Monday, May 31, 2010

Hugs and Kisses, Love Never Misses


One wonders why a hug from mom kind of relaxes us? Well, it raises levels of oxytocin. But it turns out that even a phone call from mom raises those levels. Leslie Seltzer from the University of Wisconsin Child Emotion Lab did the study. He noted that the mother’s voice had the same effect as a hug. (Scientific American. May 11, 2010. “A Phone Call from Mom Reduces Stress as Well As a Hug.”) This chemical is so important in social bonding. Again, if we are going to measure progress in psychotherapy we need to take into account biochemicals such as this. My belief about therapy is that it should ultimately help us love and be loved. Oxytocin is one key measure.

There are those who disagree with this goal; who believe that success, on the job, in school is most important. But when there is no one to share the success with it is a hollow victory. Unfortunately, many cognitive/insight therapies implicitly apotheosize success when they try to steer patients into trying harder and gaining the success ladder. That value fits in so well with the current zeitgeist of success "uber alles" where the therapist tries to produce an "uber menchen". (spelling?)

Of course, there are many other measures, as well. For example, when a baby smiles and coos the parts of the mother’s brain that signal reward (the dopamine system) light up. We might say that dopamine is an agent of love, too, and that would not be wrong. The sight of a happy baby urges the mother to cuddle and love him. So we might say that maternal behavior is based partly in the reward areas of the brain. All roads lead to Rome; love is made up of so many facets but they all signal health for the baby. We call ourselves social animals, and it is literally true when we note that just the presence of others can cause normalization some of our biochemicals. We do need people.

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Monday, May 24, 2010

On Unified Field Theory in Psychology


Albert Einstein spend the latter years of life in pursuit of a general field theory; that is, something to explain how gravitational field sand electromagnetic fields intersect. How they can be encompassed in a single englobing theory. We are also looking for such a theory so that we no longer chase down every new symptom or disease as independent of all others. This is particularly true when it comes to the psychologic and psychosomatic diseases. What should seem obvious, that neurology, psychology and biology all intersect in the human body, seems to have been forgotten in the piecemeal approach in these three disciplines. In order to understand them, therefore, we need to approach the whole system as it interacts. I believe that what we have now is an inchoate Primal Field Theory that links various aspects of the human condition together. For example, in the field of biology there are tumor suppressor genes that control runaway developing cancer cells. These interact with human experience (psychology), even in the womb, that affects these suppressor genes and may allow for the development of cancer. In addition that may then lead to later manifestation of brain cancer (neurology). If we look only at presenting pictures of the tumor our field of inquiry is quite narrow. Or if we look only at the presenting symptom of obsession we are again at a loss. Or if we examine only the blood system it is too confining to provide answers. A Primal Field Theory indicates how they all intersect and interact to produce disease. I believe we will never arrive at causes until we embrace field theory. Otherwise, we are the position of knowing more and more about less and less; studying the minutae of a symptom, hoping to discover ultimate causes. It won’t happen.

What I find even more important is how to treat these diseases. A psychologic approach eliminates a rounded understanding, as does any single approach such as the neurological approach. This permits such conclusions as someone acts out violently because he is deficient in serotonin. Or migraine is due to insufficient vasoconstriction. So we add coffee to the mix, and the patient gets better. Is the problem solved? The manifestation or symptom may be but not the basic problems.

How then can we be proficient enough to understand phenomena in all three disciplines? There are possibly a few in the world who are competent enough but perhaps, that is not necessary. Perhaps, field theory can set the direction of research and then specialists can help out. I am not proficient in biology, for example, but my experience, current research and our investigation of natural killer cells leads me to theorize that these cells which are on the lookout for newly developing cancer cells, are heavily affected by experience. We find that they work in see-saw fashion with levels of cortisol. When we reduce cortisol levels in patients, natural killer cells are enhanced.

We can add this or reduce that but we cannot understand the whole problem without a field theory. Otherwise, we will only find what we are narrowly looking for, and no more. Another example, we learn that telomere cells respond directly to cortisol levels; the lower the resting cortisol level the longer the telomere cells. Since this length may explain how long we may live, it is crucial to investigate it within a field theory. Otherwise we learn a great deal about telomeres (and the research is important) but not about how the psychologic/experiential affects it all. All aspects of experience are in play in our bodies at all times. We can abstract them for study but it is still an abstraction.
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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.
Editor