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When a person has been resistant to every form of depression treatment, is it possible that their illness stems from a different place? In a recent New York Times article Hillary Jacobs Hendel, a psychotherapist, writes about a patient who experienced what she calls “chronic shame.”
Hendel’s patient, Brian, had tried every type of treatment but electroconvulsive therapy, which he didn’t want to do. After meeting with him, she learned that he was neglected as a child.
During our initial sessions I developed a sense of what it was like to grow up in Brian’s home. Based on what he told me, I decided to treat him as a survivor of childhood neglect — a form of trauma. Even when two parents live under the same roof and provide the basics of care like food, shelter and physical safety, as Brian’s parents had, the child can be neglected if the parents do not bond emotionally with him … Brian had few memories of being held, comforted, played with or asked how he was doing.
Hendel says the “innate” response to this kind of environment is distress. Brian blamed himself for that distress, believing he was the reason why he felt so alone. He felt shame for being abnormal or wrong. “For the child, shaming himself is less terrifying than accepting that his caregivers can’t be counted on for comfort or connection.” This is called attachment trauma. It results from a child seeking safety and closeness from their parent — yet the parent is not close or safe.
Hendel also is a clinical supervisor with the AEDP Institute. She specializes in a treatment called accelerated experiential dynamic psychotherapy. Because Brian didn’t trust his own emotions, he was unable to use them as a compass for living, she explains. She aimed to use AEDP to bring this emotional life into awareness and allow Brian to experience his thoughts and emotions in an actively supportive environment.
http://psychcentral.com/blog/archives/2015/03/23/depression-or-chronic-shame/
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