Friday, July 25, 2014

On Being Addicted

Addiction can be cured, so long as we know what addiction is and what cure means. Once we understand those two factors cure is not far off. Oh yes, there is one more item: need. It is need that that is responding to drugs, and it is need that makes us addicted. Now we have a problem because, after all, what is need? Need is whatever we required to normalize the system. We need water and food and we need love and touching and hugging. I am listing these needs after seeing patients reliving them, so I don’t have to guess what they are, something therapists in history may not have done. And we see the pain when those need are not met.

Needs form a hierarchy from the earliest the latest, from the most remote to the most recent; this means from the most live saving/ endangering to the least endangering. Reduced oxygen in the womb during gestation can be catastrophic and life-endangering. A mother taking drugs can also shut down the fetal system. These are what I call the first line needs, first to arrive in our lives and the last to relive in our therapy. For our therapy is neurosis in reverse; first in, last out: last in, first out. And the pains that accompany the first line match the valence of the need. This may not be obvious but it will become more apparent in a moment or two. For the urgency of fulfillment grows as we descend down the evolutionary chain of brain development. The earlier the deprivation, the stronger addiction and the need for drugs will be. And that is exactly the attention that is missing when we try to treat it. For if we neglect the greatest cause of pain and therefore the time and place for the greatest need for drugs we cannot possibly hope to cure it.

So a hug is very nice when the child is twelve, but crucial just after birth when touch is critical. That period of time has to do with the critical window, when certain needs must be met. For afterwards, no matter how hard we try, the pain remains intact, engraved in the brain and biologic system, for a lifetime.

As I have written, there are similar or the same feelings, say, of hopelessness, that compound the earlier imprint. Reliving those higher level traumas can be achieved but until the wounds during the critical period are addressed and re-experienced we cannot resolve addiction.

What is it, addiction? It is the need to normalize the system that has been deregulated due to early deprivation. The system is then askew as the brain circuits are rerouted and the biochemistry derailed. In brief, the wholes system is out of whack, and will stay that way so long as the early traumas are left imprinted. So if the mother took downers during pregnancy, which also suppressed the baby’s system, then he grows up needing speed or stimulants of one kind or another. He needs to normalize. This is true for what happens to so many addicts. We can be addicted to sweets, cigarettes or alcohol, depending on the early deprivation. Or how the system was rendered unbalanced. A “wired” mother already sets part of the physiology in her offspring; he has been over-activated in the womb. We don’t see it and it is never mentioned but therein lies the soil for later addiction. He may need tranquilizers constantly to calm his system. Yes, there are current stressors but they lie above the prototype set down very early in life. The person may shake and act nervous, be afraid of so much, yet we cannot imagine the genesis of it all; and by the way, it is called epigenesis. Things that occur to sway our genetic evolution. Those early traumas, a mother taking alcohol, make for a new system, a neurotic one. A system that “needs” drugs. So ordinarily we need to eat and drink what makes us normal and balanced, but when pain arrives we have a new set of needs; to undo damage and try to establish a normal system again. Now we know why the majority of men entering prison have drugs in their system. Their needs were not met early on; in brief, they were not loved. Love means, inter alia, filling the child’s needs. “My child knows I love him. I just can’t show it.” Oh no he doesn’t know. His is a deprived system no matter what the excuses. “ I know my child is hungry but I just can’t feed him.” His belly tells him what he really needs to know. He is being deprived and he hurts.

So how do you try to normalize when you cannot shut down anxiety? You take pain-killers which often contain the same molecules that were depleted at the time of the trauma. The supply from inside was exhausted in every sense of the term,. And so he goes to another pharmacy, around the block, one has more supplies, and orders more painkillers. He feels better; he is normalized for a time. Isn’t that what most of us do? Find the missing part of us; we do that even when choosing a life partner. We marry someone who breathes life into us when we were severely deprived of oxygen early on. That deprivation can turn us into parasympaths; passive souls that have no get-up-and-go in us. We tend to get involved with those get-up-and- goers. Or, maybe more efficient, drugs that help us get up and go.

