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THE NEUROBIOLOGY OF AFFECTIVE INTERVENTIONS: A CROSS-THEORETICAL MODEL

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Abstract

The integration of information from neuroscience with the practice of psychotherapy presents with numerous challenges. However, neuroscience research can guide practitioners in the purposeful use of the therapeutic relationship to enhance clinical outcomes. This article reviews such research pertinent to mental health and psychotherapy, and presents an a-theoretical model of intervention, guided by this information that can be incorporated into various therapeutic orientations.

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References

  • Ainsworth M. D., Blehar M. C., Waters E., Wall S. (1978). Patterns of attachment: A psychological sudy of the strange situation. Hillsdale, NJ: Erlbaum

    Google Scholar 

  • Balick A., (2001). Shifting paradigms-psychotherapy, neuroscience, and a changing world: The Seventh Professional Conference of the UK Council for Psychotherapy. International Journal of Psychotherapy 6(3): 289–295

    Google Scholar 

  • Barber J., Luborsky L., Crits-Christoph R, Thase M., Weiss R., Frank A., Onken L., Gallop R. (1999). Therapeutic alliance as a predictor of outcome in treatment of cocaine dependence Psychotherapy Research 9(1): 54–73

    Article  Google Scholar 

  • Bauer A., Quas J., Boyce W.T. (2002). Association between physiological reactivity and children’s behavior: Advantages of a multisystem approach Developmental and Behavioral Pediatrics 23(2): 102–112

    Google Scholar 

  • Baxter L. R., Schwartz J. M., Bergman K. S., Szuba M. P., Guze B. H., Mazziotta J. C., Alazraki A., Selin, C. E., Ferng H. K., Munford P. (1992). Caudate glucose metabolic rate changes with both drug and behavior therapy for obsessive-compulsive disorderArchives of General Psychiatry 49(9): 618–689

    Google Scholar 

  • Beck A., Rush A., Shaw B., Emery G. (1979). The therapeutic relationship: Application to cognitive therapy In: A. Beck, A. Rush, B. Shaw, G. Emery (eds), Cognitive therapy of depression. Guilford Press, New York

    Google Scholar 

  • Bernal G., Bonilla J., Perez-Prado E. (1998). Factors associated to outcome in psychotherapy: An effective study in Puerto RicoJournal of Clinical Psychology 54(3): 329–342

    Article  PubMed  Google Scholar 

  • Bloom F., Nelson C., Lazerson A. (2001). Brain, mind, and behavior Worth Publishers, USA

    Google Scholar 

  • Bowlby J., (1944a). Forty-four juvenile thieves: Their characters and home-life International Journal of Psychoanalysis 25: 19–53

    Google Scholar 

  • Bowlby J., (1944b). Forty-four juvenile thieves: Their characters and home-life. II International Journal of Psychoanalysis 25: 107–128

    Google Scholar 

  • Bowlby J., (1987). Attachment and loss: Attachment vol. 1 Pelican Books, London

    Google Scholar 

  • Bradley S. J. (2000). Affect regulation and the development of psychopathology. New York The Guilford Press

    Google Scholar 

  • Bremner J. D. (2002). Does stress damage the brain? Understanding trauma-related disorders from a mind-body perspective W. W. Norton & Company New York

    Google Scholar 

  • Bremner J. D. 2003 Long-term effects of childhood abuse on brain and neurobiologyChild and Adolescent Psychiatric Clinics of North America 12: 271–292

    Article  PubMed  Google Scholar 

  • Bremner J. D., Vermetten E., (2001). Stress and development: Behavioural and biological consequences Development and Psychopathology 13(1): 473–489

    Article  PubMed  Google Scholar 

  • Brody A., Saxena S., Stoessel P., Gillies L., Fairbanks L., Alborizian S., Phelps M., Huang S., Wu H., Ho M., Ho M. K., Au S., Maidment K., Baxter L. R. (2001) Regional brain metabolic changes in patients with depression treated with either paroxetine or interpersonal therapy Archives of General Psychiatry 58(7): 631–641

