are infectious. I appreciate learning about telomerase and mindfulness. I would loved to hear more about the brain science of memory retrieval as memory modifier...ditto for the Default Mode(is it reflective of lack of interoception or an example of interoception?) though I loved Dan's definition of brain as the distributed nervous system throughout the body, I was disappointed to see that the model of the brain over his right shoulder was only of the brain in the head. Penelope Young Andrade, San Diego, CA
    Reply
    • Not available avatar Dan 04.22.2011 10:32
      Dear Penelope! Well, the whole body model would indeed be great! The chapter on IPNB and trauma in Healing Trauma would address your request for more information on memory retrieval, as might the work of Robert Bjork who coined the term from UCLA. Marcus Raichle's writings on the default mode would also be a way of addressing your questions about that resting state and interoception. There is a lot to learn about these fundamental states of the brain, and how to interpret them in the light of the social nature of brain functioning and someone being alone in a scanner! I think the work of James Coan is fascinating in this regard, and his new work on the role of therapy in altering the way we experience social connectedness with Sue Johnson's EFT is fabulous. It should be published later this year. Thanks, Dan
      Reply
      • 0 avatar penelope andrade 04.25.2011 11:36
        Thanks for your generous spirit and guidance for specific follow up info. I'm going to try to locate a brain/nervous system model or graph. Surely someone must have done this by now. Good luck with your writing. warm regards, Penelope
        Reply
  • 0 avatar John Burik 04.19.2011 14:57
    Dan was engaging as always and many of us watchers/listeners may have been overwhelmed by his encyclopedic knowledge of brain architecture and chemistry, as well as his casual mention of umpteen references for our interest (Good thing a replay's available!).

    What I've found especially helpful (I'm in year two of his IPNB courses) is taking a concept or two at a time, say, chaos vs. rigidity or right/left hemisphere, and noticing those factors emerge in real-time conversations with others, "officially" therapeutic or not. Then, I can begin to make sense of it in a useful way -- tho' I certainly can't yet integrate into my work some nine domains.

    I especially enjoyed watching the split screen view of Rich and Dan so we could see first hand the interplay between the two. Thanks, Rich and Dan!

    --John in Cincinnati (twitter JohnB2)
    Reply
    • Not available avatar Dan 04.22.2011 10:27
      Thanks, John: This is very inspiring to me to hear of your experience. I am just finishing up a pocket guide to IPNB where many people's views, like yours, have expressed a desire to have some book that integrates all of these various dimensions of this consilient approach into one handbook. So I am addressing those requests and making the concepts concise, interdigitated, and (hopefully!) easy to digest, and well, integrate! Your comments are very inspiring to me as I sit here in this writing retreat in London, doing nothing but this book (and a daily walk...). Keep me posted on how the assembly goes. Thanks! Dan
      Reply
  • Not available avatar Sandy Mitchell 04.19.2011 16:14
    A wonderfully succinct overview of Dan's work, which I first got on to while watching him taking part in a dialogue in (Seattle some years ago) between the Dalai Lama and several experts in various aspects of neuroscience...Dan was easily the most engaging of the lot.
    I do wish Dan had more time to cover more completely the 'Preoccupied - Anxious' category on his Adult Attachment Interview slide - he got kind of derailed by Rich asking him to jump to an example of how he'd use the interview to guide treatment. That's certainly something I'm interested in, but I was a bit frustrated that Dan didn't get to even touch on the last of the categories: unresolved trauma or grief / disorganized attachment...
    That said, thanks for hosting this extremely important series - I'm looking forward to the last three presentations - and would love to discover that you get such a good response that you need to extend it!
    Reply
    • Not available avatar Dan 04.22.2011 10:24
      Hi Sandy: Yes, one hour is short! In Mindsight I try to address these issues, and you can listen to more discussion of these (if you like to learn by listening) on the Neurobiology of We recordings. I agree that the disorganized unresolved grouping is very important and in our Healing Trauma book there is a wonderful chapter by Mary Main and Erik Hesse and their colleagues on this very subject plus other chapters on clinical applications for this grouping. Hope these resources help. All the best, Dan
      Reply
  • 0.1 avatar robert kallus 04.20.2011 14:13
    Once again, Richard, a superlative experience. What training is required in order to use the AAI properly? Is there such a thing as certification for the use of this instrument? I've gone to the website and tried to take my best guess at which course would get me qualified to use the AAI. Am I on the right track?
    Bob Kallus
    Reply
    • Not available avatar Dan Siegel 04.22.2011 10:21
      Hi Robert: Training in the AAI is indeed a certificate program for use as a research instrument. Please reach Erik Hesse or Mary Main at UC Berkeley for details. We just had a conference at UCLA training people in the use of the AAI in clinical practice, via Lifespan Learning, and there Mary Main clarified that the clinical use of the AAI was now available for clinicians. For this use, you do not need to be certified. Please see the wonderful book by Steele and Steele, Clinical Applications of the AAI (Guilford Press) or do the AAI work yourself in The Mindful Therapist first. Hope this helps. Please also check in with people at mindGAINS.org who may be qualified in AAI work as well. Thanks, Dan
      Reply
      • 0 avatar robert kallus 04.22.2011 16:03
        Thanks, Dan! I've contacted Dr. Main's department and have ordered The Mindful Therapist. Looks very promising!
        Bob
        Reply
  • Comment was deleted

