+REVISIONS FOR THE ‘MENTAL HEALTH BIBLE’ – DO YOU HAVE SOMETHING TO SAY?

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When a consumer seeks help from a ‘mental health’ professional they seldom think first about the credibility of the ‘mental health’ professional system itself.  Yet this powerful system is not infallible.   As of February 10, 2010 the American Psychiatric Association (APA) has a website up and running for the public to make comments  and suggestions during the revision of the very ‘bible’ that is used to ‘diagnose’ everyone who seeks ‘mental health’ assistance.  If we have something to say, NOW is the time to do so.

From what I can tell the following links only work for dues-paying members of the American Psychiatric Association (APA), which few of us are!  So please use the comment suggestion categories presented here and either send them snail mail or email to:

American Psychiatric Association
1000 Wilson Boulevard, Suite 1825, Arlington, Va. 22209-3901
phone: 703-907-7300 email: apa@psych.org

REMEMBER:  Surviving severe infant-child trauma, maltreatment and abuse — which created alterations in our young developing body-brain — is the single most likely experience to lead to a ‘mental health’ diagnosis!  What appears in the Big Bible Book of the APA matters to us!

Suggestions/comments have been categorized into one of five types. Please select the type that best fits your suggestion or comment:

  • Submit comments that serve to alert us about problems, limitations, or shortcomings with DSM-IV-TR (without specific suggestions about how to fix them). Miscellaneous comments that do not fit into the other categories go here as well.
  • Submit suggestions for specific changes to diagnostic criteria or diagnostic class groupings.
  • Submit suggestions for a new subtype to be added to an existing disorder.
  • Submit suggestions for a new disorder to be considered for addition to DSM-V.
  • Submit suggestions for deletion of an existing disorder.

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SEE:   psychdiagnosis.net for more information about this subject, including stories about a variety of kinds of harm caused directly by psychiatric diagnosis and six different solutions to problems of diagnosis.

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I am presenting a paper about the revision process currently under way for the American Psychiatric Association’s (APA) Diagnostic and Statistical Manual of Mental Disorders (DSM-V), sometimes known as “the therapist’s Bible,” that was recently included in a post by a member of an online group I joined.  The revision of this manual is slated for publication for 2013.

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WEBSITE: THE ASSOCIATION FOR WOMEN IN PSYCHOLOGY

Psychiatric Diagnosis: Too Little Science, Too Many Conflicts of Interest [i]

BY: Paula J. Caplan, Ph.D.
Harvard University

The Concerns

There is a lot of pain and suffering in the world, and it is tempting to believe that the mental health community knows how to help.  It is widely believed, both by mental health professionals and the general population, that if only a person gets the right psychiatric diagnosis, the therapist will know what kind of measures will be the most helpful. Unfortunately, that is not usually the case, and getting a psychiatric diagnosis can often create more problems than it solves, including a lifetime of being labeled, difficulties with obtaining affordable (or any) health insurance (due to now having a pre-existing condition), loss of employment, loss of child custody, the overlooking of physical illnesses and injuries because of everything being attributed to psychological factors, and the loss of the right to make decisions about one’s medical and legal affairs. The creation and use of psychiatric diagnosis, unlike, for instance, psychiatric drugs, is not overseen by any regulatory body, and rarely does anyone raise the question of what role the assignment of a psychiatric label has played in creating problems for individuals. [ii]

The Problematic History

Contrary to popular belief, the enterprise of psychiatric diagnosis is largely unscientific and highly subjective (Caplan, 1995; Caplan & Cosgrove, 2004). Therapists often disagree about which label to assign to a given patient, and there is perhaps surprisingly little definitive research to prove that, “A person with diagnosis X will benefit from and not be harmed by treatment Y.”

These serious limitations have not prevented the authors of the American Psychiatric Association’s (APA) Diagnostic and Statistical Manual of Mental Disorders (DSM), sometimes known as “the therapist’s Bible,” from making expansive claims about their knowledge and authority and wielding enormous power to decide who will and will not be called mentally ill and what the varieties of alleged mental illness will be. The DSM’s current edition is called DSM-IV-TR, and it was preceded by the original DSM (in 1952), then DSM-II (1968), DSM-III (1980), DSM-III-R (Third Edition Revised) (1987), DSM-IV (1994), and DSM-IV-TR (2000). The DSM-V is currently in preparation and slated for 2013 publication.  Each time a new edition appears, the media ask whichever psychiatrist is the lead editor why a new edition was necessary, and like clockwork, each editor replies that it was because the previous edition really wasn’t scientific (Caplan, 1995).  And each time a new edition appears, it contains many more categories than does the previous one.  For instance, DSM-III-R contained 297 categories, and DSM-IV contained 374 (Caplan, 1995).

I served as an advisor to two of the DSM-IV committees, before resigning due to serious concerns after witnessing how fast and loose they play with the scientific research related to diagnosis (Caplan, 1995).  The DSM is widely used, not only in the mental health system, but also in general medical practice, in schools, and in the courts.  I have been involved since 1985 in trying to alert both therapists and the public to the manual’s unscientific nature and the dangers that believing in its objectivity poses.  Since then, I have watched with interest a national trend toward gradually increasing openness to the idea that psychiatric diagnosis (A) is largely unscientific, (B) is highly subjective and political, and (C) can cause untold harm, ranging from the patients’ lowered self-confidence to loss of custody of children to loss of health insurance (because any psychiatric label can be considered evidence of a pre-existing condition) to loss of the right to make decisions about their medical and legal affairs.

What many do not consider is that psychiatric diagnosis is at the foundation of much of the harm that is done in the mental health system.  Without assigning a diagnosis, a therapist is not supposed to choose what treatments to use or even whether or not to suggest treatment.  And rarely are patients prescribed psychotropic drugs or told they need psychotherapy unless they get a psychiatric label.  This is not to say that psychotherapy and medication is never helpful for anyone but simply that the first step toward the harm that sometimes results from these is assignment of a diagnosis.  Furthermore, increasingly people have learned about the connections between drug companies’ concealment of the harm their products can cause and some professionals’ pushing of particular drugs while being paid well by the drug companies.  It has been well documented that some of the professionals who help write the DSM are on drug companies’ payrolls (Cosgrove, Krimsky, Vijayraghavan, & Schneider, 2006).

Coming Up Next: DSM-V and Secrecy

With the next edition of the DSM in preparation, and perhaps due to increasing scrutiny and questioning of the process of creating psychiatric categories and an increasing public awareness of the harm that results from their use, the current DSM team has tried to envelop the process of compiling the next edition in a shroud of secrecy (Frances & Spitzer, 2009).  Interestingly, the editors of the current and previous editions, Allen Frances and Robert Spitzer, respectively, in a letter to the APA’s Board of Governors described the DSM-V process as characterized by a “rigid fortress mentality” that included asking that those compiling the new edition to sign a statement agreeing to keep confidential the deliberations about it (Frances & Spitzer, 2009).  This seems a curious requirement for a group that has often claimed that it bases its decisions strictly on scientific evidence.

In addition to this secrecy, as I learned when asked by Ms. magazine in 2008 to write an article about the future of the category “Premenstrual Dysphoric Disorder” in the DSM-V, those joining DSM-V committees have been told that they must divest themselves of most drug company connections.   However, it turns out that this divestment is only temporary, and connections can resume once work on the DSM is finished.  Furthermore, as one DSM-V committee chair told me in a telephone interview, this requirement delayed the process of committee formation substantially, because it was difficult to find enough people who were willing to go through with the divestment (Fawcett, personal communication) .

Some Problems Already Identified in DSM-V Plans

In keeping with the tradition of DSM editors claiming that, in contrast to previous editions, their edition will be scientific, a proposal apparently receiving serious consideration is the creation of an entirely new system of organizing categories within the DSM-V (Frances & Spitzer, 2009), yet this proposed system is riddled with problems and does not even appear to be a particularly useful – not to mention valid – system for helping people with emotional problems.

In addition, despite the secrecy surrounding the process, additional alarming information about what committee members are considering has already appeared.  For instance, a committee was appointed to consider whether “racism” should appear in the DSM-V, a step that would disguise a social evil by making it seem “merely” an individual problem, a mental illness.   One danger of such a diagnostic category is that people who commit hate crimes would blame their crimes on alleged mental illnesses and thus avoid criminal punishment (Profit, 2004).  This is similar to the category of “rapism,” which was proposed for DSM-III-R and which feminists successfully battled (Caplan, 1995).

In a different realm altogether, one prominent DSM author has proposed that “relational disorder” be added to the manual (Caplan & Profit, 2004). “Relational disorder” would be applied to a couple, neither of whom individually might be considered mentally ill but whose relationship would be considered sick.  One of the category’s inventors has suggested that this would provide a terrific opportunity to try out psychotropic drugs. But there are serious ethical problems involved in prescribing drugs to treat people who are not individually diagnosed as mentally ill. It is revealing to picture this scene:   Two people sit in a psychiatrist’ s office; neither of them is considered mentally ill, though their relationship is; the psychiatrist removes a pill from its bottle…where does the psychiatrist put the pill?   Clearly, the ethics, absurdities, and dangers of DSM-V proposals must see daylight and be thoroughly debated as soon as possible.

This Website

Even during the preparation of past editions of the manual, changes have been rapidly and often surprisingly made by various DSM subgroups and by those at the top of the hierarchy.   For this reason, it would be almost impossible to write a book about concerns related to the DSM-V process.   As a result, sponsored and supported by the Association for Women in Psychology (AWP), which has long had as a primary social action objective the understanding of psychiatric diagnosis and prevention of harm that results from it, a task force of academics and clinicians has produced the articles on this website.   Most of the articles are about particular diagnostic categories, some are about particular “isms” such as sexism, classism, and racism, and many involve elements of more than one of these.   This website is a grassroots project of AWP, and due to limitations of time and personnel, we have only attempted to critique some (though a wide variety) of the 374 different diagnostic categories listed in the current DSM and some that are being considered for inclusion.   Furthermore, the secrecy surrounding the DSM-V process makes it impossible to know much the new categories being proposed.  So with this website, we offer a sampling of the kinds of problems and concerns that we want to urge professionals and the public alike to watch for as the DSM-V steamroller moves on.  In fact, several of the categories addressed on this site have been proposed in major mental health journals and books as DSM-V diagnoses. Unfortunately, many changes in past editions have been made at the last minute and without the public’s knowledge, so that serious problems have become widely known only after the editions were published; those problems have persisted for many years. Indeed, in the case of the widely publicized claim in the early 1970s that “homosexuality” was being removed from the next edition of the manual – a claim that is still generally believed to be true – it emerged that “ego-dystonic homosexuality” actually remained in the next edition after all (Metcalfe & Caplan, 2004).[1] Situations like this make it difficult to think how to protect the public and how to educate the public and professionals about ways to stop the DSM-V authors from causing harm. We hope that this website will provide some resistance to the DSM-V steamroller.

References

Caplan, P. J. (1995). They say you’re crazy: How the world’s most powerful psychiatrists decide who’s normal. Reading, MA: Addison-Wesley.

Caplan, P. J., & Cosgrove, L. (2004). Bias in psychiatric diagnosis. Lanham, MD: Rowman and Littlefield.

Caplan, P.J., & Profit, W.E. (2004). Some future contenders. In P. J. Caplan & L. Cosgrove (Eds.), Bias in psychiatric diagnosis (pp.249-54). Lanham, MD: Rowman & Littlefield.

Cosgrove, L., Krimsky, S., Vijayraghavan, M. & Schneider, L.  (2006). Financial ties between DSM-IV panel members and the pharmaceutical industry. Psychotherapy and Psychosomatics, 75, 154-160.

Fawcett, J. Personal communication.

Metcalfe, W.R., & Caplan, P. J. (2004). Seeking “normal” sexuality on a complex matrix. ”? In P. J. Caplan & L. Cosgrove (Eds.), Bias in psychiatric diagnosis (pp.121-6). Lanham, MD: Rowman & Littlefield.

