This is the ppt presentation that I presented in Los Angeles at the Evolution of Addiction Treatment conference in Dec. 2011. If you missed the presentation, these slides will introduce you to the elements of the framework that leads to healing, rather than simply recovery. I am also available for workshops or presentations on this topic. Contact me at sjoyng@gmail.com. Enjoy!

1. A
Transpersonal
Treatment
Framework
for
Understanding
Codependence
The
Evolution
Sharon
Joy
Ng,
Ph.D.
Of
Addiction
Treatment
Conference
Professor
of
psychology
Dec.
9,
2011

2. Treatment
Framework
Theoretical
Multifaceted
Considerations
Approach
Foundation
for
understanding
the
nature
of
codependence
Educational
Inclusive
Approach
Model
Empowerment
Reframe
the
Model
Consciousness
Construct
Evolution

3. Inclusive
model
• Integrative,
holistic,
emphasizes
healing
“Personal”
refers
to
that
which
is
“individual”
Soul
and
spirit
are
considered
in
Focuses
on
this
approach
consciousness
• Unity
or
Cosmic
evolution
Consciousness
“Trans”
refers
to
“beyond”

4. Transpersonal
Treatment
Framework

5. Relationship
of
the
personal
to
the
transpersonal?
Blends
Western
&
Relationship
of
Self
to
Eastern
Approaches
Spirit?
• Path
of
awakening
• Nature
of
This
Relationship?
Concern
w/
No
Boundary
Transcendent
Aspects
Consciousness
of
Individuality

6. • Perinatal
Matrices (Grof)
Addresses
• Biographical
the
levels
of
Realm
influence
• Archetypal
Realm (Jung,
upon
the
Krippner)
psyche
• New Biology
(Lipton)
• Mindsight
(Siegel)
• Energy Medicine
(Feinstein)
• Spectrum of
Consciousness

7. 1.
Discover
the
thesis
5.
Weave
the
renewed
2.
Uncover
the
mythology
Personal antithesis
into
daily
life
Mythology
in Need of
Revision
(Feinstein
&
Krippner’s
Model)
4.
Refine
3.
the
new
Synthesize
mythology
the
two
myths

8. Awaken
Consciousness
Uncover,
Discover
and
History
and
Family
Heal
Codependence
Influences
Discourse
Codependence
Profile
Societal
Factors
Presence
F
Centered
Cultural
Factors
Therapy Patriarchy
and
Power
Spectrum
of
Gender
Consciousness
Considerations
Symptoms,
Not
Empowerment
Identity

9. “Co”
or
Historical
partner
of
a
Self
help
emergence
in
substance
industry
therapeutic
abuser
popularized
settings
• Identified
the
concept
1970s
“patient”

10. Focus

substance
abuser
Self
– (dependent
on
a
Relationship
identified
substance)

to
Addiction
patients
the
partner
“co-dependent”

12. Difficulty
Shame/Low
Identifying/
Expressing
Perfectionism
Self
Esteem
Feelings
Difficulty
Powerlessness
Forming/Main-­‐
Symptoms taining
Close
Relationships
Of
Codependence
Difficulty
Rigidity
Making
Attitudes
&
Decisions
Behaviors
Need
for
Over-­‐
Approval
responsibility

13. BCI
(
Beattie
Codependency
Checklist)
CAI
(Codependency
Assessment
Inventory)
Friel
&
Friel
114
items
Continuum
FSC
(Spann-­‐Fischer
Severity,
Length,
#
Codependency
Scale)
of
CoD
Symptoms
15
Items
Assessing
4
Core
Areas:
Expression
of
feelings
260
character-­‐ 60
T/F
External
focus
istics
items
Purpose
Through
Relationships
Caretaking
Assessment of Codependence

14. ADF-­‐C5
(Acquaintance
Description
Form)
Wright
&
Wright
Intensity
&
CdQ
(Codependent
Quality
of
Personal
Questionnaire)
Glickhauf-­‐Hughes
&
Bruss
Relation-­‐
ships
Consider
Psychometric
Endogenous
Reduced
Measures
of
Parental
Quality
Earlier
CAI
(Fisher
&
Crawford)
&
Exogenous
From
60
to
CoD
36
items
Emotional
Parenting
Style
Characteris-­‐ Support
Parental
Control
tics
vs
• (induction,
coercion,
Relating
Parental
Involvement
love
withdrawal
Assessment of Codependence

