Tag Archives: Bruce Perry

How to Use My Website

OLYMPUS DIGITAL CAMERAFor new readers signing up, bless you for your patience. I’m new to Attachment Disorder Healing, too — and it’s my website.  A note on “How to Use” AttachmentDisorder Healing.com is overdue.

I fell into all this entirely by accident, when attachment disorder hit me upside the head.  Just as the latest brain science on how it works and how to heal was flooding in.  So I’ve been going a bit ape (above), multiplying content here like rabbits — faster than I’ve been able to index it so you can find what you need. (Click on pics for clear shots; my software’s glitched.)

My webmaster finally spanked me (metaphorically speaking, of course) and said “There’s too much good info on here, with no way to find it!  Re-index the place so that people can find your book, your Featured Topics, and your News Blogs of the Week.”  So here’s a new page to help you find stuff:

Book:  The first 30%  of my psychiatric autobio “Don’t Try This at Home” is posted on the New Book page here.  I’ve got 60% of it written, but all this trauma and brain science news has kept me tied up blogging, instead of “book-ing.”  I feel so much better now than I did during the events in the book, events which got me where I am.

Dr. Peter A. Levine talks about how prey like an impala, running in full fight-flight, will suddenly go into freeze, pass out and keel over — an instant before a predator such as a cheetah gets a claw in. Any mammal’s vagus nerve will deck us like that when the nerve “neurocepts” overwhelming danger in the environment  — no thinking involved.

Kathy w. Cheetah SignI used to feel like that impala; the world was a dangerous place and I’d go into freeze…  Not anymore!  So who wants to write about 2011 when all this great news is happening in 2014?  OK, ok, I’ll crack down and get the book onto Amazon soon.

Featured Topics (find info by topic):
Adult Attachment Disorder, Adult Attachment Interview (AAI)
Attachment-based Psychotherapists Directory and Referrals
Brain Science
Developmental Trauma, Infant Development
Grief Recovery Handbook (GRH) and Method

Healing with Body Work, Rhythmic Regulation
Mammalian Attachment, Limbic Brain, “Fur”

Meditation, Being Present, Radical Acceptance
Music and Attachment, MP3 audios, Sheet Music

News Blogs: Click here for News Blogs; there are too many to list on this “How To” page, but here are the main themes:
Latest on the Brain
How We Develop
Did I Attach?
50% Suffer from Trauma
On Healing: Body Work
Being Present, Now
Watch Out for More Trauma

What is Addiction?

Resources: For Seminars, check now for the latest Brain Science of Trauma Webinar series live on line October 15 – November 19, at Now Live: Oct-Nov 2014 Trauma Webinars
Other resource tabs include:
Books & Reviews
Find a Support Group
Find a Therapist
Key Articles
Videos & Audios

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If you find the site useful, do remember:  I’m not a PhD studying “those people” with attachment disorder. I’m just a paramecium writing about how it feels to be a paramecium.

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Kathy’s blogs expand on her book “DON’T TRY THIS AT HOME: The Silent Epidemic of Attachment Disorder—How I accidentally regressed myself back to infancy and healed it all.” Watch for the continuing series each Friday, as she explores her journey of recovery by learning the hard way about Attachment Disorder in adults, adult Attachment Theory, and the Adult Attachment Interview.

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Dr. Ruth’s Ultimate Trauma Solution

Ruth Bz blog pic… Dr. Ruth Buczynski, that is (so, relax…that’s her at left).  A peek inside the minds of cutting-edge psychotherapists on how to really heal trauma is in her latest blog; click here: “Rethinking Trauma: The Third Wave.” http://www.nicabm.com/nicabmblog/rethinking-trauma-the-third-wave-of-trauma-treatment/

She says the latest “Aha” is that “talk therapy” can’t always cut it — we need body work and other alternative “somatic” therapies such as Dr. Bessel van der Kolk, Dr. Peter Levine, Dr. Dan Siegel, Dr. Stephen Porges, and Dr. Bruce Perry are delivering, as I’ve written for months.

Ruth is starting a new series October 15 by interviewing Steve Porges live, and yes there is a fee to subscribe if you’d like transcripts and recordings to keep.  And yes there’s also a free version of the series (detailed links at bottom).

And no, I’m not getting a cent for posting this. No one asked me to; I just wanted to “pay it forward.”

Why? Hey, that story I always tell of how I clicked the wrong link in a friend’s email, and ended up on a brain science website that saved my life?  That was Dr. Buczynski’s March 2011 webinar, “The New Brain Science Series – Barrier-Breaking Interviews with the Experts.” [FN1]

And she, and they, did save my life, and I do hope you check this out.

Here’s a clip of Dr. Porges’ interview airing October 15: http://www.nicabm.com/nicabmblog/reframing-a-patients-response-to-trauma-so-they-can-heal/

Dr. Porges even brings in Bach, Beethoven and music in general as the most powerful healing there is — after live in-person human support, of course.

Ruth adds:  “What trauma therapy owes to Beethoven and Bach…  According to Stephen Porges, PhD, classical composers knew something hundreds of years ago that could be so helpful in trauma therapy . . .  in today’s webinar, he outlines how playing and listening to music, and even the design of the rooms where we deliver services, can shift the physiology of our patients. Stephen also goes into how to work with neuroception, the “personal risk detector” in the nervous system, as well as powerful, concrete suggestions for incorporating Polyvagal Theory into clinical work.”

We can watch or listen free in real time (schedule below). These free broadcasts reach many more than can afford subscription (to me, an insanely reasonable fee, considering what I got out of it).  Transcripts, video, mp3s of  all speakers, and more extras come with subscription.

 Schedule: Wednesdays at 5pm EST & 6:30pm EST

Wed Oct 15th: Stephen Porges, PhD:  Beyond the Brain: Using Polyvagal Theory to Help Patients “Reset” the Nervous System After Trauma

Wed, Oct 22nd:  Sebern Fisher, MA: Neurofeedback: Soothe the Fear of a Traumatized Brain: How a New Intervention Is Changing Trauma Treatment

Wed, Oct 29th: Bessel van der Kolk, MD: How to Help Patients Rewire a Traumatized Brain – Applying the Latest Strategies to Speed Healing and Reduce Symptoms for Even the Most Traumatized Clients

Wed, Nov 5th: Pat Ogden, PhD: Why A Body-Oriented Approach Is Key for Treating Traumatized Patients (and What It Looks Like in Practice)

Wed, Nov 12th: Daniel Siegel, MD: The Neurobiology of Trauma Treatment: How Brain Science Can Lead to More Targeted Interventions for Patients Healing from Trauma

Wed, Nov 19th: Peter Levine, PhD: Getting to the Root of Trauma: Why It’s Critical to Understand the Role of Memory in Trauma Therapy

Here’s the link to see Ruth’s full promo with important details on each of the speakers and what they’ll cover:
http://www.nicabm.com/treatingtrauma2014/info/?del=10.11.14blog

Register here to watch or listen free at time of broadcast: http://www.nicabm.com/treatingtrauma2014/freesignup/

Register here for a subscription Gold Membership ($197) with all items noted above: https://www.nicabm.com/treatingtrauma2014/register/

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Kathy’s news blogs expand on her book “DON’T TRY THIS AT HOME: The Silent Epidemic of Attachment Disorder—How I accidentally regressed myself back to infancy and healed it all.” Watch for the continuing series each Friday, as she explores her journey of recovery by learning the hard way about Attachment Disorder in adults, adult Attachment Theory, and the Adult Attachment Interview.

Footnotes

FN1  This 2011 series is over, but a subscription to it for transcripts and recordings is still at http://www.nicabm.com/thebrain2011/

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Bruce Perry: No Empathy, No Survival

Dr. Bruce Perry, MD, “Born for Love:
“Why Empathy is Essential – and Endangered”
Address to The National Council for Behavioral Health
Washington, DC, May 4, 2014  – Click link or photo for video
https://www.youtube.com/watch?v=M6kDeBaJi0M

“Empathy is what makes us human,” says brain scientist Dr. Bruce Perry, MD  –  but this has not sunk in for Americans.  If simple kindness isn’t enough, what about the minor fact that it’s brain science?  Or that by ignoring this basic fact, we’re violating biology, so we’re dying as a species?

To let Dr. Perry make his point, today I’ve just got a few quotes from his May 4 Washington DC address, to provoke you to watch the video kindly posted by the National Council for Behavioral Health.

”From birth, we seek intimate connections, bonds made possible by empathy — the ability to love and to share the feelings of others,” Perry begins. But “our  policies routinely violate the biological reality of empathy, and that’s destructive…

“For example, we pass on to the next generation explicit choices that we’re going to teach math — but not music…We don’t care if everyone learns to read and perform music or not, but they’ve got to do arithmetic…  We have extensive rules for all the things everyone has to learn to drive a car… but we don’t do the same for raising a child!  We don’t make any systematic recommendations, or ensure that everybody who’s about to have a child has the fundamental knowledge of what’s necessary for the child…

“We’re exposing our children to levels of violence as a problem solving technique, at rates that are at least 50 times greater than alternate methods of problem-solving…

“We have invented ourselves into a corner with technology… into models of child rearing, education, and building communities that is fundamentally disrespectful of two of the greatest (biological) gifts our species has:  the fundamental malleability of the human brain in early life, and the fundamental relational (empathic) nature of human beings…. As a result we are much more vulnerable to mental health, social health, cognitive health, and physical  health  problems.

