An Excerpt from a
Below you will find an excerpt of the transcript from the session with Pat Ogden, PhD. Transcripts are a great way to review, take notes, and make the ideas from Pat’s teaching your own. Here’s the sample:
How to Prevent Dissociation and Keep the Frontal Lobes Online During Treatment
Dr. Ogden: I can tell you about working with a veteran. He had explosive rage attacks. Never hurt anybody, because he said he could almost feel it coming, and he would isolate himself. But he would destroy rooms and furniture and put his fist through the wall.
There was a point in therapy where he felt this rage just surging up through his body. And he said, “It feels explosive.”
Dr. Buczynski: With this particular client, Pat focused on sensory awareness. She asked the client what was going on for him when he remembered the combat, when he remembered all the people who died.
As the client experienced those memories, she brought his attention to his body. And he felt a surge of rage . . .
Dr. Ogden: So I said to him, let’s stay with that surging. And tell me exactly what’s going on. And he felt it rising up in his body, and he felt this tremendous urge to lash out.
This has to do with brain integration because if you have a client who’s mindful, that engages the observing part of the brain. So for this client, I asked him over and over to tell me exactly what he was experiencing, to observe it with mindfulness and describe it to me.
And he said he felt it surging up. He wanted to lash out, and I placed a pillow here, and I said, “Just begin to make that motion, but stay right with me and report to me what it feels like. Report the tension. Report the sensation.”
And when you do that, it prevents that reaction, that subcortical explosion that he had experienced so many times. And his brain started to feel the rage and execute that action — what Pierre Janet would call an act of triumph. But yet his cortex was online.
Dr. Buczynski: So why did this keep Pat’s client from going into an explosion?
Dr. Ogden: Because you’re enlisting mindfulness. And mindfulness keeps the frontal lobes online. So as I’m asking him questions and he’s reporting to me, that keeps the integration of the brain rather than him dissociating into the subcortical brain.
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