Articles on Primal Therapy, psychogenesis, causes of psychological traumas, brain development, psychotherapies, neuropsychology, neuropsychotherapy. Discussions about causes of anxiety, depression, psychosis, consequences of the birth trauma and life before birth.
Tuesday, September 13, 2016
On the Difference Between Abreaction and Feeling... The End (Part 15/15)
We Are Specialists of Joy, Not Pain
Primal Therapy is no quick fix. We are attempting to redo someone’s entire life. It will be done in a slow methodical manner so as to never overwhelm the patient and make him suffer all over again, as happens with abreaction. If he can experience just enough to have a full experience that is enough for a session. We do not want him to suffer any more than necessary. He will suffer when the pain comes up arbitrarily, prematurely so that he cannot integrate it; the pain hangs there in an ego-dystonic fashion (Freud again), meaning alien and apart with pure pain that cannot be made ego-syntonic or integrated.
So why do we have to trace back our evolution again? One reason is that we never sever anything permanently in our evolution; we suppress the old and add on the new. Sometimes the primal pain vestige is so powerful that it exerts a constant force that disrupts our functioning. In my patois, the first line erupts and surges higher. Then it has to be dealt with and relived. I call it “intrusion,” an imprint so strong that it interferes with our personal evolution and our current functioning. We see it in physical symptoms and deformation of organs and growth; we see it in diseases such as hypertension, cancer and heart failure that are actually offshoots of the central damaging memory, locked in as an imprint, out of reach and out of touch. This is also the case with Attention Deficit Disorder where forceful imprints constantly surge toward the top level to disrupt concentration and attention processes. Remember, earlier, I explained that evolution always moves the imprint higher so that first- line damage may be expressed on the upper levels of brain function, where attention and concentration are mustered. Training a person how to concentrate is not the answer; feeling the force that scatters thoughts is the answer.
Once we lift the repressive lid (done in orderly fashion) there is no longer unconscious forces driving behavior and symptoms. And as repression lifts, the patient’s truth becomes self-revealing. Bit by bit his unconscious tells him what he needs to know, but not too much, just enough to integrate the pain and its information. His orderly descent into feelings eventually informs him of what it all means. Everything he needs to learn is already lying inside of him, waiting for discovery. It must come from inside, never outside, just as the feelings were laid down by the system and not by executive order.
The aim is not insights; it is change in all aspects of the person: his behavior, biochemistry, neurology and feelings. We are after total change because there was total change at the time of the imprints. We want normalization of the whole person. We are not there to give love; we are there, paradoxically, to help patients feel unloved so that they recapture the ability to feel and then can feel love when it is there.
If a therapist needs to be loved he will act out on the patient and give him what he, the therapist, never got. He has become a “pal” not his doctor. The patient feels loved, it feels good...and he loses! Or there are great discussions about music and art and politics, and the patient becomes an intellectual pal, and again he loses. He has been transformed from a patient who needs treatment into a good friend. Nice idea but very wrong. We are not there to give love; we offer kindness and caring but also science. We don’t replace science with pseudo caring. We adhere to key principles. The patient begins to suffer; we do not rush in to stop it and make him feel better. We don’t do him any favors suffocating the pain with “love.” His feelings are about real suffering. It must not be tampered with. That is the part he has kept hidden for years; it must come out and be experienced. Then we will be free; free of that pain which has made him depressed or anxious for so long. The patient is himself at last.
It is dialectic; he has to feel unloved so as to unlock the feeling gates. He will never do that with therapeutic approval and warmth and understanding. He will get that after the feeling, not before. When he has made a breakthrough, we rejoice with him. It is not just about pain; it is about contentment, ease and relaxation. It is about joy. It is what we want too for them; why else do the therapy? I received over fifty letters on my birthday thanking me and my staff for saving their lives or improving them greatly. That is the reward and the meaning of our lives. We are not pain specialists; we are joy specialists who need pain to help joy along.
There is a reason the patient has to feel unloved. He needs to go back to the open sensory window when “unloved” dominated. That is the essence of our therapy; travelling back in time and undoing the original damage. We cannot do any better than that.
Thank you Art for all your efforts.
ReplyDeleteThis is all much clearer the second time around.
I hope your injury get's better. Arnica?
Paul G.
Paul, I am healing, thanks.
DeletePleased to hear this. Thank you for the update.
DeleteArt
DeleteWhat happened to you?
Piotr, I had surgery on my hand. I'm OK now, thanks. art
DeleteDear Dr. Janov,
ReplyDeleteThanks for your valuable insights! They are life-changing. You deserve the Nobel prize...many times over.
Willien.