Profit, W.E. (2004). Should racism be classified as a mental illness? In In P. J. Caplan & L. Cosgrove (Eds.), Bias in psychiatric diagnosis (pp.81-8). Lanham, MD: Rowman & Littlefield.

[1] The category “Ego Dystonic Homosexuality” appeared in the manual, thus leading to the labeling as mentally ill many people who were not thoroughly comfortable and happy with being homosexual. The fact that in a homophobic society, the lack of total comfort with being homosexual should hardly be construed as proof of mental illness was not acknowledged. Even today, although the words “homosexual,” “lesbian,” “gay,” and “bisexual” do not appear as diagnostic categories in the manual, the category “Sexual Perversion Not Otherwise Specified” does appear, and that is so broadly defined that it could certainly be applied to anyone who is not heterosexual, as long as their particular therapist decides that their sexual orientation is a perversion.

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SEE:   psychdiagnosis.net for more information about this subject, including stories about a variety of kinds of harm caused directly by psychiatric diagnosis and six different solutions to problems of diagnosis.

[ii] The Association for Women in Psychology, the Society for Menstrual Cycle Research, and the National Women’s Health Network, sponsored by Congresswoman Louise Slaughter and cosponsored by many other organizations, held a Congressional briefing about some of these concerns, and a second briefing was held by the author of this paper (Caplan, Paula J. (2002). You, Too, Can Hold a Congressional Briefing: The SMCR Goes to Washington About “Premenstrual Dysphoric Disorder” and Sarafem. The Society for Menstrual Cycle Research Newsletter, Summer, 1-5. Reprinted in Women’s Health: Readings on Social, Economic, and Political Issues. Fourth Edition. Nancy Worcester & Mariamne Whatley (Eds.). Kendall-Hunt: Dubuque, IA, pp.246-9.) However, no Congressional action to propose hearings or legislation about psychiatric diagnosis has yet resulted from these briefings.

http://awpsych. org/index. php?option= com_content&view=article&id=102&Itemid=126

Bias in Psychiatric Diagnosis: Concerns about DSM-V


Mission:
To provide information for people (including but not limited to professionals and journalists) about biases and other problems in psychiatric diagnosis, an especially important goal in light of the American Psychiatric Association’ s preparation for the 2013 publication of the next edition of the psychiatric diagnostic manual.

NEWS FLASH
1.[i] see psychdiagnosis.net for more information about this subject, including stories about a variety of kinds of harm caused directly by psychiatric diagnosis and six different solutions to problems of diagnosis.

2. Click Here for an important article in New Scientist about problems in the preparation for DSM-V

3. Click here to go to a website that is presented as allowing anyone who wants to make suggestions about DSM-V to do so.

Note:  AWP’s Committee on Bias in Psychiatric Diagnosis does not know what plans may have been made by the DSM-V authors to consider these suggestions.

4. Call for papers for a special issue of Social Science and Medicine, Sociology of Diagnosis

5. PSYCHOUT – A conference for organizing Resistance against Psychiatry – Call for submissions

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Given even the physiological developmental changes that happened to our body-brain as a result of having to adapt to severe traumas in our early infant-childhood, the following is still the very best ‘advise’ we can probably ever follow.  Our new power, our increased self-respect, and our advanced experience are tied into learning — for the first time in our lives — what these developmental body-brain changes are, how they actually happened, how they affect us, and how we can still work to vastly improve our well-being in our life time.

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“Be not the slave of your own past. Plunge into the sublime seas, dive deep and swim far, so you shall come back with self-respect, with new power, with an advanced experience that shall explain and overlook the old.”

Ralph Waldo Emerson

US essayist & poet (1803 – 1882)
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+OUR STRESS RESPONSE IS WHAT WE PASS DOWN TO OUR KIDS

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It is not so much the nature of any particular trauma or stress that we experience in life that matters most; it is how well equipped we are with both the inner and outer resources to respond to them.  It is our response patterns that most affect our children.  It is our response patterns that we pass down to them.

The vagal nerve is directly tied both to our stress response system and to our ability to act with compassionate caregiving.  I believe that it is our response to trauma and stress in relation to how compassionately we can take care of our children that matters most to them during their early growth and developmental stages.

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How can this fact (as presented in my last post) not be of central concern to everyone living in America?

44 percent of American children — that’s nearly half of all children in the U.S. — live in families that face serious struggles to make ends meet.”

Poverty is a stressor that affects not just the adults caring for this 44% of our nation’s children, but also impacts each and every one of the children in some way.  How do we care for ourselves and others when our stress response system is itself overly and chronically stressed?

Poverty is not a single problem that can be dissociated from the ever expanding circles of society that create both the poverty conditions and the solutions for these conditions.  My concern with the vagal nerve system and its connection to the capacity to care-give compassionately or not lead me to finding the information I am presenting today.  Parents still have to take care of their children no matter what lack they may be experiencing in their external resources.  Yet it is the actual condition of a parent’s body and brain that influences how all of their caregiving actions take place in every situation – stressful or not.

If parents experienced severe stress and trauma during their own early developmental stages, their stress response system has most likely changed in response.  This altered stress response system is the only one they have available in their body-brain to use for the rest of their lifetime.  Because how the stress response system operates is directly connected to the vagal nerve system, and because parental interactions with their children directly influence the development of their little one’s stress response-vagal nerve system, these stress responses can easily be automatically passed on down the generations – often along with poverty.

Even though the current economy is creating an ever widening circle of financial stress on families in our nation, it is the response TO THE STRESSORS that are perhaps more significant in the long run than are the actual experiences of lack of financial well-being themselves.  The more we can all understand how our body-brain handles stress, anxiety and trauma the more empowered we can be to intercept automatic responses to children in our lives that will harm their body-brain development in ways that will create physiological lack of well-being for their lifespan – no matter what their financial conditions end up to be.

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Two important words that emerged for me today as I read this information presented below are ‘inspiration’ and ‘expiration’.  True, this article is talking about our breathing and our heart rate.  But it is more than that.  The more flexible we can be in every single way the more ‘inspiration’ we can experience in our lives that will counteract the hardships we encounter.  Stress responses in our body, through the operation of our vagal nerve system, happen in response to threats to our actual life as well as to threats against our self esteem (and to our actual ‘self’).

Mindful consciousness over our stress response actions empowers us.  Becoming mindfully conscious of how we are in-the-moment allowing our own stress responses to affect our children MATTERS to their physiological development.  Once we begin to more fully understand that our stress response system IS THE SAME SYSTEM that operates in connection to our breathing and heart rate, through our vagal nerve, that is ALSO  OUR COMPASSIONATE CAREGIVING SYSTEM we can learn to take every possible precaution not to pass the stress onto our children through the way we directly offer caregiving to them.

Yes, children need the most basic physical necessities of life, but it is most likely to be the way caregivers respond to children on the personal level of interactions with them that is most likely to cause our children permanent growth and development harm if we aren’t care-full – not poverty or other external factors.

The way parents experience and handle stress is directly passed down to their offspring.  These patterns are built right into the developing body-brain of infant-children and will have profound affect on how these children will handle stress and regulate their emotions and social interactions themselves for the rest of their lives.  It is from this perspective that I present the following information today on the vagal nerve system and the stress response.

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What is Vagal Tone?

The parasympathetic nervous system influences the tonic or resting heart beat by means of signals from the tenth cranial nerve, the Vagus nerve.  In the resting or baseline state the heart rate will fluctuate with the breathing cycle; inspiration is accompanied by heart rate elevation and expiration is accompanied by heart rate depression….  [in the example given at this LINK page 69] you will see an example of this phenomenon.  The top tracing is the heart beat, the middle tracing is the respiratory cycle (up for inspiration, down for expiration), and the bottom tracing is the heart rate from the ratemeter.  Notice the coincident rise and fall of heart rate with each respiratory cycle.  This event is termed the respiratory sinus arrhythmia or RSA.  The extent of the RSA is a rough measure of Vagal control over the resting heart beat, referred to as Vagal tone.  The size of the RSA (degree of variability of the heart rate for each respiratory cycle) is what is determined by the Vagus nerve.  When the heart rate varies considerably for each respiratory cycle, then we say there is good or high Vagal tone.  When the heart rate is relatively steady with low variability for the respiratory cycle, we say there is poor or low Vagal tone.  In general Vagal control over the heart rate lessens during stressful experiences when sympathetic activity is heightened, thus allowing the heart rate to rise to meet the challenge.” (page 68)

Personality and Vagal Tone

Vagal tone has been related to temperament (the innate building blocks of personality) and stress vulnerability in children.  Children who show behavioral inhibition in novel situations (somewhat comparable to shyness) have low Vagal tone as evidenced by higher and less variable resting heart rates.  Preschoolers who fail to show emotional expression also have low Vagal tone and are vulnerable to later depression and anxiety. [my note:  These children may well be exhibiting early manifestations of insecure attachment disorders.]  There is also evidence that adults who are extremely shy or behaviorally inhibited have higher and less variable resting heart rates.  Also adults with high Vagal tone may have lower blood pressure responses to stress, making them less vulnerable to hypertension and coronary heart disease.  Interestingly, adults with high Vagal tone are more susceptible to hypnosis.  [my note:  And high Vagal tone ‘superstars’, as Keltner notes, show more compassionate, caring response to others.]  The exact relationship between the autonomic nervous system’s regulation of physiological responses and personality is unknown, but many hypothesize that the innate sensitivity and reactivity of the nervous system may be the fundamental mechanism for biasing personality development and expression.”  (page 69) [my note:  bolding is mine — and this sensitivity and reactivity of the nervous system and brain are directly influenced in development by the nature of early infant-child interactions.]

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Because a person’s resting and responsive Vagal nerve system is tied to overall degrees of well-being in the world, it is helpful to understand how this system operates on both the physiological and ‘psychological’ level.

Heart Rate

Heart rate is the number of beats per minute of the heart (BPM) and it is determined by factors intrinsic to the heart as well as regulatory pathways from the brain and hormonal signals for the adrenal glands.  Once again, when the brain is involved, psychological states may show themselves in the peripheral response [my note:  in the body.]

The obvious purpose of the heart beat is to move blood around the body.  The rate of the heart beat is one factor which influences cardiac output and the volume and speed of delivery of the blood to body cells.  Clearly, there are times when the blood needs to reach those cells more or less quickly.  Exercise, responding to stressors, and even just standing up may create greater cellular needs for oxygen and blood nutrients (mainly glucose).  Relaxation, sleeping and other vegetative states generally create a reduced cellular need.  Sensors in the brain stem and hypothalamus provide feedback regulation of the heart rate to meet the demands of body cells.  Responding to stressors involves the activation of higher limbic system structures [my note:  Remember, this region of the brain forms early and is hypersensitive in its formation to the conditions of the earliest environment, especially ‘good’ and ‘bad’ signals sent to the infant from its earliest caregiver interactions.] such as the amygdala and hypothalamus, which then send signals via the autonomic nervous system to increase (or decrease) the heart rate.  Neurotransmitter signals from the sympathetic branch [“GO” branch] (norepinephrine) increase the heart rate (by binding to beta 1-adrenergic receptors), while neurotransmitter signals from the parasympathetic branch [“STOP” branch] decrease the heart rate (by binding to muscarinic cholinergic receptors).

There are individual differences in the resting heart rate which are related to genetics [my note:  Which includes environmental influences over the mechanisms that tell our genetic code what to do, and epigenetics], gender (females generally have faster heart rates than males), and to physical condition (state of health as well as fitness).  Also, there are individual differences in the size (and sometimes the direction) of the adaptive changes which take place to environmental events.  Some of these differences are related to personality, psychological state, and perhaps fitness as well.”  (pages 65-66)

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All of the factors that affect our well-being are influenced in early development of the body-brain by the condition of an infant-child’s environment, particularly by early caregiver interactions.  This includes the operation of our nervous systems – including our autonomic nervous system.

