Saturday, November 28, 2009

Stop The World I Want to Get Off!

When will the madness stop? Above all, the madness in the name of science and medicine. In the N.Y. Times today (Nov. 26-09) is a story about places like Harvard, of all things, doing surgery for obsessive disorders, depression and other psychological maladies. Here is what they do: In cases of obsessive rituals and thoughts which have been intractable to psychotherapy, they have decided to cut out those pesky afflictions with brain surgery, cutting out pieces of the emotional brain to ease the problem.

This surgery, they warn, is only for those obdurate psychological problems that do not respond to any sort of psychotherapy. It involves drilling four holes in the brain and inserting wires deep down. From there the procedures differ but in one key surgery, cingulotomy, they pinpoint the anterior cingulate for partial destruction. The rationale: they want to destroy some of the brain tissue that forwards emotional messages to the thinking brain, the prefrontal cortex from the feeling areas such as the cingulate. The claim is that this area is overly active in cases such as obsession in inputting emotional messages to the thinking, intellectual centers. There are variations to this theme but in nearly all cases the attempt is to suppress emotional pain from its apprehension higher up.

The claim is that standard therapy cannot touch the problems such as deep depression . This is brain surgery, remember. The result, according to the surgeons, is about sixty percent satisfactory, although we do not know the long-term consequences of brain surgery. There is one follow-up study which indicated that these patients seem apathetic and lose some self-control for years afterward. It is no wonder since we have cut out the person’s passion.

But what if we could do exactly what the surgery does? What if we could avoid a very serious surgery? I believe we can because primal is the only therapy to be able to go deep in the brain purely by psychological means. Because other conventional therapies do not have this possibility in their theories or in their therapy, they think that the only other solution is surgery. And of course deep depression sometimes is being helped by this surgery. Deep depression means just that; origins deep in the brain. So again, a therapy that probes the depths, the antipodes of conscious/awareness should work as well or better than to have one’s brain cut into.

I have not kept our therapy a secret but it is up to those who do this surgery to investigate what is out there before burning out brain tissue. What is sad is that this kind of “way-out” procedure can have positive stories on it in the New York Times and many other respected journals, while a “far-out” psychotherapy such as ours, cannot get a line printed in any newspapers. It is not “safe.” But here is a surgery that is decidedly dangerous and obtains cache in our country. So someone who compulsively washes her hands needs brain surgery? This, it seems, is recommended because, I think, the pain imprinted down low was too much for the usual tranquilizers. So, ergo, we cut out the relay mechanism that sends terrible emotions to the understanding cortex. So, no relay, no pain and no symptoms. If anything about this procedure is enlightening is that we see how compulsions and obsessive develop out of pain surging up from lower brain centers, and how ordinarily, the gating system keeps symptoms from showing. The pain is still doing its damage, however; only we are no longer aware of it. Certainly, the surgeons did not cut out the origin, the emotional imprint, they cut out the circuit that forwards the message to our awareness. That imprint is all over the brain and body. So a piece is cut out and the imprint is still there doing its continual damage. It will certainly find other outlets. What we will do then? Cut out more? The imprint is the conductor; it won’t help to kill the violinist.

In this highly respected scientific atmosphere the most outrageous modes of therapy are taking place.

Monday, November 23, 2009

Pain-Killers and Overdose

There is an article in today’s paper about a DJ who overdosed and died. Many different kinds of painkillers were found in his system. It seems like a repetitious story; everyday brings another article about painkillers and overdose. This is to say nothing about Michael Jackson. So what is it? Why so much drugs? Let’s first ask, “Why so much pain?” No one takes painkillers who is not in pain. It may be done unconsciously but pain is there, nevertheless. So who or what put it there? And what can we do about it?

