Systemic Therapy Quotes

First, the physiological symptoms of post-traumatic stress disorder have been brought within manageable limits. Second, the person is able to bear the feelings associated with traumatic memories. Third, the person has authority over her memories; she can elect both to remember the trauma and to put memory aside. Fourth, the memory of the traumatic event is a coherent narrative, linked with feeling. Fifth, the person's damaged self-esteem has been restored. Sixth, the person's important relationships have been reestablished. Seventh and finally, the person has reconstructed a coherent system of meaning and belief that encompasses the story of trauma.

Let me put it this way: You cannot live in the world without being in pain, spiritual and physical pain. We have developed mechanisms to deal with these pains, to overcome them somehow. Therapy, religion and spirituality, relationships, material success. All this can work, but also become a problem itself. The pursuit of happiness has even been put into the American constitution a couple centuries ago. Today we're so rich, we own much more than we need, we have liberties unknown before, even though they are endangered in the current political climate in the US - and we forget how wonderful it nevertheless is, compared to most other political and economic systems. We have a saying that goes: Give a man enough rope and he hangs himself.

In contrast, EMDR, as well as the treatments discussed in subsequent chapters—internal family systems, yoga, neurofeedback, psychomotor therapy, and theater—focus not only on regulating the intense memories activated by trauma but also on restoring a sense of agency, engagement, and commitment through ownership of body and mind.

The cross is shock therapy for a world addicted to solving its problems through violence. The cross shocks us into the devastating realization that our system of violence murdered God!

Indeed, the capacity to tolerate uncertainty is a prerequisite for the profession. Though the public may believe that therapists guide patients systematically and sure-handedly through predictable stages of therapy to a foreknown goal, such is rarely the case: instead, as these stories bear witness, therapists frequently wobble, improvise, and grope for direction. The powerful temptation to achieve certainty through embracing an ideological school and a tight therapeutic system is treacherous: such belief may block the uncertain and spontaneous encounter necessary for effective therapy. This encounter, the very heart of psychotherapy, is a caring, deeply human meeting between two people, one (generally, but not always, the patient) more troubled than the other. Therapists have a dual role: they must both observe and participate in the lives of their patients. As observer, one must be sufficiently objective to provide necessary rudimentary guidance to the patient. As participant, one enters into the life of the patient and is affected and sometimes changed by the encounter.

Imbalanced systems,whether internal or external, will tend to polarize.

Specificity refers to the ability of any medicine to discriminate between its intended target and its host. Killing a cancer cell in a test tube is not a particularly difficult task: the chemical world is packed with malevolent poisons that, even in infinitesimal quantities, can dispatch a cancer cell within minutes. The trouble lies in finding a selective poison—a drug that will kill cancer without annihilating the patient. Systemic therapy without specificity is an indiscriminate bomb. For an anticancer poison to become a useful drug, Meyer knew, it needed to be a fantastically nimble knife: sharp enough to kill cancer yet selective enough to spare the patient.

We humans appear to be meaning-seeking creatures who have had the misfortune of being thrown into a world devoid of intrinsic meaning. One of our major tasks is to invent a meaning sturdy enough to support a life and to perform the tricky maneuver of denying our personal authorship of this meaning. Thus we conclude instead that it was "out there" waiting for us. Our ongoing search for substantial meaning systems often throws us into crises of meaning.

The job of the autonomic nervous system is to ensure we survive in moments of danger and thrive in times of safety. Survival requires threat detection and the activation of a survival response. Thriving demands the opposite—the inhibition of a survival response so that social engagement can happen. Without the capacity for activation, inhibition, and flexibility of response, we suffer.

The person of the therapist is the converting catalyst, not his order or credo, not his spatial location in the room, not his exquisitely chosen words or denominational silences. So long as the rules of a therapeutic system do not hinder limbic transmission - a critical caveat - they remain inconsequential, neocortical distractions. The dispensable trappings of dogma may determine what a therapist thinks he is doing, what he talks about when he talks about therapy, but the agent of change is who he is. (187)

A part is not just a temporary emotional state or habitual thought pattern. Instead, it is a discrete and autonomous mental system that has an idiosyncratic range of emotion, style of expression, set of abilities, desires, and view of the world. In other words, it is as if we each contain a society of people, each of whom is at a different age and has different interests, talents, and temperaments. In

The so-called “mental health system” served the interest of the patriarchy; that is, it pathologized the socially created problems that women face and reinforced the sex roles that the patriarchy prescribes.

I consider rugged individualism to be an exaggerated pretend posture of a person struggling against emotional fusion. The differentiated person is always aware of others and the relationship system around him.

According to my previous belief system, being a Christian and homosexual was not only incompatible; like heaven and hell, they were in absolute opposition. The constant conflict of being one person inside but presenting another on the outside for twenty-two years eventually took its toll. The messages I got were loud and clear. Never ever admit to yourself or anyone who you are. Hide it, kill it, eradicate it, heal it, deliver it, break it, suppress it, deny it, marry it to a woman, heterosexualize it, therapy it, anything and everything, but whatever you do don’t stand up one day and say “I am gay” because that will mean the end. I spent most of my life trying to destroy the real me, doing all I could to ensure he never found expression. A suicide of the soul, identity and meaning. When you finally embrace the gift of your sexual orientation it IS the end; the end of shame, fear and oppression. You leave the darkness of the closet and begin a life of honesty, authenticity and freedom.

Family systems theory offers therapists an invaluable way of understanding their clients’ strengths and problems—clarifying the familial rules, roles, myths, communication patterns, and boundary issues that defined their clients’ development.

Patients with complex trauma may at times develop extreme reactions to something the therapist has said or not said, done or not done. It is wise to anticipate this in advance, and perhaps to note this anticipation in initial communications with the patient. For example, one may say something like, "It is likely in our work together, there will be a time or times when you will feel angry with me, disappointed with me, or that I have failed you. We should except this and not be surprised if and when it happens, which it probably will." It is also vital to emphasize to the patient that despite the diagnosis and experience of dividedness, the whole person is responsible and will be held responsible for the acts of any part. p174

There is no politically neutral fence available for us to sit on, and our attempts to do so have the consequence (intended or not) of supporting the existing political system.

Homeopathy is the only non-violent health care system

I recently consulted to a therapist who felt he had accomplished something by getting his dissociative client to remain in her ANP throughout her sessions with him. His view reflects the fundamental mistake that untrained therapists tend to make with DID and DDNOS. Although his client was properly diagnosed, he assumed that the ANP should be encouraged to take charge of the other parts at all times. He also expected her to speak for them—in other words, to do their therapy. This denied the other parts the opportunity to reveal their secrets, heal their pain, or correct their childhood-based beliefs about the world. If you were doing family therapy, would it be a good idea to only meet with the father, especially if he had not talked with his children or his spouse in years? Would the other family members feel as if their experiences and feelings mattered? Would they be able to improve their relationships? You must work with the parts who are inside of the system. Directly.

PTSD is, really, all about losing control. Therefore, it makes a lot of sense to prioritize reclaiming and increasing a client’s sense of control over his or her body, mind, therapy situation, and life. Judith Herman

Because cells are surrounded with a lipid membrane, essential oils are attracted to and able to penetrate the cell membrane to deliver nutrients to the cell nucleus.[103],[104],[105],[106],[107] This suggests that essential oils can affect cell function and behavior, thus influencing overall well-being. At the same time, the aroma of the essential oil that is inhaled travels to the limbic system where a cascade of psychophysiological effects is triggered in response.

I’m an occupational therapist, an obscure profession if there ever was one. We are few and far between, maybe because we have chosen to serve people with disabilities. All disabilities. Not a glamorous endeavour, nor a lucrative one. And I say serve because we deem that in helping we see weakness, while in serving we see wholeness. We’ve opted for wholeness nearly a century ago and have been at odds with the system ever since. We don’t fix people, you see: with them, we simply try to find a way to meaning, balance, and justice. I chose occupational therapy because it blends science and humanism, intellectual rigour and compassion.

Through a polyvagal lens, we understand that actions are automatic and adaptive, generated by the autonomic nervous system well below the level of conscious awareness. This is not the brain making a cognitive choice. These are autonomic energies moving in patterns of protection. And with this new awareness, the door opens to compassion.

No matter how much pain or dysfunction you have to deal with in your life, every part of your psyche is doing its best to help you

Wirklichkeit besteht aus miteinander geteilten Geschichten.

Being HIV positive doesn’t necessarily mean that you are going to die before each and every person who is HIV negative.

by aligning with her autonomic nervous system (ANS) activation instead of trying to move her toward a ventral state, ventral could arrive on its own.

Romantic love releases surges of the neurotransmitters dopamine and norepinephrine and activates brain regions that drive the reward system in a way that is similar to addiction

Ozone therapy is also more effective than antibiotics and is highly preferable because it kills bacteria without wiping out your beneficial gut bacteria or taxing your immune system.

The power of music, narrative and drama is of the greatest practical and theoretical importance. One may see this even in the case of idiots, with IQs below 20 and the extremest motor incompetence and bewilderment. Their uncouth movements may disappear in a moment with music and dancing—suddenly, with music, they know how to move. We see how the retarded, unable to perform fairly simple tasks involving perhaps four or five movements or procedures in sequence, can do these perfectly if they work to music—the sequence of movements they cannot hold as schemes being perfectly holdable as music, i.e. embedded in music. The same may be seen, very dramatically, in patients with severe frontal lobe damage and apraxia—an inability to do things, to retain the simplest motor sequences and programmes, even to walk, despite perfectly preserved intelligence in all other ways. This procedural defect, or motor idiocy, as one might call it, which completely defeats any ordinary system of rehabilitative instruction, vanishes at once if music is the instructor. All this, no doubt, is the rationale, or one of the rationales, of work songs.

Our ability to discriminate between real danger and perceived danger is an imperfect system. The brain is going to err on the side of caution, even if that means you shut down when you don’t actually need to.

The "apparently normal personality" - the alter you view as "the client" You should not assume that the adult who function in the world, or who presents to you, week after week, is the "real" person, and the other personalities are less real. The client who comes to therapy is not "the" person; there are other personalities to meet and work with. When DID was still officially called MPD, the "person" who lived life on the outside was known as the "host" personality, and the other parts were known as alters. These terms, unfortunately, implied that all the parts other than the host were guests, and therefore of less importance than the host. They were somehow secondary. The currently favored theory of structural dissociation (Nijenhuis & Den Boer, 2009; van der Hart, Nijenhuis, & Steele, 2006), which more accurately describes the way personality systems operate, instead distinguishes between two kinds of states: the apparently normal personality, or ANP, and the emotional personality, or EP, both of which could include a number of parts. p21

People think trauma is mental,” I say abruptly. “I’m mentally scarred, damaged, take your pick. And with enough therapy, time, my mind will heal and, ta-da, one day I’ll be all better again. But trauma isn’t just mental. It’s physiological. It’s an adrenal system that’s totally burnt out, so that I spend days at a time in fight mode.” I realize as I’m describing this that one of my knees is bouncing uncontrollably. “Followed by crashes where I can barely get out of bed.

Someone asked me, “What do you have to say about Rajneesh after his death?” I said that the world has never seen such a pimp nor will it ever see one in the future. He combined Western therapies, the Tantric system, and everything that you could find in the books. He made a big business out of it. He took money from the boys; he took money from girls, and kept it for himself. He is dead and so we don't say anything. Nil nisi bonum (Of the dead speak not unless it be good)

In America, Rousseauism has turned Freud’s conflict-based psychoanalysis into weepy hand-holding. Contemporary liberalism is untruthful about cosmic realities. Therapy, defining anger and hostility in merely personal terms, seeks to cure what was never a problem before Rousseau. Mediterranean, as well as African-American, culture has a lavish system of language and gesture to channel and express negative emotion. Rousseauists who take the Utopian view of personality are always distressed or depressed over world outbreaks of violence and anarchy. But because, as a Sadean, I believe history is in nature and of it, I tend to be far more cheerful and optimistic than my liberal friends. Despite crime’s omnipresence, things work in society, because biology compels it. Order eventually restores itself, by psychic equilibrium. Films like Seven Samurai (1954) and Two Women (1961) accurately show the breakdown of social controls as a regression to animal-like squalor.

Attachment begins early but grows slowly. There are no shortcuts. Verbal guarantees of safety or nurturance carry no more weight than those for hair-replacement systems and miracle slicers. A therapist must prove trustworthy over time. Only consistent experiential demonstrations, in times of both quietude and turbulence, convince the child. Though all children love to be wined and dined, the safety, understanding, warmth, and containment of therapy are what foster trust and ultimately seduce the child patient.

His prescription to experience a deep sense of meaning, then, was remarkably pragmatic. He had three recommendations: 1. Have a project to work on, some reason to get out of bed in the morning and preferably something that serves other people. 2. Have a redemptive perspective on life’s challenges. That is, when something difficult happens, recognize the ways that difficulty also serves you. 3. Share your life with a person or people who love you unconditionally. Frankl called this treatment logotherapy, or a therapy of meaning. And surprisingly, it worked. He was put in charge of the mental-health division of the Viennese hospital system because they had lost far too many patients to suicide. When Frankl came aboard, he had more than thirty thousand suicidal patients under his care. The challenge was phenomenal. Frankl created community groups for the patients and taught counselors to identify projects the patients could contribute to, serious work the world needed that would give them a reason to get out of bed in the morning. Frankl also had the patients circle the difficult experiences they’d had and while allowing them to grieve, also asked them to list benefits that had come from their pain. The result of the program was transformational. Not one patient committed suicide on Frankl’s watch.

I'm not a particularly good daughter, but I sat through a month of therapy for my parents' sake. I'd like to think they got more out of it than I did. Couldn't have been too hard. Any system that requires the patient's family to pay someone else to care about her is fundamentally flawed.

Basic misunderstandings about DID encountered in the therapeuric community include the following; • The expectation that all clients with DID will present in a Sybil-like manner, with obvious switching and extreme changes in personality. • That therapists create DID in their clients. • That DID clients have very little control over their internal systems and can be expected to stay in the mental health systein indefinitely. • That alter personalities, especially child alters, are simply regressive states associated with anxiety or that switching represents a psychotic episode.

You can tell a lot about a country by its prisons. In hippy-dippy Socialist Sweden, rapists and murders (all three of them) while away their days making arts and crafts in what are essentially taxpayer-funded mental health clinics. The Swedes’ theory seems to be that a) anyone who commits such a crime must be crazy and b) with enough art therapy, the individual in question will soon become just another law-abiding, nude-sunbathing pot-smoker. In America, we think people in prison are either the victims of some terrible government conspiracy, the victims of “society”—whatever that means—or heinous evildoers. And if they are heinous enough, we fry them with electricity, unless of course they find Jesus first. The Swedes, in a nutshell, are tolerant and forgiving, verging on the naïve; Americans are religious and vengeful, suspicious of their government, and suckers for tear-jerking tales of redemption.

I am a cuddly atheist... I am against creationism being taught in schools because there is empirical evidence that it is a silly notion... I am passionately concerned about the rise in pseudo-science; in beliefs in alternative medicine; in creationism. The idea that somehow it is based on logic, on rational arguments, but it's not. It doesn't stand up to empirical evidence. In the same way in medicine, alternative medicines like homeopathy or new age therapies – reiki healing – a lot of people buy into it and it grates against my rationalist view of the world. There is no evidence for it. It is deceitful. It is insidious. I feel passionately about living in a society with a rationalist view of the world. I will be vocal on issues where religion impacts on people's lives in a way that I don't agree with – if, for instance, in faith schools some of the teaching of religion suggests the children might have homophobic views or views that are intolerant towards other belief systems... I am totally against, for example, bishops in the House of Lords. Why should someone of a particular religious faith have some preferential treatment over anyone else? This notion that the Church of England is the official religion of the country is utterly outmoded now.

The first thing you need to know if you are a survivor is that parts of you have probably been trained to create a variety of symptoms and behaviours. Abusers actually train child parts to cut the body, to make other parts cut, to attempt suicide, to create flashbacks by releasing pieces of visual or auditory memories, to create body memories of pain or electroshock, and to create depression, terror, anxiety, and despair by releasing the emotional components of memories to the rest of the personality system. The front person and most of the rest of the system do not know that this is the source of these feelings and behaviours. p126

In the cult, the people in power dictate what cult members are to do. Children raised in cults are systematically stripped of their own autonomous power and forced to feel powerful only in the destructive context allowed by the cult, and always under the power of the leader. Ritual abuse survivors have had to learn to be outer oriented - to perceive what is expected of them and do that, whether it is healthy for them or not. When a therapist creates a context in which he or she is the leader, and the client is to listen, learn, and follow what the therapist says, the therapist has inadvertently replicated the power system of the cult. That is not to say that the therapist has no power; the therapist has a lot of power, but the power the therapist has resides in authority based upon his or her expertise, knowledge, training and sensitivity. The point is to use this authority in a way in which the client can also begin to feel his or her own authority, and begin to develop a healthy feeling of power. The word used quite often now is "empowerment." How do you empower a client?

Beyond the speculative and often fraudulent froth that characterizes much of neoliberal financial manipulation, there lies a deeper process that entails the springing of ‘the debt trap’ as a primary means of accumulation by dispossession. Crisis creation, management, and manipulation on the world stage has evolved into the fine art of deliberative redistribution of wealth from poor countries to the rich. I documented the impact of Volcker’s interest rate increase on Mexico earlier. While proclaiming its role as a noble leader organizing ‘bail-outs’ to keep global capital accumulation on track, the US paved the way to pillage the Mexican economy. This was what the US Treasury–Wall Street–IMF complex became expert at doing everywhere. Greenspan at the Federal Reserve deployed the same Volcker tactic several times in the 1990s. Debt crises in individual countries, uncommon during the 1960s, became very frequent during the 1980s and 1990s. Hardly any developing country remained untouched, and in some cases, as in Latin America, such crises became endemic. These debt crises were orchestrated, managed, and controlled both to rationalize the system and to redistribute assets. Since 1980, it has been calculated, ‘over fifty Marshall Plans (over $4.6 trillion) have been sent by the peoples at the Periphery to their creditors in the Center’. ‘What a peculiar world’, sighs Stiglitz, ‘in which the poor countries are in effect subsidizing the richest.