Humans Need Humans Around to Live

Perry another headshot“Human beings are biological creatures with genetic gifts… The only way we survived was by forming relationships, collaborative relationships…  Human beings are neurobiologically meant to be connected to others: to live, work, hunt, play, invent, and die in groups.

“We use the word ‘independent’ a lot — but the truth is there’s not a single human on this planet, ever, that’s been independent.  All of our physiology is designed to connect to others, we have huge parts of our brain designed purely to respond to the non-verbal cues of others… it’s in the way our face is oriented, our facial configuration is forward, looking at people… We have sensory apparatus on our skin that’s meant to be touched… so that we can feel somebody caress us…

“Our brain is a social organ; we are social animals. We don’t have any natural body armor, camouflage, stinging other things. We form groups!  Human beings are ‘meat on feet’ to the natural world!  The only way we survive is by forming collaborative groups, by sharing what we hunted and what we gathered with everybody else in our group.  And the typical living group was a developmentally heterogeneous, multi-family, multi-generational group: 40 to 50 people.

“And in that group…  the ratio of developmentally more mature individuals who cared for you, protected you, nurtured you…  was four to one.  But now, we think it’s an incredibly enriched early child care environment if there’s one caregiver to six kids!  That’s 1/24  the relational density the brain benefits from…

“Today, the whole organization of society flies in the face of this… In the last census, one third of American households were one person.

“On top of which, now… the typical American spends 11 hours a day interacting with digital devices, and not with fleshy objects!  And I want to talk about the consequences of this for how we end up expressing our ability to be compassionate (or not)…. You see it all the time, complaints in the psychological literature about the disconnectedness of multi-tasking constantly with our phones… but we do it ourselves…  You’re talking to someone, then your phone will vibrate — and it pulls you away from them.

” It breaks the rhythm of social contact, of empathic engagement– and the truth is: those things are physiologically meaningful.”

Again, click here for video:
https://www.youtube.com/watch?v=M6kDeBaJi0M

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Kathy’s news blogs expand on her book “DON’T TRY THIS AT HOME: The Silent Epidemic of Attachment Disorder—How I accidentally regressed myself back to infancy and healed it all.” Watch for the continuing series each Friday, as she explores her journey of recovery by learning the hard way about Attachment Disorder in adults, adult Attachment Theory, and the Adult Attachment Interview.

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Music Therapy and Child Trauma

Vienna Boys ChoirWant to heal developmental trauma in kids?  Create children’s choirs, I wrote last week.   Dr. Bruce Perry says “patterned, repetitive, rhythmic regulation” is what regulates the brain stem, and when it’s not regulated, we can’t truly reach the rest of a child’s brain.

The brain science studies have been done on yoga, meditation, EMDR and so on — not on Bach.  But is that only because those scientists were never given the chance to sing Bach?  Chalk it up to the decline of education.  What if Bessel van der Kolk had sung in the Vienna Boys’ Choir?  (Ok, so he’s from Holland…)  Or haven’t I seen the brain science studies on choirs?  Please leave me a comment!

Plus: there’s a lot of science that shows music helps shape babies in the womb — and keeps them alive when they need it.  Science shows this “medical music therapy” helps people of all ages.  Put this with the fact that children’s choirs have been a keystone of civilization since at least 700BC  [FNO] and we start to see a pattern.

The Music in Your Cells

What we do know is that everybody loves music because every body loves music.  Music is literally built into the human cells, especially brain cells from the hour of conception.  Our bodies physically need it. Infants and children know that instinctively.  “The first music encoded deep within your memory are the earliest vibrations that made you – the rhythms and tempos of your first cells,” writes Galina Mindlin, MD, Columbia University Professor of Psychiatry. [FN1]

“As your cells began to develop with the comforting rhythms of your mother’s heartbeat and the whooshing low frequency sounds vibrating through her placenta and your umbilical cord, these first musical scores began entrainment (two or more rhythms synchronizing into one) in your brain and orchestrating the essence of music for your entire being.  So from your first spark of life, your brain was already establishing the relationship for how music affects you today…

“Newborns can almost immediately show some memory of sounds they encountered in the womb… Before any of us is capable of speaking words, we can recognize changes in notes and rhythmic patterns… Throughout all this development, lyrical and comforting ‘motherese,’ the singsong way in which parents speak to their children, plays a significant role in instilling feelings of calm, safety, and love…

“By only their 14th week, children can distinguish their mother’s footsteps from anyone else’s, and discriminate between their mother’s voice and a stranger’s… At the beach on any given day, we can see a man or woman lying in the sand… listening to the whoosh of waves and the easy hush of wind, smiling like a baby…”

“Music in its most primodial form links our brain to vibrations we experienced as babies that have both long- and short-term effect on our brains’ circuitry.  The core characteristics of music – rhythm, harmony, synchrony, resonance, and dissonance – can affect frequencies in our brain and extend their influence on our hormones, neurotransmitters, and essential enzymes, and can ultimately affect our focus, feelings, moods, motivation” and more. [FN2]

Music Therapy Saves Preemies

Joanne Loewy Sings to BabyDr. Joanne Loewy, Director of the Louis Armstrong Center for Music and Medicine at New York’s Beth Israel Hospital, saves lives of premature babies (and other patients) using music to replicate the auditory environment in the womb. I haven’t asked Dr. Loewy about choirs, but to me this work says worlds about what singing can do to regulate the physiology and thus the brains of kids.   Dr. Loewy sings to a newborn, above. [FN 3]

I first met Dr. Loewy by email shortly after the Beth Israel team she heads published a major study on medical music therapy for preemies  on  April 15, 2013.  First off, I was blown away to learn there exists a Louis Armstrong Center for Music and Medicine  at the top hospital in New York City.  It’s official: music is essential to humans!  [FN4]

I was also delighted when she invited me to see her for music therapy to heal my pre-concious anxieties from being an unwanted pregnancy.  Gosh, she trains music therapists worldwide and teaches  at the Albert Einstein College of Medicine. It was too long a commute from California.  But I started music therapy anyway and it sure works for me.

“By re-creating a womb-like environment through sound and music, music therapy has been shown to deepen infant sleep-state, support infant self-regulation, assist in the stabilization of breathing and heart rates, enhance parent/infant bonding, sooth irritability, re-enforce feeding/sucking rhythms and weight gain, and promote a sense of safety during painful procedures” faced by many preemies,” she wrote.

“Historically, we thought premature infants were best left alone in a quiet, closed incubator with no stimulation,” she told the press when the study came out. “But more recently, we’re seeing that the right kind of stimulation — particularly live, interactive music — can enhance babies’ neurological function and increase their quiet-alert state. . . . the more we can regulate the sound environment, the better they’re going to fare.”  [FN 5]

Dr. Loewy’s team studied  272 infants in 11 hospital neonatal intensive care units (NICUs). They found that live music matched to babies’ breathing and heart rates enhanced feeding and sleeping patterns. Parent-selected lullabies also seemed to promote bonding between parents and babies, easing the stress of the chaotic NICU environment.

The music also lowered parental stress, the study found — which is key, because anxious, fearful, clueless parents produce developmental trauma in their kids.  Parent-preferred melodies and entrained live rhythm and breath sounds enhanced quiet alert and sleep states, suck response, and oxygen saturation in premature infants and also  significantly reduce fear and anxiety perception in parents, they found.

Over two weeks, the 272 premature babies underwent several sessions of two instruments, singing and no music at all.  The instruments and lullaby singing style were intended to approximate womb sounds, said Dr. Loewy.  Two-tone heartbeat rhythms were played on a “gato box,” a rectangular wooden drum.  [Bruce Perry and Bessel van der Kolk speak  extensively on the primacy of the mother’s heart rate in determining fetal brain development. Dr. van der Kolk strongly recommends heart-rate variability regulating therapies for trauma. -kb]

Whooshing sounds [like those in the womb referenced by Dr. Mindlin and I suspect by numerous researchers] were produced by an “ocean disc,” a cylinder containing shifting metal beads.

For melody, parents were asked for a favorite song.  If it wasn’t a lullaby (one chose “I Heard It Through the Grapevine”; another, “Pick Up the Pieces”), therapists slowed it, changed meters to lullaby-like waltzes and adjusted lyrics.

“Lots of times you see parents bopping the baby up and down on their lap, and there’s no purpose to it,” Dr. Loewy said. “You don’t feel the music intention as much as if you have a song that a parent has chosen.”  If parents did not specify, researchers used “Twinkle, Twinkle, Little Star.”  Tempos were coordinated with babies’ vital signs, indicated not only by monitors but also by baby  eye movements and its chest’s rise and fall.

