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When I first delved into cognitive behavioral therapy (CBT) as a psychology major, I remember thinking, “This is an evolution for humans.” CBT focuses on examining and challenging one’s thoughts and beliefs, changing related behaviors, and building coping skills and emotional regulation.
Of course, there is a long philosophical tradition of examining the nature of human thought and behavior, but the advent of cognitive and behavioral psychology in the past couple centuries infused these concepts into mainstream culture in a profound way. It’s now common for people to talk about their thoughts as something separate from themselves, and to routinely employ behavior modification techniques in all areas of life.
I had a mentor in my early 20s who was a big advocate of CBT, and at the time I told her I had been exploring methods for healing the memories of traumatic events. I felt both rebuffed and inspired when she said, “You’re wasting your time. We don’t need to go back and relive our childhood or spend the rest of our life lying on some shrink’s couch analyzing everything that ever happened to us! All that matters is, right now, are you going to be at the mercy of your thoughts and automatic behaviors, or are you going to manage whatever comes up in a conscious, intentional way?”
I’ve thought a lot about this in the decades since. My mentor was of the mind that we don’t need to figure out why these painful or dysfunctional patterns keep coming up, we just need to change our response to them, and eventually we’ll transform our psychological makeup in a permanent way. I believe there is real value to this approach, and also . . . sometimes I think we need to go back.
When it comes to our healing and growth, here are three good reasons to revisit your past:
(1) If you’re constantly managing your response to a recurrent pattern, it might be more efficient to get to the root of the pattern and dismantle it (or at least mitigate it) so that it doesn’t come up much, if at all. Of course, you can also use cognitive and behavioral strategies if it does arise.
(2) There is potential for deeper self-awareness, insight, and growth through visiting your past and coming to understand the factors that went into making you who you are. These are opportunities to forgive, correct misunderstandings, reframe our stories, and revise or erase beliefs. While it’s totally possible for many people to be happy without going there, it’s probably not possible to be self-actualized without making peace with your past.
There are some caveats. Analyzing your past can be taken to a self-indulgent degree. It can retrigger old trauma. And most common, it can make us feel worse as we work through it (and experience it without resistance, perhaps for the first time) – though this usually gives way to greater freedom. Thus, it’s important to do this work when you’re feeling relatively stable, with a clear sense of why (what you hope to accomplish), and with the tools and/or support to do it in a way that’s likely to turn out well.
(3) Finally, some people seek total liberation from our programming, i.e., the ego. Once this urge awakens in us, it often never goes fully back to sleep. If you’re in this boat, you may find value in recapitulation.
I read about recapitulation in a Carlos Castaneda book when I was 18 and it seemed unfathomable. Castaneda, a Peruvian anthropologist-turned-apprentice of shamanism, was instructed by his teacher to write down his entire life story, from his very earliest memories, including every person he had ever met. This process, he was told, was necessary to free him from his worldly attachments. It took him years. I remember thinking, “I could never do that.”
Since then, I’ve encountered various forms of recapitulation in my other studies of shamanism, and I now feel it’s more doable than I previously believed. Could it take years? Absolutely. But you’ve got time, and it’s not an all-or-nothing proposition. Every time we release some piece of baggage, it’s like dropping a sandbag from a hot air balloon. We’re that much lighter and freer – even if we’re not “done.”
As we go through our history, we find countless moments that have a certain weight or charge. They exist in a state of incomplete resolution. Taken together they have a powerful influence on how we show up in the present. They can make us dwell in the past and fear the future. They can cause us to live within a fraction of the spectrum of what’s possible. In short, they limit our freedom. As we loosen our history’s grip on us, we thus loosen the grip of our ego, and we more readily access our true essence and potential.
I stumbled upon my own recapitulation process while doing somatic releasing practices. In a nutshell, all our history with a charge – everything that doesn’t sit neutrally in us – can be experienced through the body. There is a physical expression and felt experience to all of it. And in willingly visiting it, experiencing it without resistance, and accepting it, we promote its resolution.
