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Seeing The Whole Elephant: Integrating Biologically Informed/Body Oriented Interventions into Standard Practices. By Matthew Carter, MFT. Thoughts. Feelings. Behavior. Environment. Attachment. Genes. The Body as “Container” . All human experience has a biological correlate.

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slide1

Seeing The Whole Elephant:Integrating Biologically Informed/Body Oriented Interventions into Standard Practices

By Matthew Carter, MFT

slide3

Thoughts

Feelings

Behavior

Environment

Attachment

Genes

the body as container
The Body as “Container”
  • All human experience has a biological correlate.
  • Experiences (activation) repeated over time will become biological patterns.
  • These patterns will organize around survival, our body’s prime directive,
  • and ultimately drive thoughts, feelings, and behavior.
slide5

Community

  • Family
slide6

Therefore, changing maladaptive thinking, feeling, or behavioral patterns requires changing the underlying biological patterns, which means changing experiences over time.

arousal
Arousal

Definition: The body’s level

of reactivity to stimuli.

Calm

slide9

Visual Thalamus

Visual Cortex

Amygdala

Scientific American

The Hidden Mind, 2002, Volume 12, Number 1

fight or flight
Fight or Flight

Threat

Vigilance

Calm

slide12

.

Threat

Oppositional

Vigilance

Calm

slide13

Overwhelm

.

Threat

Oppositional

Vigilance

Calm

slide14

.

Overwhelm

.

Avoidant

Threat

Oppositional

Vigilance

Calm

slide15

.

.

Overwhelm

.

Aggressive

Avoidant

Threat

Oppositional

Vigilance

Calm

slide21

“The traumatized brain has a distinctly different physiology from a non-traumatized brain.”

- Peter Levine

slide22

.

.

Overwhelm

.

Aggressive

Avoidant

Threat

Oppositional

Vigilance

Calm

dissociation
Dissociation

.

.

.

Overwhelm

.

Aggressive

Avoidant

Threat

Oppositional

Vigilance

Calm

Dissociation

slide24

Calm

.

Compliance

slide25

Calm

.

.

Compliance

Dissociation

slide26

Calm

.

.

.

Compliance

Dissociation

Fainting

post traumatic stress disorder
Post Traumatic Stress Disorder
  • Trauma is encoded as an abnormal form of memory, as images and sensations…
  • …in subcortical areas of the brain.
  • Thus treating PTSD requires activating and reprocessing these memories…
  • …which means more direct work with the trauma narrative.
slide30

Visual Thalamus

Visual Cortex

Amygdala

Scientific American

The Hidden Mind, 2002, Volume 12, Number 1

slide31

Overwhelm

Threat

Vigilance

Calm

lowered tolerance
Lowered Tolerance

Overwhelm

Threat

Vigilance

Calm

hypervigalence
Hypervigalence

Overwhelm

Threat

Vigilance

.

Calm

slide36

Cardio.

Disease

slide37

Depression

Cardio.

Disease

slide38

Obesity

Depression

Cardio.

Disease

slide39

ADHD

Obesity

Depression

Cardio.

Disease

slide40

Asthma

ADHD

Obesity

Depression

Cardio.

Disease

slide41

Asthma

ADHD

Obesity

Depression

Cardio.

Disease

changing biological patterns
Changing Biological Patterns
  • Promoting mindfulness
  • Practicing coping skills
  • Building capacity (raising threshold for overwhelm)
  • Lowering baseline arousal
  • Changing maladaptive behavioral patterns
promoting mindfulness
Promoting Mindfulness

Overwhelm

.

Threat

Vigilance

.

Calm

orienting to the body
Orienting To the Body
  • Psychoeducation
  • Developing a vocabulary of sensation.
  • Process vs content vs activation
  • Working with moment-to-moment activation.
markers of physiological changes
Markers of physiological changes
  • Wetness in the eyes
  • Shaking foot/leg
  • Swallowing
  • Gasps/sighs
  • Eyebrows
practicing coping skills
Practicing Coping Skills

Overwhelm

.

Threat

Vigilance

.

Calm

coping skills
Coping Skills
  • Conscious breathing (focusing on outbreath)
  • Observation (mindfulness)
  • Distraction (thinking about something else, counting)
  • Sublimation (walking away, stretching, squeezing something)
building capacity
Building Capacity

Overwhelm

Threat

Vigilance

.

Calm

slide49

Overwhelm

Threat

Vigilance

.

Calm

slide50

Overwhelm

Threat

slide51

Overwhelm

Overwhelm

Threat

Threat

lowering baseline arousal
Lowering Baseline Arousal

Overwhelm

Threat

Vigilance

.

.

Calm

slide53

Overwhelm

Threat

Vigilance

.

Calm

resourcing
Resourcing
  • Grounding/orienting
  • Building resources
    • External resources
slide59

Community

  • Family
resourcing1
Resourcing
  • Grounding/orienting
  • Building resources
    • External resources
    • Internal resources
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