Friday, August 31, 2012

The Nuts and Bolts of Sobriety


I kid you not when I say that the august journal Scientific American Mind, publishes some strange articles. This one, the “Nuts and Bolts of Emotional Sobriety” by Herbert Wray (March 2012), is about being sober. Persons must attain “emotional sobriety” before they get too far along; and that means—hold on!—you must learn to regulate negative feelings that can lead to discomfort, craving and ultimate relapse. The maxim is “Don’t think and don’t drink.”

What the article goes on to say is that this is a lifelong effort and requires new ways of thinking. There are so many loose intervening variables involved, so many ill-defined notions that I hardly know where to start, except that this appears in an important scientific journal. But if we suss out the hidden text it is “thinking will make you well”. Oh yes, that is not exactly what they are saying but it really is. You need a new way of thinking and where does that come from? And by the way, where does thinking come from, in any case? Thinking is not so deep, not deep enough to change deeply embedded feelings that drive cravings. You can only agree with that notion if you do not understand where addiction comes from, and it is not, not, not from faulty logic, where you just need to change your attitudes, and voila. Ideas and attitudes are late arrivals in the brain and are never strong enough to combat feelings, instincts and sensations, which preceded them by millions of years in evolution. There was this life going on a long time before ideas came along. This is true in antiquity and in our personal development. And we hurt and imprint that hurt long before we have ideas to describe it.

They go on to say “take it one day at a time,” because there is nothing else you can do, and you are always susceptible to falling back into drinking and drugs again. There is this rock-hard belief in all these booga booga approaches that there is nothing you can do about addiction except beat it back every day—hence, one day at a time. But suppose we know what causes it and can eradicate that cause?

Then you don’t need one day at a time. You can get your whole life back. The answer lies within us, not with some self-styled guru who assures you he has the answers. No one has a single answer about your life; only you do. We want to lean on the all-knowing savant but, unfortunately, he does not exist and never will.

This is denial at its zenith; don’t pay attention to those negative ideas! What? Those ideas arise from early life trauma that makes them painful, not pesky. And addressing those feelings, integrating and resolving them, means liberation from addiction. Our bodies cannot ignore them; they are there for a good biologic reason—to warn us of trouble inside that must be dealt with. They have it backwards; it is not thinking about those feelings that produces discomfort; it is that we are not at all comfortable and the only way to get comfortable is to plunge into those feelings. Instead, they recommend distraction as a way of dealing with it all; my mother could teach them about distraction, every time I whimpered she would start raising her voice and saying look over here, look at that dog, etc. Forget your real feelings and look somewhere else. My god! That ploy is a hundred years old. Their idea is that distraction helps you not focus on alcohol and drugs. But the craving is real! It is telling us the truth; there is pain and suffering that we must address and experience. We must definitely focus on it and not look away. That is the way to health. Does anyone think that when we ignore pain it just goes away? No, no. It buries itself deeper and becomes unreachable. This for the scientists is called a “strategy.” I call it neurotic acting-out; not facing reality. Can anyone get well not facing reality? What happened to “you shall know the truth and it shall set you free”? The whole idea, they say, is not to ever let those negative feelings gain force over you. What they believe is that once we can identify our “processing” style we will do better. Pure cognitive therapy.

And so they go on to say that recovery programs teach this method of self-regulation. This is the old wives tales raised to the level of a scientific principle…but faulty as hell. Do I sound angry? Yes. It is a continuation of nonsense masquerading as some kind of psychological science. And whom does it hurt? Those who suffer.
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Tuesday, August 21, 2012

On Saving Lives


There was a piece this summer from BBC News and other scientific sources about a  new therapy to help in the fight against cancer. (http://www.bbc.co.uk/news/health-18874083).
It has to do with part of the immune system known as Natural Killer Cells  (NK cells).  These cells I have written about for years because they seem like advanced leaders looking out for the appearance of newly forming cancer cells;  hurrying over to attack them, destroy and devour them.  They are very important.  And what is even more important is that we have found a  way to increase their presence and their fighting force. Thus, we may have found a way to help in the fight against cancer.  I say "MAY" because these are always complex issues that we don't want to oversimplify.

  But let's look at the evidence.  The new therapy goes under the name of immunotherapy, and the theory is direct and simple: there isn't enough NK cells in the cancer patients to fight off the disease.  So the scientists decided to infuse additional NK cells into the patient's system.  Initial reports seem favorable.  It seems as though our bodies produce adequate amounts of killer cells to combat ordinary assaults, but somehow  some of us do not manufacture enough.
I will offer my perspective which is that very early in our lives, especially womb life, there are traumas that overtax our immune capacity; in fact there is not enough to combat that specific challenge  for that specific trauma. The trauma during womb-life may alter the set-points for NK cell production for a lifetime.  This is particularly so  when the immune system is forming and the set-points for immune function are established for a lifetime.  We do know that this is true for many hormones such as cortisol.  In a sense, the immune system has been compromised and remains defective and insufficient to do its job.  Thus, it may be that as new cancer cells are first forming, there is not enough warriors to fight off the carcinogen.  Malignancies will remain uncontrolled.  So it would make sense to add to the mix something that enhances NK production.

  There may be another way to accomplish this.  We did a double blind study of NK cells at St. Bartholomew's Hospital in London some three decades ago.  We found enhanced production of NK cells after one year of our therapy.  It was a significant change and it allows us to consider that what we do is buildup a anticancer force in our patients.

  So here is the question:  what is it about our therapy that changes NK cells in patients?  I believe that when patients go back to womb-life (explained in my Life Before Birth), they enter into the epoch of  development when many hormones were beginning their evolution.  It is again a chance to go back and undo and redo history, as strange as that may sound.    In reliving that time  we are able to normalize distorted and dislocated function.  We can, in short, change history.  And in this sense we produce NK cells that are prolific and strong enough to do the job they were intended to do.  We "right" the system and make it stronger.
It is why, in my opinion,  mentally healthy people should suffer a lot less cancer.  There are many contributing factors here, not the least of which is the reduction  of stress hormone levels at the same time.  What we do in our therapy is therefore reduce the strength of foreign intruders while building up the standing army. We go to the source of the problem: how the system was compromised at the beginning.  The memory of that traumatic event forced a permanent dislocation of functions.  The imprinted trauma  keeps the dislocation  alive as if the danger was always there and imminent.  Therefore the system is reacting, perhaps, to a mother who is and was chronically anxious and stressed.  It seems as if the system "used up" its supplies of NK cells.  And the set-points were set lower than they should have been.  This is no different from the case of serotonin.  We manufacture our own but early on, traumas can compromise its production so we manufacture less.  And the set points are changed to lesser levels, as well.  When our patients relive very early experiences their serotonin production normalizes, as well.

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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