Mindful Happiness

Anthony Quintiliani, Ph.D, LADC

  • Home
  • Dr. Anthony Quintiliani
    • About
  • Mindful Happiness
  • Mindful Expressions Meditation CD
  • Contact

March 11, 2017 By Admin

Object Relations Therapy for Trauma

Trauma: Object Relations Therapy

Object relations therapists, D. W. Winnicott especially, have presented a logical analysis on how to provide object-relations-oriented therapy to people suffering from the effects of psychological trauma. Such attachment-based trauma therapy provides support and healing from trauma, loss and long-term trauma-effects.  The interventions below combine the best of object relations therapy, mindfulness therapy (MBSR, ACT), and cognitive-behavioral therapy. Here is the listing of therapeutic functions and interventions.

  1. Provide support for “going-on-being” in the therapeutic alliance and the therapy itself. (Winnicott)
  2. Unconditional positive regard is a must. (Rogers)
  3. Recognize, work with and work through the splitting process as it activates in therapy. (Lineman)
  4. Safely and with effective skill help to re-connect the person with safe transitional space. (Winnicott)
  5. Carefully build and monitor the emotional “holding environment” in both alliance and therapy. (Rogers, Winnicott)
  6. Include contextual stimuli and symbols of the traumatic experience, from very general to specific and shift slowly over time. (Briere)
  7. Once there is a firm alliance and safety in the therapy, be more specific in exposure to traumatic experiences – monitor carefully. (Briere)
  8. In all exposure work, best to utilize SUDs scores from 0 to 100 – larger range between numbers allows deeper investigation and specificity.
  9. Work hard to understand and utilize body-based communications. (Ogden, Fisher, van der Kolk)
  10. Use mindfulness attention and skills (MBSR, ACT) to remain in The Middle Way between traumatic re-exposure and the safety of “going-on-being.” (Briere, van der Kolk)
  11. Check in with the experiences of transference and countertransference as you use images and defenses to support progress. (A. Freud)
  12. Use multi-sensory interventions in gentle, safe, re-exposure to traumatic materials – using one step removed and cognitive processes first. (Quintiliani)
  13. If skilled in its use, utilize the Attachment-CABs-VAKGO-IS-Rels formula for interventions. (Quintiliani – see mindfulhappiness.org for more details)
  14. Using items #s 8-13 above, aim for development of a safe cognitive schema and narrative clarification about the traumatic event/s.
  15. Work closely with the person to help them internalize the growth-benefits of all of the above. Take time with this process.
  16. Be a “good object” and always return to safety over and over again – check-in and stabilizes often.
  17. Slowly and with safety move up the hierarchy of trauma exposure process, possibly experiencing the full array of sensory experience. (Briere, Foa)
  18. Listen, support emotionally, radically accept, validate and understand the process and the person. This is your best way to develop a “good enough” self-object via “transmuting internalization.” (Kohut)  Various mindfulness and CBT skills will be used here.
  19. Use mindfulness and good CBT to make space for acceptance and validation for post-traumatic growth. (Lineman)
  20. Help to impact these positive changes into a “different” memory system as you expand and deepen the narrative.
  21. Support and directly reinforce (behaviorally) the improved self – a “felt sense” of a healthier self psychologically and physically.
  22. Place more and more safety into the transitional space, and generalize this process into therapy and life practices.
  23. Finally, expand the person’s capacity for pleasure, joy, self-esteem, success and HAPPINESS before therapy ends.

For more information refer to Savage Scharff, J. and Scharff, D. E. (1994).  Object Relations Therapy of Physical and Sexual Trauma. Northvale, NJ: J. Aronson.

Note: The ideas have been presented in this text, but I have added more current interventions and details based on new research and treatments.

Anthony R. Quintiliani, PhD., LADC

From the Eleanor R. Liebman Center for Secular Meditation in Monkton, VermontChiYinYang_EleanorRLiebmanCenter

Author of Mindful Happiness  

Mindful Happiness cover designs.indd

New Edition of Mindful Happiness in Production…Coming soon!