So what is the choice of drugs? Whatever it was originally. A depressed carrying mother may force the child into a coke habit. His system was down-regulated early on. Again, we become addicted to need; that is the hook that forces us into drug habits. Those needs and deprivation are so early as to be unperceived and neglected. Later on, someone who was not loved in infancy can be “bought” for a few kind and laudatory words — “you are wonderful, so talented and so good.” Done. The hook is in.

And that is what drugs do: they create a signal in the brain that all is well, you are confident, and more aggressive. It does without words what approval does, make us feel better. Cocaine is ideal for this, if it weren’t for those pesky heart attacks and strokes that follow. So whether it is cocaine or praise the effect is to make up for deprivation of need. The person becomes a seeker … of applause and praise as a performer, or seeks out a drug that does the same thing. When these drugs normalize for a moment it changes personality; one is more calm, less aggressive (except for cocaine which produces aggressivity). The problem is that the addict suffers from pains that have no name, pains that were imprinted long before words came on the scene to define them.

Cocaine can take care of a gestation where a mother was depressed and down, together with a childhood of suppression and lack of love. It makes the person “up” and assertive. Pain that has no name is often the worse kind because it is nearly always about life-and- death. A carrying mother who is on constant tranquilizers is helping to shut down the fetal system. He cannot be normal unless he can counteract that suppression with other drugs that stimulate; and cocaine does that. It enhances dopamine which energizes the system. Why a stimulant? Because somewhere her system is down-regulated and “needs” it. The person can go from “can’t do” to “can do.” Moreover, it calms the pain; cocaine, after all, has been used in surgery.

Even though we are discussing a lack of love, it would seem that more love would help. Nope. More love can’t get in. What can get in is feeling there is no love, feeling the pains which finally opens up the system to feel again and to feel loved. Early love normalizes the system and makes it feel OK, loved. When that is missing later on, we need artificial help with drugs that boost supplies of such chemicals as serotonin that help block pain. The point is that the person needs it constantly, and it never completely satisfies like early love does. In fact, any ritual we have to do over and over again, whether a mantra or drugs is to overcome what has been missing inside of us. These are stop-gaps, not cures. It can never make up for the lack of hugs and kisses by one’s mother very early in life; never make up for a carrying mother who drinks alcohol.

I have seen suicide cases where the person was so agitated by pain that handfuls of painkillers could not kill. He is trying to kill a lifetime of deprivation and that pain is so great that it is almost unstoppable.

So what do many of these addicting drugs do? The most addicting are those that manage to suppress brainstem, first-line pains from very early in our lives—those pains with no name. They are the most powerful, visited upon a naïve, vulnerable soul who has no defenses. This makes for hard-core addicts that are considered untreatable only because these pains are so deep and remote as to be considered nonexistent.

So what does it matter if I can calm myself by a bit of drugs every morning and every night? And yes, if you need drugs to calm yourself during the day, you no doubt will need them at night to sleep.

It’s the difference between normalizing a symptom and normalizing the system. Vitamins or tranquilizers can help us feel better but underneath the system is still warped, and in areas we don’t even know about. Far better to right the system so that compensatory therapies will no longer be necessary. We can only right the system by going after what “un-righted” it. Lack of love and deprivation of need. So long as the system is warped, I believe there will be a shorter life span. It is akin to a false positive in blood examinations. We feel better, sleep better, with our pills of course, but we are not really better. In fact, there is no “better”; there is only normal or abnormal. It is the difference between a holistic approach (not holistic new age therapy) and a narrowly focused one. It means to right the entire system not just the symptom such as high blood pressure. It can be kept under control with beta blockers, that in effect will block the message of pain to the blood system, but one is still not normal and won’t be until the generating sources are addressed. Being kept normal or appearing normal by artificial means is not the same as being normal. Blocking pain is by no means the same as not being in pain.

Blocking pain means a daily ritual of some kind or another; a bit of drugs, some coffee, a couple of cigarettes and a coke or two. Then we can get out of bed. It is the parasympath, the down-regulated one that has trouble getting up and getting going. Conversely, it is the up-regulated that cannot stay in bed and has to get going immediately. He needs to be calmed before facing the world. Sometimes just moving from one appointment to another can help. So long as he can keep moving. It discharges some tension or anxiety inside. That alone can calm. Being held still, unable to move, as in being sick and in bed can produce more anxiety (an analogue of the birth trauma, unable to move and get out).

