The Therapeutic Relational Stance

Clients are forming a primary relationship with self verses with the therapist.  The therapeutic relationship is a resource for clients as they build Adaptive Internal Relational Networks consisting of relationships between their internal parts. Those parts exist on a continuum from fully separate to overlapping and any combination at different times. Clients do not need to “trust” us in order to do this work. Often it is a relief to them, as they may not have the capacity to do so.

Words such as resistant or non-compliant are not a part of the Adaptive Internal Relational Network conceptualization.  Rather, all of the ways that clients use their internal sense of what is happening are viewed as strengths and resources.  The focus remains on their need to form consistency and/or trust with themselves and their insides, whether they have fully dissociated P/parts or not.  Over time, what client’s come to trust is their experience of themselves in relationship with whoever they are in the room.  The Interactive Adult Awareness/Most Resourced Self, through the integration of orbital-prefrontal top down “thinking” processes and observation of bottom up limbic processes, engages with parts on the inside to calm the limbic and brainstem structures which hold traumatic memory in ways that intrude upon them.

 

In the normal developmental process children are conditioned to understand the intentions of others within the primary attachment relationship.  The mirror neuron system enables people to experience the world through the eyes of another and develop empathy in relationship.  In the context of trauma, children come to expect the world to be a scary, dangerous and or unpredictable place.  Fear and sexual arousal in the context of bonding creates profound conditioning and external control. At times, perpetrators consciously and intentionally use these processes to set up internal systems of self-doubt, second guessing, and shame so that the predator is in control through physiological arousal.   Core Survival Networks are created in this context and then reinforced through programming and conditioning.  One of the reasons why programming is so powerful and difficult to neutralize is because it essentially ‘hijacks’ a person’s core values.  This creates internal traps of conscience where people feel like they are betraying their core sense of themselves in the world when they are trying to act against programming.

 

Clients can often understand this theoretically but do not know how to change it due to the bottom up, automatic nature of traumatic activation.  It is important for both client and therapist to understand that they cannot talk themselves into these needed changes and that no amount of power struggle, internally or externally, will ever accomplish the desired outcome. Many clients who live with complex neuro-dissociative states have protector Parts that are programmed to see change as dangerous.  Thus, any therapeutic change is interpreted as life threatening. This “trauma logic” needs to be skillfully and graciously addressed in the therapeutic context on an ongoing basis for clients to be successful. Internal identification of trauma logic patterns without judgment over time allows clients to build caring, compassionate connections between P/parts within Adaptive Internal Relational Networks.  

 

Within this model, the therapeutic relationship does not act as the regulator of the limbic and brainstem activation.  It is a “natural” thing to want to help clients regulate, and we still will help with this, but traumatic bonding in the therapeutic relationship, which is common with clients who have trauma histories, often impedes their abilities to form Adaptive Internal Relational Networks and create an internal locus of control.  Traditional theories of working with trauma have been based around concepts of parent-infant attachment and creating a therapeutic relationship that mirrors the care, trust and safety that children need to develop healthy relationships.  To this end, therapists have traditionally worked to attune to and help clients regulate in the hopes of helping them to develop this capacity.  Current research indicates that an adult brain has developed beyond the capacity to have needs met completely from the outside.  Creating a container of holding and safety on the outside helps to balance primitive brainstem structures to a certain extent, but also can recreate the conditions of programming and reinforce trauma neurology.  Thus, clients continue to rely on external structures and systems to help regulate and keep them safe. The Adaptive Internal Relational (AIR) Network model works with the real needs for attachment, attunement, help and trust from the framework of the Interactive Adult Awareness/Most Resourced Self . Once a child or adolescent is in a safe external environment, their Most Resourced Self can connect to adult supports in an age appropriate manner.


The extensive amount of time it can take to make needed changes can feel overwhelming and discouraging for both clients and therapists. We relentlessly focus on building and resourcing Adaptive Internal Relational Networks, creating new possibilities of internal relationship. Through the internal process of building neurological bridges, parts learn to connect and help each other and decisions are made through the Interactive Adult Awareness/Most Resourced Self , functionally located in the orbital prefrontal cortex.  These connection and decision processes, built through AIR Networking Resourcing Strategies, develop stronger abilities to regulate emotional, sensory and somatic arousal in the subcortical, brainstem and limbic structures, and somatosensory areas of the brain.  Coming back to this focus over and over again within a gracious and competency-based stance allows clients the freedom to build the internal structures that will serve them in their lives and relationships beyond the therapeutic context.