The most popular antiracist curriculum among conservative evangelicals is Latasha Morrison’s Be the Bridge: Pursuing God’s Heart for Racial Reconciliation. In the accompanying curriculum, Whiteness 101: Foundational Principles Every White Bridge Builder Needs to Understand, Morrison defines racism as “a system of advantage based on race, involving cultural messages, misuse of power, and institutional bias, in addition to the racist beliefs and actions of individuals.” It is important to note that this redefinition of racism, among other things, changes the location and therefore the nature of the sin. We are no longer dealing with the hearts of men; we are addressing institutions and structures. “For as long as America exists with its current institutions,” writes DiAngelo, “it will also need to be in group therapy where our turn begins with: ‘Hi. I’m America, and I’m racist.’ ”34

The first step of any therapy is a little self-awareness. I want you to think about the ways your habits, your belief systems, your personality quirks have been developed to help you and protect you. Then ask yourself if they are truly working or if they’re hurting you. For instance, when you feel a headache coming on, focus on something in front of you. Something real, like your hand, to keep you in the moment. It sounds small, but it helps, I promise.

Both women were mothers of children caught up in mind control cover-up, one of which paralleled Kelly’s and my case. She, too, had volumes of documents and evidences whereby it was inexcusable that justice had not prevailed. The other mother conveyed a story that touched me so deeply it undoubtedly will continue to motivate me with reverberating passion forever. This mother was very weak from the final stages of cancer and chemotherapy, and tears slid down her pale gray cheeks as she told me her story. When she reported sexual abuse of her three daughters, the local court system took custody of them. The children appeared dissociative identity disordered from their ordeal, yet were reportedly denied therapy and placed in Foster care “since the mother was dying anyway.” When she finally was granted brief visitation with her precious daughters, they looked dazed and robotic with no memory of her or their sexual abuse. Mind control was apparent to this mother, and she struggled to give voice to their plight to no avail. She explained how love and concern for her children had kept her alive far longer than her doctors thought possible. She embraced me and said, “Now I can die in peace knowing that you are out there talking, raising awareness with the same passion for justice and love for children that I have. Thank you. Please keep talking. Please remember my daughters.

Due to persistently high elevation of stress hormones, which causes a reduction in the size of the hippocampus, survivors are often less able to put things in context and/or make critical distinctions about what is and what is not threatening in the present. Without this necessary discernment, survivors become more and more impulsive and less and less inhibited. In effect, what survivors are left with is a constantly hyperaroused autonomic nervous system, an inability to distinguish past from present threat.

Therapy entails the application of conceptual machinery to ensure that actual or potential deviants stay within the institutionalized definitions of reality, or, in other words, to prevent the “inhabitants” of a given universe from “emigrating.” It does this by applying the legitimating apparatus to individual “cases.” Since, as we have seen, every society faces the danger of individual deviance, we may assume that therapy in one form or another is a global social phenomenon. Its specific institutional arrangements, from exorcism to psychoanalysis, from pastoral care to personnel counseling programs, belong, of course, under the category of social control. What interests us here, however, is the conceptual aspect of therapy. Since therapy must concern itself with deviations from the “official” definitions of reality, it must develop a conceptual machinery to account for such deviations and to maintain the realities thus challenged. This requires a body of knowledge that includes a theory of deviance, a diagnostic apparatus, and a conceptual system for the “cure of souls.

When we are told what is healthy we are being told what is right to think and feel. When we are told what is mentally ill we are being told what ideas, behaviour, and fantasies are wrong. [...] The avenues of escape are blocked by the professioal abuse of pathologizing. To refuse the mental health approach confirms one's 'sickness'. One needs 'therapy', [...] How can we take back therapy [...] from a system which must find illness in order to promote health and which, in order to increase the range of its helping, is obliged to extend the area of sickness. Ever deeper pockets of pathology to be analyzed, ever earlier traumata: primal, prenatal, into my astral body; ever more people into the ritual: the family, the office force, community mental health, analysis for everyone. [...] Its practice may differ [...] but the premise is the same. The work of making soul requires professional help. Soul-making has become restricted by therapy and to therapy. And psychopathology has become restricted to therapy's negative definition of it, reduced to its role in the therapy game.

Coming safely into stillness requires the ventral vagus to restrain the escape movements of the sympathetic nervous system and join with the dorsal vagal system while inhibiting its movement into protective dissociation. For many clients, the autonomic challenge of becoming safely still is too great. Without enough cues of safety from another Social Engagement System to co-regulate or the ability for individual regulation through a reliable vagal brake, the autonomic nervous system quickly moves out of connection into collapse and dissociation.

It may not be as visible a mark of your class as bad teeth, but a history of violence being acted upon you by those you love is just as effective at keeping you from climbing too high. Violence isn’t so much a belief system as it is a symptom. The Bible only serves to provide a necessary excuse, because the truth is, you can’t afford the cure for the disease you inherited. It was passed down from your parents who still don’t believe in therapy. They inherited it from their dads who came back from France with shattered nerves and screamed at night, sucked it up and went to work.

Indeed, the capacity to tolerate uncertainty is a prerequisite for the profession. Though the public may believe that therapists guide patients systematically and sure-handedly through predictable stages of therapy to a foreknown goal, such is rarely the case: instead, as these stories bear witness, therapists frequently wobble, improvise, and grope for direction. The powerful temptation to achieve certainty through embracing an ideological school and a tight therapeutic system is treacherous: such belief may block the uncertain and spontaneous encounter necessary for effective therapy.

Her eyes fill with tears, and when Holly sees them, she feels—in spite of all the work she’s done in therapy—a surge of resentment that’s close to hate. Maybe it is hate. She thinks of all the times she cried in her mother’s presence and was told to go to her room “until you get that out of your system.” She feels an urge to throw those very words in her mother’s face now, but gives Charlotte an awkward hug instead. As she does, she feels how close the bones lie under that thin and flabby flesh, and realizes her mother is old. How can she dislike an old woman who so obviously needs her help? The answer seems to be quite easily.

A short treatment of anti-nausea agents can be considered. A person may use benzodiazepines or meclizine to reduce the vertigo, but it is vital to remember NOT to use such medications for more than 2-3 days. After vestibular neuritis, the brain needs to adapt to the loss of inner ear function and reorganize the balance system (a process called central compensation). These medications impede central compensation, and will cause a person to feel off balance and dizzy for a very long time. On the other hand, vestibular rehabilitation therapy helps improve central compensation, and should be started as soon as possible after vestibular neuritis.

There were inquiries, Congressional hearings, books, exposés and documentaries. However, despite all this attention, it was still only a few short months before interest in these children dropped away. There were criminal trials, civil trials, lots of sound and fury. All of the systems—CPS, the FBI, the Rangers, our group in Houston—returned, in most ways, to our old models and our ways of doing things. But while little changed in our practice, a lot had changed in our thinking. We learned that some of the most therapeutic experiences do not take place in “therapy,” but in naturally occurring healthy relationships, whether between a professional like myself and a child, between an aunt and a scared little girl, or between a calm Texas Ranger and an excitable boy. The children who did best after the Davidian apocalypse were not those who experienced the least stress or those who participated most enthusiastically in talking with us at the cottage. They were the ones who were released afterwards into the healthiest and most loving worlds, whether it was with family who still believed in the Davidian ways or with loved ones who rejected Koresh entirely. In fact, the research on the most effective treatments to help child trauma victims might be accurately summed up this way: what works best is anything that increases the quality and number of relationships in the child’s life.

Since we began with a felt sense of safety this day, several neural streams are initially supporting the renewal of our connection. In our midbrain, the energies of the SEEKING system are animating the CARE system, which can both foster the good feelings between us and support offers of repair should we have a rupture (Panksepp & Biven, 2012). Once in connection, our ventral vagal parasympathetic system is affecting the prosody of our voices, our facial mobility, and the attentiveness of our listening, maintaining social engagement (Porges, 2011). Since ventral lateralizes to the right hemisphere, we more easily stay rooted in the right-centric way of attending that keeps us in connection with this moment and with each other (McGilchrist, 2009). In this intimacy, our brains are coupling in many regions, so there is an experience of social emotional engagement and embodied communication as we become a single system in two bodies (Hasson, 2010). Because we are trustworthy partners in this healing process, social baseline theory tells us that our amygdalae are calming just because we are together (Beckes & Coan, 2011). All of this is happening without doing anything, even without saying anything, in microseconds below conscious awareness because of the safe space we have cultivated over time. We can more clearly understand why Porges says, "Safety IS the treatment".

There are so many valuable techniques for regulation, for exploring and integrating traumatic experience, and so on. Once we get to know these protocols, they may pull on us in ways that invite us to seize control of the therapy. The other pathway suggests that her system holds the answers and that if I can offer enough safe support, it will likely begin to speak with us. At least cognitively, I can recognize that this person's inner world contains much more information about the root causes of her upset than I do. From this perspective, I am less interested in dealing with symptoms than moving towards making room for the implicit origin to emerge so that the protective systems can take care of themselves.

Basics of Good Self-Care Exercise moderately but regularly Eat healthy but delicious meals Regularize your sleep cycle Practice good personal hygiene Don’t drink to excess or abuse drugs Spend some time every day in play Develop recreational outlets that encourage creativity Avoid unstructured time Limit exposure to mass media Distance yourself from destructive situations or people Practice mindfulness meditation, or a walk, or an intimate talk, every day Cultivate your sense of humor Allow yourself to feel pride in your accomplishments Listen to compliments and expressions of affection Avoid depressed self-absorption Build and use a support system Pay more attention to small pleasures and sensations Challenge yourself

I really think the problem with our healthcare system narrows down to incomplete evaluation. If you have pain, you are given a pill; high blood pressure—pill; high cholesterol—pill; ADD—pill. This is what I call duct-tape therapy. There is very little discovery of underlying causes to these problems. If it were HEALTHcare it would work; but it’s disease care. There’s hardly any prevention or food therapy. Even worse is the lazy diagnosis—you know, “You’re getting older now and you have to accept the fact that these things come with age.” Or, “It’s your genetics; you have the fat gene.” Or, “You’re African American and at risk for ____, so take these pills the rest of your life.” Everything is heavy on treatment but very light on prevention or evaluation to find the real cause.

Needless to say, elderly people taking steroids may also experience the same side effects as younger persons. So, if you are a senior and need to be on a long course of steroids, what should you do? We would suggest a practical approach—which could apply to anyone on steroids, regardless of age, but may be particularly relevant for seniors because they are particularly vulnerable to side effects: • Understand and verify the need for steroids in your own situation, weighing the anticipated benefit with the possible risks. This means that you should explore the range of other treatments that may be available for your particular condition. You need to learn about the benefits and risks of any other treatment suggested. In other words, get all the information you can prior to going on treatment, be it with steroids or other medications. • Be sure that your health is well-assessed before or at the start of therapy. If you have underlying, separate health conditions, those should be noted and followed while you are on steroids. • Assess bodily systems that might particularly be affected by being on steroids. This means an assessment of your skeletal health, your eyes, your teeth, and your internal organs. • Request guidance about staying active. Physical therapy should be planned, to minimize the chances that your muscles and joints will be overtaxed or that any existing damage might get worse. • Ask to reassess the length and dose of your medication course at various intervals. A reasonable interval is every couple of months, if you are on a long course of steroids.

As long as people are either hyperaroused or shut down, they cannot learn from experience. Even if they manage to stay in control, they become so uptight (Alcoholics Anonymous calls this “white-knuckle sobriety”) that they are inflexible, stubborn, and depressed. Recovery from trauma involves the restoration of executive functioning and, with it, self-confidence and the capacity for playfulness and creativity. If we want to change posttraumatic reactions, we have to access the emotional brain and do “limbic system therapy”: repairing faulty alarm systems and restoring the emotional brain to its ordinary job of being a quiet background presence that takes care of the housekeeping of the body, ensuring that you eat, sleep, connect with intimate partners, protect your children, and defend against danger.

When we lose our fucking minds on a regular basis, we are wiring our brains into a constantly heightened state that eventually fries our circuits (and pushes away everyone we love in the process). We program ourselves to always be on the alert. So we react with far greater speed than we used to, and perceive more situations as being dangerous, hostile, or threatening. We are constantly jumping at shadows. Our brains never get to rest and recharge and we start struggling with many other conditions associated with this wiring change. Added up, those conditions are known as autonomic nervous system dysfunction. Many common health problems (heart disease, high blood pressure, food allergies) as well as many common mental health issues (depression, anxiety, PTSD) are related to a continued heightened response.

... we might be drawn into a more left-centric way of hearing ... and experience the promotion of safety as a somewhat mechanical process in which A inevitably leads to B-- [ie: the belief that 'my being in a ventral state will automatically draw you into one, and if it doesn't then there is something wrong with one of us'.] Viewing it that way encourages us to turn social engagement into a technique, even a manipulation of the other person's nervous system toward what we view as a more desirable state. Ironically, when the left hemisphere is dominant rather than supportive of right-centric attending, we have already moved out of social engagement and thus are in no position to offer safe space to another. When we make an effort to return to it, we have forgotten that neuroception is continually arising automatically and not under the control of our will. The very pressure to activate ventral makes the space between us unsafe.

Therapy entails the conceptual machinery to ensure that actual or potential deviants stay within the institutionalized definitions of reality, or, in other words, to prevent "inhabitants" of a given universe from "emigrating". It does this by applying the legitimating apparatus to individual "cases". Since ever society faces the danger of individual deviance, we may assume that therapy in one form or another is a global social phenomena. Its specific institutional arrangements, from exorcism to psycho-analysis, from pastoral care to personal counseling programmes, belong, of course, under the category of social control. [...] Since therapy must concern itself with deviations from the "official" definition of reality, it must develop a machinery to account for such deviations and to maintain the realities thus challenged. This requires a body of knowledge that include a theory of deviance, a diagnostic apparatus, and a conceptual system for the "cure of souls".

Did those “new gays” spinning about like giddy tops in discos care to know that dancing with someone of the same sex was punishable as “lewd conduct” then? Still, a club in Topanga Canyon boasted a system of warning lights. When they flashed, lesbians and gay men shifted—what a grand adventure!—and danced with each other, laughing at the officers’ disappointed faces! How much pleasure—and camaraderie, yes, real kinship—had managed to exist in exile. Did those arrogant young people know that, only years ago, you could be sentenced to life in prison for consensual sex with another man? A friend of his destroyed by shock therapy decreed by the courts. Another friend sobbing on the telephone before he slashed his wrists— Thomas's hands on his steering wheel had clenched in anger, anger he had felt then, anger he felt now. And all those pressures attempted to deplete you, and disallow— “—the yearnings of the heart,” he said aloud. Yet he and others of his generation had lived through those barbaric times—and survived—those who had survived—with style. Faced with those same outrages, what would these “new gays” have done? “Exactly as we did,” he answered himself. The wind had resurged, sweeping sheaths of dust across the City, pitching tumbleweeds from the desert into the streets, where they shattered, splintering into fragments that joined others and swept away. Now, they said, everything was fine, no more battles to fight. Oh, really? What about arrests that continued, muggings, bashings, murder, and hatred still spewing from pulpits, political platforms, and nightly from the mouths of so-called comedians? Didn't the “new gays” know—care!—that entrenched “sodomy” laws still existed, dormant, ready to spring on them, send them to prison? How could they think they had escaped the tensions when those pressures were part of the legacy of being gay? Didn't they see that they remained—as his generation and generations before his had been—the most openly despised? And where, today, was the kinship of exile?

In our society today, much is made of treating children as persons, human beings who have a right to be heard. But many family leaders today bend so far in the direction of consensus, in order to avoid the stigma of being authoritarian, that clarity of values and the positive, often crucial benefits of the leader's self-differentiation are almost totally missing from the system. One of the most prevalent characteristics of families with disturbed children is the absence or the involution of the relational hierarchy. While schools of family therapy have different ways of conceptualizing this condition, which may also be viewed as a political phenomenon regarding congregations, it is so diffuse among families troubled by their troubled children that its importance cannot be underestimated. What happens in any type of family system regarding leadership is paradoxical. The same interdependency that creates a need for leadership makes the followers anxious and reactive precisely when the leader is functioning best.

Another, related issue is that longevity itself, and healthspan in particular, doesn’t really fit into the business model of our current healthcare system. There are few insurance reimbursement codes for most of the largely preventive interventions that I believe are necessary to extend lifespan and healthspan. Health insurance companies won’t pay a doctor very much to tell a patient to change the way he eats, or to monitor his blood glucose levels in order to help prevent him from developing type 2 diabetes. Yet insurance will pay for this same patient’s (very expensive) insulin after he has been diagnosed. Similarly, there’s no billing code for putting a patient on a comprehensive exercise program designed to maintain her muscle mass and sense of balance while building her resistance to injury. But if she falls and breaks her hip, then her surgery and physical therapy will be covered. Nearly all the money flows to treatment rather than prevention—and when I say “prevention,” I mean prevention of human suffering.

We may find ourselves in a role similar to that of a gardener as we cultivate a space in which healing can naturally unfold. In terms of neurobiology, this stance encourages us to lean into the reassuring awareness that our systems already contain seeds awaiting our attention. For some examples, we humans are always seeking the warmest possible attachments we can imagine (Cozolino, Siegel), our brains are continuously yearning for the arrival of a co-organizing other (Badenoch, Cozolino, Schore), emotional regulation flows naturally from being in the presence of someone we trust (Beckes & Coan) and even our nervous systems have a preference for the social engagement circuitry that sustains connection (Porges). With this kind of support from the biology inherent in both practitioner and patient, our bodies may begin to open into a welcoming state as others come towards us, with a sense of partnership being established rather than someone doing something to us. However this also means letting go of the potential certainty that comes from feeling we are in charge.