If this is unfamiliar territory for you, just try this: Bring up something about your current life or your past that you wish were different. While holding this in mind, expand your awareness to include what you feel in your body. You will perceive a certain unease. As you meet it and even invite it, the unease loosens. (Sometimes this takes a little practice, especially if you’re not accustomed to feeling your feelings. If you’re interested in diving deeper into this process, check out our workbook called Freedom.)
When we do this work we inevitably find layers of holding. We release one layer and discover another layer, and so on. In my case, I began to recognize the layers faster than I could process them, so I started writing them down. Hundreds of cords, linking me to my past, pulling on me, distorting my present self. The list grew at the same rate that I crossed things off it. I’m not nearly done, but I feel much lighter.
I’m not saying a person can’t show up in a clean and authentic way until they release every conflict or resentment they’ve ever had. What I mean is that a thorough recapitulation facilitates ego liberation – something that’s beyond the scope of CBT and, frankly, not of interest to most people.
In my own process, I found that I was sometimes inspired to move my body in certain ways to assist the release of a sticky pattern, which is an integral part of some somatic therapies. Interestingly, it’s also a technique used in shamanic recapitulation. As Sandra Ingerman and Hank Wesselman explain in their book, Awakening to the Spirit World, we can facilitate the “unraveling” of a memory (or the emotional charge attached to it) by spinning. This can also be accomplished by turning the head or twisting the body from side to side, and the authors say they believe this is also why EMDR (Eye Movement Desensitization and Reprocessing) works. They recommend spinning or turning while breathing deep into the memory and its associated emotions, accepting it, and intending to release it.
I believe recapitulation also occurs to some extent automatically, especially when we’re ready for it: in dreaming; in meditation, when we are sometimes spontaneously presented with something from the past that needs to be “cleared”; in yoga and exercise; and very often under the influence of entheogenic (psychedelic) substances, especially when used intentionally as medicine. This is why psilocybin mushrooms are rapidly gaining a reputation as one of the most effective therapies for attaining peace at the end of life.
I’m curious to hear from readers about your experience with the different approaches I discussed. Have you used CBT, and did it help? Have you dug into your past to heal yourself? What methods did you use, and how did it go? Have you done a large scale recapitulation? What was the outcome? Please share.
Be well,
Peter
[post_title] => Are You Willing to Go All the Way Back?
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Last week I wrote about the theory of homeopathy. Homeopathy is the practice of prescribing specially prepared homeopathic remedies made from extremely dilute natural substances. In many cases, a remedy is used to treat the symptoms that a larger dose of the same substance would cause. For instance, chopping onions may cause redness, burning and tearing of the eyes, and a runny nose. A homeopathic preparation of onion (Allium cepa) is used to treat these conditions, such as when they occur due to a cold or allergies.
Today I want to clarify some points and explore homeopathy’s conundrum. First, since people sometimes confuse the terms, homeopathic is different than holistic, which refers to any treatment that aims to consider and support the whole individual. Acupuncture and naturopathic medicine are examples of holistic systems, though most acupuncturists don’t practice homeopathy, and homeopathy is usually a relatively small fraction of what most naturopathic physicians do.
Second, most of the scientific community believes homeopathy is pseudoscience and no more effective than a placebo. Indeed, there are numerous studies that invalidate homeopathy. Advocates of homeopathy point out that the unfavorable studies involve giving subjects a homeopathic remedy matched to a particular symptom or medical condition without utilizing the specificity that’s essential in effective homeopathic diagnosis. Homeopaths contend that when a remedy is matched not only to the dominant symptoms, but the whole picture of the individual, the rate of success is much higher.
As I said in the last article, I’ve witnessed many cases in which homeopathy did nothing useful – though at least it was entirely harmless and without side effects – and I have also witnessed cases in which it was remarkably effective. Could it have been a placebo effect? Sure. But if it was “merely” a placebo effect, it was a profound placebo effect: a perfect medicine that was entirely beneficial, painless to administer, palatable, with zero downside. One should be asking, “How can we reproduce this?”
Homeopathy is vastly popular around the world. Its use is especially prevalent in France, Italy, India, Switzerland, Mexico, Germany, England, and the U.S. 29% of the EU population uses homeopathy on a daily basis. About half of Germans have used homeopathic medicines and about 70% say they are satisfied with its effects.1 History shows us that sheer number of adherents doesn’t make something correct or morally right, but we’re smarter than ever and have more options.
