Healing the Broken Brain
I recently reviewed a fascinating book on adult neurogenesis: the creation of new neurons; something that was thought to be impossible until very recently. It is still thought to occur in certain specific regions of the brain, but even that may be changing.
The field is moving forward very rapidly and is important to every one of us, which is the reason for writing so much about the topic.
There is an exceptionally interesting article in the current issue of the journal Neuron. Researchers from Lund in Sweden have shown that cells generated from stem cells in an adult, diseased and damaged brain function as normal nerve cells. Not only do the new cells function like proper neurons, they also try to make connections with other neurons, indicating that they are trying to repair, or compensate for diseased or damaged parts of the brain.
This work was done in rats and is in its infancy, but it part of a global effort to learn more about how new neurons are formed, how they function and whether it is possible to help the brain heal itself after a disease or injury.
I am going to go out on a limb and say that it is possible. In Healing, Meaning and Purpose I described an individual with a severe neurological problem that responded to a novel treatment method using the subtle systems of the body. One of the goals of Integrated Medicine is to establish how best to use such methods in combination with conventional medicine not just to treat someone, but to initiate healing.
“A therapist doesn’t heal, he lets healing be.”
–A Course in Miracles (Book of Spiritual Principles Scribed by Dr. Helen Schucman between 1965 and 1975, and First Published in 1976)
True Integrated Medicine
“Our body is a machine for living. It is organized for that, it is its nature. Let life go on in it unhindered and let it defend itself, it will do more than if you paralyze it by encumbering it with remedies.”
–Count Leo Tolstoy (Russian Writer and Philosopher, 1828-1910)
“The cure of the part should not be attempted without treatment of the whole.”
–Plato (Athenian Philosopher, 428-348 B.C.E.)
Have you ever woken up in the morning with a feeling that something’s not quite right, but you couldn’t quite put your finger on it? That is the feeling that we get if something is out of place. Our minds and our brains have evolved with a remarkable ability to pinpoint things in external space: it was once an important survival mechanism. As we became more complex, those same systems began to be able to tell when things were out of place in our internal environment as well as in our relationships. We are social animals and most of the cognitive systems of the brain are designed to aid and abet our social interactions.
The key to health is to have all of our systems working in harmony. It is absolutely true that 70% of human illness is a result behavior born of bad choices. We make those bad choices when we stop listening to our bodies and heeding our hearts.
People love to place us in categories. I am constantly being asked why all my work contains three parts: cutting edge conventional medicine, natural medicine and self-help. I’ve had people in the publishing business say, “Well, is it health OR self-help?” For me, the answer to that is yes!
We cannot attain health and wellness unless we have done some work on ourselves; we cannot heal ourselves and others unless we have something with which to do the healing. If we are fearful, and moving haphazardly through life with little self-control, it is hard to pay attention to your body, mind, relationships, subtle systems or spirituality. A physician too distracted to focus on and respect another person is unlikely to help him or her get better. A therapist without a strong sense of self would find it hard to help a troubled mind, and a spiritual teacher who had no personal experience of the Higher Realms of existence and no clear moral compass, could devastate the spiritual well being of a disciple.
When we talk about Integrated Medicine, people usually assume that we are only talking about integrating different types of treatment. Yet that is only part of it. We are also aiming to integrate the individual: to enable every aspect of the person to be acting in harmony. When all of our systems are in harmony, pulling together in the same direction, when they are listening to each other and communicating with each other, there is a free flow of energy and we achieve a state of coherence.
And it is this coherence that underlies our sense of health and well being.
For coherence is the key to resilience.
“The patient must combat the disease along with the physician.”
–Hippocrates (Greek Physician, c.460 B.C.E.- c.377 B.C.E.)
“Those whose consciousness is unified abandon all attachment to the results of action and attain supreme peace. But those whose desires are fragmented, who are selfishly attached to the results of their work, are bound in everything they do.”
–Bhagavad Gita
Music and the Mind
The next book in the Healing, Meaning and Purpose cycle will be entitled Sacred Cycles. One chapter is entitled Music and the Mind. I am in no doubt that music can produce incredibly powerful healing.
I was interested to read about a small study published in the journal Brain.
Canadian scientists from McMaster University compared 6 children aged four to six who took music lessons for a year with 6 children who did had no music lessons outside school. The six who had lessons attended a Suzuki music school, using a Japanese approach that encourages children to listen to and imitate music before they attempt to read it.
