Wednesday 30 January 2013

Enjoy the Silence-The Neuroscience of Socio-Emotional learning

"Words like violence break the silence
Come crashing in, into my little world
Painful to me, pierce right through me
Can't you understand? Oh my little girl."

Generation Xer's or anyone with an affinity for 80s music might recognize those words above.  Vivid are my memories of seeking solace alone on the bus after an exhausting day trying to scramble my way through high schools' toughest subject....a game I like to call "Social Snakes and Ladders".  Every time I thought I had made progress toward Square 100 at the top of the board, I'd land on a "snake" which would slide me down to lower levels of the pecking order, so to speak.  Battle worn, licking my emotional wounds, I'd head straight for my 5th row seat on the bus, whip out the Sony Walkman and get lost in the sounds of Depeche Mode, Tears for Fears, Simple Minds or Platinum Blonde. 

"Vows are spoken to be broken
Feelings are intense, words are trivial
Pleasures remain, so does the pain
Words are meaningless and forgettable"

So while the boys of Depeche Mode implored me to "Enjoy the Silence"........I couldn't.  Thoughts of insecurity, low self-esteem and the theatre company of woulda, coulda, shouldas used to perform at their "Vaudeville" best on the grandest stage of all.......my brain.  And my neuronal "audience" had no problems staying transfixed for this spectacular performance...."Encore! Encore!", they'd yell.  Assuming maybe some of you can relate to my youthful experiences (hopefully....or I really am pathetic), I use this entry to perhaps shed some insightful light on just how impactful those years of "Daze and Confused" really are to who you are today.

I don't think it's a surprise to many that most of our most important emotional and social learning occurs during our early years when our primitive brains are in control.  A great deal of learning takes place before we have the cortical systems for explicit memories (more on that in a bit), problem solving or perspective.  Ah, perspective.  There's a biggie.  Imagine having 30 pieces of a 100 piece puzzle and no cover box to refer to.  Consequentially, many of our most important socio-learning experiences are organized and controlled by reflexes, behaviours and emotions outside of our awareness AND distorted by our immature brains.  Think about the times when you've experienced an emotion for seemingly no reason at all or one that so does not fit the situation at hand (we'll call that an "over-reaction").  "Where in the hell did that come from?', you might ask yourself.  Enter implicit vs explicit memories.

A chart to peruse.  Please note those points in red.

Implicit Memory
Explicit Memory
Early Developing
Late Developing
Highly functional at birth
Matures later with the hippocampus and cortex
Sub-cortical/Amgydala bias
Cortical/Hippocampus bias
Emotional
Organized by language, visual images
Visceral/ Sensorimotor
Organized within episodes and narratives
Context-free and lacks source allocation
Conscious organization of experience
Procedural learning
Construction of Narrative to put Emotion into Context
Behavioural patterns



That emotional reaction or subcortical behaviour you couldn't put your finger on before? That's a triggered implicit memory.  Its key to remember that memory, whether subconscious or not, is an associational process where things that happen at the same time become linked to each other.  Implicit, subconscious memories, created in dysfunctional situations years before can repeatedly lead us to re-create unsuccessful but familiar patterns of thought, emotion and behaviour.  One only needs to see a chiropractic political meeting in action to see evidence of what we're talking about here.  

The two neurological structures involved here (with a little help elsewhere) are the amygdala and hippocampus.  The amygdala, which is the predominant limbic structure when we're young, loves to accentuate sensory inputs which heightens awareness of specific aspects of the environment and then generalize them.  Think, "Mountain out of a mole hill"...think, "Judging an entire book by its cover"....think, "Every thing bad always happens to me".  The hippocampus, on the other hand, can inhibit reactionary limbic responses, over active attention and stimulus response.  Its involved in the ability to discriminate and make distinctions without over generalizing.  When we can retrieve an implicit emotion from the "files" of the amygdala and transfer it over to the hippocampus, we can begin the process of weaving that emotion into a conscious narrative that puts context to that emotion.  Processing our emotions and behaviours this way offers us the possibility of writing a new story.  There are reciprocal connections between the amygdala and the hippocampus, so the activity of one can inhibit the activity of the other.  As a pertinent aside, stress hormones has been shown to damage neural networks of explicit memory in the hippocampus.  Ummm, well that explains a lot.

So how do we know which structure predominates in our life.  Well, I bring us back to my youthful days of listening to Depeche Mode's "Enjoy the Silence".  Silence is an ambiguous stimulus that tends to activate systems of implicit memory in the undisciplined mind.  When there's silence between 2 people, many people (especially in new relationships)will automatically assume that the other person is thinking critical thoughts.  Now there's a high school flashback....."She thinks I'm ugly", "He thinks I'm fat".  Similar reactions occur during relaxation without distraction.  Emotions, images and thoughts that emerge in conditions of low stimulation or absence of distraction may hold clues to early implicit learning.  Those who need constant activity and distractions to "relax" have implicit memories that are driving them.

How do you like silence?
......Words are very unnecessary
They can only do harm.......


Tuesday 8 January 2013

Single female seeking.......