Researchers found that the heart beat gato box, the whooshing ocean disc and the  singing, all slowed a baby’s heart rate, though singing seemed most effective.  Singing also increased the time babies stayed quietly alert.  Sucking behavior improved most with the gato box. Breathing rate slowed most and sleeping was best with the ocean disc. Babies hearing songs their parents chose had better feeding behavior and gained more calories than those who heard “Twinkle, Twinkle, Little Star.” But the “Twinkle” babies had slightly more oxygen saturation in their blood.

“Many NICUs are noisy, or people put on random lullabies that are recorded,” Loewy said. “But it’s not just any recorded lullaby, it’s the power of the parent’s voice synchronized therapeutically . . . and the other two sounds can have a therapeutic benefit.”

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Kathy’s news blogs expand on her book “DON’T TRY THIS AT HOME: The Silent Epidemic of Attachment Disorder—How I accidentally regressed myself back to infancy and healed it all.” Watch for the continuing series each Friday, as she explores her journey of recovery by learning the hard way about Attachment Disorder in adults, adult Attachment Theory, and the Adult Attachment Interview.

Footnotes

FNO  Chorus members in Greek theater were trained in childhood from around 700 BC.  Greek theater always included a chorus, whose members also danced and spoke, but also sang: http://en.wikipedia.org/wiki/Greek_chorus   Both boys and girls were trained to sing: http://www.amazon.com/Choruses-Young-Women-Ancient-Greece/dp/0742515249
Greece and Rome founded many children’s singing schools: http://www.boychoirs.org/library/history/hist014.html
The Schola Cantorum in Rome was formed in the seventh century to train boys in reading and singing.

FN1  Galina Mindlin, M.D., Ph.D is Assistant Clinical Professor of Psychiatry at Columbia University College of Physicians and Surgeons, and Supervising Attending Physician at the Department of Psychiatry in St. Luke’s Roosevelt Hospital Center.  She is Board Certified in psychiatry and neurology.  See also: www.nicabm.com/nicabmblog/what-healthy-brains-sound-like-how-brain-music-therapy-is-helping-first-responders/

FN2  Mindlin, Galina MD, PhD, “Your Playlist Can Change Your Life: 10 Proven Ways Your Favorite Music Can Revolutionize Your Health, Memory, Organization, Alertness,”  Sourcebooks, Inc., Naperville, IL, 2012

FN3  Joanne V. Loewy, DA, LCAT, MT-BC,  is Director,
Louis Armstrong Center for Music & Medicine,
Beth Israel Medical Center, New York, NY  Websites:
http://www.musicandmedicine.org/ and http://www.facebook.com/ArmstrongMusicandMedicine
She is also Co-Editor-in-Chief, “Music and Medicine” www.sagepub.com/journals/Journal201929

FN4  “The Effects of Music Therapy on Vital Signs, Feeding, and Sleep in Premature Infants,” Joanne Loewy,  Kristen Stewart, Ann-Marie Dassler,  Aimee Telsey,  Peter Homel
Online April 15, 2013; hard copy in May 2013 Pediatrics.
Abstract: http://pediatrics.aappublications.org/content/early/2013/04/10/peds.2012-1367.abstract
Full Text in PDF: http://pediatrics.aappublications.org/content/131/5/902.full.pdf+html
SUMMARY:
What’s Known on This Subject:
Recorded music, parent voices, and sung lullabies have been shown to increase oxygen saturation, nonnutritive sucking, and weight gain in premature infants.
What This Study Adds:
Parent-preferred melodies and entrained live rhythm and breath sounds can enhance quiet alert and sleep states, suck response, and oxygen saturation in premature infants and significantly reduce fear and anxiety perception in parents.

FN5  Pam Belluck, “Live Music’s Charms, Soothing Premature Hearts – Preemies and Sound,” New York Times, April 15, 2013, www.nytimes.com/2013/04/15/health/live-music-soothes-premature-babies-a-new-study-finds.html?_r=0
Maureen Salamon,  “Lullabies Soothe Preemies, Parents Alike,” Philadelphia Inquirer, April 15, 2013 [webpage removed]

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Bruce Perry and Children’s Choirs

Cantoria1 Youths larger della_robbia_02I’ve reported Dr. Bruce Perry’s in Washington May 4 to talk on healing trauma at the National Council.

What’s that got to do with this sculpture of children singing in the Cathedral of Florence in 1436 to kick off the Renaissance?  Everything!

Dr. Perry says it’s brain science to regulate the brain stem with “patterned, repetitive, rhythmic regulation,” featuring yoga, meditation, deep breathing, and singing, principles so fundamental they go back to the dawn of man. [FN1]

Who can imagine life without singing?  In every culture, long before writing, the only way to pass down an idea was to sing it. Aryans have sung Vedas since 5,000 BC or before. Hebrews sang Psalms as far back as 2,500 BC, long before they were written down ca. 1400 BC. [FN2  ]

Want to regulate kids? Teach them to sing! Gathering children to sing in choirs was the core of the Greek educational system since at least 700 BC, and there were choir schools for kids in Europe at least since the 900s AD. [FN3]  Singing in choirs brings kids into organized personal connection with other living, regularly-breathing human beings.  Being connected and in harmony with other humans is what best regulates human beings – today brain scientists call it “limbic resonance.” [FN4]

Amira Willighagen 1Singing gives kids a voice!  Children have been known to sing gloriously even today. Watch 9-year old Amira Willighagen sing in Amsterdam last year.

She did it without any training.  Amira just went on the internet looking for songs, found this Italian aria, and learned it by imitating.  Clearly she found a terrific adult soprano – we can hear the inflections of a highly-experienced adult in Amira’s voice. [FN5]

St Thomas Choir1AOr take the St. Thomas Boys Choir of Leipzig. When J.S. Bach became music director in 1723, the choir school was already 511 years old. Click here for the boys singing a Bach “Gloria.”    [FN6]


Born to Sing

Cantoria2 Boys10-12 & Teens della_robbia22If a child can speak, he can sing; most kids can sing before they can speak. Training children to sing as young as possible is a principle of civilization. Electronic culture has forgotten it to our peril as our kids whack out on machine-made noise. We need a revolutionary approach as old as the hills.  We need children’s choirs on a mass scale.

These children singing on the “Cantoria” by Lucca della Robbia, sculpted 1431-36, were placed in the Cathedral as public ads, to urge parents to bring in their kids for training. This is the level of culture and education which later produced Bach, Haydn, Schubert and Beethoven. Was their genius just magic?  Why don’t we have composers today, who produce music on such a scale (and they did it all without electronic equipment) ?

Answer: Bach & co. were trained as children to sing harmonic, complex polyphony (4-6 different musical lines at once).  So complex, harmonic music was what they heard in their heads as little kids. They were bilingual; music was their second mother tongue.  To them, it was simple: as soon as they could hold a pen, they would just start to write down their musical ideas. That tradition continued in Europe until the end of the 19th Century.

And there’s another reason everybody loves music: it’s because every body loves music. Music is literally built into kids’ bodies from the hour of conception.  Our bodies physically need it. And kids know that instinctively, from infancy.

“The first music encoded deep within your memory are the earliest vibrations that made you – the rhythms and tempos of your first cells,” writes Galina Mindlin, MD and music therapist.

“As your cells began to develop with the rhythms of your mother’s heartbeat and the whooshing sounds vibrating through her placenta and your umbilical cord, these first musical scores began entraining (two or more rhythms synchronizing into one) in your brain… your brain was already establishing the relationship for how music affects you today…   Newborns can almost immediately show some memory of sounds they encountered in the womb… Before any of us is capable of speaking words, we can recognize changes in notes and rhythmic patterns…” [FN7]

The Mother of All  Trauma

Cantoria3 Boys 10-11 playing stringsWhat about trauma healing?  Consider this: from 1348-1350, the Black Death, the mother of all trauma, killed half the population of Asia and Europe. In Italy, Florence’s population was reduced from 120,000 in 1338 to 50,000 in 1351. Many thought civilization was finished. [FN8]

Then a handful of intellectuals devised the idea of a re-birth or “Renaissance,” a project to unite a new economics to feed the population, with the science, philosophy, and arts to uplift them.  Florence had a famous problem whose solution could inspire people with hope. At the city’s center lay the massive Cathedral of Florence, begun 1296 — but no one had any idea how a dome could be built large enough to cover such a space without collapsing. Work was also delayed by waves of plague for decades. The roof lay open for over a century as people prayed in the rain.

During 1402–1404, Filippo Brunelleschi and his friend Donatello visited Rome to study the ancient ruins and the Pantheon on which the Cathedral was modeled. They returned to build the first “classical” buildings in Florence. In 1420, Florentine banker Cosimo de’ Medici (1389-1464) bankrolled Brunelleschi to work  16 years to complete the first octagonal dome in history to be built without a wooden supporting frame. [FN9]

What did they do in that Cathedral? They brought in the children of the city and taught them to sing, to show there was hope for the future, that  the children could be saved from the jaws of death. These sculptures just above show that by the age of 9-11, kids were singing (and playing) complex four and six part polyphony.

Note the rounded mouths in all the sculptures (and in the St. Thomas boys). Vocal scholars can tell you what note they’re singing by how large of an egg-shaped mouth they’re making.