Polyvagal Theory proposes a neurophysiological model of safety and trust. The model emphasizes that safety is defined by feeling safe and not by the removal of threat. Feeling safe is dependent on three conditions: 1) the autonomic nervous system cannot be in a state that supports defense; 2) the social engagement system needs to be activated to down regulate sympathetic activation and functionally contain the sympathetic nervous system and the dorsal vagal circuit within an optimal range (homeostasis) that would support health, growth, and restoration; and 3) to detect cues of safety (e.g., prosodic vocalizations, positive facial expressions and gestures) via neuroception. In everyday situations, the cues of safety may initiate the sequence by triggering the social engagement system via the process of neuroception, which will contain autonomic state within a homeostatic range and restrict the autonomic nervous system from reacting in defense. This constrained range of autonomic state has been referred to as the window of tolerance (see Ogden et. al. 2006; Siegel, 1999) and can be expanded through neural exercises embedded in therapy. See: throughout

Robin Carhart-Harris’ theory of the entropic brain represents a promising elaboration on this general idea and a first stab at a unified theory of mental illness that helps explain all three of the disorders we’ve examined in these pages. A happy brain is a supple and flexible brain, he believes. Depression, anxiety, obsession and the cravings of addiction are how it feels to have a brain that has become excessively rigid or fixed in its pathways and linkages—a brain with more order than is good for it. On the spectrum he lays out in his entropic brain article, ranging from excessive order to excessive entropy, depression, addiction and disorders of obsession all fall on the too much order end. Psychosis is on the entropy end of the spectrum which is why it probably doesn’t respond to psychedelic therapy. The therapeutic value of psychedelics, in Carhart-Harris’ view, lies in their ability to temporarily elevate entropy in the inflexible brain, jolting the system out of its default patterns. Carhart-Harris uses the metaphor of annealing from metallurgy: psychedelics introduce energy into the system, giving it the flexibility necessary for it to bend and so change.

theory and science are: 1. From the cradle to the grave, human beings are hardwired to seek not just social contact, but also physical and emotional proximity to special others who are deemed irreplaceable. The longing for a “felt sense” of connection to key others is primary in terms of the hierarchy of human goals and needs. Humans are most acutely aware of this innate need for connection at times of threat, risk, pain, or uncertainty. Threats that trigger the attachment system may be from the outside or the inside, for example, troubling construals of rejection by loved ones, negative images or concrete reminders of one’s own mortality (Mikulincer, Birnbaum, Woddis, & Nachmias, 2000; Mikulincer & Florian, 2000). In relationships, shared vulnerability builds bonds, precisely because it brings attachment needs for a felt sense of connection and comfort to the fore and encourages reaching for others. 2. Predictable physical and/or emotional connection with an attachment figure, often a parent, sibling, longtime close friend, mate, or spiritual figure, calms the nervous system and shapes a physical and mental sense of a safe haven where comfort and reassurance can be reliably obtained and emotional balance can be restored or enhanced.

If the symbolic father is often lurking behind the boss--which is why one speaks of 'paternalism' in various kinds of enterprises--there also often is, in a most concrete fashion, a boss or hierarchic superior behind the real father. In the unconscious, paternal functions are inseparable from the socio-professional and cultural involvements which sustain them. Behind the mother, whether real or symbolic, a certain type of feminine condition exists, in a socially defined imaginary context. Must I point out that children do not grow up cut off from the world, even within the family womb? The family is permeable to environmental forces and exterior influences. Collective infrastructures, like the media and advertising, never cease to interfere with the most intimate levels of subjective life. The unconscious is not something that exists by itself to be gotten hold of through intimate discourse. In fact, it is only a rhizome of machinic interactions, a link to power systems and power relations that surround us. As such, unconscious processes cannot be analyzed in terms of specific content or structural syntax, but rather in terms of enunciation, of collective enunciative arrangements, which, by definition, correspond neither to biological individuals nor to structural paradigms... The customary psychoanalytical family-based reductions of the unconscious are not 'errors.' They correspond to a particular kind of collective enunciative arrangement. In relation to unconscious formation, they proceed from the particular micropolitics of capitalistic societal organization. An overly diversified, overly creative machinic unconscious would exceed the limits of 'good behavior' within the relations of production founded upon social exploitation and segregation. This is why our societies grant a special position to those who specialize in recentering the unconscious onto the individuated subject, onto partially reified objects, where methods of containment prevent its expansion beyond dominant realities and significations. The impact of the scientific aspirations of techniques like psychoanalysis and family therapy should be considered as a gigantic industry for the normalization, adaption and organized division of the socius. The workings of the social division of labor, the assignment of individuals to particular productive tasks, no longer depend solely on means of direct coercion, or capitalistic systems of semiotization (the monetary remuneration based on profit, etc.). They depend just as fundamentally on techniques modeling the unconscious through social infrastructures, the mass media, and different psychological and behavioral devices...Even the outcome of the class struggle of the oppressed--the fact that they constantly risk being sucked into relations of domination--appears to be linked to such a perspective.

For things to change, somebody somewhere has to start acting differently. Maybe it’s you, maybe it’s your team. Picture that person (or people). Each has an emotional Elephant side and a rational Rider side. You’ve got to reach both. And you’ve also got to clear the way for them to succeed. In short, you must do three things: → DIRECT the Rider FOLLOW THE BRIGHT SPOTS. Investigate what’s working and clone it. [Jerry Sternin in Vietnam, solutions-focused therapy] SCRIPT THE CRITICAL MOVES. Don’t think big picture, think in terms of specific behaviors. [1% milk, four rules at the Brazilian railroad] POINT TO THE DESTINATION. Change is easier when you know where you’re going and why it’s worth it. [“You’ll be third graders soon,” “No dry holes” at BP] → MOTIVATE the Elephant FIND THE FEELING. Knowing something isn’t enough to cause change. Make people feel something. [Piling gloves on the table, the chemotherapy video game, Robyn Waters’s demos at Target] SHRINK THE CHANGE. Break down the change until it no longer spooks the Elephant. [The 5-Minute Room Rescue, procurement reform] GROW YOUR PEOPLE. Cultivate a sense of identity and instill the growth mindset. [Brasilata’s “inventors,” junior-high math kids’ turnaround] → SHAPE the Path TWEAK THE ENVIRONMENT. When the situation changes, the behavior changes. So change the situation. [Throwing out the phone system at Rackspace, 1-Click ordering, simplifying the online time sheet] BUILD HABITS. When behavior is habitual, it’s “free”—it doesn’t tax the Rider. Look for ways to encourage habits. [Setting “action triggers,” eating two bowls of soup while dieting, using checklists] RALLY THE HERD.

Among DID individuals, the sharing of conscious awareness between alters exists in varying degrees. I have seen cases where there has appeared to be no amnestic barriers between individual alters, where the host and alters appeared to be fully cognizant of each other. On the other hand, I have seen cases where the host was absolutely unaware of any alters despite clear evidence of their presence. In those cases, while the host was not aware of the alters, there were alters with an awareness of the host as well as having some limited awareness of at least a few other alters. So, according to my experience, there is a spectrum of shared consciousness in DID patients. From a therapeutic point of view, while treatment of patients without amnestic barriers differs in some ways from treatment of those with such barriers, the fundamental goal of therapy is the same: to support the healing of the early childhood trauma that gave rise to the dissociation and its attendant alters. Good DID therapy involves promoting co­-consciousness. With co-­consciousness, it is possible to begin teaching the patient’s system the value of cooperation among the alters. Enjoin them to emulate the spirit of a champion football team, with each member utilizing their full potential and working together to achieve a common goal. Returning to the patients that seemed to lack amnestic barriers, it is important to understand that such co-consciousness did not mean that the host and alters were well-­coordinated or living in harmony. If they were all in harmony, there would be no “dis­ease.” There would be little likelihood of a need or even desire for psychiatric intervention. It is when there is conflict between the host and/or among alters that treatment is needed.

DRY SAUNA Numerous cultures use sweat lodges, steam baths, or saunas for cleansing and purification. Many health clubs and big apartment buildings have saunas and steam baths, and more and more people are building saunas in their own homes. Low-to-moderate-temperature saunas are one of the most important ways to detoxify from pesticide exposure. Head-to-toe perspiration through the skin, the largest organ of elimination, releases stored toxins and opens the pores. Fat that is close to the skin is heated, mobilized, and broken down, releasing toxins and breaking up cellulite. The heat increases metabolism, burns off calories, and gives the heart and circulation a workout. This is a boon if you don’t have the energy to exercise. It is well known in medicine that a fever is the body’s way of burning off an infection and stimulating the immune system. Fever therapy and sauna therapy are employed at alternative medicine healing centers to do just that. The controlled temperature in a sauna is excellent for relaxing muscular aches and pains and relieving sinus congestion. The only way I made it through my medical internship was by having regular saunas to reduce the daily stress. FAR-INFRARED (FIR) SAUNAS FIR saunas are inexpensive, convenient, and highly effective. Detox expert Dr. Sherry Rogers says that FIR is a proven and efficacious way of eliminating stored environmental toxins, and she thinks everyone should use one. There are one-person Sauna Domes that you lie under or more elaborate sauna boxes that seat several people. The far infrared provides a heat that increases the body temperature but the surrounding air is not overly heated. One advantage of the dome is that your head remains outside, which most people find more comfortable and less confining. Sweating begins within minutes of entering the dome and can be continued for thirty to sixty minutes. Besides the hundreds of toxins that can be removed through simple sweating, the heat of saunas creates a mild shock to the body, which researchers feel acts as a stimulus for the body’s cells to become more efficient. The outward signs are the production of sweat to help decrease the body temperature, but there is much more going on. Further research on sauna therapy is destined to make it an important medical therapy.

Cannabinoids relax the rules of cortical crowd control, but 300 micrograms of d-lysergic acid diethylamide break them completely. This is a clean sweep. This is the Renaissance after the Dark Ages. Dopamine—the fuel of desire—is only one of four major neuro modulators. Each of the neuromodulators fuels brain operations in its own particular way. But all four of them share two properties. First, they get released and used up all over the brain, not at specific locales. Second, each is produced by one specialized organ, a brain part designed to manufacture that one potent chemical (see Figure 3). Instead of watering the flowers one by one, neuromodulator release is like a sprinkler system. That’s why neuromodulators initiate changes that are global, not local. Dopamine fuels attraction, focus, approach, and especially wanting and doing. Norepinephrine fuels perceptual alertness, arousal, excitement, and attention to sensory detail. Acetylcholine energizes all mental operations, consciousness, and thought itself. But the final neuromodulator, serotonin, is more complicated in its action. Serotonin does a lot of different things in a lot of different places, because there are many kinds of serotonin receptors, and they inhabit a great variety of neural nooks, staking out an intricate network. One of serotonin’s most important jobs is to regulate information flow throughout the brain by inhibiting the firing of neurons in many places. And it’s the serotonin system that gets dynamited by LSD. Serotonin dampens, it paces, it soothes. It raises the threshold of neurons to the voltage changes induced by glutamate. Remember glutamate? That’s the main excitatory neurotransmitter that carries information from synapse to synapse throughout the brain. Serotonin cools this excitation, putting off the next axonal burst, making the receptive neuron less sensitive to the messages it receives from other neurons. Slow down! Take it easy! Don’t get carried away by every little molecule of glutamate. Serotonin soothes neurons that might otherwise fire too often, too quickly. If you want to know how it feels to get a serotonin boost, ask a depressive several days into antidepressant therapy. Paxil, Zoloft, Prozac, and all their cousins leave more serotonin in the synapses, hanging around, waiting to help out when the brain becomes too active. Which is most of the time if you feel the world is dark and threatening. Extra serotonin makes the thinking process more relaxed—a nice change for depressives, who get a chance to wallow in relative normality.

• No matter how open we as a society are about formerly private matters, the stigma around our emotional struggles remains formidable. We will talk about almost anyone about our physical health, even our sex lives, but bring depression, anxiety or grief , and the expression on the other person would probably be "get me out of this conversation" • We can distract our feelings with too much wine, food or surfing the internet, • Therapy is far from one-sided; it happens in a parallel process. Everyday patients are opening up questions that we have to think about for ourselves, • "The only way out is through" the only way to get out of the tunnel is to go through, not around it • Study after study shows that the most important factor in the success of your treatment is your relationship with the therapist, your experience of "feeling felt" • Attachment styles are formed early in childhood based on our interactions with our caregivers. Attachment styles are significant because they play out in peoples relationships too, influencing the kind of partners they pick, (stable or less stable), how they behave in a relationship (needy, distant, or volatile) and how the relationship tend to end (wistfully, amiably, or with an explosion) • The presenting problem, the issue somebody comes with, is often just one aspect of a larger problem, if not a red herring entirely. • "Help me understand more about the relationship" Here, here's trying to establish what’s known as a therapeutic alliance, trust that has to develop before any work can get done. • In early sessions is always more important for patients to feel understood than it is for them to gain any insight or make changes. • We can complain for free with a friend or family member, People make faulty narratives to make themselves feel better or look better in the moment, even thought it makes them feel worse over time, and that sometimes they need somebody else to read between the lines. • Here-and-now, it is when we work on what’s happening in the room, rather than focusing on patient's stories. • She didn't call him on his bullshit, which this makes patients feel unsafe, like children's whose parent's don’t hold them accountable • What is this going to feel like to the person I’m speaking to? • Neuroscientists discovered that humans have brain cells called mirror neurons, that cause them to mimic others, and when people are in a heightened state of emotion, a soothing voice can calm their nervous system and help them stay present • Don’t judge your feelings; notice them. Use them as your map. Don’t be afraid of the truth. • The things we protest against the most are often the very things we need to look at • How easy it is, I thought, to break someone’s heart, even when you take great care not to. • The purpose on inquiring about people's parent s is not to join them in blaming, judging or criticizing their parents. In fact it is not about their parents at all. It is solely about understanding how their early experiences informed who they are as adults so that they can separate the past from the present (and not wear psychological clothing that no longer fits) • But personality disorders lie on a spectrum. People with borderline personality disorder are terrified of abandonment, but for some that might mean feeling anxious when their partners don’t respond to texts right away; for others that may mean choosing to stay in volatile, dysfunctional relationships rather than being alone. • In therapy we aim for self compassion (am I a human?) versus self esteem (Am I good or bad: a judgment) • The techniques we use are a bit like the type of brain surgery in which the patient remains awake throughout the procedure, as the surgeons operate, they keep checking in with the patient: can you feel this? can you say this words? They are constantly calibrating how close they are to sensitive regions of the brain, and if they hit one, they back up so as not to damage it.

A trigger is nothing more than a sound, a smell, or some other form of sensory input that our threat-response system associates—however tangentially—with our experiences of past painful learning.

To establish a bridge of attunement, we rely on many neural systems that receive and send social and emotional information. We use all of this information to create theories about what is on the minds of others.

Thoughts are like blossoms on a flower—there's a stem and then a whole root system beneath them. Thought substitution alone is like plucking off a dandelion bloom, glue-gunning a daffodil blossom on the stem, and expecting daffodils to keep blooming.

numerous studies link gluten, the protein found in wheat, spelt, barley, rye and similar grains to Hashimoto’s.25 26 27 28 29 30 31 32 If the person is already on a gluten-free diet, I will have them consume wheat for two weeks and then repeat the test, providing gluten doesn’t cause other severe symptoms. A positive antibody test confirms an autoimmune thyroid condition and indicates that the immune system, not the thyroid gland, is the target for therapy.

STEP THREE: MAXIMIZE YOUR ENERGY & REGENERATION Consider what aspects of Vitality Pharmacy (Chapter 10) might help you accelerate your energy, your strength, your vitality. Or help you to recover from challenges you may be facing. 1. Are you going to expand your capacity by optimizing your hormones through H.O.T. (hormone optimization therapy)? 2. Would peptides be something you may want to consider? Are there any peptides that you’d like to look into that could make a difference in anything from your immune system to sexual desire and drive? 3. What are some of the pharmaceutical-grade supplements that you might want to have to start your day with energy or to get yourself to sleep at night without side effects? 4. Or would you like to tap into NAD3 or other NMN-like products to maximize your energy and vitality? STEP

Monitoring and Supporting Hashimoto’s ​• ​After Hashimoto’s is assessed with a positive TPO and/or TGB serum antibody test, establish TH-1 or TH-2 dominance with an immunological serum test. Look at the percentage values, not the total. ​• ​A TH-1 serum profile includes interferon, IL-2, IL-12, interferon-gamma, and TNF alpha. ​• ​A TH-2 serum profile includes IL-4, IL-13 and IL-10. ​• ​If the TH-1 cytokines are high, then modulate the autoimmune condition by supporting the TH-2 pathway with TH-2 stimulators. ​• ​If the TH-2 cytokines are high, then support the TH-1 pathway with TH-1 stimulators. ​• ​A CD4/CD8 (T-suppressor cell/T-helper cell) ratio of 2 or higher is an indication that an active antigen is driving the autoimmune response. This test is also a baseline from which to monitor overall progress. ​• ​If an active antigen or hapten is at work, then stimulate the dominant TH pathway to eradicate the antigen or drive it into remission. ​• ​If both TH-1 and TH-2 stimulators make you feel worse, a hapten may be driving the autoimmune condition. In that case, restore the immune barriers. ​• ​In all instances, modulate immune T-helper cell response with therapeutic doses of emulsified vitamin D plus cofactors, fish oil, and liposomal glutathione and superoxide dismutase cream. Have a licensed healthcare practitioner qualified to work with vitamin D therapy prescribe the appropriate dose. ​• ​Add in nutritional compounds individually every three days to monitor response. ​• ​Remove gluten and possibly dairy from the diet and support other systems, organs, and functions in the body.  (Managing blood sugar, digestive function, and adrenal health using functional medicine principles is explained in later chapters.) ​• ​Monitor whether support is effective with follow-up TSH, CD4/CD8, and TH-1 and TH-2 cytokine tests.

STRESS was very probably the trigger.

STEP THREE: MAXIMIZE YOUR ENERGY & REGENERATION Consider what aspects of Vitality Pharmacy (Chapter 10) might help you accelerate your energy, your strength, your vitality. Or help you to recover from challenges you may be facing. 1. Are you going to expand your capacity by optimizing your hormones through H.O.T. (hormone optimization therapy)? 2. Would peptides be something you may want to consider? Are there any peptides that you’d like to look into that could make a difference in anything from your immune system to sexual desire and drive? 3. What are some of the pharmaceutical-grade supplements that you might want to have to start your day with energy or to get yourself to sleep at night without side effects? 4. Or would you like to tap into NAD3 or other NMN-like products to maximize your energy and vitality?

