When I first wrote about how
the birth trauma and prenatal experience affect adult behavior it was
considered “New Agey.” Now, there are literally hundreds of studies
verifying this proposition. There seems to be little question now that
the carrying mother’s mood and physiology can produce long-term effects
on the offspring. That means us.
Let’s start with a simple bit of research; Dr. Daniel Schacter,
psychologist of Harvard University has reported on a study where
subjects watched bits of a TV series and then had their brainwaves
measured. (see: Science, Sept. 2008).
They
found when the subject remembered the event, the single brain cell
signature was the same as in the first viewing. They reported that it
seemed like a reliving; which of course, has been my position. What do
you call it when a memory brings up one’s exact history with its precise
early physiology. This happens to our patients every day. When there
are certain triggers the brain conjures up its history, intact. That is
why our behavior is so compulsive and unwavering; our history motivates
us all of the time. We are largely victims of our deep unconscious
brain.
In Schacter’s research on epileptic surgery patients, they threaded
fine electrodes down in the brain of the subject. These electrodes
could pin-point small brain storms at their origins. And they could
make minute measurements during recall. The lesson? We can relive
past events in their entirety, precisely as they occurred. What is very
new in all of this is how early an experience can be to affect our
later life. Think of the implications: that old memories reside in the
same neurons (nerve cells) as were involved originally. That is why the
neurotic cannot distinguish between past and present and sees reality
through the prism of the past.
Let’s go back to the notion I discussed earlier of epigenetics. 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. So much happens to us in the womb; so much as been ignored
in terms of the their long-term effects that many diseases remain a
mystery because we are looking at the wrong place at the wrong time with
the wrong tools.
What
I am learning is that events in the womb explain so much about later
life. If you bend an emerging twig you are bound to get a distorted
tree. The question has always been, “how’/ early is early?”
An example: someone is born with all kinds of allergies from birth
on. A history of emergency clinic visits for all kinds of infections,
asthma, breathing problems due to allergies, and in general, a very
deficient immune system. Here is where we need to push back the
envelope and direct our attention to those early months in the womb.
When we do, we often find out that the mother was quite anxious and/or
depressed. Or often, the marriage is falling apart. Or in one case, as
her belly got big the husband was turned off and sought out an affair.
The mother was crestfallen, fell into a depression, and we had a baby
that was impacted by all this and was born with a diminished immune
system, something that got its start early on in the pregnancy. Don’t
forget that the immune system, in some respects, is our first inchoate
nervous system, sussing out dangers and menaces and organizing defenses
against them. This includes secreting some of the pain-killing
neurotransmitters we know about today. What starts out to defend us
ends up hurting us. If the immune system is comprised there is a good
chance that natural killers cells will be diminished and weakened.
Because the baby can be born with higher than normal stress hormone
levels, and because the immune system works in see-saw fashion with
cortisol (high stress—low immune function) the fetus has possibly set
the stage for a lifetime of immune problems. Here is where genetics
plays a role; high stress in the fetus will affect those areas with
genetic vulnerabilities. After all, what is the meaning of high levels
of stress hormone during fetal life? It means an input that agitates
the system to be chronically alert. And when the system can longer
shut off that input we have the makings of an enduring primal imprint.
That input is maternally induced. So we have a newborn with a high
level of agitation already set in place many weeks earlier. Here is
ADDHD (attention deficit disorder) waiting to happen. Over time the
deleterious results can range from impulsive tendencies to migraine and
high blood pressure (to hold down the imprinted input). It is then no
mystery when the child cannot concentrate or sit still. It is not
enough to know that there are high levels of stress hormones in the
baby, but what causes it, in the first place.
We change natural killer cells after one year of our therapy into
normal levels. These cells have as a key function, watching out for
cancer developing cells and pouncing on them in an effort to contain
them. So a mother’s distress while pregnant can spell life-endangering
effects on her baby, not the least of which is later cancer. The
earlier the trauma during womb life the more disastrous the effects.
That is our important secret life.
What can be done about this? Treating it first and foremost, then
make sure it will not come back? How do we do the latter? Reliving the
earliest womb-life events. How do we do that? Well, luckily, each new
harmful or adverse experience that remains non integrated is
re-represented later on a higher level of the nervous system and is
noted as the outsider or enemy. It is indeed a threat to the organism.
I believe that there are specific frequencies that tie these events
together. When we explore these ramified events and begin to relive
them we are also reliving deeper and earlier aspects of the feeling
and/or pain. And that is how we relive pure physiologic brain-stem
responses without ever acknowledging it.
