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Taking in the Good:

      Weaving Positive Emotions,
       Optimism, and Resilience
      Into the Brain and the Self

           Summit for Clinical Excellence
                        October 29, 2011


                   Rick Hanson, Ph.D.
The Wellspring Institute for Neuroscience and Contemplative Wisdom
           www.WiseBrain.org         www.RickHanson.net              1

                         drrh@comcast.net
Topics
 The evolving brain


 The negativity bias


 Threat reactivity


 Implicit memory and inner resources

 Taking in the good


 Healing old pain
                                        2
The Evolving Brain




                     3
Evolution
 ~ 4+ billion years of earth
 3.5 billion years of life
 650 million years of multi-celled organisms
 600 million years of nervous system
 ~ 200 million years of mammals
 ~ 60 million years of primates
 ~ 6 million years ago: last common ancestor with chimpanzees,
    our closest relative among the “great apes” (gorillas,
    orangutans, chimpanzees, bonobos, humans)
   2.5 million years of tool-making (starting with brains 1/3 our size)
   ~ 150,000 years of homo sapiens
   ~ 50,000 years of modern humans
   ~ 5000 years of blue, green, hazel eyes
                                                                       4
Evolutionary History




          The Triune Brain
                             5
Three Stages of Brain Evolution
 Reptilian:
      Brainstem, cerebellum, hypothalamus
      Reactive and reflexive
      Avoid hazards

 Mammalian:
      Limbic system, cingulate, early cortex
      Memory, emotion, social behavior
      Approach rewards

 Human:
      Massive cerebral cortex
      Abstract thought, language, cooperative planning, empathy
      Attach to “us”                                              6
7
8
Home Base of the Human Brain
When not threatened, ill, in pain, hungry, upset, or
 chemically disturbed, most people settle into being:

 Calm (the Avoid system)


 Contented (the Approach system)


 Caring (the Attach system)


 Creative - synergy of all three systems

   This is the brain in its natural, responsive mode.   9
Some Benefits of Responsive Mode
 Recovery from “mobilizations” for survival:
    Refueling after depleting outpourings
    Restoring equilibrium to perturbed systems
    Reinterpreting negative events in a positive frame
    Reconciling after separations and conflicts


 Promotes prosocial behaviors:
    Experiencing safety decreases aggression.
    Experiencing sufficiency decreases envy.
    Experiencing connection decreases jealousy.
    We’re more generous when our own cup runneth over.
                                                          10
But to Cope with Urgent Needs,
We Leave Home . . .
 Avoid: When we feel threatened or harmed


 Approach: When we can’t attain important goals


 Attach: When we feel isolated, disconnected,
  unseen, unappreciated, unloved



  This is the brain in its reactive mode of functioning
             - a kind of inner homelessness.
                                                          11
Reactive Dysfunctions in Each System

 Avoid - Anxiety disorders; PTSD; panic, terror;
  rage; violence

 Approach - Addiction; over-drinking, -eating, -
  gambling; compulsion; hoarding; driving for goals at
  great cost; spiritual materialism

 Attach - Borderline, narcissistic, antisocial PD;
  symbiosis; folie a deux; “looking for love in all the
  wrong places”
                                                          12
The Negativity Bias




                      13
Negativity Bias: Causes in Evolution
 “Sticks” - Predators, natural hazards, social
  aggression, pain (physical and psychological)

 “Carrots” - Food, sex, shelter, social support,
  pleasure (physical and psychological)

 During evolution, avoiding “sticks” usually had more
  effects on survival than approaching “carrots.”
      Urgency - Usually, sticks must be dealt with immediately,
       while carrots allow a longer approach.
      Impact - Sticks usually determine mortality, carrots not; if
       you fail to get a carrot today, you’ll likely have a chance at a
       carrot tomorrow; but if you fail to avoid a stick today - whap! 14
       - no more carrots forever.
Negativity Bias: Some Consequences

 Negative stimuli get more attention and processing.


 We generally learn faster from pain than pleasure.


