The COMPREHENSIVE RESOURCE MODEL
The Comprehensive Resource Model is a psychotherapeutic approach originally developed for the treatment of attachment disorders, Complex PTSD, and severe dissociative disorders, and which has been found to be effective with all psychiatric diagnoses. CRM is a streamlined model that promotes a natural healing through the body utilizing aspects found in a variety of psychotherapies.
Created and developed over the last nine years by licensed (PA) Clinical Psychologist, Lisa Schwarz, M.Ed., she has been the senior trainer for Brainspotting™ in the U.S. Originally called Resource and Attachment Brainspotting, CRM’s influences and antecedents include Brainspotting™, EMDR, and ego state therapy, and encompass similar elements as those found in hypnosis, somatic experiencing and mindfulness.
One of the most powerful techniques available to help change and resolve deep issues, CRM combines traditional approaches, cutting edge technologies and energetic/spiritual work. It utilizes relational and neurobiological attunement. Based on the neurobiology of fight-flight-freeze and the mechanisms of memory, it utilizes the power of the therapeutic attunement. The therapist’s awareness of somatic cues and intuitive tracking of the client’s moment-to-moment experience lays the groundwork for deeper processing. Focusing on the use of internal resources and anchoring them into the neurophysiology through the use of eye positions allows for the creation of a relative sense of safety and for fear responses to be extinguished while being fully present in the moment. Resourcing activates the dormant neurobiology of the resources themselves.
Attachment disruption and trauma occurring at any age, including as early as in-utero, infancy or toddlerhood, can expose an individual to survival terror. When this happens, the nervous system responds with the instinctual survival mechanism of Fight-Flight-Freeze. The sympathetic nervous system comes online and shuts down parts of the memory consolidation system, specifically the hippocampus, as a result of a flooding of the stress hormones, adrenaline and cortisol. With the hippocampus shut down, memories are not able to become explicit or fully conscious and they are precluded from integration into the autobiographical story. Instead, they are submerged and stored in the subconscious, as well as in the somatic systems. This leads to the perpetuation of dysfunctional cycles of behaviors, emotional dysregulation, addictions, disease processes and diagnoses such as PTSD, Complex PTSD, and Dissociation.
Chronic, long-standing stress creates system overwhelm, increases stress hormones and, in this state of emotional dysregulation, causes the Central Nervous System to become stuck on “high” – activation – or “low” – dissociation.
True healing therapy can only occur when the system is not in survival terror. Therefore, high levels of resourcing are necessary to process the grief, rage, terror and shame, which are too frightening to face. People spend their entire lives trying to avoid actually feeling – whether in or outside therapy.
Four primary beliefs (conscious or unconscious) associated with survival terror:
The events that led to these beliefs are the source of this wounded-ness that drives profound terror, grief, rage, shame, confusion, guilt, paradox, and the Locus of Control Shift (“It’s my fault”). These “Little t truths” of one’s life underlie the survival terrors and are the object of processing:
Without adequate resourcing, processing can force the nervous system into the Fight-Flight-Freeze response, possibly re-traumatizing through exposure to the traumatic material. Activating the innate, organic healing energy within the body while in a state of internal and external attunement allows for the processing and integration of traumatic memories, the release of pain and the emergence of a fresh perspective so that new truths are realized.
There are seven layers of resources that can be used sequentially, consecutively or concurrently; these include, from outermost layer inward:
Sound/tones, movement, imagery, ego state work, sacred geometry, and ancestral resources are woven into the layers throughout the work, depending upon what the client needs in any given moment.
Implicit memories are able to become explicit as the amygdala “goes to sleep” and the Fight-Flight-Freeze mechanism is de-activated as a sense of safety allows the parasympathetic system to come online. This allows for the client to orient toward and step fully into the painful material. When this is done fully in the present moment, the stories of one’s life become available and accessible for resolution, and can then be clarified and integrated into the autobiographical story, allowing for emotional regulation and homeostasis.
Then the “Big T truths” – the Core Self - is Re-membered as obstacles are cleared:
Working with traumatized clients can activate a therapist’s own unresolved traumatic material. Attachment disruptions and survival terrors that may be stored in our own neurophysiology become part of our story - and reactions as a therapist. Here is the truth - we cannot take a client somewhere that we haven’t gone ourselves. Fear of our own deep work precludes doing this work with others.
When the therapist becomes hyper-vigilant due to their own unhealed trauma vortex, they are picking up cues from the client’s trauma vortex and their survival terror. Once triggered, the therapist is in fight-flight-freeze and cannot attune to either self or client. The client experiences the attunement/attachment disruption as a replay of their childhood rejection. This leaves the client vulnerable and exposed to re-traumatization.
