Abstract
One of the main objectives of psychotherapy is to address emotion dysregulation that causes pathological symptoms and distress in patients. Following psychodynamic theory, we propose that in humans, the combination of emotions plus conditioned anxiety due to traumatic attachment can lead to dysregulated affects. Likewise, defenses can generate and maintain dysregulated affects (altogether Dysregulated Affective States, DAS). We propose the Experiential-Dynamic Emotion Regulation methodology, a framework to understand emotion dysregulation by integrating scientific evidence coming from the fields of affective neuroscience and Experiential-Dynamic Psychotherapy aimed at resolving DAS. This method and the techniques proposed can be integrated within other approaches. Similarities and differences with the Cognitive model of emotion regulation and cognitive-behavioral approaches are discussed within the paper.
Highlights
We propose the Experiential-Dynamic Emotion Regulation methodology, a framework to understand emotion dysregulation by integrating scientific evidence coming from the fields of affective neuroscience and Experiential-Dynamic Psychotherapy aimed at resolving Dysregulated Affective States (DAS)
In the present paper, starting from the above considerations, we propose that emotions, as evolutionary products, are not inherently dysregulated, and dysregulation can be better understood as the result of: (1) emotions plus dysregulated anxiety, or (2) defensive affects resulting from dysregulating defenses
We explored the issue of emotion regulation inside psychodynamic approaches and how concepts of anxiety and defenses may be useful to understand patients’ DAS and we provided a framework and methodology for an Experiential-Dynamic Emotion Regulation Methodology (EDER) that incorporate emotion regulation science principles into psychodynamic psychotherapy
Summary
According to Gross (1998), emotion regulation refers to “processes by which individuals influence which emotions they have, when they have them, and how they experience and express these emotions.” Theories of emotional regulation have their roots in the study of psychological defenses (Freud, 1936, 1959a,b; Paulhus et al, 1997), psychological stress and coping (Lazarus and Folkman, 1984), and theory of emotions (Frijda, 1986; Damasio, 1999; Ekman, 2003). Suppression has been negatively associated to the expression of positive emotion, effective interpersonal functioning, and well-being (Gross, 2002; Gross and John, 2003) and it negatively correlates with mental health indicators (Aldao and Nolen-Hoeksema, 2010; Hu et al, 2014). Taken together, these findings support the validity of a core construct of emotional dysregulation applicable to affective disorders and their therapy (Messina et al, 2013, 2016b). We provide a framework and methodology for an Experiential-Dynamic Emotion Regulation Methodology (EDER) that integrates ExperientialDynamic Therapy techniques and emotion regulation science principles for the clinical treatment of DAS
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