The dome was ready in time for the Council of Florence which opened in the Cathedral on March 25, 1436, the date often cited as the start of the Renaissance. Inside were featured these sculptures of children singing in the choir loft by Lucca della Robbia.  Flemish composer Guillaume Dufay and many of his colleagues were brought to Italy to teach advanced musical composition.  Dufay’s advanced motet Nuper rosarum flores was composed for the 1436 opening and sung from della Robbia’s choir loft by kids like these in the sculptures.

Cosimo de’ Medici and his grandson Lorenzo de’ Medici (1449-1492) also backed philosophers Marsilio Ficino and Pico della Mirandola. Pico’s 1486 “Oration on the Dignity of Man” stated the Renaissance Idea: each individual human soul is a divine spark of God, not a beast of burden as under feudalism.

Cantoria4 Boys 5-10 Sing-Dance1A webThese sculptures show that in Florence, the Dignity of Man began with the dignity of the children.  These kids have been taught to sing even younger, at 5 to 8 years.  Della Robbia did several sculptures of toddlers singing as well (more than I have space to show!).

Cantoria5 Infant singingEven infants sang, singing with their families perhaps while they learned to speak.This child is not much older than 2.  Kids who started this early acquired the experience it took to produce genius in many fields.

San Diego Trauma-Informed Renaissance?

I’ve seen this kind of singing of fine music in choirs make traumatized children happy.  Musicians who run children’s choirs will tell you that.

San Diego Childrens Choir1 earlyyears_collageThe San Diego Children’s Choir (right), founded 1990, now has 5 branches with  over 250 participants. It also has a neighborhood outreach program that spans many low-income areas full of traumatized children including City Heights and other areas.

City Heights is also where Principal Godwin Higa has been turning Cherokee Point Elementary into an advanced trauma-infomed school since 2008. Three professors at San Diego State and community organizers Dana Brown and Dorothy Zirkle worked with the City Heights community to develop a two-year $684,094 pilot project at Cherokee Point, the Wellness and Restorative Practice Partnership (WRPP), funded by the California Endowment.

I can’t be with Bruce Perry in Washington May 4, but I will be in San Diego May 2, talking to  my friend Dana Brown and other members of the San Diego Trauma-Informed Guide Team (SD-TIGT) about Bruce Perry, Bessel van der Kolk, and the brain science of trauma.  SD-TIGT is leading the way among county health and welfare institutions to implement trauma-prevention and trauma-healing practices in schools, medical, and social facilities.

If Principal Higa and Dana haven’t met the folks at the San Diego Children’s Choir yet, maybe I’ll be able to provoke something.  Even if they’ve met, maybe we can expand their forces. As a result of the economic crisis, San Diego just lost its opera company, the San Diego Opera.  The city must be full of struggling singers, school music teachers and private voice teachers who would jump at the chance to teach every child at Cherokee El to sing Bach.

Next step: find our Cosimo de’ Medici to pay these already financially-pressed musicians and educators, so they can put in the hours necessary every week at Cherokee El. Then stand back.

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Kathy’s news blogs expand on her book “DON’T TRY THIS AT HOME: The Silent Epidemic of Attachment Disorder—How I accidentally regressed myself back to infancy and healed it all.” Watch for the continuing series each Friday, as she explores her journey of recovery by learning the hard way about Attachment Disorder in adults, adult Attachment Theory, and the Adult Attachment Interview.

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Footnotes

FN1  Lucca della Robbia, Cantoria (Choir Loft), shows children singing, dancing,and  making music to “praise the Lord” in the words of Psalm 150. Photos  at http://commons.wikimedia.org/wiki/File:Cantoria_di_luca_della_robbia_11.jpg

FN2  http://en.wikipedia.org/wiki/The_Arctic_Home_in_the_Vedas

FN3  Chorus members in Greek theater were trained in childhood from around 700 BC.  Greek theater always included a chorus, whose members also danced and spoke, but also sang. [http://en.wikipedia.org/wiki/Greek_chorus ]  Both boys and girls were trained to sing.  [http://www.amazon.com/Choruses-Young-Women-Ancient-Greece/dp/0742515249 ]  Greece and Rome founded many children’s singing schools [ http://www.boychoirs.org/library/history/hist014.html ] The Schola Cantorum in Rome was formed in the seventh century to train boys in reading and singing.
The Vienna Boys Choir, formalized in a 1498 letter by Maximilian I Habsburg, goes back to the year 957 when Bishop Wolfgang of Regensburg created his cathedral choir [ http://www.boychoirs.org/library/history/hist014.html  and http://en.wikipedia.org/wiki/Vienna_Boys%27_Choir ] The first choir school was founded at  St. Paul’s Cathedral, London in 1127, the second at St. Thomas’ Church, Leipzig in 1212. A boarding school for choristers at the Kreuzkirche in Dresden is mentioned in 1300, a choir known now as the Dresdner Kreuzchor. The Vienna Boys Choir received a solid musical education, many went on to become professional musicians such as Franz Schubert.
[ http://en.wikipedia.org/wiki/Choir ].

FN4  Lewis, Thomas, MD; Amini, Fari, MD; Lannon, Richard, MD; “A General Theory of Love”, Random House, New York, 2000.  Lannon interviews : www.paulagordon.com/shows/lannon/

FN5  Amira Willighagen video: http://news.distractify.com/default-category/a-shy-9-year-old-girl-takes-the-stage-these-people-will-never-forget-what-follows/

FN6  St.Thomas Choir video:  https://www.youtube.com/watch?v=A-apSehviiQ&list=PL517BEEF15EA64268

FN7  Mindlin, Galina, MD, PhD, “Your Playlist Can Change Your Life,” Sourcebooks, Inc., Naperville, IL, 2012  More here:
www.nicabm.com/nicabmblog/what-healthy-brains-sound-like-how-brain-music-therapy-is-helping-first-responders/

FN8  The Black Death was one of the most devastating pandemics in human history, peaking in Europe between 1348 and 1350 with 30–60 percent of Europe’s population killed. It reduced world population from an estimated 450 million to between 350 and 375 million in the 14th century. http://en.wikipedia.org/wiki/Consequences_of_the_Black_Death

FN9  Walker, Paul Robert, “The Feud That Sparked the Renaissance: How Brunelleschi and Ghiberti Changed the Art World,” Harper Collins, 2003

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Perry: Rhythm Regulates the Brain

Perry another headshotDr. Bruce Perry, MD is taking his healing for trauma to Washington in a May 4 program for the National Council for Behavioral Health.

And the doc’s got rhythm.  In fact, he and other trauma experts are reporting revolutionary success with treatments using yoga, meditation, deep breathing, singing, dancing, drumming and more.

These principles are so fundamental to our brains they go back to the dawn of man; the Vedas were sung before 5,000 BC (likely with yoga and meditation.)  My book describes how yogic chant and meditation saved my life in 2010, before I ever read a word about brain science.

One California county is trying to cancel such programs, insisting on Cognitive Behavioral Therapy (CBT) which relies on the thinking brain.  But Perry and many experts say talk therapy alone can re-traumatize trauma survivors.

Perry says we need “patterned, repetitive, rhythmic somatosensory activity,” literally,  bodily sensing exercises. Developmental trauma happens in the body, where pre-conscious “implicit memory” was laid down in the primitive brain stem (survival brain) and viscera. Long before we had a thinking frontal cortex or “explicit memory” function. [FN1]

The list of repetitive, rhythmic regulations used for trauma by Dr. Perry, Dr. Bessel van der Kolk, Dr. Pat Ogden and others is remarkable. It includes singing, dancing, drumming, and most musical activities.  It also relies on meditation, yoga, Tai Chi, and Qi Gong, along with theater groups, walking, running, swinging, trampoline work, massage, equine grooming and other animal-assisted therapy…. even skateboarding. Click here for Perry’s web page on interventions.

“I am asked how hip hop and skateboarding can help a child with depression or ADHD,” reports Dr. Sarah MacArthur of the San Diego Center for Children. “Yet 70% of the children showed improvement in symptoms of depression, anxiety, and PTSD.” [FN2]

The Brain Stem Rules

Perry simpler 4 brain from web“The brain organizes from bottom to top, with the lower parts of the brain (brain stem/diencephalon aka “survival brain”) developing earliest, the cortical areas (thinking brain) much later,” Perry says. “The majority of brain organization takes place in the first four years.

“Because this is the time when the brain makes the majority of its “primary” associations… early developmental trauma and neglect have disproportionate influence on brain organization and later brain functioning… When a child has experienced chronic threats, the brain exists in a persisting state of fear… and the lower parts of the brain house maladaptive, influential, and terrifying pre-conscious memories… ”  [FN3]

“People with developmental trauma can start to feel so threatened that they get into a fight-flight alarm state, and the higher parts of the brain shut down,” says Perry. “First the stress chemicals shut down their frontal cortex (thinking brain).  Now they physically can not think. Ask them to think and you only make them more anxious.

