Foundations of the Positive Affect Tolerance Protocol: The Central Role of Interpersonal Positive Affect in Attachment and Self-Regulation (Journal of EMDR Practice and Research)

Foundations of the Positive Affect Tolerance Protocol: The Central Role of Interpersonal Positive Affect in Attachment and Self-Regulation

This article by Andrew Leeds, Ph.D. shows how research has highlighted the negative effects of early neglect and abuse on the development of emotional self-regulation and attachment.

Article Abstract

“Research has highlighted the negative effects of early neglect and abuse on the development of emotional self-regulation and attachment. Attention has focused more on negative affect states related to past adverse and traumatic experiences than on the deactivating effects of the absence of early shared positive affect states from parent-infant play, warmth, and affection. Treatment strategies for survivors of early neglect and abuse have focused on methods to metabolize memories of traumatic events. Skills development models have emphasized the benefits of distress tolerance, acceptance, and mindfulness training for patients with persistent negative affect states. Research on the benefits of therapeutic interventions intended to increase positive affect indicates they promote prosocial behaviors and creativity, broaden the scope of attention, reduce emotional symptoms and behavioral problems, and improve physical health. Within the field of eye movement desensitization and reprocessing (EMDR) therapy, procedures to increase positive affect have generally focused on resource development and installation procedures intended to increase access to positive affect-related memories and images. A neglected clinical issue is the inability of survivors of early neglect to tolerate and integrate actual positive interpersonal experience into positive emotional states, interpersonal scripts, or self-concepts. These deficiencies, characteristic of those with dismissing insecure attachment, help produce and maintain profound psychological, medical, and social problems that limit the ability of patients with these histories from progressing in psychotherapy. This article explores research supporting the potential benefits of an EMDR-related procedure, the positive affect tolerance (PAT) and integration protocol, along with possible mechanisms by which the PAT protocol in general, and its bilateral stimulation procedures, might produce clinical benefits for survivors of early neglect. Case vignettes illustrate the potential challenges of implementing and the potential impact of the PAT protocol. Research designs and assessment tools are described that could clarify the potential benefits of the PAT protocol compared to other treatments designed to increase positive affect.”

—Description from publisher

Article Access

Free Access for EMDRIA Members or Purchase/Subscription Required

Leeds, A. M. (2023). Foundations of the Positive Affect Tolerance Protocol: The Central Role of Interpersonal Positive Affect in Attachment and Self-Regulation. Journal of EMDR Practice and Research, 17(3), 139–158. https://doi.org/10.1891/EMDR-2023-0006

 


This content is restricted for members only. Please or Join EMDRIA.

 

 

Read More

Interview with Anabel Gonzalez: Emotion Regulation and Processing in EMDR

Interview with Anabel Gonzalez: Emotion Regulation and Processing in EMDR

This interview with Dr. Anabel Gonzalez explores emotions’ role in Eye Movement Desensitization and Reprocessing (EMDR) treatment. We discuss how a client’s ability to regulate emotions has a major impact on the course of treatment. Using clinical examples, we show that emotion regulation is much more complex than a simple dichotomy (“too much” / “too little” emotions). The clients who present the greatest challenges to us are those who do not connect with their feelings or have difficulty letting them “flow.”

Learn more in this article from the Summer 2023 issue Group Therapy of Go With That Magazine™️ by Michel Lahaye Artesis.

 


This content is restricted for members only. Please or Join EMDRIA.

 

 

Read More

EMDR y Procesamiento Emocional: Trabajando en Pacientes con Desregulación

La regulación emocional es un elemento transdiagnóstico presente en muchos trastornos derivados del trauma. En este taller se hará un análisis momento a momento y se discustirá técnicas de intervención.

Read More

Ego-State Therapy Interventions to Prepare Dissociative Clients for EMDR

The workshop will introduce a collection of ego state therapy interventions from the Developmental Needs Meeting Strategy (DNMS) for stabilizing dysregulated, dissociative, and attachment-wounded clients.

Read More

Intervening in the Intergenerational Transmission of Trauma by Targeting Maternal Emotional Dysregulation With EMDR Therapy (Journal of EMDR Practice and Research)

Studies show the relationship of child & caregivers is critical for a child’s brain function and intergenerational transmission of attachment.

Read More

Compassion-Focused EMDR (Journal of EMDR Practice and Research)

Compassion-focused therapy was developed to help people where shame and self-criticism inhibited progress in therapy.

Read More