TU99: Food, The Body, Trauma, & Attachment With Guests Paula Scatoloni & Rachel Lewis-Marlow

06/27/19 • 61 min

What if we flipped the script and learned to see our body as a messenger that needs to be heard rather than an obstacle to be conquered when it comes to our relationship with food? When we take physiological perspective, we learn that the body has much to say not only about food but also emotional regulation and our basic human needs for attachment and defense. Using the sensory information, attachment system and working with defenses. Who are our guests on this episode, you ask? Well here ya go, they are pretty bad-ass and they were interviewed by Dr. Ann Kelley: Paula Scatoloni, LCSW, CEDS, SEP Paula is a somatic-based psychotherapist, Certified Eating Disorders Specialist, and Somatic ExperiencingTM practitioner in Chapel Hill, NC. She has worked in the field of eating disorders for over two decades. Paula served as the Eating Disorder Coordinator at Duke University CAPS for nine years and has taught extensively on the etiology and treatment of eating disorders through workshops, professional trainings, and conferences. She co-developed the first intensive outpatient program for eating disorders in the U.S with Dr. Anita Johnston. She is the co-founder of the Embodied Recovery model and the Embodied Recovery Institute in Durham, NC. Rachel Lewis-Marlow, MS, EdS, LPC, LMBT Rachel is a somatically integrative psychotherapist, dually licensed in counseling and therapeutic massage and bodywork. She is a Certified Advanced Practitioner in Sensorimotor Psychotherapy and has advanced training and 25+ years of experience in diverse somatic therapies including Craniosacral Therapy, Energetic Osteopathy, Oncology massage and Aromatherapy. Rachel She is the co-founder of the Embodied Recovery model and the Embodied Recovery Institute in Durham, NC. provides ongoing training and supervision to clinical and support staff in the programmatic implementation of the Embodied Recovery model. In her private practice in Chapel Hill, NC, Rachel works with trauma, eating disorders, and dissociative disorders. TU99 Shownotes (are these not awesome or what? Patrons help us be able to do this, thank you you know who you are.) Typical Treatment Model Bio-Psychosocial model Bio: has been usage of pharmacology, re-feeding, nutritional rehabilitation, and yoga Psycho part has been education about emotion and emotional tolerance, dialectical behavioral therapy, supportive therapies to support emotional processing and cognitive distortions, cognitive behavioral treatment to address the distortions, and then try to change the behaviors by changing the cognitions, Social part: family and dynamics around having a place of belonging and one’s sense of belonging in the world, the culture, & the family Usually a treatment team: dietician, a therapist, family therapist, a psychiatrist, a physician Typical View of Recovery Goal: to get somebody to eat a prescribed amount of nutritional food in order to achieve a range of BMI or body size or shape eat it in what we call a normative style, which is a very relative term Focus is on how behaviors are a response to an attitude towards the body itself What’s Missing? Being curious about what the body is saying and expressing through the eating disorder behaviors Shifting the Perspective: The Embodied Recovery Model The Embodied Recovery Model is Somato–Psycho-Social. It expands the role of the body to include anatomy, physiology, kinesiology, movement, and posture. The 5 Core Principles of the Embodied Recovery Model The 5 Core Principles facilitate the intersection between somatic organization, subjective experience of self, and basic human needs for attachment and defense. Shifting from bio-psycho-social model to somato-psycho-social model. Directly resourcing the body so that it becomes a resource in recovery rather than an obstacle to recovery. Collaborate with the body at the physiological level to support the infrastructures that govern emo...

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TU98: Dive Deeper into a Model of Attachment Science (the DMM) by Ann Kelley & Sue Marriott