Among other modalities, he practiced Internal Family Systems, or IFS, a form of therapy that asks patients to break up their mind into subpersonalities—a kind of internal family unit. Let’s say you’re an alcoholic. You might consider that drinking is not your entire identity. There is just one part of your personality that wants you to drink all the time. IFS practitioners call it your “firefighter,” because firefighters react to triggers and try to put out the fire by comforting you—often with unhealthy habits like drinking, binge eating, or doing drugs. This framework allows you to see your firefighter as part of your “family unit” and to subsequently forgive him for his tendency to throw beer on everything. He’s just trying to calm you, after all, and maybe you needed him for a time. But also, maybe you can retire him from service now and use another, healthier part of your “family” to care for yourself.

Best HIV AIDS Treatment in India There are medical interventions that significantly reduce the risk of HIV infection for those who are at high risk of developing it. Pre-exposure prophylaxis, or PrEP, is the term used. PrEP is an antiviral drug that helps HIV-negative persons maintain their HIV-free status even if they have sexual contact without wearing a condom with an HIV-positive or unknown partner. In this instance, having one or more sexual partners who are HIV + is considered to be "high risk." As well as any one or more of the following risks, it can also refer to engaging in sexual activity in an area where HIV is prevalent: Therapy for HIV Although there is no treatment for HIV, there are a variety of drugs that can help. Antiretroviral therapy, sometimes known as ART, is a group of medications that stops HIV from turning into AIDS. Even when HIV develops into AIDS, antiretroviral therapy is typically effective. The more effective the treatment, though, the sooner you start. HIV is now a chronic condition that can be controlled for decades thanks to advancements in antiretroviral medication, which once made it the leading cause of mortality in young adults. You could still pass the illness to others through unprotected intercourse (without wearing a condom) or blood transfusions; even if you take HIV drugs and feels OK. The medications maintain a strong immune system that can stop or reduce the progression of AIDS rather than eradicating the virus. Dr. Raina’s Safe Hands Clinic Dr. Vinod Raina HIV Doctors in Delhi Contact Us-9136363692 | 9871605858 Address: — Saket E-34, Ekta Apartments near Malviya Nagar Metro Station Gate No-4 New Delhi-110017

What will happen to that vast body of Christians who were told Christianity is a matter of personal wellness, a competitor in the market for Self-therapy, when these shaky foundations no longer hold? Joel Olsteen says heaven has a warehouse full of blessings with my name on them. The only reason I don't have them is because I don't believe hard enough. What will happen when I finally determine I'm not cut out for this Christianity thing because my faith just doesn't pass muster? If Ken Ham is to be believed, it's already too late. The next generation is "already gone" (see supra, page 114). These are the Millennials who have actuated in their twenties what was in their hearts when they were twelve, that is, Christianity was something best grown out of and left behind. They've made their choice, answered the questions. And of those who remain, one wonders what it portends that 44% of younger evangelicals support gay marriage. It shouldn't be too much of a stretch to observe this position has more to do with cultural trends than with serious Scriptural contemplation, or contemplation on any serious theological thought, but try telling them that. Not only would that require transcending the latest slogans, but it would require considering an authority above the dictates of one's Self, and that is heresy in the religion of Gnosticism. But nature has a way of being what it is despite people's attempts to deny or reject it, to say nothing of nature's God. Nature, for example, will have the final vote on the gay marriage issue. No matter how hard two men try, they will never ever make a baby. Nature won't allow that. And eventually people will begin asking what the point of marriage was in the first place. Oh yeah, because two certain types of people – biology calls them male and female – make babies. Or again, human nature will have the final vote on the progressive experiment in collectivist action, say, in health care, and if history is a guide, that vote won't end well for progressives. We truly are individuals, not the Borg. Finally, the law of economic gravity will soon kick in on our national debt as well, reminding us that what can't go on forever won't. Then the fun begins. History teaches that days of leisurely indulgence, the sort which has always begotten Gnosticism, are numbered. It's one thing to shake your fist at the world when living a comfortable existence. Boutique rebellion against Yaltabaoth's systems of control is always fun. It's another thing to be hungry and need a damn bite to eat, or to be cold, because "the system" was finally broken beyond repair. Right around then we hear a galloping sound in the distance. That's the four horsemen coming to do what they are appointed to do. Marantha. S. D. G.

Q. How can I be certain that what I fear will happen will never really happen? A. Sadly, the answer is you can't be certain! If you suffer from OCD you probably want a 100 percent guarantee that you will never do anything dangerous or that no harm will ever come to you or your family members. Unfortunately, life does not work like this. If I think about it, I know that there is no guarantee that I won't be hit by a car coming home from work today - but somehow my brain automatically accepts the very small chance of this happening and so permits me to go on living my life. More than two thousand years ago the Buddha (a great psychologist besides being a religious teacher) warned that one of the key things that makes us suffer is that we always want more than we will actually get - whether what we want is material like gold and jewels, or (my addition) in the case of OCD, more certainty than you will ever achieve. Thus the solution the Buddha might have offered you in northern India those thousands of years ago might have been something like this: "To stop suffering you must learn to accept that you will never achieve as much certainty as you want, no matter how much you pursue it; so it is up to you to choose: Either accept this truth and live your life happily, or fight against this truth and continue to suffer." Let me say it again for emphasis: you will never be certain that you won't act on the urges you have, or that the terrible things you fear will happen will not actually happen - but I can assure you that the odds of these things actually happening are small enough that it is not worth wasting your life trying (in vain) to get 100 percent certainty. Better to trust in yourself, your religious beliefs, or in evolution having prepared us well for surviving in this world. If evidence from brain studies better helps to convince you this is true, brain imaging studies of OCD sufferers now suggest that there really is something wrong with their "certainty system"; whatever automatically lets someone without OCD feel that things are OK does not function correctly in the OCD sufferer's brain (who then tries to convince himself that everything is OK, eventually becoming tired and frustrated when he cannot use other brain functions to achieve 100 percent certainty).

The fact that the current health-care system is unhealthy is one of the world's greatest contradictions. It is unjust, costly, and in desperate need of reform.

Systemic symptoms–both branches (figures 4.2 and 4.3). A sixth group of symptoms from sternocleidomastoid trigger points can include disturbed perception of the amount of weight carried in the hands, cold sweat on the forehead, and the generation of excess mucus in the sinuses, nasal cavities, and throat. They can be the simple explanation for your sinus congestion, sinus drainage, phlegm in the throat, chronic cough, and continual hay fever or cold symptoms. A persistent dry cough can often be stopped with massage to the sternal branch near its attachment to the breastbone (Simons, Travell, and Simons 1999). Causes

I believe passion and persistence are incompatible with, in fact dramatically damaged by, cynicism, apathy, discouragement, and whining (cynicism and whining probably being my two biggest pet peeves). If you are going to be a social crusader, you must eliminate these things from your vocabulary and behavior. They are pernicious. They all kill the spirit of effort. When you use the language of these qualities, it results in an inertia so strong that it creates a strangling atmosphere of powerlessness.

Define success as something achievable. For myself I define success like this: Did I try? Did I give my time? Did I never give up? All of which are very easy to do. Do not put success in things or outcomes.

Service is an action word, a perfect antidote to boredom, loneliness, alienation, and fear. Service can impart the gift of inner peace. Service is the physical expression of thanks to the world, an apt way to appreciate the miracle of life.

her takes a good deal of clinical experience. More importantly, the therapist needs to have worked deeply with her own early life experiences, and has to actively work with it throughout the life span. A successful therapeutic relation precipitates emotional growth not only in the patient but also in the therapist. Sieff refered to the fact that short-term cognitive behavioral therapy (CBT) is currently very popular and widely used. Can it help with healing relational trauma? Schore answered that CBT is grounded in cognitive psychology, and its research base is grounded cognitive processes such as explicit memory, rational thought, language, and effortful conscious control. Cognitively based therapy’s basic theoretical assumption is grounded in the assumption that we can change how we feel by consciously changing how we think and what we believe. This means that cognitive therapy focuses on language and thought, both of which are located in the left brain. People who have trouble regulating their emotions typically have a left brain that is already more developed than their right brain, and they may well have learned to use rational thinking and words to obscure the deeper emotional experiences and to keep them dissociated. Cognitive therapy may strengthen the very strategies that keep the affect dampening defense of dissociation in place. Even if the left brain becomes more able to control the emotions of the right brain, it can only control emotional arousal that is of low or moderate intensity. As a rule, when emotional arousal reaches a certain level of intensity the left brain goes off-line and the right brain becomes dominant. Changes made in the cognitive strategies of the left brain are unavailable when this happens. At these times, emotionally-focused therapy may enhance the neural connections between the right amygdala and the right orbifrontal cortex which allows the patient to more effectively tolerate and regulate intense emotions. Cognitive therapy which exclusively focuses on the ability of the left brain to control the right cannot directly alter changes within the right-lateralized limbic system. The

final problem of cognitive therapy is that it is generally a short-term treatment so it is unable to build a strong enough therapeutic alliance to allow the patient to experience the corrective emotional experience. Deep change does not happen when a patient is consciously reflecting on an emotion. Rather it happens when the patient actively experiences the emotion and when a resonating emotionally present therapist recognizes and regulates that emotion, thereby modeling new ways of being with another while one is under stress. There is no interpersonal space for this repair of attachment ruptures in current models of cognitive therapy, where left brain insight dominates over right brain interactive regulation. Coming to the end, Sieff asked Schore what message he would like people to take home from this interview. Schore answered that the earliest stages of life are critical as they form the foundation of everything that follows. Our early attachment relationships, for better or worse, shape our right brain unconscious system and have lifelong consequences. An attuned early attachment relationship enables us to grow an interconnected, well-developed right brain and sets us up to become secure individuals, open to new social and emotional experiences. A traumatic early attachment relationship impairs the development of a healthy right brain and locks us into an emotionally dysregulated, amygdala-driven emotional world. As a result, our only way to defend against intense unregulated emotions is via the over reliance on repression and/or pathological characterological dissociation. Faced with relational stress, we are cut off from the world, from other people, from our emotions, from our bodies and from our sense of self. Our right brains cannot further develop or grow emotionally from our interactions with other right brains. Too many people suffer alone with their desperate pain due to their early relational trauma. For somebody struggling with such emotional dysregulation, the way to emotional security, and to a more vital, alive, and fulfilling life, does not come from making the unconscious conscious – which is essentially a left brain process

Finding a person to declare your craziest, most profound insecurities to is not exactly a picnic. But the bureaucratic idiocy of America’s healthcare system turns what should be a chore into torture. If you’re a middle-class person in America, the dance goes like this: You call your insurance provider to find a meager list of therapists who take your insurance. Most of the people on the list are licensed clinical social workers or licensed mental health counselors. They can be wonderful and very helpful, but they often have less schooling and experience than, say, psychologists and PhDs. After digging deeper, you find that some of these therapists don’t take your insurance after all; others have full client lists. And even if they do have space in the day to treat someone, they might not be interested in treating you. According to one study, a low-income Black person had up to an 80 percent lower chance of receiving a callback for an appointment than a middle-class white person. And even though intellectually, therapists tell you that anger can be a helpful and legitimate emotion in processing trauma, God forbid you actually seem angry on the phone. Several mental health professionals have told me that therapists often avoid rageful clients because they seem threatening or scary. Therapists instead prefer to take on YAVIS—Young, Attractive, Verbal, Intelligent, and Successful clients. They love an amenable type, someone who is curious about their internal workings and eager to plumb them, someone who’s already read articles in The New Yorker about psychology to familiarize them with the language of metacognition and congruence. Good luck if you’re a regular-ass Joe who’d rather watch It’s Always Sunny in Philadelphia. But say you get lucky and find a licensed clinical psychologist with an open slot. The psychologist is white, of course (86 percent of psychologists in the United States are), which isn’t ideal if you are a person of color. But, fine, whatever: You just need to receive an official diagnosis for your insurance. You are certain you have complex PTSD, but he can’t diagnose you with that because it’s not in the Diagnostic and Statistical Manual of Mental Disorders. Your insurance only covers treatment for conditions listed in the DSM in order to assign a number of sessions to you. Most forms of insurance will pay for, say, only six months of therapy relating to anxiety, ten for depression, as if you should be better by then. Another consequence of C-PTSD not being in the DSM: This psychologist hasn’t been trained in treating it. He says he doesn’t believe that it’s a real diagnosis. He’d like to provide you with some questionnaires to see if you have something he can actually handle—bipolar disorder, maybe, or manic depression. This does not inspire confidence, so you leave. After some internet sleuthing, you find a woman of color who seems really cool. She’s specifically trained in the treatment of complex trauma. She has blurbs on her website that resonate with you—it seems as if she might truly understand you. But she doesn’t take insurance. (Psychologists are the least likely of any medical provider to take insurance—only about 45 percent of them do. And most of the time, the ones who don’t are the most qualified practitioners.) You can’t exactly blame her. You learn on the internet that insurance companies haven’t updated reimbursement rates for therapists in up to twenty years, despite rising rates for office rent and other administrative costs. If therapists were to rely on reimbursement rates from insurance alone, they’d wind up making about $50,000 a year on average, which is fine, but like, not great if you’re an actual doctor.

Despite the restriction of stem cells to just two regions of the mammalian central nervous system (CNS)—the lateral ventricle linings and the dentate gyrus—it is possible to grow neural stem cells in tissue culture from a much wider range of brain regions than this. The stem cells grow in a form called neurospheres. These are clumps of cells, up to 0.3 mm wide, that grow in suspension culture in a medium containing two specific growth factors (EGF and FGF). The cultures can be initiated from any part of the foetal CNS and often from parts of the adult CNS as well, even regions not thought to undergo continuous renewal. Neurospheres are thought each to contain a few neural stem cells, which are capable of self-renewal, plus a certain number of transit amplifying cells, that have finite division potential. When neurospheres are plated on an adhesive surface in the presence of serum, they will differentiate and form the three cell types normally generated by neuronal stem cells, which are neurons, and two types of glial cells: astrocytes and oligodendrocytes. If neurospheres are dissociated into single cells, a few per cent of these cells can establish new neurospheres, with similar properties to the original. Repeated cycles of dissociation and growth can provide substantial expansion capacity. The phenomenon of neurospheres is an example of the fact that cells may behave in a different manner in tissue culture from in vivo. Neurospheres have created enormous interest because, unlike haematopoietic stem cells, they are expandable in vitro, and because there is a hope that they might be used for cell therapy of the very intractable neurodegenerative diseases involving widespread neuronal death.

Already, we knew that the sleep, especially the REM sleep, of patients suffering from PTSD was disrupted. There was also evidence suggesting that PTSD patients had higher-than-normal levels of noradrenaline released by their nervous system. Building on our overnight therapy theory of REM-sleep dreaming and the emerging data that supported it, I wrote a follow-up theory, applying the model to PTSD. The theory proposed that a contributing mechanism underlying the PTSD is the excessively high levels of noradrenaline within the brain that blocks the ability of these patients from entering and maintaining normal REM-sleep dreaming. As a consequence, their brain at night cannot strip away the emotion from the trauma memory, since the stress chemical environment is too high.

She knew that she should feel discontentment, connected to a large chain of disenfranchisement or systemic persecution--it's not that black death and the news of the world didn't touch her spirit--but she was somewhat ashamed to say, in therapy or publicly, that the bulk of her discontentment came from having very little about which to be discontented.

My point is that it takes a lot of time to work one’s way through the system unless you have the basic information that you need.

The shame that our Inner Child internalizes—she writes about it as if it’s all about your individual experiences and interpersonal interactions. All based on what our parents did or didn’t do to us, with no real accounting for the systemic problems entrenched in society—no real accounting of anti-Blackness or anti-queerness—and not enough concern for community healing. It feels like a very individualistic kind of self-help.” What I didn’t say was that I still feared therapy in general might have the same limitations.

At first, they joked about it but as they became more detoxed and more assertive from therapy, paid ironically by the husbands, they began to realize that they each had unique strengths and powers and a burning desire for revenge. Between the Three Wise Women they had an IT expert, an actress and a supermodel, all very wealthy and beautiful. All the three men’s’ brains appeared to reside in their pants and they wondered if they set a honey trap could it possibly work. A plan was proposed by Felicity and she called it Operation Devastation. Angelina would hack into their MIS computer systems, bug their telephones, offices, cars and homes. Ava would seduce Ryan, who owned Novels and the computer firm, Angelina’s husband in a honey trap and get it all on DVD for the divorce court. Then Ava would seduce Felicity’s husband, James, the Irish footballer. Finally, Sean who was Felicity’s friend who was an out of work actor would seduce Patrick

Internal Family Systems Therapy,

The seminal work of Stephen Porges ... suggests that presence becomes possible when there is a felt sense of safety ... When we are in the role of practitioner, if our autonomic nervous system is receiving what it needs to have a neuroception of safety (our system's felt sense, below the level of conscious awareness, that we are safe) then our social engagement system (the ventral vagal parasympathetic) will be alive in the room as our patients arrive. In this state, we become a potentially safe landing strip for them. When we are able to offer this safe haven, the possibility of the other person moving toward a similar felt sense of safety awakens the healing space between us through resonance.

Internal Family Systems (IFS) is a relatively new form of therapy that is compassionate, inclusive, spiritual, powerfully healing, and deeply respectful of our inner life.

Syphilis is caused by a spiral bacterium (aka a spirochete) known as Treponema pallidum. The bacterium is usually acquired during sexual contact, whereupon it corkscrews its way across mucous membranes, multiplies in the blood and lymph nodes, and, if a patient is especially unlucky, gets into the central nervous system, including the brain, causing personality change, psychosis, depression, dementia, and death. That’s in the absence of antibiotic treatment, anyway; modern antibiotics cure syphilis easily. But there were no modern antibiotics in 1917, and the early chemical treatment known as Salvarsan (containing arsenic) didn’t work well against late-stage syphilis in the nervous system. Wagner-Juaregg solved that problem after noting that Treponema pallidum didn’t survive in a test tube at temperatures much above 98.6 degrees Fahrenheit. Raise the blood temperature of the infected person a few degrees, he realized, and you might cook the bacterium to death. So he began inoculating patients with Plasmodium vivax. He would allow them to cycle through three or four spikes of fever, delivering potent if not terminal setbacks to the Treponema, and then dose them with quinine, bringing the plasmodium under control. “The effect was remarkable; the downward progression of late-stage syphilis was stopped,” by one account, from the late Robert S. Desowitz, who was a prominent parasitologist himself as well as a lively writer. “Institutions for malaria therapy rapidly proliferated throughout Europe and the technique was taken up in several centers in the United States. In this way, tens of thousands of syphilitics were saved from a sure and agonizing death”—saved by malaria.

