Addiction: It’s Not about the Brain

by Bruce Wilson

Two items crossed my attention this week, both of them related to addiction.

The first was a WSJ article about a study looking at the adolescent brain: “Are Some Teenagers Wired for Addiction?” Using fMRI, the researchers identified a particular pattern of neural activity in teens who had a tendency to become addicted to drugs or alcohol. Specifically, these teens had lower activity in the orbitofrontal cortex (OFC), a region that mediates impulsive behavior. (More on the OFC in a future post.) The implication is that faulty OFC activity causes poor impulse control which in turn causes kids to become easily addicted. A different pattern of faulty networks was found in kids with ADHD, also related to impulse control. In other words, the brain is the problem.

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If you have to ask, you’ll never know.

by Bruce Wilson

I’ve often told Arthur Janov that primal therapy needs good evidence from well-designed outcome studies before the psychological community will accept it as a valid therapy. I tell him this is the only way his colleagues will come to believe that the therapy works. His response is usually something like, “they won’t believe it even if you prove it to them. With scientists, the distance from the left brain to the right cannot be crossed.”

In a way, he’s correct. To those of us who have allowed ourselves to let go and drop deeply into feelings without inhibition or control, the concept of “feeling” takes on a whole new meaning. From that point forward, the common notion of feeling held by most psychologists is revealed as a pale facsimile of the real thing. Rather, it is only the tip of the iceberg, the bare beginning of what’s needed to connect with our deepest selves and reclaim our birthright as fully feeling human beings. And as Janov repeatedly reminds us, this process must be done slowly and carefully, with a constant focus on insight and connection, otherwise we can get easily get lost in empty catharsis with few insights or bizarre ideation. Janov calls this “abreaction.”

To psychologists who haven’t gone deeply into their own feelings, this is terra incognita. Most consider deep feeling as dangerous – something to avoid lest it “retraumatize” the client. Even the most well-meaning of therapists who say their approach is “all about feelings” miss the point. The loss of control needed to descend to the level at which the trauma occurred cannot be avoided. Without it, you remain at a distance, apart from the trauma. You must go into the center of the pain to resolve it, and when done properly, the pain dissolves into feeling and the insights flow. Left brain and right brain connect to create a wholly functional, feeling being.

But in today’s trauma therapy, the client is usually led part-way into the pain whereupon the therapist intervenes with advice on how to “appraise” the feeling. The cognitive brain stays firmly in control while the feeling is observed from afar, as though on a stage. A variation of this is EMDR – eye movement desensitization therapy – where the client witnesses the trauma from afar, as though in hypnosis, and then talks about it. She remains detached from her pain because to go deeper into it risks retraumatization.

And herein lies the difficulty in encouraging the scientific community to consider primal therapy seriously: unless you’ve been there and dropped to that level yourself, the concept of primal feeling is foreign and usually confused with loud screaming, crying, venting, flailing or flopping about, or some other display of extreme emotion, but with no understanding of what is happening on the inside. More often than not, deep feeling is avoided because most if not all psychologists have some degree of past trauma they are defending against. They may have touched on it in talk therapy, cried about it even, but very few have let themselves go to the depths because after all, it is painful, and most talk therapy situations don’t allow full expression of feelings, lest it disturb their professional neighbours. Also, later trauma often connects to earlier trauma underneath, a phenomenon Janov refers to as the chain of pain. There is a general fear of losing control, despite the fact that primal therapy has mapped this territory well over its forty plus years of development.

This is why the science of primal therapy must be done by researchers who have gone through the primal process, preferably all the way through therapist training. Otherwise, there will always be the question, “just what are primal feelings?” And as Louis Armstrong said when someone asked him what jazz was, “if you have to ask, you’ll never know.”

 

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Toward a True Science of Primal Therapy

by Bruce Wilson

What is science? A simple definition is offered by George Orwell in his essay by that name. He defines science is either: “(a) an exact science, such as chemistry, physics, etc. or (b) a method of thought which obtains verifiable results by reasoning logically from observed fact.”

By this simple definition, primal therapy might be defined as a science. Arthur Janov developed his theory through observed facts by watching his patients descend into deep feelings, gain insights, and get better. He then reasoned logically from those facts and developed a therapy that obtained verifiable results. He then went further to find supportive evidence for his theory from physiology and neurobiology, both exact sciences (or close enough to it). Throughout this process, he developed a theory of mental illness based on early life trauma and a conclusion that primal therapy can be the one and only “cure for neurosis.”

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Debunking the Debunker

by Bruce Wilson

Anyone searching online for information about primal therapy may have come across a website purporting to “debunk” the therapy. This is an elaborate site with many pages consisting of arguments drawn from clinical psychology, philosophy of science, and the rules of critical thinking, all aimed to expose primal therapy as a pseudoscientific fraud. (As a science writer, I have nothing against critical thinking, but I do object to its improper use as demonstrated on that website.)  The author is an insider, an ex-trainee at the Janov Primal Center, so he has a patina of authority that sets him apart from ignorant critics such as Martin Gardner, who wrote a horribly misinformed article in the Skeptical Inquirer called, Primal Therapy: A Persistent New Age Therapy. Despite that, the author cites Gardner’s article in his section, “articles exposing primal therapy” along with other misinformed or irrelevant books and articles, many of which have nothing to do with primal therapy. (The author of the website writes anonymously, so I will called him LP to preserve his identity.)

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