Mindful Happiness

Anthony Quintiliani, Ph.D, LADC

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Interoception and Your Inner Self-Helper

Interoception and Your Inner Self-Helper

Interoception (sometimes called neuroception) is a sensory experience, in which you feel sensations in your body (viscera, heart, throat, etc.) that may be warning signs of limbic surveillance or inner continuity of your inner self-helper – that part of you and your brain that hopes to help you in whatever the situation you are experiencing. Interoceptive awareness is one of the most important mindfulness skills to practice.  In the following meditation, we will visit your interoceptive self and augment its power by repeated the practice. In neuroscience a common understanding is that the larger number of neurons activated in more and more brain areas implies the variant of power (potentiation); more neuron firing in more brain areas results in a more significant life experience. This is one reason why PTSD is such a devastating disorder, and why it is NOT easy to treat successfully. Also, let us not forget the ultimate power of LOVE; people gives their lives for it, and people kill others over it. Let’s get into the practice.

  1.  Sit in a comfortable meditation posture, and close your eyes if you prefer to. If you like you eyes open, gently fix attention downward toward the floor and hold a gentle gaze.
  2.  Now take a few very deep and very slow breaths, in and out. Track the feelings/sensations of the movement of your  breath into and out of the body. Focus attention on this for a few more deep, slow breaths.
  3. Now fully engage your imagination and follow the next few steps. Try to think less, and try to just BE more so.
  4. Focus full attention into your heart area and the viscera below it. See if you feel any form of sensations – even the most tiny sense of kinesthetics. Be with that feeling, and try to keep your mind on it without lots of thinking.
  5. Please do your best to accept that this inner feeling (no matter how slight) is the home of your inner self-helper. it is your intuitive area.
  6. Now our work begins: Using your mind’s eyes, is there a color to this feeling? Focus on it.
  7. Does the feeling inside your body have  any shape? If so, what shape is it? See it, and feel it.
  8. How large or small is the area you feel it in?
  9. How about texture? Is there a discernable texture to your inner sensations?
  10. Is your feeling more hard or more softer?
  11. Does your inner feeling produce a memory of any sound or sounds?
  12. Now focus your energies on making that inner feeling stronger so it can have power to protect you.
  13. Now focus on making that feeling larger – feel your self-helper power This is your self-protector.
  14. Stay with the experience for a few minutes of silence. See what happens.
  15. Become aware, really aware of this feeling. Befriend it fully!

Anthony R. Quintiliani, PhD., LADC

From the Eleanor R. Liebman Center for Secular Meditation in Monkton, Vermont and the Home of The Monkton SanghaChiYinYang_EleanorRLiebmanCenter

Author of Mindful Happiness  

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New Edition of Mindful Happiness in Production…Coming soon!

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PTSD – The How and Why Mindfulness and Meditation

PTSD – The How and Why of Mindfulness and Meditation

Many recent research studies have been published on the benefits of mindfulness skills and meditation practice for various clinical conditions.  Common interventions with these practices are used to improve anxiety, chronic pain, depression, depression relapse, addictions, addictions relapse, eating problems, and trauma. Since the year 2000 there has been growing and convincing evidence on uses of mindfulness and meditation in treatment of traumatic experiences.  To name the most popular: MBSR, DBT, MBCT, MBRP, ACT. Although The American Psychological Association’s expert panel on treatment guidelines for PTSD has NOT included mindfulness and meditation as a recommended intervention (at least they did not state any opposition), those of us who practice meditation or yoga on our own and use these skills in our therapy KNOW they can be effective in improving various traumatic experiences. Some proponents of CBT include mindfulness skills in their therapy. Here are the reasons why mindfulness and meditation may be helpful:

  1. To develop solid grounding in therapy;
  2. To reconnect with a softer, more caring heart in the process;
  3. To learn and use calming and equanimity skills;
  4. To improve self-compassion;
  5. To cultivate better inner peace;
  6. To practice good self-care via loving kindness meditation;
  7. To rediscover your stronger true self under all the pain and suffering;
  8. To build skills that allow you to connect with suffering and remain an integrated person;
  9. To master choiceless awareness in the midst of your pain; and,
  10. To build good coping skills that can be used free-of-charge for the rest of your life.

Additionally, learned and regularly used mindfulness and meditation practices provide the following possible benefits:

  1. To respond effectively to stress reactivity;
  2. To slowly radically accept moment-to-moment experiences – even if unpleasant;
  3. To open the doorway to do work with your own body;
  4. To take steps in the integration of body-heart-mind processes;
  5. To learn how to befriend intrusive, painful memories;
  6. To reduce your arousal level;
  7. To learn to reduce avoidance behavior to escape psychological and physical pain;
  8. To Learn how to balance your emotional and rational minds;
  9. To learn curiosity and friendliness skills in the face of painful experiences;
  10. To learn various breathing techniques to anchor your awareness and your body; and,
  11. To, ultimately, achieve a level of equanimity in your recovery.

For more information refer to Davis, L. (2016). Meditation for Healing Trauma: Mindfulness Skills to Ease Post-Traumatic Stress…Oakland, CA: New Harbinger, pp. 1-36. Dr. Davis is a clinical psychologist working in the Veterans Administration and teaching at the Indiana University School of Medicine. She is an expert in using CBT and MBSR in therapy.

Anthony R. Quintiliani, PhD., LADC

From the Eleanor R. Liebman Center for Secular Meditation in Monkton, VermontChiYinYang_EleanorRLiebmanCenter

Author of Mindful Happiness  

Mindful Happiness cover designs.indd

New Edition of Mindful Happiness in Production…Coming soon!

