Mag. Barbara Jakel

PPP – Pre- and Perinatal Oriented Psychotherapy *

PPP curriculum – continuing education and training

PPP curriculum – continuing education and training

GOALS (FUNDAMENTALS)

  • Anchoring the results of prenatal psychology and psychotherapy in the PPP method
  • Examination of the scientific principles of brain research and neurobiology, as well as psychotraumatology, in order to gain a deeper understanding of the subject and the method.

Participants have basic knowledge of the subject matter and central terms and concepts of PPP, are familiar with scientific approaches to prenatal psychology and are aware of the relevance of prenatal and birth conflicts for the psychotherapeutic process. They are generally familiar with the introspective methods that enable access to early experiences within the framework of PPP. The methodological in-depth study takes place in the second part of the training. Individual psychotherapeutic self-experience is recommended.

PARTICIPATION REQUIREMENTS

The PPP curriculum is aimed at trained psychotherapists.

SCOPE/STRUCTURE

The curriculum includes 6 modules:

Module 1: Introduction
Module 2: Attachment theory and psychoanalytic aspects
Module 3: Body therapeutic aspects
Module 4: Visualization and art therapeutic processing
Module 5: Process-oriented trauma work
Module 6: Practice: Individual and group work

Module 1: Introduction[+]

Pre- and perinatal oriented psychotherapy – an integrative, attachment theory-based method

Goals:
Introduce conceptual foundations and focal points of the curriculum, aspects of use for your own method

Contents:

  • Central Terms and Concepts of Prenatal Psychology and Psychotherapy
  • Literature contributions, scientific basis (brain research, neurobiology)
  • Special feature of the methodological approach: initial consultation and indication
  • Theoretical contributions: What is PPP? Working model of PPP

Participants are familiar with selected key terms and core concepts (e.g. prenatal unconscious, primary defense, primal resistance) and, in connection with this, have an in-depth understanding of the subject of prenatal psychological theory and its relevance for the psychotherapeutic process.

Module 2: Attachment theory and psychoanalytic aspects[+]

Contents:

  • Attachment theory, theoretical models of PPP
  • Disorders, diagnostic aspects, classification
  • Interview on pre- and perinatal history
  • Specificity of transference and countertransference (primary attachment processes)
  • specificity of the therapeutic attitude
  • Technique: Language and word associations
  • Forms of primary defense: primal resistance (Rank, Graber)
  • Re-enactment in the therapeutic relationship
  • Psychodynamics of Individual Setting and Group

Module 3: Body therapeutic aspects[+]

Contents:

  • Body therapeutic regression and relaxation techniques, body language and body sensations
  • Energetic bonding, somatic transference and countertransference
  • Body-related interventions (pair and group work)

 Module 4: Visualization and art therapeutic processing[+]

Contents:

  • Pre- and perinatal symbolism, inner and outer images: imaginations and image associations
  • expressive painting and intuitive writing
  • art therapeutic analysis
  • case studies with pictures

Module 5: Introspective approaches – process-oriented dream work[+]

Contents:

  • Early structural pathology
  • Trauma-specific regression states and resistances
  • Process-oriented trauma reconstruction – prenatal and birth trauma

Module 6: Practice: Individual and group work[+]

Contents:

  • Working model, integration of techniques, steps in the process, interpretation of associated and documented data, demonstration of individual and group work

 

Description of the method: integrative-analytical, attachment theory

THEORY

Working model: the bipolar self (Jakel 2000)

It shows the prenatal bond in its nature and effect on specific forms of relatedness in the progressive and defensive aspects (essential and interpersonal bonding). It presents the early attachment trauma as a break in continuity, which leads to splits. These are processed in the PPP method through symbolization processes on various levels of expression.

assumption

The clients are already in a regressed state, so the focus is not on regression, but on bonding work. The closed, primary narcissistic state serves as a defense against traumatic bonding experiences. It is about coping with the trauma of the change of existence, which prevents self-embodiment processes. The analytical setting seems to be best suited for this.

These

It is not the regressive-cathartic experience that heals, but the symbolization processes of the earliest attachment traumas that take place in the transference and countertransference space. Activation of the pre- and perinatal experience through re-enactment in the therapeutic relationship.

PRACTICE

Introspective approaches

analytical (setting, interpretation), body therapy (body as the seat of feelings and place of language), art therapy (expressive painting, intuitive writing), cathectic imagery (visualization)

Individual therapy: analytical/attachment theory oriented with an integrative approach

Access to early experience: modified long-term analytical therapy (analytic setting 2-4/week lying down or sitting) with a focus on working on/with primal resistance. The therapy is considered a symbolic womb regression (Rank, Graber). The setting ensures the continuity of the bond, the therapeutic space functions as preparation for separation (psychic birth). The significance of the work on building the bond. The introspective access is formed by free language and image associations and body sensations.

group work: (group therapy, seminars)
Introspective approaches: integrative approach

  • access to the unconscious: Concentration techniques – guided, theme-centered meditation
  • self-perception: Body sensations and inner images (visualization)
  • Expression: Painting and/or intuitive writing
  • analysis of what was experienced and expressed (body language, thought and word associations)
  • Synthesis (interpretation) in the context of the pre- and/or perinatal life history; Comparison between documented and associatively emerged data
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