Treating trauma and addiction with the felt sense polyvagal model : a bottom-up approach / Jan Winhall.

Format:

Book

Author/Creator:

Winhall, Jan, author.

Language:

English

Subjects (All):

Compulsive behavior--Treatment.

Compulsive behavior.

Addicts--Rehabilitation.

Addicts.

Physical Description:

1 online resource (237 pages)

Edition:

1st ed.

Place of Publication:

New York, NY : Routledge, 2021.

Summary:

In sharp contrast with the current top-down medicalized method to treating addiction, this book presents the Felt Sense Polyvagal Model (FSPM), a paradigm-shifting, bottom-up approach that considers addiction as an adaptive attempt to regulate emotional states and trauma.

Contents:

Intro

Endorsements

Half Title

Title Page

Copyright Page

Dedication

Contents

Acknowledgements

A Prologue: My Women's Group

Bridgette's Mixed Memories

Reference

1. Early Days: The Initiation of a Trauma Therapist

Addiction as Behavioural Affect Regulation: A New Frontier

Finding Interpersonal Neurobiology (IPNB)

Experiential Response to Siegel's IPNB Model

Discovering the Missing Links: The Polyvagal Theory

Origins of the Felt Sense Polyvagal Model of Addiction (FSPM)

Addictive/Adaptive Responses Often Tell a Detailed Trauma Story

Finding Focusing: Back to Women's Group

How Porges Updated the Traditional ANS Model

The Dorsal Vagus

The Ventral Vagus

Sympathetic Nervous System

The Felt Sense Polyvagal Model (FSPM)

Play: Mobilization with Safety (yellow/red)

Stillness: Immobilization with Safety (yellow/grey)

Addiction: A Propeller of Dysregulated State Change (red/grey)

The Current and Desperate State of Addiction

The Polyvagal Paradigm Shift ... A Powerful Dance of Connection

Summing Up the Journey to a More Sophisticated Model for Addiction

References

2. Finding Focusing and Thinking at the Edge

Focusing and the Felt Sense

Focusing in Partnership: Learning to Listen

Focusing: The Fundamentals

Step 1: Clearing a Space

Step 2: Getting a Felt Sense of the Problem

Step 3: Finding a Handle

The Felt Shift

The Addictive Shift

Step 4: Resonating Felt Sense and Handle

Step 5: Asking

Step 6: Receiving

George's First Focusing Session

Thinking at the Edge (TAE)

The 14 Steps of TAE

TAE as a Three-Step Process

Steps 1-5: Speaking From the Felt Sense

Steps 6-8: Finding Patterns From Facets (Instances)

Step 9: Write Freely

Steps 10-14: Building Logical Theory

References.

3. Thinking About Thinking About Addiction: Integrating Top-Down and Bottom-Up

Top-Down Processing

Brain-Disease Model

Addiction According to the Diagnostic and Statistical Manual (DSM)

Critiquing the DSM

First-Person Experiencing of DSM

A Group Vignette

Critiquing the Twelve Steps: The Origins and History of AA

The AA Controversy

The Twelve Steps: Dancing with the Devil

Cognitive Behavioural Therapy: A Top-Down Approach

Embodied Processing: A Bottom-Up Approach

The Marvellous Metaphor

The Safe Edge: Where Bottom-Up Meets Top-Down

Thinking at the Safe Edge: A Non-Pathologizing Approach to Addiction

4. Addiction: A Very Bad Habit

Neuroplasticity, The Brain's Way of Learning

First Person Experiencing - The Fear of Shameful Sharing

Back to the Origins of Neuroplasticity

The Changing Brain: Dispelling Myths

Myth #1: Brains Don't Change

Myth #2: Brain Parts Perform Specific Functions

Brain Regions Most Relevant to Addiction

Dorsolateral PreFrontal Cortex: "The Bridge of the Ship" (, p. 45)

Ventral Striatum: Motivational Engine

Midbrain: Dopamine Pump

Amygdala: "Emotional Spraypaint" (, p. 79)

Orbitofrontal Cortex: Connector

How Addiction Works in the Brain, A Case Example

Neurons That Fire Together Wire Together

Embodied Cognition Leads to an Integrated Approach to Addiction

5. Facing the Truth About Addiction

Facing the Truth, Settling Our Nervous Systems

Five Faces of Oppression

The Myth of the "Hook

Anslinger's Racist War on Drugs

First-Person Experiencing

Understanding Harry: White Body Supremacy

The Female Chain Gang

First-Person Experiencing ... Pause

Childhood Trauma: The Underbelly of Addiction

Felitti's Adverse Childhood Experiences Scale (ACES)

Felitti's Aha Moment.

