part 2 of Nancy White's chapter
ALPHA-THETA NEUROTHERAPY AS A MULTI-LEVEL MATRIX OF INTERVENTION
Nancy E. White, Ph.D. and Karinn Martin, M.S.W.
The Enhancement Institute Houston, Texas
continued from part one of the chapter, which you can access here.
An explanation for the wide-ranging power of this protocol might be found in the realm of state-dependent learning and memory (Rossi & Cheek, 1988) or state-context learning and retrieval (Cowan, 1993). The predominant waking brainwave frequency of children under the age of six is in the four to eight hertz range associated with theta in adults. As we mature, our average brainwave frequencies get faster (Duffy, Iyer, & Surwillo, 1989). In adulthood these lower frequency waves are usually associated with reverie and hypnogogic imagery. They occur in the transitions from wakefulness to sleep.
"The highly emotional experiences of early childhood, and the (often mistaken) decisions which stem from them, are learned and stored as modification of the slower background frequencies that were activated at that time," Cowan (1993) states. The surfacing of memories from early childhood during the theta training fits observations of "state-dependent memory," i.e. that information learned while in one state of consciousness is more difficult to access when in another state of consciousness. The natural shift in dominant brainwave frequencies during maturation could result in dysfunctional childhood learnings being preserved in the unconscious (Beckwith, 1992). To gain access to most of these "state-bound" memories, one has to be in the state in which they were created, i.e. theta. Alpha-theta therapy induces a profound alteration in the state of consciousness of the patient. As the subconscious appears to become more accessible in this deeply altered state, traumatic memories of the past often are released and the subconscious seems more readily amenable to alteration or programming by new images. Dr. Thomas Budzynski, researcher and clinician, found that theta was the ideal state for "rescripting" or "reimprinting" the brain, eliminating destructive behaviors or attitudes that are a result of "scripts" laid down in childhood (during times when the child is in a theta state) and replacing them with positive scripts (Hutchison, 1992). This is one of the few ways in which an adult can store new information in the subconscious, which can be equated to state-contexts dominated by theta and low alpha rhythms which have well learned but state dependent connections to the limbic system and early emotional memories (Cowan, 1993).
Following the theme of state-context dependent memory, we might consider what Colin Ross (1989), an authority on Multiple Personality Disorder (MPD), states about diagnoses of pathology. He writes that the DSM (Diagnostic and Statistical Manual) should have a category for Chronic Trauma Disorder of Childhood, Childhood Onset, with and without Multiple Personality Disorder. It becomes a hierarchical diagnosis including multiple diagnoses, with the most severely abused and dissociative persons developing MPD. Those who are less severely traumatized or less gifted at dissociation, develop somatic symptoms, personality disorders including borderline, panic disorders, depression and addiction, exacerbated by any genetic predispositions (Blum, 1991). Using a metaphor from quantum mechanics, Colin Ross states that chronic trauma disorder is a single field, with distinct regions. These different regions are called affective disorder, eating disorder, substance abuse, and so on. Numerous regions of the field can be activated simultaneously in a given patient. These subregions can occur in different combinations in different patients. From this point of view, could we perhaps collapse our horizontal axis to a single diagnostic entity that we term Chronic Trauma Disorder.
Figure 11. The Core Issue (Chronic Trauma Disorder), hiding in the Unconscious, permeates all levels of the Self - Physical, Mental, Emotional and Spiritual. Childhood trauma becomes the source out of which the multiple symptoms and disorders flow.
When our patients experience abreactions and flashbacks, we are encountering their psychodynamic realm. The experiences belonging to this category are associated with and derived from biographical material from the subject's life, particularly from emotionally highly-relevant events, situations, and circumstances. They are related to important memories, problems, and unresolved conflicts from various periods of the individual's life since early childhood. This can take the form of reliving memories of traumas that were accessible in normal states of consciousness or can emerge from the realms of the individual unconscious where the traumas have been repressed. These memories can take the form of a variety of experiences that contain unconscious material in the form of symbolic disguises, distortions and metaphorical allusions, often presenting as hypnagogic imagery, imagery that seems to spring into the mind from unconscious sources. This concept leads us to the writings of Stanislav Grof (1976, 1980, 1985, 1988) and his work with the National Institute of Mental Health in LSD psychotherapy, another consciousness-altering type of therapy used in the 1950's and 1960's until the drug was scheduled by the federal government. Grof offers the principle of specific memory constellations, for which he has used the name COEX systems (systems of condensed experience).