They found the musical group performed better on a memory test also designed to assess general intelligence skills such as literacy and mathematical ability.
The investigators also measured changes in the children’s brain electrical responses to sounds during the year. They measured brain activity using a technique called magnetoencephelography while the children listened to two types of sounds: a violin tone or a burst of white noise.
All the children recorded larger responses when listening to the violin tones compared with the white noise – indicating that more of the brain’s activity was being deployed to process meaningful sounds.
All the children responded more quickly to the sounds over the course of the year of the study – suggesting greater efficiency of the maturing brain.
However, when the researchers focused on a specific measurement related to attention and sound discrimination, they found a greater change over the year among the Suzuki children.
In the group having music lessons, there were measurable changes in as little as four months. Previous studies have shown that older children given music lessons recorded greater improvements in IQ scores than children given drama lessons, but this is the first time that such young children have been tested.
Though this is only a small study, it strongly suggests that music is good for children’s cognitive development. I ifnd this particularly interesting after researchers appeard to have dismantled the "Mozart Effect." Perhaps they were premature in doing so.
I also take my hat off the researchers. As someone who’s done a lot of scanning and measurement, I know only too well, that to get young children to stay still enough to get meaningful readings must have been a Labor of Hercules!
I’d also like to mention a conference in November that sadly I shall not be able to attend, but promises to be a splendid event. It’s the International Sound Healing Conference, taking place on November 10-14 in Santa Fe, New Mexico. They have a stellar group of presenters, including Jill Purce, Don Campbell, Fabien Maman, James D’Angelo, Master Charles Cannon, John Diamond and a host of other experts in the fields of sound and healing. It should be quite an event!
“Words are the pen of the heart, but music is the pen of the soul.” –Shneur Zalman of Liadi (Rabbi and Founder of Chabad Lubavitch, 1745-1812)
“Music is the wine that fills the cup of silence.” –Robert Fripp (Musician, Guitarist and Spiritual Seeker, 1946-)
Chronic Fatigue, RNase Deficiency and Spiritual Development
I was very sorry to hear that Ken Wilber, whose work I admire enormously, has recently been very unwell. While weakened by an underlying chronic illness, he took a nasty fall that has left him pretty badly bruised, and with some possible neurological problems. Fortunately he is already somewhat better.
According to Ken, his underlying illness is a form of chronic fatigue syndrome called or caused by RNase-L Enzyme Dysfunction. People with the problem develop a number of bizarre symptoms apart from fatigue, including muscle weakness, fevers and immune dysfunction. The RNase enzyme is normally activated when a cell has to deal with viruses, some toxins and some bacteria. There is a good introduction here.
There is a growing literature on the subject: investigators from Brussels have recently shown a link between exercise performance and immune dysfunction in some of these patients. It may be that elevated RNase-L enzyme activity may provide us with a biological marker for some cases of chronic fatigue syndrome. Despite this research, I still have many colleagues who continue to say that chronic fatigue syndrome and a probably related condition, Chronic Fatigue and Immune Dysfunction Syndrome, are purely psychological problems.
I am quite sure that they are wrong.
Not least because there are very few illnesses that can be reduced to just psychological or just physical causes. These artificial distinctions do little to help people suffering with genuine problems. (You may be interested to have a look at a brief piece that I wrote about this artificial distinction.)
I do know that the most difficult problems that I have ever faced in clinical practice have been the chronic fatigue syndromes and a possibly related problem: interstitial cystitis. The only things that have helped have been approaches employing the five dimensional approach: physical, psychological, social, subtle and spiritual.
And now I’m going to go out on a limb and do something that normally I do not. I will normally not make even the broadest comments about someone’s diagnosis and treatment unless I’ve seen them myself: there are few things worse than people trying to diagnose at long range and when they only have half the information. But when I see symptoms like these: fatigue and fever, physical weakness and sometimes profound psychological effects, I have to ask whether the biochemical markers are actually telling us something different: that some people with these problems may actually have what used to be known as “diseases of discipleship.” An old-fashioned term used to describe some of the physical challenges and changes that may accompany spiritual evolution. If I am correct, I would predict that Ken – and many other sufferers – should also have profound disturbances of their normal circadian rhythms, some predictable but subtle endocrine disturbances, and otherwise inexplicable sensations roughly corresponding to the channels identified in Chinese and Ayurvedic medicine.
