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.

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.

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.

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.

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.

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.

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!

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.

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.

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

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.

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)

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.

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

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

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

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.

To learn theory by experimenting and doing. To learn belonging by participating and self-rule. Permissiveness in all animal behavior and interpersonal expression. Emphasis on individual differences. Unblocking and training feeling by plastic arts, eurythmics and dramatics. Tolerance of races, classes, and cultures. Group therapy as a means of solidarity, in the staff meeting and community meeting. Taking youth seriously as an age in itself. Community of youth and adults, minimizing 'authority.' Educational use of the actual physical plant (buildings and farms) and the culture of the school community. Emphasis in the curriculum on real problems and wider society, its geography and history, with actual participation in the neighboring community (village or city). Trying for functional interrelation of activities.

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.

Movement is the province of the muscular system: a child who needs to inhibit his or her natural feelings, whether for healthy or unhealthy reasons, also unconsciously either inhibits muscles that would express those feelings or activates muscles opposing those muscles of expression. In either case, the effect is the same: using the muscular body to keep the unacceptable emotions "under wrap." Touch can disrupt the patterns of muscular tension intended to inhibit emotions; thus, touch can have the effect of changing a person's emotional responses and promoting emotional healing.

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.

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.

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

Wirklichkeit besteht aus miteinander geteilten Geschichten.

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

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.

...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.

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.

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.

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.

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

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

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)

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.

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.

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.

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.

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.

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.

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

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.

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?

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.

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.

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.

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".

On another occasion, as I was about to explain something during a session with a client on antidepressants, I forgot she was a busy clinical psychiatrist and casually asked, “Have you heard of the limbic system?” With the first smile I’d ever seen from her, she replied, “Yes, I believe I have, somewhere or other.” I then said, “Oh shit!” in a very professional manner, and we both started laughing. It turned into a very comfortable moment in our deepening, warm, and trusting partnership.

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.

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.

need to listen to my anger to know that I’ve had a boundary violated. I need to listen to my loneliness to know that I need to invest in deep relationships. I need to listen to my anxiety to know that I have an unresolved trauma that needs to heal. I need to listen to my depression to know that I need care for my heart’s deepest wounds. I need to listen to my fear to know that I may need to create safety. I need to listen to my stress and irritability to know that I’m out of balance and need rest or reprioritization. One common experience, however, keeps us all stuck. Instead of moving toward our pain and listening to the valuable messages it has for us, the vast majority of us move against or away from it. We ignore it, deny it, feel ashamed for feeling it, resent it, or attempt to numb, deflect, or dismiss it. We’ve been well taught to not listen to, or even feel, those yucky, hard feelings. Suck it up, buttercup. Be a man. Big girls don’t cry. Stop your whining or I’ll give you something to whine about! You can see why I believe we suffer from a very serious leprosy of the heart. And it’s killing us.

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.

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.

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.

In therapy I fretted I didn’t know how to choose my own partner, folding and refolding my hands as I worked it out. Holding boundaries, so different from setting them, was unfamiliar and I could be easily talked out of an opinion or preference in order to support harmony, or his older wisdom, or male logic. As someone who loved spreadsheets and organization, he also loved systems and rules of convention. I tucked away some of my bold ideas of what freedom looked like and rested in the illusion of safety that came from this is how it’s done. Insecure, I taught my kids to go along with what he wanted, a fawning people-pleaser yet uncured.

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.

What I propose in this book is a hard sell in Western culture. We are primarily oriented toward getting from our partners what we need to feel good and don’t believe we can get much from ourselves. We want to transform the source of pain in the outside world rather than the source within us. That external focus—and the therapies of accommodation that subscribe to it—will only provide temporary relief at best from the inner and outer storms that gradually erode the fertile topsoil of our relationships. There is another way, and we will explore it in this book. Before we do, however, let’s further examine the problems with this accommodation premise.

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.

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.

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.

... 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.

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).

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

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.

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.

