Hyper-Arousal and the Inner Child

Life throws stuff at us.  Whether it's problems at work, conflicts in relationships or shortages of money, we adults inevitably have to deal with matters that are unpleasant.  The best thing to do when issues arise, is to evaluate the situation and carefully assess how much emotional energy needs to be expended to solve the problem.  Usually, the  best approach is a logical, evidence based approach in which we carefully evaluate the evidence to hand and then to respond in a manner which helps us to maintain equilibrium and equanimity. Indeed, well-functioning adults seldom panic and they trust that they will find a solution to their problems without panicking, having temper tantrums, obsessive worrying or frightened withdrawal.  In other words, they have the self-confidence to believe that their future selves will be able to regulate situations without panic and anxiety.  When it comes to panic stations, these individuals seldomly worry.  Instead, they evaluate the situation and calmly take approriate action.

Survivors of childjood abuse, whether that abuse was physical, sexual, emotional or mental  in nature, may not be able to achieve this equanimity and instead may find themselves responding inappropriately.  Bobby Deep has a "Star Trek" scale of responses to difficulties.  Amber (yellow) alert means that there is a small problem that needs attention.  An orange alert requires a moderate level of action and alertness, and finally, a red alert is a true emergency that requires swift immediate and sometimes radical action to protect wellbeing or survival.    Green is not an alert.  It simply means that all is peachy and there are currently no problems or reasons to act.  The problem with individuals who have experienced abuse in their earlier lives is that they may have learned to survive by being hypersensistive to danger cues in their environments.  For example, a mildly annoyed look in an abuser's face might have preceded a beating.  Similarly, a slight change of behaviour in an abuser might indicate the possibility of an impending sexual abuse.  Even the slightest nuance of expression might indicate the onset of a tirade of verbal abuse. Therefore, the child learns to survive by predicting these behaviours before they occur. By assessing tiny cues the frightened child was able to prepare  for the inevitable, to hide, or to placate the abuser. At the time,  these behaviours were appropriate responses to the highly inappropriate actions of powerful adults.

People who were abused or neglected in childhood may, in their adult lives, seem highly prescient -- perhaps even psychic because they are able to read the slightest cues in others, based on past patterns of behaviour and circumstance.  Accordingly, they may be able to make predictions about what will happen next or in the future.  Although seeming highly insightful, the price paid is hyper-arousal, hyper-sensitivity,  and anxiety and ultimately depression.  It may be difficult to interact with anyone in a normal manner because every human being has some level of controlled hostility within them.  However, these small and fluctuating hostility emotions are suppressed in order to live sociably and in community.  Most people ignore these tiny tells; but people with a history of abuse may find these difficult to ignore.  Therefore, every interaction could carry within it evidence of the other's instinctual hostility. These tiny cues could trigger anxiety and anticipation of some form of abuse.  Therefore, the individual could project earlier experiences onto a current interactions. Similarly, when difficulties arise, something that only warrants a yellow alert receives a rating of red.   In fact any difficulty receives this evaluation.  In some cases, a yellow alert is allocated when, in fact, all is peaceful, especially when there is a history of neglect.  Accordingly there is seldom emotional rest for such a person. 

So how to stop doing this? Surely, it should be easy to train or teach someone to become desensitized to mild hostility and subtle cues or tiny disturbances in their environments.  Surely, it should be possible to tell the individual: "Stop catastrophising everything! You are creating a storm in a teacup!"  Cognitive Behavioural Therapy (CBT) includes catastrophising as one of the cognitive distortions and therapists using this method will train their clients to recognise instances of catastrophising to help the individual control it.  Of course, there is no harm in this approach, and undoubtedly, it helps individuals.  However, Bobby Deep does not believe that this should be the whole approach.  The problem exists because one or more of the archaic selves, or inner children has suffered a trauma at an earlier time. A current event sets up resonances in our inner children who overwhelm the adult self and begin to respond to the current situation by using a solution that seemed appropriate at an earlier time.  Thus an idividual might withdraw from others, lose the temper, experience deep anxiety, worry, give up, manipulate, become ill, overeat, undereat, self-harm, indulge in some form of risky behaviour; all as a way of escaping a perceived danger.  Ancient resonances overwhelm the current situation and the individual is unable to rationally evaluate the truth of the current situation and take appropriate actions. 

