DMM Inte gr ative T r e atme nt Andr e a L andini, MD (Italy) & Patr ic ia M. Cr itte nde n, PhD (USA)
2018: te n pr inc iple s of DMM inte gr ative tr e atme nt
F our pr inc iple s about be g inning
E ST ABL I SH A PE RSONAL RE L AT I ONSHI P with e a c h fa mily me mb e r; 4
ASSE SS T O CONST RUCT F UNCT I ONAL F ORMUL AT I ON o f ho w the fa mily pro te c ts its me mb e rs fro m c ritic a l da ng e r; 5
CRI T I CAL CAUSE o f CHANGE : the mo st e ffic ie nt the ra pe utic a c tio ns to re - a c tiva te the se lf-o rg a nizing a b ilitie s o f fa mily me mb e rs; 6
T RANSI T I ONAL AT T ACHME NT F I GURE : the ra pist’ s pro te c tive a nd c o mfo rting func tio n 7
F our pr inc iple s about finding a way
SOMAT I C AROUSAL : re g ula te to mo de ra te le ve ls, c o mpa tib le with e xplo ra tio n; 9
PROT E CT I VE ST RAT E GI E S: fit to c urre nt a nd pa st c o nte xts; c la im po we r o f fa milia r stra te g ie s a nd b e ne fit o f ne w stra te g ie s; 10
COMPL E T E L E ARNI NG fro m pa st da ng e rs: prune e xc e ss & a c c e ss o mitte d info ; re ta in tha t whic h is use ful a nd o mit tha t whic h is no t; 11
E XPAND the a rra y o f stra te g ie s a va ila b le to fa mily me mb e rs; 12
T wo pr inc iple s about how we do/ did it
WORK se q ue ntia lly a nd re c ursive ly; 14
RE F L E CT o n po ssib le future c ha lle ng e s, hig hlig hting the PROCE SS OF ADAPT AT I ON. 15
Dur ing and afte r 2018: some que stions about the te n pr inc iple s
• F a mily F unc tio na l F o rmula tio ns Que stions about (F F F s): wha t de g re e o f pre c isio n the pr inc iple s re q uire d fo r diffe re nt q ue stio ns? ASSE SS T O CONST RUCT • F F F s a nd Ge ne ra l F unc tio na l F UNCT I ONAL F o rmula tio ns (GF F s): ho w do the y F ORMUL AT I ON info rm e a c h o the r? • F F F s: a fa mily-b a se d no so lo g y?
• Ca n spe c ifying a c ritic a l c a use o f Que stions about c ha ng e fa c ilita te studie s o f the pr inc iple s the ra pe utic pro c e ss? CRI T I CAL CAUSE OF CHANGE
• A ne w g o a l fo r Que stions about psyc ho pha rma c o lo g y: no t sta b le the pr inc iple s a ro usa l, b ut e nviro nme nt- SOMAT I C AROUSAL re spo nsive a ro usa l within a wo rka b le ra ng e ?
• Ca n tra uma tre a tme nt b e ne fit Que stions about fro m a diffe re ntia l func tio na l the pr inc iple s fo rmula tio n (inste a d o f the COMPL E T E L E ARNI NG g e ne ric PT SD dia g no sis)? F ROM PAST DANGE R
• Are the re re dunda nt “pa thwa ys” Que stions about thro ug h the princ iple s re la te d to the pr inc iple s spe c ific F F F pa tte rns? WORK SE QUE NT I AL L Y AND RE CURSI VE L Y
• Do the the ra pists c ha ng e Que stions about pro fe ssio na lly a nd pe rso na lly a s a the pr inc iple s re sult o f the ra pe utic pro c e sse s? RE F L E CT ON PROCE SS OF ADAPT AT I ON
May the pr inc iple s be with you
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