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How counselling and psychotherapy change behaviour
According
to the neuropsychotherapy (Laaksonen & Ranta, 2013, pp1-2),
our brain is a network of processes between neurons and synapses
(Grawe, 2007, p. 31,40). As the person seeks to satisfy their
basic needs, every sensory experience has a meaning and will be
stored in the memory system, creating a pattern of behaviour in
the brain (Grawe, 2007, p. 5). According to Grawe, the four basic
human needs are orientation and control, attachment, pleasure
maximisation and distress avoidance, self-esteem enhancement and
self-esteem protection (Grawe, 2007, p. 171). These needs can only
be satisfied through a mental process called consistency
regulation, by developing, from childhood, motivational schemes
and goals of approach or avoidance (Grawe, 2007, p. 168).
A
baby who has their needs satisfied by their mother, experiences
positive emotions, which are stored in the baby's memory system,
activating patterns of approach schemes and goals, secure control
expectancy, as well as develop a secure attachment relationship
(Grawe, 2007, p. 175). If the baby does not have their needs
satisfied, but instead, is constantly rejected or neglected, fear
response (or stress response) is activated in the brain (Grawe,
2007, p. 175). Approach schemes and goals are inhibited and they
will develop an insecure avoidance attachment (Grawe, 2007, p.
175). They will avoid intimacy, with no signs of distress (Grawe,
2007, p. 175). When the mother attends the child's needs
erratically, they will develop an insecure ambivalent attachment
(Grawe, 2007, pp. 175-176). The approach and avoidance schemas and
goals are concurrently activated (Grawe, 2007, pp. 175-176). The
child will seek closeness, but have no secure control expectancy,
resulting in them being stressed by constantly being concerned
about losing intimacy with the loved object (Grawe, 2007, pp.
175-176). When the baby is rejected and abused, the attachment
will be insecure and disorganised, causing bizarre behaviour
(Grawe, 2007, p. 176).
Throughout
life, every person experiences stressful moments (Grawe, 2007, pp.
218). When a threatening situation arises, a signal is sent to the
limbic system via sensory experiences (Grawe, 2007, pp. 220). This
increases the production of stress hormones such as cortisol and
adrenaline, initiating the fight-or-flight response to threat and
regulating the body's response to stress and danger (Grawe, 2007,
pp. 220). However, long term stress exposure increases the
production of stress hormones, damaging several neural areas,
producing symptoms of anxiety or panic, as well as increasing the
risk of physical and psychological disorders (Grawe, 2007, pp.
220-224). Due to the plasticity of the brain, where synapse
connections are modified by experience, the network of neurons is
continually changing (Grawe, 2007, p.8). One of Grawe's most
important findings is that psychotherapy (or talking therapy) can
change this neural brain activity, thus changing behaviour
(Draguns, 2007).
PACFA Reg. Provisional 25212 MCouns, MQCA(Clinical)
References
Draguns, J. G., (2007). Review of
Neuropsychotherapy: How the Neurosciences Inform Effective
Psychotherapy and neuropsychotherapy. Psychotherapy:
Theory, Research, Practice, Training,
Vol 44(1), 118-120. doi: 10.1037/0033-3204.44.1.118.
Grawe, K. (2007). Neuropsychotherapy. How The Neuroscience Inform
Effective Psychotherapy. New York-USA: Taylor and Francis Group.
Laaksonen, R., & Ranta, M. (2013). Introduction to
Neuropsychotherapy: Guidelines for Rehabilitation of Neurological
and Neuropsychiatric Patients Through the Lifespan. New
York-USA: Psychology Press.
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