    • Not available avatar Dan Siegel 04.22.2011 10:18
      Hi Luis: Thanks for your note. I am almost at 100,000 of mental health professional surveyed face-to-face, here now with the next event in London, and yes, those numbers are real. They've been assembled over the last decade. While a book on a person dying can emerge out of you quickly (the five day memoir you are referring to), a scientifically referenced book can take years, decades, to assimilate...but not so many years to actually write! Regarding the issue of patterns of communication in therapy itself, yes I agree that effective therapy is shaped by a lot of issues and shared by many approaches, as I try to describe in The Mindful Therapist. You can check out the dvd's of assessment from an interpersonal neurobiology point of view via the Erikson Foundation's Evolution of Psychotherapy 2005/2009 clinical demonstrations to get a sample. We are deeply into the application of science into the therapy suite in some exciting and we believe newly informed ways, so please come join the mindGAINS.org non-profit group of people who are exploring the applications of these ideas in various domains of their work and see what they have experienced! Don't take my word for it, but see for yourself directly! Thanks for your comments, Dan
      Reply
  • Not available avatar Anne in Seattle 04.22.2011 11:04
    I wanted to thank you Rich and Dan for using your innate gifts to change the world (my belief). As a recent graduate of a Marriage & Family therapy program 2010, working now in community mental health, I found it helpful to get more advanced training with Sue Johnson in EFT for couples and have now found Dan's work exciting and informative for those clients that feel "stuck" and want to have some explanation of "why". This has helped me as an emerging clinician get more understanding into the inner workings of neurobiology and I look forward to coming to your next West coast teaching event. Thanks and blessings in this season of renewal. Anne
    Reply
    • Not available avatar Dan 04.23.2011 14:03
      Thanks, Anne: Come up to Victoria next month for a two-day event if that would be of interest to you. All the best, Dan
      Reply
  • Not available avatar Dr. Mary Hess Ph.D. 04.22.2011 12:32
    Thanks for this great discussion. I have read all of Dan Siegels books and have applied the information very successfully but I have to say that Every Time I hear it again I Integrate a little more of it!!! Thanks, Dr. Mary
    Reply
    • Not available avatar Dan 04.23.2011 14:04
      Thanks, Mary. Integration of integration takes all of us a lifetime! Thanks, Dan
      Reply
  • Not available avatar Renee Segal 04.23.2011 12:48
    Rich and Dan,
    Thank you for a really interesting webinar. I am interested in attachment and have Sue Johnson's books. I found it very interesting learning about the brain science behind it. I particularly enjoyed the "case" example as it relates to the dismissing/incoherent style. I find it difficult to work with those clients who can't recall the past and say it had no impact. I am off to look at your website Dan. Can you suggest a book that would be most helpful to me with this type of client?
    Reply
  • 0 avatar Laurence Drell 04.23.2011 13:54
    I find listening to Dan like rereading Shakespeare... there is always a slight new nuance of emphasis on something important that comes out of his discussions.