15. Hierarchical
Standards
and
Conformity

Addiction
Prone
Society
Characteristics
Independence
Preferred
to
and
Behaviors
Interdependence
Are
Defined
by
Those
in
Power
Patriarchy
Influences Our
Understanding of
Codependence
Dominance
&
Ranking

Maleness
Subservience
Establishes
Ideals
Layering

Power
inequities

16. • Axis
II
-­‐
Personality
Disorder
Gender
Bias
• Hysteria

Dependent
BIAS
IN
THE
DSM

Histrionic

Borderline
• “Too
much”
typically
expected
feminine
behavior
is
GENDER
ROLE
dysfunctional
EXPECTATIONS
• Diverts
attention
away
from
social
and
SOCIETAL
political
factors
FACTORS
• Iron
Jawed
Angels
• Mona
Lisa
Smile

17. Historical Context"
• Secure
Separation
Model
boundaries"
• Male Defined "
• Relational problem
Context
is
Minimized
but the “cause” is
individual"
• Females fail to it is more than
Victimizes
an individual problem"
the
“Victim”
• No strong female role models
within relationships"

18. Family
Role
Dysfunctional
Environment
Numbing
Parentification
Chaos
Triangulation
Control

19. Self-­‐
Consciousness
Endogenous
(Private
and
vs
Exogenous
PTSD
Public)
CoD
Shame-­‐ Attachment:
proneness
Avoidant
or
Lower
Self
Anxious-­‐
Esteem
Ambivalent
Arrested
Ego-­‐
Development
Inter
and
Intra-­‐ Learned
relationship
Helplessness
Factors

20. • From “Within” Oneself!
• Dysfunctional Family Environment!
ENDOGENOUS
• Vulnerability to develop CoD!
• Preference for Exploitative
Relationships!
• Problematic Characteristics!
• From “Outside” Oneself!
• Reactionary Role to Problematic
Relationship!
EXOGENOUS
• Reared in Stable, Supportive
Homes!
• Healthy Interdependence!
• Communal !
• Problematic Relating!

21. Nightmares
Avoidance
Trau Flashbacks
ma
Hypervigilence

22. Erikson’s Early Ego Development
Trust  Hope! Autonomy  Will!

Age
0-­‐1

Age
1-­‐3
Initiative  Purpose! Industry  Competence!

Age
3-­‐6

Age
6-­‐12
Identity  Fidelity!

Age
12-­‐18

25. Patriarchy
• Hierarchichal" " Layering of Power"
• Establishes Normative Standards (masculinity is better)"
Religion/Ethnicity
• More restrictive for females " Minority Class
Socioeconomic
Conditions
• Haves and the Have Nots " Subservience = CoD "
" " " "Behaviors"
• Reliance on Experts

26. Gender
Roles
• Expected female behaviors (Just not TOO much)"
Mass
Media
• Perpetuates stereotypes  Exacerbates Feelings
" " " " " of Powerlessness
" ""

27. • Femininity
• Emotional
Characteristics
• Care
taker
Associated
• Nurturer
Archetypes
with
CoD
are
Expected
• Mother
Female
Roles
• Wife
• Daughter
• Sister

28. Stereotyped
gender
roles
and
identification
emerge
from
the
selection
process
of
ancestors
Evolutionary
Psychology
Each
gender
was
selected
for
their
contributions
to
survival
of
the
unit

29. What
is
Reality
?
Enfolded
Reality
and
Unfolded
Reality

30. Language
Consciousness
allows
us
to
is
subjective
communicate
Words
are
Definitions
&
symbolic
Interpretations
representations
are
individual

31. Reality
differs
for
all
“Meaning”
is
assigned
Transformation
&
Healing
come
from
knowing
ourselves
rather
than
knowing
“about”
ourselves

32. Implicit,
Felt
Meaning
Void,
Emptiness
or
Enfolded
Reality
Can
Emerge
Emotions
Emerge
Loss
of
Being
No
Numbing
Space
Emerges
Allowing
Wisdom
to
Anxiety
Arises
Emerge

33. Loosen
Neural
Networks
BECOME
THE
Consciousness
OBSERVER
changes
our
Open
to
Pain
behavior
from
Without
Stories
REACTION
to
Felt
emoJons
RESPONSE Wisdom
emerges
“Drop
the
Ego”
Must
Be
Formed
Before
It
Can
Be
Dropped