So, what’s going on here? Why do so many people use it if it’s a sham? Well, there are two possibilities. 1) The thousands of practitioners and roughly 200 million people who use homeopathy on a regular basis are fooling themselves. They think homeopathy is useful but it’s just a placebo and/or wishful thinking. Or 2) There is actual benefit to homeopathy which can’t be substantiated by current science and is not accurately reflected by the research.
Trust me, as a scientist, it’s hard to understand its validity, but I also know what I’ve seen. Are there other systems of medicine with higher rates of success? Probably. To be frank, it is not my go-to modality except for a small number of conditions for which I consistently get good results with homeopathic remedies. However, I’m a mediocre homeopath and I have more training and skill in other forms of medicine.
But when it works, it works. And I have seen cases where several medicines were tried but only the homeopathic one succeeded, including numerous instances in which the patient was highly skeptical of homeopathy. If it were a placebo effect, why would the other medicines not have produced a benefit equal to that of homeopathy? Why would a skeptical patient have a placebo effect when the basis for a placebo response is an expectation of benefit? Should science have the ability to invalidate someone’s subjective experience of benefit?
I don’t have the answers to these questions. I know some incredibly intelligent doctors who practice homeopathy, and I have seen it and them derided by the medical mainstream. Skeptics’ concern, they say, is that people might not get effective medical help because they’re using homeopathics instead. I agree that if someone isn’t getting a benefit from a chosen medical modality, it might be useful to consider other options. I also believe it’s everyone’s right to manage their health in whatever way they wish – even if it hastens their demise. For perspective, it’s important to note that, according to a recent Johns Hopkins study, 250,000 Americans die each year due to medical errors, making mainstream medicine the third leading cause of death after heart disease and cancer. I have seen people killed by mainstream medical treatments. A modality’s safety is no small thing.
While there are plenty of people who are averse to biomedicine, we tend to treat the mainstream with a greater degree of respect than is extended to alternative fields. For instance, when we hear that a particular drug or procedure doesn’t work, most people conclude that this particular intervention wasn’t effective. We don’t say, “Well, biomedicine doesn’t work.” In contrast, when an alternative medicine fails to benefit a certain condition, a common conclusion is that the entire modality is worthless. I can’t tell you how many times I’ve seen an author cite a single failed acupuncture study as proof that acupuncture is bunk. It’s an unfortunate reflection of the tendency for the mainstream to squash its rivals, even when they don’t truly threaten it.
It's important, therefore, that we all keep our eyes wide open and practice critical thinking (and not just when it comes to medicine). Be your own advocate, trust your intuition, listen to your body, and don’t assume that just because someone has a degree they know what’s right for you.
Be well,
Dr. Peter Borten
- https://www.hri-research.org/resources/essentialevidence/use-of-homeopathy-across-the-world/ ; https://en.wikipedia.org/wiki/Regulation_and_prevalence_of_homeopathy ; https://homeopathyeurope.org/
[post_title] => Are We Fooling Ourselves When We Believe in Alternative Medicine?
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For the holidays we gave our eight-year-old daughter a set of indoor monkey bars. That meant I spent a day with my arms above my head, screwing eye bolts into her bedroom ceiling. She can now get from the doorway to her bed without setting foot on the floor, which is useful because she tells me it’s made out of molten lava.
At bedtime I reached out to turn on a faucet and suddenly my mid-back locked up. It was incredibly painful and I felt unable to move without worsening it. I made the mistake of bending down to touch my toes, thinking it would help, but was then frozen in that position.
I’ve treated this same condition in countless patients. Often this type of back spasm is crippling for at least a few days – meaning missed work or travel – followed by a lingering stiffness and pain for a week or more. Frequently the locked area, even as it begins to release, is prone to getting retriggered if we move or sleep the wrong way.
Luckily, I knew what to do. I started locating and massaging effective acupuncture points on my hands and arms that began to release the locked up muscles. Meanwhile, I used certain visualizations and breathing techniques that facilitated the loosening of my back. Eventually I could move enough to lie on a small ball to put pressure on the muscle spasm while continuing with the breathing, visualization, and self-acupressure. I went to bed about an hour later than I intended, but with my back feeling 80% better. The next day I released the rest of the tension.