    I have always felt that in therapy as patient or therapist that the sense of being "known" was somehow therapeutic in itself. How that occurred varied. And each patient speaks a different language so what is said and how it is said makes all the difference... but it always seemed crucial to growth to have this experience. And Dan describes this so clearly on an energetic level of two minds resonating and feeling that connection.

    I was impressed by the current work and research on the neurogenesis of the integrative fibers in the brain when one person feels known by the other (or one part of the mind is connected to another as in meditation)
    And it made so much sense when it was mentioned that the development of these new pathways enable us (and patients) to make greater use of the abilities and strengths we always have but don't always use… especially when in the midst of emotional turmoil.

    I found Dan's clear description and explanation to a patient of how therapy can help the patient develop and grow parts of the brain that have not had the opportunity to develop (yet) incredibly useful.

    Personally I have found that clearly (and with honesty) offering hope to a patient is therapeutic in itself. I am not sure where in the brain or the mind that the change actually occurs and perhaps it is just in a space in the middle of that triangle that Dan describes, but I know that it is an essential ingredient for growth.

    And it is reassuring on some level to be reminded that what we do in therapy (and in every relationship) has actual neurobiologic mechanisms that can be understood and that understanding these mechanisms can then be used to teach better ways (parenting skills etc) to interact with one another and ourselves. It is all so hopeful.

    Thanks again for a wonderful lecture.

    Laurence Drell, MD
    Washington, DC
    drdrell.com


    Reply
    • Not available avatar Dan 04.23.2011 14:10
      Hi Laurence: Thanks for your reflections! The "ingredient" of that hopefulness is important, and fascinating. I wonder how you feel about the notion that intention is at the heart of hope, and that intention in many ways is the coherence push of emotion, that process which assembles elements together, often in an integrative way with positive intention. There is some fascinating writing about intention, and it is woven with in-depth explorations of a hard look at emotion, opening our minds up to the pathway from intention to connection. Anyway, when we imagine the intention of hope, we can sense some way in which the emotion (an integrative process, inside and interpersonally) created links us to our patient/client, with the "yes state" of receptivity that invites both the social engagement system to become activated (ala Porges' Polyvagal Theory) and perhaps even neuroplasticity conditions to be primed...Lots to reflect on, and much synthesis to soak in! Thanks again for your reflections and see you soon I hope. Dan
      Reply
      • Not available avatar Linda Danielson 02.27.2014 12:11
        Dr. Siegel - I am a grass root in-the-trenches student of your work. Reading this comment today inspired hope in me that you might read the little book I wrote with my daughter about the terrible tragedy of my abusive, psychotically mentally ill mother and what she did to me. "Story Without Words" is available in kindle format on amazon.com and concludes with my statement that the entire saga of Mother's story as she entrapped me within it was essentially about the process of HOPE as Mother portrayed it within a story she wrote as a child.

        At the same time I have little hope that if I hit 'send comment' that my words will actually reach you! But what is life without hope!

        thank you! Linda
        Reply
  • Not available avatar Susan LW Miller 04.24.2011 00:31
    Dan, you have been a guru of sorts for me in my personal development and clinical practice. I can't tell you the number of times clients have told me the mindfulness meditation practice described in Mindsight 'actually works'! I've followed the recommendation you made in a previous post and ordered the text, 'Healing Trauma'. I'm eagerly looking forward to learning more re: the application of interpersonal neurobiology in the treatment of individuals with Preoccupied and Unresolved attachment styles. I also plan to 'check out' your 3 year online program. So good to experience both the knowledge and warmth generated in this presentation. Thanks to both you and Rich. Roswell, GA
    Reply
  • Not available avatar Steve Titensor 04.25.2011 17:29
    The theoretical framework was facinating. I wanted more of the therapy process.
    Reply
  • Not available avatar Lori Pesciotta, LCSW 04.25.2011 18:10
    Thank you Dan for your wonderful research on the brain and explaining it in a way that makes so much sense to me as a therapist and gives so much hope to people with a history of trauma and or loss to know that they can heal.
    You have put science behind what the great wisdom traditions have known for such a long time, as shown in your slide titled "Central Role of Integrating the Middle Prefrontal Cortex." Really good stuff.
    Reply
  • Not available avatar Irene Sun 04.25.2011 18:11
    Thanks for the wonderful lecture.

