Saturday, May 9, 2015

On My Rants Against Cognitive Therapy


I know I seem to rant against what I call “Half-therapy,”  or “almost therapy,”  that is, a therapy that encompasses only a piece of us and neglects the feeling-human part.  But there is a reason for my rant,   I read yesterday in science journal about a complex study of sleep problems.  And they plunged and plunged into neuronal circuits and came to bizarre conclusions, which seem quite rational to them.   “It was because of overactive cortical function, activated limbic circuits,” and on and on.  And that may be entirely true.  It is too technical to go into except that it is almost impossible for a non neurologist to understand.   Ok so what they say might be true, so what is wrong with that?  It is a half-truth.  You can’t get well half-way.

Therein lies the rub, as I often say.  All that is missing are causes; ultimate causes.  What made those circuits detour and over-react?  Why does various  chemicals seem too high?  Is that the cause?  Well,  we could go on guessing and batting down associated symptoms, until we actually see causes at work.  How do we know they are causes?   For many reasons; one important one being that the problems seem to disappear after reliving the key factors and imprints that drive the neo-cortex later on, into a frenzy that cannot seem to be turned off enough to let us sleep.  And not surprisingly, he was a hyperactive child who, according to his teachers, could not sit still.  Always in motion; the same drive to produce a hyperactive mind that cannot relax and fall asleep.  Still driven, but now also mentally.

Wait a minute.  Is there a correlation?  It is what we have found because we look at history.  If you don’t you will always get only half the information you need.  Cannot continue to investigate de novo each new case of sleep problems and still think it is a matter of displaced neurons.  You may think that it is all in your mind but where?  Could it be way down deep, reflecting trauma to the brainstem?  Yes, but who looks there?  Who sees the connection between gestational life and sleep problems at age thirty?  You cannot until you go there ; that is, until patients go there, a “there” the few recognize even exists.  Most doctors seem to work as if there is no there, there.  So why even think about going there?  For patients, too, it seems dangerous and mysterious, reinforced by the doctor who also has no idea what is down there; except something to be avoided.  And when the therapist has no idea about the brainstem all is lost, including the patient and the doctor.  Therapy becomes a muddle, each feeling rumbles around in the dark for some way out.  Alas, the way out is the way in, and that is where we part from other therapies.  One reason is that the way in, takes months, who has the patience to go there and take one’s time?  Anxiety waits for no man.

Isn’t it strange that we give pills for deep anxiety and sleep deprivation that work on the lower depths where origins lie, yet we miss the fact that maybe there are origins of this mess way back there and way down there?  All we have to do is go there!  But how?  I have written many blogs on the subject, 16 books, and now there is a precise video description coming out by Dr, France Janov, called the Primal Legacy.  It is detailed and gives readers a thorough description of the Primal Process.  Who can ask for any more?  I doubt it has been done before, mostly because the series is based in science and not haphazard musings.

We will not find answers to many perplexing psychologic problems until we stop the almost-therapy and turn to the real meaning of holistic therapy; which includes all of us, absolutely all of us.  We are not just a thinking brain; we are above all, a feeling brain that helps us treat patients, relate to others, have empathy and compassion. There is not a lot of that in a  disembodied neo-cortex.

Sunday, May 3, 2015

You Mean the Brain is an Orphan?


 There is a picture in a new science magazine of a doctor holding a human brain declaring that she was going delve deep in the brain to find answers to so many maladies.   (This is the year of the brain, after all). Wait a minute:  what if the answers lie not in the brain but in the parents' brains who affected and infected that brain?   Don’t we want to know what environment that brain grew up in?   Was it an orphan?  Then almost for sure there will be brain impairment later in life.   And looking the brain cells will tell us nothing of this.  If that brain had no loving and warmth in the first weeks and months of life the brain will suffer but it won’t declare it.  All I am saying is that life in any form lives in an environment and is shaped by it, so how could we leave it out of the equation?

Could we ever understand ADD by looking at the brain in isolation?  Leaving out the events that were at the origin of the cause.  Could a kidney specialist know that his sick patient drank for thirty years?   Just by examining the kidneys?  Sometimes.  But not always.  That is precisely what is wrong with the Behaviorists; taking behavior as the sine qua non.  And worse, trying to change behavior without reference to what those behaviors were, and how they shaped us..   So we confine our field of inquiry to a vary narrow space that lets no new related information in.  They take an isolated brain without parents and try to figure out why patients have those compulsions or obsessions, and then try to change behavior into some “wholesome” idea of how it should be.  They force a behavior detour even against the biology of the patient.  His whole system moves to the left when it should move to the right.   It militates to the thinking cortex instead of the feeling one.  And he tries to obey; thinking before he feels so he is not impulsive.  Looking at full ashtrays to get over the urge to smoke and many other ploys that never look at causes. Above all, not understanding the imprinted memories lodged in the lower reaches of the brain that are deeply embedded, which force and drive behaviors.  There are roots to attitudes and behaviors. We are not decorticates rummaging around the world. But some therapies act as though we were; extracting the lonely brain for study without regard to its history.  Psychotherapy cannot be a-historic unless we are doing brief YMCA Counseling:  “You know you need to exercise more.”

Would we treat heart disease without knowing how tense the patient is or how he never exercises? We would be roaming in the dark.  When we say we are social animals it means we are affected by social events; we do not live in a vacuum.  We must study the total interplay of our physical self with outside events.  How can anyone get over his depression without knowing the originating events?   Yet that is exactly what we do.  Give pills for depression and if that does not work we give more powerful pills and then surgery for the brain and maybe electroshock, all without digging deep enough to observe those forces “alive.”  Going on blindly without seeing the brain at work deep down. Yes we can do that.  We see the brain live, meaning alive and living.  We see the pain memory and what it does and how strong it is; finally we see how it drives behavior.  Did I say “behavior”?  Yes I did. We see origins; no more guesswork.  Aah.  

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