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Catalyze Brain Change: From Incremental Skills to Quantum Learning San Francisco CAMFT May 4, 2014 San Francisco, CA.

San Francisco CAMFT May 4, 2014 San Francisco, CA

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Catalyze Brain Change:From Incremental Skills toQuantum LearningSan Francisco CAMFTMay 4, 2014San Francisco, CA.Catalyze Brain Change:From Incremental Skills toQuantum LearningLinda Graham, [email protected] Back: Rewiring Your Brain For Maximum Resilience and Well-BeingAll the world is full of suffering.It is also full of overcoming.- Helen KellerResilienceDeal with challenges and crisesBounce back from adversityRecover balance and equilibriumFind refuges and maximize resourcesCope skillfully, flexibly, adaptivelyShift perspectives, open to possibilities, create options, find meaning and purposePremise of WorkshopDifferent neural activities underlieDifferent levels of client functioning, thusDifferent mechanisms of therapeutic change

Harness neuroplasticity of brainTeach self-directed neuroplasticity to clientsIncrease effectiveness of any modalityThe field of neuroscience is so new,we must be comfortable not only venturing into the unknownbut into error.- Richard Mendius, M.D. Neuroscience of ResilienceNeuroscience technology is 20 years old

Meditation shifts mood and perspective; impacts immune system and gene expressionOxytocin can calm a panic attack in less than a minuteKindness and comfort, early on, protects against later stress, trauma, psychopathologyNeuroplasticityGrowing new neuronsStrengthening synaptic connectionsMyelinating pathways faster processingCreating and altering brain structure and circuitryOrganizing and re-organizing functions of brain structuresThe brain is shaped by experience. And because we have a choice about what experiences we want to use to shape our brain, we have a responsibility to choose the experiences that will shape the brain toward the wise and the wholesome.- Richard J. Davidson, PhDEvolutionary legacyGenetic templatesFamily of origin conditioningNorms-expectations of culture-society

Who we are and how we cope.is not our fault.- Paul Gilbert, The Compassionate MindGiven neuroplasticityAnd choices of self-directed neuroplasticity

Who we are and how we copeis our responsibility

- Paul Gilbert, The Compassionate MindMindfulness and EmpathyAwareness of whats happening(and our reactions to whats happening)What are you noticing now?

Acceptance of whats happening(and our reactions to whats happening)Oh, sweetheart! This is painful; this is hard. And it makes complete sense that you would feel the way you do.

Two most powerful agents of brain change known to scienceEffective Agents of Brain ChangeConsciousnessSelf-AwarenessMindfulnessSelf-ReflectionCompassionEmpathyAttention CircuitResonance Circuit

Self-Directed NeuroplasticityPractices to Accelerate Brain ChangePresence primes receptivity of brain

Intention/choice activates plasticity

Perseverance creates and installs changeConditioning Skills and PatternsThe brain learns from experienceEncodes learning, behaviors, skills in neural circuitryPatterns of response become automatic habits

Develops or de-rails pre-frontal cortexCEO of resilienceInner secure base, personal sense of self

Therapeutic relationship = re-parentingNew Conditioning New ResourcesNew skills, behaviors, capacitiesDevelop resilient copingAntidote negativity bias of brainStrengthen resources; take in the goodRe-conditioning Rewiring PatternsStabilize functioningReduce stress, defensivenessHeal trauma

Window of tolerance equilibriumMemory deconsolidation reconsolidationDe-conditioning Quantum LearningDefault networkMental play spaceOpen spacious awareness