Please read the following keep in mind how a very young developing body-brain can be altered in response to stress and trauma so that the adult operation of the stress response system is altered for a life time.  Also keep in mind that it is the mother’s ability to reflectively and appropriately modulate her own emotions as she interacts with her young infant that builds (or does not build) emotional regulational abilities into her infant’s early forming right limbic brain and autonomic nervous system.  (Here again, too much over stimulation, even too much ‘happiness’ stimulation can overtax and overload an infant’s developing body-brain regulatory abilities.)

Also note in the writings below the introduction of dissociation – which is a body-brain reaction that involves both the body and the brain equally on occasions where it occurs in connection to stress triggers including anxiety.

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Psychological States and Cardiovascular Responses

Cardiovascular responses have been studied most often in the context of arousal and emotional states.  The stress response (fight or flight) is a physiologically adaptive set of bodily changes in the presence of a life threat or a threat to one’s self worth.  In general, activity of the sympathetic nervous system is enhanced, bringing about elevations in heart rate and blood pressure necessary to deal with the perceived threat.  These responses are adaptive in the short and generally improve human performances which require speed, strength, and endurance.  Human performance which requires fine motor skills or complex cognitive processes is generally affected in a curvilinear fashion;  performance is enhanced with moderate or optimal levels of the stress response, but hindered with high levels of the stress response (as anyone who plays the piano knows).

Studies have shown that anxiety, frustration, anger, fear, anticipation of pain and other negative emotional states can bring about elevations in heart rate and/or blood pressure.  Positive emotional states of excitement, joy, and interest can also bring about elevated cardiovascular responses.  There are, however, individual differences in the nature and the extent of cardiovascular responses in emotional states.  [my note:  Think about early developmental changes along with what this author writes about next.]  Some of these differences stem from the nature of the individual personality (for example cynicism and hostility…) and some stem from the nature of the environmental demands.  Complicating the picture is the fact that heart rate and blood pressure may disassociate in response to environmental events.  [my note:  bolding is mine.]  Research has supported the idea that tasks which require environmental intake or monitoring, cause heart rate lowering (blood pressure may rise or remain unchanged), while tasks which require environmental rejection (events which are aversive or bring about escape motivations) result in heart rate and blood pressure elevations.  [my note:  As can be seen in the research on Borderline Personality Disorder and their vagal nerve response.]  Similarly, it has been shown that tasks which tend to produce anxiety and self-focus (for example giving a speech if you have presentation anxiety) tend to elevate heart rate and blood pressure, while tasks which tend to produce anxiety and environmental-focus (for example listening to a lecture that you will be tested on later) tend to reduce heart rate while blood pressure may elevate or remain unchanged.”  (pages 67-68)

From:  Chapter 5,  Experiment HP-5:  Heart Rate, Blood Pressure, and Vagal Tone

READ WHOLE ARTICLE INCLUDING THE EXPERIMENT AT THIS LINK:

Human Pyschophysiology HP-5-1 (through page 14) – no author or further reference information given —

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References on Personality and Vagal Tone (even though older research, still presents excellent background information)

Cole, P.M., Zahn-Waxler, C., Fox, N.A., Usher, B.A., & Welsh, J. D. (1996).  Individual Differences in Emotion Regulation and Behavior Problems in Preschool children.  Journal of Abnormal Psychology, 105(4), 518-529.

Eisenberg, N., Fabes, R.A., Karbon, M., Murphy, B.C., Carlo, G., & Wosinski, M. (1996).  Relations of School Children and Comforting Behavior to Empathy-related Reactions and Shyness.  Social Development, 5(3), 300-351,

Jemerin, J.M. & Boyce, W.T. (a990).  Psychobiological Differences in Childhood Stress Response.  II.  Cardiovascular Markers of Vulnerability.  Journal of Developmental Behavioral Pediatrics, 11(3), 140-150.

Jemerin, J.M. & Boyce, W.T. (a990).  Psychobiological Differences in Childhood Stress Response.  II.  Cardiovascular Markers of Vulnerability.  Journal of Developmental Behavioral Pediatrics, 11(3), 140-150.

Porges, S.W. (1992).  Vagal tone:  A Physiological Marker of Stress Vulnerability.  Pediatrics, 90(3), 498-504.

Thayer, J.F., Friedman, B.H. & Borkovec, T.D. (1996).  Autonomic Characteristics of Generalized Anxiety Disorder and Worry.  Biological Psychiatry, 39(4), 255-266.

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+WHEN LIFE IS HARD AND THE POOR GET POORER

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“Poverty is the single best predictor of child abuse and neglect.”

44 percent of American children — that’s nearly half of all children in the U.S. — live in families that face serious struggles to make ends meet.”

FROM:

Prevent Child Abuse New York Blog


Almost Half of American Children Live in Families that Struggle to Make Ends Meet

Posted: 10 Feb 2010

Basic Facts about Low-Income Children, a new fact sheet from the National Center for Children and Poverty (NCCP), tells a disturbing story.   44 percent of American children — that’s nearly half of all children in the U.S. — live in families that face serious struggles to make ends meet.   Parental employment, parental education, family structure and other variables each play an important role in predicting the likelihood that a child will endure economic hardship.

The very youngest children— infants and toddlers under age three — are particularly vulnerable with 44 percent living in low-income and 22 percent living in poor families.

Families are considered “poor” when they live below the federal poverty level, defined in 2009 as $22,050 for a family of four, $18,310 for a family of three, and $14,570 for a family of two.   Research suggests that, on average, families need an income equal to about two times the federal poverty level to meet their most basic needs.   Families with incomes below this level are referred to as low income: $44,100 for a family of four, $36,620 for a family of three, $29,140 for a family of two.

The fact sheet breaks down facts and figures about children facing economic hardship into four additional age groups: under 6, ages 6-11, ages 12-17, and under age 18.   It also describes the demographic, socio-economic, and geographic characteristics of children and their parents, highlighting the important factors that appear to distinguish low-income and poor children from their less disadvantaged counterparts.

A PDF of the fact sheet is available here

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America’s economic pain brings hunger pangs

By Amy Goldstein

Washington Post Staff Writer
Tuesday, November 17, 2009

The nation’s economic crisis has catapulted the number of Americans who lack enough food to the highest level since the government has been keeping track, according to a new federal report, which shows that nearly 50 million people — including almost one child in four — struggled last year to get enough to eat.

The magnitude of the increase in food shortages — and, in some cases, outright hunger — identified in the report startled even the nation’s leading anti-poverty advocates, who have grown accustomed to longer lines lately at food banks and soup kitchens. The findings also intensify pressure on the White House to fulfill a pledge to stamp out childhood hunger made by President Obama, who called the report “unsettling.”

The data show that dependable access to adequate food has especially deteriorated among families with children. In 2008, nearly 17 million children, or 22.5 percent, lived in households in which food at times was scarce — 4 million children more than the year before. And the number of youngsters who sometimes were outright hungry rose from nearly 700,000 to almost 1.1 million.  READ FULL ARTICLE HERE

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AMERICAN HUMANE WEBSITE — Protecting Children and Animals Since 1877

Reports:

“Every day in America, approximately 2,463 children are determined to be victims of abuse or neglect (USDHHS, 2007).”

“An estimated 3.3 to 10 million children a year are at risk of witnessing domestic violence, which can produce a range of emotional, psychological or behavioral problems for children. Children who are exposed to domestic violence are at a greater risk of being abused or neglected themselves (CDF, 2005).”

Poverty and Homelessness are Pervasive Problems Among America’s Children

  • Poverty is the single best predictor of child abuse and neglect. Children who live in families with an annual income less than $15,000 are 22 times more likely to be abused or neglected than children living in families with an annual income of $30,000 or more. Abused and neglected children are 1.5 to 6 times as likely to be delinquent and 1.25 to 3 times as likely to be arrested as an adult (CDF, 2005).
  • After falling for seven consecutive years during the 1990s, the number of children living in poverty rose for four years in a row to 13 million in 2004; in all, 37 million Americans live below the poverty line. Child poverty has increased by over 1.4 million children since 2000, accounting for more than a quarter of the 5.4 million people overall who have fallen into poverty. More than one out of every six American children were poor in 2004 (CDF, 2005).
  • For every five children who have fallen into poverty since 2000, more than three fell into “extreme poverty,” a term describing families living at less than one-half of the poverty level. This means that these families had to get by on less than $7,412 a year, or $20 a day (CDF, 2005).
  • In 2004, 13.9 million children under age 18 (19 percent of all children) lived in “food-insecure” households (CHP, 2004).
  • Children make up nearly 40 percent of all emergency food clients (CHP, 2004).
  • Families are the fastest growing segment of the homeless population, now accounting for 40 percent of the nation’s homeless (CDF, 2005).

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Poverty – Limits Options When Abuse Exists (and skews abuse statistics)

“While on the surface, it may appear that low levels of income go hand-in-hand with higher levels of domestic violence, one must keep in mind that available income has significant weight on the options available to victims. While a low-income mother with three small infants might appear on statistical reports when getting a restraining order, when entering a domestic violence shelter, or when applying for TANF services due to family violence, the white collar mother with two in college might flee to a hotel for a few weeks, file for divorce, and move back to the city where the bulk of her family resides. In these scenarios, the low-income victim shows up all over the place in various statistical reports (from the court, from the shelter, and from the social services agency) while the white collar victim only shows up on a hotel register, on a civil court docket for divorce, and in the records of the local moving business. In other words, violence against her and/or her children, while every bit as dangerous and abusive, simply doesn’t exist – on anyone’s official paper.”   READ MORE HERE

NOTE:  My mother (nor I as her victim) ever showed up on ‘anyone’s official paper’ either, nor was our family among the ranks of the official poor.

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+WHEN TOO MUCH OF TOGETHER BEGS AGAIN FOR DISSOCIATION

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Voices in the crowd — Sometimes voices combine, sometimes they diminish and quieten, sometimes some are angry, many times they are sad.

Faces in the mirror — Sometimes pieces of the broken mirror of my infant-childhood combine and we see far more of the picture reflected in that collection than the rest of us can easily handle.  Often times it is best that most of us don’t know — all together at the same time — what we do not come forward to speak.

After writing this morning’s post I am largely still wandering that beach of slaughter, where so many end up suffering for the rest of their lives from what was done to them that changed them when they were so tiny, so innocent, so helpless — and hence, so wounded.

I often suspect that to a large extent why I did not grow up to be an abusive mother like my mother did is that I did not come out of my childhood with a single-point self.  Instead, I exist as a collection of we.  There was no combined force that could manage, as my mother did, to orchestrate a mutiny against all semblance of sanity, rightness or goodness.

Yet on some days, such as today, when too many pieces of we are facing in the same direction at the same time looking at the same part of the picture of the devastation of my childhood, we can only hang on until some of us get tired and go away to some farther corner of the universe within the body we all live inside.

We cannot stand together for very long knowing what we know about a childhood that really happened in a place not unlike the beach of Normandy.

There is a blessedness in the oblivion of smallness, of a not united front, of letting the trauma this body has found a way to transcend in the moment go again, out with the tide.

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+INFANT-CHILD TRAUMA CHANGES THE VAGUS NERVE’S DEVELOPMENT

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If a shark ate my legs off, how well would I run?

In a “born to be good” fairy tale world such as the one I continue to read about in Dr. Dacher Keltner’s chapter on compassion (from his book Born to Be Good: The Science of a Meaningful Life), I wouldn’t have to have the image within my mind that I do, and I sure wouldn’t have to write about it.  But I cannot continue to read Keltner’s chapter on compassion without first stopping to pick up the pieces of broken tales that Keltner can evidently simply ignore and omit from his “born to be good” story.

I am imagining infant-childhood to be like the time of life a person is growing a body-brain in a sea of experience that little ones have no power to escape from or to change.  Eventually, as time goes on and as one grows up, they get to either swim to the shore or get washed up on the beach of adulthood where they will live the rest of their adult lives.

Keltner suggests that all are given equal opportunity in this sea of childhood to grow into their “born to be good” body as if it is some entitled right that everyone shares as members of the human species.  I beg to differ, and when I say this I mean, “I REALLY BEG TO DIFFER!”