 People work harder to avoid a loss than attain an
  equal gain (“endowment effect”)

 Easy to create learned helplessness, hard to undo


 Negative interactions: more powerful than positive

                                                        15

 Negative experiences sift into implicit memory.
Negative Experiences Can Have Benefits

 There’s a place for negative emotions:
      Anxiety alerts us to inner and outer threats
      Sorrow opens the heart
      Remorse helps us steer a virtuous course
      Anger highlights mistreatment; energizes to handle it


 Negative experiences can:
      Increase tolerance for stress, emotional pain
      Build grit, resilience, confidence
      Increase compassion and tolerance for others


    But is there really any shortage of negative experiences?
                                                                16
Health Consequences of Chronic Stress

 Physical:
      Weakened immune system
      Inhibits GI system; reduced nutrient absorption
      Reduced, dysregulated reproductive hormones
      Increased vulnerabilities in cardiovascular system
      Disturbed nervous system


 Mental:
   Lowers mood; increases pessimism
   Increases anxiety and irritability
   Increases learned helplessness (especially if no escape)
   Often reduces approach behaviors (less for women)
   Primes aversion (SNS-HPAA negativity bias)               17
One Neural Consequence of Negative Experiences

 Amygdala (“alarm bell”) initiates stress response
 Hippocampus:
    Forms and retrieves contextual memories
    Inhibits the amygdala
    Inhibits cortisol production

 Cortisol:
    Stimulates and sensitizes the amygdala
    Inhibits and can shrink the hippocampus


 Consequently, chronic negative experiences:
    Sensitize the amygdala alarm bell
    Weaken the hippocampus: this reduces memory capacities and the
     inhibition of amygdala and cortisol production.
    Thus creating vicious cycles in the NS, behavior, and mind
                                                                  18
19
One Neural Consequence of Negative Experiences

 Amygdala (“alarm bell”) initiates stress response
 Hippocampus:
    Forms and retrieves contextual memories
    Inhibits the amygdala
    Inhibits cortisol production

 Cortisol:
    Stimulates and sensitizes the amygdala
    Inhibits and can shrink the hippocampus


 Consequently, chronic negative experiences:
    Sensitize the amygdala alarm bell
    Weaken the hippocampus: this reduces memory capacities and the
     inhibition of amygdala and cortisol production.
    Thus creating vicious cycles in the NS, behavior, and mind
                                                                  20
Threat Reactivity




                    21
A Major Result of the Negativity Bias:
Threat Reactivity
 Two mistakes:
      Thinking there is a tiger in the bushes when there isn’t one.
      Thinking there is no tiger in the bushes when there is one.

 We evolved to make the first mistake a hundred
  times to avoid making the second mistake even once.

 This evolutionary tendency is intensified by
  temperament, personal history, culture, and politics.

 Threat reactivity affects individuals, couples, families,
  organizations, nations, and the world as a whole.                    22
Results of Threat Reactivity
(Personal, Organizational, National)

 Our initial appraisals are mistaken:
      Overestimating threats
      Underestimating opportunities
      Underestimating inner and outer resources

 We update these appraisals with information that
  confirms them; we ignore, devalue, or alter
  information that doesn’t.

 Thus we end up with views of ourselves, others, and
  the world that are ignorant, selective, and distorted.   23
Costs of Threat Reactivity
(Personal, Organizational, National)
 Feeling threatened feels bad, and triggers stress consequences.


 We over-invest in threat protection.


 The boy who cried tiger: flooding with paper tigers makes it
   harder to see the real ones.

 Acting while feeling threatened leads to over-reactions, makes
   others feel threatened, and creates vicious cycles.

 The Approach system is inhibited, so we don’t pursue
   opportunities, play small, or give up too soon.

 In the Attach system, we bond tighter to “us,” with more fear and
                                                                  24

   anger toward “them.”
A Poignant Truth

Mother Nature is tilted toward producing gene copies.

But tilted against personal quality of life.

And at the societal level, we have caveman/cavewoman
  brains armed with nuclear weapons.



What shall we do?

                                                        25
We can deliberately use the mind

to change the brain for the better.




                                      26
Implicit Memory and Inner Resources




                                      27
The Importance of Inner Resources

 Examples:
    Freud’s “positive introjects”
    Internalization of “corrective emotional experiences”
     during psychotherapy
    “Learned optimism”



 Benefits
    Increase positive emotions: many physical and mental
     health benefits
    Improve self-soothing
    Improve outlook on world, self, and future
    Increase resilience, determination
                                                          28
Learning and Memory
 The sculpting of the brain by experience is memory:
      Explicit - Personal recollections; semantic memory
      Implicit - Bodily states; emotional residues; “views”
       (expectations, object relations, perspectives); behavioral
       repertoire and inclinations; what it feels like to be “me”


 Implicit memory is much larger than explicit memory.
  Resources are embedded mainly in implicit memory.