So, what information do you want to gather during this first interview? Foremost is her description of why she is here now as opposed to six months ago or six years ago (this is known in clinical parlance as the “presenting problem”). You want the basic data if you don’t have them: name, age, marital status, occupation; with whom she lives and where; any previous experiences of therapy; and perhaps some preliminary information about her family of origin. You also want to get some sense of her support system: Does she have friends? Do her relatives live nearby? Does she have a good working relationship with colleagues at her job? Many of these answers will emerge spontaneously. If they don’t, ask for them. Toward the end of the session, you want to leave yourself enough time to ask the client if she has any questions. In addition, you want to ask whether she would like to come back again and talk further. You might help her make that decision by pointing out what you are seeing, e.g., that she seems to be struggling with her feelings about her father’s death or that it is sometimes difficult to know the right thing to do when you are having trouble with your child. The goal here is to try and arrive at a mutual definition, in language that seems right to the client, of what the presenting problem is. Under the best circumstances the client will say something like, “That’s exactly the way I would have said it.” If you do not reach a mutual definition, however, that is not a reason to despair, since you are new at this. It is perfectly alright to suggest that the client return again so you can further explore and clarify what it is she would like your help with. If

The Fongnam Massage Therapy has its own massage room equipped with a reclining massage bed and a lounger with footstool. Working long hours in front of a computer can cause stress, muscle strain, injury or pain that can leave you physically, mentally or emotionally exhausted. This can negatively affect your social life as well as your work. As the main benefit of massage is stress reduction, massage therapy can improve and maintain overall health and reduce or prevent the negative effects of stress. It can permanently relieve pain, prevent injury and maintain health. It is an important ingredient for staying healthy physically and mentally as it reduces stress, which is responsible for 90% of all illness and pain. Due to the reflex effects of the autonomic nervous system, massage affects internal organs and areas distant from the treated area. It promotes relaxation, relieves pain, elevates mood and mental clarity. Massage can be used for relaxation or stimulation and can be used for rehabilitation after surgery, injury, or health issues. It improves blood and lymphatic circulation, increases natural killer cells and lymphocytes that destroy cancer cells, improves mood by increasing serotonin and dopamine, and relieves pain by increasing analgesic endorphins. Massage can relax the body, lower blood pressure and heart rate, and reduce stress and depression. It can also provide symptomatic relief from acute and chronic conditions such as headaches, facial pain, carpal tunnel syndrome and arthritis. It realigns and rejuvenates, restoring balance to your body and being so you can face whatever life throws at you at every turn. It promotes digestion, joint mobility, muscle relaxation, relief from spasms and cramps.

Our sexuality is a perceptive faculty; it is a system of sensory perception. Just as we have a sense of sight, touch, or smell, we also have a sexual sense. This sexual sense is far from originating in fantasy or thought, it is at once spiritual and physiological.

We will live in more beautiful, wise and humane communities when we have learnt to reorient the system of ambition, when the most driven and energetic individuals have the chance to win honour through work that taps into mankind’s highest needs.

BACH FLOWER REMEDIES Flower essence therapy can also help with behavior modification. These herbal remedies are made from plants, trees and bushes. The essences are said to carry the imprint of the plant’s energy, so the patient’s body somehow “recognizes” this image, which wakes up the system so it can heal itself. In a percentage of cases, flower essence therapies work extraordinarily well. The most familiar products are Bach Flowers composed of 38 individual remedies. Each benefits a different emotional state, and is sometimes used in combination with others for greater effect. Rescue Remedy, for instance, is a premixed combination of the essences Impatiens, Star of Bethlehem, Cherry Plum, Rock Rose and Clematis, recommended for any kind of stress. Most health food stores carry Bach Flower remedies. They’re safe to use alongside other medical treatments, and choosing the “wrong” essence won’t cause harm. Once you’ve chosen your flower essences, here’s how to put them to work. · Maintain the original undiluted bottle as your stock bottle. It should last a very long time. ·           To create a treatment strength mixture, place two drops of the undiluted remedy in a one-ounce glass dropper bottle, and then fill the bottle three-quarters full with spring water, and shake 100 times. Don’t use tap water or distilled water—they go stale too quickly. Refrigerate the mixture. It lasts up to two weeks.  ·           Give the pet four drops four times a day from the treatment bottle until the behavior changes. This could be anywhere from a few days to a couple weeks. It can be given straight from the treatment bottle dropper into the pet’s mouth or on his nose if this doesn’t stress him out too much. Don’t touch the dropper to the pet or that could contaminate the bottle. ·           Alternatively, add drops to a treat, like a teaspoonful of plain yogurt, or add several drops of the remedy to the drinking water for all the pets to sip.

Don’t be surprised that our bodies react to criticism, rejection and social shaming the same way they do to physical threats. This is because our later evolving social systems were crafted onto preexisting structures dedicated to physical survival. This is also why pain medications and anti inflammatory decrease the pain of social rejection.

Addiction is the one disease that tells you that you don’t have a disease.

According to the RO DBT neuroregulatory model (see chapter 2), when we are excited, elated, or proud of an accomplishment, our sympathetic nervous system (SNS) excitatory approach/reward system is activated, and, because of neuroinhibitory relationships between the parasympathetic nervous system (PNS) and the SNS, the excitatory approach/reward system functions to downregulate or impair the social safety system mediated by the ventral vagal complex of the PNS (the PNS-VVC). Excitatory reward mood states are energizing and associated with feelings of joy, self-confidence, and agency. When we are in positive mood states, we are more likely to be assertive, arrogant, and opinionated. Despite feeling on top of the world, we lose our ability to empathically read the subtle social signals displayed by others and also are less aware of how our behavior may be impacting them.

The more powerful the group to which we belong, the less likely, generally, we are to question the system that legitimises and confers these privileges.

There presently exist three recognized conceptualizations of the antisocial construct: antisocial personality disorder (ASPD) as outlined in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5; American Psychiatric Association, 2013), dissocial personality disorder in the International Classification of Diseases (ICD-10; World Health Organization, 1992), and psychopathy as formalized by Hare with the Psychopathy Checklist—Revised (PCL-R; Hare, 2003). A conundrum for therapists is that these conceptualizations are overlapping but not identical, emphasizing different symptom clusters. The DSM-5 emphasizes the overt conduct of the patient through a criteria set that includes criminal behavior, lying, reckless and impulsive behavior, aggression, and irresponsibility in the areas of work and finances. In contrast, the criteria set for dissocial personality disorder is less focused on conduct and includes a mixture of cognitive signs (e.g., a tendency to blame others, an attitude of irresponsibility), affective signs (e.g., callousness, inability to feel guilt, low frustration tolerance), and interpersonal signs (e.g., tendency to form relationships but not maintain them). The signs and symptoms of psychopathy are more complex and are an almost equal blend of the conduct and interpersonal/affective aspects of functioning. The two higher-order factors of the PCL-R reflect this blend. Factor 1, Interpersonal/Affective, includes signs such as superficial charm, pathological lying, manipulation, grandiosity, lack of remorse and empathy, and shallow affect. Factor 2, Lifestyle/Antisocial, includes thrill seeking, impulsivity, irresponsibility, varied criminal activity, and disinhibited behavior (Hare & Neumann, 2008). Psychopathy can be regarded as the most severe of the three disorders. Patients with psychopathy would be expected to also meet criteria for ASPD or dissocial personality disorder, but not everyone diagnosed with ASPD or dissocial personality disorder will have psychopathy (Hare, 1996; Ogloff, 2006). As noted by Ogloff (2006), the distinctions among the three antisocial conceptualizations are such that findings based on one diagnostic group are not necessarily applicable to the others and produce different prevalence rates in justice-involved populations. Adding a further layer of complexity, therapists will encounter patients who possess a mixture of features from all three diagnostic systems rather than a prototypical presentation of any one disorder.

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Twenty years after working with Mary, I met Richard Schwartz, the developer of internal family systems therapy (IFS). It was through his work that Minsky’s “family” metaphor truly came to life for me and offered a systematic way to work with the split-off parts that result from trauma. At the core of IFS is the notion that the mind of each of us is like a family in which the members have different levels of maturity, excitability, wisdom, and pain. The parts form a network or system in which change in any one part will affect all the others.

Throat Let your fingers touch each other as you cup your hands on the bottom of the throat. Be gentle, and hold on to your hands, but do not touch your throat. Helping the thyroid and parathyroid gland, vocal cords, larynx, and lymph nodes, this hand position handles the throat (fifth) chakra that regulates neck and chest. This is the seat of communication and expression. Using therapy to help the patient speak, speak their minds, talk for themselves, and tell their reality. It's also perfect for writer’s block! Collarbone Place your hands with your fingers pointing to the middle of your chest on the sides of your arms. This position gives Reiki to the area of the thymus between the chakras of the throat and the neck. For immune function, the thymus gland is essential. Place yourself behind or on the recipient's side for this next position (it all depends on your height logistics, their height, and how far you can stretch!). Back of the neck and front of the heart Put your left hand under the neck area and your right hand over the top of the heart area of the middle. This role incorporates heart and back care of the heart. They address two regions simultaneously: the chakra of the throat and the chakra of the heart, which helps to express one's heart or to say one's reality. This is a good position to handle high blood pressure; any position on the neck actually helps reduce high blood pressure. Heart Place the hands in a T, a hand positioned horizontally above the breasts, and a hand placed vertically between the breasts. Treating the heart (fourth) chakra governs everything related to the circulatory system, including the pulse, veins, and arteries; the lungs (related to the chakras of the heart and throat); the breasts; and the thymus. Opening Reiki's heart chakra increases the supply of affection, air, and nourishment that can be received and offered. The recipient feels acceptance and a sense of love and compassion when the heart chakra is free and moving.

Three months after he received the cells, the boy’s father noticed his son’s eyes tracking a ball that his brother was bouncing. Suddenly the boy could see! There had been nothing wrong with his eyes. Instead, his blindness was caused by damage to his cerebral cortex. After several more treatments, the boy started to hear and talk, and could eventually walk with the aid of a walker. His parents were ecstatic. What I believe happened with our cultured cells is that they moved through the bloodstream to the damaged area, homing in on the site of the injury. Once there, the cells stimulated the formation of new blood vessels and secreted trophic factors, or bioactive molecules that encouraged new cell growth. Because the boy was so young and his system was so responsive, when blood started to flow to these areas, it jumpstarted his neural development and stimulated it to continue on a normal path, repairing some of the functions that had been damaged by his cerebral palsy.

Now there is no normal process except death which completely clears the brain from all past impressions; and after death, it is impossible to set it going again. Of all normal processes, sleep comes the nearest to a non-pathological clearing. How often we find that the best way to handle a complicated worry or an intellectual muddle is to sleep over it! However, sleep does not clear away the deeper memories, nor indeed is a sufficiently malignant state of worry compatible with an adequate sleep. We are thus often forced to resort to more violent types of intervention in the memory cycle. The more violent of these involve a surgical intervention into the brain, leaving behind it permanent damage, mutilation, and the abridgment of the powers of the victim, as the mammalian central nervous system seems to possess no powers whatever of regeneration. The principal type of surgical intervention which has been practiced is known as prefrontal lobotomy, and consists in the removal or isolation of a portion of the prefrontal lobe of the cortex. It has recently been having a certain vogue, probably not unconnected with the fact that it makes the custodial care of many patients easier. Let me remark in passing that killing them makes their custodial care still easier. However, prefrontal lobotomy does seem to have a genuine effect on malignant worry, not by bringing the patient nearer to a solution of his problems but by damaging or destroying the capacity for maintained worry, known in the terminology of another profession as the conscience. More generally, it appears to limit all aspects of the circulating memory, the ability to keep in mind a situation not actually presented. The various forms of shock treatment—electric, insulin, metrazol—are less drastic methods of doing a very similar thing. They do not destroy brain tissue or at least are not intended to destroy it, but they do have a decidedly damaging effect on the memory. In so far as this concerns the circulating memory, and in so far as this memory is chiefly damaged for the recent period of mental disorder, and is probably scarcely worth preserving anyhow, shock treatment has something definite to recommend it as against lobotomy; but it is not always free from deleterious effects on the permanent memory and the personality. As it stands at present, it is another violent, imperfectly understood, imperfectly controlled method to interrupt a mental vicious circle. This does not prevent its being in many cases the best thing we can do at present.

Lobotomy and shock treatment are methods which by their very nature are more suited to handle vicious circulating memories and malignant worries than the deeper-seated permanent memories, though it is not impossible that they may have some effect here too. As we have said, in long-established cases of mental disorder, the permanent memory is as badly deranged as the circulating memory. We do not seem to possess any purely pharmaceutical or surgical weapon for intervening differentially in the permanent memory. This is where psychoanalysis and other similar psychotherapeutic measures come in. Whether psychoanalysis is taken in the orthodox Freudian sense or in the modified senses of Jung and of Adler, or whether our psychotherapy is not strictly psychoanalytic at all, our treatment is clearly based on the concept that the stored information of the mind lies on many levels of accessibility and is much richer and more varied than that which is accessible by direct unaided introspection; that it is vitally conditioned by affective experiences which we cannot always uncover by such introspection, either because they never were made explicit in our adult language, or because they have been buried by a definite mechanism, affective though generally involuntary; and that the content of these stored experiences, as well as their affective tone, conditions much of our later activity in ways which may well be pathological. The technique of the psychoanalyst consists in a series of means to discover and interpret these hidden memories, to make the patient accept them for what they are and by their acceptance modify, if not their content, at least the affective tone they carry, and thus make them less harmful. All this is perfectly consistent with the point of view of this book. It perhaps explains, too, why there are circumstances where a joint use of shock treatment and psychotherapy is indicated, combining a physical or pharmacological therapy for the phenomena of reverberation in the nervous system, and a psychological therapy for the long-time memories which, without interference, might reestablish from within the vicious circle broken up by the shock treatment.

And since human system levels are interconnected, Self-leadership at any level helps to heal all levels. We believe that each client who unburdens helps reduce the burden load of the planet, allowing all of us to have a little more access to the Self.

Alternating Pressure Therapy or Anti-Decubitus Air Mattress & Pump System is used to heal and prevent bedsores, pressure sores, and decubitus ulcers. The alternating pressure system plays a positive role in preventing and curing bed sores caused due to long illness like paralysis, burns, fracture, recovering from an operation or for person who is permanently confined to bed due to old age. An air pump provides sequential inflation and deflation of the air cells throughout the mattress forming an air channel up and down in the mattress to redistribute pressure. Mattress has micro holes which can, via air loss, allow air to pass through and ventilate the patient’s back. The air pump is heavy duty for long life which operates quietly, vibration-free and energy-efficient. The mattress can be placed over top an existing mattress. It is light weight, portable and easy for transportation. It is ideal for use in home healthcare or nursing homes.

As described by the Association for Contextual Behavioral Science, Acceptance and Commitment Therapy (ACT) is a form of empirically based psychological intervention that focuses on mindfulness. Mindfulness is the state of focusing on the present to remove oneself from feeling consumed by the emotion experienced in the moment. To properly observe yourself, begin by noticing where in your body you experience emotion. For example, think about a time when you felt really sad. You may have felt despair in your chest, or a sense of hollowness in your stomach. If you were angry, you may have felt a burning sensation in your arms. This occurs within everyone, in different variations. A study conducted by Carnegie Mellon University traced emotional responses in the brain to different activity signatures in the body through a functional magnetic resonance imaging (fMRI) scanner. If someone recalled a painful or traumatic memory, the prefrontal cortex and neocortex became less active, and their “reptilian brain” was activated. The former areas of the brain are responsible for conscious thought, spatial reasoning, and higher functions such as sensory perception. The latter is responsible for fight-or-flight responses. This means that the bodily responses caused by your emotions provide an opportunity for you to be mindful of them. Your emotions create sensations in your body that reflect your mind. Dr. Bruce Lipton, a developmental biologist who studies gene expression in relation to environmental factors, released a study on epigenetics that sheds light on this matter. It revealed that an individual’s body cannot heal when it is in its sympathetic state. The sympathetic nervous system, informally known as the fight-or-flight state, is triggered by certain emotional responses. This means that when we are consumed by emotion, an effective solution cannot be found until we shift our mind into reflecting on our emotions.

Caridel Syrup Platelet Booster Carica Papaya, Caridel Syrup for Platelet Booster, Caridel Syrup for increase Platelets, Carica Papaya, Giloy, Tulsi. India's Leading Ayurvedic Third Party Pharma Manufacturing Company Today, world's pharmaceutical industry is growing by leaps and bounds and India is showing the most promising signs in this industry. We undertake our quest of improving the quality of human life with enthusiasm and vigour. Our vision for the future is powered by our business drivers. It finds purpose and direction with our strategic intent. Understanding how diseases develop and the preventive measures that can be adopted to avoid them are important steps in staying healthy. Ayurveda medicine, is a system of medicine with historical roots in the Indian subcontinent. Globalized and modernized practices derived from Ayurveda traditions are a type of complementary or alternative medicine. In the Western world, Ayurveda therapies and practices have been integrated in general wellness applications and as well in some cases in medical use. We also accept Third Party Manufacturing order and have major Client base in Nigeria, Kenya, Nepal, Sri Lanka, Myanmar, Sudan, Philippines, Vietnam, Cambodia.