How can we deal with these ancient patterns of coping that impinge on the current self?  Firstly, I believe it is helpful to enter into a healing relationship with a trained therapist who does not only subscribe to CBT.  The therapist should be skilled in entering a therapeutic relationship and help the individual relive earlier traumas in a safe environment.  By doing this, the nervous system of the individual can discharge anxiety caused by earlier trauma carried into the present.  Thus, the past and the present become integrated.  This allows for a gradual calming to occur.  If it is not possible to contract the services of a trained therapist, sometimes it is helpful to read self-help books that safely help us to make contact with our inner children. Discharging this anxiety is really key to helping the current self, overwhelmed by earlier trauma.  

There are other things that can also be done.  The breath is a wonderful reminder of life and the continuity of life.  When we take breath consciously while in a difficult situation, we remind ourselves that life goes on, that we are alive and that we continue to live.  Breathing may also help us to readjust a physical posture that may be preventing the proper circulation of blood.  The back might straighten, the neck muscles relax and all of this helps bring calm to a situation (in fact, any bodily function calms one down).  Then to place the feet firmly on the ground and to remind yourself to stand your ground and "be not afraid".  A third thing to do which is connected to the CBT methods, is to remind yourself that the anxiety is probably a resonance from the past.  That doesn't mean going into that resonance at that moment, because you need your cognition to focus on something else: the evidence at hand.  The fourth step is to evaluate the evidence objectively.  Ask yourself: "What is going on here and now?" In fact, curiosity is a great antidote to anxiety.   Here are the steps in recipe form:

(A)  Breathe and adjust posture;
(B) Ground yourselves with your feet;
(C)  Acknowledge a resonance without going into it;
(D) Evaluate the evidence with curiosity and take appropriate action.

Step C can be brought to a therapist or you can work on it by yourself later to try and understand and discharge the anxiety it might carry.  It is really helpful to listen to the voices of your inner children.  Acknowledge their hurt, frustration or confusion.  Provide support and reassurance as an adult and give them as much love as you possibly can.  Love every part of your self and value every moment of your history.   Happiness and peace from Bobby Deep.

A critique of Cognitive Behavioural Therapy (CBT)

Cognitive Behavioural Therapy (CBT), is a type of psychotherapy in which the therapist helps the client to idientify their distorted thoughts, evaluate how these thoughts impact on the individual's life, and then helps the individual make changes to their behaviours by challenging their thought patterns.  This is a laudable goal and is a method of psychotherapy that has proven success and for this reason, medical insurance is likely to cover it as part of a medical plan.  Being a skeptic myself, I believe that medical insurances would cover this kind of therapy because it is usually completed in about ten sessions.  People's behaviours change, and they seem to cope better with their lives.  This stands in opposition to other forms of psychotherapy which take much longer.  For example, integrative psychotherapy might involve years of therapy, as might psychodynamic psychotherapy and many of the more traditional forms of therapy.  This isn't good news for health insurers, because it does not satisfy their needs for quick, medical types of treatments for problems such as depression, anxiety, phobias and various types of neuroses.  It kind of fits into a neat model of healing in which a specific cause has a specific effect on the individual; and if this cause can be identified and rooted out, then a cure can be found.  This presupposes a very mechanistic understanding of the human mind.  Don't get me wrong, I am not against CBT at all.  In fact, it has helped me a great deal at times. But I am nearly certain that it is actually the positive relationship between the therapist and the client that actually promotes healing; or at least allows the client to actually take the content of the therapy half-way seriously.
What I find fascinating about psychotherapy in general is that there are hundreds of flavours of it, and when they do efficacy studies on these hundreds of therapies, they all seem to work, regardless of the model of intervention.  It is astounding that they all seem to have a positive impact on the individual who attends for them.  Yet each therapy will inevitably doggedly insists that its own particular theory  or brand of approach is the causative agent in the healing process.  But if you look at what is common to all these verbal psychotherapies, you will see that it is in fact a relationship with a sanctioned healer.  In order to heal, people need a positive relationship with someone.  And in my opinion, that means the following:
(a) someone who will give the individual their full attention
(b) someone who provide the client with positive social signals (such as listening)
(c) someone who will validate the client's experience of suffering, the client's thoughts, the client's feelings
(d) someone who expresses belief in the client's goodness

and does all of these things in a manner which is believable to the client.   This is strengthened if the therapist has a high social ranking, such as a title like Dr. or Prof.

Although I do believe that working with irrational thoughts with a client may be useful, the therapist/clinician is invariably telling the client: "there is something wrong in your thinking; you need to think in this correct, rational way."  I don't think this is really possible unless underlying relational issues are tackled.  If the therapist is stern, non-emotional and acts as a teacher, giving these rational thoughts to the client, they will not be taken up.  If the therapist has the qualities I have mentioned above, then the client might pay attention to the method and get better, regardless of the new thought patterns.