When there are certain kinds of triggers, the brain conjures up its
related history, intact. That is why our behavior is so compulsive and
unwavering; our history motivates us all of the time. We are largely
victims of our deep unconscious brain. We can only reach deeper into
the remote past as we gain more and more access to deeper levels of
brain activity. We need to have real good access to our feelings first;
then very early brainstem events. That takes time but it can be done.
And what about cancer? The beginning deformity of cells can well
begin in the womb with mother’s anxiety due to her own history or due to
her marital circumstances. In any case, the fetal system needs to
gather its resources to shut down excessive input. Here is where many
cells are evolving and gathering their identity, but instead there is
massive repression and, ultimately, physiologic deviation, even at the
cellular level.
One patient had three siblings all “messed up” and depressed. It
remained a mystery why all of them were so disturbed, her parents were
indeed loving; until she had very early primals (a systematic reliving
of early trauma). She learned that in South America, for many years,
there was a civil war. The father left to fight, coming home
occasionally to make babies. The mother was in desperate straights, had
no money and no one to turn to, fearful of the constant raids into her
village. The children, even in fetal life, suffered. She was a loving
mother whom the children adored, but neglect womb-life, which should not
be ignored. It had far-reaching effects. It therefore is an indicator
of what went on during fetal life. Can we imagine a doctor learning
about a stroke with her patient and then examining his fetal life?
Low birth weight is associated with slow fetal growth and lack of
development of various physical systems. If the newborn is abnormal in
any respect, even birth weight, we may assume that something abnormal
may have happened during gestation. Babies of depressed mothers are more
often of low birth weight. At least, let’s consider it. Babies with
low birth rate lack muscle, something that follows her into adulthood.
Here is a quote from the Helsinki Birth Cohort Study: (we) have shown
that the risk for coronary heart disease and type 2 diabetes or impaired
glucose tolerance is further increased in 60-to 70-year-olds who were
small at birth, thin or short in infancy, but put on weight rapidly
between 2 and 11 years of age.2, (55) A similar growth trajectory has
been shown to predispose to type 2 diabetes or impaired glucose
tolerance. “
People who suffer stroke tend to be thin or short at 2 years. There
is evidence that these early events can lead to hypertension later on,
which is an important risk factor for both coronary heart disease and
stroke. A number of mechanisms have been suggested to explain these
links.
We need to study Alzheimer’s disease as it relates to gestational trauma as well as birth difficulties.
Certain height and weight problems at 2 years of age is a well
accepted indicator of childhood emotional problems. Why is this so?
There are a number of answers. Growth of the fetus relies heavily on
adequate oxygen supplies. Because of the large brain, which uses a good
deal of oxygen, there is a physiologic demand from more and more. If
these supplies become limited for any number of reasons the body growth
will slow down so that the brain can be left intact. Hence, lower fetal
weight. Let us keep in mind that cancer can develop and live without
oxygen, and maybe that adapting to lower levels of oxygen in the womb is
part of an explanation for later cancer. Deprive a cell of a majority
of what oxygen it requires and you have one key element in the origin of
some cancers. This an only be a hypothesis.
In experimental animals it was found that anything that increased
fetal stress hormone levels could result later on in elevated blood
pressure, anxiety and hyperglycemia. And when we fiddle with stress
hormone levels we increase the likelihood of later cardiac crises. And
cortisol level is also heavily implicated in signaling the birth process
to begin.
Cortisol is a stress hormone because it sets in motion the alarm signals
to combat too much and too strong an input. When it goes on for a long
time it accelerates again, the possibility of dementia and a whole host
of other diseases. Primal imprints do exactly that; maintain a high
level of cortisol for a lifetime.
In nearly every study of prenatal life there is the implication that
high stress hormone levels in the carrying mother can result in
hypertension and cardiac problems later on in the offspring. Infants of
mothers who were diagnosed as anxious before pregnancy had
significantly higher stress hormone levels. What neuro-psychologist
Paula Thompson has explained: “prenatal stress responses are dependent
on mother’s stress level. But how babies show it is through a limited
physiologic vocabulary.” She believes that the fetal stress response is
already skewed and, given later stress, the earlier stress response
does not change. It can be blocked, diverted, covered over, but it
remains pristine clear.
She believes that stress states in the pre-nate and neonate can be
recognized by elevated heart rate, greater activity levels (gross body,
single and multiple limb-higher reflex activation (Field et al. 2006).
The pre-nate and neonate may show mistimed diffuse movement and overt
grimacing. Will be rather clumsy and has a lack coordination. All this
can be a predictor of later heart disease. That is only if we look at
the problem in a gestalt overview.
Thompson: “One overarching goal of this article is to help clinicians
understand the potential deleterious effects of prenatal stress. (See
Thompson. “Down Will Come Baby.” Journal of Trauma and Dissociation.
