When you work with a client who has a Disorganized Attachment Style, its often hard to discern a treatment plan or understand the most productive focus. Here are ten areas of consideration when working with a disorganized within an adult relationship: 1. The first point is that the client is trying to manage high levels of activation from being terrorized as a child. They may experience panic or rage at a certain level of intimacy when getting close to another in relationship and thus need help learning to both self and interactively regulate. 2. In adult relationships they can experience extreme shifts of mood and act out panic/rage reactions in the current relationship. These can actually be caused from replicating their parents pattern that became embodied in their own physiology. 3. Next they can be easily triggered into frustration, fear and despair especially when circumstances or agreements are unclear or confusing or changing too often. 4. The Inner chaos, high arousal and turmoil experienced by a disorganized client understandably brings higher level of self absorption and reactivity so they need help to calm and instigate a relaxation response and regain focus. 5. Two major biological drives are in constant conflict: the innate drive to attach and the instinctual drive to survive. These need to be effectively untangled and separated experientially.
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6. Autonomic dys-regulation disturbs affect modulation and causes
hyper-vigilance and hyper-sensitivity especially regarding relationships. Those triggers need to be identified, understood and worked with. 7. Relationships themselves are triggers for unresolved relational trauma from childhood so the path is to work with encapsulated child states and corrective experiences to move clients more into the now and toward positive relational resources. 8. Disorganized styles may feel fed to the lions instead of protected by one or both parents as children. They may not experience or take in true protection from others - even when it is available. We can help by installing the Competent Protector Corrective Experience. 9. They may not have appropriate defenses or radar for danger and may stay in non-supportive or abusive relationships instead of leaving when needed. We need to help them rebuild a responsive threat response and orientation to safety. 10. Finally, due to the amount of fear from relational trauma, partners can be easily triggered and dys-regulated or trigger each other setting off intense survival urges toward fight and flight. We need to help them learn to contain conflicts calmly long enough to use effective skills to work things out or take a break. They can switch to having fun and come back to it again later.
Working With Traumatic Memories To Heal Adults With Unresolved Childhood Trauma - Neuroscience, Attachment Theory and Pesso Boyden System Psychomotor Psychotherapy PDF
Building A Secure Internal Attachment - An Intra-Relational Approach To Ego Strengthening and Emotional Processing With Chronically Traumatized Clients