“Next the emotional brain (limbic brain) shuts down. They have attachment trauma, so people per se seem threatening; they don’t get reward from emotional or relational interaction.

“The only part of the brain left functioning is the most primitive: the brain stem and diencephalon cerebellum. If you want a person to use relational reward, or cortical thought – first those lowest parts of the brain have got to be regulated,” Perry concludes.

We must regulate people, before we can possibly persuade them with a cognitive argument or compel them with an emotional affect.

“The only way to move from these super-high anxiety states, to calmer more cognitive states, is rhythm,” he says. “Patterned, repetitive rhythmic activity: walking, running, dancing, singing, repetitive meditative breathing – you use brain stem-related somatosensory networks which make your brain accessible to relational (limbic brain) reward and cortical thinking.

“Cognitive behavioral therapy (CBT) is great if you have a developed frontal cortex – but we’re talking about a five year old kid who’s so scared to death most of the time that it’s shut down his frontal cortex ’cause he just saw his mother get shot,” Perry told an audience of therapists. “You’re going to do 20 sessions of CBT and expect change? That’s a fantasy.”  [FN4]

6 R’s for Healing Trauma

Perry NMT Bar Chart from webDr. Perry does separate developmental “maps” of each person (left) using his “Neurosequential Model of Therapeutics” (NMT). Each individual is so unique that using NMT needs training;  this blog is meant only to point you toward it. For an overview of NMT, click here for Perry, B.D. and Hambrick, E. (2008), “Neurosequential Model of Therapeutics.  Click here for training in NMT and Somatosensory Regulation.

Trauma healing, says Perry, requires 6 R’s; it must be:
Relational (safe)
Relevant (developmentally-matched to the individual)
Repetitive (patterned)
Rewarding (pleasurable)
Rhythmic (resonant with neural patterns)
Respectful (of the child, family, and culture)

“To change any neural network in the brain, we need to provide patterned, repetitive input to reach poorly organized neural networks involved in the stress response. Any neural network that is activated in a repetitive way will change,” Perry explains.

“The rhythm of these experiences matter. The brain stem and diencephalon contain powerful associations to rhythmic somatosensory activity created in utero and reinforced in early in life. The brain makes associations between patterns of neural activity that co-occur.

“One of the most powerful sets of associations created in utero is the association between patterned repetitive rhythmic activity from maternal heart rate, and all the neural patterns of activity associated with not being hungry, not been thirsty, and feeling ‘safe’ (in the womb).

“Patterned, repetitive, rhythmic somatosensory activity… elicits a sensation of safety.  Rhythm is regulating.  All cultures have some form of patterned, repetitive rhythmic activity as part of their healing and mourning rituals — dancing, drumming, and swaying.

“EMDR and bilateral tapping are variations of this patterned, repetitive rhythmic, somatosensory activity… We believe that they are regulating in part because they are tapping into the deeply ingrained, powerful permeating associations created in utero.”  [FN5]

For each child, the NMT develops a unique, personalized “map” (see above) of what the specific neurological damage has been, how far development has come (or not), and where the child needs to go. Next it creates “a unique sequence of developmentally-appropriate interventions,” says Perry. “While many deficits may be present, the sequence in which these are addressed is important. The more the therapeutic process can replicate the normal sequential process of development, the more effective…

“The first step in therapeutic success is brain stem regulation… Start with the lowest undeveloped/ abnormally functioning set of problems and move sequentially up the brain as improvements are seen…

“An example of a repetitive intervention is positive, nurturing interactions with trustworthy peers, teachers, and caregiver… using patterned, repetitive somatosensory activities such as dance, music, movement, yoga,  drumming or therapeutic massage…  This is true especially for children whose persisting fear state is so overwhelming that they cannot improve via increased positive relationships, or even therapeutic relationships, until their brain stem is regulated by safe, predictable, repetitive sensory input.” [FN6]

Sound like your family doctor saying “Go calm down in the gym” ?  I thought so – until I tried it.  It works, big time.  My story is here: “Dr. Perry: Music Makes Your Case.”

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Kathy’s news blogs expand on her book “DON’T TRY THIS AT HOME: The Silent Epidemic of Attachment Disorder—How I accidentally regressed myself back to infancy and healed it all.” Watch for the continuing series each Friday, as she explores her journey of recovery by learning the hard way about Attachment Disorder in adults, adult Attachment Theory, and the Adult Attachment Interview.

Footnotes

FN1  Perry, Bruce D., MD,  “Born for Love: The Effects of Empathy on the Developing Brain,” Annual Interpersonal Neurobiology Conference “How People Change: Relationship & Neuroplasticity in Psychotherapy,” UCLA, Los Angeles, March 8, 2013 (unpublished).
Library of articles on interventions, trauma, brain development: https://childtrauma.org/cta-library/
Training in NMT Method and Somatosensory Regulation, Power of Rhythm — Individual and Site Training Certification Programs, DVD/streaming training, and online training: http://www.ctaproducts.org
Dr. Perry’s latest research and key slides: “Helping Children Recover from Trauma,” National Council LIVE, National Council on Behavioral Health, Sept. 5, 2013 at www.thenationalcouncil.org/events-and-training/webinars/webinar-archive/  (scroll down to Sept. 2013.)
Dr. Perry’s YouTube channel with educational videos in depth: https://www.youtube.com/channel/UCf4ZUgIXyxRcUNLuhimA5mA?feature=watch

FN2  MacArthur, Sarah,PhD., “Wellness Innovations Transform Children,” San Diego Center for Children, June 2013, http://www.centerforchildren.org/live-blog/87-wellness-innovations-transform-children/

FN3  Perry, B.D. and Hambrick, E. (2008), “The Neurosequential Model of Therapeutics (NMT),” Reclaiming Children and Youth, 17 (3) 38-43;  and
Dobson, C. & Perry, B.D. (2010), “The role of healthy relational interactions in buffering the impact of childhood trauma in “Working with Children to Heal Interpersonal Trauma: The Power of Play,” (E. Gil, Ed.), The Guilford Press, New York, pp. 26-43
Both at: http://childtrauma.org/nmt-model/references/

FN4  Perry, Bruce D., “Born for Love,” op. cit. FN1

FN5  MacKinnon, L. (2012), “Neurosequential Model of Therapeutics: Interview with Bruce Perry,” The Australian & New Zealand Journal of Family Therapy, 33:3 pp 210-218, http://childtrauma.org/cta-library/interventions/

FN6  Perry & Hambrick, op. cit. FN3

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Bruce Perry: Attachment and Developmental Trauma

BrousBlog9a Perry head shotDr. Bruce Perry, MD (left) documents the brain science of how attachment problems can cause developmental trauma to a fetus, infant, or child – just when the brain is developing.

And he’s taking his “attachment first” approach to Washington.  In “Trauma Impacts the Brain: Healing Happens in Relationships,” Perry leads a full-day Pre-conference University on Sunday May 4, to kick off  the National Council for Behavioral Health’s Annual Conference ’14 on May 5-7 (click here for details).

“Experiences profoundly influence the development of young children. Adverse Childhood Experiences (ACEs) shape the brain’s organization, which, in turn, influences the emotional, social, cognitive, and physiological activities,” the conference website notes.

“So often, trauma happens in relationships, but it is also in relationships that healing occurs. Explore the latest research and clinical treatment with trauma researcher, treatment visionary, and bestselling author of The Boy Who Was Raised as a Dog, and Born for Love:  Why Empathy is Essential and Endangered, Dr. Bruce Perry.”

Dr. Perry’s relationship and attachment theory healing model first assesses each child as an individual, using his  Neurosequential Model of Therapeutics (NMT).  He emphasizes that there is no one label for child trauma. Rather, “there are very individualized patterns of exposure to trauma (all with unique timing, nature, and patterns)… So we don’t call ‘it’ anything,” he wrote me recently. “We describe it — and try to ‘illustrate’ each individual’s trajectory separately” with the NMT’s individualized brain mapping technique. [FN1]

Dr. Perry recommends his books above as the best summaries of his work.  His latest research and key slides are online from his National Council webinar last fall, “Helping Children Recover from Trauma,” National Council LIVE, Sept. 5, 2013 (scroll down to Sept. 2013.)  I really recommend this – and it will only be online through August 2014.

Click here for an overview video:   [FN2]

Survival Brain Develops First

BrousBlog9c Perry Slide1 Brain 4 PartsDr. Perry says we’ve got to learn about the neuro-biological growth of the brain in order of time sequence from  conception to later development in infancy and childhood.

His “Four Part Brain” slide (above) shows the time sequence from the bottom up: first the brain stem develops (pink); then the diencephalon cerebellum (yellow); they make up our primitive reptilian “survival” brain.  Next develop the emotional limbic brain which only mammals have (green), and finally the thinking brain aka frontal cortex (blue).

The fetus’ “survival brain” develop first, because infants require breathing, heart beat, and other survival functions at birth, Dr. Perry told a March 2013 UCLA conference. The rest of the brain develops largely after birth and as an outgrowth of the brain stem. [FN3]

So injury during brain stem development in the first 45 months harms development of the entire brain, the neurons around the viscera, and most of the body.