Insights, aha!s, breakthroughs6 Cs of CopingCalmCompassionClarityConnections to ResourcesCompetenceCourageConditioning:How the Brain Learns in the First PlaceExperience causes neurons to fireRepeated experiences, repeated neural firingsNeurons that fire together wire togetherStrengthen synaptic connectionsConnections stabilize into neural pathwaysConditioning is neutral, wires positive and negativeAttachment Styles - SecureParenting is attuned, empathic, responsive, comforting, soothing, helpfulAttachment develops safety and trust, and inner secure baseStable and flexible focus and functioning Open to learning inner secure base provides buffer against stress, trauma, and psychopathologyInsecure-AvoidantParenting is indifferent, neglectful, or critical, rejectingAttachment is compulsively self-reliantStable, but not flexibleFocus on self or world, not others or emotionsRigid, defensive, not open to learningNeural cementInsecure-AnxiousParenting is inconsistent, unpredictableAttachment is compulsive caregivingFlexible, but not stableFocus on other, not on self-world, Less able to retain learningNeural swampDisorganizedParenting is frightening or abusive, or parent is checked out, not thereAttachment is fright without solutionLack of focus Moments of dissociation Compartmentalization of traumaPre-Frontal Cortex - FunctionsRegulate body and nervous systemQuell fear response of amygdalaManage emotionsAttunement felt sense of feelingsEmpathy making sense of experienceInsight and self-knowingResponse flexibilityMindfulness Comes to West Mindfulness: Focused attention onpresent moment experiencewithout judgment or resistance.- Jon Kabat-Zinn

Attention and allowingAwareness and acceptanceMindfulnessPause, become presentNotice and nameSee patterns as patternsStep back, dis-entangle, reflectCatch the moment; make a choiceShift perspectives; shift statesDiscern optionsChoose wisely let go of unwholesome, cultivate wholesomeBetween a stimulus and a response there is a space. In that space is our power to choose our response. In our response lies our growth and our freedom. The last of human freedoms is to choose ones attitude in any given set of circumstances.- Viktor Frankl, Austrian psychiatrist, survivor of AuschwitzAutobiography in Five Short Chapters Portia NelsonII walk down the street.There is a deep hole in the sidewalkI fall in.I am lostI am helplessIt isnt my fault.It takes me forever to find a way out.

III walk down the same street.There is a deep hole in the sidewalk.I pretend I dont see it.I fall in again.I cant believe Im in the same placeBut, it isnt my fault.It still takes a long time to get out.

IIII walk down the same street.There is a deep hole in the sidewalk.I see it is there.I still fall inits a habitMy eyes are open, I know where I am.It is my fault.I get out immediately.31IVI walk down the same streetThere is a deep hole in the sidewalk.I walk around it.VI walk down another street.-Portia NelsonClarityIt is not the strongest of the species that survives, nor the most intelligent. It is the one that is the most adaptive to change.- Charles Darwin

Every moment brings a choice, and every choice has an impact.Julia Butterfly HillNew ConditioningExperience creates brain changeNew experiences: new learning, new skills, new behaviorsNew memory, new circuitryNegativity Bias Positive EmotionsBrain is hard-wired to notice and remember negative and intense more than positive and subtle; how we survive as individuals and as a speciesLeads to tendency to avoid experiencePositive emotions activate left shift, brain is more open to approaching experience, learning, and actionPositive Emotions-BehaviorsGratitudeAweGenerosityCompassionDelightSerenityLoveCuriosityKindnessJoyTrustPositive EmotionsLess stress, anxiety, depression, lonelinessMore friendships, social support, collaborationShift in perspectives, more optimismMore creativity, productivityBetter health, better sleepLive on average 7-9 years longerGratitude2-minute free-writeGratitude journalGratitude buddyGratitude in the middle of the nightTake in the GoodNotice: in the moment or in memoryEnrich: the intensity, duration, novelty, personal relevance, multi-modalityAbsorb: savor 10-20-30 seconds, felt sense in bodyCircle of SupportCall to mind people who have been supportive of you; who have had your backCurrently, in the past, in imaginationImagine them gathered around you, or behind you, lending you their faith in you, and their strengths in copingImagine your circle of support present with you as you face difficult people or situationsPositivity PortfolioAsk 10 friends to send cards or e-mails expressing appreciation of youAssemble phrases on piece of paperTape to bathroom mirror or computer monitor, carry in wallet or purseRead phrases 3 times a day for 30 daysSavor and appreciateRe-conditioningManaging survival responses

Rewiring shame

Rewiring traumaWindow of ToleranceSNS explore, play, create, produce.ORfight-flight-freeze

Baseline physiological equilibriumCalm and relaxed, engaged and alertWINDOW OF TOLERANCERelational and resilientEquanimity

PNS inner peace, serenityORNumb out, collapseKeep Calm and Carry OnSerenity is not freedom from the storm

but peace amidst the storm.