    I picked up a copy of translated version of Mindsight in Chinese last time when I was in Taiwan. It's called "The Seventh sense". It's interesting to read the neurological terms translated. It's a challenge. The case presentations come through very nicely. Thought it might be interesting for you to know.

    I am curious how different is empathy from mindsight.

    Irene Sun

    Reply
    • Not available avatar Gail Smith 04.25.2011 19:11
      Thank you for the most exciting webinar yet. Even the comment board is captivating. I have always believed our personalities are developed via bio-psycho-social-spiritual influences, one in turn always effecting the other. The concept of attachment not only reflects our earliest relationships but the attachment we place on our relationship to events. In Buddhist philosophy there is the issue of nonattachment. Mindfully we can explore the emotional attachments that bring us to states of chaos or rigidity. Mindfully integrating emotion and reason in the present moment is harmony. Thank you for taking your time to share with us. Thank you Rich for your generous rebroadcast opportunity.
      Reply
  • 0 avatar Charlie Love 04.25.2011 19:45
    It is always great to have the privelge of hearing you, Dan. Your research has given hope to healing the brain physilogy caused by the severing of connection. Thanks for sharing your amazing research. I appreciated the practical aspect of seeing how you would work with a client using the IAA.
    Charlie Love
    Austin, Tx.
    Reply
  • Not available avatar Jesslyn Fox 04.25.2011 20:38
    Thank you, Dan and Rich for this invaluable learning experience! I am wondering how to apply these same principles to work with child populations. I am specifically interested in learning more about effective therapeutic strategies which lead to activation and growth of integrative fibers in the brains of children. Any thoughts on this or recommended resources would be greatly appreciated! I have a special interest in helping children with avoidant attachment styles to engage in activities in and out of therapy that lead to integration. Thank you for all of the great work you do!
    Reply
  • Not available avatar jude asphar 04.25.2011 20:38
    Unfortunately I was only able to listen this evening for the first time--and as with all the others, Rich, you're doing an invaluable service -- Thank you! I have a QUESTION FOR DAN -- I have worked here in NY to help promote Iain McGilchrist’s book (bidden by him to do so) and will be attending a course he’s giving in the UK in a couple of weeks. Before I go there, is there ANY chance, Dan, that I can talk to you very briefly about applying his thesis to a non-Mindsight, left-hemisphere-dominant, segment of the population? I would be SO grateful.
    Reply
  • 0 avatar Jane King 04.26.2011 04:44
    Dan,
    I am late to the conversation but would like to comment on the AAI from the slides. As a student of the DMM-Dynamic Maturational Model, I am unfamiliar with any other discourse analysis. As a result, I find the terms "dismissive" and "preoccupied" somewhat confusing, although I am aware that they are widely used. One reason that I find the terms confusing is that, as I understand it, preoccupied can also include those who are preoccupied with others at the expense of themselves (compulsive A strategies, i.e., trying to please others, overly concerned about the views of others, etc.) as well as, those who are preoccupied with themselves at the expense of others (traditional preoccupied or C strategies). I propose, likewise, that anyone can be dismissive-they may be dismissive of cognition (C) or dismissive of affect (A). In this way, people who use C strategies are often the ones who say, "I can't remember anything about my childhood!" because they lack procedural, episodic memory and are so affect laden. I do not mean to over simplify complex neurobiological processes, only to point out that there are some discrepancies in our approach to attachment theory. I have tried to include a picture of the DMM to illustrate my point, but I am sorry to say my blogging experience is limited, so I'm not sure that it will work- but I will give it a try! If I don't succeed the model can also be found at www.iasa-dmm.orgorwww.patcrittenden.com