Did you know that if you’re a middle-aged woman, you have only a small window of opportunity between the beginning of perimenopause and the start of menopause to start estrogen replacement therapy to protect not only your brain but also your bones and cardiovascular system? I did not, until I dug into the science, because as a woman who was diagnosed with a stage 0 breast lump, I was scared off like so many of us from the results of the Women’s Health Initiative, which got blasted out all over the news and initially showed a link between estrogen replacement therapy and breast cancer, but guess what? That study had so many flaws, its findings are little more than useless and possibly harmful. Worse, women like me without uteri show a decrease in breast cancer with estrogen replacement therapy. But this information never made it either into the headlines or into our gynecologists’ offices. I had to find it in scientific publications such as The Lancet online. In fact, get this: Our medical system barely trains gynecologists in menopausal medicine. A recent study found that only 20 percent of ob-gyn residency programs in the U.S. provide any menopause training. Yes, any. Which means that 80 percent of all gynecological residents in school today are getting no training whatsoever in post-reproductive women’s health. These are people whose job it is to know everything going on in our ladyparts, but they have not been taught the basic tenets of how to care for either us or our plumbing after we stop menstruating. And by “us” I mean 30 percent of all women alive on earth at any given moment. Half of my middle-aged female friends deal with chronic urinary tract infections. Oh, well, we think, throwing up our hands in defeat and consuming far too many antibiotics than are rational or safe or even good for the future safety of humanity. It took Dr. Rachel Rubin, a urologist in Washington, D.C., reaching out to me over Twitter to explain that UTIs in menopausal women do not have to be recurrent. They can be mitigated with, yes, vaginal estrogen. Not once was I ever

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).

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.

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.

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.

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.

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.

• 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.

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

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.

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.

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.

Too often, treatments address only half the problem: they focus on the presence or on the absence. It is necessary both to cut away that extra thousand pounds of the vines and to relearn a root system and the techniques of photosynthesis. Drug therapy hacks through the vines. You can feel it happening, how the medication seems to be poisoning the parasite so that bit by bit it withers away. You feel the weight going, feel the way that the branches can recover much of their natural bent. Until you have got rid of the vine, you cannot think about what has been lost. But even with the vine gone, you may still have few leaves and shallow roots, and the rebuilding of your self cannot be achieved with any drugs that now exist.

Perceptual motor therapy provides integrated movement experiences that remediate gross-motor, fine-motor, and visual discrimination problems. Activities, including sensory-input techniques, stimulate left/right brain communication to help the child interpret incoming information to the nervous system. Goals are to develop more mature patterns of response to specific stimuli, improve motor skills and balance, and stimulate alternate routes to memory and sequencing for those children who do not respond to the methods taught in the conventional classroom.

safely connected world: inclusiveness, willingness to repair, scaffolding, and support in struggling. This model allows people to develop security, flexibility, and coherent working models of attachment, through inclusiveness (responding to the entire range of their experience, and staying curious about internal needs, wants, desires, and beliefs, which fosters a relaxed approach to psychological exploration); a willingness to repair disruptions (as we as therapists take ownership of our own parts, while being appropriately transparent, which allows the client to learn and expect that disruption doesn’t disrupt the underlying solid therapeutic connection); scaffolding (helping the client to find the necessary baby steps in accessing their inner world, translating that into words, linking what’s going on inside their self-system with the intersubjective presence of the therapist); and support the client in a willingness to struggle (actively engaging, setting limits, making room for protest, all while staying connected through the conflict).

Yet where this idea really hits home is with the breath, the one response over which we have control and which, in turn, exerts control through the alarm system that is the autonomic nervous system. Porges says he realized a long time ago—because he is a musician, specifically a horn player—that the act of controlling the breath to control the rhythm of music and at the same time engaging the brain to execute the mechanics of music works like a mental therapy. To his mind, it has all the elements of pranayama yoga, a form of yoga that stresses breath control. Breath control is common in most of yoga but also in meditation, and even in modern-day “evidence-based practices” like cognitive behavioral therapy. Relax. Take a deep breath. This