As Keltner continues his writing about the vagal nerve system and its connection to the good life of well-being, he cites research that shows that people with a good resting vagal tone seem to experience more joy in life, are more prone to experiencing life events in positive, growth enhancing ways, have more friends, more close connections to others, and can share easily in compassionate, altruistic exchanges with people around them.

Keltner calls such people with the better resting vagal nerve tone “Vagal Superstars.”  He counters the image of these ‘superior’ humans with the limitations faced beginning in early childhood by those that are ‘born shy’ as he states about these differences:

That fearful 4 month old [shy babies – implied connection between high anxiety and low resting vagal tone], startled and distressed at the presence of a new toy, fight or flight physiology throbbing in the veins and throughout the body, is likely to lead a life of restraint, inhibition, and hesitation in the fact of intimacy.

“If the vagus nerve is a caretaking organ, then one would expect individuals with elevated vagus nerve activity to enjoy rich networks of social connection, to show highly responsive caretaking behavior, and for compassion to be at the center of their emotional lives.  New studies are finding this to be the case.”  (page 241)

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Nowhere in his chapter on compassion does Keltner make any mention of the fact that the resting state of the vagus nerve bundle, as well as its ongoing operation, can be directly shaped, influenced and changed by early infant-childhood attachment trauma.  Because I KNOW this to be true, I inwardly bristle when I read Keltner’s following words:

Elevated vagus nerve activity, then, orients the individual to a life of greater warmth and social connection.  Nancy Eisenberg has found that seven- and eight-year-olds with a higher resting vagal tone are more helpful in class, more sympathetic to those in need, more pro-social toward their friends, and experience more positive emotions.  College students with higher resting vagal tone are better able to cope with the stresses of college – exam periods, career choices, the vicissitudes of romantic life.  Following the loss of a married partner, people with high resting vagal tone recovered more quickly from the depressive symptoms that often accompany bereavement.  And on the other end of the continuum, people experiencing severe depression, and its accompanying impoverishment of social connection, have been shown to have low resting vagal tone.”  (pages 242-243)

All these words tell me is that some people – who I will never believe to be innately superior beings as I think Keltner’s writings suggest – happen to make it through their body-brain early infant-childhood developmental stages with safe and secure attachments in a benevolent world that DID NOT rob from them the beneficial abilities of a benevolently-formed body-brain, which most certainly and definitely includes a wonderful “higher resting vagal tone.”

What Keltner is really describing here is the way the life of a traumatized infant-child suffers for the duration of their lifetime from the abuse and malevolent treatment they received while their body-brain formed.  Everything about their life is changed as a consequence of the influence of early trauma, maltreatment and abuse.

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Going back to my ocean image.  I see Keltner sitting comfortable on some warm, sunny beach in the comfort of his lounge chair, adjustable umbrella overhead, sipping some luscious beverage, clipboard in hand, scribbling his assessment notes as he watches people reach the ocean’s shore.

Some of these people emerge from the ocean of their infant-childhood beaming with joy, smiling, laughing, teasing, and eagerly running off into the future of their abundant life.  Others are washed up onto the shore already dead.  Some have no legs at all, having had them chewed off long ago by vicious sharks that devoured their future abilities while these victims had no possible way to fight them off or to escape.

Do researchers such as Keltner then applaud, reward and congratulate those who were privileged enough, who were advantaged enough, and who were lucky and fortunate enough to emerge from the waters of their early life unscathed by awarding them the label “vagal superstar” while at the same time suggesting that there is something innately wrong and defective with those who could not possibly emerge whole because of the traumas they suffered during their most vulnerable and important growth and developmental stages?

If what I am sensing in Keltner’s writing, and in the perspective of the research he is citing, I would ask, “Where is reality in this picture?  Where is the humble gratitude shown when the gift of a safe and secure, benevolent infant-childhood results in unwounded people being given these wonderful vagus nerve-related stupendously valuable super abilities?  Where is the compassion for suffering others that Keltner so vocally values?”

I see another possible scene on that beach where infant-childhood survivors of terrible malevolent trauma emerge so terribly wounded.  I see every rescue vehicle, every team of rescue personnel imaginable assembled on that beach rushing to assist every victim.  I see those who have emerged from the waters of childhood unhurt being shown how to care for those who make it to the shore injured, suffering and dying.  And I see other good, caring, compassionate, altruistic people entering the water in masses to address what’s happening in those oceans of childhood that is creating this kind of injury in the first place so the wreckage of this carnage can be stopped at its source.

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In my version of reality I will point to this kind of research, performed in 2009 in Ontario, Canada:

ABSTRACT:

The experience of child maltreatment is a known risk factor for the development of psychopathology. Structural and functional modifications of neural systems implicated in stress and emotion regulation may provide one mechanism linking early adversity with later outcome.

The authors examined two well-documented biological markers of stress vulnerability [resting frontal electroencephalogram (EEG) asymmetry and cardiac vagal tone] in a group of adolescent females exposed to child maltreatment (n = 38; M age = 14.47) and their age-matched non-maltreated (n = 25; M age = 14.00) peers.

Maltreated females exhibited greater relative right frontal EEG activity and lower cardiac vagal tone than controls over a 6-month period. In addition, frontal EEG asymmetry and cardiac vagal tone remained stable in the maltreated group across the 6 months, suggesting that the neurobiological correlates of maltreatment may not simply reflect dynamic, short-term changes but more long lasting alterations.

The present findings appear to be the first to demonstrate stability of two biologically based stress-vulnerability measures in a maltreated population. Findings are discussed in terms of plasticity within the neural circuits of emotion regulation during the early childhood period and alternative causal models of developmental psychopathology.” © 2009 Wiley Periodicals, Inc. Dev Psychobiol 51: 474-487, 2009

Research Article

Stability of resting frontal electroencephalogram (EEG) asymmetry and cardiac vagal tone in adolescent females exposed to child maltreatment
Vladimir Miskovic , Louis A. Schmidt, Katholiki Georgiades, Michael Boyle , Harriet L. MacMillan

Published in

Developmental Psychobiology

Volume 51 Issue 6, Pages 474 – 487

Published Online: 23 Jul 2009

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This research, and other similar research, clearly show that not only is the right brain hemisphere a ‘stress-vulnerability’ area that can be changed in its development by early infant-child maltreatment, but so also is the vagal nerve bundle.

Attachment researchers suggest that between 40 and 65% of adults in our culture came out of their early formative years with a safe and secure attachment-built body-brain-mind-self.  That means that between 35 and 60% of adults DO NOT!  Because the vagal nerve bundle is vulnerable to alteration through the effects of maltreatment, neglect and trauma that happen WITHIN early unsafe and insecure attachment conditions, I can clearly see that Keltner’s work, as enlightening as it is in regard to how a high resting vagal tone operates throughout the lifespan to improve well-being, it is not enlightening in regard to the profound impact that the conditions present in a human being’s earliest years affect the early growth and ongoing operation of this most important ‘be good’ nerve system.

Nor do I yet find in Keltner’s book any suggestions about how people with less than super vagal tone can actually, physiologically improve the operation of this important nerve system.  I will have to search elsewhere for this critically important information.

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+MY MOTHER COULD NOT ‘SIGH’ FOR ME

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If we cannot ever stop wincing from our own internal, unconscious pain we will never be able to truly sign from another’s.

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I had a dream last night that I cannot remember.  All I know is that it had something to do with improvement in well-being that can happen in more than one way and involves the vagus nerve system.  Some of those ways of positive change could happen consciously and some of them could happen automatically and unconsciously.  In my dream these changes seemed to be linked like spokes of a bicycle wheel to a center hub – which was the vagus nerve.

Feeling a little puzzled this morning about what this dream was telling me, I returned yet again to Dr. Dacher Keltner’s chapter on compassion (from his book Born to Be Good: The Science of a Meaningful Life) where he writes about the methods developed about fifteen years ago that measure the activity of the wandering vagus nerve bundle that have shown:

When we inhale, the vagus nerve is inhibited, and heart rate speeds up.  When we exhale, the vagus nerve is activated, and heart rate slows down….  The vagus nerve controls how breathing influences fluctuations in heart rate.  We measure the strength of the vagus nerve response, therefore, by capturing how heart rate variability is linked to cyclical changes in respiration.”  (page 233 – also included with yesterday’s post).

At the same time that I was having this dream last night, I was also having the sense that for all the work I’ve put into trying to ‘technically’ understand the dynamics of my mother’s abusive relationship with me, this single vagus nerve-hub-image is the most important one I have discovered thus far.  As I think about it all this morning in the light of this cloudy, gray day, I also realize that yesterday’s post directly about the hub of the vagus nerve and my mother’s self-weakness brought the fewest numbers of readers to my post of any in many, many months.

As I to suppose that I have ended up at a dead end in the labyrinth of my thinking about the causes, consequences and hope for ‘cure’ for those of us who suffer from severe early abuse histories reflected in the dearth of interest shown by readers to my yesterday’s post?

My dreams have never, in the six years I have been studying the case history of my mother’s severe abuse of me, been wrong.  They have never led me astray.  Many times my dreams have opened a new direction in my search and thinking that have allowed my past thinking to gel so that some new thinking can emerge.  Last night, I know, was no different and the images that I remember upon waking are no doubt correct.  My dream is pointing me toward something important.

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I find that Keltner next directly ties the physical measurement of vagus nerve activity not only to the experience of compassion versus pride, but also to altruistic acts.  Nobody except those concerned with infant and child abuse would probably ever have a need to think about appropriate and adequate parenting of offspring in terms of altruism.  Isn’t loving one’s babies and children something humans simply do automatically and instinctively?

Obviously, from the point of view of severe infant-childhood abuse, neglect, and malevolent abuse survivors, NO it is not!

Although the research that Keltner describes was not designed to target the vagus nerve bundle as the being the seat of abuse, as soon as he described it as the probable seat of compassion he is suggesting to me that it is.  Keltner cites research in his chapter on compassion that documents “that this selfless state of compassion produces altruism.”  (page 237), and that when faced with a situation that can trigger either “pure self-interest” or “the swell of compassion” in the chest (page 238) the reaction of the vagus nerve system will show corresponding activity as one of the branches of the Autonomic Nervous System (ANS) responds:  either the GO fight/flight arm related to pride and self-interest or the STOP arm related to compassion.

The research findings about the vagus nerve and compassion have shown in these studies that (as mentioned in yesterday’s post):

Participants’ reports of their feelings of compassion increased as their vagus nerve activity increased.  With increasing vagus nerve response, participants’ orientation shifted toward one of care rather than attention to what is strong about the self.
Then our participants, feeling surges of either compassion or pride, indicated how similar they themselves were to twenty other groups….  Our participants made to feel compassion by viewing images of harm reported a broader circle of care – they reported a greater sense of similarity to the 20 groups – than people feeling pride.  This feeling of similarity to others increased as individuals’ vagus nerve fired more intensely.

“And when we looked more closely at whom people feeling compassion and pride felt most similar to…we found that pride made people feel more similar to the strong, resource-rich groups in the set of twenty that they rated….  Compassion, on the other hand, made people feel more similar to the vulnerable groups – the homeless, the ill, the elderly….  Compassion is anything but blind or biased by subjective concerns;  it is exquisitely attuned to those in need.”  (pages 234-235)

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Why am I bothering to again repeat Keltner’s words here?  My dream last night showed me that while these findings lie very close to the heart of the infant-child abuse perpetrator’s problem, they are not what is actually at the very center of the hub.

These words are talking about an inner alignment that is supposed to happen in our body as it corresponds to the activity of the vagus nerve in response to either stimulus that appropriately creates a pride reaction or appropriately stimulates a caring reaction.  Infant-child abusers, in my thinking, cannot possibly be experiencing appropriate responses along this continuum.

Keltner is describing here that these pride versus caring reactions are associated with how the self aligns itself on a continuum of power and resources.  Pride corresponds to an alignment with ‘power-full’ others while caring corresponds to an alignment with ‘power-less’ others.  The resource being considered here is POWER.