Therapy becomes stuck in intellectualizations and an unwillingness to “go deep.” The therapist’s creativity and intuition shuts down as the right brain/sub-cortex goes offline and the left brain/neocortical functioning takes over. Out of attunement, the therapist’s performance anxiety rises (survival terror is activated) and the focus shifts to the outcome of the session and is no longer on the client’s healing. The work has then become fear-based and ego-driven and does not “stick.” This costs the client far more time and money than necessary, and possibly most costly, the loss of hope. The Comprehensive Resource Model provides the opportunity to re-member one’s true self; the meaning of the truth of one’s life; and the ability to embody love and joy. Reconnecting to our internal resources allows for a healing alchemy: manifestation of our spiritual purpose through action while living in a human, physical body. Consciously or unconsciously, this is what we are looking for, what we all desire. CRM Power Point Presentation.pptx
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When the Therapist Gets Triggered….. The COMPREHENSIVE RESOURCE MODEL with Avis Cole Attaway, LMFT CRM – the Comprehensive Resource Model – is a trauma therapy for the treatment of Complex PTSD and severe dissociative disorders. Working with this population of clients can activate a therapist’s own unresolved traumatic material. Attachment disruptions and survival terrors stored in the neurophysiology become part of our “story” - and reactions - as a therapist. One of the most powerful techniques available to help change and resolve deep issues, CRM combines traditional approaches with cutting edge technologies and energetic/spiritual work. Focusing on the use of internal resources and anchoring them into the neurophysiology through the use of eye positions allows for fear responses to be extinguished while being fully present in the moment. Activating the innate, organic healing energy within the body while in a state of attunement allows for the processing and integrating of traumatic memories, the release of pain and the emergence of a fresh perspective so that new truths can emerge. Created and developed by Lisa Schwarz, M.Ed., its influences and antecedents include Brainspotting, EMDR, ego state therapy, hypnosis, somatic experiencing and mindfulness. CRM is a novel approach that combines the elements of many psychotherapies to promote a natural healing through the body. Objectives of the seminar: Participants will be able to identify:
| When the Therapist Gets Triggered…The Comprehensive Resources Model Summary by Mercedes Hinestroza and Garry Raley
Our August IE-CAMFT meeting program by Avis Cole Attaway, LMFT, presented strategies which ensure clients receive therapy free from the hindrances of limited therapeutic alliances. More than just counter-transference as taught in our graduate programs, the Comprehensive Resources Model (CRM) provides a structure to recognize and mitigate the multiple factors (neurophysiological, cognitive, and emotional) that elicit reactivity by therapists. Ms. Attaway is a trainer and advanced professional in CRM. After coaching attendees through “Earth and Heart” breathing, Ms. Attaway explained the principles expressed in the CRM Mission Statement “Preparing People to Re-Member who they REALLY are.” The CRM model was developed by Lisa Schwarz, M.Ed., out of Brainspotting as conceived by David Grand, PhD. Ms. Schwarz was working primarily with Dissociative Disorder as part of complex PTSD and found good outcomes when she combined attachment/attunement with eye positions that anchor processes in neurophysical strengths. When dealing with processes prone to promote the Fight/Flight/Freeze response, a combination of talk therapy and neurophysiological interventions were found to provide best outcomes. Therapists who have not developed their own “resourcing” will find themselves unable to be with their client without intellectualizing, seeking control, or pushing to solve and seek answers. To help identify interactions of concern, the following list was provided: YOU MAY BE TRIGGERED AND DISSOCIATING IF YOU NOTICE: - Breath rate increase, holding breath, sighing - Heart rate increase - Perspiration (hands, feet, armpit, forehead, back, buttocks) - Muscle contraction (hands, feet, shoulders, buttocks, stomach) - Flushing - Somatic pain, even in isolated areas - Sleepiness - Irritation, Frustration - Out of the body sensation - Dislike of client - Intellectualizing, staying in content, talking too much - Moving away from target issues rather than into them - Feeling lost, of having no idea what to do - Wondering, “What the heck just happened?” - Noting other bodily/physiological changes A new “magical question” by Avis: Ask your body, not your brain, “What do you need now”? CONSEQUENCES OF BEING A DISSOCIATED THERAPIST:
- Therapist hyper-vigilance due to her own unhealed vortex picking up cues from the client - Therapist cannot attune to self or client - Client feels attachment disruption and rejection - Therapist is unable to hold tension of opposites or sit with paradox, leading to intellectualization - Therapist cannot stay grounded - Therapist reactivity causes client to shut down because s/he does not feel safe - Therapist stays in head, talks too much - Creativity, intuition are stifled - Right hemisphere shuts down and prevents therapist from feeling touched, empathic - Therapist doubts the process which is often projected onto the client as “not a good client” or “resisting treatment” - Therapist is trying to undo client’s trauma, which interferes with intuitive process - Client ends up in therapy longer. Healing does not “stick”
Source: CRM Presentation Slides and Manual
To learn more or to be a CRM certified therapist, go to: www.comprehensiveresourcemodel.com
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