One of the most startling recent discoveries in medicine has been that some of the time-honored laws of healing are changing, because we are ourselves changing very rapidly. In Healing, Meaning and Purpose, I spent a long time talking about some of the reasons for coming to that understanding, and how to use it to improve our health and well-being. I fully expect to spend the remainder of my career showing people how these new laws and principles can help us all, as well as ensuring that appropriate research continues to help us develop these new understandings about health and wellness.
So I’m going to suggest that Ken’s problems might never have happened if he hadn’t been on such a deep spiritual quest, and if he hadn’t been turning up a lot of answers that matter.
Get well Ken!
Technorati tags: Ken Wilber Chronic fatigue syndrome RNase deficiency Chronic Fatigue and Immune Dysfunction Syndrome Interstitial cystitis Spiritual development Circadian rhythm Integrated medicine Integrative medicine Laws of Healing
Healia.com
Carol Kirshner, web mistress extraordinaire, has just alerted me to a great resource for anyone looking for information on health, wellness and healing, called Healia.com.
Carol’s review is excellent, and now that I’ve tried out the website, I really do share her enthusiasm.
One of the reasons for creating my own blog is that the internet is full of medical misinformation. I have just been writing an article that I am going to post tomorrow. My initial reactions to some of the statements that I found on line would not have been fit for you gentle reader. Suffice to say that there were comments on some websites that betrayed a complete ignorance about the workings of the human body and recommendations that can best be described as bovine excreta.
Healia.com seems to be very different. I have been putting it through its paces, and I’ve so far not found a single problem or contentious area, despite throwing a lot of unusually tough questions at it. I fully anticipate that it’s going to become one of my major research tools, and for matters pertaining to health, it seems to be better than any other search engine that I’ve found.
Technorati tags: Internet search engine Health Healing Wellness
Human Evolution
For more than a century, the received wisdom has been that humans finished their physical evolution between one hundred thousand and fifty thousand years ago, and that there have been only minor changes in cognitive abilities over most of that time.
I have always found those assertions to be fundamentally flawed. Our bodies have changed beyond all recognition in the last few hundred years, as I’ve pointed out in my last book and CD series Healing Meaning and Purpose. Even more than that we have changed and are changing mentally. If we were to go back in time ten thousand or even one thousand years, we would find that people were cognitively, emotionally and morally quite different from modern humans. Not simply because of technology and the explosion of knowledge about the external universe, but because there is a dynamic relationship between our development as a species and our creations, with each feeding off the other.
It is only recently that a number of theoreticians, philosophers and psychologists have begun to look at the ways in which we are continuing to develop and what it means for all of us.
The German psychiatrist and philosopher Karl Jaspers first pointed out the great moral leap forward in what he called the Axial Period, between about 700-200B.C.E., during which the foundations of many of the world’s great religions first appeared, probably in response to the prevailing violence and unpleasantness of the time. More recently the Polish-born Swiss philosopher Jean Gebser started developing intriguing models of the transformations of human consciousness. In the United States, the psychologist Clare Graves developed a revolutionary concept of developing levels of development of the personality, that has evolved into Spiral Dynamics. (You may be interested to look at a review that I have just written about an excellent CD program detailing the latest developments in this field.)
And then there is Ken Wilber whose work in this field is remarkable, and whose creation of the Integral Institute promises great things. To these luminaries I now add Dudley Lynch a writer whose work I have only recently discovered.
Dudley recently wrote a very sensitive blog item about the efforts of a person with a mental illness trying to keep himself integrated in a sea of psychic chaos. He was kind enough to publish my brief response, which needs a little more detail.
The reasons for raising these points about continuing human development are these:
1.The manifest physical changes in people over the last few hundred years have enormous – and largely neglected – implications for clinical medicine.
2. It is likely not just peoples’ physical bodies that have changed, but also their subtle systems. I pointed out in my last book and CD series that the chakra system has developed to its current point only within the last few thousand years. This continuing development is also one of the reasons why some therapies that once only worked occasionally are now becoming more stable and predictable, and why some new forms of therapy – like the tapping therapies – are now being discovered.
3. It is because of these profound changes that new forms of therapy are now being developed. Not just using a supplement here, or a breathing exercise there, but precise combinations that help guide the healing of every aspect of an individual and his or her relationships and spiritual connections.
4. Some people who appear to have psychotic illnesses are moving into new developmental stages without having passed through the necessary intermediate stages. I have just read a first person account of an English journalist who could easily have been diagnosed with a manic illness, but was almost certainly undergoing a spiritual emergence.