    Dan, I very much admire your work and have read ALL your books. Every therapist I know refers to your work often. I invite you to read Crittenden,P.M. & Landini, A.( 2011) Assessing Adult Attachment: A Dynamic Approach to Discourse AnalysisNew York: Norton
    I would also like to invite ypu to attend the next International Association for the Study of AttachmentI (iasa) conference, which I believe will be in Bonn, Germany in 2012. The last conference was in Cambridge, UK and the plenary speakers were Peter Fonagy and Michael Meany! It was an amazing conference! I must confess that I suggested in my comment/suggestion form that you be invited to speak at the next conference. It never hurts to suggest!
    Thank you for your contributions to the debate,

    Jane King
    Reply
  • 0 avatar Charley Shults 04.28.2011 11:02
    I have followed with a great deal of interest the Great Attachment Debate to date. Thank you for putting it on. I was very pleased to hear Dan Siegel’s remarks, and I was pleased that he so effectively rebutted the comments of Dr. Kagan. I had thought of writing my own rebuttal, but I found that Dr. Siegel’s remarks rendered them moot, for the most part.
    Though I was trained and practiced for 18 years in the U.S., I find that I have perhaps more of a European perspective today, since I live and work in London. I agree that Dr. Van IJzendoorn’s research is certainly excellent, important, and considerable. His meta-analysis I think puts paid to any questions regarding the validity and reliability of the AAI as an assessment instrument.
    On the other hand, there the trail seems to run cold. There has been much valuable research and reporting with regard to memory systems, brain function, and so on. For example, see Joseph leDoux’s wonderful books, The Emotional Brain and The Synaptic Self, which provide, so far as I can tell – and I am not a researcher, but a mere clinician – excellent support for the entire attachment approach. This includes reports of very important research which shows that even though memory may not be accessible via explicit memory systems, it is accessible via implicit memory, which does give us access to the hidden and forbidden content of the avoidant attachment style and indeed of any attachment style from those preverbal days of infancy and early childhood. Thus we can have access to the workings of the unconscious mind.
    The problem it seems to me is the validity of the assumptions on which the Mary Main model of attachment is founded. Here I found the research going off in all directions, so I think that Dr. Kagan made a valid point about the difficulties with attachment research, in the U.S.A. I have added the emphasis because there is another model of understanding attachment that has unfortunately been marginalized in the U.S. through methods which one may perhaps gain an insight into in Candace Pert’s most excellent and entertaining autobiographical book, Molecules of Emotion. But I digress.
    In my desire to learn more about attachment and the discrepancies that I was finding, I located Dr. Patricia Crittenden, and since then I am happy to say that I have learned more than I ever thought that I needed to know about her Dynamic Maturational Model (DMM) of Attachment. I have also learned a great deal more about the ABCD model.
    One of the things that did not make sense for the Mary Main, or ABCD model, is that a particular attachment style should remain constant for three generations. That is could, e.g. an anxious or preoccupied attachment style from grandmother to mother to child, is certainly possible. That it must is contradicted by both common sense and practical, i.e. within my practice, experience. The second anomaly, assuming for the sake of this argument the existence of a “D” (or “U”) category, is that any clients with unresolved loss or trauma must be assigned to this category, which I think was a part of what Dr. Siegel was saying. In my experienced unresolved loss and trauma can occur in any of the categories. But that may not be precisely what he was contending.
    In Dr. Crittenden’s DMM attachment approach, which uses a modified form of the AAI, there is a much more elaborated schema for classification. In the first place, she returns to the original designations used by Mary Ainsworth of A, B, and C, and gives them a nominal designation of Avoidant, Balanced and Coercive, which is certainly a lot simpler to understand than the use of designations such as D, E, F, and U, especially when those letter designations are neither consistently indicative of the nominal classification nor are they in the same relative order as that used in the original Ainsworth schema.
    In addition, Dr. Crittenden divides her category of B, or Balanced (meaning secure, but also denoting the balanced use of cognition and affect in information processing) further into 5 sub-categories ranging from that closest to Avoidant to that closest to Coercive. She also divides both the Avoidant and Coercive categories into 8 sub-categories which range, in a circular configuration from the 1 designation meaning closest to Balanced to the 8 which is closest to the final category of Psychopathy, though numbers 7 and 8 of both Avoidant and Coercive contain elements of serious psychopathology.
    In addition, the designations of unresolved loss, unresolved trauma, disorganization, disorientation and depression are used as modifiers of the main strategy.
    Even further in differentiation, attachment strategies may vary according to attachment figure, and of course it can vary over time, and ought to for our clients in therapy. I may further add in my own observation that attachment can vary according to circumstance. As one of my clients put it, as we were doing her Attachment Centred Therapy based on her AAI, “I use the same strategy with my mother [Avoidant, and her mother seems to be Coercive] that my husband uses with me, and it drives me crazy when he does it to me, but I do the same thing to her.” And of course she uses a Coercive strategy with her husband.
    Finally, I disagree with Dr. Siegel’s statement regarding the informal use of the AAI, as I understand it. Although I did start out using it that way, since I have taken Dr. Crittenden’s training in the administration and analysis of the AAI in her modified format, I find that the formal administration of the AAI, with transcription and then coding of the discourse markers, puts me light years ahead of where I was in working with my clients in the informal way.
    We still have a long way to go. For example, I believe there is a third dimension to categorization that has not yet been addressed, in addition to avoidance and anxiety. Regardless, for those who wish to take a more wide-ranging and inclusive view of the world and the possibilities within, I can recommend that they go beyond the parochialism of the currently limited model available to those of you in the U.S., and investigate Dr. Crittenden and colleagues’ exposition, on a world scale, of the DMM, Dynamic Maturation Model approach to Attachment.

