The Primal Mind

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When Therapy Becomes a Defence

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By Bruce Wilson

So you’ve started into primal therapy. Great. You are diligent with your feelings, you go to group every week and you have frequent individual sessions. When something triggers you, you are first to book a session with a therapist and “go for it” – feel the feelings, get the connections and insights. And week after week, month after month, year after year, you keep it up. Therapy, therapy and more therapy. And yet somehow the old issues don’t seem to resolve.

We are told that some feelings that take a very long time to complete, especially first-line feelings, but if you find yourself getting into the same old jams again and again, if you keep struggling with the boyfriend who erupts in anger and gives you no love, if you keep failing to do what you really want to do, or to get the job that want to get, or find a loving relationship instead of one with endless struggle, and then go back for endless therapy, you might be using the therapy as a defence.

I’ve seen this phenomenon and Arthur Janov wrote about it a long time ago. Primal therapy is about changing your life; it’s not about endless sessions after sessions for years or even decades. But many people can retreat into the “comfort” of primaling instead of changing their life because the latter is harder to do. These people can become “primal junkies,” addicted to therapy as sure as one can get addicted to alcohol, tobacco, drugs, or sex. Things just don’t feel right without your weekly session, your weekly fix. You get antsy; you “need to feel” just like clockwork.

And of course, if that is happening then you are probably not primaling but abreacting. In my abreaction article, I mentioned that one of the signs of abreaction is a life without changes:

If there is a sine qua non of abreaction, it is in the lack of life changes made by the person abreacting. Abreaction keeps you “stuck” –  no ventures are made, no risks are taken, no changes in jobs or career, no “going for it” in a real, healthy, meaningful way. Instead, one remains a prisoner of their pain, always reacting to circumstances, always triggered, always needing to “go down” to feel every few days, and always acting out.

This is not a fault of the therapy; it’s a fault in the way the patient is doing the therapy and a good therapist will catch this and address it, usually by telling you to do what you don’t want to do or what you are reluctant or scared to do. They will tell you to change your behavior and go for life in the way you want. If you want to play a musical instrument, play it. You want to write? Write! Don’t just think about it, and don’t try to be Shakespeare or Dickens on your first try. You will never be ready “someday when I’ve felt enough feelings.” Someday is TODAY. If the therapy is working then you’ll be thrown into a pot of feelings that you’ve been avoiding; the very feelings that have prevented you from doing what you want to do. It’s the primal dialectic. As Janov observed so many years ago, it’s far easier to “feel” another feeling rather than the feeling that is really there. That’s abreaction and it’s very sneaky.

So a little bit of behavioral therapy can help primal therapy go a long way, not by using head trips or conditioning, but by facing up to what you need and want to do and DO IT. A therapist I respect very much once said he would get his male patients who (for example) were scared to call a girl out for a date to do it right then and right there because it would immediately put them into the feelings they needed to feel. I’ve been there, not with arranging a date, but with needing to express to someone that I loved them. Pick up the telephone, get the voice message, and then WHAM! Up come the feelings. “I love you” becomes “I need you.”

So don’t be a primal junkie. Not only does it not work, but it costs a hell of a lot of money on useless therapy.

 

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Written by theprimalmind.com

July 6th, 2018 at 2:12 am

The Worst Comparitive Psychotherapy Study Ever Published

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by Bruce Wilson

While reading through several newspaper obituaries on Arthur Janov, one name kept coming up over and over: John C. Norcross, professor of psychology at the University of Scranton in Pennsylvania. According to Norcross, primal therapy is little more than a trendy psychotherapy that arose in the fevered sixties, and Janov was “a classic instance of being the right charismatic therapist at the right time.” And to further demonstrate his ignorance, Dr. Norcross says in the New York Times, “There is no evidence that screaming and catharsis bring long-term emotional relief.”

This comment is repeated again and again in obit after obit, merely parroting the NYT review. But the review also states:

Much of the psychotherapeutic establishment now regards the therapy as marginal. A 2006 article by Dr. Norcross and colleagues in the journal Professional Psychology: Research and Practice reported that their survey of more than 100 “leading mental health professionals” had found primal therapy to be “certainly discredited” — together with treatments including angel therapy, crystal healing, past-lives therapy, future-lives therapy and post-alien-abduction therapy.

“It’s both a discredited theory and treatment in mental health,” Dr. Norcross said. “Today, I look back at it as an unfortunate but understandable product of its time: believing that pure emotional release would prove therapeutic.”

Those are pretty strong words. After all, if you deem something to be “discredited” you should have extensive evidence to back it up, right?

Wrong.