A COEX system can be defined as a specific constellation of memories from different life periods of the individual. The memories belonging to a particular COEX system have a similar basic theme or contain similar elements, and are accompanied by a strong emotional charge of the same quality. The deepest layers of this system are represented by vivid memories of experiences from the period of birth, infancy and early childhood and seems to represent a summation of the emotions belonging to all the constituent memories of a particular kind. This is in basic agreement with Freud's psychodynamic theory with the new element being the organizing dynamic system. A given individual can have several COEX systems. The psychodynamic level of the unconscious, and thus the role of the COEX systems, is much less significant in individuals whose childhood was not particularly traumatic (Grof, 1985), hence an explanation of why some of our patients have strong life changing experiences of memories and abreactions and others do not.
In a complicated interaction with the environment, these systems can selectively influence the subject's perception of himself or herself and of the world, his or her feelings and thoughts, and even somatic process. When this core experience of the system is relived and integrated, the patient's life can be transformed. In the case study of B.K., when, from a "witness consciousness" (Wuttke, 1992) and in a deeply altered state, she relived the memory of the crib abuse and was rescued by her adult Resource Self, she collapsed a COEX system and altered her life and her perceptions of herself in the world and her reaction to the world. This can also be said for the experiences of K.H. and M.F. and many other of our patients.
The broad range of effectiveness of this type of therapy might lack credibility if it were not for the fact that early childhood trauma exerts such a wide range of psychological and physiological effects. Perry (1992) states that prolonged "alarm reactions" induced by traumatic events during infancy and childhood can result in altered development of the central nervous system (CNS). He hypothesizes that with this altered development, one would predict a host of abnormalities related to catecholamine regulation of affect, anxiety, arousal/concentration, impulse control, sleep, startle, and autonomic nervous system regulation, among others. He further states that it is likely that the functional capabilities of the CNS systems mediating stress in the adult are determined by the nature of the 'stress' experiences during the development of these systems, i.e., in utero, during infancy and childhood.
Cowan (1993) states that it is hypothesized that many addicts use drugs not just to feel good, but to forget that they feel badly. With this, we return again to Colin Ross' suggested diagnosis of Chronic Trauma Disorder. Frequently this "feeling badly" is residue of earlier trauma.
Alpha-Theta Neurotherapy has made manifest what a research team, Elmer and Alyce Green and Dale Walters, at The Menninger Foundation told us in the 1970's: i.e. causing the brain to generate theta activity daily over a period of time seems to have enormous benefits, including boosting the immune system, enhancing creativity, and triggering or facilitating "Integrative experiences leading to feelings of psychological well-being" (Green, 1974; Hutchison, 1992). The protocol seems to transcend the patient's lack of motivation to change, incapacity to create internal visual imagery or disbelief in the effectiveness of the treatment. Frequently the patient's experience and results far exceed the goals targeted (in the visual imagery). Entering this deeply altered alpha-theta brainwave state seems to create a link to the subconscious where a wider scope or vision of the "True Self" without its ego adaptations is contacted. Beyond overcoming addiction, the treatment evokes in the patient shifts in behaviors, attitudes, relationships, health, mental acuity, improved job performance and creativity. When the rational mind enters the slower, more coherent, brainwave range of theta and surrenders to the mind field (the subconscious and the superconscious), the brain/mind system seems to be enabled to go through a dramatic and profound reordering process much like that described by Illya Prigogine as "escape to a higher order" (Dossey, 1982; Hutchison, 1992). The ego's defenses are bypassed and the patient may "observe" a past traumatic event which may in some evoke a cathartic reaction. Other patients, may remain an observer without any emotional response, while in others change occurs without specific flashbacks of earlier trauma. A higher functioning of the mind is accessed enabling the brain (the computer) to open to the mind field (energy) and transcend the lower functions of the brain (logic, memory, defenses), moving out of the realm of the conscious reality to the realm of the transcendent. A dramatic personality transformation frequently takes place as clinically observed and reported by the patients and their families and documented by the pre and post testing results of the MMPI-2 and the Millon II.