Filed Under: Activities, Featured, MIndfulness, MIndfulness Activities, Mindfulness Training, Object Relations Therapy, Therapy, Trauma Tagged With: ACT, COGNITIVE BEHAVIORAL THERAPY, D.W.WINNICOTT, MBSR, MINDFULNESS, OBJECT RELATIONS THERAPY, THERAPY., TRAUMA

Twitter

Mindful Happiness -Currently in Production

Mindful Happiness Posts

Very “SAD” Facts about the Addictions Field A recent issue of the Addictions Professional presented very disturbing news about how clinicians in the field are doing.  NOT WELL! Addictions clinicians treat people with addictions but mainly people with co-occurring disorders – addictions with trauma, depression, anxiety and/or eating disorders.  Often there is also a co-occurring medical […]

Using Lectio Divina to Improve Your Self-Esteem LectioDivina is an ancient form of Christian (Benedictine) meditation. This meditative prayer is sometimes called “Sacred Seeing.” Lectio Divina follows specific steps as a process: lectio or reading a passage; Meditatio  or meditating on the passage or image; Oratio or praying (I add – in your own way); […]

Deepak Chopra’s Ideas on “The Future of God” – Part 3 of In this third and last post I will discuss Deepak Chopra’s views of the three worlds of human experience: Material, Subtle, and Transcendent.  As usual, I will paraphrase and add my own comments as appropriate.  Belief in god or a higher power has […]

Strategies to Cool Your Hot Emotions: Using Mind and Body First, let me note that one of the best sets of mind-body approaches to cooling down hot emotional reactions can be found in the various emotion regulation skills and practices in Dialectical Behavior Therapy (created by Marsha M. Lineman, a practicing Buddhist).  These skills may […]

Failure and Success: After We Fail, We Succeed Humans tend to get very discouraged when things do not go our way. This may be especially true for younger people, who have grown up attached to their instant gratification digital devices. Below I will list several highly successful people, but I will also note their many […]

Gratitude Practices to Improve your Emotional Mood The following fourteen suggestions may improve your emotional mood.  One reward from practicing gratitude is that we tend to feel a little better no matter what our causes and conditions are at the time.   Here is the list. Make a habit of thanking people.  “Thank you.” Appreciate […]

Consciousness, Emptiness, and Well Being This is an advanced post on the complex relationship among consciousness (awareness), emptiness, and well being. Readers with advanced understanding of Buddhist Psychology will recognize the inherent relationships among consciousness, emptiness, and well being and interactions with core Buddhist concepts and experiences such as happiness and suffering, impermanence, non-dual nature, […]

Mindfulness Training  From The Eleanor R. Liebman Center for Secular Meditation in Monkton,Vermont The Problem:   Many people become stuck in the suffering of their past, and they continue to re-experience an event in the futile hope to better understand it, or to find an escape from it.  Many of the same people become fixated fearfully […]

Self-Medication:  Is Your Hand-Held Device a  Dopamine Device?   Mindfulness Activities: Here is a simple activity that may inform you about your personal level of addiction to your digital/electronic devices. Simply click the link below to download the PDF Worksheet;   answer each question according to your personal opinions.  Dr-Anthony-Quintiliani_HandHeldDeviceActivity Be sure to complete the meditation activity […]

Spirit Wars and “Spiritual Warfare” This post will discuss the topic and personal strategies.  Most content will relate to both physical realities and metaphorical meanings and categories. Since a person viewing their self as fighting a spiritual war most likely holds onto certain parts of self in this endeavor, it is highly unlikely that the […]

Mindful Happiness Book Review The Awakened Introvert: Practical Mindfulness skills…  By Arnie, Kozak, Ph.D. Dr. Kozak begins his book noting the processes of mind that often cause people to suffer.  Critical judging, unhelpful story telling, over-attending to past suffering or losses and angst about possible future realities (the brain’s default mode), and auto-pilot inattention to important […]