    Article  PubMed  Google Scholar 

  • Bronfenbrenner U., Ceci S., (1994). Nature-nurture reconceptualized in developmental perspective: A biological modelPsychological Review 101(4): 568–586

    Article  PubMed  Google Scholar 

  • Butler S., Strupp H., (1986). Specific and nonspecific factors in psychotherapy: A problematic paradigm for psychotherapy researchPsychotherapy 23(1): 30–40

    Google Scholar 

  • Caspar F., (2003). Psychotherapy research and neurobiology:Challenge, chance, or enrichment?Psychotherapy Research 13(1): 1–23

    Article  Google Scholar 

  • Chatoor I., Krupnick J., (2001). The role of non-specific factors in treatment outcome of psychotherapy studiesEuropean Child and Adolescent Psychiatry 10(1): 19–25

    Article  PubMed  Google Scholar 

  • Committee on Integrating the Science of Early Childhood Development. (2000). From neurons to neighborhoods: The science of early childhood development. Washington, DC: National Academy Press

    Google Scholar 

  • Cozolino L. (2002). The neuroscience of psychotherapy: Building and rebuilding the human brain W.W. Norton & Company, New York

    Google Scholar 

  • D’Elia G., (2001). Attachment: A biological basis for the therapeutic relationship Nordic Journal of Psychiatry 55: 329–336

    Article  PubMed  Google Scholar 

  • Dawson G., & Ashman S. (2000). On the origins of a vulnerability to depression: The influence of the early social environment on the development of psychobiological systems related to risk for affective disorder. In Charles Nelson (Ed.), The effects of early adversity on the neurobehavioral development: the minnesota symposia on child psychology (vol. 31 pp. 245–279). New Jersey: Lawrence Erlbaum Associates

  • Diamond G., Liddle H., Hogue A., Dakof G, 1999 Alliance-building interventions with adolescents in family therapy: A progress studyPsychotherapy, 36: 355–368

    Google Scholar 

  • Diamond M., Hopson J., (1998). Magic trees of the mind: How to nurture your child’s intelligence, creativity, and healthy emotions from birth through adolescence Plume, New York

    Google Scholar 

  • Elliot R., (2002). Hermeneutic single-case efficacy designPsychotherapy Research 12(1): 1–21

    Article  Google Scholar 

  • Ellman S. J., (1991). Freud’s technique papers: A contemporary perspective Jason Aronson Inc, New Jersey

    Google Scholar 

  • Elson, M. (Ed.) (1987). The Kohut seminars on self psychology and psychotherapy with adolescents and young adults. New York: W.W. Norton & Company

  • Faatz A. J., (1953). The nature of choice in casework process The University of North Carolina Press, Chapel Hill

    Google Scholar 

  • Facchinetti F., Tarabusi M., Volpe A., (2004). Cognitive-behavioral treatment decreases cardiovascular and neuroendocrine reaction to stress in women waiting for assisted reproductionPsychoneuroendocrinology 29(2): 162–173

    Article  PubMed  Google Scholar 

  • Field T., (1996). Attachment and seperation in young childrenAnnual Review of Psychology 47: 541–561

    Article  PubMed  Google Scholar 

  • Fisher P. A., Gunnar M. R., Chamberlain P., Reid J. B. (2000). Preventive intervention for maltreated preschool children: Impact on children’s behavior, neuroendocrine activity, and foster parent functioningJournal of the American Academy of Child and Adolescent Psychiatry 39(11), 1356–1364

    Article  PubMed  Google Scholar 

  • Gabbard G. O. (2000). A neurobiologically informed perspective on psychotherapy British Journal of Psychiatry 177: 117–122

    Article  PubMed  Google Scholar 

  • Green J., Goldwyn R., (2002). Annotation: Attachment disorganisation and psychopathology: New findings in attachment research and their potential implications for developmental psychopathology in childhoodJournal of Child Psychology and Psychiatry 43(7): 835–846

    Article  PubMed  Google Scholar 

  • Gunnar M., (1998). Quality of early care and buffering of neuroendocrine stress reactions: Potential effects on the developing human brainPreventive Medicine 27: 208–211