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Trauma Therapy Basics from Experts

Trauma Therapy:  Basics from Some Expert Clinicians

For many years trauma therapist have used many approaches in their psychotherapy. Most of these approaches lack strong empirical support for outcomes, and are often the “favorites” of these therapists.  One might wonder what benefits therapists derive from using approaches that are not evidence-based. If an intervention fails to support timely positive changes in people suffering from trauma, WHY would a professional use it? It is common for therapists to use psychodynamic therapy, cognitive therapy, behavior therapy, and cognitive-behavioral therapy (including dialectical behavior therapy).  While it is quite true that people suffering from serious trauma requires an exceptional therapeutic alliance (psychodynamic therapy), modifications in automatic negative thoughts (cognitive therapy), changes in unhelpful behaviors, like self-medication of pain (behavior therapy, and combinations like very well executed cognitive-behavioral therapy), commonly long-term healing outcomes have been somewhat disappointing.  Perhaps an experienced and skilled therapist able to develop a high quality psychodynamic clinical alliance as well as highly effective cognitive-behavioral interventions may achieve admirable outcomes; however, that specific combination of skills is not common. I am suggesting that a high quality helping alliance and successful interventions in thinking and behavior problems may be helpful for people suffering from serious trauma.  However, most of these approaches (other than informed and skilled DBT) miss the mark when it comes to integrated positive impact on the mind-body system.  Even in DBT (and CBT), it is common for it to be used as a form of cognitive therapy – leaving the important behavioral and body-based areas out all together. To take a new look at the traumatized mind-body, witness current successes in trauma-informed yoga and meditation for PTSD.  Recent meta-analytical reviews have noted that meditation (and yoga to a lesser degree) do improve depression, anxiety, physical pain (emotional pain?), and emotion regulation. Therefore, such body-based approaches improve three (depression, anxiety, self-medication) of the common clinical conditions associated with serious trauma.

Clinicians like Bessel van der Kolk remind us to pay attention to trauma-formed brain changes: the amygdala, the hippocampus, and the prefrontal area (especially medial PFC). These areas have been impacted, possibly sensitized, to trauma and its sequelae. Such changes may strongly impact the person’s future-orientation to life as less than hopeful, and cause sensitized body-based emoltionaland bodily reactions to conscious and unconscious (autonomic) traumatic cues. MRI research supports the trama-caused changes in both limbic and executive brain centers. It is believed that trauma causes changes in the neurocircuitry of the brain. Such important processes as interoception (mindfulness) and neuroception (polyvagal implications) play important roles in post-traumatic experience. The suggestion is that mindfulness, body-based interventions (meditation, yoga, body scanning, etc.) may be helpful in the experienced therapists’ hands. Recall, however, when it comes to using body-based and mindfulness-based interventions in trauma, the best therapists are also practitioners in these practices. Limbic  and prefrontal interventions, NOT psychodynamic and cognitive interventions, may be highly helpful in effective trauma-informed psychotherapy.

Peter Levine reminds us that the body-based implantation of trauma may be used to slowly assist people suffering from trauma to be one with their memories without becoming powerless over them.  Thus, specifically designed body movement with their associated emotional and memory components as well as verbal processing may be utilized to support recovery from even the most severe traumatic experiences.  He does not forget the role the body plays in trauma and recovery from it.

Stephen Porges of Polyvagal Theory fame, notes that traumatic experience impacts the brain and the central nervous system. He notes a keen focus on the huge implications of the vagal nerve systems. It is possible to use neuroception, which functions as a risk detection system in people with trauma, to slowly help people adjust to the way their body responds to any form of traumatogenic cues – both internal and external. Utilizing adult attachment theory and process in therapy, as well as the possibility of feeling safe in social interactions, helps people with trauma move if slowly into recovery. Physical gestures, body reactions, voice quality, posture, and facial emotions – all part of post-trauma deficits – may be modified so as to assist people to enter recovery.

Pat Ogden, famous for her unique body-based and movement-based approaches, explains how habitual, conditioned body-based reactions may be modified as a new story of the body. These new experiences help to form a new better integrated story about trauma that guides the recovery process and reduces fear. She suggests that very specific forms of body movements may be most helpful here. Perhaps, the brain’s insula and thalamus have also been sensitized to reminders of traumatic experience, thus rendering their typical functions less adaptive.

Note that all of these leading trauma specialists have shifted to interventions with the body rather than typical “talk therapy” that is so often used.  Yes, we do need to have important conversations with people suffering from trauma, but the real power for change comes from working with their bodily memories, reactions, and impulses along with limited verbal interactions. Inner peace, interpersonal safety, and slow readjustment to life are all part of recovery.

For more details and available clinical training refer to www.nicabm.com/holiday 2016… retrieved on December 28, 2016. See also Harrison, P. (August 13, 2014). Long-term course of PTSD revealed. www.medscape.com/viewarticle/829872…retrieved on August 14, 2014.  Also refer to Buczynski, R. (October 23, 2014). PTSD, the hippocampus, and the amygdala – How trauma changes the brain. www.nicabm.com…/ptsd… Retrieved on October 24, 2014.

 Anthony R. Quintiliani, PhD., LADC

From the Eleanor R. Liebman Center for Secular Meditation in Monkton, VermontChiYinYang_EleanorRLiebmanCenter

Author of Mindful Happiness  

Mindful Happiness cover designs.indd

New Edition of Mindful Happiness in Production…Coming soon!