A major part of suffering comes with the inability to shift unhelpful, negative focus on troubling thoughts and feelings.   This cognitive reality is common in all the major mental health problems people suffer from: anxiety, depression, trauma, substance abuse, and eating disorders. Due to the lack of “wise-mind” skills most people suffering from these […]

Tips on Practice During These Troubling Times Some people are religious, and I am sure turn to those sources for support and hope. Others are spiritual, and I hope also pursue those sources for emotional stability and closeness to the “their” divine. Other people may  be Agnostic or Atheist; I am certain such people also […]

Mindful Equanimity and Homeostasis Neuroscientist Antonio Demasio’s new book  The Strange Order of Things: Life, Feeling, and the Making of Culture. (2018) New York: Pantheon Books notes the very important role homeostasis plays in human life and well being. In some ways homeostasis is about the arising, falling, and balancing out of all things important to human […]

The Principles of Nature and Natural Healing This is an advanced post on Eastern views of healing. From ancient shamanic traditions all the way to today’s AMA approved procedures in energy medicine, healers have been trying to discover and integrate the foundations of nature into healing. This reality exists from shamanic rituals all the way […]

Plasticity – The Amazing Human Brain We humans are very fortunate in that our brain is one of the most complex entities in our known universe. Natural selection, genetic modifications, and use-related neuroplasticity have blessed us with a brain quite capable of some of the most complicated tasks imaginable. Some of these tasks (medical miracles, […]

Laughter to Support you in Suffering As we all know life is filled with joy, suffering, and neutrality or boredom. This is THE WAY IT IS! Or, as a very good old friend often reminded me: “It is what it is!”  In Buddhism we preach a middle way in various areas of practice; the same […]

Overcoming the Hindrances of Ill-Will and Aversion Although regular daily practice and sincerely following of The Eight-Fold Path in one’s life may be the best ways to overcome various hindrances, there may be some additional practical suggestions to consider on the path.  We will begin our discussion with common human pain and suffering; we will […]

Calming Your Self-Critical Self with Mindfulness A core problem for many people is their incessant self (or other) criticism. This is a major part of our psychological mind suffering today. In the past life for most people was more difficult, so human basic needs were the energized priorities; today so many of us have been […]

Pursuit of Happiness – Mindful Happiness Gilbert, a professor of Psychology at Harvard University and the author of Stumbling on Happiness, implies that we make mind-errors in our search for happiness.  Happiness is a core human emotion, most often activated into consciousness via the midbrain reward centers and dopamine activation. Perhaps our hardwired brains are made to […]

Mindful Happiness Tags

MEDITATION PRACTICE ACTIVITIES MEDITATION JOURNALING THERAPY. SELF CARE DR ANTHONY QUINTILIANI BREATHING VERMONT ENLIGHTENMENT CONSCIOUSNESS PRACTICES ANTHONY QUINTILIANI COVID-19 THICH NHAT HANH MBSR BUDDHISM WALKING MEDITATION WISE MIND MINDFUL TRAINING PRACTICE SELF MEDICATION PSYCHOTHERAPY SELF ESTEEM MINDFULNESS ADDICTION EMPTINESS VIPASSANA HAPPINESS TRAUMA SUFFERING ELEANOR R LIEBMAN CENTER MINDFUL EXERCISES VIPASSANA MEDITATION BRAIN CLINICAL SUPERVISION COMPASSION MINDFUL HAPPINESS MINDFUL MEDITATION TRAINING SELF SELF COMPASSION ACTIVITY MINDFULNESS TRAINING

Mindful Categories

Mindful Happiness Pages

  • About
  • Contact
  • Dr. Anthony Quintiliani
  • Mindful Expressions Meditation CD
  • Mindful Happiness
  • Site Map

Copyright © 2023 · Mindful Happiness