    Article  PubMed  Google Scholar 

  • Gunnar M. R. (2000). Early adversity and the development of stress reactivity and regulation In: Nelson C. A. (eds), The effects of early adversity on neurobehavioral development. Lawrence Erlbaum Associates, Publishers, Mahawah, New Jersey, pp. 163–200

    Google Scholar 

  • Hart J., Gunnar M., Cicchetti D., (1996). Altered neuroendocrine activity in maltreated children related to symptoms of depressionDevelopment and Psychopathology 8: 201–214

    Article  Google Scholar 

  • Hebb D. O., (1949). The organization of behavior: A neuropsychological theory John Wiley & Sons Inc, New York

    Google Scholar 

  • Helton D., (2003). Online therapeutic social service provision (therap-pc): a state of the art reviewJournal of Thecnology in Human Services 21(4): 17–36

    Article  Google Scholar 

  • Hertzman C. (1999). The biological embedding of early experiences and its effects on health in adulthoodAnnals of the New York Academy of Sciences 896: 85–95

    Article  PubMed  Google Scholar 

  • Horvath, A. (2001). The alliance. Psychotherapy, 38(4), 365–372

    Google Scholar 

  • Horvath A., Symonds D., (1991). Relation between working alliance and outcome in psychotherapy: A meta-analysisJournal of Counseling Psychology 38(2): 139–149

    Article  Google Scholar 

  • Horvath A., (2000). The therapeutic relationship: From transference to alliance Psychotherapy in Practice 56(2): 163–173

    Google Scholar 

  • Janov A., (2000). The biology of love Prometheus Books, Amherst, New York

    Google Scholar 

  • Joyce A., Piper W., (1998). Expectancy, the therapeutic alliance, and treatment outcome in short-term individual psychotherapy The Journal of Psychotherapy Practice and Research 7: 236–248

    PubMed  Google Scholar 

  • Karen R., (1998). Becoming attached: first relationships and how they shape our capacity to love Oxford University Press, New York

    Google Scholar 

  • Kohut H., (1977). The restoration of the self Madison, Connecticut: International University Press, Inc

    Google Scholar 

  • Krupnick J. L., Sotsky S. M., Simmens S., Moyer J., Elkin I., Watkins J., Pilkonis P. A. (1996). The role of the therapeutic alliance in psychotherapy and pharmacotherapy outcome: Findings in the National Institute of Mental Health Treatment of Depression Collaborative Research ProgramJournal of Consulting and Clinical Psychology 64(3): 532–539

    Article  PubMed  Google Scholar 

  • Lambert M., Barley D., (2001). Research summary on the therapeutic relationship and psychotherapy outcome Psychotherapy 38(4): 357–361

    Google Scholar 

  • LeDoux J., (1996) The emotional brain: The mysterious underpinnings of emotional life Simon and Schuster, New York

    Google Scholar 

  • Lewis J. M., (2000). Repairing the bond in important relationships: A dynamic for personality maturationAmerican Journal of Psychiatry 157(9): 1375–1378

    Article  PubMed  Google Scholar 

  • Lewis T., Amini F., Lannon R., (2000). A general theory of love Random House, New York

    Google Scholar 

  • Lichtman J., (2001). Developmental neurobiology overview: Synapses, circuits, and plasticity. In: Bailey D., Bruer J. T., Symons F. J., Lichtman J. W. (eds), Critical thinking about critical periods Paul H. Brookes Publishing Co, Baltimore, pp. 27–42

    Google Scholar 

  • Lieberman A. (1997). Toddlers’ internalization of maternal attributions as a factor in quality of attachment In: Atkinson L., Zucker K. (eds), Attachment and Psychopathology. The Guilford Press, New York, pp. 277–291

    Google Scholar 

  • Liggan D. Y., Kay J., (1999). Some neurobiological aspects of psychotherapy: A reviewThe Journal of Psychotherapy Practice and Research 8(2): 103–114

    PubMed  Google Scholar 

  • Luborsky L., (2000). A pattern-setting therapeutic alliance study revisited Psychotherapy Research 10(1): 17–29