I cannot see a way that anyone’s self can consider power as it relates to others without at the same time considering power as it relates to their own self.  If a person’s own self was formed in a malevolent, unsafe and insecurely attached environment that self will not automatically have a sense of itself as being ‘power-full’.  Such a self, because it suffered from degrees of powerlessness in the face of overwhelming traumas as it was growing, will have formed itself with depletion rather than with plenty at its center.  Such a self will continue to negotiate itself in power-related situations in different ways than will a self that was formed in a benevolent, safe and secure attachment environment.

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I believe that we are close to the hub of what is wrong with infant-child abuse perpetrators when we read these few words in Keltner’s statement:  “With increasing vagus nerve response, participants’ orientation shifted toward one of care rather than attention to what is strong about the self.” (page 234)  The three key words here are ORIENTATION and ATTENTION and the action of SHIFTING.

A strongly formed self can choose – consciously or unconsciously — to accomplish this shifting of orientation and attention away from self and toward others smoothly and appropriately in ways that a weakly formed self cannot.  The activity of this shifting can be measured with the vagus nerve response.  This measured vagus nerve response shows the degree of orientation and attention to the self versus orientation and attention to the other.

Three key and fundamental factors of being an ‘evolutionarily advanced’ member of the human species are altered in these early malevolent self-forming environments:  (1) the nature and recognition of the individual self, (2) the nature and recognition of the ‘other’s self’, and (3) the nature and recognition of the boundary that separates ‘self’ from ‘other’.

A weak self, formed in an early environment of malevolent, overwhelming trauma, will NOT be strong enough to shift its orientation or attention away from its own self-preservation. In addition, because a weak self is formed in unsafe and insecure early attachment relationships, it has no clear idea about its own self in relationship with any other self.  To miss or to ignore these facts is to entirely miss and ignore the very heart of infant-child abuse cause and consequence.

I believe this very heart can be measured if not actually SEEN in the response of an infant-child abuse perpetrator’s vagus nerve.

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I am not going to try to shorten what Keltner says next.  Within his words is a clear example of the vagus nerve response already operates when we are very young along with what Keltner refers to the “clarifying point” that determines what a person is actually likely to DO in response to another person’s weakness/vulnerability/need:

Stronger evidence still would link selfless, altruistic action to activation in the vagus nerve.  Nancy Eisenberg has gathered just this kind of data.  In one illustrative study, young children (second-graders and fifth-graders) and college students watched a videotape of a young mother and her children who had recently been injured in a violent accident.  Her children were forced to miss school while they recuperated from their injuries in the hospital.  After watching the videotape, the children were given the opportunity to take homework to the recovering children during their recess (thus sacrificing precious playground time).  Those children who reported feeling compassion and who shoed heart rate deceleration – a sign of vagus nerve activity – as well as oblique, concerned eyebrows while watching the video (see figure below) were much more likely to help out the kids in the hospital.  In contrast, those children who winced, who reported distress, and who showed heart rate acceleration – that is, those children who winced, who reported distress, and who showed heart rate acceleration – that is, those children who reacted with their own personal distress – were less likely to help.  These findings make a clarifying point:  It is an active concern for others, and not a simple mirroring of others’ suffering, that is the fount of compassion, and that leads to altruistic ends.”  (pages 239-240 – bolding is mine)

At the center of the hub of the wheel of my mother's self, she had this wince -- an unconscious pain that evidently did not allow her to respond to the suffering she caused me

What is fascinating about this “clarifying point” that Keltner is making is the fact that it is when early infant-child mirroring activities between early caregiver and the little one in the attachment environment, while its self is forming well before the age of two, that these response patterns between self and other form the nervous system and brain.  In traumatic early environments, a different nervous system, brain and self are formed that will operate differently throughout the lifespan.

What Keltner is describing here is the HUB OF THE WHEEL of the caring-compassion response that was changed in my mother, and I would say within all infant-child abusing caregivers.  Because their self formed with the distress being a part of the self, because the self did not form with the power to make the distress STOP, wincing will always be the vagus nerve response rather than the sigh.

But a self formed like my mother’s was seals off from consciousness any awareness of the self’s distress, pain or ‘wince’.  Such a self also seals off from conscious awareness its own inherent power-less state.

When the self contains its own perpetual pain, distress and powerlessness, when it cannot clearly identify who its own self in or who the self of any other is clearly, when it cannot define clearly where the boundary lies between its own self and another self, it will never be able to respond appropriately to pain – its own or anyone else’s.

The center point of the hub of the wheel where humans negotiate self and other seems to lie in the vagus nerve response, where orientation and attention to the self can shift toward others – or not.  That the entire array of responses can be narrowed down to the difference between a wince or a sigh makes perfect sense to me.

My mother did not know where her own self started and stopped.  She did not know where I started and stopped.  My mother never stopped wincing from her own (unconscious) pain.   My mother could never appropriately sigh for anyone else, certainly not for me.

(Post subject to be continued…..)

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+ABUSIVE PARENTS HAVE THE WEAKEST SELVES POSSIBLE

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The first time I ever heard anyone talk about feelings was after my 29th birthday when I entered a seven week in-patient treatment program for alcoholism and addiction in 1980.  I intellectually understood what the word ‘feelings’ meant, but I had no personal idea what a feeling even was.

The therapists soon realized this, and worked with me through practice sessions so I could begin to learn to identify feelings in my body.  They had me sit in a chair and then had me focus and pay attention to the feeling of my feet on the floor, of my butt on the chair, of my hands resting on my knees.  “Now shift your weight in your chair and see if anything feels different.”

I felt like a girl version of the wooden puppet Pinocchio.  Not only was I unable to feel a SELF inside my body, my SELF could not feel itself inside of my body, either.  It took me many years before I could experience my own life in any kind of a feeling way.  After that there were many times when I wished I had never begun that journey.  Feelings, well, they FEEL.

I was nearly constantly overwhelmed with the feelings of trauma throughout the entire 18 years of childhood with my mother.  Positive feelings were forbidden.  Once, as an adult, I began to feel, I found (as I now understand far more completely) I could not regulate them.  I could not alter their intensity, and once I was in their grip I could not get out of it.

I now understand that the unsafe and insecure infant-childhood I had changed the way my right limbic emotional brain processes emotion — period.  I did not learn to self-soothe.  I did not learn how to smoothly and easily shift gears between feeling states.  In fact, as I mentioned, I did not even know what a feeling really even was.

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I mention this today because I am going to present two pictures here from Dr. Dacher Keltner’s chapter on compassion (from his book Born to Be Good: The Science of a Meaningful Life) along with a bit of the text he includes with them.

The exercise I suggest is for readers to just spend a little time looking at first one of these pictures and then at the other.  I find it fascinating that I can fully feel the difference IN MY BODY between how my body feels, and therefore how I feel, in response to each of these pictures.

The feeling shift in my torso involves my breathing.  As I mentioned in yesterday’s post, we can become mindfully aware of our experience of breathing as we shift from automatic pilot breathing to breathing with our SELF-conscious awareness.  These two pictures, to one degree or another, offer an example of how breathing and mindful awareness are connected together.

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Picture number one:

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Picture number two:

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I realize the quality of the pictures is pretty shabby, but they still work just fine to demonstrate how our vagus nerve system responds within our body differently as we experience emotion and feeling.

I am posting again today Keltner’s writing about how these photographs were used in research, which is part of the whole chapter on compassion that I posted the other day that includes some writing on altruism.

I just wanted to mention today that in cases of severely abusive parents something is obviously terribly wrong with their compassion-altruism-be good spectrum of response.  Research, as I’ve mentioned previously, about Borderlines shows that their vagus nerve system does not operate in a normal way.

Keltner states here:

With increasing vagus nerve response, participants’ orientation shifted toward one of care rather than attention to what is strong about the self.”  (page 234)

I am reminded of my thinking about my mother’s distorted self, about her distorted relationship with this distorted self, and about her distorted relationship with everyone in her universe, most specifically with me.

In her relationship with me my mother was solely occupied with what she unconsciously perceived as being WRONG with herself as she projected ALL of that wrongness onto me — and then punished me for it.

By taking what was WRONG with herself and placing it all on me, she was making her good self STRONGER in some bizarre and distorted way.  But she couldn’t even just do this half of her psychosis without doing the other half, which was to ‘personify’ her projection of goodness onto my younger sister as she made her the all-good child in a similar way that she made me the all-bad one.

While Keltner is obviously not talking about child abuse in his writings, there is no way that I can avoid the fact that it is within this same vagus nerve system that these distorted patterns — of ‘strong’ versus ‘weak’, of what ‘belonged’ and what did ‘not belong’ within my mother’s version of herself, along with who she identified with and who she refused to identify with (as being weak versus strong) — operated within my mother.

My mother lacked any normal self-reference point within herself that is necessary for the normal demonstration of the reactions that Keltner describes in this research (see below).  Because she did not have any true sense of what was strong about herself, she could not be mindful of the fact that her entire psychic, mental system — and the behavior that was its result — operated through externalized inner dramas that she acted-out, outside of her self as they mostly involved tortured, battered, hated, shunned, and terribly abused ME.

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Although the research presented here had nothing overtly to do with infant-child abuse or about a comparison of safe and secure attachment versus unsafe and insecure attachment, I believe absolutely that this research model could be used in combination with these factors.

What would be discovered would be the deeper levels of how shifts between so-called pride and compassion are actually showing the  strength or weakness of the SELF.  The weaker and more unsafely and insecurely attached a self is in the world, the more distorted their vagus nerve reaction is likely to be on this pride-compassion spectrum.

But what might register in such a study as a tendency toward pride is actually a tendency to NOT be able to recognize any weakness within the self at all.  Such a person learned (it was built into their body-brain) that weakness meant threat of death.  If the early trauma could not be avoided in any other way, the body-brain simply shuts off any ability to recognize self-weakness at all.  Awareness of weakness costs too much — as does weakness itself.

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In my thinking, I suspect that the stronger a self REALLY is, the more fluidly that self will be able to afford the cost of recognizing weakness in others.   They can afford to allow themselves to resonate with need and weakness through the feeling of compassion.  They will also be able to afford to respond with care.

If a self is REALLY weak rather than strong, they cannot afford to identify with another’s weakness.  It simply costs too much.  “I am strong enough to survive so I can afford to help others to survive” is an entirely different mantra than “I know I am vulnerable and weak (though I can’t even afford to let myself know this) so I must align myself with the strongest (and act like I am one of the strongest) to survive.  I cannot afford to give anything to anyone else.”

My mother took all this weakness to another level that made her an extremely dangerous mother.  Not only could she not be consciously and mindfully aware of her own weaknesses and vulnerabilities of her own self, she was hell bent on actively destroying her own projected version of weakness — again, of course, ME.   Not only could she not appropriately care for me, or have compassion for me, she attacked me as she tried to destroy me.  It would not surprise me if these dynamics operate on some level for all severely abusive parents.

If this is true, then abusive parents have the weakest selves possible.

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The part of Keltner’s next cited above related to this particular research:

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+THE LIFE ENHANCING NATURE OF SHARED THOUGHTS

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I asked libramoon, a member of an online group, if I could post her words and my reply to them on my blog today and my request was accepted:

“In rereading this with the other jumble of thought/impressions from other readings today, I am wondering: Are what we think of as psychological “conditions” reactions to a social atmosphere that largely negates the natural? I am speaking of both the larger natural environment and the internal natural development of the individual. If we are stunted in development by traumatic events along the way which become defined by normative values which keep us stuck in an unnatural frame, perhaps we need to look to nature for a healthier framing and way out?

I am also thinking about the article you posted regarding pain. Pain is a symptom of something out of whack in the system. The social norm is to block the pain rather than look to restoring balance in the system. Is this part of the mindset that sees nature as outside of conquering man? Is this part of the mindset that honors bullying, control, power and victimization because we are defeating nature rather than honoring wisdom?”

