Essay On Dysregulation

Dysregulation.

The developing infant is most vulnerable to negative environmental conditions, during periods of rapid brain growth. During these periods of genetically overdriven synaptogenesis and subsequent environmental pruning, the infant is exquisitely sensitive to frequent limbic, cortical, and subcortical dysregulation of its homeostatic, self-regulatory, and attachment systems (A. N. Schore, 2002). Constant exposure to an excessively misattuned primary caregiver, who triggers but does not repair long lasting intensely dysregulated states, leads to regulatory failure. The resultant impairment of autonomic homeostasis, limbic dysregulation, and disturbances in hypothalamic and reticular formation function (A. N. Schore, 2002, p.18),

N. Schore, 2014). Attachment theory, when viewed through the lens of affect, and affect-regulation, becomes a pragmatic framework for models of both psychopathogenesis, and the mechanism of change in psychotherapy (Schore 2001, 2002). The clinical implications of contemporary attachment theory have been widely articulated, relating early attachment to the neurobiology of both optimal and pathological emotional development, and to the psychopathogenesis of personality disorders (Schore 2001, 2002). Scientific consensus now exists, that “deficits in right brain relational processes” and subsequent affect dysregulation “underlie all psychological and psychiatric disorders”. (A. N. Schore, 2014, p.

The reciprocal activation of right brain processes on both sides of the therapeutic alliance are the essential mechanism of change. This mechanism may be described as an unspoken right-brain to right-brain implicit dialogue that takes place between patient and therapist. Beneath the words, a nonconscious nonverbal communication of affective driven, bodily-based relational information conveys the inner world of the patient (and therapist). Using the term “intersubjectivity” Schore (2014, p. 390) describes this relational phenomenon of the therapeutic alliance as rapid communications between the right lateralized emotional brains of both therapeutic alliance members, allowing moment to moment state-sharing at a nonconscious, affective level. Schore (2014), concluding intersubjectivity is best described as a co-created, organized, dynamically changing dialogue of mutual influence, paints the following clinical