H1 Gehechtheid - hechting
H2 Basale interventies en intake
H3 Diagnostische besluitvorming
H4 Focusing
H5 Existentiële therapie
H6 Werken in de ruimte
H7 Lichaamsgerichte aanpak
Uitgebreide samenvatting van de theorie, de lessen, de slides en de eigen notities.
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Les 1 – Gehechtheid ................................................................................................................ 7
Leerdoelstellingen ................................................................................................................ 7
Gehechtheid en neurobiologie ............................................................................................. 7
Nieuwe inzichten en wetenschappelijk onderzoek ........................................................... 7
Emoties en gevoelens ...................................................................................................... 8
Autonoom zenuwstelsel .................................................................................................... 9
Zenuwbanen, neurotransmitters en hormoonregulatoren .............................................. 11
Psychische gezondheid .................................................................................................. 13
Veilige gehechtheid ........................................................................................................ 15
Stressregulatie is cruciaal ............................................................................................... 16
Psychotherapie en neurobiologie ................................................................................... 17
Gehechtheid en therapie .................................................................................................... 18
Wat het kind leert door gehechtheid ............................................................................... 18
Gedragssysteem............................................................................................................. 18
Emotioneel dyadisch systeem ........................................................................................ 19
Ontwikkeling van een gehechtheidssysteem .................................................................. 19
Gehechtheidstheorie....................................................................................................... 20
Hechtingsstoornissen ..................................................................................................... 24
Hechtingsproblemen ....................................................................................................... 25
Gehechtheid en diagnose ............................................................................................... 26
Gehechtheid en therapie: behandellijnen ....................................................................... 31
Gehechtheid en therapie: begeleidingslijnen .................................................................. 33
Gehechtheid en therapie: behandelperiodes .................................................................. 35
Gehechtheid en therapie: Aangepast hechtingsprotocol voor psychotherapie en
hypnotherapie ................................................................................................................. 38
Gehechtheid en therapie: hechtingsstijl van de cliënt .................................................... 39
Les 2 – Basale interventies en intake .................................................................................... 41
Leerdoelstellingen .............................................................................................................. 41
De 5 aspecten van therapeutisch contact ...................................................................... 41
Link met humanistische psychologie .............................................................................. 44
Oefenmoment ................................................................................................................. 45
Basale interventievormen ................................................................................................... 46
Grondvoorwaarden voor contact .................................................................................... 46
Contact- en relatiebevorderende interventievormen ...................................................... 46
Exploratiebevorderende interventievormen .................................................................... 47
Evy Soenen 2021-2022 2
, Ontregelende of uitdagende interventievormen ............................................................. 47
Taakgerichte en coachende interventievormen .............................................................. 48
Intake.................................................................................................................................. 49
1. Eerste gesprek is verkennend................................................................................ 49
2. Eerste gesprek heeft een dubbele functie.............................................................. 50
3. Een genogram opmaken ........................................................................................ 55
Na de intake ....................................................................................................................... 56
In kaart brengen van de voorlopige probleemsamenhang (VPS) ................................... 56
Opmaken van een behandelplan .................................................................................... 58
Start van de therapeutische werkrelatie ......................................................................... 58
Concrete behandelmethoden voor eerste gesprekken ................................................... 59
Les 3 – Diagnostische besluitvorming ................................................................................... 61
Leerdoelstellingen .............................................................................................................. 61
Kernbegrippen .................................................................................................................... 61
Diagnostiek ..................................................................................................................... 61
Indicatiestelling ............................................................................................................... 61
1. Van hulpvraag tot cyclus ............................................................................................ 62
Niveaus van explicitering (Sachse)................................................................................. 62
Prototypische hulpvragen – vraagstellingstypen – onderzoekstypen ............................. 62
Diagnostisch scenario: 0-1-2-3 ....................................................................................... 63
2. De diagnostische cyclus............................................................................................. 63
3. Kenmerken en (sub)stappen ...................................................................................... 64
3.1 Aanmelding Anm ...................................................................................................... 64
3.2 Klachtenanalyse (KA) ............................................................................................... 65
3.3 Probleemanalyse (PA) .............................................................................................. 67
3.4 Diagnosestelling (DS) ............................................................................................... 70
3.5 Indicatiestelling (IS) .................................................................................................. 71
3.6 Advies (Adv) ............................................................................................................. 72
Verslaggeving..................................................................................................................... 72
Overzicht fasen ...................................................................................................................... 73
Les 4 – Focusing.................................................................................................................... 75
Leerdoelstellingen .............................................................................................................. 75
De factor ‘blootstelling’ in therapie experiëntieel bekeken ................................................. 75
De experiëntiële benadering ........................................................................................... 75
Blootstelling experiëntieel bekeken ................................................................................ 76
Blootstelling in therapie experiëntieel bekeken .............................................................. 76
Het focussingproces ........................................................................................................... 78
3 Evy Soenen 2021-2022
, Het vinden van de juiste afstand..................................................................................... 78
De volledige lichamelijk gevoelde betekenis .................................................................. 83
Ontvangen van de beleving ............................................................................................ 85
Afronding van de therapiesessie ........................................................................................ 88
Praktische oefeningen ........................................................................................................ 89
Appendix 1: Oefening om cliënt dichter te brengen ........................................................ 89
Appendix 2: Oefening als de cliënt te dichtbij zit – ruimte maken .................................. 90
Appendix 3: Een goede/veilige plek vinden en installeren - hulpbron ............................ 91
Appendix 4: Ruimte maken - een volledig lichamelijk gevoelde betekenis - verschuiving
........................................................................................................................................ 92
Appendix 5: Float-back techniek - Connecting the present to the past - Affectbrug ....... 94
Appendix 6: Interferende karakters................................................................................. 95
Appendix 7: Lichamelijke hulpbron installeren ............................................................... 96
Appendix 8: Lichamelijke hulpbron – felt sense ............................................................. 97
Appendix 9: Veilige ruimte installeren – felt sense ......................................................... 98
Les 5 – Existentiële therapie .................................................................................................. 99
Leerdoelstellingen .............................................................................................................. 99
Inleiding .............................................................................................................................. 99
Existentiële psychotherapie.............................................................................................. 100
Existentialisme als filosofische stroming....................................................................... 100
Existentialisme binnen het psychologisch paradigma .................................................. 101
Uitgangspunten volgens Yalom........................................................................................ 105
Doodsangst................................................................................................................... 106
Vrijheid .......................................................................................................................... 107
Eenzaamheid ................................................................................................................ 108
De zin van het bestaan ................................................................................................. 110
Dimensies......................................................................................................................... 111
Les 6 – Werken in de ruimte ................................................................................................ 112
Leerdoelstellingen ............................................................................................................ 112
Inleiding ............................................................................................................................ 112
De proactieve cirkel .......................................................................................................... 112
Belang van een gezonde therapeutische relatie .............................................................. 113
De autostrade – in en uit verbinding ................................................................................ 114
Therapeutisch werken met ruimte .................................................................................... 114
Les 7 – Lichaamsgerichte aanpak ....................................................................................... 116
Leerdoelstellingen ............................................................................................................ 116
Inleiding ............................................................................................................................ 116
Psycho-educatie: de drie breinen ................................................................................. 118
Evy Soenen 2021-2022 4
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