Vol. 8(3) 2007) She
adds: it is hoped that increased knowledge of prenatal stress will
inform psychotherapeutic treatment protocols, especially when treating
severely traumatized and dissociated patients who may themselves have
suffered early pre-nate stress. Further, when these patients become
pregnant, appropriate treatment for the mother may benefit the
offspring. When clinicians provide therapeutic intervention to a
pregnant woman the pre-nate may also be affected”(Field, 2001;
Ponirakis, Susman & Stifer, 1998. (My emphasis)
Let us not forget that (Thompson): one of the most dramatic changes
occurs in the first moment of conception. The primitive cell carries
the blueprint for an individual who has never existed before and will
never exist again. While in the womb he is having the most important
experiences in his life, because nearly all of it is of life-and-death
significance. This is what Freud should have meant when he was
developing his theory of psychoanalysis. Here lies the deep
unconscious; a dark place with no exit and no words. Biologic responses
dominate. In order to relive we have to include all of our physiologic
processes, not just cerebral memory. The first step is to acknowledge
these facts; a much more difficult step is to fashion a therapy for
them. I think we have done that.
One of the key factors in high levels of maternal cortisol is the
increase in the chances of a lost baby; or at the least some kind of
prematurity. Again, those levels descend into the fetal system and
change the baby in ways we are still learning about. Babies born to
depressed mothers have higher levels of cortisol than normal. Here was
what Lauren Kaplan and colleagues have to say about this: “in utero
environment sculpts the uniquely plastic fetal brain resulting in
long-term maladaptive patterns of behavior and physiology.”
(Lauren Kaplan, et al, “Effects of Mother’s Prenatal Psychiatric Status
and Postnatal Caregiving on Infant Bio-behavioral Regulation.” Early
Human Dev. 2008 April; 84 (4) 249-256)
What researchers are now saying over and over again is that
womb-life can unalterably affect the lifetime of the offspring. And, it
is not only behavior that is altered but the physiology, as well. Does
this mean a change in Primal Theory? Absolutely, it pushes the
envelope much earlier for when imprints start and for their widespread
enduring effects. It means that how the birth trauma is played out and
reacted to depends on earlier life circumstances.
I want to reiterate my point about serotonin production in the fetus.
For the first few months of gestation the fetus must “borrow”
serotonin from momma; that is, if she (mother) has adequate levels. If
she doesn’t, the fetus can’t go to the pharmacy bank and make a loan.
She can be low in stock if she already has a chronic depression that
depletes supplies. What is stamped in is a lack of adequate repression
by the fetus and the beginning of a free-floating panic or anxiety,
which only becomes evident years later as the defense system is under
constant attack. This terror cannot be fully contained because of
inadequate supplies of serotonin. Then we have panic attacks that are
originated far earlier than we have ever imagined. But also these low
levels of serotonin affect and retard development. It is as essential
as food; it is food for the fetus.
We now know that a difficult birth can deplete the baby of adequate
serotonin/inhibition levels. Later, all kinds of impulse
neurotics—criminals—addicts, are low in serotonin, and obviously, low in
inhibition. I don’t think we need to stop at birth for adverse effects
on serotonin. It can happen as serotonin begins to function
adequately, even in the last few months of pregnancy. Again, many of my
patients are low in serotonin at the start of therapy but normalize
after a year; therefore, it is a reversible phenomenon. (see a full
discussion of this in my Primal Healing). It isn’t only serotonin;
there is ample research now to show that the neocortical inhibitory
prefrontal neurons are low in number due to a trauma at or before birth.
These are poor inhibitors from the time of birth on. These
individuals cannot wait, lose patience, have attention deficit disorder
lash out with little provocation and want what they want NOW! They will
interrupt because they cannot wait their turn to speak. All this means
that we can be born with a tendency to Attention Deficit Disorder. It
is not heredity but the experiences during womb-life that impacted that
heredity. It seems like we are born with it but mostly we are not.
Now let’s push the envelope even further back. In a recent
experiment, a scientist raised some rats after knocking out some of the
building blocks for serotonin (the key element in Prozac), which is key
for gating or repression. He then let the females mature, get pregnant
and have babies. Of the 43 mouse embryos tested, 37 displayed
abnormalities and brain malfunction. This indicates that the animal
mother’s state affects the development of the baby’s brain. Her levels
of serotonin can determine how her offspring mature. So, when a
pregnant woman is chronically depressed, and hence low on serotonin, the
baby’s entire life may be adversely affected. And the changes in her as
a result of “heredity” will determine what kind of mother the offspring
will be. Later childhood environment does count a lot but not as much
as when the baby’s brain is rapidly evolving. In gestation, it is
essential that the mother be normal in every way possible. Otherwise,
she cannot fulfill the needs of her baby in the womb. And one
definition of love is helping to fulfill the needs of the child. No
fulfilling needs—no love.