Dr. Perry next details three key threats to an infant’s developing brain:  Trauma in utero (intra-uterine insult); post-birth attachment trauma; and other post-natal trauma – all before the thinking brain comes on line around age 3.

A fetus in utero is designed to develop in nurturing oxcytocin and other “reward” chemicals released by a mother supported by her family, all joyous a baby is coming. Intra-uterine insult occurs when the mother instead uses substances, or is under stress so that her stress hormones impact the fetus’ developing brain. This can be visible stress to the mother: domestic abuse, work stress, violence.

A fetus, however, can also be subject to stress chemicals with no visible external stress to the mother, as in mothers who are anxious, themselves victims of attachment disorder, don’t want a baby, etc.  Often these mothers have no steady pattern to their heart rate, and since a baby’s brain grows according to the mother’s heart rate rhythm, the baby’s brain develops dysregulated.

All these “causes a cascade of mental and physical problems in every part of the body and brain,” Perry says. “Every part of the whole brain these neurons enervate will be dysregulated.”

Birth: the Mother of All Stress

Attachment trauma occurs easily because birth is incredibly stressful to a baby: suddenly there’s lack of oxygen, blinding light, shocking cold, terrifying noise, and pain. This floods a baby with stress hormones — which is essential because now it’s not having needs met as in the womb; thus it’s got to protest so someone comes. “If animals in the wild didn’t feel the stress of hunger they’d just lie around and die of starvation,” Perry notes.

Mom Smile Baby If all goes as designed, an attuned mother meets the baby’s needs, feeds it, swaddles it, turns down the lights, so the baby feels safe and is flooded with reward optiates like oxytocin. If animals didn’t feel opiate rewards when they get up and eat just what they need (not dirt, for example), they’d not get up.

Then they wouldn’t survive, so the stress hormones and the reward opiates are linked. “At the relief of hungry-thirsty-cold stress, we feel pleasure,” Dr. Perry says. An attuned mother “has a well-organized neurobiology to create a healthy organized neural network for the infant of attachment and regulation…

“And in the arms of that caregiver, that is that magic moment literally weaving together the neurobiology of all these different systems. The biology of attachment is that a baby learns by thousands of good experiences that this stress is tolerable because it leads to reward, and this pleasurable outcome is cathexsized to a person, Mom… Ultimately just seeing or hearing Mom makes you feel safe and pleasurable. Let a wounded soldier talk to his mom, he’ll need 45% less pain meds.”

Or not.

If mom instead is under too much stress herself to meet needs, has too many children and no support, or herself was raised by a mis-attuned mom, “she doesn’t get reward from responding to her baby’s distress,” Perry continues. “So the pull to respond isn’t there.”

Even if no stress to the mother is visible, “if she merely meets physical needs, without involving her own pleasure systems, then the weaving together of meeting needs and the reward/safety system is weak or absent. So her baby learns that stress can be life-threatening, that stress is terrifying,” Dr. Perry concludes. [FN3 op. cit.]

The “Or Not” baby’s brain learns: “that’s all she wrote.”

It develops in a state of perpetual stress in which the stress chemicals simply do not stop and the reward chemicals never or seldom come. In this state, fight/flight cortisol flood eventually leads to “freeze” dissociation, Judith Herman reported back in 1992. [FN4]

More Perry slides at: http://attachmentdisorderhealing.com/how-your-brain-works-101/

———————————

Kathy’s news blogs expand on her book “DON’T TRY THIS AT HOME: The Silent Epidemic of Attachment Disorder—How I accidentally regressed myself back to infancy and healed it all.” Watch for the continuing series each Friday, as she explores her journey of recovery by learning the hard way about Attachment Disorder in adults, adult Attachment Theory, and the Adult Attachment Interview.

Footnotes

FN1 Perry, B.D. and Hambrick, E. (2008), “The Neurosequential Model of Therapeutics (NMT),” in Reclaiming Children and Youth, 17 (3) 38-43;  and
Dobson, C. & Perry, B.D. (2010), “The role of healthy relational interactions in buffering the impact of childhood trauma in “Working with Children to Heal Interpersonal Trauma: The Power of Play,” (E. Gil, Ed.) The Guilford Press, New York, pp. 26-43
Both at: http://childtrauma.org/nmt-model/references/

FN2  Bruce Perry MD, Daniel Siegel MD, et.al, “Trauma, Brain & Relationship: Helping Children Heal,” www.youtube.com/watch?v=jYyEEMlMMb0 – introductory video on Attachment Disorder and development trauma. Copies at www.postinstitute.com/dvds.

FN3  Perry, Bruce D., MD,  “Born for Love: The Effects of Empathy on the Developing Brain,” Annual Interpersonal Neurobiology Conference “How People Change: Relationship & Neuroplasticity in Psychotherapy,” UCLA, Los Angeles, March 8, 2013 (unpublished).
Library of articles on interventions, trauma, brain development: https://childtrauma.org/cta-library/
Training in NMT Method and Somatosensory Regulation, Power of Rhythm — Individual and Site Training Certification Programs, DVD/streaming training, and online training: http://www.ctaproducts.org
Dr. Perry’s latest research and key slides: “Helping Children Recover from Trauma,” National Council LIVE, National Council on Behavioral Health, Sept. 5, 2013 at www.thenationalcouncil.org/events-and-training/webinars/webinar-archive/  (scroll down to Sept. 2013.)
Dr. Perry’s YouTube channel with educational videos in depth: https://www.youtube.com/channel/UCf4ZUgIXyxRcUNLuhimA5mA?feature=watch

FN4  Herman, Judith, “Trauma and Recovery,” Basic Books, New York, 1992

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From Grassroots to Hollywood

Felitti, Morgan Rose SoCal ACEs 3-7-14Dr. Vincent Felitti, MD again joined our SoCal (Southern California) ACEs Group  March 7 for our  alternate-month San Diego meeting. He’s shown with author-activist Morgan Rose (details below).  I felt so grateful.

Earlier March 7 we began with the alternate-month meeting of the San Diego Trauma-Informed Guide Team (SD-TIGT),  on what we can do to create a trauma-informed and ACEs-informed society. The mission of  SD-TIGT is to promote the development and provision of trauma-informed services in San Diego County’s agencies and systems by collaboration, advocacy and education to achieve transformation.  Leaders discussed training community leaders  and a trauma-informed care workforce.

Several focused on making trauma recovery “consumer-driven.”  They reported success with it after forming committees of parents, youth, and other clients  to do peer-led trauma-prevention training and learn empathic methods help each other and help children to recover.  We also discussed the latest brain science on Developmental Trauma by MDs Bessel van der Kolk, Bruce Perry, and Daniel Siegel.  Perhaps San Diego County might create a Trauma Remediation Center modeled on Dr. van der Kolk’s Trauma Center in Boston and Dr. Perry’s ChildTrauma Academy in Houston?

SoCal ACEs meeting

Next, SoCal ACEs met separately.  Dr. Felitti related his efforts since the 1990s to promulgate the ACE Study results in the U.S. and worldwide medical literature, traveling to Washington to meet personally with Senators, traveling the world and beating the drum generally with policy leaders.  He repeated his hope to see an article in The New Yorker about the ACE Study, “because my wife says that if policy leaders are too busy to get it, this way maybe their wives will pick up on it and get active.”

Dr. Felitti emphasized his vision that now we need to communicate directly to the hearts of the public “grassroots,” in ways that meet people “where they are” (that’s trauma-informed).  He’d like to see a popular TV series, maybe a soap, depicting attached, loving parenting in one story thread, versus  an ACE childhood and what that does to people in another thread.  He thinks it would hit average viewers directly in the heart where it counts.  He’d like to see movies, too. “Look at Sesame Street, ” he said; it shows a TV series or film that really speaks to ordinary folks can be lucrative.

Dana Brown & TICS Cherokee Point SchoolDana Brown, Project Director of San Diego’s Trauma-Informed Community Schools (TICS), briefed us on their grassroots efforts. Funded by The California Endowment, it’s a systems-change initiative in densely-populated City Heights. TICS goes deep in the community to support parent and youth leadership and school staff where they work and live; it’s “place-based.”  Dana (left) helps a student leader with kids at Cherokee Point Elementary.

Click here for Jane Stevens’ incredibly moving report “At Cherokee Point Elementary, kids don’t conform to school; school conforms to kids.”  Tears of sorrow and joy…

TICS programs help community leaders discover their strengths and empowers them, creating leaders who sustain themselves by advocacy and efficacy.   San Diego State University support TICS inter-generational mentoring by training community leaders in child/family development, in-home health, and more.  Parent leaders have led four “Train the Trainer” Workshops including three on trauma-informed methods since Oct., 2013.  See the ACE Study in action, with all the science and the heart, in Dana’s educational report at: TICS programs at Cherokee Point  (second item under Dr. Felitti).

