REALIZING A TRULY INTEGRATIVE MODEL NEEDED PARADIGM SHIFTS INTEGRATIVE PARADIGM SHIFTS EAST WEST ANCIENT MODERN BODYMIND CARTESIAN SPLIT ENERGY MASS WHOLISTIC (DX&TX) REDUCTIONISTIC INDIVIDUALIZED STANDARDIZED OUTCOMES / RESEARCH / DOUBLE BIND RIGHT BRAIN LEFT BRAIN ETIOLOGICAL PARADIGMS Etiology of Chronic Psychophysiological Disorders Four Essential Paradigm Shifts 1.) Etiological 2.) Nervous system focus → Autonomic 3.) Peripheral→ Central 4.) Mass→ Energy (Diagnostics and Treatment) Quantum Paradigms Focus on energy vs. mass Light / Color Intent of observer dictates what is observed Focused Attention changes what is observed Quantum Leaps and “Popping Quiffs” Etiological Paradigm Shift Reductionistic→ Diathesis-Stress Model→Spectrum Disorder Requires Individualized Patient-Based Approach (Dx&Tx) Example Neuroplasticity throughout the Lifespan Very often these neuronal networks trace back to emotional trauma involved with attachment issues. Spectrum Schema As a diagnostic framework, the spectrum schema could serve as a basis for improved types and scopes of care… and could yield personalized therapies that are directed at the underlying disorder, rather than simply attempting to manage symptoms. (Wurtzman, et al, 2008) Therapies directed at the core emotional trauma and resulting neuroplastic neuronal networks are showing positive results. fMRI of Chronic Pain fMRI/Emotional Trauma ACC INSULA Hypotheses Emotional Trauma → static, habituated neuronal networks (in the ACG & Insula) These neuronal networks in can be activated by associated somatic, emotional, situational, visual, cognitive, and especially autonomic triggers. These neuronal networks when activated →state dependent (LMR) gestalt which includes somatic/autonomic, emotional and sometimes cognitive information. Cumulative LMRs activations strengthen, expand, and perhaps sensitize the neuronal network and gestalt. Chronic activations of specific organ systems through the ACG and insula/autonomic nervous system can lead to a variety of chronic medical conditions. When pain injury, or sequelae to injury triggers these neuronal networks the association pain can become a part of the habituated neuronal network and gestalt involving the pain matrix. Rationale for Use of Subtle Energy Therapies (<=>) Activation and maintenance of neural networks involved in habituated state dependent memory or LMR’s involves energy. LMR’s create hyperarousal of and blockages to the free flow of energy within the specific areas of the brain involved. Some energy interventions offer the potential to calm the hyperarousal and ameliorate the intensity of noxious experience. Energy interventions which fully impact the entire gestalt of the LMR and it’s core emotional trauma have the potential to release and resolve the entire gestalt. This can result in durable reduction of the blockages and the potential for establishment of new more adaptive neuronal networks through neuroplasticity. Spectrum Disorder → Therapeutic Change “All disease that occurs in a patient…is cumulative, interrelated, recorded and logical…Multiple stressors that have similar characteristics will amplify these effects. Repeat exposures to a similar stressor will increase sensitivity and susceptibility to that particular stressor. If the biology does not extinguish that stressor…the biology accesses that chaotic state as being stable and will remain there until a larger perturbation of the system results in a quantum leap into another more acceptable state.” (Diamond, 2001) SPECTRUM DISORDERS→INTEGRATIVE TX AURICULOTHERAPY ACUPUNCTURE AYURVEDIC YOGA CHAKRA MEDITATION QIGONG TAI CHI NATIVE AMERICAN TFT/EFT T.E.R.S. & S.E.R.T. E.T.T. MINDFULNESS TONG REN