So when we consider our behavior we need to think about how our personality tendencies were stamped in, for our behavior, like taking drugs, is usually done to normalize ourselves. We are constantly seeking balance without even knowing that we had been unbalanced. To stop addiction we need to back to our starting blocks and see how we were sent off; then we will know what to do.

Monday, July 21, 2014

On Primal Memory

 I think that Primal memory is of a different order of being from just plain cerebral memory.  When I go back to my childhood and earlier, I am always amazed at the clarity and purity of my memory.  Even with ninety years of experience it is if nothing ever happened to change or moderate that memory.    I wrote recently about the lady who cared for a young lion and then put him in a shelter.  She came back five years later and when the lion saw her he draped his arms over her and kissed and hugged her.  And I had a Primal.  It was the love I never had.  The Primal began with no one was ever happy to see me (the lion seemed to be in ecstasy), then moved on to a scene where I was home and my parents never looked at me or talked to me and suddenly I felt the need……hold me, cherish me, tell me you love me…….and on and on……….the pain of no love which I was never able to articulate because I never knew about love.  Until you get a smidgen of it, you cannot imagine what love is about.  When I was a bit more open to my feelings and saw a film, Brief Encounter, I began to see about love, and I began to realize what I missed. Just to be hugged was such a revelation when I first saw it.  But the point is that I was transported back to that lonely experience where every drape, chair and pillow was so, so clear.  Every facial expression of my parents was so ,evident…. No life there.  No emotion, no sign of caring.
 I felt like I landed on a foreign land but actually it was just a hidden one.  Hidden because the memory was too painful to be faced abruptly.  But once I got there, it all seemed so familiar.  I saw it with new eyes, new awareness and a new perspective.  I saw it.  And oh my, it hurt.  That hurt kept me from seeing it. I mean how can you be acutely aware that the rest of your life at home will be loveless?  How can a young kid accept that?

 And when I make a pit-stop at my childhood, feelings take me down to the gestational period and I relive a birth trauma where I cannot open my mouth no matter how much I want to in order to get some air.
 That experience with no words is also pure and untrammeled by later experience; it is like nothing else ever happened. And because it is so early it is imprinted for a lifetime.  It makes us act it out.  Never comfortable with a low roof over my head,  never have any blanket over my head, panic when someone pretends to choke me, and I had to get out every morning for coffee in order to come back and feel relaxed.  I  “got out” at last.  Getting out in the morning was my act-out.  There are many, many others who have to get out and go, traveling all the time, making dates, having projects never relaxing.  All the same act out.  And if you tell those people who cannot stop traveling what they are doing they would be insulted and think you are nuts.  That is because the feeling is bound inside the act-out and drives it.  It is hidden through the act-out; i.e., getting out.  It is the logic of the imprint and forces us to behave in certain ways.  I had to go to a café  each morning for years, never knowing why.
 Worse, never knowing I was being driven by a memory 80-90 years old.  Imagine!  Yet when we open up the system the driving, imprinted memory just sits there waiting its turn to see the light.  It doesn’t just sit there; it gnaws away at the system for years and years.  When the cover is taken off, when we literally open the gates it can breathe life again and react as it should have years before.  So when I say, I feel liberated, it is exactly the case.  That memory has never ever changed.  There is a purity about it that is unequaled.  And when I come out of it, there is a great wonder about life and the brain.  A wonder how Primal memory never leaves us ……….until we experience it.  Then we have a normal memory shorn of its powerful impact of pain.  With a Primal reliving, the lower memory then climbs the ladder of the brain to a cortical area where the memory is kept.  It is not longer hidden and out of reach.

 Why hasn’t it changed?  Because it is life saving; the act out is a constant reminder of what we must do to live normally.  We must never take it away from the patient until she is ready because it is crucial to our survival.  The act out, which we do time and time again is talking to us, but sadly we cannot hear it.  Every day, in every way, it explains what we are doing and what is behind it but we turn a deaf ear.  So we go on interrupting cause we cannot wait…… back then…………now transposed to the present.  If we can learn about our act-out we will discover intellectually, what the early imprint is about. It is right there all of the time whispering ever so softly as if it does not want to be heard before we are ready for it.  It says to us,  “you interrupt because you could not get out of the womb easily; so to wait means death is lurking.  And it has such an urgency that we interrupt.  We have to get those words out.  When we reliving getting out, it all becomes clear as lower level memories join with their cortical counterpart to make sense of it all. I use this example because impulsive patients almost always have this experience; not my interpretation of it, but because I observe.

