Обсуждение «Revised Training Categories», 2003 год

Пит ван Дюзен рассказывает об уровнях проблем, связанных с определёнными паттернами электрической активности мозга. Источник

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Those of you who have participated in the past couple trainings have been aware that I was wrestling with the system of categories for training. A number of questions had been raised by those of you who trained with me and especially by questions from Eduardo and Mark Waller. I think it has finally fallen into place for me in a way that simplifies the process and makes much more sense--at least to me and those with whom I have shared the ideas so far. I'd appreciate any thoughts or comments from any of you as this gets consolidated into the training materials and the assessment files.
The existing system has arranged the five categories into three levels:

• The first level included Tone and Balance, which represented ongoing energy drains based on emotional issues and which should always be trained first if present.
• The second level included Filtering and Processing, which represented cognitive issues.
• The third level included Switching, which was a response to underlying issues.

Without going into the discrepancies that bothered me (and others) in the system, let me present a quick overview of the way I believe makes more sense:
There are two levels of categories: Those which relate to the brain's efforts to control an overdriven limbic system and those which relate to cognitive difficulties separate from limbic overdrive.

As before, those issues which relate to the emotional charge are the more basic and should be trained first. They all fall into an overall category called Tone. The issues related to winding up the autonomic nervous system, the breakdown of physiological functions and the appearance of rebound effects are basic to this category as are the signs of anxiety and depression which go with the related increase in energy in the emotional/limbic system.

Tone clients, however, now are categorized for training purposes according to the STRATEGIES their brains develop to deal with experienced stress.

The strategies are as follows:

Disconnect: This is the category based on the work of Teischer with those who had histories of abuse, whose left and right amygdala/hippocampus are unable to integrate their processing of stressful memories and events. The EEG characteristic of this category is high-beta in the right temporal lobe (T4) which is two or more times greater in amplitude than high-beta at T3. The behavioral characteristic of this group is a tendency toward flatness of affect in response to ordinary or positive experience combined with a tendency toward regressive over-reaction to negatively perceived experiences. These are the early abuse cases, the RAD and/or those who received little or no physical contact or nurturing as very young children.

Reversal: This category is the old Balance group. Its EEG characteristic is excessive beta in the back of the head relative to the front or in the right frontal relative to the left frontal--and/or the reverse pattern in terms of alpha. The behavioral characteristic is the "driven", perfectionistic personality which has the potential to explode in anger and likelihood of carrying a grudge.

Blocking: This category is the old Switching group. Its EEG characteristic is excessive beta in the frontal midline related to the orbitofrontal cortex/basal ganglia/cingulate system. Its behavioral characteristics are obsessive, compulsive, phobic and addictive.

This revision resolves the problem that many of us had distinguishing between Tone and other emotional issues. The previous system assumed that the autonomic and limbic issues related only to those clients with abuse histories, and that simply was not true in experience. This approach allows us to find those issues in any of the groups, and it simplifies training decisions by defining both EEG and behavioral characteristics of the STRATEGIES the brain uses to deal with these tone issue.

The second level issues, which may be secondary to Tone problems or may exist on their own are the Filtering and Processing groups we have used for some time. They have not changed.

There is one group I still have to integrate. I've been corresponding with Eduardo and Jay about them, trying to understand the issue better. That is the category of client who shows extremely high coherence in the beta and sometimes high-beta bands. I have some ideas about them and have gotten some good feedback already to help me figure out how they fit, but I wanted to get this major section of the update out to all of you for your review and comment. I'd appreciate any comments or questions, and, of course, any thoughts about what you have seen relataive to coherence or any of the rest of these groups.