This is partly based on the writings of British Psychotherapist Dr. J. A. Hadfield
He successfully treated many patients of various mental health problems using *Direct Reduction Analysis, tracing causes back to actual repressed incidents in childhood. Sadly, this type of therapy seems to have been superseded by quick-fix cures like cbt, perhaps because it was more lengthy, costly and needed a skilled operator.
Among his publications were:
Psychology and Mental Health
(1950), I thought this work was so important that I personally scanned in the complete volume and uploaded it to the internet archive, you don't need to borrow it - you can download the complete pdf now:
Childhood and Adolescence
Dreams and Nightmares
* I could only find online one therapist who was actually familiar with this type of therapy some years ago who was based in New Zealand
1. PRE-DISPOSING CAUSES
Two men join the Armed services and fight on the front line experiencing similar trauma, one develops shell-shock or PTSD and the other doesn't - why? Because the one who developed shell-shock had an earlier history of trauma in infancy. Examples of trauma in infancy might be a difficult birth, parental neglect, deprivation of love, molestation, neuro-developmental delay, etc.
If your house gets built on sand it will be liable to subsidence later. If your house is built on a firm foundation of love and support you will be more resilient. Early trauma is like a sleeping volcano just waiting to be triggered into a full-blown first panic attack.
2. PRECIPITATING CAUSES
These occur later and for social anxiety might be humiliating early experiences, such as ridicule by a parent, teacher, peers, rape, bullying or constant criticism by a caregiver, etc
3. DEVELOPMENTAL INSTINCTS
Throughout infancy a child will normally go through various developmental stages where instinctual urges are expressed in order to survive such as:
- i.e a baby cries when distressed to attract it's caregiver to help it.
- e.g a child wants to explore it's near environment so will try and move about freely.
- an infant will goof around and draw attention to itself.
- the urge to to associate with others and to form social groups - the herd instinct
. (An important throwback instinct, to be excluded from the tribe eons ago meant probable death).
4. SYMPTOM DEVELOPMENT
If these instincts, instead of being developed, are repressed for whatever reason they lie like sleeping tigers, waiting to be aroused. Later, as adolescents or adults, when put in a re-stimulating situation the tiger is aroused and instead of being welcome it is seen as a threat. One part of the psyche says 'go on you must draw attention to yourself' , an unconcious part says 'but it's dangerous - look what happened when I was five and I got thrashed and humiliated for doing whatever'.
A conflict ensues - so to try and satisfy both instinct and super-ego a symptom develops eg. blushing, excessive sweating, etc.
Depression often results at the frustration of these natural instincts.
Often moral issues underpin the symptoms such as guilt and shame. It's a very difficult problem to be left with.