Jan 17th notes Neurochemistry

  • Mood disorders happen with Chemical Imbalances
  • Dopamine is a “motivator”, Reward
  • too much can cause rapid ejaculation in men as well as Psychitophrenia
  • too little can cause depression
  • Seratonin is calming and soothing
  • norepanephrine – indicated in PTSD , clearly remembering traumas
  • therapy can change the way the brain works ; new neural networks and chemistry changes

we assume that when therapy results in symptom reduction, that the brain has reorganized

Top down is CBT
Bottom Up is Mindfulness

“Implicit Neural Network” , like transference. The way your brain was wired in early childhood may cause you to feel a specific way about someone else, TRANSFERing your reaction onto them.

Therapist must listen with the Right Brain


Talking to clients is communication FROM RiGHT BRAIN to RIGHT BRAIN

“GOOD ENOUGH”, don’t be perfect, just repair the damage in a timely manner. timely repair of shame induced state.


“put left brain words on right brain emotions” – help clients verbalize. “YOU LOOK VERY SAD, do you feel sad?” put words on the somatic experiences

Provide Affect Regulating Tools – mindfulness, yoga, self-talk


having new experiences together creates new neural networks

going on vacation together makes for having great sex

  • MoDYADIC, the two is the mother and Child
  • —————————
  • 1:49  Contemporary Psychodynamic Theory
  • KLEIN, Winnocott, Fairbern
  • “the study of the internal object world, the mental representations we have of ourslves and others and how these influence though out life” – basically Trump is a jerk in the real world but he projects his belief that he is a God


theory of motivation

view of psychopathology

Edible complex

Death Instinct

shift from the Instinctual Drives TO RELATIONSHIPS

People construct representations of themselves and others

—- traumatic Attachments —- moral defense


hung up Freud’s love for children having fantasies (but she had a bad mother)

Protective Objectification – monotone voice telling emotional story

influenced bolby, winnecott and 2-3v

splitting…  all good, all bad c1089ad5ad4cab859a4ff65812f8408a




an integration when you realize the “bad object” is also the “good object” … when you realize that the mom has other things to do with their lives. This might be the Beginning of empathy.


**** DEPRESSION is almost always triggered by loss.



The Third Trimester And Primary Maternal Preoccupation:

Winnicott stressed the enormous importance of the mother being sensitive and well attuned to the needs, both physical and psychological, of her baby. In relation to this, he theorized that, in her third trimester, through a natural process (that has evolved for its ‘survival value’), the mother becomes more intensely aware of, and concerned about, her baby; Winnicott referred to this acute awareness as ‘primary maternal preoccupation.’

According to Winnicott, this particularly intensive period of awareness of, and attunement and sensitivity to, the baby’s needs continues into the first few months of the newborn baby’s life.

Because of the mother’s extreme attentiveness to her baby at this time, the infant starts to feel that his/her every wish is fulfilled which gives him/her the impression of omnipotence; according to Winnicott, this is a very important part of the baby’s psychological development.

Let’s define the concept some more. Specifically, a holding environment is uncomfortable enough that a person cannot avoid the problem, but safe enough that the person can experiment with a new way of being.



Transitional Object is a term from developmental psychology specifically relating to those objects of affection, which the child soothes itself and which functions as a substitute for the mother. The TO, in proper terms, is a prop used by the child in the early efforts to test reality

the capacity to be alone

the importance of the capacity to be alone, distinguishing it from both withdrawal and loneliness, and seeing it as derived from an internalisation of the non-intrusive background presence of a mothering figure.[2] Winnicott in his writings always stressed the importance of the baby being allowed “just to lie back and float”, and of the “opportunity that the baby has to experience separation without separation”.[3] Out of those early experiences emerges the capacity to be alone in (or out of) the presence of others – something which might have to be re-acquired later in life through psychotherapy.[4]

A later strand of analysis, drawing on the work on listening of Theodore Reik, has emphasised the importance of the analyst’s capacity to be alone in the analytic situation – to remain centred in themselves in the face of the projections and resistances of the patient.[5]



repeating toxic relationships…repeating bad patterns. this informs work with couples.


KIRA Case of the 10 year old whose dad abused her. She was able to internalize and accept blame for her father’s behavior


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