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Dr. Allan Schore on key factors in treating suicidal individuals
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- čas přidán 18. 08. 2024
- Dr. Allan Schore describes key factors in treating suicidal individuals, particularly the therapists' capacity for affect tolerance.
I've been through so many therapists. They miss the mark completely. All it takes is a person that genuinely cares about you and that is really present for you. People like us are highly sensitive when it comes to picking up on cues. I've never heard someone speak so articulately on this subject as this man. This man is a mf gangster.
PIEPIE: I hear you. I started with my 4th therapist yesterday. This is my last attempt.
@@bryanw5951 Hopefully this one works out for you. If not, don't give up. Feel free to contact me and we can share notes. Sometimes it helps talkin to someone in the same boat.
I agree. I think he verbalised what I needed from my therapist.
right!!?
@@hannabarbarawojcik yes. I think so!
I'd love to see a conversation between Allan Schore, Stephen Porges and Bessel van der Kolk, and Deb Dana. So many of these clinicians and researchers are so close to what we're really dealing with and how to put the autonomy in the client's wheelhouse through the therapeutic alliance and psychoeducation. Many of us have little to no access to a clinician who even understand trauma at the body level, so we do the best we can self-educating and healing - enlisting appropriate assistance as it becomes available.
Not a single professional among many in nearly 40 years recognized that I was living with pts. It was my adoptive grandfather, a former POW and adjunct counselor at the VA who recognized it - that literally saved me from suicide! I hit the ground running with the research, healing modalities and practices. It took me over a decade to learn (the hard way) the profound distinctions between shock/event trauma and the developmental/complex trauma that I've been living with, and moreover, how to tap into the innate healing process available to us all.
In this video, Dr. Schore speaks to what Dr. Porges put forth in the polyvagal theory about the vital importance of relational connection in regulating the nervous system and meeting the underlying needs of the biology at play in adaptive survival responses - Important in the therapeutic relationship, to be sure, but the end goal should be in helping the client to regulate themselves in healthy ways that make sense to them, rather than relying solely upon the therapeutic alliance . All that great research on attachment that Bowlby did really helps make sense of all this too. In their excellent book, "Nurturing Resilience: Helping Clients Move Forward from Developmental Trauma--An Integrative Somatic Approach ", Kathy Kain and Stephen Terrell connect a lot of dots in regards to early relational and complex trauma's effects on the nervous system, as well as presenting some excellent clinically proven somatic-oriented healing techniques.
It would be more therapeutic to dispense with the diagnostic and pathological language altogether and emphasize more person-centered language focused on helping people to find understanding and meaning in their lived experiences instead. A diagnosis can be a huge step for some folks in finding some semblance of meaning in their distressful experiences and reactions to them initially, but that same diagnosis can often become self-limiting and obscure deeper wisdom within our experiences. People need change, not necessarily therapy. In this interview he's touching on meeting the unmet relational needs in the therapy setting and how that cab set the stage for integration and self-actualization by the individual. The problem with that lies in the context of our lives leaves out society's role in creating and perpetuating the traumatic patterns that cause unbalance and distress to begin with - ignoring this by putting the onus onto the individual and the therapist never allows society to look in the mirror, thereby perpetuating intergenerational trauma.
The mantle of responsibility after there's failure in the person's family of origin and social environment is not just a personal responsibility of the individual, but of the community also. Too many ills in society stem from catastrophic failure of the family and the attachment process having left the individual to figure out the trauma all on their own without proper support or resources. If there's energy, time and resources to pathologize and criminalize human behavior then there should certainly be resources to support inquiry and acceptance of nature as it presents itself in helping people through unconditional positive regard to facilitate the attunement of their lives when necessary for well being. If we, as a society want to truly address all of our ills, then we need to climb down from the fantastical fallacy that we inhabit the executive faculties of the ivory tower of the mind at all times, and learn to once again embrace and embody nature in all her complexities.
love this,
I, as a suicidal person, am more capable of dealing with suicidal people than any therapist ive ever talked to. This affect tracking is a skill most therapists fancy themselves to be quite fluent in but where all of them (that I've worked with) seem to come up short. I can tell within one session if the person is able to keep up. I can only hope this message becomes more prevalent, but I don't see it happening, as this is not a skill that everyone possesses and we live in a world where "anyone can do anything," to the detriment of clients and suicidal patients.
Yes, because you know the terrain from inside. This is not something which can be acquired through a textbook.
@@adamatova Yes not through a mere textbook, but it can be a skill set and ability that some practitioners can achieve significant capability and capacity -- as per the video.
Hello Cymric! I am a psychodynamic psychotherapist in training, and I would you like to ask you to elaborate more about affect tracking. How do you know that therapists are not able to "track" your affect? What would you need to see/feel in order to confidently say that the therapist has managed to track your affect? Thanks in advance.
I hope that everything is okay, and that you are going through your healing process.
Yes because they don’t care to look carefully into ppl it needs empathy and care and in this society where everyone feels they have to survive their own lives why should they really care beyond their limited therapy time …. I m sorry it is sad and I totally feel what you say too … I feel like you too
@CrypticPortal Of course, this is the basis of the whole therapeutic process. I am just asking for some additional things that he/she might find important.
I've aways said that I didn't complete Eriksons first task, Trust vs. MISTRUST. 1ST YR.of life.
I'd pay to see the list of books in his library.
Amazing content!
Is this being taught now to the next generation of therapists or is it only the interested "few" who finds these sorts of more recent research? Will these ever sink in and reach even policymakers??
KatiForTruth good question Kati 🙂
Research on fraud documentation how much of that are they going to learn in a helpful way. 🥶
So it is fair to say Telehealth is not recommended for these clients?
Super good question . Or virtual therapy which is so heavily promoted now and I dislike (as a person looking for help)
Gestalt Therapy.
Hopefully, I will not be alive a year from now. I do not want to still be here, looking for answers late at night, knowing that there aren’t any.
Sounds like you feel lost. Sometimes I feel the same way.
@@urantia1111 nah. I’m more of a coward for failing to do what clearly needs to be done.
Same here. Felt.
Same.
Hope you're getting what you need. 🖤