1. 3 Types of Affect Regulation System
Driven, excited, vitality
Content, safe, connected
Maintaining health
Maintaining a place to live and
financial stability
Seeking out food
Being healthy
Having a secure place to live
Financial stability
Motivation
Physical needs
Health is uncertain
Unable to provide for Family
Death
In Cancer/Facing Death
Motivation = Physical Needs
Drive = to be healthy and have a secure place to live;
Safe = when these needs are met
Threat = ill health, death, unable to provide for family (both during illness and after death)
Anger, anxiety, disgust

2. 3 Types of Affect Regulation System
Driven, excited, vitality
Content, safe, connected
Engaging in caring for others
Seeking care from others
When care for self/from others
meets expectations
When able to care for others
Motivation
Care giving/seeking
When care does not meet
Expectations
Thwarted in efforts to care
for others
In Cancer/Facing Death
Motivation = Care giving (to self/others?) and seeking (from others);
Drive = to be caring to self and seek care from others;
Safe = when care from others/self meets expectations; or when able to care for others as wish to; satisfied with care, rather than wanting/pursuing more;
Threat = when care does not meet expectations or when thwarted in caring for others; leading to distress (anger, anxiety, disgust, shame, low mood) and in this state our old brain can take over and we react to the threat in unhelpful ways, e.g. In our behaviour; in the way that we perceive situations; in the way that we communicate with others. It becomes about survival/not being rejected, i.e. If our motivation is to care for others and this is thwarted, how can we survive this threat? Try harder or withdraw altogether?
Anger, anxiety, disgust

3. 3 Types of Affect Regulation System
Driven, excited, vitality
Content, safe, connected
Demonstrate strength
To stay well for as long as possible
Compete for resources
To “beat’ cancer
Believe winning the battle
Remission
Acknowledgement from
others that battle is hard
Motivation
Competition
Losing the battle
Being seen as weak
Being excluded from the Group
Life continuing without me
Motivation = Competition; with illness and ultimately death (war on cancer); with healthy others – because they aren’t ill (guilt if expressed, shame if kept to self); with ill others (e.g. Competing for resources for treatment); social ranking of cancers, e.g. Breast vs bowel;
Drive = to stay well for as long as possible; to stay well for longer than others; to “beat” death; can foster healthy changes in behaviour because of fear of losing the competition; to be seen positively in the eyes of others (e.g. Trying hard)
Safe = when have won the competition, e.g. Remission of cancer; recognition/acknowledgement of validity of the battle that is being faced by self and/or others;
Threat = when perceive to be losing the battle/competition; when perceive others think battle is lost, or that they think one has given up on the battle. Losing means being excluded from the group, i.e. dying might be perceived as rejection by the group who remain alive and well, e.g. “they will continue life without me”
Anger, anxiety, disgust

4. 3 Types of Affect Regulation System
Driven, excited, vitality
Content, safe, connected
Cooperating with staff,
Patients, family
Cooperating with the illness
(acceptance?)
Feeling part of a group
that is cooperating
When cooperation is going
well
Trust & appreciation
Motivation
Cooperation
Having to manage situations
alone
Mistrust and absence of appreciation
Having to compete
Motivation = Cooperation
Drive = to cooperate with staff; with the illness; (acceptance?); with other patients;
Safe = when feeling that cooperating well with others; feeling part of the group;
Threat = when cooperation is unsuccessful or not achieved; when having to manage situations alone, or when put in a position where have to compete (e.g. Any of above situations)
Anger, anxiety, disgust

5. 3 Types of Affect Regulation System
Driven, excited, vitality
Content, safe, connected
Any activity that allows
Someone to stay close to
Partner
Efforts to demonstrate desirability
to partner/others
Being with partner
Reciprocal affectionate
Relationship
Recognised as attractive
Motivation
Sexual pair-bonding
Unable to be with partner
(Physically, emotionally, sexually)
Imminent death &
Permanent separation
No reciprocation
Motivation = Sexual pair-bonding
Drive = any activity that allows someone to stay close to partner, e.g. Wanting to be at home and not in hospital/hospice; needing to demonstrate bonding/closeness
Safe = being with partner; affection reciprocated
Threat = unable to be with partner physically, emotionally, sexually; separated whilst in hospital/hospice; imminent death and therefore permanent separation; un-reciprocated affection
Anger, anxiety, disgust