- author unknownHand on the HeartTouchDeep breathingPositive EmotionsBrakes on survival responsesOxytocin safety and trustRelationships as resourcesOxytocinHormone of safety and trust, bonding and belonging, calm and connectBrains direct and immediate antidote to stress hormone cortisolCan pre-empt stress response altogetherCalm through the BodyHand on the HeartBody ScanProgressive Muscle RelaxationMovement OppositeCalm Friendly Body ScanAwarenessBreathing gently into tensionHello! and gratitudeRelease tension, reduce traumaProgressive Muscle RelaxationBody cannot be tense and relaxed at the same time

Tense for 7 seconds, relax for 15

Focused attention calms the mindCalm and Strength through MovementPower posingBody posture of difficult emotionBody moves into opposite postureReturn to first postureReturn to second postureFind a position in the middleThe roots of resilience are to be found in the felt sense of being held in the mind and heart of an empathic, attuned, and self-possessed other.- Diana Fosha, PhD

To see and be seen: that is the questions, and that is the answer.- Ken Benau, PhDNeuroscience of EmpathyEmotional communication is 93% non-verbalSocial engagement system Dyadic regulationFusiform gyrus regulates amygdalaVagal brakeRestores equilibriumAh, the comfort,The inexpressible comfortOf feeling safe with a person.Having neither to weigh out thoughtsNor words,But pouring them all right out, just as they are,Chaff and grain together;Certain that a faithful handWill take them and sift them;Keeping what is worth keeping and,With the breath of kindness,Blow the rest away.- Dinah Craik

Wiser SelfImagine yourself five years from now: wise, compassionate, good, strong, alive and vibrantAsk this Wiser Self: how did you become like this? What did you have to overcome or let go of to become like this? What one word of advice do you have for me?Inhabit this Wiser Self briefly; what does it feel like to become your Wiser Self? The curious paradox is that when I accept myself just as I am, then I can change.- Carl RogersCompassionSensitivityAttention to feelings and suffering, self and othersSympathyTuning in, feeling with, being movedDistress toleranceBeing with pain without denial or overwhelmEmpathyUnderstanding without judgment, resistance, submissionCaringWarmth, kindness, gentleness in any response

Self-Compassion BreakNotice-recognize: this is a moment of sufferingOuch! This hurts! This is hard!Pause, breathe, hand on heart or cheekOh sweetheart!Self-empathyI care about my own suffering, me as experiencerDrop into calm; hold moment with awareness; breathe in compassion and careMay I meet this moment fully; may I meet it as a friendShare experience with resonant otherThe Guest House - RumiThis being human is a guest-house.Every morning a new arrival.A joy, a depression, a meanness,Some momentary awareness comeAs an unexpected visitor.Welcome and entertain them all!Even if theyre a crowd of sorrows,who violently sweep your houseempty of its furniture,still, treat each guest honorably.

He may be clearing you out for some new delight.The dark thought, the shame, the malice,meet them at the door laughing, and invite them in.Be grateful for whoever comes,because each has been sent as a guide from beyond.- Rumi

Compassion for Others - SelfRemember moment of compassion and care for anotherEvoke felt sense of compassion in your bodyWhen flow of compassion is steadyPlace yourself in flow of compassion, care, concernFind the Gift in the MistakeRegrettable Moment Teachable MomentWhats Right with this Wrong?Whats the Lesson?Whats the Cue to Act Differently?Find the Gift in the MistakeCoherent NarrativeThis is what happened.This is what I did.This has been the cost.This is what I learned.This is what I would do differently going forward.CourageIts as wrong to deny the possibleAs it is to deny the problem.- Dennis SeleebyDo One Scary Thing a DayVenture into New or UnknownSomatic marker of Uh, ohDopamine disruptedCross threshold into newSatisfaction, masteryDopamine restoredPeople as ResourcesAt times our own light goes out and is rekindled by the spark from another person.