    Charley Shults
    London
    Reply
  • Not available avatar Naciye Ersözlü Citil 04.28.2011 13:23
    Dear Dan, Hallo from Istanbul and Thank you for the excellent webinar. The more I learn about the attachment and mindsight the more they excite me. There has been many concepts and explanations that were useful for me namely; mechanism of change, strategies of change, implicit & explicit memory.
    I am wondering whether it is vise to tell a client s/he has “entangled history” and we are going to repair it.

    Reply
  • 0 avatar Jennifer Ryan 05.02.2011 22:48
    I am a Dr. Dan wannabe! Thank you so much, Dr. Siegel, once again, for such informative, useful material. Your work has done a great job bridging the gap between theory and practice, and I'm excited everytime I get a chance to gain more of your insight.

    Jennifer Ryan
    I Choose Change
    http://www.ichoosechange.com
    Reply
  • 0 avatar Nick Child 06.11.2011 04:57
    This webinar was overwhelming in a good way. I have known of the neurobiological stuff but not really taken it in before. So this packed skim through a huge integrated field by Dan was naturally hard to take in. Yet at the same time it seems so familiar with echos of many earlier versions of what we're hearing - transference, etc etc.
    But most overwhelming was this: I was a medic and a psychiatrist and a child psychiatrist - now retired to being a family therapist. As a medic you learn - and some of us try very hard to get away from - a biological model of mind and brain and disorder. Crude and less crude medical ways to "help" people we questioned and rebelled against - neurosurgery, pills etc. And we rebelled against the typical medic's stance - "I diagnose X, and I recommend I prescribe Y to cure you; you need to follow the treatment through for the (biological) benefits to happen"
    Now, here we have all that come right back into the psychotherapy room!!! Forgive me for taking a day or two to take it in! Dan was effectively saying "I diagnose that you've got X and, if you agree to go along with me, I can grow you more neural connection and integration and myelin sheaths; I can show it happening on this screen here - all without touching you!!"
    Absolutely amazing stuff really! But I need to go and lie down before I can decide whether I can learn and do and speak like that to my clients now!!

    Nick Child
    Scotland
    Reply
I do blog this IDoBlog Community