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Working with Traumatic Memories to Heal Adults with Unresolved Childhood Trauma

Working with Traumatic Memories to Heal Adults with Unresolved Childhood Trauma

Jonathan Baylin | Petra Winnette

(2016)

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Book Details

Abstract

What potential does psychotherapy have for mediating the impact of childhood developmental trauma on adult life?

Combining knowledge from trauma-focused work, understandings of the developmental brain and the neurodynamics of psychotherapy, the authors explain how good care and poor care in childhood influence adulthood. They provide scientific background to deepen understanding of childhood developmental trauma. They introduce principles of therapeutic change and how and why mind-body and brain-based approaches are so effective in the treatment of developmental trauma. The book focuses in particular on Pesso Boyden System Psychotherapy (PBSP) which uniquely combines and integrates key processes of mind-body work that can facilitate positive change in adult survivors of childhood maltreatment. Through client stories Petra Winnette and Jonathan Baylin describe the clinical application of PBSP and the underlying neuropsychological concepts upon which it is based.

Working with Traumatic Memories to Heal Adults with Unresolved Childhood Trauma has applications relevant to psychotherapists, psychologists and psychiatrists working with clients who have experienced trauma.


For those interested in learning more about Pesso Boyden System Psychomotor Therapy (PBSP) and its use in the treatment of individuals who have experienced childhood trauma, Working with Traumatic Memories to Heal Adults with Unresolved Childhood Trauma by Petra Winnette and Jonathan Baylin was written for you. Winnette was a student of Albert Pesso and her description of the therapeutic content, interventions, and process of PBSP, along with four detailed case studies of this use of this treatment model, demonstrate clearly how and why this mind-body method of psychotherapy is widely considered to be very effective in treating unresolved trauma. Winnette also traces the roots of PBSP to attachment theory and research along with our developing knowledge of developmental trauma, while Baylin describes in an understandable and thorough manner a neurobiological understanding of why PBSP is likely to be effective treatment model for trauma resolution, new learning and integration. Along with learning the basics of PBSP, the reader is also likely to understand ways in which the PBSP therapeutic process and specific interventions are likely to positively contribute to the effectiveness of their current practice in providing treatment for traumatized adults.
Daniel Hughes, Ph.D., Founder of Dyadic Developmental Psychotherapy and President of DDPI
Petra Winnette has a PhD in Comparative Science from Charles University, Prague. She has a master degree in Pedagogy, Literature and Visual Art. She studied Applied and Developmental Psychology at the University College Cork, Ireland. She is certified in Dyadic Developmental Psychotherapy (DDP Institute, USA, UK) Attachment Focused Therapy (AFTI, USA) and Pesso Boyden System Psychomotor therapy (PBSP Institute, Boston, USA). She is founder and director of Natama Institute for Family Care Development in Prague where she has an extensive practice in counseling and therapy. For the last sixteen years she has specialized in the areas of early development, trauma and attachment in her work with families, children and adults. Petra speaks at national and international conferences, provides training and gives lectures. She lives in Prague, Czech Republic. Jonathan Baylin, PhD, a psychologist in private practice, provides workshops for therapists on integrating knowledge about the brain with psychotherapy. He has been working in the mental health field for 35 years. For the past 15 years, while continuing his clinical practice, he has immersed himself in the study of neurobiology and in teaching mental health practitioners about the brain. He has developed a brain-based model of attachment-focused treatment to help therapists and caregivers facilitate the child's journey from mistrust to trust. Jonathan lives in Delaware, USA.
This is the book we have been waiting for! It is unique in integrating the neuroscience of early development, attachment theory and an intriguing therapeutic approach, Pesso Boyden System Psychomotor (PBSP). The theorectical perspective and insightful case studies of adults with unresolved childhood trauma may well change one's mind about the possibilities in psychotherapy. A great achievement!
Michal Goetz, MD, Ph.D., Child Psychiatrist, Charles University in Prague

