On Vital Signs in Primal Therapy

        For many years we have measured the vital signs of patients before and after each session and over the long term. Our results show a normalization after one year of the therapy (when we took the final measurements). Of course, when we measure vital signs we are measuring vital functions; those functions that keep us alive and allow us to survive. When any of them exceed normal limits we are in trouble. Whether too low a blood pressure or too high a heart rate or a continual body temp far over normal range, the minute we are dislocated one way (high) or the other (low) the body is telling us that something is wrong. And it tells us in what way is something wrong, and sometimes even why, if we know how to read the signs. Over the years when these signs are excessive we can almost be sure that disease will occur early in life, followed by life threatening illness later in life. It is ineluctable.

        These vital signs mean vitality. And they reflect our imprints quite accurately. They also reflect what nervous system is in charge and is dominant. We know, for example, that many vital functions are either controlled by one of two nervous systems mediated by the hypothalamus. I thought for some time that the parasympathetic, that of rest, repair and repose, controlled body temp. But it may be that the direction of the dislocation depends on two different nervous systems. Thus, high is controlled by the sympathetic, the galvanizing, mobilizing, alerting system, while a swing to the low end is controlled by the parasympathetic. (This may also be true of the systolic and diastolic blood pressure). Thus, the direction tells us the kind of imprint we are dealing with. Today I heard from an epileptic, a breech birth, suffocating and strangling on the cord who had to conserve oxygen and energy to survive. His modus operandi was to hold back, not use energy. His imprint was parasympathetic, something that will dog him for a lifetime and determine his interests (writing), his non-interests (exercising), whom he marries (the aggressive one) and how he will treat his children (passively or with indifference). And that is not the half of it.

        Now why all this? Because the very first life-saving effort becomes imprinted and remains as a guide for future behavior; what saved her life at the start will go on being utilized despite any reality to the contrary. Personality is formed out of this matrix and a certain biologic state. Of course, later experience helps shape it all, as well. But that first imprint is vital, in every sense of the word.

        When patients come in for a session and we do measurements, we already have an idea of where we have to go. One of my depressives came in consistently with a very low body temp of 96 to 96.5.  She was mired in hopelessness(and that low a measurement usually means first-line pain is involved). As our session went on (almost 3 hours each time), she started to normalize. That was important because a whole lifetime was wrapped around the vital functions. It wasn’t just the body temp that normalized but a whole host of biologic responses and personality features. Later on, she smiled, had energy and felt “up.” She could go seek a job, something she could not do previously. And of course, she never had enough money to buy proper food because she could not hold a job. A previous therapy informed her that hers was a “loser trip.” That didn’t help much except to put a label on her behavior. As she went on reliving the prebirth and birth traumas, a mother smoking and taking tranquilizers, suppressing her whole system, which was also imprinted, her body temp came up and stayed up to 98 degrees.

        When a patient comes in with a very rapid heart rate and a brainwave signature of beta (very fast) our first job is to bring him into the feeling/primal zone. If we do not do that he remains above the primal zone. He will not feel and certainly not integrate. When the patient is too low the same law operates. We can only feel in the primal zone. We need to adjust medications to allow that to happen. We cannot and must not cajole a patient into trying to feel (and often the fast ones are also the tryers).

        I believe that the parasympath operates on the low end of all vital signs. We can go to different doctors and be treated for a heart rate that is unsteady, another doctor for high blood pressure, and yet another for lack of energy. But the leader who sets the tone is the imprint. Unless we recognize this we will be bifurcated in our efforts and miss the essential. One key thing we want to know after each session is was there integration? Sometimes there is, after weeks of feeling one key feeling. But often there is a dredge effect; the patient feeling one feeling which resonates with a connected deeper feeling (hoplessness and helplessness). We know here that there is more to come. It may be that the patient will need tranquilizers temporarily to get over the hump. We need not be afraid of this since it is not an end in our therapy but a means. It is not THE therapy, as is the case in so much psychiatry, but something to use for a bit of time. We want patients off drugs, not on them. While on them there is a superficial and artificial state. Drugs nearly always hold back feelings and aid defenses. That is not the business we are in; quite the opposite, we want feelings to come up but in ordered, measured ways. Primal Therapy will get you there if you let it. If you stay with it the direction is nearly always right. I often say, “It is not a miracle but it is miraculous.”

        In the same way that we may increase sexual drive in males with testosterone injections, it may well be that we can “inject love” into people, or at least inject a hormone that encourages it—give people a shot of love, so to speak.  This shot may help us bond with partners, allow us to feel close to others, and to empathize with their feelings and pain, at least for a time.