Felitti's Alternative Model of Addiction - A Psychodynamic Model

The Plot Thickens with Later ACES Study

Alexander: "Addiction is our teacher

Globalizing Free Market Society Creates Dislocation

Sustained Dislocation Creates Addiction

Skinner Box Versus Rat Park

6. Bringing the Body to Mind: The Emerging Field of Interpersonal Neurobiology

Bringing the Interpersonal into Neurobiology

Thinking at the Edge: Crossing Concepts and Finding the More

Crossing Flooding/Numbing with Chaos/Rigidity

The Sweet Spot

The Brilliance of Consilience

A Definition of Mind

Complexity Theory: A Push Toward Integration

Consilience and Crossing

A Crossing: The Help Embraces the Harm

Hypothesis: Self-Organization is the Same as Self-Regulation

Complex Systems are Non-Linear, Challenging Twelve Steps

The Harm Reduction Model

Complex Systems have Emergent and Recursive Properties

Eyes-Wide-Open Presence

Bringing it all Together: The Triangle of Well-being and Resilience

Mindsight: Seeing the Mind

SNAG and SIFT

Attachment Theory: Holding and Letting Go

Four Classifications of Attachment

Mapping Attachment Styles and the Felt Sense Polyvagal Model of Addiction

Critiquing Attachment Theory: The Unclassifiable

7. Creating a Safe Nest

Instinctively Seeking Good Energy

Back in the Women's Group

Vicarious Trauma, The Hot Potato

Thinking at the Edge: Feeling into Thinking

Attachment, Trauma, Addiction: Making Vital Connections

Addiction as an "Attachment Disorder

Thinking Systemically About Attachment: Bridging the Divide

Attachment Theory: Early Days

Strange Situation Procedure.

Thinking at the Edge of Attachment Theory: The Quantitative Shift

The Wisdom of Mixed Methods

A Feminist Lens on Attachment

Global Attachment Trauma

The Politics of Trauma

8. Bringing Polyvagal Theory into the World of Addiction

First-Person Experiencing: Resolving the Paradox, "What Helps you Hurts You

Porges' Vagal Paradox

Linking Polyvagal Theory to Trauma and Addiction

Our Very Elegant Survival System

Thinking at the Edge with Polyvagal Theory

Lesson 1. Safety First: None of Us Is Safe Unless All of Us Are Safe

Creating a Safe Nest

What is Enough Safety?

Chronic States of Dysregulation

What is Essential for Safety?

Lesson 2. Interoception: Honour Your Mind/Body Connection

Lesson 3. Neuroception: Our Body's Wisdom is Designed to Seek Safety

Crossing Felt Shift and Neuroception

Neuroception and Triggers: A Retuning/Reframing Process

Lesson 4. Social Engagement System: We need each other to survive and thrive

Social Engagement and Addiction: No Thanks!

First-Person Experiencing: Feeling into Our Heart, Throat, Face Connection

Lesson 5. Co-regulation: Body/Environments are Alive and Co-regulate

Self Regulation and Addiction: Whatever Gets You Through the Night

9. Experiential Psychotherapy and Gendlin's Felt Sense: The Whole of a Situation

First-Person Experiencing: Meeting Mary Armstrong

Meeting Eugene Gendlin

Gendlin's Safe Space: Do What is Right for You

The Dream: Lotte's Holocaust Story

Gendlin's Holocaust Story

Gendin the Philosopher

The Primacy of Human Presence

Three Ways of Knowing

Gendlin's View of Neurobiology

Experiential Psychotherapy: The Birth of Gendlin's Felt Sense and Felt Shift.

Gendlin's Felt Shift as a "Motor of Personality Change

The Experiencing Scale: Tracking the Felt Sense

A Process Model: Gendlin's Major Philosophical Work

Body/Environment is One

Interaction First

First-Person Experiencing: Implicit Intricacy - We Are More Than We Can Say

Implicit intricacy and Words

Implying and Carrying Forward

First-Person Experiencing: A Dreamy Carrying Forward

Addiction as Process Skipping

10. Bringing the Model to Life: Going Deep and Thinking Big

The Paradigm Shift - From a Medical Model to an Embodied Emotion Regulation Model

First-Person Experiencing: Moments of Liberation

The Embodied Emotion Regulation Paradigm: A Bigger Picture

The Trauma of Addiction: The Bidirectional Link

Two Different Versions of Joe

Where Do We Start?

Safe and Secret: The Hidden Faces of Addiction

The Big Mistake: Never Engage in a Power Struggle With the Addict Part

The Importance of Asking

The Trauma of Addiction Needs to be Named

Three Process Movements: The Three D's

11. Nuts and Bolts: Embodied Assessment and Treatment Tool (EATT) and Focusing Oriented Therapy Strategies

Using EATT: Allowing the Story to Unfold

The Felt Sense Polyvagal Model

The Experiencing Scale (EXP)

The Felt Sense Polyvagal Dialogue

The Three Circles

The Inner Circle: Fixate

The Middle Circle: Fight/Flight, Fold

The Outer Circle: Flow, Flock, Fun

The Trauma Egg and The Background Wallpaper

The Nine Domains of Integration

Integration of Consciousness: Does this person have an inner observing compassionate voice? Can they stand beside their experiencing?

Vertical Integration: How connected is this person with their bodily-felt knowing?.

Bilateral Integration. Can this person think logically (using their left hemisphere)? Can they describe their felt-sense embodied knowing (right hemisphere)? How well can they move back and forth between both hemispheres?.

Notes:

Description based on print version record.

ISBN:

0-367-40818-X

1-000-40539-7

9780367408183

OCLC:

1256237581