The positive balancing effect of this process seems to work despite the severity or multiplicity of diagnoses making it a particularly advantageous treatment for dual diagnoses with addictions and making it applicable to a range of diagnostic conditions. On the physiological level, with the process of "letting go," bracing of the autonomic and central nervous system is reduced, apparently leading toward homeostasis. Further, with this "letting go" there is less reactivity to the events of one's life. An external locus of control is exchanged for an internal locus of control. The external self becomes congruent with the validated internal reality.
To quote Ellen Saxby (1993):
"(this protocol)....is an invitation to connect with the ontological ground of one's own being....I have begun to feel that the flight into the Self is the most powerful and the most healing aspect of this work. I have come to believe that the True Self exists or resides in negative space and that it is in a sense "is not" or is "no thing" and what becomes established in ordinary reality is the image of the self - the self image. In the shattered and bruised mirrors that we have available to us, the image of the Self becomes tattered and contorted. If our whole attachment of consciousness is to the image, then the whole of our reality limps. Once we unglue ourselves from that perception - that of the image - and have the experience that actually a portion of the self always remains in the domain of unmanifest reality and is no way tarnished or bruised because there is no mirror in the realm of direct perception, then consciousness becomes freed up, as it were, and has the potential to walk without a limp.
"While it is true that many things occur during the process of Alpha-Theta training, I feel that this is perhaps the core piece that derives from the very nature of the self and once having gained a glimpse of our primary reality, the addiction to all of the processes that shore up the image have the potential to simply fall away, being no longer needed. One can then connect with the flow of truth from the deepest levels of reality and begin to create the most wholesome and sweet form of homeostasis which can potentially manifest itself in every aspect of our being, the physical as well as the emotional and the mind. We can discover that, while anchored in linear consciousness, by allowing this kind of emergence of awareness, we can draw continually from inner realms of intelligence all sorts of remarkable possibilities."
Multi Dimensional - "Beyond Biofeedback"
Many years ago, Elmer and Alyce Green (Green & Green, 1977) offered a foundation for the power of this protocol in their book, Beyond Biofeedback, and indeed we seem to be working in a realm that is "beyond biofeedback." As we examine this intriguing therapy, it appears multi dimensional. We see its effects on our patients at the personal levels of their being: the Physical, the Emotional, and the Mental. We share in their experiences of their Subconscious and its release of deeply repressed memories from their forgotten past. We have admired the insights of their Superconscious, which we relate to their spiritual and transpersonal selves. From the domain of their spiritual selves, we find their "witness consciousness" or their Silent Witnesses, their Resource Selves, and their Inner Healers. We revel in our patients reports of their experiences with what they call their Guides or their Higher Power. We are fascinated with the many different forms of their transpersonal experiences as they experience the energies and colors of pure beingness. We delight in their Healing!
Figure 12. From the original trauma this protocol moves the patient from the imbalances and dysfunctions through the abreactions and insights to balance and healing.
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Dr. White, a licensed Clinical Psychologist in the State of Texas, is Founder and Clinical Director of The Enhancement Institute, Houston, Texas, which focuses on neurobehavioral wellness. Dr. White, past president of the International Society for Neurofeedback and Research, has practiced in the field of Neurofeedback and Neuromodulation for more than twenty years.
Dr. White is a Fellow of the International Society for Neurofeedback and Research (ISNR) and served on its Board of Directors (2006-2009) as President-Elect (2006-07), President (2007-08), and as Past President (2008-09). She is a Certified EEG Fellow of the Biofeedback Certification Institute of America (BCIA) and a Diplomate of the Quantitative EEG Certification Board. She is a Licensed Marriage and Family Therapist and Advanced Addiction Counselor.
Other leadership positions she has held in her field include:
o Board of Directors (1994-1996) of the Society for Neuronal Regulation (SNR).
o Member of the Association for Applied Psychophysiology and Biofeedback (AAPB) and member of the Board of Directors of its Neurofeedback Division (2006-2008).
o Member of the Quantitative EEG Certification Board (1995-present).
Consulting Editor, The Journal of Neurotherapy, Taylor and Francis
White, N.E. The Transformational Power of The Peniston Protocol: A Therapist's Experience. Journal of Neurotherapy, Vol. 12(4) 2008
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