As described by the Association for Contextual Behavioral Science, Acceptance and Commitment Therapy (ACT) is a form of empirically based psychological intervention that focuses on mindfulness. Mindfulness is the state of focusing on the present to remove oneself from feeling consumed by the emotion experienced in the moment. To properly observe yourself, begin by noticing where in your body you experience emotion. For example, think about a time when you felt really sad. You may have felt despair in your chest, or a sense of hollowness in your stomach. If you were angry, you may have felt a burning sensation in your arms. This occurs within everyone, in different variations. A study conducted by Carnegie Mellon University traced emotional responses in the brain to different activity signatures in the body through a functional magnetic resonance imaging (fMRI) scanner. If someone recalled a painful or traumatic memory, the prefrontal cortex and neocortex became less active, and their “reptilian brain” was activated. The former areas of the brain are responsible for conscious thought, spatial reasoning, and higher functions such as sensory perception. The latter is responsible for fight-or-flight responses. This means that the bodily responses caused by your emotions provide an opportunity for you to be mindful of them. Your emotions create sensations in your body that reflect your mind. Dr. Bruce Lipton, a developmental biologist who studies gene expression in relation to environmental factors, released a study on epigenetics that sheds light on this matter. It revealed that an individual’s body cannot heal when it is in its sympathetic state. The sympathetic nervous system, informally known as the fight-or-flight state, is triggered by certain emotional responses. This means that when we are consumed by emotion, an effective solution cannot be found until we shift our mind into reflecting on our emotions. Let’s take a moment and test this theory together. Try to focus on what you’re feeling and where, and this will ground you in the present moment. By focusing on how you are responding, you essentially remove yourself from being consumed by your emotions in that moment. This brings you back into your sensory perception and moves the response in your brain back into the cortex and neocortex. This transition helps bring you back into a more logical state where emotions are not controlling your reactions.

...there's this idea in family systems therapy that when something changes in a system, family members make "change back bids" trying to undo whatever is different.

India's Leading Dermatology Third Party Pharma Manufacturing Company Today, the world's pharmaceutical industry is growing by leaps and bounds; and India is showing the most promising signs in this industry. We undertake our quest of improving the quality of human life with enthusiasm and vigor. Our vision for the future is powered by our business drivers. It finds purpose and direction with our strategic intent. Understanding how diseases develop and the preventive measures that can be adopted to avoid them are important steps in staying healthy. Dermatology is the branch of medicine dealing with the skin, nails, hair, and its diseases. It is a specialty with both medical and surgical aspects. A dermatologist treats diseases, in the widest sense, and some cosmetic problems of the skin, scalp, hair, and nails. Our latest range of treatment and therapy solutions gives healthcare professionals the opportunity to offer individualized care to their patients. And an array of delivery options including systemic, topical, and BioPhotonic technologies - allows doctors and nurses to tailor their treatments to the lifestyle of each individual patient We also accept Third Party Manufacturing order and have major Client base in Nigeria, Kenya, Nepal, Sri Lanka, Myanmar, Sudan, Philippines, Vietnam, Cambodia. All mine Face Lotion for Moisturizing & Dry Skin Lotion, Face Lotion for Moisturizing, Allmine Lotion Moisturizes, Allmine Lotion, Body Lotion.

ChiroCynergy - Dr. Matthew Bradshaw - Chiropractic in Leland, NC CHIROPRACTIC “NO CRACKING” MANIPULATION Chiropractic is a health care profession that focuses on disorders of the musculoskeletal system and the nervous system, and the effects of these disorders on general health. Chiropractic care is used most often to treat neuromusculoskeletal complaints, including but not limited to back pain, neck pain, pain in the joints of the arms or legs, and headaches. Doctors of Chiropractic – often referred to as chiropractors or chiropractic physicians – practice a drug-free, hands-on approach to health care that includes patient examination, diagnosis and treatment. Chiropractors have broad diagnostic skills and are also trained to recommend therapeutic and rehabilitative exercises, as well as to provide nutritional, dietary and lifestyle counseling. Call us: (910) 368-1528 #chiropractor_Leland_nc #best_chiropractor_Leland_nc #chiropractor_near_ Leland_nc #chiropractic_in_Leland_nc #best_chiropractor_in_Leland_nc #chiropractic_near_me #chiropractor_near_me #family_chiropractor_in_Leland_nc #female_chiropractors_in_Leland_nc #physical_therapy_in_Leland_nc #sports_chiropractor_in_Leland_nc #pregnancy_chiropractor in_Leland_nc #sciatica_chiropractor_in_Leland_nc #car_accident_chiropractor_in_Leland_nc #Active_Release_Technique_in_Leland_nc #Cold_Laser_Therapy_in_Leland_nc #Spinal_Decompression_in_Leland_nc

Albert Ellis system of Rational Emotive Therapy ... the ABC system. In every human reaction there is an Activating event, a Belief system through which the event is interpreted and evaluated, and a Consequent set of emotional reactions.

I would also exercise caution when mixing SSRI antidepressants and microdoses of psilocybin because they both affect the serotonin system in the brain. While an adverse reaction combining SSRIs with a microdose isn’t likely according to Fadiman’s site, as we’ll discuss in Chapter 14, these kinds of antidepressants can lessen the effects of full-dose psychedelics and will likely do the same with microdoses.

The main prescription mix that experts warn against is combining psilocybin with antidepressants like SSRIs and serotonin-norepinephrine reuptake inhibitors (SNRIs) (some popular brand names include Prozac, Zoloft, Paxil, Lexapro, Cymbalta, and Effexor). That’s because these drugs also affect the serotonin system, the main receptor system that psilocybin interacts with. Giordano explains that these types of antidepressants already make more serotonin available in the space between nerve cells in the brain. And so, when psilocybin also acts on that system, there’s a risk of essentially “overdosing” on serotonin, known as “serotonin syndrome.

2A signaling has been shown to play a role in cognitive flexibility.71 There have also been links between “trait pessimism,” like “pathological brooding” and deficient 2A receptor stimulation.72, 73, 74, 75 Both of these roles of 2A receptors make sense considering how people use psychedelics for personal growth, but some of the most interesting links between the serotonin system and psychedelics have to do with neural plasticity. Essentially, researchers have found evidence that 2A signaling may enhance neural plasticity, meaning that psychedelics may be able to promote brain plasticity by acting on those receptors.

ChiroCynergy - Dr. Matthew Bradshaw | Active Release Technique (A.R.T.) in Leland, NC What exactly is Active Release Technique (A.R.T.)? ART is a patented, state-of-the-art, soft tissue management system developed by Dr. Michael Leahy (an Air Force engineer/chiropractor) that treats problems occurring with: - Muscles - Tendons - Ligaments - Fascia - Nerves Injuries to these tissues can occur in 3 different ways: Acute trauma injury – a sprained ankle playing racquetball is a great example of this type of injury. Compression injury – an example of a compression injury would be back stiffness and pain and/or numbness down the leg (sciatica) caused by sitting behind a computer frequently and for long periods of time. Sitting causes reduced oxygen flow to the tissues, which in turn causes the numbness and/or pain. Overuse injuries – frequently seen in people whose jobs involve typing all day. The repetitive motion can produce wrist and hand pain (i.e. carpal tall syndrome) due to the accumulation of small tears in the tissues. Each of these changes causes your body to produce tough, dense scar tissue in the affected area. This scar tissue binds up and ties down tissues that need to move freely. As scar tissue builds up: Muscles become shorter and weaker. Tension on tendons causes tendonitis. Nerves can become trapped. This can result in reduced ranges of motion, loss of strength, and pain. With trapped nerves, you may also feel tingling, numbness, shooting pains, burning sensations, weakness, muscle atrophy and circulatory changes. Even when most doctors say medications or surgery is the only answer, ART may still be able to resolve the symptoms and put you back on the field or back to work and into your best game. ChiroCynergy can help! We offer Active Release Technique (A.R.T.) in Leland, NC. Call us: (910) 368-1528 #chiropractor_Leland_nc #best_chiropractor_Leland_nc #chiropractor_near_Leland_nc #chiropractic_in_Leland_nc #best_chiropractor_in_Leland_nc #chiropractic_near_me #chiropractor_near_me #family_chiropractor_in_Leland_nc #female_chiropractors_in_Leland_nc #physical_therapy_in_Leland_nc #sports_chiropractor_in_Leland_nc #pregnancy_chiropractor_in_Leland_nc #sciatica_chiropractor_in_Leland_nc #car_accident_chiropractor_in_Leland_nc #Active_Release_Technique_in_Leland_nc #Cold_Laser_Therapy_in_Leland_nc #Spinal_Decompression_in_Leland_nc

Based on my research, the most significant dietary factor causing both pain and inflammation in the body are the consumption of polyunsaturated fatty acids (PUFA).  In my book Cancer: The Metabolic Disease Unravelled, I present a mountain of evidence revealing the following negative health consequences of PUFA: - It directly inhibits the cytochrome c oxidase enzyme - It inhibits the immune system by shrinking the thymus gland and by directly killing white blood cells - It lowers oxygen use by cells - It inhibits thyroid function in at least five ways

Instead of giving every patient the same medication at the same dose, what if your doctor could actually peer into your genome and choose the medication and dose that was right for you? For many years, electronic medical record systems have been able to look up your existing medications when your doctor prescribes a new one to check for possibly dangerous interactions between these and the new drug. We started to think that these systems could be co-opted to also look up your genome. If we were going to properly explore the entirety of a patient’s genome from a medical perspective, we certainly needed an approach to drug therapy. What we needed was a database of pharmacogenomic variants. Well, as luck would have it, there was Russ Altman.

YouTube: Dr. Samuel T. Francis — “Equality Unmasked" (American Renaissance Conference, 1996) In the second place, understanding egalitarianism as the ideology of the system and the elites that run it ought to alter our view of how the system and its elites actually operate. Most elites in history have always had a vested interest in preserving the societies they rule and that is why most elites have been conservative. ... But the elite that has come to power in the United States in the Western World in this century actually has a vested interest in managing and manipulating social change--the destruction of the society it rules. Political analyst Kevin Phillips pointed this out in his 1975 book "Mediacracy," which is a study of the emergence of what he calls the new knowledge elite, the members of which approach society from a new vantage point. Change does not threaten the affluent intelligentsia of the postindustrial society the way it threatened the land owners and industrialists of the New Deal. On the contrary, change is as essential to the knowledge sector as inventory turnover is to a merchant or a manufacturer. Change keeps up demand for the product: research, news, theory and technology. Post industrialism, a knowledge elite and accelerated social change appear to go hand in hand. The new knowledge elite does not preserve and protect existing traditions and institutions. On the contrary, far more than previous new classes, the knowledge elite has sought to modify or replace traditional institutions with new relationships and power centers. Egalitarianism and environmentalism serve this need to manage social change perfectly. Traditional institutions can be depicted not only as unequal and oppressive, but also as pathological, requiring the social and economic therapy that only the knowledge elite is skilled enough to design and apply. The interests of the knowledge elite in managing social change happen to be entirely consistent, not only with the agendas of the hard left, but also with the grievances and demands of various racial and ethnic groups that view racism and prejudice as obstacles to their own advancement. So that what we see as an alliance between the new elites and organized racial and ethnic minorities to undermine and displace the traditional institutions and beliefs of white, Euro-american society, which just happen to the power centers of older elites based on wealth, land and status. This process of displacement or dispossession is always described as progressive, liberating or diversifying, when in fact it merely helps consolidate the dominance of a new class and weaken the power and interests of its rivals.

The topic of motivation often comes up when dealing with the issue of follow-through on plans. Many adults with ADHD may aspire to achieve a goal (e.g., exercise) or get through an unavoidable obligation (e.g., exam, paying bills), but fall prey to an apparent lack of motivation, despite their best intentions. This situation reminds us of a quote attributed to the late fitness expert, Jack LaLanne, who at the age of 93 was quoted as saying, “I’m feeling great and I still have sex almost every day. Almost on Monday, almost on Tuesday . . .” Returning to the executive dysfunction view of ADHD, motivation is defined as the ability to generate an emotion about a task that promotes follow-through in the absence of immediate reward or consequence (and often in the face of some degree of discomfort in the short-term). Said differently, motivation is the ability to make yourself “feel like” doing the task when there is no pressing reason to do so. Thus, you will have to find a way to make yourself feel like exercising before you achieve the results you desire or feel like studying for a midterm exam that is still several days away. You “know” logically that these are good ideas, but it is negative feelings (including boredom) or lack of feelings about a task that undercut your attempts to get started. In fact, one of the common thinking errors exhibited by adults with ADHD when procrastinating is the magnification of emotional discomfort associated with starting a task usually coupled with a minimization of the positive feelings associated with it. Adults with ADHD experience the double whammy of having greater difficulty generating positive emotions (i.e., motivation) needed to get engaged in tasks and greater difficulty inhibiting the allure of more immediate distractions, including those that provide an escape from discomfort. In fairness, from a developmental standpoint, adults with ADHD have often experienced more than their fair share of frustrations and setbacks with regard to many important aspects of their lives. Hence, our experience has been that various life responsibilities and duties have become associated with a degree of stress and little perceived reward, which magnifies the motivational challenges already faced by ADHD adults. We have adopted the metaphor of food poisoning to illustrate how one’s learning history due to ADHD creates barriers to the pursuit of valued personal goals. Food poisoning involves ingesting some sort of tainted food. It is an adaptive response that your brain and digestive system notice the presence of a toxin in the body and react with feelings of nausea and rapid expulsion of said toxin through diarrhea, vomiting, or both. Even after you have fully recuperated and have figured out that you had food poisoning, the next time you encounter that same food item, even before it reaches your lips, the sight and smell of the food will reactivate protective feelings of nausea due to the previous association of the stimulus (i.e., the food) with illness and discomfort. You can make all the intellectual arguments about your safety, and obtain assurances that the food is untainted, but your body will have this initial aversive reaction, regardless. It takes progressive exposure to untainted morsels of the food (sometimes mixing it in with “safe” food, in extreme cases) in order to break the food poisoning association. Similarly, in the course of your efforts to establish and maintain good habits for managing ADHD, you will encounter some tasks that elicit discomfort despite knowing the value of the task at hand. Therefore, it is essential to be able to manufacture motivation, just enough of it, in order to be able to shift out of avoidance and to take a “taste” of the task that you are delaying.

He watched me grieve and he didn’t try to make things more comfortable by interrupting or analyzing the issue. He let me tell the story in whatever way I needed to say" "Of course, there are times when something just isn't right between therapists, and patient, when the therapist's countertransference is getting in the way. One sign: having negative feelings about the patient". "Our experiences with this person are important because we're probably feeling something very similar to what everyone else in these patients' life feels." "If you expect an hour of sympathetic head nodding, you've come to the wrong place. Therapist will be supportive, but our support is for your growth, not for our low opinion of your partner (our role is to understand your perspective but not necessarily endorse it)" "A therapist will hold up the mirror in the most compassionate way possible, to stare back at it and say "oh isn’t that interesting? Now what instead of turning away?" "The therapist explained that often-different parts of ourselves want different things and if we silence the parts we find unacceptable they'll find other ways to be heard." "So many of our destructive behaviors take root in an emotional void, an emptiness that calls out of something to fill it." "Whenever one person in the family system starts to make changes, even if the changes are healthy or positive, it's not unusual for other members in this family to do everything they can do to maintain the status quo and bring things back to homeostasis." "Once we know what we are feeling we can make choices about where we want to go with them. But if we push them away the second they appear, often we end up veering off in the wrong direction, getting lost yet again in the land of chaos." "I know that therapy won't make all my problems disappear, prevent new ones from coming, or ensure that Ill always act from a place of enlightenment. Therapists don’t perform personality transplants; they just help to take the sharp edges off. Therapy is about understanding the self that you are. But part of getting to know yourself is to unknown yourself- let go of the limiting stories you've told yourself about who you are, so that you aren’t trap by them, so that you can live your life and not the story you've been telling yourself about your life." "The noonday demon: "The opposite of depression isn't happiness but vitality" "We marry our unfinished business" "Babies can die from lack of touch, and so can adults (adults who are touched regularly live longer). There is even a name for this condition: skin hunger" "What most people mean by type is a sense of attraction a type of physical appearance or a type of personality turns them on. But what underlies a person's type, in fact, is a sense of familiarity, It is not coincidence that people who had angry parents, often end up choosing angry partners.

Its not that people want to get hurt again. Its that they want to master a situation where they felt helpless. "Repetition compulsion" Maybe this time, the unconscious imagines, I can go back and heal that wound from long ago, by engaging with somebody familiar- but new. The truth is that they reopen the wounds and feel even more inadequate and unlovable." "He may be resistant to acknowledging it now, but I welcome his resistance because resistance is a clue to where the crux of the work lies; it signals what a therapist needs to pay attention to." "Conversion disorder: this is a condition in which a person's anxiety is "converted" into a neurologic conditions such as paralysis, balance issues, incontinence, deafness, tremors, or seizures." "People with conversion disorder aren't faking it- that’s called factitious disorder. People with factitious disorder have a need to be thought of as sick and intentionally go to great lengths to appear ill." "Interestingly, conversion disorder tends to be more prevalent in cultures with strict rules and few opportunities for emotional expression." "Ultracrepidarianism, which means "the habit of giving opinions and advice on matters outside of one's knowledge or competence" "Every decision they make is based on two things: fear and love. Therapy strives to teach you how to tell the two apart." "if you are talking that much, you cant be listening" and its variant, you have two ears and one mouth; there's a reason for that ratio)" "To feel better now, anytime, anywhere, within seconds" Why are we essentially outsourcing the thing that defines uses people? Was it that people couldn’t tolerate being alone or that they couldn’t tolerate being with other people?" "The four ultimate concerns are death, isolation, freedom, and meaningless" "Flooded: meaning one person is in overdrive, and when people feel flooded is best to wait a beat. The person needs a few minutes for his nervous system to reset before he can take anything in." "Developmental stage models: Freud, Jung, Erikson, Piaget and Maslow

I wonder who "they" are for him. Most of us have a "they" in the audience, even though nobody is really watching, at least not how we think they are. The people who are watching us - the people who really see us- don’t care about the false self, about the show we are putting on. I wonder who those people are for John?" "I thought about how many people avoid trying for things they really want in life because its more painful to get close to the goal but not achieve it than not to have taken the chance in the first place." "Every hour counts for all of us and I want to be fully present in the fully hour we spend with each one." "You will inevitably hurt your partner, your parents, your children, your closest friends - and they will hurt you- because if you sign up for intimacy, getting hurt is part of the deal." "The more you welcome your vulnerability the less afraid you'll feel" "We all use defense mechanisms to deal with anxiety, frustration, or unacceptable impulses, but what’s fascinating about them is that we aren't aware of them in the moment. A familiar examples is denial- some, rationalization." "Generally when the therapy is coming to an end, the work moves toward its final stage, which is saying goodbye. in those sessions, the patient and I consolidate the changes made by talking about the "progress and process". What was helpful in getting to where the person is today? What wasn't? What has she learned about herself -her strengths, her challenges, her internal scripts and narratives- and what coping strategies and healthier ways of being can she can take with her when she leaves? Underlying all this, of course, is how do we say goodbye?" "Just like your physiological immune system helps your body recover from physical attack, your brain helps you recover from psychological attack." "But many people come to therapy seeking closure. Help me not to feel. What they eventually discover is that you can't mute one emotion without muting others. You want to mute the pain? You will also mute joy.

where Jeffrey Sachs, the Columbia University economist most famous for having designed the “shock therapy” reforms applied to the former Soviet Union, had a live-on-video-link session in which he startled everyone by presenting what careful journalists might describe as an “unusually candid” assessment of those in charge of America’s financial institutions. Sachs’s testimony is especially valuable because, as he kept emphasizing, many of these people were quite up front with him because they assumed (not entirely without reason) that he was on their side: Look, I meet a lot of these people on Wall Street on a regular basis right now . . . I know them. These are the people I have lunch with. And I am going to put it very bluntly: I regard the moral environment as pathological. [These people] have no responsibility to pay taxes; they have no responsibility to their clients; they have no responsibility to counterparties in transactions. They are tough, greedy, aggressive, and feel absolutely out of control in a quite literal sense, and they have gamed the system to a remarkable extent. They genuinely believe they have a God-given right to take as much money as they possibly can in any way that they can get it, legal or otherwise. If you look at the campaign contributions, which I happened to do yesterday for another purpose, the financial markets are the number one campaign contributors in the US system now. We have a corrupt politics to the core . . . both parties are up to their necks in this. But what it’s led to is this sense of impunity that is really stunning, and you feel it on the individual level right now. And it’s very, very unhealthy, I have waited for four years . . . five years now to see one figure on Wall Street speak in a moral language. And I’ve have not seen it once.20 So there you have it. If Sachs was right—and honestly, who is in a better position to know?—then at the commanding heights of the financial system, we’re not actually talking about bullshit jobs. We’re not even talking about people who have come to believe their own propagandists. Really we’re just talking about a bunch of crooks.

