OPENING

Welcome to our 70’ TIFT® Workshop – Trauma Integrating Flow Therapy

Dr Anandi Janner Steffan & Sarah Lloyd · Copresenters

• Take a brief look at today’s workshop content • We will spend our time exploring and experiencing TIFT • 3 Playgrounds: for foundation, organisation and clinical viewing

➢A. J. Steffan · TIFT® hypotheses & architecture ➢S. Lloyd · clinical structural & client perspectives

OPENING

Our roles today

Anandi Janner Steffan

Sarah Lloyd

• Molecular biology, complex systems,

• Long-term cPTSD/DID clinical practice • TIFT® therapist · co-presenter • Therapist perspective • Client perspective

cPTSD/DID clinical practice • TIFT® Founder · therapist • TIFT® Model & therapist perspective

➢A. J. Steffan presents TIFT® hypotheses & architecture ➢S. Lloyd presents clinical structural & client perspectives

WORKSHOP ORIENTATION

What the abstract promised What needs to be clarified

«Over- and under-modulation»

• The dissociative configuration Two branches · one system Hardwired ≠ WOT · ANS states Consequence of non-secure attachment

• TIFT® structural model for cPTSD • Relational & neuro-affective safety • Minimum-energy work • Practices and clinical material

Present configuration is the optimal organisation & solution

WORKSHOP SPINE

TIFT® for Complex Trauma

3 · PRACTICE

1 · HYPOTHESIS

2 · FOUNDATIONS

PLAYGROUNDS

Wholeness maintained

Living beings are always structured

GROUND

ORGANISATION

under constraint

and organised

CLINICAL EXPRESSION

DECLARATION OF INTEREST: Dr Anandi Janner Steffan is the creator of TIFT® and provides TIFT® training and supervision.

Sarah Lloyd has no conflicts of interest to declare

PRACTICE · PLAYGROUND 1

PLAYGROUND 1 · GROUND & ATTACHMENT & STRUCTURE

Wobbly ground → solid / sufficiently reliable ground

4Links to attachment & map & clinical process

1 A + S wobble

2 A + S

3 Both on solid

same, same, but different

You observe

ground

Participants: Observe the two grounds and the individual expression

Different initial conditions → different trajectories & configurations

PRACTICE · AFTER PLAYGROUND 1

What did the two grounds reveal?

Call out a few words – be brief — what did you observe?

WOBBLY, NON-SECURE GROUND

SOLID, SECURE GROUND

Creates Plan B · the twisted version of Plan A

Creates Plan A · the original blueprint

TRANSITION · PG1 → PG2

TIFT uses a map for Plan B – like Google Maps

PATH

ORIENT

CONTEXT • See environment ·

• To know where we

• Follow the path →

distance · path

and the other are

to the chosen goal

Goal: from being in the past to waking up in the present

The map is not the territory. The map is a flattened 2D representation

PRACTICE · PLAYGROUND 2

PLAYGROUND 2A – DEMONSTRATING THE INITIAL TWIST

0-twist and Möbius 1-twist: You receive both What do you observe

0-TWIST

Two distinguishable surfaces

MÖBIUS

One continuous surface

Continuity remains intact while the form is twisted.

PRACTICE · PLAN B MAP COMPLEX TRAUMA (CT)

PLAYGROUND 2B · FROM FLAT MAP TO SPATIAL FORM

Distributing flat and folded map B You fold – unfold the structural map

What becomes visible when map is folded?

Same living system · contracted configuration under constraint

PRACTICE · AFTER PLAYGROUND 2

Same ICD-11 or DSM-5 diagnosis · unique configurations

ONE STRUCTURAL MAP orients the therapist beneath the visible complexity

Continuity preserved – singular form unfolding

HYPOTHESIS

The organism has already succeeded

• Wholeness maintained under constraint • Living tissue folds into a unique coherent structure • Dissociation – understood as a twist – is the solution

One structural map for complex trauma – unique for each

FOUNDATIONS

Complex-system laws precede life and us

• Dyadic connection is universal → indispensable for humans
• Starting conditions determine direction

coffee & milk →cappuccino sugar

&

Each connection creates an emergent quality

CLINICAL PRACTICE

Work with the present organisation

• Follow what emerges now

• Stay within what the system can integrate

• Unfold the configuration as it arises • Therapist: «Watch – Wait – Wonder»

The field is embodied and co-regulated Compassion emerges in a no-push·no-pull relational field

PRACTICE

Three Stages – VERTICAL DESCENT

I — Therapist holds structure, rhythm and understanding Meet the present organisation · lower inner pressure · respect relational distance

