A Path to Healing
Recovery is a change in the physiological architecture of the brain. Drawing from Sebern Fisherās decades of clinical practice and her own journey through the aftermath of developmental trauma, we are brought through the struggle to manifest a 'Self', of discovering shards of horror, shock, finally assembling through therapeutic attachment, and neurofeedback, a sense of stability and rest.
Understanding Memory
Rather than a narrative, Trauma is made of sensory fragments encoding during periods of profound distress. Consequently, the past isn't just remembered, but relived as an echo of of those fragments. When trauma creates a void where safety should have been, we often spend a lifetime trying to fill that emptiness with noise or distraction. True healing is about the cultivation of a steady, witnessing presence. By learning to inhabit the "here and now," we can begin to fill those historical gaps, allowing the nervous system to finally settle into the safety it was denied for so long.
Reconstructing Identity
Follow Sebern's ongoing discovery of 'Self' in the aftermath of developmental trauma, and the complex changes that arise through safety and recovery. Sebern offers powerful reflections on a fractured internal world that at times feels like a collection of survival responses rather than a cohesive person.
Trauma & Absence
Trauma is a physiological state the body hasn't yet learned to leave. It is a hijacking into a state of terror.
- Trauma lives in the bodyās rhythm, with physical sensations that precede emotional reactivity.
- Early attachment ruptures shape the brain's ability to self-soothe and connect with others today.
- The most profound trauma often occurs when the systems designed to protect us - our communities, our healthcare institutions, and our support structures - fail to recognize that pain.
PREFACE
As you will come to see, this memoir is not about me. It is a memoir of becoming me. It is a memoir of the aftermath that almost everyone who has a history of severe childhood trauma suffers. It is a memoir of how a childās mind develops when they lose their mother. It is a memoir of a profound therapeutic relationship and some may think, a radical ātreatmentā. It is a memoir of my brain and its alignments with the absence of my parents and its adaptions to events that I discovered while writing the journal this book depends on. Because it is taken from journals I kept over the years, this book unfolds in a facsimile of āreal timeā. You will learn what happened as I do.
It is a memoir about memory, in the mind, in the brain and in the body. It is about the experience of ābody memoriesā and the therapists who took me through them as they arose and arose again. It is a memoir about identity and a memoir about race. It is the story of turning slowly, almost blindly, toward what happened to me, what didnāt happen and what happened within me as a result. My interior world echoed. It had no landscape. There was no horizon.
There is an inescapable paradox in writing about the absence of self and other particularly, as I am doing, from within it. As you read, you may find yourself feeling lost, without bearings. If you can, join me there. Go with it. I am writing from the inchoate āpresence of absenceā experienced in some way by every child whose mother has turned away. This is the core of early childhood trauma, not the events, the absence.
I think if I understood what others mean when they say recovery, this would be a book about recovery. But recovery is about disease. There is a state of wellness before the onset of illness that you return to when you recover. I could never find that state of wellness or wholeness. There was no ābeforeā. There is no disease. And yet, I did recover. It was not will, or understanding. It was the triumph of life force when it is recognized, nurtured and challenged. Every one traumatized as a young child has no choice but to identify with what happened. āHealingā from an identity may not be possible, but healing a brain injury is. As a colleague of mine said, āThe brain privileges its own regulation. It has to.ā This is a memoir of healing my brain and, directly as a result, discovering a mind.
The book begins in stanzas. You can read it as a tone poem. This is a memoir of interior life that is never, if it stays true, a story. I came into psychotherapy mummified by the stories I had, and often told, of significant mental illness. At some point I wrote, āThe story was the container. It had protected me from seeing what the story was about.ā
Arles, the therapist you will meet, recognized that I did not understand the tragedy of the story I told and more importantly he saw how little of āmeā there was telling it. He insisted on my presence in the room and that I recognize his; neither came readily. Establishing self and other had to be first order in the therapy. He saw me through episodes of flashback and cared for me in their aftermath. He taught me rules of relationship that I had missed. It is important to say that neither he nor I are recommending the psychotherapy that I am writing about. It underscores the need to establish attachment where it has failed.
In the course of the memoir, I learn that the traumatized brain is significantly different from one that is not. One difference is the failure of the Default Mode Network, the network that underwrites self and other in the brain. I didnāt have a self to bring to Arles and I couldnāt recognize the reality of a self in him. His insistence that I do so was crucial to its development. He became the being around which I began to scaffold my own. He was the spinal column. He gave me the template of self and other. But he could not give me the brain for it.
I met Ruth Lanius, the trauma researcher, in a workshop Bessel van der Kolk asked me to give on neurofeedback. I taught Ruth about neurofeedback and she taught me about the Default Mode Network. This network develops naturally when children are cared for well enough. Arles and I were trying to establish a brain network with psychotherapy. I donāt think it can be done. Neurofeedback quieted my brain and supported activation of the Default Mode Network. Without it, I would have lived within my prior adaptations to absence and fear.
Throughout my course of treatment I was a therapist treating trauma patients. When I felt the changes neurofeedback brought in me, I needed to learn it and offered it to my patients. I wrote a professional book on neurofeedback in 2014. This memoir brings you into the brain as it changes the mind. Neurofeedback is always the first thing to be ruled out. In this memoir it can never be.
The text will not always identify early changes I experienced with training my brain because I did not recognize them. One occurs in front of Tedās Boot Shop: a fear of falling through plate glass. I had no recall of the session just before it. This reflects the instability of my brain as demand increased on it.
As my brain regulates, everything begins to quiet. I begin to recognize myself and Arles. I become more able to observe changes. Neurofeedback could shift states from terror to ease. I did have setbacks, often during absence. These states became central to the journal because they were hardest to bear. Over time this changed.
Neurofeedback opened the door to my brain and to other therapies: HBOT, HEG, The Listening Program, Symmetron, Nexalin, acupressure, Rosen Method, and trauma-informed physical therapy. All contributed. Meditation also developed, but only became usable as regulation improved.
This book is in your hands now. If you are a trauma therapist, I hope it informs your understanding. If you are a trauma patient, I offer interior experience. If you are a relative or friend, I hope it helps. Trauma is neurological before it is psychological.
Standard trauma treatments are failing traumatized patients. These patients are not failing treatment. They are often labeled ātreatment resistantā when they are not. Both patients and therapists suffer in this process.
I wrote this memoir to describe the aftermath of absence and abuse from the interior of it and to lay bare its complexity. I wrote it to understand my brain and mind. I wrote to provide a narrative for a brain that cannot speak. When the brain is regulated, change follows.
The therapy I had with Arles is not replicable, but the understanding that developed within it informs therapy. The core dilemma is attachment failure and absence of a key brain network. Neurofeedback is replicable and should be accessible to those with developmental trauma.
One last important note: neurofeedback is not specifically a trauma treatment, but it can alter brain frequency patterns underlying consciousness itself. This is what I ask you to observe.
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