Psychotherapy and Counselling for Depression (Counselling in by Prof Paul Raymond Gilbert

By Prof Paul Raymond Gilbert

The Third variation of Counselling and Psychotherapy for melancholy is a well-liked and functional consultant to operating with humans being affected by melancholy. in addition to describing the abilities and strategies utilized by practitioners, the publication explores the positive factors and complexities of depressed states together with common negativity; experience of failure and abandonment; and emotions of powerlessness, anger, disgrace, and guilt. The Third Edition has been revised and up to date and contours a brand new bankruptcy targeting the position of the healing courting.

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Additional info for Psychotherapy and Counselling for Depression (Counselling in Practice series)

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Fredrickson (1998) and Gilbert (1989) suggest that positive emotions build and consolidate relationships and increase approach behaviour via signalling interpersonal safeness. When we feel safe our brains are organised in different ways with different attention-focusing strategies, and more integrative ways of processing information (Gilbert, 1993). If depression is related to a problem in positive affect, then we need to try to see how positive affect works and its links to feelings of safeness and contentment (Gilbert, 1989).

As we saw in the last chapter, this type of approach underpins the biopsychosocial approach to depression. As counsellors and psychotherapists, however, it is the way we understand the ‘inner experience’ of depression (as more than just focused on ‘symptoms’) which enables us to develop our working alliance, build formulations and agreed interventions with depressed people. Many people who have studied depression suggest that what sits at the heart of the experience of depression is a sense of threat and loss, and that depression can be seen as a form of self-protection to threat and loss.

However, while these are helpful, some clients also need help to develop another type of positive affect which is not about activating but about soothing. Soothing systems Neuroscience has revealed that we have a very different type of positive affect system that runs with the activating system and partly regulates it. This affect system is particularly linked to the enjoyment, appreciation and pleasure of consuming things and may underpin feelings of satisfaction and contentment. These feelings are linked to neurohormones such as oxytocin and opiates (Depue and Morrone-Strupinsky, 2005).

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