II —Input moves towards symmetry Greater flexibility · NO and limits · more secure object permanence and constancy

III — Fundamental attachment wound and substitutes emerge Attachment substitutes and chronic terror emerge within secure relational ground

Stable architecture · unique sequence from stages I – III Continuity preserved - form unfolding

PRACTICE · BEFORE CLINICAL SEQUENCE

PLAYGROUND 3 · VIEWING TIFT SESSION

CONFIDENTIAL

YOU: OBSERVATION LENS

SARAH LLOYD

Livestream and

Continuity · Configuration · Movement · Shifts

recording

Brief introduction

paused

Information for online viewers: the QR code contains S. Lloyd’s experience about being a TIFT client

Experience 7 extracts from one Stage III TIFT® session

PRACTICE · BLACKOUT

The 7 clips

COMPLETE SESSION · 82 MINUTES · 13 CYCLES

CLIP 1 · Beginning · 00:00–25:27

STOP Recording

RESTART

CLIP 2 · Markers and cycles 1–2 · 25:27–32:09

Recording

CLIPS 3–6 · Cycles 3–12 · 32:09–79:30

CLIP 7 · Cycle 13 and ending · 79:30–82:00

The system chooses 2–3 recent everyday events → “markers” Cycles are reiterations of the marker sequence

PRACTICE · CLINICAL SEQUENCE

CLIP 1 · SESSION BEGINNING · 00:00–25:27

INSERT VIDEO · CLIP 1

PRACTICE · CLINICAL SEQUENCE

CLIP 2 · MARKERS AND FIRST CYCLE · 25:27–32:09

INSERT VIDEO · CLIP 2

PRACTICE · CLINICAL SEQUENCE

CLIP 3 · ANGER AND THE STRONG NO

INSERT VIDEO · CLIP 3

PRACTICE · CLINICAL SEQUENCE

CLIP 4 · FROZEN FORM OPENS · MERRY-GO-ROUND AND TIGER

INSERT VIDEO · CLIP 4

PRACTICE · CLINICAL SEQUENCE

CLIP 5 · CHRONIC TERROR BECOMES ACCESSIBLE

INSERT VIDEO · CLIP 5

PRACTICE · CLINICAL SEQUENCE

CLIP 6 · SPACE, COMPASSION AND DIFFERENTIATION

INSERT VIDEO · CLIP 6

PRACTICE · CLINICAL SEQUENCE

CLIP 7 · LAST CYCLE AND ENDING

INSERT VIDEO · CLIP 7

CLINICAL SEQUENCE · SYNTHESIS

Relational accessibility · SARAH’S EXPERIENCE

Old relational configuration activated

↓

Intellectual contact · shame · disconnection deepen

↓

Voice, rhythm and consistent markers become perceptible

↓

Anandi becomes accessible: connecting · containing · witnessing

↓

Past and present differentiate

Anandi is with me now · I exist · I have survived

CLINICAL SEQUENCE · SYNTHESIS

Developmental and attachment reading

• The process moves through increasingly deep layers of the present configuration. • At its deepest point, the return appears to follow an early developmental order:

VOICE · RHYTHM · PROSODY → CONSISTENCY → CONTAINING WITNESSING → A DIFFERENTIATED OTHER BECOMES ACCESSIBLE

TIFT® Hypothesis arising from the observed clinical sequence

PRACTICE · POST-BLACKOUT

What did you observe?

What caught your attention?

What made sense?

What touched you?

Let’s be brief and to the point ;)

DISCUSSION & RESOURCES

Discussion & Resources

DISCUSSION

TIFT® · further information

HANDOUT

CLOSE

« Being with it, being with it.

And it can happen, it can unfold.»

Sarah Lloyd

With deep gratitude to Sarah Lloyd

TIFT® · Trauma Integrating Flow Therapy · www.tift.consulting

REFERENCE SECTION

A more complete view of TIFT®

Reference slides · not presented during the workshop

KEY LIVING-SYSTEM TERMS

Matrix, structure, organisation, configuration and form

Matrix living generative field driving emergence and transformation Structure material components and their relations

Organisation relational pattern maintaining the system as a whole

Configuration current arrangement of the whole system

Form spatial expression of the configuration

Structural map flattened 2D representation of the configuration

2D → 3D: same map, different spatial form.

REFERENCE · FOUNDATIONS

The systems ground of TIFT®

TIFT® POSITIONING

Organising patterns recur across successive configurations. Each time its conditions change, a system builds upon its existing organisational template. In living systems, continuity persists through structural adaptation. TIFT® applies this wider systems lens to complex trauma organisation.