 When we do experience it, even pre-verbally, afterwards, it wends its way upward to offer us insights of what it was and how it drove us.  The higher level cortex now explains it all for us and helps make sense of its power.

 This process should never defy evolution and occur with intellect first with its cerebral insights, and then feeling.  It must always be in the order of the development  of the brain—feelings first followed by insights.  Those intellectual insights can never be curative without feelings preceding them.  Careful, obey the laws of evolution because they are rather strict laws.

Wednesday, July 16, 2014

More on Stress in the Womb

Maybe it is hard to imagine a fetus suffering stress, but when a mother deprives herself of nutrients and the baby suffers, that is called stress. He cannot voice it but his stress hormones shout it out all of the time. Because it may be the first stress, it comes to be what the baby expects and automatically changes his system to adapt to his new environment. It is a completely naïve and vulnerable system. It may be called first-time learning, and it lasts. It continues on because this is the world he first meets and he cannot know it can be any different; just as if the mother is chronically depressed, where her system is continuously “down”. The baby adapts and maybe years later gets hooked on stimulants, uppers, to galvanize his system which was depressed long ago. If the early environment at home is suppressive and highly disciplined while lacking love and touch, we have the makings of a depressive. The point is we must not neglect those early beginnings in our understanding of mental illness. Let’s suppose he cannot concentrate in school at age eight. This is part of a post traumatic stress response which we cannot see or even imagine. He has been damaged in the first weeks of his life.

Just the simple fact of a carrying mother having an eating disorder can disrupt the baby’s eating habit later on. I have written extensively on epigenetic change. For the baby is traumatized even though he cannot show it; it becomes imprinted for life. It is called prenatal programming. A personal experience to demonstrate the point. At age five I was smacked repeatedly for crying by my father. I remember everything about that event. I learned and never cried again until adult life. So you see how early life impresses experience into the brain and physical system. If that had happened at age 12, I doubt there would have been such an imprint. At age five he was my only “friend.” I knew no one else and nothing else. He was my whole world. When he smacked me I thought I was wrong and bad. It hung onto my system for decades. I had no one to complain to and discuss with. At that age he was my entire world; my mother being psychotic. Since I have primalled about this, it lasted a very long time. And who knows if it didn’t play into my later ADD. My system still felt those smacks all my childhood, and prevented me from crying. I lived in a barren, sterile world with no love, but that was the only world I knew. The earlier the trauma and deeper the imprint with great force. So it comes out later as never “needing” love, never needing touch. It reawakens the pain if love comes along; thus it is avoided.

If the carrying mother continues on with crazy diets you can see the damage that it incurs. So here we have a field concentrating on there- and-now while the greatest damage has happened back then. How do we now? As patients approach these very traumas all of the vital signs mount inordinately.

Proper nutrition is one way the mother inculcates love. But if she is on drugs, so is the baby. The blood- vascular system are in many respects, one. Worse, the baby can be born addicted. He ”needs” the drugs later on. And if his system has been biochemically depressed, it may militate towards sex problems where libido has been suppressed, as well. After all, so many individuals complain that taking pain killer suppresses their libido. Imagine taking in pain killers at age six months pre-birth. The dose of the tranquilizer for the baby is many times that for the mother. The system begins to adapt to this neuro-chemical state. And it may be less aggressive, less able get and keep an erection. It is all part of the imprint where passivity was life-saving. When shutting down was the only way to block the input of heavy painkillers.

If I had to measure how strong the imprint is, I would state that gestation is the most devastating, birth and infancy next, childhood later and then adult life. So when we confine our psychotherapy to late years we neglect the key life experiences that formed us, those years when vulnerability to catastrophic afflictions set in. This is a short-hand observation of what impact life has on us at different epochs of our lives. It is the reactions we see in our therapy by patients reliving certain events during different stages of ontogeny that indicate the strength of the pain they suffer. And it is nearly always the gestational/birth traumas that have a massive impact on us. So reliving the lack of touch right after birth is critical, while reliving lack of touch at age thirteen is less critical.