    Article  Google Scholar 

  • Main M., Solomon J., (1986). Discovery of an Insecure Disorganized/disoriented Attachment Pattern In: Brazelton T. B., Yogman M. W. (eds), Affective Development in Infancy. Ablex, Norwood, N.J., pp. 95–124

    Google Scholar 

  • Martin D., Garske J., Davis K. (2000). Relation of the therapeutic alliance with outcome and other variables: A meta-analytic reviewJournal of Consulting and Clinical Psychology 68(3): 438–450

    Article  PubMed  Google Scholar 

  • Martin S., Martin E., Rai S., Richardson M., Royall R., (2001). Brain blood flow changes in depressed patients treated with interpersonal psychotherapy or venlafaxine hydrochloride Archives of General Psychiatry 58(7): 641–652

    Article  PubMed  Google Scholar 

  • Maturana H., Varela F., (1987). The tree of knowledge: the biological roots of human understanding New Science Library, Shambhala, Boston

    Google Scholar 

  • McCraty R., Atkinson M., Tomasino D., Goelitz J., Mayrovitz H. N. (1999). The impact of an emotional self-management skills course on psychosocial functioning and autonomic recovery to stress in middle school childrenIntegrative Physiological and Behavioral Science 34(4): 246–268

    Article  PubMed  Google Scholar 

  • McEwen B., (2002a). The end of stress as we know it The Dana Press, Washington, DC

    Google Scholar 

  • McEwen B., (2002b). The neurobiology and neuroendocrinology of stress implications for post-traumatic stress disorder from a basic science perspective Psychiatric Clinics of North America 25: 469–494

    Article  Google Scholar 

  • Miller, S., Hubble, M., & Duncan, B. (1995). No more bells and whistles. Networker, March, 53–63

  • Montgomery A., (2002). Converging perspectives of dynamic theory and evolving neurobiological knowledgeSmith Studies in Social Work 72(2): 177–196

    Article  Google Scholar 

  • Ogrodniczuk J., Piper W., Joyce A., McCallum M., (2000). Different perspectives of the therapeutic alliance and therapist technique in 2 forms of dynamically oriented psychotherapy Canadian Journal of Psychiatry 45(5): 452–458

    Google Scholar 

  • Panksepp J., (1998). Affective neuroscience: The foundations of human and animal emotions Oxford University Press, New York

    Google Scholar 

  • Pearce J., Pezzot-Pearce T., (1997). Psychotherapy of abused and neglected children The Guilford Press, New York

    Google Scholar 

  • Rait D., (2000). The therapeutic Alliance in couples and family therapy Psychotherapy in Practice 56(2): 211–224

    Google Scholar 

  • Richmond M., (1917). Social diagnosis Russell Sage Foundation, New York

    Google Scholar 

  • Rogers C., (1957). The necessary and sufficient conditions of therapeutic personality change Journal of Consulting Psychology 64: 95–103

    Article  Google Scholar 

  • Rogers C., (1961). On becoming a person: A therapist’s view of psychotherapyHoughton Mifflin, Boston

    Google Scholar 

  • Rosenzweig M. R., Leiman A. L., Breedlove S. M. (1999). Biological psychology: An introduction to behavioral, cognitive, and clinical neuroscience Sinauer Associates Inc, Nassachusetts

    Google Scholar 

  • Rowe C. E., Mac Isaac D. S. (1989). Empathic attunement: The “technique” of psychoanalytic self psychology Jason Aronson Inc, Nothvale, New Jersey

    Google Scholar 

  • Rutter M., (1998). Developmental catch-up, and deficit, following adoption after severe global early privationJournal of Child Psychology and Psychiatry 39(4): 465–476

    Article  PubMed  Google Scholar 

  • Saketopoulou A., (1999). The therapeutic alliance in psychodynamic psychotherapy: Theoretical conceptualizations and research findingsPsychotherapy 36(4): 329–342

    Google Scholar 

  • Saunders S., (2000). Examining the relationship between the therapeutic bond and the phases of treatment outcomePsychotherapy 37(3): 206–218