Whence the special status of such extreme phenomena - and of catastrophe in general, understood as an anomalous turn of events. The secret order of catastrophe resides in the affinity between all these processes, as in their homology with the system as a whole. Order within disorder: all extreme phenomena are consistent both with respect to each other and with respect to the whole that they constitute. This means that it is useless to appeal to some supposed rationality of the system against that system's outgrowths. The vanity of seeking to abolish these extreme phenomena is absolute. Moreover, they are destined to become more extreme still as our systems grow more sophisticated. And this is in fact a good thing - for they are the leading edge of therapy here. In these transparent, homeostatic or homeofluid systems there is no longer any such thing as a strategy of Good against Evil, there is only the pitting of Evil against Evil - a strategy of last resort. Indeed, we really have no choice in the matter: we simply watch as the lesser evil - homeopathic virulence - deploys its forces. AIDS, crack and computer viruses are merely outcrop pings of the catastrophe; nine-tenths of it remain buried in the virtual.

The growing cerebrality of machines must logically be expected to occasion a technological purification of bodies. Inasmuch as bodies are less and less able to count on their own antibodies, they are more and more in need of protection from outside. An artificial sterilization of all environments must compensate for faltering internal immunological defences. And if these are indeed faltering, it is because the irreversible process often referred to as progress tends to strip the human body and mind of their systems of initiative and defence, reassigning these functions to technical artifacts. Once dispossessed of their defences, human beings become eminently vulnerable to science and technology; dispossessed of their passions, they likewise become eminently vulnerable to psychology and its attendant therapies; similarly, too, once relieved of emotions and illnesses, they become eminently vulnerable to medicine.

Unintelligence of evil, absence of insight into things by evil and therefore always the same discourse on the 'foul beast' and the same naïveté in the analysis of present events. Our whole system of values excludes this predestination of evil. Yet all it has invented, at the end of its burdensome therapy on the human species, is another way of making it disappear, that is to say, of ironically carrying the possibility of happiness to its opposite term, that of the perfect crime, that of integral misfortune, which was somehow waiting for it just at the end. For you cannot liberate good without liberating evil, and that liberation is even more rapid than the liberation of good.

Although these digital tools can improve the diagnostic process and offer clinicians a variety of state-of-the-art treatment options, most are based on a reductionist approach to health and disease. This paradigm takes a divide-and-conquer approach to medicine, "rooted in the assumption that complex problems are solvable by dividing them into smaller, simpler, and thus more tractable units." Although this methodology has led to important insights and practical implications in healthcare, it does have its limitations. Reductionist thinking has led researchers and clinicians to search for one or two primary causes of each disease and design therapies that address those causes.... The limitation of this type of reasoning becomes obvious when one examines the impact of each of these diseases. There are many individuals who are exposed to HIV who do not develop the infection, many patients have blood glucose levels outside the normal range who never develop signs and symptoms of diabetes, and many patients with low thyroxine levels do not develop clinical hypothyroidism. These "anomalies" imply that there are cofactors involved in all these conditions, which when combined with the primary cause or causes bring about the clinical onset. Detecting these contributing factors requires the reductionist approach to be complemented by a systems biology approach, which assumes there are many interacting causes to each disease.

At the opposite end of the scale (to which we are all closer) is a couple diagrammed as though they were fused to the ends of a stick (A'-B'). Whatever either does automatically moves the other. There is no thinking of self, only we and us and the blaming you. The nature of the relationship might appear close. They might appear to be together, but they are really stuck together. They will wind up either perpetually in conflict, because they are so reactive to one another, or they will have a homey togetherness achieved through the total sacrifice of their own selves. In the latter case, their marriage might last 50 years, but their kids are likely to dysfunction all over America because, coming out of such an ill-defined system, they carry with them little capacity for autonomy in any emotional system.

Patients will come in to see me with various infections that do not respond to antibiotics and when they are also treated with ozone the antibiotics suddenly work much better. The reason is that antibiotics are one dimensional. They just kill germs. But ozone works differently. It activates the immune system, prevents the free radical damage that happens with acute infections, and at the same time helps the body detoxify from the toxins that infections release. So the combination of ozone therapy plus antibiotics is a real one-two punch for infections. One day this protocol will be common place in every hospital in the world.

The United States alone sports an inventive spectrum of psychotherapeutic sects and schools: Freudians, Jungians, Kleinians; narrative, interpersonal, transpersonal therapists; cognitive, behavioral, cognitive-behavioral practitioners; Kohutians Rogerians, Kernbergians; aficionados of control mastery, hypnotherapy, neurolingustic programming, eye movement desensitization- that list does not even complete the top twenty. The disparate doctrines of these proliferative, radiating divisions, often reach mutually exclusive conclusions about therapeutic propriety: talk about this, not that; answer questions, or don’t; sit facing the patient, next to the patient, behind the patient. Yet no approach has ever proven its method superior to any other. Strip away a therapist’s orientation, the journal he reads, the books on his shelves, the meetings he attends- the cognitive framework his rational mind demands – and what is left to define the psychotherapy he conducts? Himself. The person of the therapist is the converting catalyst, not his order or credo, not his spatial location in the room, not his exquisitely chosen words or denominational silences. So long as the rules of a therapeutic system do not hinder limbic transmission - a critical caveat - they remain inconsequential, neocortical distractions. The dispensable trappings of dogma may determine what a therapist thinks he is doing, what he talks about when he talks about therapy, but the agent of change is who he is.

Mindfulness works out your brain and builds ‘thinking roads’ that enable you to be less fearful of the future and the now, and fully immerse yourself in truly living life. The more you practise, the more your brain structurally changes and engages your self-soothing system.

A Report in 1996 by the Environmental Protection Agency (EPA) found a link between harmful electromagnetic fields and cancer. The Air Force and White House apparently tried to suppress this report because they felt it might be unnecessarily alarming to the public, but some EPA staff members were so alarmed they leaked a draft copy of the findings to the press. The suppressed report concluded40: “Studies showing leukemia, lymphoma and cancer of the nervous system in children exposed to magnetic fields from residential 60 Hz electrical power distribution systems, supported by similar findings in adults in several occupational studies also involving electrical power frequency exposures, show a consistent pattern of response that suggests, but does not prove a causal link.

Life Path # 11: You are highly intuitive and you are gifted with amazing psychic abilities. Without any effort you become a source of inspiration for other people. You have this innate ability to connect the subconscious and the conscious and the higher and the lower realms. You are a natural psychic. Eleven is the life path of many prophets, inventors, historical leaders, religious leaders and artists. They usually don’t progress early in life but they are destined to accomplish more than other life paths. When they reach the age of maturity (35-45) their success starts to bloom. Confidence is the key to success for the Eleven. Your tremendous potential needs equally tremendous confidence for you to realize your dreams. Without confidence, you are reduced to nothing. As a higher vibration of the number 2, you have many characteristics, talents and tendencies inherent to the Twos. You have to guard your nervous system from stress. Seek out peace and harmony and you will find it in nature. Exercise and diet is necessary for you. Just like the number 2, you love harmony and peace and you possess a refined taste for beauty. You are best suited to anything that requires healing like physical therapy, acupuncture, massage and counseling. As a partner, you know what your partner needs and desires.

by coaching individual family members to change themselves in the context of their nuclear and parental family systems (McGoldrick

the most sophisticated diagnostic equipment available in the world, which detects and measures energies and frequencies in the body. This diagnostic equipment includes devices you probably heard of like MRIs (Magnetic Resonance Imaging), PET scans (Positron Emission Tomography), CAT scans (Computed Axial Tomography), EEGs (Electro encephalograms), EKGs (Electrocardiography), ultrasound devices and more. Our medical system diagnoses the body energetically with modern physics (Quantum Field Theory), and then treats with drugs and surgery (Newtonian Science). What is wrong with this picture?

It’s ironic that our nearly three trillion dollar medical system actually has some of the most sophisticated diagnostic equipment available in the world, which detects and measures energies and frequencies in the body. This diagnostic equipment includes devices you probably heard of like MRIs (Magnetic Resonance Imaging), PET scans (Positron Emission Tomography), CAT scans (Computed Axial Tomography), EEGs (Electro encephalograms), EKGs (Electrocardiography), ultrasound devices and more. Our medical system diagnoses the body energetically with modern physics (Quantum Field Theory), and then treats with drugs and surgery (Newtonian Science). What is wrong with this picture? The Book Of Science is Constantly Being Rewritten Nothing is so fatal to the progress of the human mind as to suppose our views of science are ultimate; that there are no new mysteries in nature; that our triumphs are complete; and that there are no new worlds to conquer. —Humphry Davy (from a public lecture given in 1810)

overriding principles can be useful here in identifying the likelihood of metastases. If you have a high Gleason score (8 or greater), or if the PSA level begins to rise early after radiation therapy, or if the PSA level has a rapid doubling time, it is more likely that you have metastases than a local recurrence, and in this case, you should seek systemic therapy (see chapter 13).

need to have a prostate biopsy to confirm that the cancer recurrence is local; you will also need a bone scan and CT scan or MRI of the abdomen and pelvis to rule out the possibility that cancer has spread to distant sites. The guidelines above (see What Should I Do If My PSA Comes Back After Surgery?) may one day be adapted for men who have failed radiation treatment, but the overriding principles can be useful here in identifying the likelihood of metastases. If you have a high Gleason score (8 or greater), or if the PSA level begins to rise early after radiation therapy, or if the PSA level has a rapid doubling time, it is more likely that you have metastases than a local recurrence, and in this case, you should seek systemic therapy (see chapter 13).

The personal case histories were the most encouraging. A prominent Los Angeles public relations executive has been living with MM for fourteen years, rides horses, and has an altogether active life on drug maintenance. An Arizona man survived MM and with his wife set up a foundation and website for other families bewildered by the diagnosis. I learned, for the first time, that Frank McGee, host of the Today show from 1971 to 1974, suffered from MM and kept it from everyone despite his ever more gaunt appearance. When he died after putting in another full week on the air his producers and friends were stunned. Sam Walton, founder of Walmart, was another MM casualty, which led many to believe that he had established the high-profile multiple myeloma treatment center in Little Rock, Arkansas. This is a full-immersion process in which MM is the singular target under the commanding title of Myeloma Institute for Research and Therapy. There is a Walton auditorium on the institute’s University of Arkansas medical school campus, but the institute itself was founded by Bart Barlogie, a renowned MM specialist from the MD Anderson Cancer Center in Houston. The institute has an impressive record, running well ahead of the national average for survival for those who are dealing with MM. One number is especially notable. The institute has followed 1,070 patients for more than ten years, and 783 have never had a relapse of the disease. Sam Walton was treated by Dr. Barlogie at MD Anderson before the Little Rock institute was founded, but the connection ended there. Walton, who’d had an earlier struggle with leukemia, didn’t survive his encounter with multiple myeloma, dying in April 1992, a time when life expectancy for a man his age with this cancer was short. I was unaware of all of this when I was diagnosed. I took comfort in the repeated reassurances of specialists that great progress in treating MM with a new class of drugs, your own body’s reengineered immunology system, was rapidly improving chances of a longer survival than the published five to ten years. As I began to respond to treatment the favored and welcome line was, “You’re gonna die but from something else.

We survive largely because of the existence and recognition of high-end qualities—compassion, integrity, courage, humility, etc. These are how we perceive spirit. Even the most cynical and fatalistic bastard will snap out of self-absorption, abuse and hopelessness when confronted by an extreme expression of any one of these qualities. (Case studies show that this also applies even to rapists and murderers, not always, but more so than any other technique or therapy.) That is, beyond belief, the desire to feel good, or even hope or despair, there does exist an essential intuitive value system in each of us. This runs through and across every culture, and even every species. I don’t believe that those intuitive values are there to fool us into occupying ourselves so as to feel good while waiting for the inevitable to happen. Nature is not so decadent. Or cynical.

Feel relaxed and renewed after each session of our oriental massage London which is the erotic blend of present techniques and ancient therapies. Our masseuses will rub and stroke you in a way to trigger the free and uninterrupted energy flow throughout your body. The massage session will help you to maintain the balance between your mental, physical and spiritual systems.

RE’EQUIL stands for re-balance and it is the essence of our series of ‘Health Re-balancing’ products. We believe beauty is not just external. It requires internal re-balancing of our system.

When our threat system quickly narrows our attention, our thoughts follow. This is one of the reasons we can feel trapped by our anger, why we may make decisions that don’t seem to make sense when we examine them later. We tend to lose perspective when our threat system takes over. It becomes difficult to think flexibly and to gather information that isn’t directly related to the perceived threat.

Not everyone who has killed themselves because they were HIV positive would have been killed by AIDS.

Everything was going to be fine and if it wasn’t…there was always therapy.

Over the last few years the counselling, the friendships and the holistic therapies she has embraced have enabled her to win back her personality, a character which has been smothered by her husband, the royal system, and the public’s expectations towards their fairy-tale princess. The woman behind the mask is not a flighty, skittish young thing nor a vision of saintly perfection. She is, however, a much quieter, introverted and private person than many would like to believe. As Carolyn Bartholomew says: “She has never liked the media although they’ve been friends to her. Actually she has always been shy of them.” As she has matured over the last three years the physical changes in her have been noticeable. When she asked Sam McKnight to cut her hair in a shorter sportier style it was a public statement of the way she felt she had altered. Her voice, too, is a barometer of the way she has matured. When she speaks of the “dark ages”, her tone is flat and soft, almost fading to nothing, as though dredging thoughts from a dim recess of her heart which she only visits with trepidation. When she is feeling “centered”. And in charge of herself her voice is lively, colourful and brimming with wry amusement. When Oonagh Toffolo first visited Diana at Kensington Palace in September 1989 she observed that the Princess was timid and would never look her straight in the eye. She says: “Over the last two years she has got in touch with her own nature and has found a new confidence and sense of liberation which she had never known before.” Her observation is borne out by others. As one friend who first met Diana in 1989 recalls: “My initial impression was of a very shy and retiring person. She bowed her head low and hardly looked at me when she spoke. Diana emanated such sadness and vulnerability that I just wanted to give her a hug. She has matured enormously since that time. She now has a purpose in life and is no longer the lost soul of that first meeting.

It has been a long road for us as family therapists to reach an understanding of just this phenomenon-the sense of the whole, the family system. While we could have explained the theory of meeting with the whole family to the Brices, at that anxious moment it would not have touched them. There are situations where, in the words of Franz Alexander, the woice of the intellent is too soft. The family needed to test us. They needed the experience of our being firm. As unpleasant as it was, our response must have reassured them. They knew, and we sensed, how difficult their situation was and how tumultuous it could become. They simply has to know that we could withstand the stress if they dared open it up.

In the absence of effort the OCD pathology drives the brain’s circuitry, and compulsive behaviors result. But mental effort, I believe, generates a directed mental force that produces real physical effects: the brain changes that follow cognitive-behavioral therapy for OCD. The heroic mental effort required underlines the power of active mental processes like attention and will to redirect thoughts and actions in a way that is detectable on brain scans. Let me be clear about where mental effort enters the picture. The OCD patient is faced with two competing systems of brain circuitry. One underlies the passively experienced, pathological intrusions into consciousness. The other encodes information like the fact that the intrusions originate in faulty basal ganglia circuits. At first the pathological circuitry dominates, so the OCD patient succumbs to the insistent obsessions and carries out the compulsions. With practice, however, the conscious choice to exert effort to resist the pathological messages, and attend instead to the healthy ones, activates functional circuitry. Over the course of several weeks, that regular activation produces systematic changes in the very neural systems that generate those pathological messages—namely, a quieting of the OCD circuit. Again quoting James, “Volitional effort is effort of attention…. Effort of attention is thus the essential phenomenon of will.

I could no longer convince myself that she hadn’t infected every part of me. Like a sickness with no cure. I’d allowed it. I’d sought her out. Now I couldn’t get her out of my system. She was my drug. My therapy. My solace. My worst fucking nightmare. But fuck anyone who tried to take her from me.