Having treated any number of addicts to all kinds of drugs let me state at the outset that the heaviest load of pain behind addiction is set down during what I call “first-line.” That is, during gestation, birth and the first weeks afterwards. These are largely irreversible pains that are often a matter of life and death. But that is not the whole story. Then comes a childhood without being touched, the number one index of “unloved.” Added to that neglect, indifference, not listening and not caring. Those are the ingredients of pain. Not show business, not agents and producers, not “the business.” The question is, “What drives individuals with such ferocity and determination to show business; to be well-known and famous? The pain. Why else the need to be applauded, appreciated by thousands? It should be enough to be loved by a partner, not a thousand of them. But that need is deadly, early and unfulfilled. The rest is an act-out. But even that is not enough; hence the pills and painkillers. That does not mean that acting is a neurotic endeavor. It does mean that those who seek it out are often the unloved and uncared for. It is such a tough business full of constant rejection; it requires the drive to succeed. And those “driven” are often driven to feel loved. One actor I treated would become depressed when not on scene. And deeply depressed when not at work. He came alive on set, when he was someone else; “I will be anything or anyone I have to be in order to feel loved,” he found.

Having treated a number of actors I can attest to the fact of their pain. But again I may be treating a special group of the unloved. The common thread of many of them is narcissism; everything is related to them and what happened to them. Any story eventually redounds to their lives. They cannot give because they are too busy getting. They cannot relate to other’s needs and pain because they are too busy trying to ease their own. Even with all the success there is the need for drugs. All in the service of the cover-up.

There is a saying that politicians are ugly actors. What is true is that they are also in show business. They too act out their needs. They rarely come to therapy because they are in the struggle, to feel loved. They do not put themselves and their lives in question. Whatever goes wrong is “their” fault.

When we do measurements of pain we find that the very early pains are always high on the measurements of brainwaves, vital functions and biochemistry. It is therefore not a guess as to what causes problems later on. Yes, later circumstances do exacerbate matters but rarely cause them. When in a business where almost everyone is desperately trying to get their needs fulfilled, there is bound to be cheating and deception. The exception is the exception. It is my experience that no one who was loved early on is desperate for fame. They want success, often as a result of effort. It is not other’s opinion that is primary. It is their own, because they count.

Friday, November 13, 2009

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. 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.”

Sunday, November 8, 2009

Help! There is a Reptile In My Head.

Here is what I need help on. We know about the reptilian brain, the mammalian brain, etc. That means that the remnants of those animals still reside in our heads. Isn’t that strange? And in sleep and in Primals we go back and meet those animals. But why? Why in deep sleep and in first-line Primals do we have to visit our reptilian brain? And also, when we discuss whether man is basically this or that, good or bad, we need to find out which brain we are discussing. But the reptile still runs our energy, lightening fast responses, terror and impulsiveness. If we want to understand us humans we also have to understand that reptile. And then the reptile has to talk to the chimp brain which then has to communicate with that human brain, the neocortex. So complicated.

Primal Pain And Primal Therapy is a Matter of Life And Death

The question is, “Why I am writing all of this? What difference will it make? Am I drowning the fish? Without appearing too dramatic I think it can be a matter of life and death. And Primal Therapy a matter of life!
An article reported in Science Daily (Oct. 7, 2009) indicates that those who had trauma while being carried and after in childhood died on the average 20 years earlier than those who did not have those risk factors. The average age of death, according to the Center for Disease Control, (David W. Brown) was sixty; not long enough and not close to the age 79 of the non-risk group. What the study showed was that those children exposed to six or more risk factors were at “double the risk of premature death.” Lack of love, that is, lack of fulfillment of need very early on, can be fatal. (see also, The American Journal of Preventive Medicine. November, 2009)
The risk factors included: living in a household with subtance abuse, witnessing domestic violence, a battered mother and its effect on the fetus, verbal and physical abuse, mental illness in the home, parents who were separated or divorced. Any of one these is powerful enough to create life-long damage. This is data from over 17,000 adults.
Lifetime trauma exposure to the mother was very important. Was she, while carrying, under stress?
The two most popular ways out of this planet are heart attacks and cancer. It is fairly well established now how womb-life affects heart function later on. Now there is evidence how that same set of traumas while we live in the womb can lead to cancer. University of Toronto researchers have completed a study on physical abuse early on and the occurrence of cancer. What they did not study is the more subtle abuses originating during our time in the womb. It can only be inferred. But from our experience observing patients this kind of trauma is shattering. (see July 15, 2009. Neuron. Esme Fuller-Thomson). They controlled for the usual factors such as smoking, drinking and being inactive physically, and still the rates of cancer were very high. They hypothesize that there perhaps is a deregulation of cortisol production. This makes sense since our starting patients were quite high in the stress hormone and normalized after one year of the therapy, and have a low incidence of cancer after the therapy.