 Therefore, the key target is implicit memory. So what
  matters most is not the explicit recollection of positive
  events but the implicit emotional residue of positive
  experiences.                                             29
In essence, how can we actively internalize
   resources in implicit memory - making the brain
   like Velcro for positive experiences, but Teflon for
   negative ones?




                                                      30
Taking in the Good




                     31
Just having positive experiences is not enough.

They pass through the brain like water through a
  sieve, while negative experiences are caught.

We need to engage positive experiences actively to
 weave them into the brain.



                                                     32
How to Take in the Good

1. Look for positive facts, and let them become positive
   experiences.

2. Savor the positive experience:
     Sustain it for 10-20-30 seconds.
     Feel it in your body and emotions.
     Intensify it.


3. Sense and intend that the positive experience is
   soaking into your brain and body - registering deeply
   in emotional memory.                                  33
Why It’s Good to Take in the Good
 Rights an unfair imbalance, given the negativity bias


 Gives oneself today the caring and support one should have
   received as a child, but perhaps didn’t get in full measure; an
   inherent, implicit benefit

 Increases positive resources, such as:
       Positive emotions
       Capacity to manage stress and negative experiences

 Can help bring in missing “supplies” (e.g., love, strength, worth)


 Can help painful, even traumatic experiences
                                                                     34
Promoting Client Motivation

 During therapy, but mainly between sessions, notice:
    When learning from therapy works well
    New insights
    When things happen consistent with therapist’s realistic view of
     you, the world, the future
    Good qualities in yourself emphasized by therapist



 Then practice three, sometimes four, steps of TIG.


 Can be formalized in daily reflections, journaling


 In general: take appropriate risks of “dreaded experiences,”
   notice the (usually) good results, and then take those in.           35
Potential Synergies of TIG and MBSR

 Improved mindfulness from MBSR enhances TIG.


 TIG increases general resources for MBSR (e.g., heighten the
   PNS activation that promotes stable attention).

 TIG increases specific factors of MBSR (e.g., self-acceptance,
   self-compassion, tolerance of negative affect)

 TIG heightens internalization of key MBSR experiences:
    The sense of stable mindfulness itself
    Confidence that awareness itself is not in pain, upset, etc.
    Presence of supportive others (e.g., MBSR groups)
    Peacefulness of realizing that experiences come and go         36
Healing Old Pain




                   37
Using Memory Mechanisms to Help Heal Painful Experiences



 The machinery of memory:
    When explicit or implicit memory is re-activated, it is re-built from schematic
     elements, not retrieved in toto.
    When attention moves on, elements of the memory get re-consolidated.



 The open processes of memory activation and consolidation create a
   window of opportunity for shaping your internal world.

 Activated memory tends to associate with other things in awareness
   (e.g., thoughts, sensations), esp. if they are prominent and lasting.

 When memory goes back into storage, it takes associations with it.


 You can imbue implict and explicit memory with positive associations.
                                                                                   38
The Fourth Step of TIG
 When you are having a positive experience:
   Sense the current positive experience sinking down into old pain,
    and soothing and replacing it.


 When you are having a negative experience:
   Bring to mind a positive experience that is its antidote.



 In both cases, have the positive experience be big and strong, in
   the forefront of awareness, while the negative experience is
   small and in the background.