Aside from family and "good" friends, lately, in this world...many times, one doesn't feel any love anyway, so going into therapy without love ...oh well. It's the distraction, the distractions and interruptions that take over....whether they are apparent to the "normal" person or not. Love is important and that is what helps with what is now ADD. Love is important to have, but in therapy....Primal Therapy, one knows there can be no connections (love, feeling) at that time, .... cannot be at that time. Possibly it is also the organization in the therapy which helps a great deal. To feel somewhat some kind of organization, and then after the therapy...comes connections and love, these are important in living today. But as Bruce Springsteen's song "Human Touch" ...."the world just strips away". If one cannot get Primal Therapy, ....it is a struggle many times.
ReplyDeleteBeachcoast: Good letter. thanks, art
DeleteOFF TOPIC:
ReplyDeleteA little late I came across one of the most beautiful and meaningful of Janov's blog articles (at least to me): "Just Three Little Words" (Aug 19, 2016), an article that should be published not only in books and magazines, but on the op-ed pages of every newspaper of the world to remind people of what really matters. But that will not happen because the world is pursuing false gods and is going to go off a cliff eventually....
Well my parents never told me they loved me, and they never will (they are still alive and about Janov's age). I don't know if this turmoil I regularly feel inside is related to that, and I may never find out and be relieved of it. For instance, I had a nightmare last week in which someone was maybe going to kill me. Such nightmares happen once in a while, not regularly though. I wake up in fright but also with severe back muscle spasms, the first time in decades.(Spasms now gone thankfully).
Other people who regularly remind the world of what really matters , from the margins of course, are most artists. Just last week I saw this beautiful little film made here in Quebec. Entitled "Felix and Meira", it is the story of Meira, an unhappy Hassidic Jewish wife, who meets a non-religious French Canadian man, whose rich father had recently died. Towards the end of the film, he gets a letter from his deceased father (written of course while alive) in which he apologises for having rejected his son Felix. This naturally touches the son, and justifies his rebellion against his father. That hit me hard, because I know I will NEVER get an apology from my mother especially, for having been so harsh towards me and driving me crazy with fear and rage. One other scene especially moving was the first time the couple touches. Felix brings her to the father's now deserted mansion and they walk around it. Unexpectedly, Felix's sister arrives , which, for some reason upsets Meira. She storms out, and Felix runs after her with great concern. He successfully calms her down, and then ,ever so gently ,their heads lean into each other and connect at the top. Love... That hit me really hard also. Exactly such moments have thankfully happened to me twice in my life with two different women, and I will never ever forget them. But there should have been more of those moments in my life, instead of this constant lonely struggle in the emotional desert.That makes me really bitter especially now that I am over 60.This world is so sick, and we must thank those like Art Janov who try mightily to make it less sick, so that people will know love, peace, and joy more often.
Marco
Marco, I find that the most profound of ideas are always the simplest. We don’t need giant brains we need unneurotic ones. thanks for the kind words. I always try to match your expectations. art
DeleteSpeaking of artists, Marco, last night I started reading a book of essays by Marcel Proust (“Against Sainte-Beuve and Other Essays”). His first line of the preface was: “Daily, I attach less value to the intellect.” Thought one or two of you might appreciate that one. ;)
DeleteKip
Sorry, Kip, don't quite understand what you are talking about.
DeleteTo Art Janov:
Thanks for your acknowledgement. Let me say that I never have any expectations as to what you should write, if that is what you meant by expectations.Everything you write is always of interest to me, and I take it as it comes as a springbooard to experience and understanding which might deepen my appreciation of your work, or conversely, might lead to total or partial refutation. But I find nothing to refute as yet.
Let me add that I pondered all weekend those two wonderful phrases from that previous blog of yours that I refer to: "Just three little Words" and "that little touch" ("it was the only warmth she ever knew", referring to a masochistic patient of yours). Those phrases reflect an uncommon sensitivity and compassion, and I was really moved by them , especially while I was watching an excellent movie called "Up in the Air", another work of art about what really matters. Those two phrases would also make great movie titles, I beleive. Not that I would really know since I am nowhere near involved in any film industry.
So thanks again for that beautiful piece of writing.
Marco
Marco, in essence I was just agreeing with this line of yours: "Other people who regularly remind the world of what really matters , from the margins of course, are most artists."
DeleteKip
Hi Art,
ReplyDeleteI noticed in Primal Healing you referred to forensics. I found this quote:
-"Physical evidence cannot be wrong. It cannot perjur itself. It cannot be wholly absent. Only human failure to find it, study it and understand it can diminish it's value"-.
From a book by Paul Kirk called "Crime Investigation".
Seems to me you have been a forensic psychotherapist and too many people are ignoring the evidence.
Not me.
Paul G.