So we cannot say that here-and-now therapy is progress in psychotherapy; we can say that proper therapy must always address our beginnings.

Review of "Beyond Belief"

This thought-provoking and important book shows how people are drawn toward dangerous beliefs.
“Belief can manifest itself in world-changing ways—and did, in some of history’s ugliest moments, from the rise of Adolf Hitler to the Jonestown mass suicide in 1979. Arthur Janov, a renowned psychologist who penned The Primal Scream, fearlessly tackles the subject of why and how strong believers willingly embrace even the most deranged leaders.
Beyond Belief begins with a lucid explanation of belief systems that, writes Janov, “are maps, something to help us navigate through life more effectively.” While belief systems are not presented as inherently bad, the author concentrates not just on why people adopt belief systems, but why “alienated individuals” in particular seek out “belief systems on the fringes.” The result is a book that is both illuminating and sobering. It explores, for example, how a strongly-held belief can lead radical Islamist jihadists to murder others in suicide acts. Janov writes, “I believe if people had more love in this life, they would not be so anxious to end it in favor of some imaginary existence.”
One of the most compelling aspects of Beyond Belief is the author’s liberal use of case studies, most of which are related in the first person by individuals whose lives were dramatically affected by their involvement in cults. These stories offer an exceptional perspective on the manner in which belief systems can take hold and shape one’s experiences. Joan’s tale, for instance, both engaging and disturbing, describes what it was like to join the Hare Krishnas. Even though she left the sect, observing that participants “are stunted in spiritual awareness,” Joan considers returning someday because “there’s a certain protection there.”
Janov’s great insight into cultish leaders is particularly interesting; he believes such people have had childhoods in which they were “rejected and unloved,” because “only unloved people want to become the wise man or woman (although it is usually male) imparting words of wisdom to others.” This is just one reason why Beyond Belief is such a thought-provoking, important book.”
Barry Silverstein, Freelance Writer

Quotes for "Life Before Birth"

“Life Before Birth is a thrilling journey of discovery, a real joy to read. Janov writes like no one else on the human mind—engaging, brilliant, passionate, and honest.
He is the best writer today on what makes us human—he shows us how the mind works, how it goes wrong, and how to put it right . . . He presents a brand-new approach to dealing with depression, emotional pain, anxiety, and addiction.”
Paul Thompson, PhD, Professor of Neurology, UCLA School of Medicine

Art Janov, one of the pioneers of fetal and early infant experiences and future mental health issues, offers a robust vision of how the earliest traumas of life can percolate through the brains, minds and lives of individuals. He focuses on both the shifting tides of brain emotional systems and the life-long consequences that can result, as well as the novel interventions, and clinical understanding, that need to be implemented in order to bring about the brain-mind changes that can restore affective equanimity. The transitions from feelings of persistent affective turmoil to psychological wholeness, requires both an understanding of the brain changes and a therapist that can work with the affective mind at primary-process levels. Life Before Birth, is a manifesto that provides a robust argument for increasing attention to the neuro-mental lives of fetuses and infants, and the widespread ramifications on mental health if we do not. Without an accurate developmental history of troubled minds, coordinated with a recognition of the primal emotional powers of the lowest ancestral regions of the human brain, therapists will be lost in their attempt to restore psychological balance.
Jaak Panksepp, Ph.D.
Bailey Endowed Chair of Animal Well Being Science
Washington State University

Dr. Janov’s essential insight—that our earliest experiences strongly influence later well being—is no longer in doubt. Thanks to advances in neuroscience, immunology, and epigenetics, we can now see some of the mechanisms of action at the heart of these developmental processes. His long-held belief that the brain, human development, and psychological well being need to studied in the context of evolution—from the brainstem up—now lies at the heart of the integration of neuroscience and psychotherapy.
Grounded in these two principles, Dr. Janov continues to explore the lifelong impact of prenatal, birth, and early experiences on our brains and minds. Simultaneously “old school” and revolutionary, he synthesizes traditional psychodynamic theories with cutting-edge science while consistently highlighting the limitations of a strict, “top-down” talking cure. Whether or not you agree with his philosophical assumptions, therapeutic practices, or theoretical conclusions, I promise you an interesting and thought-provoking journey.
Lou Cozolino, PsyD, Professor of Psychology, Pepperdine University