    Google Scholar 

  • Schore A., (1994). Affect regulation and the origin of the self: The neurobiology of emotional development Lawrence Erlbaum Associates, New Jersey

    Google Scholar 

  • Schore A., (2001a). Effects of a secure attachment relationship on right brain development, affect regulation, and infant mental healthInfant Mental Health Journal 22(1–2): 7–66

    Article  Google Scholar 

  • Schore A., (2001b). The effects of early relational trauma on right brain development, affect regulation, and infant mental healthInfant Mental Health Journal 22(1–2): 201–269

    Article  Google Scholar 

  • Schore A., (2002). The neurobiology of attachment and early personality organizationJournal of Prenatal Psychology and Health 16(3): 249–263

    Google Scholar 

  • Schore A., (2003). Affect regulation and the repair of the self W.W. Norton and Company, New York

    Google Scholar 

  • Shadish W., Ragsdale K., Glaser R., (1995). The efficacy and effectiveness of marital and family therapy: A perspective from meta-analysis Journal of Marital and Family Therapy 21(4): 345–360

    Article  Google Scholar 

  • Siegel D., (1999). The developing mind: Toward a neurobiology of interpersonal experience Guilfor Press, New York

    Google Scholar 

  • Siegel D., (2001). Toward an interpersonal neurobiology of the developing mind: Attachment relationships, “mindsight,” and neural integration Infant Mental Health Journal 22(1–2): 67–94

    Article  Google Scholar 

  • Sroufe A. L., Carlson E., Levy A., Egeland B. (1999). Implications of attachment theory for developmental psychopathologyDevelopment and Psychopathology 11(1): 1–13

    Article  PubMed  Google Scholar 

  • Strupp H., (1970). Specific vs nonspecific factors in psychotherapy and the problem of controlArchives of General Psychiatry 23: 393–401

    PubMed  Google Scholar 

  • Sytz F., (1948). The development of method in social caseworkJournal of Social Casework 29(3): 83–87

    Google Scholar 

  • Taylor S. E., Klein L., Lewis B. P., Gruenewald T., Gurung R., Updegraff J., (2000). Biobehavioral responses to stress in females: Tend-and-befriend, not fight-or-flightPsychological Review 107(3): 411–429

    Article  PubMed  Google Scholar 

  • Uvnäs-Moberg K., (1998). Oxytocin may mediate the benefits of positive social interaction and emotionPsychoneuroendocrinology 23(8): 819–835

    Article  PubMed  Google Scholar 

  • Van Goozen S., Matthys W., Cohen-Kettenis P., Buitelaar J., Van Engeland H., (2000). Hypothalamic–pituitary–adrenal axis and autonomic nervous system activity in disruptive children and matched controls Journal of the American Academy of Child and Adolescent Psychiatry 39(11): 1438–1445

    Article  PubMed  Google Scholar 

  • Vaughan S. C., (1997). The talking cure: The science behind psychotherapy Grosset/Putnam Book, New York

    Google Scholar 

  • Waddington L., (2002). The therapy relationship in cognitive therapy: A review Behavioural and Cognitive Psychotherapy 30: 179–191

    Article  Google Scholar 

  • Watson, M. (2003). Attachment theory and challenging behaviors: Reconstructing the nature of relationships. Young Children, July, 12–20

  • Werner E., Smith R. (2001). Journeys from childhood to midlife: Risk, resilience, and recovery Cornell University Press, Ithaca

    Google Scholar 

  • Yogman M. W., Lester B. M., Hoffman J., (1983). Behavioral and cardiac rythmicity during mother–father–stranger infant social interactionPediatric Research 17(11): 872–876

    Article  PubMed  Google Scholar 

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  1. Canmore Mental Health Clinic, Calgary Health Region, 302 800 Railway Ave., T1W 1P1, Canmore, Alberta, Canada

    Peter J. Baylis M.S.W., R.S.W.

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Baylis, P.J. THE NEUROBIOLOGY OF AFFECTIVE INTERVENTIONS: A CROSS-THEORETICAL MODEL. Clin Soc Work J 34, 61–81 (2006). https://doi.org/10.1007/s10615-005-0002-8

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