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Record identifier : 567387
Personal Name - Primary Intelectual Responsibility : Greenwood, Anders Christopher
Title and statement of responsibility : How psychotherapy works: Extending an integrated cognitive relational model to include specific neural hypotheses [Thesis]
Publication, Distribution,Etc. : The Wright Institute, 2006
Language of the Item : eng
Dissertation of thesis details and type of degree : Psy.D.
Body granting the degree : , The Wright Institute
Summary or Abstract : This dissertation addresses the question of how psychotherapy works by focusing on emotionally valenced, reactive, conscious attention in a critical literature review. In this review, empirically based hypotheses linking therapy process and outcome are integrated with literature on the functional neuroanatomy and electrophysiology of cognitive, emotional and social processes. Supporting this focus, reactive conscious experience is important in people's lives and psychotherapy, it shapes nonconscious control processes, and the structures and processes involved are relatively well studied. In the model that emerges from this review, clients come to therapy because key developmental goals are thwarted by the maladaptively learned association of these goals with relational harm, and accompanying fear and guilt. In therapy, clients seek to reduce the efficacy with which cues trigger fear, guilt and avoidance of goal-associated behavior and emotion. Conversely, they also seek relational safety to experience motivations, emotions, and behaviors that have hitherto been avoided. At the neural level, key model hypotheses include that distinct subregions of the anterior cingulate monitor conflict, cues that signal danger and elicit avoidance, and cues that signal opportunity (or loss thereof) and elicit the experience of motivation-related emotion. It is also hypothesized that, with extinction of learned fear and support for the experience of motivation-related emotion and behavior in therapy, neural plasticity affects functional changes in the shaping of experience and behavior by the anterior cingulate and orbitofrontal cortex. These hypotheses are elaborated in detail and examined with respect to research literature, and their clinical implications are explored..
Topical Name Used as Subject : Neurology, Mental health, Psychobiology
Information of biblio record : TL
 
 
 
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