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I was thinking about libramoon’s words last night and the post I wanted to write in response to them when I went to sleep last night thinking only one word as I passed into my world of dreams – NATURE.

I woke out of my sleep this morning with one single word in my mind in return – FRACTALS.

This thought was soon followed by another one:  Nature is nothing more and nothing less that SHARED INTELLIGENCE.

Then, as I wandered through my house in my still-waking-up state, pausing to open the curtains in my living room to let the morning light in, pausing to open the door to let all three of my eager cats in from their night of play, and on into the kitchen to start my pot of coffee, I had an entire phrase come into my mind:  “At this point in our specie’s evolution, human beings are ‘children of the half-light.”

Then, as I waited for my coffee, I opened my email to find these heart wrenching words:

Please read this reader response:

2010/02/05 at 5:58am | In reply to debbi irish.

comment by LilAdopted1 found at this link — CONTACT INFO page

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All of these pieces of thought were preceded by the November 30, 2009 Time Magazine (must read) article by Tim McGirk on our returning war veterans and PTSD-depression that I read yesterday as I ate my delicious lunch at our local laundromat café:

How One Army Town Copes with Posttraumatic Stress

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I am humbled by the rich display of humanity already presented here today in the stories presented in the words above that I have already collected upon this page.

When I read about FRACTALS I begin to wonder if this same explanation might apply to all of us as human beings within the realm of so-called NATURE as we simply exist:

“A fractal is “a rough or fragmented geometric shape that can be split into parts, each of which is (at least approximately) a reduced-size copy of the whole,”[1] a property called self-similarity.”

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I could go on here to talk again about how without the pristine perfection of the Alaskan homestead my parents staked claim to, without the purist life force on that mountain and valley land and my bonding with it I would not have survived my childhood.  I could talk about how at 18, after I was ‘put into the Navy’ by my parents and flew thousands of miles away from my home that I was completely without conception of what being a human being among humans even meant.

I could talk about how in my mid-twenties I was attracted to Native American teachings because I thought among those people I could AT LAST and AT LEAST find comrades that understood what NATURE was and what it meant to be so in love with that natural world that humans remained simply as diminutive representatives of the Life Force that sustains us.  I could talk about how disappointed I was to find that the forced assimilation-genocide our nation had used to destroy the People’s connection to Nature had been so effective that barely a trace of the Original Connection to the Natural World even remained alive.

I could talk about the PTSD article and say that our military is refusing to apply the two simplest measurements of both risk and contribution to PTSD-depression that could mean the difference between life and death, well-being and ill-being for our service people and their loved ones for generations to come:  (1) assess the dominant hand used by these soldiers which relates to how their brain hemispheres process ALL information, most importantly the information contained in traumatic experiences, and (2) accurately assess these soldiers’ attachment systems, which would then clearly describe how their body-brain was built either with or without trauma at its center.

I could talk today about how nature’s SHARED INTELLIGENCE might well save us all at this ‘half-lit’ juncture in human evolution.  If we ALL, all of life, is connected in one body, and if the accurate sending and receiving of communication signals all the way down to life’s molecular levels is what intelligence is all about, then we have given ourselves a most valuable tool to assist us in gaining the kind of wisdom our species now so desperately needs:  We have the technology of computers and of the internet.

This means that those of us who are so fortunate to have access to this world wide web of vital information have an unspoken obligation to use it – and use it wisely.  I believe we are doing that.

SHARED INTELLIGENCE means that we all, each and every one of us, have something critical to offer toward the betterment of life on this planet.  Right here.  Right now.

We are speaking.  We are reading.  We are listening.  We are thinking.  We are sharing.  We are learning.  We are sending and receiving signals between members of the body of our species in ways that have never happened before in the history of our species.

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While I certainly can’t say that it doesn’t exit, I can’t find the whole in the boat of my thinking.  Life continues to exist on this planet because information is signaled through communications between all of its elements – and that intimate fabric of life does not exclude human beings.

As I return to the top of this post in my thinking I note one single word in libramoon’s statement that most captivated me:  STUNTED.

Can we be, as libramoon suggests, “stunted in development by traumatic events along the way?”

I find myself wondering why it took me so many years to buy a bag of Hyacinth bulbs so that I could stick them into a pot of dirt and watch them grow into one of my most favorite flowers.  But this year I did buy them, and every day I watch them grow and develop.  In this case every one of the 12 bulbs is receiving the identical resources.  One bulb rotted.  Eleven are growing greener and taller every day.  I can see their sturdy outer leaves part as the bud of each one’s flower begins to form close to the soil.

Yet not one of the plants is the same.  There is one that is twice the size of the rest of them.  Standing at nearly seven inches it towers over the smallest which only yesterday showed its first greenery at all.  Given this band-width of normal development, what would have happened should any or all of them have suffered some degree of trauma in their development.

Do I compare the tallest and the shortest and the middle plants and say that some are stunted and some are not?  Or is it the truth that each separate plant is simply fulfilling its own individual nature by growing in the only way that it can – in its OWN way?

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The presence or absence of traumatic influences during human development simply signals through molecular pathways in the body what the condition of the world is like so that the growing body-brain of the infant-child can adjust and adapt itself in the best way it can to survive in, and even thrive in, the world it is being built for.

These beautiful Hyacinth plants I am watching are crowded together in an old plastic yellow colander I bought at our local thrift store.  The soil then has excellent drainage.  It sits in my kitchen sink directly in the even light provided by my west facing window.  I can carefully monitor the needs of this whole tribe of plants equally.  But nothing I can provide for them will change them into anything else other than what they started out being.

No matter what influences an infant-child’s development, no matter how much they have to adapt in their body-brain development to trauma, they will always come out of these earliest stages of development in the best way they possibly can.  Each one will always be a unique representation of their potential as members of our species.  But none of us, not one single one of us, can ever overcome the boundaries that make us human.  None of us can become something nature did not intend us to be.

And because of this we each represent the environment that made us in ‘natural’ ways.

Given the information in her earliest environment that my mother’s body-brain-mind-self had to work with (from both within and from outside her body), it is natural that my mother became who she was.  Given who she became, it is natural that the outflow of her condition would be what it was.  Given what my mother did to me during my development, it is natural that my body-brain-mind-self would make the kinds of adaptations and adjustments that it/I did.  There is nothing, to me, unnatural about any of this.

What happened to me, however, is that once I left my home of origin I began to look around me as I became a part of what libramoon refers to as a “social atmosphere.”  Before that time I simply had no points of reference either outside of myself or within myself that I could use for comparison.  I had no inner compass other than the natural one that I had been formed with.

My Hyacinth plants have no ability (that I know of) to compare themselves to one another.  It is only once the signaling communication that we participate in achieves some level of the ability to compare our reality with some other reality that the trouble really begins.  Before that time I believe we simply exist within the natural world in the same way that any other part of nature does.

Once we have reached what I believe to be an evolutionarily advanced state that allows for a point of reference, we enter an expanded universe of thought that includes the ability to CONTRAST some aspect of something to, with and against some aspect of something else.  Without a reference point, we cannot COMPARE or CONTRAST anything any more than my Hyacinth plants can.

The human ability to access reference points so that we can compare and contrast allows us to also form opinions as it allows us to exercise conscious choice.  Using these abilities does not separate us from NATURE.  Thinking is as natural as breathing once we have that ability.

And just as we humans breathe the same air that our planet provides for us, we think by using the same neural abilities that everyone else does.  True, my own individual lungs breathe in and exhale particular molecules.  True, my brain’s particular molecules are thinking my own thoughts as I go through life.  But at the same time these are sharing operations.  Nobody can tell me, “No!  Don’t breathe THAT air!” or “No!  Don’t think THOSE thoughts!”

My body can breathe without my conscious awareness.  My body can also think without my conscious awareness.  Again I return to another critically important concept that I see implied in libramoon’s writing:  MINDFUL.

I can choose to be mindful of both my breathing and of my thinking.  I can accomplish this because I have gained the evolutionary advantage point of HAVING a reference point.  While my mother could no doubt have gained mindfulness of her breathing, I’m not certain that in her entire life my mother could gain mindfulness in regard to her thinking.  In fact, ‘mindfulness’ is one of the primary concepts applied to recovery within the so-called Borderline condition because the ability to live a mindful life has been altered – I believe through early developmental trauma – in a Borderline’s body.

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I believe that the ability to obtain the ability to have a reference point within one’s self is an evolutionarily provided gift.  Having a reference-point ability gives us powers to discriminate, to contrast and to compare so that we can think in mindful ways.  I don’t think my mother had this ability any more than my Hyacinth plants do.

Does this mean that trauma stunted my mother’s development?  Is a plant stunted because it has no reference point and cannot compare and contrast itself to any other aspect of existence?  No.  Simply put, a gift is missing in both circumstances.

Our ability to think mindfully happens because we operate within a social atmosphere that feeds information back to us at the same time we have degrees of ability to receive this information even before we are born.  Information comes to us as forms of nutrients that build our body-brain just as surely as water, soil and light are nutrients that are building my Hyacinths.  These are shared natural processes.

If, however, a developing human being does not receive enough information about its own individual self-in-the-world, the gift of mindfulness will not come into bloom in the same way that if my Hyacinths do not receive the nutrients they need RIGHT NOW as they grow, they will not be able to form blossoms.  In this way, mindfulness is the gift of the flower of humanity.

In this way, also, I see that my mother was not stunted; she was robbed of the evolutionarily advanced gift of mindfulness.  She was not fed with the necessary nutrients within the social atmosphere of her infant-childhood to build a self that could in turn possess a viable reference point that she needed in order to accurately compare and contrast her own self within a world of others.  She could not, therefore, share a gift of mindfulness that she never received.

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My choice to mention both breathing and thinking together is not an arbitrary one.  Research on the human vagal nerve system is showing that it is directly connected to our physiological reactions to what we see ourselves ‘a part of’ and what we see ourselves ‘a part from’ as it regulates our breathing and our heart rate.

Reacting as ‘a part of’ stimulates the STOP arm of our Autonomic Nervous System (ANS).  Our heart rate and our breathing slow down.  We then find ourselves on the cooperative rather than the competitive pathway, or the prosocial one.

If we react with an ‘a part from’ reaction, our heart rate and our breathing escalate with stimulation of the GO arm of our ANS, or our fight/flight response.

In this way, I suggest that WE ARE WHAT WE BREATHE and the more conscious and mindful we can become about our fastest physiological reactions within our body the more mindful we can become about our self in relationship with the entire world we live within.  The STOP reactions we have release our breath in an exhale.  The GO reactions that we have catch us with an inhale.  If we can learn to pay attention to this most basic signal from our body, we can increasingly notice with mindfulness the orientation we are taking from our internal reference point – our individual self.

Even without our mindful conscious perception, our naturally constructed social species’ body-brain is continually evaluating our degree of safety and security in the world through finely tuned assessments about what belongs and what doesn’t – what is safe and what isn’t.  These are comparing and contrasting operations that our body has formed itself to assess so that we can increase our chances of staying alive.

The more traumatic our earliest environment was the more automatic and the less mindfully conscious these patterns operate within our body because we were naturally built this way.  As we experience a lifetime of mostly automatic reactions, our body itself has taken over the reference point position, not our conscious mind.

As we begin to practice mindfulness we are creating our own bloom.  We can choose to grow this gift even if nobody gave us this gift pro bono.  Traumatized infant-children are given censored, erroneous information.  The building of an ever increasingly mindful self requires access to and sharing of truthful and accurate information.  Because we are a social species, this growth always happens through give and take within a social atmosphere, even if that atmosphere mostly exists between our own mind and our own self in online exchanges with others.

The more we access, utilize, process and digest new information the less hold any trauma we have ever experienced will have on our mindful self, and the more we will grow and blossom into being the evolutionarily advancing people nature has intended us to become.  Mindfulness, the blossom of our specie’s evolution, concerns all the information about our experience that we can consciously share with our self.  Mindfulness defines the social atmosphere we create within our self with our self.  This is the area where our healing will show its greatest accomplishments.  “Go bloom, everyone!  Go bloom!”