Several times throughout the process I thought, “This would be so much worse if I didn’t know how to do this.” I would have to find a practitioner and wait for an appointment. But what kind of practitioner, and which one? What if they weren’t available during the holidays? Would I have to be immobile during our holiday party? Would I be reliant on pharmaceutical painkillers? Would I be in a daze? Would I find it hard to get off them?
This conundrum is why I created an online course called Live Pain Free. It started with the advice I found myself giving hundreds of pain patients in my office over the years – and the realization that I didn’t have time to explain everything I wanted to teach them. Little by little, the course grew to include virtually all of the techniques and lifestyle modifications I have found useful for self-treatment of pain. It’s more comprehensive than anything else I’ve found.
Are there other things like it? Yes, of course. There are plenty of books and courses that teach pain relief techniques, some of them very useful. But most feature a single approach to pain, and I’ve never found a single method that works for all – or even most – pain. Even for a given individual, some things work one day and not the next. This is because there are many “ingredients” in pain, especially long-term pain – our history, psychology, lifestyle, body mechanics, etc. – so we need a blend of multiple approaches.
During the years I spent crafting this course, I discovered that beyond helping people to make their pain go away, much of what I wish to share deals with releasing ways of thinking that are restrictive and keep us trapped in discomfort. Although pain management is the issue that often leads people to look deeper, the ultimate resolution may be something so much more than mere physical relief: liberation from our resistance to life, the opportunity to accept and live in the present moment, the recognition of patterns that have held us back, and more.
The feeling of gratitude I had the other night – I want that for everyone. If you deal with frequent pain, if you would like to help a loved one with their pain, or you just like the idea of being prepared and knowing a wide range of strategies – some based in modern science others in Eastern medicine – check out Live Pain Free.
Be well,
Dr. Peter Borten
[post_title] => The Gift of Knowing How to Manage Your Own Pain
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When I first delved into cognitive behavioral therapy (CBT) as a psychology major, I remember thinking, “This is an evolution for humans.” CBT focuses on examining and challenging one’s thoughts and beliefs, changing related behaviors, and building coping skills and emotional regulation.
Of course, there is a long philosophical tradition of examining the nature of human thought and behavior, but the advent of cognitive and behavioral psychology in the past couple centuries infused these concepts into mainstream culture in a profound way. It’s now common for people to talk about their thoughts as something separate from themselves, and to routinely employ behavior modification techniques in all areas of life.
I had a mentor in my early 20s who was a big advocate of CBT, and at the time I told her I had been exploring methods for healing the memories of traumatic events. I felt both rebuffed and inspired when she said, “You’re wasting your time. We don’t need to go back and relive our childhood or spend the rest of our life lying on some shrink’s couch analyzing everything that ever happened to us! All that matters is, right now, are you going to be at the mercy of your thoughts and automatic behaviors, or are you going to manage whatever comes up in a conscious, intentional way?”
I’ve thought a lot about this in the decades since. My mentor was of the mind that we don’t need to figure out why these painful or dysfunctional patterns keep coming up, we just need to change our response to them, and eventually we’ll transform our psychological makeup in a permanent way. I believe there is real value to this approach, and also . . . sometimes I think we need to go back.
When it comes to our healing and growth, here are three good reasons to revisit your past:
(1) If you’re constantly managing your response to a recurrent pattern, it might be more efficient to get to the root of the pattern and dismantle it (or at least mitigate it) so that it doesn’t come up much, if at all. Of course, you can also use cognitive and behavioral strategies if it does arise.
(2) There is potential for deeper self-awareness, insight, and growth through visiting your past and coming to understand the factors that went into making you who you are. These are opportunities to forgive, correct misunderstandings, reframe our stories, and revise or erase beliefs. While it’s totally possible for many people to be happy without going there, it’s probably not possible to be self-actualized without making peace with your past.
