Thursday, November 17, 2011

On the Abuse of Xanax



In the NY Times of Sept 14, 2011, there is a front page piece on Xanax and its abuse. http://www.nytimes.com/2011/09/14/us/in-louisville-a-centers-doctors-cut-off-xanax-prescriptions.html

It is an effective medication for anxiety. And it can be addictive. Indeed, any drug that reaches down deep to suppress pain and terror will be addictive, by definition. It is addictive if it works. 
So what do the chiefs want to do? Eliminate it; not exactly eliminate it, but not write scripts for it. And they want to do that because there is a great clamor for it. In short, it helps. So of course, they want to stop it. 
 In the accompanying photo is a woman who has debilitating anxiety attacks. For those whose defenses work, they cannot imagine what that is. But it is terrifying and no one seems to know what to do, except push it down. But what it if we finally know what it is, and instead of pushing it down we let it up in small doses and be done with it? We can do it and we do do it. And it is pure imprinted terror set down in the first months of life, and by that I mean during gestation and at birth. Once we know what “it” is we can start to find a cure. We have done exactly that, and it is no longer a mystery. 
 The earlier and deeper the imprint, the more pain, and the stronger the pain medication needed to quell it. Of course, it is addictive, meaning sufferers want more and more. Why not? If you had leaky gates, you would want it too. The original terror and pain weakened the gates holding it back and when that pain and terror was compounded later in life by a tyrannical shrieking mother, for example, then the gates are under assault. The results are panic attacks and bouts of anxiety (the same thing) that seem to come out of nowhere. It seems like nowhere, because the origins are so deep and so remote. It is not an abuse of xanax. It is the proper use of it, given the level of pain and terror involved. If you’re the chief doctor and your gates are solid as a rock then of course you cannot sympathize with all this.

If we are so worried about all this why not try to find out what “it” is and find ways to deal with it; maybe put it under some kind of control so that the users can be watched and helped. Then we don’t have to waste time pushing back all of those forces in the unconscious. Dr. Scott Hedges seems to think we don’t need Xanax at all. He thinks there is trouble in paradise because the patient habituates to it and needs more and more. Of course it needs to be supervised, but no eliminated. The chiefs are worried about withdrawal, which is a legitimate concern, but here again we can control withdrawal with so many new drugs (have they looked into oxytocin spray?). Let’s not stop the pain killers that ease the suffering of so many. Let’s work around it in order to control adverse reactions. If we learn what “it” is we will have a better handle on it. Making it an opprobrium to take something that eases hurt seems to have it all backwards. Let’s get it straight.
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Sunday, November 13, 2011

Everybody Hurts



When I watch TV it seems like every commercial is about some kind of pain killer: Tylenol, ibuprofen, pills for stomach distress, headaches, high blood pressure and on and on. The best kept secret is that we are nearly all in pain but nobody says it; the emperor is really naked but we all are looking the other way; we are looking outward instead of inward. The distress is caused by this or that in the environment, we think, but never what is inside. That is obvious since few of us can look inside.

We are all hurting but in different ways; the hurt goes to where we are most vulnerable. That is the health crisis that no one speaks its name. So why is that? Because no one can see it! It was installed so early and so subtly, long before we had conscious-awareness, that it doesn’t even have a name. So I give it a name: Primal Pain. And a location: the imprint: and the chemical means: methylation. But what we may not be aware of is that its one of the leading causes of death among us, more so than deaths in traffic accidents, according to a recent study. Some of us are in so much agony that we take far too much medication and threaten our lives. We use Xanax, Vicodin, Fentanyl, Demerol, Oxycontin and Soma; we are treating the wrong thing, and that is why we do not get relief. We treat the symptom and not the person; we treat appearances and not generating sources. That gap I call the Janovian Gap. It is between origins and our conscious awareness of them. So long as Primal Pain exists it will militate toward wherever it can. Worse, sometimes we have both headaches and back aches so we take pain killers for both and again risk an overdose. The medication normally will not kill us but when we take more and more it will.

And what are we really killing? As trite as it seems, it is lack of love. Not just hugs and kisses but any lack of fulfillment of need very early on is also a lack of love. You know, the child is hungry and we say sorry it is not time to eat; or I just don’t have enough today. It is the equivalent of saying, “I know you need love. I do love you but I cannot show it; but you know I do.” The body knows no such thing. It marks the event with a marker that says, “Pain.” And we carry that pain for a lifetime. When the carrying mother wants to keep her figure and diets while pregnant the baby hurts. It is all so subtle and that is why we do not recognize it later on except what is obvious: a migraine, stomach ache or back aches.

And then there are more needs as we grow up that need fulfillment. When there is more deprivation there is more imprinted, enduring hurt. And it goes on and on. The migraines keep on coming back because the generating sources have not been touched; the same with high blood pressure or allergies. There is plenty of evidence now that a mother’s unhappiness while carrying can end up as serious allergies in the offspring. So let’s all understand what those TV ads really mean; and let’s all agree what is really wrong. OK?
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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