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Developmental Trauma

The NeuroAffective Relational Model - Mindful Self-Regulation in Clinical Practice

Whereas much of psychodynamic psychotherapy has been oriented toward focusing on problems, NARM is a model for therapy and growth that emphasizes working with strengths as well as with symptoms. It orients towards resources, both internal and external, in order to support the development of an increased capacity for self-regulation.

At the heart of what may seem like a wide range of physical and emotional symptoms, most psychological and many of physiological problems can be traced to a disturbance in one or more of the five organizing developmental themes related to the survival styles.

Initially, survival styles are adaptive, representing success, not pathology. However, because the brain uses the past to predict the future, these survival patterns remain fixed in our nervous system and create an adaptive but false identity. It is the persistence of survival styles appropriate to the past that distorts present experience and creates symptoms. These survival patterns, having outlived their usefulness, create ongoing disconnection from our authentic self and from others.

In NARM the focus is less on why a person is the way they are and more on how their survival style distorts what they are experiencing in the present moment. Understanding how patterns began can be helpful to the client but is primarily useful to the degree that these patterns have become survival styles that influence present experience.

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