What is very important for us to realize was that a mouse fetus
does not make her own serotonin until the third trimester. It seems like
the mother supplies what is needed until the baby can take over. But
when the mother is low on supplies, she cannot fulfill what the
developing baby lacks. Therefore, the baby carries around a load of
pain. Now if we apply that to humans, there seems to be a time in
gestation when pain or noxious stimuli impinge, but we are not yet able
to produce enough of our own gating chemicals, leading to ungated pain.
This residue will continue and may lead to bouts of anxiety later on in
life. It becomes free-floating fear or terror. This is not due to
heredity but rather to experience in the womb. This is why we should
never neglect womb-life when addressing neurosis. Part of our in utero
life, therefore, takes on hurt at a time when our system can do nothing
about it. Nevertheless, it affects all later development. At thirty we
may suffer from panic attacks (as excessive agitation) that began its
life in the very early months of our mother’s pregnancy. It is
pristine and free-floating, ready to spring forth whenever we are
vulnerable or our defenses are weak. No talk therapy can make a dent in
it. It leaves us fragile for a lifetime so that any insult in infancy
and childhood weakens us all the more. Demanding and/or aloof parents
can easily compound an allergic tendency, for example.
Catherine Monk and her associates studied anxiety in pregnant
mothers. (Monk, C. et al.“Effects of Women’s Stress-elicited
Physiological Activity and Chronic anxiety on Fetal Heart Rate.”
Developmental and Behavioral Pediatrics, 2003. Lippincott publishers.
Their conclusion was: “women’s emotion based physiological activity can
affect the fetus and may be important to fetal development.” To think
that there is a significant physiologic change but no later psychologic
one would be to ignore the human brain.
Now as to the enduring effects of pre-birth and birth trauma. Alyx
Taylor has shown that the baby’s stress response to an inoculation at
eight weeks was largely determined by the “mode of delivery” of the
newborn. Those who reacted the most were birthed by assisted delivery.
Cesarean showed the least response. The central finding is that the
stress response circuits (HPA circuit) in the brain help determine how a
baby will response to future stress.
I am not going to cite any number of relevant studies but one such
article is of a review if many related ones. Nicole Talge and her
colleagues reviewed the data on what happens to the babies of stressed
mothers. (“Antenatal Maternal Stress and Long-term effects on Child
Neuro-development. How and Why.” J. of Child Psychology and Psychiatry.
48:3/4 4 (2007) pp 245-261)
Nearly
all studies claim an effect of the mother on the fetus. I suppose the
real question is, “what can we do about it.” Years later it seems an
impossible task, but it is not. Once there is an imprinted trauma
during womb-life, the brain system closes down on the pain through
inhibition/gating. Thereafter the effects are life-long. What we must
do is go back to the originating source and undo the trauma. The way we
do that is to relive the trauma and open the gates. It can be done, as I
have explained elsewhere, is by reliving emotional trauma during
childhood, which has at its roots the pre-birth event. When we fully
relive the childhood event it incorporates the earlier trauma; each new
related trauma is re-represented on higher levels. And when these later
traumas are relived we see the disappearance (or reduction in the
severity) of the symptom, as for example, high blood pressure. That is
because the earlier trauma may only be expressed through specific
physiologic reactions such as blood pressure or heart rate. To relive
the physiologic responses can be enough given other variables. If we
latch onto the related childhood feeling in our therapy it automatically
(given deeper access) includes the earlier physiologic component of the
feeling. I want to reiterate that there is a timetable of needs that
must be fulfilled at that time and no other. Once the fetus has been
impacted due to a high level of stress hormones that is it; the system
gates it as best as it can, and no other mode of treatment except
reliving can change it.
This is a change in our paradigm. It means that trauma that has
life-long effects can occur during womb-life, and thereafter has
profound effects on our later behavior and symptoms. How, therefore,
can we possibly attack allergies, migraine and high blood pressure
without an acknowledgment of the deep and remote origins of the problem?
I have been writing about this for decades. The difference is that
research has now caught up and begins to confirm our theory. And now we
see why after one year of our therapy there is a normalization of
natural killer cells; as I pointed out, these are cells on the lookout
for newly forming cancer cells, and attack them. So we might say that
one way to help forestall cancer is to make sure that our immune system
is intact and strong.
One may rightly question how anyone can relive events in the womb with
no scenes or words. Luckily, that part of the imprint is totally
physiological. We don’t need verbal acknowledgment. That deep brainstem
is also a very important part of our central nervous system and gives
the oomph or push to a feeling. A single feeling will encompass all
three levels of brain function. Again, there is no exit here except
entering into the most profound of unconscious states as possible.