Morgan Rose, MS, founder of America’s Angel (with Dr. Felitti at top), told us about her America’s Angel Campaign, a national initiative to end ACEs and promote education about the ACE Study. Its board includes top psychologists and trauma-informed leaders such as James Sporleder, former Principal of Lincoln High (see Jane Steven’s Huff Post “Lincoln High School’s ‘Out of School Suspensions’ reduced by 85%.” )

Morgan stressed her “to the heart” idea to to have 100 Celebrity Parents make TV spots and do a media blitz to spur parents to learn about positive, attached parenting. For example, celebrity dads will speak on how dads can “Be the Daddy They Deserve.”  Morgan gave Dr. Felitti her new book (photo again at top) aimed to be a hit with teens and moms, “On Becoming NaughtABimbeaux”  It’s based on 13 years of research into the psychology of relationships and intimacy.  The book has five pages on the ACE Study and its relevance to choosing a spouse capable of creating a healthy family, and a Facebook page.

“Frozen” No Mas

Felitti - Kathy Nov 1, 2013 San Diego SoCal ACEs 812403753_2874569586_0It left me thinking how to organize one of Morgan’s Celebrity Parents to get a hit movie made as Dr. Felitti dreams.  A TV series couldn’t be far behind.  (Dr. Felitti and me at our previous SoCal ACEs meeting.)
Look at what a hit the film “Frozen” is (over $1 billion revenue), with that lead song “Let It Go” about how Elsa can’t hold in her traumatized emotions anymore.  Click for video:  ” ‘Conceal, don’t feel/ don’t let them know!’ / Well,now they know!”  She’s gonna feel what she feels!  People have had it with being traumatized, yet society doesn’t want to hear.

Dr. Felitti is onto something with his TV and Hollywood vision.  So are Morgan and Dana. That’s a billion dollars of grassroots emotions connecting out there.

Betcha that’s why “Avatar” was such a hit, when at the end the giant heroine Neytiri picks up her fiancee Jake with his tiny, broken body, looks into his eyes, and says “I see you.”  That means: “I see your soul, I love you for who you truly are.”

I don’t know if Hollywood’s more ready to face the facts in the ACE Study than are the Senators whom Dr. Felitti met.  But ordinary people crave to be accepted for who they really are.  People are tired of being Frozen.  So many are forced into that box: “conceal, don’t feel, don’t let them know,” don’t show your true Self.

Because our true Selves hurt; the ACE Study showed that two-thirds (64-67%) of  17,421 middle class subjects had one or more types of childhood trauma, and 38-42% had two or more types.  In less privileged populations, these numbers are far higher. A national average of all economic groups would likely show 50% or more suffer severe trauma from ACEs.  There’s money in an exposee, and it’d do all our hearts good to be out of the closet.

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Kathy’s news blogs expand on her book “DON’T TRY THIS AT HOME: The Silent Epidemic of Attachment Disorder—How I accidentally regressed myself back to infancy and healed it all.” Watch for the continuing series each Friday, as she explores her journey of recovery by learning the hard way about Attachment Disorder in adults, adult Attachment Theory, and the Adult Attachment Interview.

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The Hole in Half of Us

Brousblog1a Perry brains X-secThe Adult Attachment Interview (AAI) study since 1994 shows that  50% of Americans have some degree of failed attachment in childhood.  These are rigorous psychiatric studies of the general public which have nothing to do with “addicts.”  It’s not just about “them.”  [FN1]

It’s about “the hole in me” inside half of us.  Secure attachment is necessary for the neurons in a baby’s brain to develop. “The hole” is caused by any problematic bonding with the mother.  That means “parts of my brain are dark” — the neurons just don’t fire. (Above left: normal 3 year old. Right: major attachment disorder)

No coincidence, 50% of Americans also abuse not only alcohol and drugs (including prescriptions) but also tobacco, food, gambling, internet porn, sex…  Those of us who’d never “use” anything, often become work-aholics.  All these, abused, often cause premature death.

Until we treat the underlying childhood trauma, says Dr. Vincent J. Felitti, nothing will change and people will keep dying early. That’s the point of his 2003 “The Origins of Addiction: Evidence from the Adverse Childhood Experiences (ACE) Study,” published here last week:  click here.  [FN2]

“My point is that there is a Public Health Paradox,” Dr. Felitti wrote in transmitting his article, “wherein some of our most difficult public health problems are actually unconsciously attempted solutions, at the individual patient level, to problems that are unrecognized because they are lost in time and then protected by shame, by secrecy, and by major social taboos against exploring certain realms of human experience…

“Needless to say, vacuous cautionary advice doesn’t do much, coming from people who have no idea what has gone on.  Thus, ‘Obesity is bad for you,’ but it’s sexually protective; ‘Smoking is bad for you,’ but nicotine has been known for almost a century to have potent anti-anxiety, anti-depressant, appetite suppressant, and anger suppressant activity.  Moreover, those occur within 15-20 seconds of inhalation, whereas the risks, which are certainly real, occur in 15-20 years.”

“The current public health approach of repeated cautionary warnings has demonstrated its limitations,” as Dr. Felitti put it in his 2003 piece, “perhaps because the cautions do not respect the individual when they exhort change without understanding.”

Treat ACES  vs Early Death

BrousBlog7a ACE pyramidDr. Felitti is elegant and to the point: unless we treat Adverse Childhood Experiences per se, people will find something, somehow, anyhow, to numb the emotional pain of childhood trauma.  Details on the ACE pyramid. [FN3]

“People with attachment-based developmental trauma can start to feel so threatened that they get into a fight-flight alarm state, and the higher parts of the brain shut down first,” neuroscientist Dr. Bruce Perry, MD told a 2013 UCLA conference.

“First the stress chemicals shut down their cortex (thinking brain).  It’s instinct; they can’t control it.  Now they physically can not think. Ask them to think and you only make them more anxious.

“Next the more primitive emotional brain (limbic brain) goes. They have attachment trauma so people seem threatening; they don’t get reward from emotional or relational interaction. Their own emotions feel like a threat to them.

“Now the only part of the brain left functioning is the most primitive: the brain stem and diencephalon cerebellum (reptilian brain).  Here they can get rewards, but only from sweet/salty/fatty foods, drugs, sex — only the strongest sources of opiates can sooth these lower brain parts.

“They know cognitively it’s wrong to steal from Grandma, they may even love Grandma, but the brain is state-dependent.  At that moment, cognitive thinking or emotional-relational consequences, just can’t relieve their anxiety.  They are in such distress in the lower parts of the brain that they need the food, drugs, etc.  too badly.

“You can get to the point where you can’t even reach the lower part of the brain.  If you’re so ramped up and anxious, the only thing you want is to relieve the distress, and the only thing that can do it is to drink.  Alcohol will reduce anxiety, and make us more vulnerable to other unhealthy forms of reward pleasure.”

The problem is that the emotional pain from ACE is buried inaccessibly deep in our neural structures since our brains first developed, so we don’t even know it’s there.

“If you want a person to use relational reward, or cortical thought -– first the lowest parts of the brain have got to be regulated,” Perry concludes.  “We must regulate people, before we can possibly persuade them with a cognitive argument or compel them with an emotional affect.”

Perry has proven in thousands of clinical trials that the only way to do this is to treat the underlying childhood issues. [FN4]

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Kathy’s news blogs expand on her book “DON’T TRY THIS AT HOME: The Silent Epidemic of Attachment Disorder—How I accidentally regressed myself back to infancy and healed it all.” Watch for the continuing series each Friday, as she explores her journey of recovery by learning the hard way about Attachment Disorder in adults, adult Attachment Theory, and the Adult Attachment Interview.

Footnotes

FN1  George, C., Kaplan, N., Main, Mary, “An Adult Attachment Interview,” Unpublished MS, University of California at Berkeley, 1994;  and Ainsworth, Mary D.S., Blehar, M.C., et al, “Patterns of attachment: A psychological study of the  Strange Situation,” Erlbaum, Hillsdale, NJ, 1978

FN2  Felitti, Vincent J. , MD, “The Origins of Addiction: Evidence from the Adverse Childhood Experiences Study,” English version of the article published in Germany as:
Felitti VJ, “Ursprünge des Suchtverhaltens – Evidenzen aus einer Studie zu belastenden Kindheitserfahrungen,” Praxis der Kinderpsychologie und Kinderpsychiatrie, 2003; 52:547-559.

FN3 ACE Study Pyramid, www.cdc.gov/ace/pyramid.htm; and “Adverse Childhood Experiences by Vince Felitti, MD,” 13 min video, Academy on Violence and Abuse, 2006: www.youtube.com/watch?v=GQwJCWPG478

FN4  Perry, Bruce D., MD, PhD, “Born for Love: The Effects of Empathy on the Developing Brain,” Annual Interpersonal Neurobiology Conference “How People Change,” UCLA, Los Angeles, March 8, 2013 (unpublished).  See also Perry, B.D. and Hambrick, E. (2008) The Neurosequential Model of Therapeutics. Reclaiming Children and Youth, 17 (3) 38-43, at: http://childtrauma.org/nmt-model/references/

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Dr. Perry: Music Makes Your Case

BrousBlog9a Perry head shotIn last week’s blog, I was surprised by sudden overwhelming feelings of being loved which could only be described as physical.  I’ve had these odd explosive physical experiences before.  I had one with music so striking at the end of last year, that I wrote to brain scientist Dr. Bruce Perry (left) about it.  Why?  He’s got rhythm!