Dive deeper into this new (to us) model of interpreting attachment science and discover how to apply it into your daily life. Sue Marriott LCSW, CGP and Ann Kelley PhD have fun breaking down the last two episodes where Dr. Patricia Crittenden so generously shared her model called the Dynamic Maturational Model (DMM). Focus is on personal and clinical importance in this last of a 3-part series on the DMM. Before we begin: A’s (Red in the DMM)=Historically referred to as Blue on TU B’s (Blue in the DMM)=Historically referred to as Green on TU C’s (Green in the DMM)=Historically referred to as Red on TU AC’s = Historically referred to Tie Dye on TU **Note: We know the colors may be a bit confusing, but it is important to us that you receive information as Dr Crittenden has published it. It is by happenstance that our colors are the same (with the exception of tie dye), but they represent different thinking and behavioral patterns. When we refer to color in the episodes and in the show notes, we are referring to the colors we have historically used on the TU podcast and the letters and self-protective strategies of the DMM. This is only in order to maintain consistency and make the information more easily understood by our listeners. However, the colors as shown in the slides and as listed above, are the way Dr Crittenden uses them in her fantastic work! Brief Hierarchy of Attachment Theory: There’s a lot of similarity between the more familiar Mary Main et al ABC-D model of attachment and the Patricia Crittenden’s DMM interpretation of attachment, but there are also some very important differences. What’s in A Name? Dynamic Maturational Model (DMM) – potentially intimidating mouthful, BUT let’s break it down What it means: Sue and Ann share their take on Dr Crittenden’s walk through the developmental process that happens in attachment from infancy to adulthood. (Listen to Episode 96 and Episode 97). As we mature into different stages of our life, our needs and self-protective strategies (what the DMM helps us learn) we use change accordingly. The beautiful thing about the DMM is the way it incorporates culture, sexuality, key relationships, and danger/safety into the attachment mix. Speaking of safety.... One key difference between the DMM and traditional attachment models is the emphasis on SAFETY rather than SECURITY. According to the DMM: -attachment is about the dyadic relationship in danger, it does not just live in the person -we take in information from the environment (parent in infancy) and shift this into “behaviors” or self-protective strategies. -these strategies develop to protect us. They are our brain’s way of helping us reduce danger and increase connectedness by creating closeness, proximity, and safety. Information Processing -It’s physiological. There are 3 systems: Somatic: what does our body feel...our heart, our stomach feel Cognitive: how we process the information, how do we make meaning Emotional: what’s coming up Bottom line, we can learn from our body. They are connected but not hierarchical. Security = Integration of all 3 of these info systems (Therapist Uncensored’s model ie. getting to the green) The Attachment Spectrum As you move out on the spectrum, (in the DMM, it’s a circle, which is also really cool) we begin to inhibit or exaggerate information based on the response in our environment/the response of our caregivers. We will tend to lean Blue or Red or Tie Dye (check out episodes 59, 60, 61 for more detailed info on each color). NOTE: These colors are Ann and Sue’s Attachment & Regulation Spectrum, not colors from the DMM. It is NOT conscious and forms in the first 2 years via Neuroception. Neuroception (listen to our episode on Polyvagal Theory for more info) tells us, as infants, that if we cry, our caregiver will react a certain way. We inhibit information according to what will keep us safe and bring us closer to our ca...

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TU100: Reflections and Favorites From 100 Episodes

100 Episodes and Going Strong! A Review of Our Most Popular and Referenced Episodes Tune in for a review of our listener’s favorite episodes and back stories about the evolution of Therapist Uncensored with co-hosts Ann Kelley and Sue Marriott. This is a show hosted by 2 therapists who share the most usable science on attachment relationships, psychotherapy, and trauma. It combines both host lead conversations and interviews with top experts in their respective fields – neuroscientists, therapists, researchers, musicians, pop-culture celebrities, and so on – that share their wisdom about relationships. Today we celebrate starting with colleague Patty Olwell, and evolving everything from our messaging, our website, our audio and editing, and our co-host relationship. This is the last show of Season 3, BUT we will be back with new shows by early September. In the meantime, we will be re-playing some of these favorites. We look forward to our next season of deepening our conversations on attachment, neuroscience, polyvagal theory, depth psychotherapy, sexuality, and more! Most Popular Episodes By Everyone, Including Us! Known as “the bundle” of attachment, these episodes summarize the attachment spectrum and have building security at their core. They are, by far, the most referenced, reviewed, and appreciated! Episode 59: Dismissing/Avoidant attachment. Are you cool or just cut off? Episode 60: Preoccupation in Relationships-Grow your security by learning signs of Anxious Attachment Episode 61: It’s not crazy, it’s just a solution to an unsolvable problem – Disorganized Attachment Other Popular Episodes Include: *Note: listed in order of discussion plus a brief summary of the show conversation Episode 54- The Stress Response System –Attachment Across the Lifespan specifically looking at the elder years and how our attachment system affects us as caretakers of our parents or as the senior who may be undergoing the various losses inherent in aging. Stephen Porges – Episode 93: Polyvagal Theory in Action: The Practice of Body Regulation The father of Polyvagal Theory! fat led to groundbreaking shifts in our understanding of how the nervous system responds to threat and trauma. Dan Siegel – Episode 16: Inside The Mind of Dr. Dan Siegel Father of interpersonal neurobiology Discussed how the current political, international and climate crises could be viewed as a chance to transform human connection. He called for us all to become pervasive leaders. Alan Sroufe – Episode 56: How We Come To Define Ourselves, Attachment Research Across The Decades If you’ve ever wanted to know how much you can predict a person’s development years in advance, then you’ll enjoy our conversation with Dr. Alan Sroufe. his research findings over the years and how insecure and secure attachment tendencies can develop and affect an individual through their lives. Bonnie Badenock – Episode 83: Establishing Neurological Safety Through Relationships discussed how exercising “happy humility” and compassion can allow for an ideal presence in our day-to-day life using our autonomic nervous system. Sympathetic activation happens when there’s a need to control something in light of an obstacle. Internal systems challenge to remain in an open and receptive state. Patricia Crittenden – Episode 96, 97, & 98 One of the originators of attachment theory studied under Mary Ainsworth Ep 96: Attachment and Self-protective strategies Ep 97: Dynamic Maturation Model (DMM) Ep 98: Diving deeper into the DMM of Attachment – our summary Stan Tatkin – Episode 12: If It’s Not Good For You, It’s Not Good For Us talking about understanding how attachment plays out in Long term relationships In order to get over hidden shame, you need to expose it to safe people. Shame can only be healed interpersonally. Different cultures social constructions of shame.