 You are not resisting negative experiences or getting attached
   to positive ones. You are being kind to yourself and cultivating
   positive resources in your mind.
                                                                        39
Psychological Antidotes
Approaching Opportunities
 Satisfaction, fulfillment --> Frustration, disappointment
 Gladness, gratitude --> Sadness, discontentment, “blues”


Affiliating with “Us”
 Attunement, inclusion --> Not seen, rejected, left out
 Recognition, acknowledgement --> Inadequacy, shame
 Friendship, love --> Abandonment, feeling unloved or unlovable


Avoiding Threats
 Strength, efficacy --> Weakness, helplessness, pessimism
 Safety, security --> Alarm, anxiety
 Compassion for oneself and others --> Resentment, anger
                                                               40
Where to Find Rick Hanson Online

http://www.youtube.com/BuddhasBrain
http://www.facebook.com/BuddhasBrain



               w




       www.RickHanson.net
        www.WiseBrain.org              41

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Taking in the Good: Weaving Positive Emotions, Optimism and Resilience into the Brain and Self

  • 1. Taking in the Good: Weaving Positive Emotions, Optimism, and Resilience Into the Brain and the Self Summit for Clinical Excellence October 29, 2011 Rick Hanson, Ph.D. The Wellspring Institute for Neuroscience and Contemplative Wisdom www.WiseBrain.org www.RickHanson.net 1 drrh@comcast.net
  • 2. Topics  The evolving brain  The negativity bias  Threat reactivity  Implicit memory and inner resources  Taking in the good  Healing old pain 2
  • 4. Evolution  ~ 4+ billion years of earth  3.5 billion years of life  650 million years of multi-celled organisms  600 million years of nervous system  ~ 200 million years of mammals  ~ 60 million years of primates  ~ 6 million years ago: last common ancestor with chimpanzees, our closest relative among the “great apes” (gorillas, orangutans, chimpanzees, bonobos, humans)  2.5 million years of tool-making (starting with brains 1/3 our size)  ~ 150,000 years of homo sapiens  ~ 50,000 years of modern humans  ~ 5000 years of blue, green, hazel eyes 4
  • 5. Evolutionary History The Triune Brain 5
  • 6. Three Stages of Brain Evolution  Reptilian:  Brainstem, cerebellum, hypothalamus  Reactive and reflexive  Avoid hazards  Mammalian:  Limbic system, cingulate, early cortex  Memory, emotion, social behavior  Approach rewards  Human:  Massive cerebral cortex  Abstract thought, language, cooperative planning, empathy  Attach to “us” 6
  • 7. 7
  • 8. 8
  • 9. Home Base of the Human Brain When not threatened, ill, in pain, hungry, upset, or chemically disturbed, most people settle into being:  Calm (the Avoid system)  Contented (the Approach system)  Caring (the Attach system)  Creative - synergy of all three systems This is the brain in its natural, responsive mode. 9
  • 10. Some Benefits of Responsive Mode  Recovery from “mobilizations” for survival:  Refueling after depleting outpourings  Restoring equilibrium to perturbed systems  Reinterpreting negative events in a positive frame  Reconciling after separations and conflicts  Promotes prosocial behaviors:  Experiencing safety decreases aggression.  Experiencing sufficiency decreases envy.  Experiencing connection decreases jealousy.  We’re more generous when our own cup runneth over. 10
  • 11. But to Cope with Urgent Needs, We Leave Home . . .  Avoid: When we feel threatened or harmed  Approach: When we can’t attain important goals  Attach: When we feel isolated, disconnected, unseen, unappreciated, unloved This is the brain in its reactive mode of functioning - a kind of inner homelessness. 11
  • 12. Reactive Dysfunctions in Each System  Avoid - Anxiety disorders; PTSD; panic, terror; rage; violence  Approach - Addiction; over-drinking, -eating, - gambling; compulsion; hoarding; driving for goals at great cost; spiritual materialism  Attach - Borderline, narcissistic, antisocial PD; symbiosis; folie a deux; “looking for love in all the wrong places” 12
  • 14. Negativity Bias: Causes in Evolution  “Sticks” - Predators, natural hazards, social aggression, pain (physical and psychological)  “Carrots” - Food, sex, shelter, social support, pleasure (physical and psychological)  During evolution, avoiding “sticks” usually had more effects on survival than approaching “carrots.”  Urgency - Usually, sticks must be dealt with immediately, while carrots allow a longer approach.  Impact - Sticks usually determine mortality, carrots not; if you fail to get a carrot today, you’ll likely have a chance at a carrot tomorrow; but if you fail to avoid a stick today - whap! 14 - no more carrots forever.