My blog on Perry last Sept. 13 “How Your Brain Works 101” notes the three broad areas of the brain: the brain stem aka reptilian survival brain, a knob atop the spinal cord that reptiles have too, which regulates raw survival functions;  the limbic brain, first developed in mammals, which wraps around the brain stem and regulates emotions; and the cortex or thinking brain, which wraps around all the rest.

Next I quoted  Perry on how the apparently primitive brain stem is the key to the whole shebang:

“Because the brain is organized in a hierarchical fashion, with symptoms of fear first arising in the brain stem and then moving all the way to the cortex, the first step is brain stem regulation,” Perry said.  This, he revealed, requires “patterned, repetitive rhythmic activity.”  Examples are “dance, music, or massage, especially for children whose persisting fear state is so overwhelming that they cannot improve via increased positive relationships, or even therapeutic relationships, until their brain stem is regulated by safe, predictable, repetitive sensory input…

“The only way you can move from these super-high anxiety states, to calmer more cognitive states,” Perry said, “is rhythmic regulation: Patterned, repetitive rhythmic activity: walking, running, dancing, singing, repetitive meditative breathing – you use brain stem-related somato-sensory networks which make your brain accessible to relational [limbic] reward and cortical thinking. If you want a person to use relational reward, or cortical thought – they’ve got to be emotionally regulated first!”

Two months after that  Sept. 13, 2013 blog, I had a musical experience so intense that I wrote this letter :

Dear Dr. Perry,

I just had an explosive physiological experience which demonstrates your thesis that “We must regulate people with patterned, repetitive, rhythmical activity, before we can persuade them with a cognitive argument, or compel them with an emotional affect.”

Pink & Nate Ruess1 Just give me a reasonIt involved the attached song.  Ever consider using music in your presentations? One audio example can pack quite an emotional punch to get audiences to see how deep your ideas actually are.   [I sent the audio MP3 but here’s the whole video: www.youtube.com/watch?v=p_sDwUFQkt4]   And the healing has to go ‘way far deep to tune up some of us who have seriously jangled cells.

I’ve sung and conducted operatic music for 25 years; Mozart, Bach, Beethoven.  Not your average rocker.   So this  train of events is pretty unusual, which also kinda proves your case. Here’s what happened:

Today I was feeling some fear and anger triggered by a friend who occasionally flips out and disconnects emotionally when the holidays approach (a rough emotional time for us all).  I began to dissociate a bit from the disconnect, and boy do I hate that frozen feeling; the pain is terrible.

Suddenly the attached recording by P!nk popped up on my MP3 player earphones while I was doing a chore.

Within five seconds I had pretty much involuntarily dropped everything and found myself dancing violently around the condo – and I do mean violently.  I had to take off my socks since without skin traction against the carpet I’d have slipped and broken my neck.  I was dancing that hard.  I was banging my hands against the walls at certainly points.  My body also went into the usual full-body infant sobbing, just thrashing away.

Then it hit me: as usual, the real problem wasn’t with “the person in my present” at all.  My real problem was that my present experience of emotional disconnect, had brought up “the pain from my past.”  There was actually deeply buried grief coming up, from the way my husband of 27 years, and before him, my mother, used to disconnect as a way of life – repeatedly and continuously disconnecting and pushing me away emotionally over decades.

The present-day incident was only a trigger, and an opportunity.  I’ve learned to use “incidents in my present” as a “pull-tag” – to pull up the more important buried pain from my past and grieve that in order to get rid of it!  So I did.

Just thump and bang

The first thing according to your formula, was to just thump around a lot dancing.  My body more or less did that without asking me. This P!nk song is a great example; it has intense patterned, very reliably repetitive, highly rhythmical activity.  To be blunt: it bangs.   Think “native drum circle.”  My brain stem says: “I feel angry –  ok, I can bang!”

You’re right: it’s important for the brain stem that the body be able to simply bang – over and over and over.  For me, and I’d bet a lot of folks, it’s a form of “infant protest” against the developmental trauma of being disconnected.

Second, we need “love and acceptance” (limbic brain) when we come out of the closet and just simply bang.  We need to bang, protest, beat the drums in a social (limbic) context.  As you’ve noted, that’s why native cultures do drum circles all over the world.  That’s why Vietnam vets do drum circles on beaches all over California.

Third, the words (thinking brain) are very intense and “relevant” –  and you keep emphasizing, “It’s got to be relevant” to the trauma at hand.

The song is a duet between P!nk (soprano) and Nate Ruess  (tenor). The soprano is paranoid that the tenor doesn’t love her anymore, he’s talking in his sleep, he must have someone else.  Her words are all about the trauma of emotional disconnect – which often gets us caught in arguments fatal to relationships.

But the tenor doesn’t get caught. Instead, he responds: “You’ve been having real bad dreams” (no doubt due to her childhood trauma), but “your head is running wild again, my dear, we still have everything!”  I’m here for you now and I really do love you.  “I’ll fix it for us – our love’s enough,” he sings.  He’s saying he loves her enough to put in real work on it, our love is that important.

Mis-Attune – Repair

AllanSchore-57246_222x180I was completely overwhelmed by the feeling the tenor models of REPAIR.  “My God, he loves her enough to do REPAIR,” I kept thinking, as if witnessing some impossible miracle which had never before occurred on planet Earth.

Attachment Theory leader Dr. Allan Schore (above) writes about “attune – mis-attune – repair.” That means learning that getting out of tune with another is not the end of the world, as we in trauma often experience it to be in childhood.  Gosh I certainly had!  But Schore says that instead, getting out of tune, if handled well, can be a temporary and very useful learning experience.

When we get out of tune, instead of slamming the door on each other, we can learn to take it as a signal that we both need a time out.  We can learn to sit down, take deep breaths, get back in touch with ourselves  – and then talk it out in a collaborative way.  We can express our fear and hurt and anger in reasoned words, only – instead of acting out with doors or verbal abuse.  After we each feel that we’ve been seen and heard, we’ll often feel better.  Doing this we also get to know each other better, so we grow closer for the whole experience.  Tricky but potentially invaluable.

The more I brought the word “repair” into consciousness – the harder my legs and arms wanted to bang on the floor and the walls, stretching out to the four corners of the globe. And then I knew it wasn’t even about my 27-year marriage coming up. My body was telling me it went a whole lot deeper.

Repair, was what my mother never could do.  If anything went wrong, if anything didn’t go so as to satisfy her (which was pretty difficult) – she would fly off the handle and disconnect.  The cold shoulder often went on for weeks at a time, why not?  She was mad.

Repair?  “Repair?  ‘Let’s make up? ‘  Are you out of your mind?”  I can hear mom saying.  I had sinned terribly somehow and it was out of the question for her to talk to me or look at me nicely; I didn’t deserve it.

The very concept of repair, the idea that human beings ever did any such thing, in fact, had never crossed my mind as a possibility in human relations – until I read about it in Allan Schore in 2011.

So yeah, “He loves her enough to do REPAIR!” was enough to make me barf up, process, and release some really deep grief. Like from kindergarten.  Like about my Mom, not anyone in my present.

Afterward, as usual when I can manage to feel the childhood pain, bang it out and be done with it, I felt absolutely fantastic.  That’s what music can do with patterned, repetitive, rhythmical activity.

The Back Story

Kathy in Zion Market 9-23-15 812404440_2874571766_0Also fun is the “back story” as to how this “rock bit” got onto my MP3 player.

About six months ago, shortly after I heard your March 8 UCLA talk, I was out food shopping.  Suddenly this P!nk duet came blasting out of the grocery store sound system; it seemed everyone knew it but me. I’d never heard it before – I had no idea what in heck it was.

But suddenly  I was dancing around the Korean vegetable store, stomping my feet and raising my arms to the ceiling in a peal of pure unadulterated joy –  much to my own shock and to the surprise and delight of the onlooking shoppers (Koreans adore music).  And I’m a pretty good dancer, which figures.  I guess that’s why so many abused women end up becoming dancers of some sort, ballet or pole.  Check out ballerina Gelsey Kirkland’s book  “Dancing on My Grave.”  No Polish jokes, please, I’m Polish.

So yeah, we get release when we do “patterned, repeated, rhythmical activity” – at the oddest times.  Then the creativity flows.  Later I downloaded the audio of the P!ink duet and filed it away on my MP3 player, where it popped up conveniently six months later as the subject of this letter.

Using music in your presentations?  I wonder how many of your clinical audiences have ever had a personal experience of this?  Could have a massive impact.  So if you ever want a musical trauma consultant, I’m your gal.

You rock, Doc!

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Kathy’s news blogs expand on her book DON’T TRY THIS AT HOME:  The Silent Epidemic of Attachment DisorderHow I accidentally regressed myself back to infancy and healed it all.”  Watch for the continuing series each Friday, as she explores her journey of recovery by learning the hard way about Attachment Disorder in adults, adult Attachment Theory, and the Adult Attachment Interview.

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