5. Major emotional, cognitive, moral, conscious and spiritual shifts can be profoundly frightening to many people, and are doubtless one of the reasons for the profound feelings of social dislocation and violent reactions that we are observing throughout the world.
6. It is no surprise that new spiritual pathways are now emerging. Many will doubtless be very helpful to many of the thirty million Americans who count themselves as spiritual seekers, but have not yet found what they are looking for.
7. Taken together, these new understanding about the longitudinal development of people, relationships and whole societies are already having extraordinary effects on our ability to guide them all in more healthy and integrated pathways.
Technorati tags: Human evolution Axial period Ken Wilber Karl Jaspers Alternative medicine Complementary Medicine Integrated Medicine Chakras Subtle energy
Tools of the New Laws of Healing: Extra Reading
Gentle reader, if you have been here before, you know that I am convinced that the laws of healing are evolving. I recently wrote a series of articles for Success.com on the tools of the new laws of healing. I wanted to post them here in case they may be helpful.
The tools of the new laws of healing 1: Acupuncture
The tools of the new laws of healing 2: Energy Medicine
The tools of the new laws of healing 3: Qigong
These articles encorporate research and information found in a number of the books that I have placed in my Amazon lists of the corresponding names. Links to these lists can be found here in the sidebar. I hope that you find these useful.
As always, if you have comments or questions, please leave them here. I enjoy the conversation.
Technorati tags: Acupuncture, Energy Medicine, Qigong,Homeopathy, Bach Flower Essences, Health
Adjunctive Homeopathy in an Intensive Care Unit
Although we normally try to get articles quickly, we are sometimes thwarted and they can be delayed in arriving. I have only just got my hands on a study abstract that was published by a research team from Graz in Austria last October. The investigators from the Ludwig Boltzmann Institute for Homeopathy examined the use of homeopathy in a group of severely ill people in an Intensive Care Unit.
This was a double-blind, placebo-controlled trial to see whether homeopathy would be able to influence the outcome of critically ill people with severe sepsis. Seventy people entered the study, and 35 received homeopathic treatment and 35 received placebo, in addition to their regular treatment. The main outcome measure was survival. At day 30 there was no difference between the survival rates of the people receiving homeopathy and placebo. But at day 180, the survival rate in the homeopathy group was 75.8% compared to 50% in the placebo group.
One study does not make a revolution, and it is still early days for this kind of experimental work. Yet two things stand out from this small investigation:
1. The homeopathy was being used as an adjunct to conventional medical care. I sometimes get worried when practitioners of unorthodox medicine say that they would ONLY use herbs or homeopathy. The best approach has to be to combine conventional treatments with those unorthodox ones that can be shown to be helpful.
2. Trained homeopathic physicians did the prescribing. This is important: some studies have foundered because the studies tried to test just one remedy. Yet homeopaths individualize each treatment. So two people may have the same infection, but because they have different personalities and constitutional make-ups, they will receive different treatments.
Technorati tags:
Technorati Tags: homeopathy, complementary medicine, integrated medicine
Migraine and Hormones
Migraine (can be a frightfully difficult problem to treat. It is such an interesting puzzle, that the first book that I ever wrote was on migraine and other types of headache. Migraine is a great deal more than just a severe headache. It is can also be associated with neurological symptoms, and people often become exquisitely sensitive to light and sound. Additionally, at the beginning of the attack, the stomach stops working properly, which can make the absorption of medicines very difficult. Then comes the vomiting and sometimes diarrhea.
Although migraine is usually described as a “vascular” headache, there are strong reasons for thinking that it is more than that. People who suffer from the classic type of migraine often have spreading visual problems or partial visual loss, which goes on for between ten and sixty minutes. These visual problems are likely the result of a spreading wave of neurological depression spreading over the visual cortex at the back of the brain. The sensitivity to light and sound suggests that something is going wrong in the neurological systems that normally filter sensations, and the gastrointestinal problems indicate that something is going wrong in some of the control centers of the brain. There are some real oddities about migraine: it is exceptionally uncommon in people with diabetes; appears to be slightly more common in people who are left handed and is one of the only illnesses that tends to gets better as we get older.