This is a slightly edited reprint of a post I did on another forum.  Dug it up the other day and thought it worth posting here.- JW

I am looking to see what this site is all about and hoping to meet someone to chat with, become friends, meet, and who knows...? I am professionally employed in _______ and have lived here for about 5 years now. I am a curvacious woman with a pretty face.  I'm looking for a man with six pack abs, great sense of humor and great teeth. If you ask me for a picture I just might send you one! 


Ever seen an ad like this? Maybe you have. My guess is amongst all the single ads found online or in print, the burning desire for great alignment or posture as a pre-requisite for a mate is rare.....how bout "must have lightning fast nerves and a well integrated sensorimotor system"? No? Not quite up to par to "must have" six pack abs, sense of humour, money or great teeth?
A respected colleague and friend has stirred me to ponder that question which was posed based on his most recent Palmer experience....that is "if you were the last chiropractor living, would the profession still live? General consensus on BJ Palmer was, yes, he was the consummate self promoter and great marketer of our beloved profession. Given that the root meaning of profession is "to profess", I banter among the 4 corners of my brain this question, 

"Now, in 2013, how should we best promote our great profession? What niche? What point of interest? What appeal to today's dog eat dog vanity world does our underutilized profession (5-6%!!!)have to offer?!"

Surely, we can crack that anti-aging, salon-loving, botox-injecting, silicone-implanting, brazilian-waxing, butt-lifting, teeth-whitening hetero-, homo-, metro-sexual world.....phew, thats quite a mouthful. People buy what makes them look good for

THEIR "other",
SOME "other"
or in some cases just plain "others", that's for certain.


Gawd, I envy those dentists and their teeth loving ways. I've seen many a hot women be repulsed by a poor schlep's not so "pearly whites". Why can't they be just as repulsed by a C1 AILP inducing head tilt or a C2 PRS inducing lower shoulder....you should see my repulsion watching those TV anchors delivering the news. "I would never sleep with that anchorwoman", I say, "That is some ugly forward head posture on that beast." 

Tongue in cheek aside, the looking good business is big money. Even a beloved, fearless, self-admitting narcissistic mentor of mine owns up to not going cheap when comes to a day at the salon. Perfect hair, perfect teeth, perfect nails...perfectly handsome married male no longer seeking....

As a side note I have had one patient (female) in my 15 years of practice who specifically came to me to reduce the "ugly" thoracic kyphosis that would absolutely ruin her wedding day. Pure aesthetics. No problem I say. I thought I had stumbled upon a brand new field of cosmetic chiropractic. 6 months later, success....she was very happy, she got what she came for and we haven't seen her since.

But what about making people feeeelllll goooood, you might ask. What about health, you might also ask? Well, you're right, its also big money. But the game is played a little different here. Are people coming in to feel good or feel better? Ummm...is that a difference, I ask my sulci? Less than 5-10% of new patients walking into our office come into our office for pure "wellness" check ups, and usually they've been referred to by a current patient and they came in to see what the buzz is all about. So that leaves 90+% coming in the door hoping to "feel better" from "something" that ails them. Do the spas own the market for feeling good and being pampered? Everytime I come out of one I have one of those huge, long drawn out "AAAAHS!"...... do my patients have one after every visit? Not likely.

Ohhhh, process driven vs event driven experiences, you say. A day at the spa is an event. Multiple, seemingly similar visits to the chiropractor to <cue in Robin Leach> "fix" those "Lifestyle choices of the dumb and dumber" doesn't seem quite as appealing to our instant gratification world. And yet, some of us manage to eek out a pretty good living at it. WHY??!! And why not every single chiropractor? We seem to know the answer, but I'm not 100% sure.....is it really just as easy as perhaps providing a " not coveted, but necessary health care service sought out by a growing number of "disillusioned by traditional health care" despots who yearn to be "heard" and "cared" for...provided by those with a sprinkle of extraordinary clinical skill and a dash of superb soft skill." 

I don't know, you tell me......and tell me how I fit all that into a slick, knock em off their pants marketing campaign. I'm just a lowly blogger (read, by maybe, 12 of my colleagues who can stand me) hashing my thots and writing them, verbatim, on this medium.

If I were single again and I was looking for a potential mate, here's what my ad would say........

SINGLE HANDSOME (don't laugh) MALE SEEKING SINGLE FEMALE- MUST HAVE SYMMETRY AND BALANCE IN POSTURAL ALIGNMENT, UNIMPEDED NEURAL SENSORY SYSTEMS TO GENERATE ACCURATE INTERNAL AND EXTERNAL REPRESENTATIONS OF HER OWN ENVIRONMENT AND PICK UP THOSE CUES OF MY OWN, UNIMPEDED MOTOR SYSTEMS TO GENERATE SKILLFUL USE OF HANDS, LEGS AND OTHER BODY PARTS FOR BEDROOM ACTIVITY, WELL SYNCHRONIZED HEMISPHERIC ACTIVITY TO ENGAGE IN WHOLE MINDED AND INTELLIGENT CONVERSATION WITH AFTER THE BEDROOM ACTIVITY, ADEQUATE AMOUNTS OF ACCESSIBLE DOPAMINE FROM THE VENTRAL TEGMENTAL AREAS FOR THOSE TIMES OF THE MONTH WHEN YOU MIGHT GET A LITTLE BIT BITCHY, A CAREER, PURPOSE AND PASSION FOR LIFE WOULDN'T HURT..............................................AND GREAT TEETH.