There are some caveats. Analyzing your past can be taken to a self-indulgent degree. It can retrigger old trauma. And most common, it can make us feel worse as we work through it (and experience it without resistance, perhaps for the first time) – though this usually gives way to greater freedom. Thus, it’s important to do this work when you’re feeling relatively stable, with a clear sense of why (what you hope to accomplish), and with the tools and/or support to do it in a way that’s likely to turn out well.
(3) Finally, some people seek total liberation from our programming, i.e., the ego. Once this urge awakens in us, it often never goes fully back to sleep. If you’re in this boat, you may find value in recapitulation.
I read about recapitulation in a Carlos Castaneda book when I was 18 and it seemed unfathomable. Castaneda, a Peruvian anthropologist-turned-apprentice of shamanism, was instructed by his teacher to write down his entire life story, from his very earliest memories, including every person he had ever met. This process, he was told, was necessary to free him from his worldly attachments. It took him years. I remember thinking, “I could never do that.”
Since then, I’ve encountered various forms of recapitulation in my other studies of shamanism, and I now feel it’s more doable than I previously believed. Could it take years? Absolutely. But you’ve got time, and it’s not an all-or-nothing proposition. Every time we release some piece of baggage, it’s like dropping a sandbag from a hot air balloon. We’re that much lighter and freer – even if we’re not “done.”
As we go through our history, we find countless moments that have a certain weight or charge. They exist in a state of incomplete resolution. Taken together they have a powerful influence on how we show up in the present. They can make us dwell in the past and fear the future. They can cause us to live within a fraction of the spectrum of what’s possible. In short, they limit our freedom. As we loosen our history’s grip on us, we thus loosen the grip of our ego, and we more readily access our true essence and potential.
I stumbled upon my own recapitulation process while doing somatic releasing practices. In a nutshell, all our history with a charge – everything that doesn’t sit neutrally in us – can be experienced through the body. There is a physical expression and felt experience to all of it. And in willingly visiting it, experiencing it without resistance, and accepting it, we promote its resolution.
If this is unfamiliar territory for you, just try this: Bring up something about your current life or your past that you wish were different. While holding this in mind, expand your awareness to include what you feel in your body. You will perceive a certain unease. As you meet it and even invite it, the unease loosens. (Sometimes this takes a little practice, especially if you’re not accustomed to feeling your feelings. If you’re interested in diving deeper into this process, check out our workbook called Freedom.)
When we do this work we inevitably find layers of holding. We release one layer and discover another layer, and so on. In my case, I began to recognize the layers faster than I could process them, so I started writing them down. Hundreds of cords, linking me to my past, pulling on me, distorting my present self. The list grew at the same rate that I crossed things off it. I’m not nearly done, but I feel much lighter.
I’m not saying a person can’t show up in a clean and authentic way until they release every conflict or resentment they’ve ever had. What I mean is that a thorough recapitulation facilitates ego liberation – something that’s beyond the scope of CBT and, frankly, not of interest to most people.
In my own process, I found that I was sometimes inspired to move my body in certain ways to assist the release of a sticky pattern, which is an integral part of some somatic therapies. Interestingly, it’s also a technique used in shamanic recapitulation. As Sandra Ingerman and Hank Wesselman explain in their book, Awakening to the Spirit World, we can facilitate the “unraveling” of a memory (or the emotional charge attached to it) by spinning. This can also be accomplished by turning the head or twisting the body from side to side, and the authors say they believe this is also why EMDR (Eye Movement Desensitization and Reprocessing) works. They recommend spinning or turning while breathing deep into the memory and its associated emotions, accepting it, and intending to release it.
I believe recapitulation also occurs to some extent automatically, especially when we’re ready for it: in dreaming; in meditation, when we are sometimes spontaneously presented with something from the past that needs to be “cleared”; in yoga and exercise; and very often under the influence of entheogenic (psychedelic) substances, especially when used intentionally as medicine. This is why psilocybin mushrooms are rapidly gaining a reputation as one of the most effective therapies for attaining peace at the end of life.
I’m curious to hear from readers about your experience with the different approaches I discussed. Have you used CBT, and did it help? Have you dug into your past to heal yourself? What methods did you use, and how did it go? Have you done a large scale recapitulation? What was the outcome? Please share.
Be well,
Peter
[post_title] => Are You Willing to Go All the Way Back?
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