Table of Contents

Section Title Page Action Price
Working with Traumatic Memories to Heal Adults with Unresolved Childhood Trauma by Petra Winnette and Jonathan Baylin 3
Acknowledgements 13
Approach 15
Organisation of the book 15
Clarification of language 19
Part I – Background 21
1. When Things Go Right – Developing Brain, Mind and Self in Good Care by Petra Winnette 23
How the brain develops 23
Memory: The basis for learning and understanding the world 27
The role of memory 28
The hierarchic development of memory 28
Attachment 31
Attunement and the child’s sense of self 31
Feeling secure with my parent: A secure attachment style 32
Adults and attachment 32
Secure attachment in childhood and a secure, autonomous state of mind in adulthood 33
Adulthood and a safe model of autonomous life 34
Window to Neurobiology of Good Care – Jon Baylin 36
Building brain bridges in stages: Vertical, horizontal, lateral 36
Social buffering: The neurobiology of parent–child bonding 38
Behavioural epigenetics: The hot science of experience-dependent development 39
The self-reflection system: \nSafe to be introspective 40
Social development as a whole 42
2. When Things Go Wrong – Developing Brain, Mind and Self in Poor Care by Petra Winnette 45
Early trauma 45
Healthy balance versus stress 46
Insecure attachment style and state of mind in respect to attachment 49
Trauma and developmental trauma 52
Serial traumatic experiences in childhood: Developmental trauma 53
The relationship between developmental trauma and PTSD 54
Memory and trauma 55
Adults with unresolved developmental trauma 56
Window to Neurobiology of Poor Care – Jon Baylin 58
The midbrain defence system 58
Neuroception and social switching 59
Suppression of social emotions in favour of asocial feelings 60
Dissociation: How opioids promote emotional numbing 61
Suppression of reflective functioning 61
3. Children, Adults and Therapeutic Change – Who are the Clients with Unresolved Developmental Trauma? by Petra Winnette 63
Developmental trauma disorder 63
Developmental trauma in adulthood 65
Degree of unresolved developmental trauma: Clients are on a spectrum 69
The core of developmental trauma: The sense of self 70
Treating unresolved developmental trauma 71
Treating children 72
The healing power of a secure base 73
PACE and PLACE 74
Therapeutic parenting 75
Treatment options for Clara as a child 75
Treatment options for Paul as a boy 76
The surprising, new experience of a safe haven 77
I need to be a baby again 77
Core principles 80
Treating the developing mind 80
Treating adults 81
Development through the life span: \nThe interplay of nature and nurture 81
Nature and nurture in psychotherapy 83
Pesso Boyden System Psychomotor therapy 84
Window to Neurobiology of Therapeutic Change by Jon Baylin 85
Neurobiology of trauma-focused treatment with adults 85
Awakening the client’s brain, bottom up and top down 86
Social buffering 86
Procedural and structural safety 87
Creating new relational experiences 87
Safety to go inside: Activating the default mode network 88
Part II – Pesso Boyden System Psychomotor as a Therapeutic System 91
4. Pesso Boyden System Psychomotor Therapy (PBSP) – An Innovative Psychotherapy by Petra Winnette 93
The authors and the evolution of PBSP 94
PBSP theoretical background 96
Autonomy: An independent life 110
The therapeutic content of PBSP 110
PBSP therapeutic process 115
Window to Neurobiology of Change in Pesso Boyden System Psychomotor Therapy by Jon Baylin 126
Neural integration 126
Experiencing the unknown: Being loved, accepted, safe and good 127
The neurobiology of the PBSP structure and therapy: You can be present and safe, and explore 127
Reversing the wrong 130
The neuroscience of reversal learning: Antidoting 131
Creating new memories 134
Neurological impact of PBSP 135
Part III – PBSP Clients’ Case Studies 137
5. Emma, a woman and a bowl of cold water by Petra Winnette 139
Introducing Emma 139
Born nowhere, living nowhere 141
Adopted 142
Introduction to a PBSP structure 143
The first structure: Emma and a bowl of cold water 143
A later structure: Emma and no place 152
Emma, you are black! 155
Emma and a ‘bad sign’ 160
Emma and the koan of two left slippers 163
Emma and a light ring of connection 168
6. Anthony, a young man who jumped by Petra Winnette 175
Introducing Anthony 175
Anthony’s first session 176
Anthony and his early relationships 177
Anthony starts PBSP 179
A lesson on memory 180
Anthony and an ideal Stella 182
Anthony and the missing mother 188
Anthony and the Pole Star 195
Anthony and a child’s innocence 203
7. Rebecca, the woman with the ring by Petra Winnette 211
Introducing Rebecca 211
Rebecca and the Fat Fairy 213
Rebecca and the phoenix 219
Rebecca and her adoptive daughter 228
Rebecca, Garry, Anna and tantrums 229
Rebecca can be angry 231
Rebecca and the ideal doctor – \nA structure in a group setting 234
Dance, shape and counter shape 235
The role of the group: Role playing 235
Rebecca and the ideal doctor – Group opening 237
A group exercise 238
Ideal doctor structure 241
8. Silvester, The Man Who Changed Everything 245
My name is Silvester 245
Being myself 245
Coming to PBSP by accident 246
My life 248
9. Epilogue by Petra Winnette 249
Clara 249
Paul 250
Emma 251
Anthony 251
Rebecca 252
Silvester 253
Daniel and Irene 253
Part IV – Interview with Albert Pesso, Co-founder of PBSP 255
10. Interview with Albert Pesso – Conducted by Petra Winnette on \n3 September 2014 in Boston, authorised by Albert Pesso in January 2016 257
Appendix by Petra Winnette 283
Critical points 283
Research 284
The future 286
References 289
Index 297