Each of us has cause to think with deep gratitude of those who have lighted the flame within us.- Albert SchweitzerSee Yourself as Others See YouImagine sitting across from someone who loves you unconditionallyImagine switching places with them; see yourself as they see you; feel why they love you and delight in you; take in the goodImagine being yourself again; taking in the love and affection coming to you; savor and absorb.Welcome Them AllWiser Self welcomes to the partycharacters that embody positive and negative parts of the selfwith curiosity and acceptance of the message or gift of each part andhonors each part of the inner committeeShame is De-Railer of ResilienceShame is the intensely painful feeling or experience of believing we are flawed and therefore unworthy of acceptance and belonging.Shame erodes the part of ourselves that believes we are capable of change. We cannot change and grow when we are in shame, and we cant use shame to change ourselves or others.Cure for Shame is Love and AcceptanceLove makes your soul crawl out of its hiding place. - Zora Neale Hurston

Love guards the heart from the abyss. MozartJust that action of paying attention to ourselves, that I care enough about myself, that I am worthy enough to pay attention to, starts to unlock some of those deep beliefs of unworthiness at a deeper level in the brain.- Elisha GoldsteinRe-conditioningMemory de-consolidation re-consolidationLight up neural networks of problematic memoryCause neural networks to fall apart temporarily and instantly rewire by:Juxtaposing positive memory that directly contradicts or disconfirms;Focused attention on juxtaposition of both memories held in simultaneous dual awarenessCasues the falling apart and the rewiringReconditioningAnchor in present moment awarenessResource with acceptance and goodnessStart with small negative memoryLight up the networksEvoke positive memory that contradicts or disconfirmsSimultaneous dual awareness (or toggle)Refresh and strengthen positiveLet go of negativeRest in, savor positiveReflect on shifts in perspectiveWished for OutcomeEvoke memory of what did happenImagine new behaviors, new players, new resolutionHold new outcome in awareness, strengthening and refreshingNotice shift in perspective of experience, of selfRewiring TraumaMindfulness and compassion as containerDropping through layers of story, feelings to body sensations where trauma is storedChunking down the memory to be processedHolding the memory in larger resourcingPendulating between positive and negative, refreshing positive, until negative dissolves or loses chargeModes of ProcessingFocusedTasks and detailsSelf-referentialNew conditioning and de-conditioningDe-focusedDefault networkFertile neural background noisePlane of open possibilitiesDe-conditioningDefocused modeDreamsDaydreams, reveriesStream of consciousnessImaginationGuided visualizationMindfulness Dissolves the Stuff of SelfQuantum physics investigates matterMatter is more space than stuffMindfulness investigates ISelf is not static or fixed; is ever-changing, ever-unfoldingTrue Self is flow of beingnessI am larger than I thought.I did not know I held so much goodness.- Walt Whitman

Love teaches me I am everything.Wisdom teaches me I am nothing.Between the two, my life flows.- Sri NisargadattaPre-Frontal CortexToggles back and forth between focused and defocused modes of processingIntegration of two modes; integration of right and left hemispheres, integration of higher and lower brainDeeper brain functioning; brain itself more reslientRelational IntelligenceSetting limits and boundariesNegotiating changeResolving conflictsRepairing rupturesForgiveness I am no longer afraid of storms,For I am learning how to sail my ship.- Louisa May AlcottPractices to Accelerate Brain ChangePresence primes receptivity of brain

Intention/choice activates plasticity

Perseverance creates and installs changeHow long should you try? Until. - Jim Rohn

The difference between try and triumph is a little umph. author unknown

The greatest oak was once a little nut that held its ground. Author unknown Catalyze Brain Change:From Incremental Skills to Quantum LearningLinda Graham, [email protected]