         Someone can swear she is full of love, only to find herself very low in the essential hormone of love—oxytocin. It is actually good news that “less love” has a physical base, for there may be something we can do chemically to alter that state, and there is certainly something we can do psychologically to change it, as well. At some time in the future, we may be able to determine what proper love from a parent to a child is through the measurements of various hormones.

        Bonding is a strong emotional attachment that helps us want to be with one another, help and protect each other and touch and become sexual with one another.  High levels of oxytocin encourage and strengthen bonding.  Because early trauma and lack of love affect the output of this hormone, the ability to relate to others and have good sex later in life may be determined even before birth and just after. We learn how to bond emotionally in adulthood through early bonding in childhood, as simplistic as that sounds.  Attachment is pretty well set in our childhood.  It is not something we learn. It cannot be taught!  And it certainly cannot be taught in later life.  It is something we feel; something organic and physiologic, something biochemical.  Those who did not bond very early on with their parents may well be condemned to a lifetime of broken, fragile, tenuous relationships.  It may be in large part due to deficits in the hormonal wherewithal such as oxytocin. They key here is “early on.” That bonding takes place so early in our lives that later in life it is almost impossible to know where the problem in bonding may come from.   So we give advice to a patient to try this and that when her whole physiology is crying out from the pain of the lack of early attachment.

Epigenetics: The Inheritance of Acquired Characteristics

There is something we must immediately add to the theoretical mix: epigenetics; how very early events in the womb and at birth can alter the genetic unfolding. One genotype, a single genetic predisposition, can give rise to many phenotypes depending on what happens to those genes during gestation. So what we might imagine is genetic, is genetic-plus what happens to us in the womb. I was so surprised early on in my therapy when long-term patients reported that their wisdom teeth descended. Now I understand it better; the genetic unraveling toward its destination was deferred due to repression.

In the early nineteenth century, a French scientist named Jean Baptiste Lamarck decided that we acquired characteristics from experiences that our parents underwent. Russian communists applied this to agriculture but, no matter, it was a widely discredited theory … until recently. Now this avowed Marxist position may have been resurrected a bit. There is a new field called epigenetics that states pretty much what Lamarck believed. So what is the evidence? And what exactly is it? What Lamarck said was that individuals acquire characteristics as a result of their environment, and now, these characteristics can be passed on to the offspring.

Much of the work in epigenetics has to do with diet; a mother’s diet influences the offspring’s physiology. Epigenetics has to do with how genes are regulated and influenced by the experience of the baby. I believe it has more to do with the fetus who resides in the womb; that his experience is influenced forevermore by the mother’s diet but also by her moods.[1]


Has the genetic switch been delayed or was it premature? This can happen without making a radical change in the gene itself but rather in how it is expressed, whether it is shut off or on. What we are discussing is how a mother’s interaction with her environment can pass this on to her offspring. I think we need to understand that a fetus in the womb is always trying to adapt to his environment and that his genes will evolve and be expressed depending on that adaptation. For example, a mother who is very unhappy from her own childhood pain, and who has depleted much of her serotonin supplies cannot fulfill the young fetal need for his own serotonin supplies. (His own supply does not kick-in until somewhere around the half-way mark). He may well grow up deficient in inhibitory or repressive capacity and be an anxiety/impulsive case forevermore; this can evolve into attention deficit in his youth. This will happen when the fetal set-points are readjusted because of events during womb-life. There may be a continued inability to have a cohesive cognitive ability; to focus and concentrate. I think it is important that all this occurs while the fetal brain is rapidly developing and needs proper input to evolve normally. An anxious mother is so agitated that the neuronal input into the baby she is carrying is so extreme that he cannot adapt and integrate this input. Thereafter, this is the kind of person who cannot accept too much stimulation because the internal input is so great that anything from the outside, such as two term papers due immediately, can be overwhelming.

To get an idea of how early all this may begin, there is a study by the University of Miami School of Medicine that states that: “A review on (maternal) prenatal depression effects on the fetus and newborn suggests that fetal activity is elevated, growth is delayed, low birth weight common.” [2] It begins a lot earlier than we previously thought. As if to underscore this position, there is a study from Scientific American Mind, (Fetal Recall. January 2010)that is seeking out when consciousness actually begins. And they are quoted as stating that it begins in the womb. They introduced sharp sounds to the pregnant mother (a honking device placed on her abdomen). As they did it the fetus reacted significantly. But after a time the fetus stopped responding to it (Squirming. Heart rate stopped speeding up). He became habituated, got used to it, and it remained, therefore, as only a memory. He “learned” that the noise was no longer dangerous. And the memory endured.