  • 15. Negativity Bias: Some Consequences  Negative stimuli get more attention and processing.  We generally learn faster from pain than pleasure.  People work harder to avoid a loss than attain an equal gain (“endowment effect”)  Easy to create learned helplessness, hard to undo  Negative interactions: more powerful than positive 15  Negative experiences sift into implicit memory.
  • 16. Negative Experiences Can Have Benefits  There’s a place for negative emotions:  Anxiety alerts us to inner and outer threats  Sorrow opens the heart  Remorse helps us steer a virtuous course  Anger highlights mistreatment; energizes to handle it  Negative experiences can:  Increase tolerance for stress, emotional pain  Build grit, resilience, confidence  Increase compassion and tolerance for others But is there really any shortage of negative experiences? 16
  • 17. Health Consequences of Chronic Stress  Physical:  Weakened immune system  Inhibits GI system; reduced nutrient absorption  Reduced, dysregulated reproductive hormones  Increased vulnerabilities in cardiovascular system  Disturbed nervous system  Mental:  Lowers mood; increases pessimism  Increases anxiety and irritability  Increases learned helplessness (especially if no escape)  Often reduces approach behaviors (less for women)  Primes aversion (SNS-HPAA negativity bias) 17
  • 18. One Neural Consequence of Negative Experiences  Amygdala (“alarm bell”) initiates stress response  Hippocampus:  Forms and retrieves contextual memories  Inhibits the amygdala  Inhibits cortisol production  Cortisol:  Stimulates and sensitizes the amygdala  Inhibits and can shrink the hippocampus  Consequently, chronic negative experiences:  Sensitize the amygdala alarm bell  Weaken the hippocampus: this reduces memory capacities and the inhibition of amygdala and cortisol production.  Thus creating vicious cycles in the NS, behavior, and mind 18
  • 19. 19
  • 20. One Neural Consequence of Negative Experiences  Amygdala (“alarm bell”) initiates stress response  Hippocampus:  Forms and retrieves contextual memories  Inhibits the amygdala  Inhibits cortisol production  Cortisol:  Stimulates and sensitizes the amygdala  Inhibits and can shrink the hippocampus  Consequently, chronic negative experiences:  Sensitize the amygdala alarm bell  Weaken the hippocampus: this reduces memory capacities and the inhibition of amygdala and cortisol production.  Thus creating vicious cycles in the NS, behavior, and mind 20
  • 22. A Major Result of the Negativity Bias: Threat Reactivity  Two mistakes:  Thinking there is a tiger in the bushes when there isn’t one.  Thinking there is no tiger in the bushes when there is one.  We evolved to make the first mistake a hundred times to avoid making the second mistake even once.  This evolutionary tendency is intensified by temperament, personal history, culture, and politics.  Threat reactivity affects individuals, couples, families, organizations, nations, and the world as a whole. 22
  • 23. Results of Threat Reactivity (Personal, Organizational, National)  Our initial appraisals are mistaken:  Overestimating threats  Underestimating opportunities  Underestimating inner and outer resources  We update these appraisals with information that confirms them; we ignore, devalue, or alter information that doesn’t.  Thus we end up with views of ourselves, others, and the world that are ignorant, selective, and distorted. 23
  • 24. Costs of Threat Reactivity (Personal, Organizational, National)  Feeling threatened feels bad, and triggers stress consequences.  We over-invest in threat protection.  The boy who cried tiger: flooding with paper tigers makes it harder to see the real ones.  Acting while feeling threatened leads to over-reactions, makes others feel threatened, and creates vicious cycles.  The Approach system is inhibited, so we don’t pursue opportunities, play small, or give up too soon.  In the Attach system, we bond tighter to “us,” with more fear and 24 anger toward “them.”
  • 25. A Poignant Truth Mother Nature is tilted toward producing gene copies. But tilted against personal quality of life. And at the societal level, we have caveman/cavewoman brains armed with nuclear weapons. What shall we do? 25
  • 26. We can deliberately use the mind to change the brain for the better. 26
  • 27. Implicit Memory and Inner Resources 27
  • 28. The Importance of Inner Resources  Examples:  Freud’s “positive introjects”  Internalization of “corrective emotional experiences” during psychotherapy  “Learned optimism”  Benefits  Increase positive emotions: many physical and mental health benefits  Improve self-soothing  Improve outlook on world, self, and future  Increase resilience, determination 28