This survey enrolled 101 so-called mental health experts to assess 59 treatments by questionnaire. “Experts” were decided by criteria such as doctorate-level education, fellows of the American Psychological Association (APA) or American Psychological Society (APS), current and former editors of scholarly journals in mental health, members of the APA Presidential Task Force on Evidence-Based Practice, and chairs or editors of the Diagnostic and Statistical Manual of Mental Disorders (DSM). In other words, no one who had ever practiced primal therapy was included. Overall, 66% of respondents were supporters of cognitive behavioral therapy (CBT) or “eclectic/integrative” therapy. In other words, these “experts” represented the dominant wing of the psychological establishment, which has always been critical of primal therapy and the notion of repressed memory.

The term “discredited” was based on the following criteria:

We operationally define discredited as those unable to consistently generate treatment outcomes (treatments)…beyond that obtained by the passage of time alone, expectancy, base rates, or credible placebo. Discredited subsumes ineffective and detrimental interventions but forms a broader and more inclusive characterization. We are interested in identifying disproven practices.

The criteria for making the discredited ratings were left to the respondents on the basis of “several types of evidence: peer-reviewed controlled research, clinical practice, and/or professional consensus.”

On a scale where 1 =not at all discredited, 2=unlikely discredited, 3=possibly discredited, 4=probably discredited, and 5=certainly discredited, “primal scream therapy” was rated as 4.51, i.e. “probably discredited” and halfway to “certainly discredited.” Primal was regarded as less credible than “standard prefrontal lobotomy for treatment of mental/behavioral disorders (4.44),” “Erhard Seminar Training for treatment of mental/behavioral disorders (4.29),” and “Psychotherapy for the treatment of penis envy (3.60).”

Therapies deemed as “unlikely discredited” included “eye movement and desensization processing (EMDR) (2.88)”, “laughter or humor therapy for treatment of depression (2.83)” (I kid you not!), “psychosocial (nonbehavioral) therapies for ADHD (2.85),” and thought-stopping procedures for ruminations/intrusive worry (2.25).” The only therapy regarded as not at all discredited, by a narrow margin, was “behavior therapy for sex offenders (1.97).”

Echoing the NYT obit, the authors concluded, “experts considered as certainly discredited 14 psychological treatments: angel therapy, use of pyramid structures, orgone therapy, crystal healing, past lives therapy, future lives therapy, treatments for post-traumatic stress disorder (PTSD) caused by alien abduction, rebirthing therapies, color therapy, primal scream, chiropractic manipulation, thought field therapy, standard prefrontal lobotomy, and aroma therapy.”

Stunning ignorance, I know. But take a deep breath.

In all the therapies listed, except the cognitively based therapies, cognitive behavioral therapists were more likely to rate them as discredited. Not only that, but most of these “experts” were not even familiar with many of the treatments. And yet they felt competent to judge them. With regard to “primal scream therapy,” 6% were not familiar with the therapy. Actually, I would say zero percent were familiar with the therapy because it is not called primal scream therapy!

Nowhere is the “evidence” mentioned that substantiates these “expert’” decisions. I assume they just cherry picked whatever papers fit their therapeutic orientation, or perhaps they just gathered around their virtual water cooler and made up that “professional consensus.” As for “primal scream therapy” they had obviously done no research to find out that primal therapy has nothing to do with screaming.

So this is the sort of misinformation about primal therapy that is circulating around the psychological community and the mainstream press. Decades ago, Art Janov decided to distance himself from the mental health establishment for this very reason. Despite his many efforts to convince his colleagues that his therapy worked, he was met with ridicule and outright defamation. Since then, primal therapy has existed on its own, quietly advancing as the decades have passed, and some respected psychologists, physicians, and neuroscientists have come to appreciate its effectiveness: Louis Cozolino, Justin Feinstein, Jaak Panksepp, Paul Thompson, and Gabor Maté, to name a few. And although the therapy still needs to be researched, it will be done without the participation of these “expert” clowns.

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Abreaction Part I: What it is and why it was abandoned in psychotherapy

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by Bruce Wilson

Looking at the state of psychotherapy today, one might be forgiven for thinking that it’s always been about talking, analysis, and cognition. Psychoanalysis is focused on…well…analysis—examination, interpretation, and explanation with words upon words upon words, but it wasn’t always that way.

Before there was psychoanalysis, there was “cathartic therapy.” Freud and Breuer experimented with catharsis after being influenced by German philosopher, Jakob Bernays, who advocated Aristotelian catharsis in medical treatment. They called it  abreaction — “to react away or to react off…. the act of giving vent in speech and action to repressed experiences, and thereby disburdening one’s self of their unconscious influences.”

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Written by theprimalmind.com

November 28th, 2011 at 12:01 pm