In Life Before Birth Dr. Arthur Janov illuminates the sources of much that happens during life after birth. Lucidly, the pioneer of primal therapy provides the scientific rationale for treatments that take us through our original, non-verbal memories—to essential depths of experience that the superficial cognitive-behavioral modalities currently in fashion cannot possibly touch, let alone transform.
Gabor Maté MD, author of In The Realm of Hungry Ghosts: Close Encounters With Addiction

An expansive analysis! This book attempts to explain the impact of critical developmental windows in the past, implores us to improve the lives of pregnant women in the present, and has implications for understanding our children, ourselves, and our collective future. I’m not sure whether primal therapy works or not, but it certainly deserves systematic testing in well-designed, assessor-blinded, randomized controlled clinical trials.
K.J.S. Anand, MBBS, D. Phil, FAACP, FCCM, FRCPCH, Professor of Pediatrics, Anesthesiology, Anatomy & Neurobiology, Senior Scholar, Center for Excellence in Faith and Health, Methodist Le Bonheur Healthcare System

A baby's brain grows more while in the womb than at any time in a child's life. Life Before Birth: The Hidden Script That Rules Our Lives is a valuable guide to creating healthier babies and offers insight into healing our early primal wounds. Dr. Janov integrates the most recent scientific research about prenatal development with the psychobiological reality that these early experiences do cast a long shadow over our entire lifespan. With a wealth of experience and a history of successful psychotherapeutic treatment, Dr. Janov is well positioned to speak with clarity and precision on a topic that remains critically important.
Paula Thomson, PsyD, Associate Professor, California State University, Northridge & Professor Emeritus, York University

"I am enthralled.
Dr. Janov has crafted a compelling and prophetic opus that could rightly dictate
PhD thesis topics for decades to come. Devoid of any "New Age" pseudoscience,
this work never strays from scientific orthodoxy and yet is perfectly accessible and
downright fascinating to any lay person interested in the mysteries of the human psyche."
Dr. Bernard Park, MD, MPH

His new book “Life Before Birth: The Hidden Script that Rules Our Lives” shows that primal therapy, the lower-brain therapeutic method popularized in the 1970’s international bestseller “Primal Scream” and his early work with John Lennon, may help alleviate depression and anxiety disorders, normalize blood pressure and serotonin levels, and improve the functioning of the immune system.
One of the book’s most intriguing theories is that fetal imprinting, an evolutionary strategy to prepare children to cope with life, establishes a permanent set-point in a child's physiology. Baby's born to mothers highly anxious during pregnancy, whether from war, natural disasters, failed marriages, or other stressful life conditions, may thus be prone to mental illness and brain dysfunction later in life. Early traumatic events such as low oxygen at birth, painkillers and antidepressants administered to the mother during pregnancy, poor maternal nutrition, and a lack of parental affection in the first years of life may compound the effect.
In making the case for a brand-new, unified field theory of psychotherapy, Dr. Janov weaves together the evolutionary theories of Jean Baptiste Larmarck, the fetal development studies of Vivette Glover and K.J.S. Anand, and fascinating new research by the psychiatrist Elissa Epel suggesting that telomeres—a region of repetitive DNA critical in predicting life expectancy—may be significantly altered during pregnancy.
After explaining how hormonal and neurologic processes in the womb provide a blueprint for later mental illness and disease, Dr. Janov charts a revolutionary new course for psychotherapy. He provides a sharp critique of cognitive behavioral therapy, psychoanalysis, and other popular “talk therapy” models for treating addiction and mental illness, which he argues do not reach the limbic system and brainstem, where the effects of early trauma are registered in the nervous system.
“Life Before Birth: The Hidden Script that Rules Our Lives” is scheduled to be published by NTI Upstream in October 2011, and has tremendous implications for the future of modern psychology, pediatrics, pregnancy, and women’s health.