  • 29. Learning and Memory  The sculpting of the brain by experience is memory:  Explicit - Personal recollections; semantic memory  Implicit - Bodily states; emotional residues; “views” (expectations, object relations, perspectives); behavioral repertoire and inclinations; what it feels like to be “me”  Implicit memory is much larger than explicit memory. Resources are embedded mainly in implicit memory.  Therefore, the key target is implicit memory. So what matters most is not the explicit recollection of positive events but the implicit emotional residue of positive experiences. 29
  • 30. In essence, how can we actively internalize resources in implicit memory - making the brain like Velcro for positive experiences, but Teflon for negative ones? 30
  • 31. Taking in the Good 31
  • 32. Just having positive experiences is not enough. They pass through the brain like water through a sieve, while negative experiences are caught. We need to engage positive experiences actively to weave them into the brain. 32
  • 33. How to Take in the Good 1. Look for positive facts, and let them become positive experiences. 2. Savor the positive experience:  Sustain it for 10-20-30 seconds.  Feel it in your body and emotions.  Intensify it. 3. Sense and intend that the positive experience is soaking into your brain and body - registering deeply in emotional memory. 33
  • 34. Why It’s Good to Take in the Good  Rights an unfair imbalance, given the negativity bias  Gives oneself today the caring and support one should have received as a child, but perhaps didn’t get in full measure; an inherent, implicit benefit  Increases positive resources, such as:  Positive emotions  Capacity to manage stress and negative experiences  Can help bring in missing “supplies” (e.g., love, strength, worth)  Can help painful, even traumatic experiences 34
  • 35. Promoting Client Motivation  During therapy, but mainly between sessions, notice:  When learning from therapy works well  New insights  When things happen consistent with therapist’s realistic view of you, the world, the future  Good qualities in yourself emphasized by therapist  Then practice three, sometimes four, steps of TIG.  Can be formalized in daily reflections, journaling  In general: take appropriate risks of “dreaded experiences,” notice the (usually) good results, and then take those in. 35
  • 36. Potential Synergies of TIG and MBSR  Improved mindfulness from MBSR enhances TIG.  TIG increases general resources for MBSR (e.g., heighten the PNS activation that promotes stable attention).  TIG increases specific factors of MBSR (e.g., self-acceptance, self-compassion, tolerance of negative affect)  TIG heightens internalization of key MBSR experiences:  The sense of stable mindfulness itself  Confidence that awareness itself is not in pain, upset, etc.  Presence of supportive others (e.g., MBSR groups)  Peacefulness of realizing that experiences come and go 36
  • 38. Using Memory Mechanisms to Help Heal Painful Experiences  The machinery of memory:  When explicit or implicit memory is re-activated, it is re-built from schematic elements, not retrieved in toto.  When attention moves on, elements of the memory get re-consolidated.  The open processes of memory activation and consolidation create a window of opportunity for shaping your internal world.  Activated memory tends to associate with other things in awareness (e.g., thoughts, sensations), esp. if they are prominent and lasting.  When memory goes back into storage, it takes associations with it.  You can imbue implict and explicit memory with positive associations. 38
  • 39. The Fourth Step of TIG  When you are having a positive experience:  Sense the current positive experience sinking down into old pain, and soothing and replacing it.  When you are having a negative experience:  Bring to mind a positive experience that is its antidote.  In both cases, have the positive experience be big and strong, in the forefront of awareness, while the negative experience is small and in the background.  You are not resisting negative experiences or getting attached to positive ones. You are being kind to yourself and cultivating positive resources in your mind. 39
  • 40. Psychological Antidotes Approaching Opportunities  Satisfaction, fulfillment --> Frustration, disappointment  Gladness, gratitude --> Sadness, discontentment, “blues” Affiliating with “Us”  Attunement, inclusion --> Not seen, rejected, left out  Recognition, acknowledgement --> Inadequacy, shame  Friendship, love --> Abandonment, feeling unloved or unlovable Avoiding Threats  Strength, efficacy --> Weakness, helplessness, pessimism  Safety, security --> Alarm, anxiety  Compassion for oneself and others --> Resentment, anger 40
  • 41. Where to Find Rick Hanson Online http://www.youtube.com/BuddhasBrain http://www.facebook.com/BuddhasBrain w www.RickHanson.net www.WiseBrain.org 41