The Science of Psychotherapy In Conversation with Lou Cozolino
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Aug 10, 2024 Lou Cozolino, an esteemed author in the field of neuroscience and psychotherapy, discusses his latest work on executive functioning. He shares insights from his new book, emphasizing its clinical relevance for tackling anxiety and bullying. The conversation touches on the interconnectedness of brain networks and their impact on emotional regulation, particularly regarding trauma. Cozolino also highlights the importance of vulnerability in the therapeutic journey, illustrating lessons learned from personal experiences that enhance practitioner-client understanding.
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Three-System Model Of Executive Functioning
- Lou Cozolino proposes a three-system model of executive functioning that extends beyond a single prefrontal control system.
- The model integrates affect regulation, attachment, self-awareness and development to better fit clinical realities.
Most EF Problems Are Relational, Not Organic
- Many labelled executive-functioning or ADHD cases are primarily driven by anxiety, family stress, bullying or pandemic-related hyper-anxiety.
- Standard cognitive testing often misses these relational and emotional contributors to executive dysfunction.
Salience Network As Orchestrator
- Cozolino describes the salience network as an orchestrator that switches attention between external and internal systems.
- Optimal executive functioning depends on coordinated activation across salience, default mode, and frontal-parietal networks.