Monday, July 19, 2010

Stop The World I Want to Get Off

I wanted to re run this article:

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, are doing surgery for obsessive disorders, depression and other psychologic 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 psychologic 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 cingulatedfor 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 ling-terms 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 psychologic 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. In this highly respected scientific atmosphere the most outrageous modes of therapy are taking place.

7 comments:

  1. Art

    I will probably not be able to repeat my wish in off times for you to pursue a legal process about the question of primal therapy’s eligibility before it is full communion manner run over by the symptomatic improvement of what the interventions of the brain will show. No one will ever listening to the pain when all of our “conscious” system working against that knowledge and offer our life no to.

    Art… you can prove the eligibility of primal therapy… what is there to wait for? They (the “professionals” in the field of psychology and psychiatry) must be seen for what they do ... appear for arguments in media… which are not up to scratch at the demonstration of primal therapy’s eligibility. The needy are many and they will possibly react?

    Frank

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  2. Art, madness abounds, and I get the feeling that the population at large knows there is something very radically, radically wrong. No-one (there are just a few exceptions) knows exactly what is wrong, so those that have a vested interest (usually 'profit') offer some 'fly by night' solution then start experimenting on anyone they can get there hands on, to make a buck. Madness, insanity are not a strong enough words. "How," I scream, "can I/we few, get through and say 'hey guys, we got it all wrong'". It took Copernicus and Galileo many years to get their concept through. My feeling is we don't have the same luxury of time, they did.

    I suspect Art you are as frustrated as I am. It pains me. Maybe, just maybe, nature will smack us were it really hurts and cause us to do a HUGE amount of re-thinking, OR better still, throw us all into deep Primals, so deep we'll not be able to symbolize it into something convenient that keeps the madness intact. Do I fantasize too much?

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  3. Hi Dr Janov,

    I do take your point about the general ineffectiveness of conventional psychotherapy (talking, analytical, cognitive), and specifically about its total inability to deal with pre-verbal trauma, which obviously can't be reasoned with; hence the supposed need for the invention of blunt instruments like this Frankenstein-esque surgery.

    Having experienced an isolated, but protracted period of delusion-inspired mania (14 weeks) a couple of years ago, I still wonder to what degree people's subconscious beliefs about themselves affect their emotional well-being. Maslow's hierarchy of human needs identifies self-esteem as a key component, and it does appear as though people who were raised by neurotic parents who taught them to believe they were 'bad' from a young age tend to fare poorly in adult life.

    It seems like everyone has a so called 'map of reality' that is composed of mental constructs about themselves and the world. People's beliefs do seem to affect how they feel in some ways (although not capacity and range), but maybe that is just a neurotic expression of hope. For an intellectual parasympath like me, those 3 months of dopamine-fuelled invincibility seem like a wonderful dream now (preceded by an acute period of intense psychological distress, during which I was suicidal - sudden polarization ensued).

    Do unjust, detrimental beliefs about oneself compound legitimate emotional suffering? Some people have been taught to believe dreadful things that have no basis in reality.

    Ben

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  4. Hi Ben.
    The magnitude of a true feeling cannot be affected by a false belief. The two are disconnected. The belief can only provide a way to disconnect. However, a feeling can be compounded by earlier trauma. For example, a birth trauma can amplify all future feelings of isolation.

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  5. In this modern age the amount of Pain inflicted on children exceeds the capacity of our repression system, which was working fine for thousands of years.Its happening too fast, there is not enough time for evolution to increase our storage space for Pain. So a variety of drugs are developed and called to the rescue. When they fail, there is brain surgery. IT IS MADNESS. But the world is not ready to face it's Primal Pain, so madness has to continue. Are we approaching a tipping point where pain itself will force it's way to the surface? [universally I mean]. It seems to be headed this direction, which gives some room for optimism. It's not going to be an easy ride, though. Its already tough.
    Cheers, Shalev

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  6. Just to follow on from my comment to Ben...many therapists attempt to provide the "correct belief". A primal therapist never does that, because he knows the "correct belief" is yet to be discovered. A primal patient will get down to the origin of the feeling, where the story can begin to unfold. The correct belief will emerge later, and it will be something the therapist could never have known. At the end of a session, it is the patient who informs the therapist. Not the other way round.

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  7. I was looking through some psychology forums, hoping to find a place where therapists and neurologists are debating and sharing knowledge. Couldn't find anything like that. Can anyone recommend a website?

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