Newborns of a depressed mother show a profile that mimics the mother’s prenatal state, including her physiologic state; this includes higher stress hormone levels, lower levels of dopamine and serotonin, and greater right frontal brain activity. What I think this means is that the right/feeling brain is forced to be hyperactive to deal with emotional push. It is, after all, the right prefrontal brain (orbitofrontal area) that maintains a history of our feelings and has a more internal focus. To summarize: Higher resting levels of stress hormones in the carrying mother can already have an effect on the later life of the offspring. It already presages the constant need for tranquilizers because the early imprint has lowered levels permanently. Then with even minor setbacks later on, the resonance factor can compound the pain level so that taking painkillers is a matter of urgency.

The concept of epigenetics has import for diagnosis. For example, one of my patients was told that she had a genetic vulnerability, very much like her mother had. It led to a diagnosis of a “very serious autoimmune disease.” If it were seriously genetic, as the doctors believed, then any chance to change her state would be close to nil. What this does is prevent us from seeing or investigating beyond the inheritance to factors that may have been equally important; what happened to the baby while being carried? Further, if there were something that altered the immune state while in gestation, perhaps one can relive and connect to it, thus affecting that imprint. Thus, it may be as a result of an experiencerather than inheritance that is ultimately significant. This patient did relive her traumatic birth, and, perhaps, that helped her make some progress against the disease. This happens, again, because in reliving, it is possible to gather up associated feelings and sensations that lie even below the later trauma but which may be related to it through frequency resonance. Reliving later events will usually bring up the earlier events and feelings that it resonates (triggers off) with. Earlier imprints will be re-represented on higher levels as the brain develops. Even though we are reliving something at the age of sixteen we are also dealing with the earlier part of the related feeling. That is why there is hope when we relive; we can attack imprints during gestational life. So when a feeling event brings up severe anxiety with it, it can mean that we are basically dealing with preverbal events where and when anxiety/terror is installed. The importance of differentiating between genetics and epigenetics is that we may be dealing with a reversible disease, not one that is inherited and cannot change. And indeed this is already being tested. In a paper by M. Szyf, (Dept. of Psychiatry, McGill University, Quebec. “The Epigenetic Impact of Early Life Adversity.” He reported on the reversibility of the epigenomes in animals. Using chemical agents they were able to reverse the changes caused by epigenetic events. This has great import for disease today; for certainly there may be genetic factors which only become manifest when certain traumas occur, but even after they occur we may be able to go back and change it. Hence reverse disease. Terribly important.

Researchers at Karolinska Medical Center, Sweden, have found that cesarean births can result in increased allergies, diabetes and leukemia risk. Mikael Norman states: “Our theory is that altered birth conditions could cause a genetic imprint in the immunecells that could play a role in later life.”[3] Their work, as is that of others, indicates that stress around birth affects the genes. The assumption is that the fetus is not prepared for an “unnatural” birth. It is different from a vaginal birth where the stress gradually builds and can be adapted to.

There are experiments with pregnant primates. As a result of stress during pregnancy there is an adverse effect on the hippocampus (dealing with memory). It seems to shrink. And, as I have mentioned elsewhere, one has to wonder if this kind of stressful gestation can play a role in later Alzheimer’s. There is new evidence on this point: a study by Brigham Young University found that the size of the hippocampus was reduced when trauma occurred. (Neuroscience, Aug. 2009. See also, “Trauma, PTSD, Followed by Reduction of The Brain Involved with Memory.” Science Daily, Aug 27, 2008). It took a long time to discover this because there was no immediate damage; only after a long period did the damage show up. More importantly, again, there is no taking into account the unobserved trauma in the womb and at birth which, in my opinion, does permanent damage to the memory centers. It is not just an assumption; there is new research to demonstrate this: in a paper (reported in Science News, Jan. 4, 2010. “Acute Stress Leaves Epigenetic Marks on the Hippocapus), there is more and more evidence of this. A single trauma in rats can produce changes in their brains, and these changes are reflected in the memory centers such as the hippocampus. The changes that occur can also affect whether or not our genes are turned on or off. It is so difficult to differentiate between nature and nurture as causes because they are so intertwined as we mature.

A corollary of this is that as stress increases so does the mother’s level of cortisol. That, in turn, affects the brain structures. The investigators indicated: “If there is anything we all agree on it’s that the fetus is incredibly vulnerable and fragile, and that even subtle perturbations in the mother’s mood can have measureable effects on the fetus that last for years.”[4] One additional finding. Stress while being carried, later lowers IQ, as well as anxiety, ADD and depression.[5]

The thalamo-cortical circuits are finally established very late in gestation (thalamus to cortex and back). When amygdala-cortical circuits are in place it is then possible to have a mental appreciation of the pain we are in. It is before thalamic and amygdaloid circuits are mature that we can experience pain without acknowledging it. Thus pain can be laid down in a completely unconscious way, and most certainly there are no words to clarify or explain it. Can one imagine getting a patient to explain a gestational trauma? But he can describe a sensation of butterflies in the stomach, pressure on the chest and a churning sensation in the belly. We call it amorphous anxiety but these are part of the overall experience of fear and terror while we are being carried. Each is a fragment of a gestalt experience.[6]