There are a number of well-known triggers to migraine attacks. Though the scientific literature on triggers is not conclusive, here are some of the more common ones, that if avoided, have helped a great many people:
- Stress (either during stress, or when the pressure comes off)
- Cheese
- Chocolate
- Coffee
- Citrus fruit
- Red wine
- Changes in the weather (especially when there are a lot of positive ions in the atmosphere)
- Mono-sodium glutamate (MSG)
One of the best-known features of migraine is that it is considerably more common in women and that there is often a relationship between headaches and phases of the menstrual cycle, in particular during the pre-menstrual days. There have been many small studies that have indicated that oral contraceptives might increase the risk of suffering from migraine. A new study from Trondheim in Norway, has confirmed a link between oral contraceptive and migraine. The Nord-Trøndelag Health Study was done between 1995 and 1997. It included 14,353 pre-menopausal women, of whom 13,944 (97%) responded to questions regarding their use of contraceptives. There was a significant association between migrainous and non-migrainous headaches and the women’s reported use of estrogen-containing oral contraceptives. An important finding was that there was no relationship between the number of headaches and the amount of estrogen in the contraceptive pill.
There is one more thing to factor into the equation. Over the last two decades, there have been many reports of an association between certain types of migraine and cerebrovascular accidents (“strokes”). In the largest analysis of the data, that was published in the British Medical Journal, there was indeed a higher rate of strokes in women who had migraine and who were taking oral contraceptives. These studies included some of the older ones done in the days when the doses of hormones were higher than they are today, but when making decisions, it is important to be aware of this rare association.
An editorial in the British Medical Journal made these recommendations, with which I agree:
1. In an otherwise healthy young person, there is little cause for concern because the absolute risk of stroke is very low.
2. People with migraine who are on oral contraceptives have another reason for not smoking
3. Use low dose estrogen or progesterone only contraceptives in young women with migraine.
4. Although there isn’t much good evidence, many neurologists suggest stopping oral contraceptive pills if the migraine becomes more frequent or changes in character.
5. The risk of stroke gradually increases over age, particularly in smokers, so a slightly older smoking woman with migraine, should probably not be taking an oral contraceptive, unless it is the only option for her.
Technorati tags: migraines,hormones, headache, womens health
Integrated Health and Aging
An important principle of the emerging laws of health and healing is that anything helpful should help more than one system of the body at a time. So a diet that might help mitigate the effects of aging in the skin should also have beneficial effects on the major organs of the body.
So I was encouraged to see a new report indicating that cardiovascular health and a healthy lifestyle are associated with maintaining the health of our brains as we age. This is, of course, intuitively obvious, but it is always nice to see such things confirmed by empirical research.
The new report is from a multi-Institute collaboration of the National Institutes of Health (NIH) published online in Alzheimer’s & Dementia: The Journal of the Alzheimer’s Association. The chair of the committee was Hugh Hendrie, the Scottish-born professor of psychiatry from the University of Indiana, and the committee members were many of the most eminent people in the fields of aging and Alzheimer’s disease.
What is encouraging about this new report is that many of the factors associated with cognitive decline as we get older are eminently remediable: we have within our reach a set of potential interventions that could significantly reduce our personal risk of developing cognitive problems later in life. These are the things that we need to work on if we want to reduce our risk of developing cognitive decline later in life:
- Hypertension: There is excellent evidence that inadequately treated hypertension correlates strongly with cognitive decline.
- Physical activity: There is good evidence that elders who exercise regularly are less likely to experience cognitive decline. This is over and above the general improvement in quality of life that accompanies regular exercise. The earlier in life that we start, the easier it is to continue.
- Increased mental activity throughout life, including learning new things and going through higher education may benefit the health of the brain.
- Moderate alcohol use and the use of vitamin supplements also seem to be brain protectors, though the report does not specify which supplements.
- Social disengagement and depressed mood are both associated with poorer cognitive functioning, so it is important to be alert to signs of depression, and to maintain a social network. I discuss this in more detail in my book Healing Meaning and Purpose.
There are doubtless some genetic and environmental factors about which we can do little. But the idea that we now have a list of things that we can do to protect our brains is very exciting.
This report also signals another important change. In recent years we have seen the growth of Positive Psychology, the study of how to improve ourselves rather than the constant focus on psychopathology. This report calls for the research community to study health maintenance of the brain with the same energy that it has brought to bear on the study of diseases of the brain. To which I would add, that we must not just focus on how to maintain the health of the brain, but how we can enhance it’s function so that we can all reach and exceed our full potential.
Technorati tags: aging, Integrated health, Positive Psychology, healthy lifestyle,