Continuity preserved – form unfolding

VESTIBULAR CONNECTIVITY IN PTSD AND ITS DISSOCIATIVE SUBTYPE

Resting-state fMRI findings from Harricharan et al., 2017

PG 1 + 2 complement

TRAUMA-UNEXPOSED CONTROLS PTSD + DISSOCIATIVE SUBTYPE

Reference connectivity pattern Trauma-related reorganisation of vestibular connectivity

Dorsolateral prefrontal cortex

Dorsolateral prefrontal cortex

Parieto-insular vestibular cortex

Parieto-insular vestibular cortex

Posterior insula

Posterior insula

and TPJ

and TPJ

Vestibular nuclei

Vestibular nuclei

The dissociative subtype showed a distinct pattern, including

Coordinated multisensory processing supports bodily orientation, interoceptive awareness and self-location.

lower connectivity with key cortical vestibular regions. PTSD

without the subtype showed another pattern.

PRACTICE · STAGE I–II BRIDGE

Same map · different clinical depth

From today’s pattern - organisation backwards / down the axis to the core

Stage I = Uppermost · most outward level · what is happening today

·

Stage II = Intermediate level · deeper dissociation · NO & boundaries

Stage III = deepest level · fundamental attachment wound

Bottom-up: follow the

signs · monitor permitted depth

PRACTICE · STAGE I

Stage I

• Past organisation invades present life • Primary need: lower inner pressure • Contain · restore rhythm · respect relational distance • Object permanence and object constancy «wobbly»

Meet the present organisation and offer conditions for it to change

PRACTICE · STAGE II

Stage II

• Deeper layers emerge within the present • Greater flexibility · NO and limits become possible • Faster recovery · input moves towards symmetry • Object permanence and object constancy more secure

More flexibility permits deeper work.

PRACTICE · STAGE III

Stage III

• Fundamental attachment wound becomes accessible • Attachment substitutes emerge • Chronic terror may emerge • Secure relational ground allows unfolding

The deepest layer opens within sufficiently secure ground

REFERENCE · ORIGINAL DOUBLE BIND

The escape room with no escape

LIFE FORCE Keeps pushing towards living, connection and development

CONSTRAINT No viable solution can be perceived within the present organisation

RECURSIVE LOOP

ORGANISM-WIDE Failure is attributed to the self “I already died", "I fail«, no hope

REPEATED ATTEMPT Returns the organism to the same closed configuration

Each moment is a new initial condition, a new beginning

REFERENCE · CLINICAL ARCHITECTURE

MEET as the structural response

THE GAP The child’s living system does not meet an adequately containing and regulating relational response.

MEET The client’s present configuration and the therapist’s precisely adjusted response meet within an integrable encounter.

NO PUSH NO PULL

Active scaffolding, holding and confronting within the client’s available integration window.

The two hands clap · the GAP closes through an actual meeting

REFERENCE · TIFT® STRUCTURAL TWIST

A real embodied twist in orientation

THE CHILD TURNS towards the parent and watches what is happening there

PROTECTION remains oriented towards the indispensable other

SELF-PROTECTION threatens the bond and becomes inhibited

Life moves forward with one foot still planted in the original twist. The original twist remains present in every subsequent configuration.

PRACTICE · SESSION ANALYSIS

Session analysis · S. Lloyd’s progressive reiteration load

More reiterations/cycle extend time – not results

REFERENCE · DID TESTIMONIAL OF TIFT THERAPY

A TIFT® client’s words

I am a Whole. I am a person like anyone else. I am in the present. Each configuration brings a skill. We move towards the future.

The client speaks directly from the change itself.

In TIFT®, “parts” or “fragments” are understood as configuration dynamics: differentiated structural organisations emerging within one whole organism when heightened constraints push it beyond its available integration window, a tipping point. Shared with the client’s explicit written permission

The three archetypes in TIFT®

ARCHITECT Form, delimitation and continuity

HEALER An inhabitable inner space

EXPLORER Emergent Movement, discovery and return

All three are given throughout Their relations continually shape the configuration of the whole Continuity preserved – form unfolding

REFERENCE MATERIALS

Continue through the QR materials

TIFT® · further

information

The QR code gives access to:

• Sarah Lloyd’s first-person account of

experiencing TIFT® through the stages • Workshop handouts and structural maps • Further clinical and scientific material

Thank you for your interest in TIFT® Trauma Integrating Flow Therapy