There was a study reported in the British journal, Nature.[7] They noted that when the baby is under threat the amygdala signals to the prefrontal cortex triggering the expression of that fear in behavior. The cortex becomes the “decider.” What the investigators did was to train mice with a tone accompanied with a shock. When that was administered there was commensurate brain activity in the prefrontal area of the mice. But when the amygdala was surgically removed there was no longer any prefrontal activity; it could no longer signal fear to the top level. The same is true when we drug that structure or tranquilize it; it diminishes the force that mounts in the prefrontal area. We see from this research why so many of us have trouble sleeping; either falling asleep or staying asleep. And why some individuals cannot get into feeling. Lower level imprints voyaging or meandering upwards and forwards keep the person from traveling to a lower level of brain function. It literally jolts the person who has lain down for a few minutes trying to relax, into a hypervigilant state. There is too much going in that deeper level to permit entry. Lower level imprints are stimulating the frontal thinking/ruminating neurons to get busy. Thus in quieting the lower levels there is a sense of calm in the thinking area. A false sense, I might add. But the person reports feeling calmer. So much for subjective reports.

So when can a fetus feel pain? A better question might be: when can it signify pain? After the circuits are in place. Neuroscientist J.K.S. Anand explains this when he placed a needle/probe into a fetus (for amniocentesus). The fetus grimaced in pain and its stress hormone levels rose dramatically. The baby suffered; not only that but from our point of view, that suffering can be coded and registered in the memory system, thereafter lying in storage waiting its chance for connection. And this is what we in feeling therapy are about—connection.

There are some serious diseases out there that have been considered only in the domain of inheritance; muscular dystrophy is one of many. Perhaps the cures for these afflictions have been slow in coming because our emphasis has been on inherited factors rather than experience. If we don’t look at gestation as critical, our diagnoses are bound to be skewed.

There is a study by a Canadian group from the Douglas Mental Health University that found when child abuse exists there is a change in a gene (NR3C1) that affects how the child will deal with abuse. That gene was much lower in abuse victims who eventually took their lives. It would seem that childhood abuse had changed the structure of the gene so that it was less active. And these changes endured throughout their lives. It changed the way the whole stress apparatus functioned (the HPA). McGowan implies that the changes are stable and that they alter the gene’s activity leading to later illness and suicidal tendencies. When that gene is ineffective it cannot produce the kind of alerting, galvanizing chemicals that help one fight through things (glucocorticoid hormones). So the body behaves as though it were constantly under stress when there is none apparent. It is reacting to the imprint. What this research group believes is that mothers can affect the fate of their children even before they are born. The epigenetic changes could force the children to be depressed and suicidal later on. It will look like genetics but it will be more than that.

And to make matters worse, there is a study that indicates that a mother who is been stressed before she gets pregnant can also affect the life of her offspring.[8] This was a rat study by the Israeli M. Lesham. Those rats who underwent stress before pregnancy had offspring who were hyperactive. The females displayed symptoms of anxiety and were generally more nervous. In general a nervous mother is not providing a good soil for having children. We then say she is just like her mother. It is inherited. No it is not. It is what that mother does to her baby just by who she is.

Every day there is new information and research on this subject. A new study by Alberto Bucay of the Research Center, Halabe and Darwich, Mexico, is now suggesting that when parents are happy it can change the germ cells (egg and sperm) that will affect the offspring. He writes in Bioscience Hypotheses, reported in Science News,[9] that parent’s psychology and emotional state before conception can affect the child’s genes. For now this proposal is mostly polemical but it is intriguing. It is for all these reasons that epigenetics will soon be a very important area of study, something that did not exist when I was coming up in psychology.



[1] I discuss research into anise later on.

[2] Infant Behavior Development. July 29, 2006. Pgs. 445-455. “Prenatal Depression Effects on the Fetus and Newborn.”

[3] Healthday News. July 09

[4] Vivette Glover. Imperial College, London. Royal Society Summer Science Exhibition. July 9, 2009

[5] See:“Stress During Pregnancy May Lower Baby’s IQ” British research. Reported in the Globe. Canada Zosia Bielski.

[6] “Neuro-developmental Changes of Fetal Pain.” Semin. Perinatol. 2007,
Oct 31,(5) 275-82.


[7] Nov. 18, 1999
[8] Science Daily. May 13, 2009. “Trauma Experienced by a Mother Even Before Pregnancy Will Influence Her Offspring’s Behavior.”

[9] “Can Happiness be Inherited?” May 14, 2009