34. WILBERʼS! PERSONA
• (PERSONA)
WITH
THE
MASKS
IDENTIFIES
SPECTRUM !
OF !
LEVEL
• REPRESSES
THE
SHADOW
CONSCIOUSNESS!
MODEL!
• EGO
EGO
LEVEL
• IDENTIFIES
WITH
THE
MIND
• SEPARATION
OF
BODY/MIND
• “CENTAUR”
BODY/MIND
CONNECTED
TOTAL
ORGANISM
• DISCONNECTED
FROM
THE
ENVIRONMENT
• INTERCONNECTION
UNITY
CONSCIOUSNESS
WITH
EVERYTHING

35. THERAPIES !
IN THE ! PERSONA
• SIMPLE
COUNSELING
SPECTRUM! LEVEL
• SUPPORTIVE
THERAPY
OF !
CONSCIOUSNESS! • PSYCHOANALYSIS
• PSYCHODRAMA
EGO
LEVEL
• TRANSACTIONAL
ANALYSIS
• COGNITIVE
THERAPY
• EGO
PSYCHOLOGY
• ROGERIAN
THERAPY
• GESTALT
THERAPY
TOTAL
ORGANISM
• EXISTENTIAL
ANALYSIS
• HUMANISTIC
PSYCHOLOGY
• EASTERN
RELIGIONS
• MEDITATION
UNITY
CONSCIOUSNESS
•
YOGA
• HOLOTROPIC
BREATHWORK

36. To
be
fully
responsive/aware
to
what
is
transpiring
within
the
resonance
between
client
and
therapist
“Heart…is
a
direct
presence
that
allows
a
complete
a<unement
with
reality…What
shuts
down
the
heart
more
than
anything
is
not
le>ng
ourselves
have
our
own
experiences
but
instead
judging
it,
criBcizing
it,
or
trying
to
make
it
different
from
what
it
is…”
Welwood, 2002, p. 163-­‐164

37. Unconditional
Presence
Beliefs
Allow
Space:
Create
Wisdom
Reality
Emerges
YOU
Condition
of
the
Spirit
is
Heart
Primary
Mutual
path
Attunement
of
discovery

38. Own
Beginner’s
Openness
Your
Flexible
Buttons
Mind
Consciousness

39. 1.
Discover
the
thesis
5.
Weave
the
renewed
2.
Uncover
the
mythology
Personal antithesis
into
daily
life
Mythology
in Need of
Revision
(Feinstein
&
Krippner’s
Model)
4.
Refine
3.
the
new
Synthesize
mythology
the
two
myths

40. REFRAME
CODEPENDENCE
Pathological behaviors represent
the soul’s cry for attention
Not a condition to be rid of
Opportunity to awaken the heart
Deepen one’s connection to life

41. Holistic
Recovery
Aftercare
EMPOWERMENT • Intellectual
Spiritual
• Social
Emotional
Reframe
to
a
Relational
• Occupational
Physical
Focus
Extent
of
CoD
Experiential
Relating
Techniques
• Psychodrama
• Journalizing
• Empty
chair
(Gestalt)
• Active
Imagination
Group
Therapy
• Relaxation
Techniques
• Positive
Affirmations

42. Personal
Factors
That
Enhance
Empowerment
Scrutinize
the
Laws,
Rules,
Recognize
Nurture
Self
Norms,
Values,
Assertiveness
and
Express
More
Than
Sanctions,
Feelings
Others
Prejudices
that
Limit
Empowerment

43. Build Self-Esteem
Boundaries
Decentralize
Family of
Self parenting!
Origin
Trauma!
Problem Stop Over-
focused! functioning!
Stop Shame
w/Self
Empathy!

44. • EFT
• CHI
KUNG
• AIKIDO
• EMDR
• MEDITATION
TRADITIONAL
ENERGY
TECHNIQUES
WORK
MINDFULNESS/ PERINATAL
MINDSIGHT
REALM
• HOLOTROPIC
BREATHWORK
• ART
THERAPY
• HERE
&
NOW
• PLANE
OF
POSSIBILITIES

48. Clinicians and Clients
Can Enroll to Learn
More
Psychology Human Services
Consciousness 32: Relationship
Series: Psych Addiction/
30A, 30C & 30D Codependence
(1 unit each)
(1 Unit)
Taken for Credit/ Offered in a
No Credit or 6-week format
Grade