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NOTE:  In consideration of the tendency for some people to think that humans are separate from nature and/or superior to the natural world, all this means to me is that the ‘a part from’ pathway has been chosen rather than the ‘a part of’ pathway.  The reference point of the self has compared and contrasted itself and has made up a thinking-based fiction that has nothing to do with reality.

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+DOES STAYING ALIVE AT ALL COSTS LEAVE ROOM FOR GOODNESS?

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When life takes us on a wild and dangerous ride before we have the skills to handle it, is the choice for goodness erased from the picture?

Reading further in Keltner’s chapter on compassion my mind stumbled into its own thoughts – as it often does.  Is this, again, simply a process of taking a detour through the memories of my own experiences so that I can begin to better understand both what Keltner is saying and how his research on ‘being good’ relates to the topic of my blog – the causes and consequences of early trauma and maltreatment in infant-childhood?

I am remembering a brief wonderful friendship I had with a woman who moved from New Mexico to this region of Arizona where I live for about a year.  I first met Mary at a craft show in town.  A tiny woman, with thick curly nearly white hair, Mary had a way with people coupled with a life force that made me feel – well – LIKED!

Mary came from a severely abusive childhood home, but if nothing else could be said about this woman, one could say that she flew out of that childhood with colors flying like a warrior from some ancient time.  She was an attendee at the 1969 Woodstock Festival.  And for the past nearly 30 years everywhere this woman moved to she brought along with her a sort of extended body that included 4 horses and a mule.

That might not seem like any particular accomplishment unless one knows that Mary was poor.  She’d always been poor.  Keeping livestock is not a cost-free endeavor.  Mary’s love for those four-legged big animals was a joy for me to see.

During the months that Mary lived in Arizona, living in a camp trailer with her not employed husband, I was able to muck for her horses in exchange for Mary’s teaching me the fundamentals of riding.  Saddling up, she took me on leisurely training rides through the native tall grass fields that bank the San Pedro River.  We were never in a hurry.  Mary showed me how to guide the horse I rode so gently that I felt a part of its great body.  How sad I was the day she packed up her tack and moved back to their home in the Sandia Mountains above Albuquerque.

I stayed in touch with Mary for months after she left here, and was even able to go spend a week with her as we worked together to strengthen the fences that kept her small herd from running wild in the brushy mountains.  One day we saddled the horses and went out for a ride.  Perhaps Mary thought she’d trained me well enough that I could handle her big mare that day.  Perhaps she was right.

That mare was in heat, and as soon as we headed away from the barn she took off running with me sitting on top of her like a gangling piece of fire wood.  Up the rocky mountain trails and down she raced, mane flying in the wind.  I did the only thing I could do, flying instant by flying instant.  I hung on for dear life.

I can tell you for certain that horse didn’t care one bit that I was on her back.  She had no concern for my needs as her rider.  I was clearly the one with all of the needs for that full-run half hour that horse took off in the Sandia foothills like she owned them.

I think about that horse and Mary this morning because what Keltner really is describing next in his chapter on compassion is how human beings respond to the needs of others, a response that can be measured in the trunk of the body by the activity of the vagus nerve system that regulates breathing and heart rate in response to the environment around us.  I think about humans’ ability to respond to the needs of others as a negotiation that involves resources.

When I remember my wild ride on the back of Mary’s gorgeous red mare, I think about how all of my attention – and I mean ALL of it – was solely focused on my own survival while I tried to ride her.  There was no possibility until that horse slowed her gait (by her own free will) that I could either think about anything else, or could have responded to anything else in the environment around me.  All of my resources were focused on my own one single need – remaining attached to the back of that horse.

For the duration of that ride there was no chance in hell that I had anything to give to anyone else.  Nothing.  My breathing and heart rate were in a pell-mell state of high gear gallop right along with that mare’s.  That means that if someone had been able to measure the activity of my vagus nerve wandering nerve bundle the results would have paralleled that fact.  During that ride I had nothing to give and could not possibly have been able to respond to anyone else’s need – no matter what.

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When I think about the results of the research study on Borderlines and their vagus nerve, and combine that thinking with the results of the compassion versus pride research Keltner describes (in his chapter on compassion from his book Born to Be Good: The Science of a Meaningful Life), I come up with the idea that at no time when we are in a fight/flight condition because our own survival is threatened are we free to worry about what others might need.  At those times we simply do not have any extra resources available to offer to anyone else.

At those times when we are most intensely focused on keeping ourselves alive we don’t even have the resources available to pause to even think about anyone else.  Any decisions we are able to make while we are in full fight/flight are made in the body, as quickly as possible, and are not the consequence of slow higher cortical thinking.  As that red mare was in full flight mode, and I was in full fight mode to stay on her back, I did not have the ability to think about anything else.

However it actually happened in my mother’s earliest childhood that her body came to understand my mother was not any more safely or securely attached in the world than I was as I clung to that racing horse, her body made adjustments that meant forever more that the fight/flight state would be the main state of her existence, no matter what.  That is what having an evolutionarily altered body and brain means to me.

If I had had more experience, better skills, more competence and confidence before I swung my leg over the back of that mare before the ride ever began, of course my entire ride would have gone differently.  But a newborn, born into a traumatic and malevolent world, has no prior experience.  Everything their body-brain comes to know about being in the world will be built into them through their earliest experiences in the world.

I understand, certainly, that people who have a body-brain built in early safety and security can still make terrible choices in regard to the needs of others.  Again, the important word here is CHOICE.  While I had the choice to climb onto that horse, while Mary had the choice, knowing my complete inadequacies as a rider, to let me climb onto that mare in her season, once those choices were made the rest of the ride was predictable.

I suspect that my mother’s unconscious state mirrored my own as she rode the horse she’d been placed upon from the time she was born.  In a state of desperation, in a condition of emergency, my mother never wavered from the task she saw put before her in the beginning of her life.  I’m not sure she ever had a choice to pause for a moment to consider the needs of anyone else because she was as fully occupied with her own survival throughout her lifetime as I was as I tried to stay safely and securely attached on the back of that footloose, headstrong happy horse.

This means to me that measurements of the operation of the vagus nerve within our body tells us not so much what our capacity for compassion is, but actually tells us how dangerous we feel the world is.  Measurements of the vagus nerve’s response tell about a body’s perception of need to stay alive in a word of threat, danger and deprivation.  Only when a person feels safe and secure enough in the world — because their own survival is assured — are they free to choose ‘be good enough’ to offer resources of caring compassion through kindness to somebody else.

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At the end of this story I will say that I have lost any hope of contact in the future with Mary unless she someday makes contact with me.  Last I heard from her two years ago she and her husband had divorced, their home had burned to the ground, and Mary was living in the barn with her four horses and her mule.  Her cell telephone number is no longer attached to her, and while Mary will always have a warm place in my heart, I don’t expect to ever hear from her again in this lifetime.

I feel sad, and I will always miss her.  At the same time I know that if anyone can survive a merry romp through the tragedies of life it will be Mary.  With the hundreds of miles of weathered wrinkles on her shining face, I have no doubt whatsoever that if Mary is still breathing air she is happy while she does it.

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MORE INFORMATION ABOUT BORDERLINE PERSONALITY DISORDER IN MEMORY OF MY MOTHER AND MY CHILDHOOD WITH HER, WITH THANKS TO:

From Kristalyn Salters-Pedneault, PhD, Your Guide to Borderline Personality Disorder.

The most common questions I get from readers are about BPD relationships– many people in relationships with people with BPD struggle to understand the disorder and their role in their loved one’s recovery.

What You Need to Know About BPD Relationships

Borderline relationships are often tumultuous and chaotic. The effects of borderline personality disorder (BPD) on family members, friends, romantic partners, and children can be very broad, and are often devastating for loved ones.
Understanding Abandonment Sensitivity

A key symptom of BPD is fear of abandonment. This symptom may cause you to need frequent reassurance that abandonment is not imminent, to go to great lengths to try to avoid abandonment, and to feel devastated when someone ends a relationship with you.
The BPD Marriage – Can it Work?

Many different kinds of close relationships are affected by BPD, but perhaps none more than marriage.
Borderline Friendships

Must Reads

What is BPD?
Symptoms of BPD
Diagnosis of BPD
Treatment of BPD
Living with BPD

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+INTERGENERATIONAL TRAUMA AND THE NATURE OF GOOD AND BAD

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Is our species still on this planet because we are equally wired for both kindness and selfishness/self-preservation?  Someone was ‘kind enough’ yesterday to post the ScienceDaily December 9, 2009 article (included below) about the ‘goodness’ research coming out of Berkeley to an online group I belong to.  Someone else responded with a comment that they disagree with this “theory”.

How does it happen that what was once considered theory comes to be known as fact?  I wonder how long it took the ‘discovery’ that the sun was at the center of our solar system to permeate public thinking.  How long did it take the ‘discovery’ that our planet is round to infiltrate common knowledge?  Whatever people thought about the rotations of our solar system or the shape of our planet certainly had no affect on how things actually are in reality.  So what is the process by which erroneous thinking becomes supplanted with new thoughts that directly contradict the old?

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I could say that I staked my career on a losing hand of cards.  I could say that even in light of what I have since come to understand about my own limitations, about the body-brain physiological changes that my mother’s severe abuse of me created.  I understand now that dissociation happens to me on a regular basis.  I understand now that the stress response systems within me were built in trauma and do not allow me to experience my life in ordinary ways.  I understand now that going all the way before my brain’s language centers were built trauma changed how my emotional-social brain operates.  But all of this new information that I have doesn’t change the basic fact that I staked my career on the stars while I walked down here in the mud.

I trained myself with a BA in psychology and a MA in art therapy specifically to work with sexually abused children on Native American reservations.  THAT didn’t work.  But I had to go through a PROCESS of learning and understanding how I fit into a world that I did not create.

I found that after the U.S. government rescinded its laws in 1974 that had been put into place to make sure that indigenous people within the borders of our nation did not practice their traditional spiritual beliefs, the tribal people where I lived had to resurrect their ceremonies and ancient teachings into the new world they found themselves now living in.  It had been the intention of our government to disempower the people.  What has been called ‘assimilation’ was nothing more than an invisibility cloak thrown over the true intention of genocide.

Our government was joined by private interest forces that were allowed to help destroy the tribal structure of our nation’s indigenous people through greed.  Our government was also joined by religious interest forces that introduced the gangrene of sexual abuse into Native communities through boarding schools, which also operated to erase traditional languages, customs, beliefs and practices and destroy clan and family systems.

Included in the history of terrible abuse and trauma that was perpetrated against our nation’s so-called enemy, is a pattern of dishonoring treaties that should make any conscience-ridden nation so ashamed of itself it could not exist.  But exist America does, in spite of these actions which to this day remain so buried, hidden, disguised, condoned and still practiced that it is amazing our nation can ignore them.

What does any of this have to do with me?  As far as I know I have no indigenous American ancestry.  What I did was take my newly acquired credentials, acquire a job as an art therapist on a reservation, and set to work to ‘help’ the little 2-10 year-old members of my 40 child caseload to ‘recover’.  Of these children, all of them had been sexually abused along with being victimized by neglect and maltreatment, many from before they were born through drug and alcohol usage of their mothers.   Seventy percent of my caseload were little boys.

What ‘good’ did I think I could do for these children?  I had children on my caseload who could name 55 cousins they were sexually active with.  I found that in many cases adults knew this was happening and ignored it.  There were ‘rape gangs’ of older children who tricked or kidnapped younger children, taking them far into the woods to sexually initiate them, if they hadn’t already been molested from the time they were babies.

There were stories of children watching their father chop their mother to death in the household kitchen with an ax because he was on acid.  There were stories of foster parents putting their own and their foster children to sleep at night by putting plastic bags over their heads until the children passed out.  When the older children could be taught to do this themselves so that the foster parents could go out an party, guess what happened?  While eventually the children were removed from these parents’ care, nobody ever prosecuted for abuse.