There is much to learn to live with if we can talk about learning in the context of what death means. Knowing that I will die is nothing like the neocortex alone manage without me become mentally ill but in the process with the limbic system... it is possible! My life has been like a painting on the wall... where nothing changed in that part of my brain that carries my death... it in the limbic system.
ReplyDeleteThere is a lot for me to feel about death and about life before it is possible for me to live with it. Be feeling about life that carries the death. I did not know I was a child in everything I've done and continue doing. It's here my life begins the journey... the journey home to feel who I am now!
Yes... it sounds crazy to the uninitiated in Primal therapy... but it is real to them in the process of it... it is in its infancy of what death I carried with me as a kid.
How can I carry death with me and be alive? It must be the most obvious question! Yes it is... but we learn to feel it through our symptoms from death if we can get the help we need in our therapy!
The fear within the experience of cause is a fear of terror that must be cared for how vulnerable we were as babies. There is nothing anyone uninitiated can deal with... but many are guilty to have done.
Frank
Hello Art!
ReplyDeleteYou may want to know what the research shows at the Karolinska Hospital?
So I send you this below on what results they have received through lithium.
I can imagine that it would be far better if the telomeres become longer by therapy tied to its cause that they became short.
Your Frank
Transl Psychiatry. 2013 May 21;3:e261. doi: 10.1038/tp.2013.37.
Long-term lithium treatment in bipolar disorder is associated with longer leukocyte telomeres.
Martinsson L1, Wei Y, Xu D, Melas PA, Mathé AA, Schalling M, Lavebratt C, Backlund L.
Author information
Abstract
Telomere shortening is a hallmark of aging and has been associated with oxidative stress, inflammation and chronic somatic, as well as psychiatric disorders, including schizophrenia and depression. Additionally, antidepressants have been found to protect against telomere shortening. However, pharmacological telomere studies are lacking in bipolar disorder (BD). Therefore, the objective of this study was to explore telomere length (TL) in patients with BD in the context of lithium treatment. We determined TL by quantitative real-time PCR using peripheral blood leukocytes. Participants were outpatients diagnosed with BD type 1 or 2 (n=256) and healthy controls (n=139). Retrospective case-control and case-case study designs were applied. Lithium response (LiR) was scored using the Alda-Scale. Lithium-treated BD patients overall, as well as those on lithium monotherapy, had 35% longer telomeres compared with controls (P<0.0005, partial η(2)=0.13). TL correlated positively with lithium treatment duration of >30 months (P=0.031, R(2)=0.13) and was negatively associated with increasing number of depressive episodes (P<0.007). BD patients responding well to lithium treatment had longer telomeres than those not responding well. This is the first study to report a positive effect of long-term lithium treatment on TL. Importantly, longer TL was also associated with a better LiR in BD patients. These data suggest that lithium exerts a protective effect against telomere shortening especially when therapeutically efficacious. We hypothesize that induction of telomerase activity may be involved in LiR in BD.
Thanks Frank. art
DeleteI do not feel what I say and can therefor not say what I feel... but I know that it is near!
ReplyDeleteI do not feel what I'm saying... because if I did so I would be back in my needs where I knew what I needed but did not get... which is why it hurts so much that I dare not feel it. How can I tell my mom that I'm about to die when it's because I'm so afraid of her? My brain is in such a state of shock that nothing comes out of my mouth... I'm stunned for everything what my life is all about. It is a state I live why I do not feel it. I am talking but that is all... my lot has become to talk... it to not feel!
I will now rest my self into memories where a time of bland state hopefully open the doors to what was before I emotionally died. I have a time of suffering to get through... for how long I do not know... but I know it's my life so I have to start there! I have begun to understand to keep my "eyes" open and say, "I do not dare to come home"
Frank
First of all... we must in a process dare to let out what we call anxiety to awareness as we otherwise do everything to escape. The feeling... which is the cause of anxiety... to get it to land where it belongs... that's what it's all about in the primal therapeutic process. To me it seems like it will never end... my childhood was all about pain... pain as now are explained to be anxiety and I would lose the cause if I would be listening to it. It's all about pain as source... as impossible suffering is a cause to anxiety and the biological evolutionary construction of neocortex!
ReplyDeleteDeath Anxiety is about memories with the same intensity as the pain of it... then a long time ago a cause of pain... it for what we project could happen now... so as to die now. I will not die now... but later today or tomorrow which I know nothing about... so if anxiety for death would have a connection with the upcoming death then would no person with anxiety of death survive the day.
We only see what can happen not what happened and that's what primal therapy is all about... what happened! Ours neocortex is just meant to look foreward not back why our memories are of a suspicious order... we lack the emotional experience of it... as a supressed limbic system should be a part of... but can't be because of all the pain as are there.
What must be done... only we listen to what the evolutionary process caused. We wanted to live... but could not... and we want to live and we can.
Frank