On a scale of one to ten, how strong is the emotion attached to the memories we’ve been working on?” Curtis Rouanzoin asks one day. The procedure I’ve been going through with him is called EMDR, or eye movement desensitization and reprocessing, which looks at the way trauma is stored in the brain and attempts to properly process it. “If it used to be a ten, now it’s an eight,” I tell him. Lindsay Joy Greene is trained in a therapy called SE, or somatic experiencing, and she’s been locating trauma trapped not in my brain, but in my body, and releasing the stored energy. One day she asks, “On a scale of one to ten, how much anger do you feel when you recall the memories we’ve been discussing?” “If it used to be an eight, now it’s a seven,” I tell her. Olga Stevko practices her own variant of NLP, or neuro-linguistic programming. Where the experientials with Lorraine were about debugging my operating system, her process is about rewriting the original code. For example, she tells me that inside my mother’s words, “Never grow up to make anyone as miserable as your father makes me,” was a hidden command: Never grow up. As she helps me grow up, it brings my trauma down to a six. Greg Cason specializes in cognitive behavioral therapy, which takes it to a five. And I don’t know what to call Barbara McNally’s method and her bottomless quiver of techniques, but they work, they’re original, and they bring the emotion associated with those memories to a four. And I do so much more: I beat pillows with baseball bats. I tap on energy meridians. I make shadow maps of my dark side. I try psychodrama. Not all of it works, but none of it hurts.

Research and development conducted by private companies in the United States has grown enormously over the past four decades. We have substantially replaced the publicly funded science that drove our growth after World War II with private research efforts. Such private R&D has shown some impressive results, including high average returns for the corporate sector. However, despite their enormous impact, these private R&D investments are much too small from a broader perspective. This is not a criticism of any individuals; rather, it is simply a feature of the system. Private companies do not capture the spillovers that their R&D efforts create for other corporations, so private sector executives in established firms underinvest in invention. The venture capital industry, which provides admirable support to some start-ups, is focused on fast-impact industries, such as information technology, and not generally on longer-run and capital-intensive investments like clean energy or new cell and gene therapies. Leading entrepreneur-philanthropists get this. In recent years, there have been impressive investments in science funded by publicly minded individuals, including Eric Schmidt, Elon Musk, Paul Allen, Bill and Melinda Gates, Mark Zuckerberg, Michael Bloomberg, Jon Meade Huntsman Sr., Eli and Edythe Broad, David H. Koch, Laurene Powell Jobs, and others (including numerous private foundations). The good news is that these people, with a wide variety of political views on other matters, share the assessment that science—including basic research—is of fundamental importance for the future of the United States. The less good news is that even the wealthiest people on the planet can barely move the needle relative to what the United States previously invested in science. America is, roughly speaking, a $20 trillion economy; 2 percent of our GDP is nearly $400 billion per year. Even the richest person in the world has a total stock of wealth of only around $100 billion—a mark broken in early 2018 by Jeff Bezos of Amazon, with Bill Gates and Warren Buffett in close pursuit. If the richest Americans put much of their wealth immediately into science, it would have some impact for a few years, but over the longer run, this would hardly move the needle. Publicly funded investment in research and development is the only “approach that could potentially return us to the days when technology-led growth lifted all boats. However, we should be careful. Private failure is not enough to justify government intervention. Just because the private sector is underinvesting does not necessarily imply that the government will make the right investments.

The tensions that accompany the impulse to control subside, and the energies of our mental/emotional life are more directed and devoted to listening rather than speaking... We may be able to more easily attend to our people's communications that often remain below conscious awareness: subtle changes in breath, coloring, eye tension, prosody of voice, small movements towards or away, changes in the quality of eye contact. Receptivity means that we don't grasp what we notice for assessment. Instead, we are simply present to those implicit communications in the spirit of holding a tender space in which they can reveal themselves to whatever extent our 'patient's' system feels safe to be vulnerable in the moment.

Just before each sauna session, take approximately 100 milligrams of niacin on an empty stomach and spend twenty minutes dry-brushing (to remove dead skin and stimulate the lymphatic system) and twenty minutes doing high-intensity exercise to stimulate the circulation. (Be aware that niacin, a vasodilator, can make you feel very flushed and hot, which can be uncomfortable but is not a cause for concern.)

Only if we are able to widen the lens to take in the bigger picture that includes both the outer challenges and the inner distress do we begin to sense that the protectors are in proportion to what is in need of shelter. It is our system's sense that moving the safeguard aside and allowing the implicit to emerge would be more harmful than whatever the protector is doing in this moment.

The clinical stories that make up a good deal of this part of the book are drawn from my experiences with the courageous people who have come to our clinic over the years. Most have them have felt so broken that they thought they would never heal, but somehow we made our way together through the uncertain territory of their inner world toward their own version of what healing can look like for them. I have been struck by the uniqueness and creativity of their systems when they have been given support to unfold along their natural path. Often the results have been unexpected, and certainly not in conformity with any list of outcomes. Sometimes, from a certain viewpoint, we could say that therapy failed, and yet something has happened that has been meaningful and transformative in its own way.

This process of letting go of being in charge often unfolds over time as we develop greater trust in the wisdom of our patient's system as it awakens within the embrace of the relationship, so that we gradually need less and less to find our own security by taking the lead.

My multifaceted canary in the coal mine signaling the impulse to control is my belly tightening, my posture changing slightly to lean forward, tension increasing in my upper arms. It feels as though I am preparing to thrust myself into the middle of the problem with everything I know. It comes from a good-hearted place of wanting to relieve suffering and also diminishes interpersonal safety as my system enters mild to medium sympathetic arousal. If we take a step back, we might become curious about how the neuroception of danger arose in the first place, because that is what initiates this chain of events. If we were to explore this, many answers might come: We have been trained to intervene; we don't have any experience that tells us our patient's systems are trustworthy guides to healing; the upset in our patient is severe enough that we fear for her safety; if we can't heal this person, there's something wrong with us; strong emotions are uncomfortable for us and we need to regulate them before they overwhelm us. The list is endless, individual and likely changes with each new circumstance. It is always a most valuable inquiry, especially if we can begin it with compassionate curiousity, which makes it less likely that we will feel shamed by the answer that presents itself. When we remember that neuroception is an automatic adaptive process, it may take character condemnation out of the equation when we invite awareness of what frightens us. If our fear feels heard and acknowledged, there is some likelihood that our bodies will be able to find their way back toward receptivity. As we feel our own openness returning, we can be certain that this embodied change is also influencing our patient and the quality of the connection.

(too much info, keeping up), breakdowns and frustrations in the school systems, taxpaying, bureaucracy, hospitals, and making ends meet. You see, Michael, at last therapy is going to have to go out the door with the client, maybe even make home visits, or at least walk down the street. Jim

access the emotional brain and do “limbic system therapy”: repairing faulty alarm systems and restoring the emotional brain

So what does it take to be a good therapist? First of all, you must love doing therapy. You must believe in your own creative power to put things together with vision and insight. You must have confidence in your understanding of people involved. You must love the drama and be fascinated with the sudden revelations that bring enormous changes. You must stand for truth and be able to question everything, down to everyone’s secret motives. You must love humanity and be willing to empathise with all those who suffer, to get inside their skin and see the world through their eyes. You must dream and follow your imagination wherever it leads. You must love humour for it restores balance. You must delight in language and all it’s nuances. You must be sensitive to life’s contradictions and always suspicious that things aren’t always what they seem. You must be brave and audacious, and tolerate ridicule. And most of all, you must be brave enough to provide the spark that bridges the gap between limitations and possibilities, knowing that there’s a great deal to human beings, so a great deal can be made out of them. They don’t have to stay the way they are now and we don’t have to see them only as they are now, but also, as they might become.

For things to change, somebody somewhere has to start acting differently. Maybe it’s you, maybe it’s your team. Picture that person (or people). Each has an emotional Elephant side and a rational Rider side. You’ve got to reach both. And you’ve also got to clear the way for them to succeed. In short, you must do three things: → DIRECT the Rider FOLLOW THE BRIGHT SPOTS. Investigate what’s working and clone it. [Jerry Sternin in Vietnam, solutions-focused therapy] SCRIPT THE CRITICAL MOVES. Don’t think big picture, think in terms of specific behaviors. [1% milk, four rules at the Brazilian railroad] POINT TO THE DESTINATION. Change is easier when you know where you’re going and why it’s worth it. [“You’ll be third graders soon,” “No dry holes” at BP]               → MOTIVATE the Elephant FIND THE FEELING. Knowing something isn’t enough to cause change. Make people feel something. [Piling gloves on the table, the chemotherapy video game, Robyn Waters’s demos at Target] SHRINK THE CHANGE. Break down the change until it no longer spooks the Elephant. [The 5-Minute Room Rescue, procurement reform] GROW YOUR PEOPLE. Cultivate a sense of identity and instill the growth mindset. [Brasilata’s “inventors,” junior-high math kids’ turnaround]                             → SHAPE the Path TWEAK THE ENVIRONMENT. When the situation changes, the behavior changes. So change the situation. [Throwing out the phone system at Rackspace, 1-Click ordering, simplifying the online time sheet] BUILD HABITS. When behavior is habitual, it’s “free”—it doesn’t tax the Rider. Look for ways to encourage habits. [Setting “action triggers,” eating two bowls of soup while dieting, using checklists] RALLY THE HERD. Behavior is contagious. Help it spread. [“Fataki” in Tanzania, “free spaces” in hospitals, seeding the tip jar] ————— OVERCOMING OBSTACLES ————— Here we list twelve common problems that people encounter as they fight for change, along with some advice about overcoming them. (Note

required. The traditional system asked patients to complete questionnaires twice: at the beginning of therapy and at the last session. It failed because many people end therapy at a different time from when their therapist expects. The solution was to move to a session-by-session outcome monitoring system in which patients are asked to complete a simple measure of their symptoms at every session, ensuring that an end of treatment symptom score is almost always available. This system gave the therapist a much better idea of how the patient was progressing. It has also enabled IAPT to record and publish14 the clinical outcomes of 97% of people who have a course of therapy.15 This is a remarkable achievement that ensures we really know how well the services are doing.

This intelligence knows how to maintain order among all of the cells, tissues, organs, and systems of the body because it created the body from two individual cells. Again, the power that made the body is the power that maintains and heals the body. My subjects’ illnesses signified that, to some extent, they had gotten out of touch or distanced themselves from part of their connection with this higher order. Maybe their own thinking had somehow directed this intelligence toward illness and away from health. But they came to understand that if they tapped into this intelligence and used their thoughts to direct it, it would know how to heal their bodies for them. Their greater mind already knew how to take care of business, if they could only make contact with it. The abilities of this innate intelligence, subconscious mind, or spiritual nature are far greater than any pill, therapy, or treatment, and it is only waiting for our permission to willfully act. We are riding on the back of a giant, and we’re getting a free ride. Coincidence

Prolonged exposure therapy, a variant of flooding, attempts to maintain a high level of fear arousal, but its key premise is that all aspects of fear, as defined by Lang’s three response systems (behavioral avoidance, physiological responses, and verbal behavior), have to be reduced in order for exposure to be effective.

Take D-ribose (CORvalen) 5,000 milligrams three times a day for three weeks, then two times a day. It’s a powder that looks and tastes like sugar and does not act as food for yeast. It can be added to food or drinks, even hot tea. Take the Energy Revitalization System vitamin powder (by Enzymatic Therapy) or a similar multivitamin with B-complex vitamins. Take 500 to 1,000 milligrams of acetyl-L-carnitine a day for four to nine months, and then as needed. Take 200 milligrams of coenzyme Q10 daily for four months (Vitaline, Enzymatic Therapy, or Ultraceuticals brand). I would recommend the first

Dr. Margaret Naeser and colleagues from Harvard, MIT, and Boston University, including Harvard professor Michael Hamblin, a world leader in understanding how light therapy works at the cellular level. Hamblin, at Massachusetts General Hospital’s Wellman Center for Photomedicine, specializes in the use of light to activate the immune system in treating cancer and cardiac disease; he was now branching out into its use for brain injuries. Building on lab work that applied laser therapy to the top of the head (transcranial laser therapy), the Boston group had studied its use in traumatic brain injury and found laser treatment helpful. Naeser, a research professor at the Boston University School of Medicine, had done studies using lasers for stroke and paralysis and was one of several pioneers using “laser acupuncture” by placing light on acupuncture points.

brain and other nerve-related problems such as headaches from concussions, vascular dementia (dementia caused by blood vessel problems in the brain), migraines, Bell’s palsy (a paralysis of the facial nerve), and tinnitus (ringing of the ears). He emphasized he was influenced by research that had been done in Israel on light therapy and the brain. Dr. Shimon Rochkind, a neurosurgeon at Tel Aviv University, originally pioneered work using lasers to treat injuries in the peripheral nervous system, that is, all the nerves in the body except those in the brain and spinal cord. Injury to peripheral nerves can lead to problems sensing or moving.

In the two hundred years since the first use of clinical trials, medicine has progressed from the ideas of Galen to the wonders of gene therapy. Medicine has a long way to go, and suffers from many defects, as we shall see, but a willingness to test ideas and to learn from mistakes has transformed its performance. The irony is that while medicine has evolved rapidly, via an “open loop,” health care (i.e., the institutional question of how treatments are delivered by real people working in complex systems) has not. (The terms “closed loop” and “open loop” have particular meanings in engineering and formal systems theory, which are different from the way in which they are used in this book. So, just to reemphasize, for our purposes a closed loop is where failure doesn’t lead to progress because information on errors and weaknesses is misinterpreted or ignored; an open loop does lead to progress because the feedback is rationally acted upon.)

Train yourself to recognize and write down the self-critical thoughts as they go through your mind; b. Learn why these thoughts are distorted; and c. Practice talking back to them so as to develop a more realistic self-evaluation system

A person does not hear sound only through the ears; he hears sound through every pore of the body. It permeates the entire being, and according to its particular influence, either slows or quickens the rhythm of the blood circulation; it either awakens or soothes the nervous system

WAFs, along with other emotional pain and hurt, are not your enemies. They are your teachers. Think about that for a moment. Without experiencing disappointment, you’d never learn patience. Without the hurt and frustration you receive from others, you’d never learn kindness and compassion. Without exposure to new information, you’d never learn anything new. Without fear, you’d never learn courage and how to be kind to yourself. Even getting sick once in a while has an important purpose—strengthening your immune system and helping you to appreciate good health.

Treatment of Traumatized Children and Teens: The Trauma Systems Therapy Approach. New

let's ask our systems how they might let us know when we are taking that step into left-hemisphere dominance ... Often, the respectful gesture of simply pausing to pose this curiosity is enough. Our systems will respond as and when they can.

I notice that when the other person has been in despair for a prolonged period, I begin to feel myself crumbling into discouragement internally. One of the ways my system seeks to protect both me and the other person is to activate into helpful doing. Even though it is a psuedo-engagement, the intent is to shelter both of us from being engulfed in despair.

Every American should be able to expect certain standards, freedoms, benefits, and opportunities form a twenty-first-century health system. If they are willing to participate and be responsible, they will gain: •Improved health; •Longer lives with a much better quality of life; •A more convenient, understandable and personalized experience -- all at a lower cost; •Access to the best course of treatment for their particular illness and their unique characteristics; •A system that fosters and encourages innovation, competition, and better outcomes for patients; •A system that truly values the impact that medical innovation has on patients and their caregivers as well as on society as a whole; •A government that facilitates and accelerates extraordinary opportunities to improve health and health care; •Continuous but unobtrusive 24/7 monitoring of their general health, chronic conditions, and acute health problems; •Access to the most modern medical knowledge and breakthroughs, including the most advanced technologies, therapies and drugs, unimpeded by government-imposed price controls or rationing; •The chance to increase their personal knowledge by learning from a transparent system of information about their diagnosis, costs and alternative solutions; •A continuously improving, competitive, patient-focused medical world in which new therapies, new technologies, and new drugs are introduced as rapidly and safely as possible -- and not a day later; •Greater price and market competition, innovation and smarter health care spending; •A system of financing that includes insurance, government, charities, and self-funding that ensures access to health and health care for every American at the lowest possible cost without allowing financing and short-term budgetary considerations to distort and weaken the delivery of care; •Genuine insurance to facilitate access to dramatically better care, rather than the current system, which is myopically focused on monthly or annual payments; •A health system in which third parties and government bureaucrats do not impede the best course of treatment that doctors and their patients decide on; •A health system in which seniors, veterans, or others under government health programs receive the same quality of care as their children in private markt systems. Big reforms are required to transform today’s expensive, obsolete health bureaucracy into a system that conforms to these principles.

Regulating emotions is an important skill advanced both by therapies that help reset the nervous system and by using various psychotherapeutic tools, including working with the irrational beliefs that fuel emotions.

Interlocking pathology in family relationships. In S. Rado and G. Daniels (Eds.), Changing concepts of psychoanalytic medicine (pp. 135–150). New York: Grune and Stratton. Ackerman, N. W. (1958). The psychodynamics of family life. New York: Basic Books. Bateson, G., Jackson, D. D., Haley, J. & Weakland, J. (1956). Toward a theory of schizophrenia. Behavioral Science, 1, 251–164. Bowen, M. (1972). Toward the differentiation of self in one’s family of origin. In Georgetown Family Symposia: A collection of selected papers (Vol.1, 1971–1972). Washington, DC: Georgetown University Family Center. Bowen, M. (1976). Family theory in the practice of psychotherapy. In P. Guerin (Ed.), Family therapy: Theory and practice (pp. 335–348). New York: Gardner Press. Bowen, M. (1978). Family therapy

When one of my early teachers, for instance, recognized that many ritually abused clients were still being abused while in treatment, she insisted that they could not be treated on an outpatient basis, but should be hospitalized and kept from their families. She was targeted with a series of court cases involving false accusations that she had allegedly abused clients in hospital. The experience was devastating to her. And she was not alone. Many others faced persistent attempts to discredit their professional expertise, or legal assaults that robbed them of time, energy, and even the courage to continue to treat clients, write, or teach. Therapy professionals in both direct services and policy making, members of the criminal and civil justice systems, and the general public were systematically indoctrinated via the media. Many now share the view that people who disclose ritual abuse or mind control content suffer from "false memories” induced by "over-zealous therapists," and that dissociative disorders are iatrogenic (or else they do not exist at all).