And on this reservation where it wasn’t uncommon for people to be killed by being buried alive, I found it got even worse.  I had little children on my caseload whose mother had run away from their abusing father.  The father’s parents went to medicine people and asked in retaliation that the spirits attack their grandchildren.  The spirits complied.  The children suffered through sickness and threat of death.  And if all of this wasn’t bad enough, sooner rather than later these same ‘bad’ people asked that bad medicine be used not only against me (as the foreign intruder that I was), but also against all three of my children.

My response?  I was fortunate to have the same ‘good’ medicine man I brought my caseload’s children to for assistance and healing perform ceremonies that removed this bad medicine from me and from my children.  Then I turned tail and ran.  I abandoned my work with the children, took myself and my own children, left the area and disappeared.

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Before I left the area I did some serious questioning of people ‘in the know” about how and why the spirits could participate in this kind of evil.  I was told that most of the spirits that Indigenous people have always been able to access through ceremony are neutral.  They can be accessed as power to work either good or ill.  The choice is within the humans who are the ones who ASK them, or COMMAND them to either help or harm others.

Yet for all of this, what I most often think about is something my then 7-year-old son told me one warm early spring day as he and I were walking down an old logging road through the forest.  It was early on in my art therapist days on the reservation, and I was struggling with something that disturbed me greatly.

I asked my son, who was and is very wise, “What am I going to do if some day I am asked to work with some of the adults or older teens that are the perpetrators of these great harms against little children?  I don’t think I can do it, and I don’t think I will be given the choice.  Do you think there’s any hope that abusers can change?”

I wasn’t looking at my son while I asked him these questions while we walked.  I was looking into the forest at the tiny little brilliantly green leaves that were sprouting from the trees.  When I looked to my right my son was no longer beside me.  I stopped and turned around to see him standing a ways back on the road in the sunshine with his feet spread apart, his hands resting on his skinny little hips, his head cocked to the side, staring at me.

“Well, MOM,” he said, obviously perturbed with me.  “Don’t YOU KNOW?”

I turned around and walked back to him, standing in front of him I responded, “KNOW WHAT?”  Obviously I didn’t have a clue.

“Well, MOM, you SHOULD know this!  Everyone decides when they are in their mother’s tummy if they are going to be good people or bad ones.  They’ve made that decision before they are born and NOTHING ANYONE can ever do is going to change them.”

I was stunned by his insistent sincerity.  And only for a moment did I doubt him.  “Well, honey, how can that be possible?” I wanted to know in my adult logical way.  “Babies can’t make those kinds of decisions before they are born.  How could they even have enough information to even begin to think about such things, let alone make such a huge decision that will determine the course of their lives?”

Again, as if amazed and almost disgusted with my ignorance, my son responded, “Mother, don’t you KNOW?  Babies talk to the angels all the time they are in their mother’s tummy.  They know what they are doing when they decide.  Once they are born they will just be who they have already decided to be, and nobody, nothing, not even you, can change them.”

I have never been able to convince myself that my son didn’t know exactly what he was talking about.  I strongly suspect that it is entirely possible that what he told me on that glorious spring morning was the truth.

It took another few years before I began to understand how pervasive and how powerful the bad choices could be.

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This brings to mind my fascination with wolverines that I had as a child as soon as I found out this animal existed.  Although I don’t think they lived in the Alaskan valleys or on the mountains anywhere near where my family staked claim to our homestead, certainly stories of them floated in the air around me in childhood.

I knew there was something special about their fur so that if a ruff was made out of it around a parka hood one’s breath would not accumulate moisture and freeze on the ruff.  I know they were MEAN and people were afraid of them.  I knew they were smart and could disarm traps intentionally so that humans could not catch them.

I heard they were the only animal that intentionally bullied others.  I heard they could chase away wolves from their moose kill and then spray the meat so it stunk so badly no other animal could eat it.  The wolverine was selfish.  It wasn’t one bit hungry or interested in the meat.  It just liked to be mean.  Wolverines stayed alone, liked or needed nobody, and as far as I could tell nobody liked them.  Wolverines seemed to embody powerful fear at the same time they were immune to it themselves.

Probably as a combined consequence of the terrible ongoing abuse I suffered, coupled with the fact that I had access to no information that would have helped me be able to THINK about anything that happened to me, I liked and admired wolverines even though I never got to meet one personally.

My fascination and respect for this animal continued to crystallize in my mind all the way through my 20s.  I searched for and read everything I could find about them.  In some mythological, unconscious way I seemed to understand that perhaps the only being strong enough to overcome the badness that was my mother would have to be badder than her.  Wolverines seemed to be the essence of bad.  I knew my mother had nothing on them.  If my mother ever met one, she would NOT win that battle.  That thought delighted me!

Few probably equate the potential for badness in animals that we project onto humans.  Nobody is going to teach or influence a wolverine to be ‘good’ or ‘nice’.  Wolverines occupy an environmental niche that belongs to them.  They were always, to me, about the opposite of what I could imagine tame, domesticated or civilized could be.  “Take a walk on the wild side” named both who this animal was and who it would always be.  Even now, there is something comforting to me about knowing that there is a legitimate place for badness and a place it belongs.

My mother might have been vicious and incredibly abuse and mean, but even though she shared these characteristics with a wild beast, she had NOTHING on a wolverine.  At the same time I know that no degree of early developmental trauma could change any other animal into a wolverine.  They ARE born to be mean.  That’s their nature.

Early trauma CAN change the course of physiological development of humans.  As researchers clarify the wiring in humans that operates in our goodness, it is also clarifying a critical area of our body that can be changed through trauma in our earliest developmental stages so that these systems will operate differently from normal.

What this tells me is that we need to listen to the newest information about how trauma influences human development every step of the way.  We have to consider the largest, broadest picture we can about the influence that traumas have not only on individuals, not only on families, but within cultures and societies.  As resiliency factors are removed through trauma at the same time that risk factors are increased, the intergenerational affect that trauma has on human development can actually physiologically reduce the human capacity to both experience goodness and to choose it.

I see this as fact, not theory.

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Social Scientists Build Case for ‘Survival of the Kindest’

ScienceDaily (Dec. 9, 2009) — Researchers at the University of California, Berkeley, are challenging long-held beliefs that human beings are wired to be selfish. In a wide range of studies, social scientists are amassing a growing body of evidence to show we are evolving to become more compassionate and collaborative in our quest to survive and thrive.

In contrast to “every man for himself” interpretations of Charles Darwin’s theory of evolution by natural selection, Dacher Keltner, a UC Berkeley psychologist and author of “Born to be Good: The Science of a Meaningful Life,” and his fellow social scientists are building the case that humans are successful as a species precisely because of our nurturing, altruistic and compassionate traits.

They call it “survival of the kindest.”

“Because of our very vulnerable offspring, the fundamental task for human survival and gene replication is to take care of others,” said Keltner, co-director of UC Berkeley’s Greater Good Science Center. “Human beings have survived as a species because we have evolved the capacities to care for those in need and to cooperate. As Darwin long ago surmised, sympathy is our strongest instinct.”

Empathy in our genes

Keltner’s team is looking into how the human capacity to care and cooperate is wired into particular regions of the brain and nervous system. One recent study found compelling evidence that many of us are genetically predisposed to be empathetic.

The study, led by UC Berkeley graduate student Laura Saslow and Sarina Rodrigues of Oregon State University, found that people with a particular variation of the oxytocin gene receptor are more adept at reading the emotional state of others, and get less stressed out under tense circumstances.

Informally known as the “cuddle hormone,” oxytocin is secreted into the bloodstream and the brain, where it promotes social interaction, nurturing and romantic love, among other functions.

“The tendency to be more empathetic may be influenced by a single gene,” Rodrigues said.

The more you give, the more respect you get

While studies show that bonding and making social connections can make for a healthier, more meaningful life, the larger question some UC Berkeley researchers are asking is, “How do these traits ensure our survival and raise our status among our peers?”

One answer, according to UC Berkeley social psychologist and sociologist Robb Willer is that the more generous we are, the more respect and influence we wield. In one recent study, Willer and his team gave participants each a modest amount of cash and directed them to play games of varying complexity that would benefit the “public good.” The results, published in the journal American Sociological Review, showed that participants who acted more generously received more gifts, respect and cooperation from their peers and wielded more influence over them.

“The findings suggest that anyone who acts only in his or her narrow self-interest will be shunned, disrespected, even hated,” Willer said. “But those who behave generously with others are held in high esteem by their peers and thus rise in status.”

“Given how much is to be gained through generosity, social scientists increasingly wonder less why people are ever generous and more why they are ever selfish,” he added.

Cultivating the greater good

Such results validate the findings of such “positive psychology” pioneers as Martin Seligman, a professor at the University of Pennsylvania whose research in the early 1990s shifted away from mental illness and dysfunction, delving instead into the mysteries of human resilience and optimism.

While much of the positive psychology being studied around the nation is focused on personal fulfillment and happiness, UC Berkeley researchers have narrowed their investigation into how it contributes to the greater societal good.

One outcome is the campus’s Greater Good Science Center, a West Coast magnet for research on gratitude, compassion, altruism, awe and positive parenting, whose benefactors include the Metanexus Institute, Tom and Ruth Ann Hornaday and the Quality of Life Foundation.

Christine Carter, executive director of the Greater Good Science Center, is creator of the “Science for Raising Happy Kids” Web site, whose goal, among other things, is to assist in and promote the rearing of “emotionally literate” children. Carter translates rigorous research into practical parenting advice. She says many parents are turning away from materialistic or competitive activities, and rethinking what will bring their families true happiness and well-being.

“I’ve found that parents who start consciously cultivating gratitude and generosity in their children quickly see how much happier and more resilient their children become,” said Carter, author of “Raising Happiness: 10 Simple Steps for More Joyful Kids and Happier Parents” which will be in bookstores in February 2010. “What is often surprising to parents is how much happier they themselves also become.”

The sympathetic touch

As for college-goers, UC Berkeley psychologist Rodolfo Mendoza-Denton has found that cross-racial and cross-ethnic friendships can improve the social and academic experience on campuses. In one set of findings, published in the Journal of Personality and Social Psychology, he found that the cortisol levels of both white and Latino students dropped as they got to know each over a series of one-on-one get-togethers. Cortisol is a hormone triggered by stress and anxiety.

Meanwhile, in their investigation of the neurobiological roots of positive emotions, Keltner and his team are zeroing in on the aforementioned oxytocin as well as the vagus nerve, a uniquely mammalian system that connects to all the body’s organs and regulates heart rate and breathing.

Both the vagus nerve and oxytocin play a role in communicating and calming. In one UC Berkeley study, for example, two people separated by a barrier took turns trying to communicate emotions to one another by touching one other through a hole in the barrier. For the most part, participants were able to successfully communicate sympathy, love and gratitude and even assuage major anxiety.

Researchers were able to see from activity in the threat response region of the brain that many of the female participants grew anxious as they waited to be touched. However, as soon as they felt a sympathetic touch, the vagus nerve was activated and oxytocin was released, calming them immediately.

“Sympathy is indeed wired into our brains and bodies; and it spreads from one person to another through touch,” Keltner said.

The same goes for smaller mammals. UC Berkeley psychologist Darlene Francis and Michael Meaney, a professor of biological psychiatry and neurology at McGill University, found that rat pups whose mothers licked, groomed and generally nurtured them showed reduced levels of stress hormones, including cortisol, and had generally more robust immune systems.

Overall, these and other findings at UC Berkeley challenge the assumption that nice guys finish last, and instead support the hypothesis that humans, if adequately nurtured and supported, tend to err on the side of compassion.

“This new science of altruism and the physiological underpinnings of compassion is finally catching up with Darwin’s observations nearly 130 years ago, that sympathy is our strongest instinct,” Keltner said.

Story Source:

Adapted from materials provided by University of California, Berkeley. Original article written by Yasmin Anwar, Media Relations.

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