Techniques
Techniques
Techniques
1
Speculations on Two or Three Points for Transformation
Daniel J. Benor, MD, ABIHM
Truth only reveals itself when one gives up all preconceived ideas.
- Shoseki
I am struck by the varieties of newer psychotherapeutic interventions that involve two or three
modality stimulation of the brain and/or mind and/or body as a portion of their methodology. I
speculate here on whether the multiple focus of awareness might be an overlooked mechanism
for change, regardless of the type of focus.
There are numerous variations of this sort, which I broadly categorize here into three clusters.
All of these methods produce releases of stress, pains and distress. Many of the therapies fit
within more than one cluster.
1. Focusing the mind on the body or on a mental image while simultaneously focusing
the mind on an affirmation or inner (mental and/or emotional) process
Mindfulness meditation Conscious focus (on breath; words; gazing at object; mental image)
while noting but not attaching attention on passing thoughts and sensations (Kabat-Zinn, 1994).
For example: Focus on your breath or on an object such as a candle flame, flower, or
mental image. Allow all other awarenesses (physical, mental, emotional) to fade into the
background and dissipate from consciousness.
Alternative:
Hold the intention that you will not attach yourself to anything that crosses your mind.
Watch anything without responding with emotions or associative thoughts, letting it pass
by and dissipate.
Vipassana meditation Focus your attention on specific parts of the body while allowing
passing thoughts, emotions and physical sensations to move through awareness without
attachment and to dissipate.
For example: Focus on the upper lip and nostrils, observing the breath entering and
exiting the nostrils. Allow all other awarenesses (physical, mental, emotional) to fade into
the background and dissipate from consciousness.
Multi-point focus: In meditational releasing for transformation of negativity, one allows
problematic issues (along with any other awarenesses) to pass through consciousness without
attachment to them. This is like running two recorded tracks simultaneously but paying attention
to only one of them. The ignored track fades in intensity and our intention is that is will
disappear from consciousness entirely.
While this is often used for relief from troublesome thoughts and feelings, it also opens into
transpersonal, spiritual realms of awareness.
Eye Movement Desensitization and Reprocessing (EMDR) alternating right and left body
stimulation (eye movements, auditory, or touch to right and left sides) + conscious focus on a
problem; similar physical procedures + focus on a positive mental focus to install positive
cognitions/ emotions. The negative issues diminish in intensity to the point that they are no
longer perceived as problematic. The positive cognitions/ emotions are strengthened by this
process.
For example: People will hold a negative memory with its associated emotions and
physical sensations in their awareness, such as a car accident or a memory of child
abuse that still raises fears and tensions when they think of it. They alternate stimulating
the right and left sides of the body. The intensity of the negative experiences diminishes
with successive rounds of tapping until it is completely dissipated. Then they focus on a
positive awareness, e.g. "I have had many valuable lessons as a result of this traumatic
experience." Again stimulating the right and left sides of their body, and the positive
awareness and positive feelings associated with it are strengthened.
Caution: EMDR is a very powerful tool for releasing buried issues, and may produce heavy
emotional releases. For this reason, it is recommended that EMDR should be used only in the
therapist's office. A client's second EMDR session is often devoted to stress management
methods that enable a person to de-stress in case they are experiencing distressingly intense
releases between therapy sessions (Shapiro, 1995; www.emdr.com).
Multi-point focus: In EMDR, the first point of awareness is the troublesome issue (which usually
includes thoughts and emotions) and the second is a body awareness of alternating right and
left stimulation. The bilateral stimulation produces very deep releases of negativity, following
which profoundly helpful positive cognitions and emotions can be installed. Because any
alternating right and left sensory stimulation (tactile, visual and auditory) produces similar shifts,
it is speculated that the real mechanism is the alternating right and left brain hemispheric
stimulation that occurs with the sensory stimulation. More on this under WHEE, below.
Thought Field Therapy (TFT) Tapping on prescribed acupressure points (specific to
particular problems) + conscious focus on the problem + positive counteracting affirmations
(may use tapping alone or affirmations alone). The perceived intensity of the problems
diminishes (Callahan, 2002; www.rogercallahan.com).
For example: TFT therapist prescribes a specific series of acupressure points (different
points will be used for a headache, phobia, craving, etc. etc.) on which you tap as you
focus on your negative issue and its associated emotions and physical feelings. With
repeated rounds of tapping the negativity is dissipated.
Emotional Freedom Techniques (EFT) Tapping on a generic series of acupressure points +
conscious focus on a problem + positive counteracting affirmations. The perceived intensity of
the problems diminishes (Craig, 2008; 2009; www.emofree.com).
As with TFT, but the same generic series of 12 acupressure points is used for all
problems.
Tapas Acupressure Technique (TFT) Touch on front and back of head + conscious focus on
a problem + positive counteracting affirmations that include spiritual components (Fleming, ND;
www.tatlife.com).
Effects similar to those of EFT.
Seemorg Matrix Work: Touching one or more chakras (biological energy centers) on the body
+ conscious focus on a problem + positive counteracting affirmations that include spiritual
components (http://www.seemorgmatrix.org).
Effects similar to those of EFT.
Multi-point focus: With TFT, EFT, TAT and Seemorg Matrix Work, the first point is a conscious
awareness of the problems issues; the second is a counteracting affirmation; and the third is the
activation of body awareness and/or biological energies of the acupuncture points/meridians
(energy lines) and chakras. The involvement of the biological energy system of the body has led
to a collective label of 'Energy Psychology' for these and related therapies.
Wholistic Hybrid derived from EMDR and EFT (WHEE) 1. Alternating right and left body
stimulation (alternating touch on right and left sides of the body) + conscious focus on the
problem being addressed + positive counteracting affirmations; 2. (after #1 is complete) similar
physical procedures + focus on a positive mental focus replacing the negative that was released
+ alternating right and left body stimulation + focus on a positive affirmation to install and
strengthen positive cognitions/ emotions (Benor, 2006; 2009; www.paintap.com).
WHEE has a similar procedure to that used with EMDR, with the addition of a positive
affirmation (similar to EFT), combined with the alternating right and left stimulation. WHEE is
derived from a wholistic perspective, addressing body, emotions, mind, relationships (with other
people and the environment) and spirit. WHEE focuses on roots of problems and on meta-
anxieties and other meta-emotions and thoughts/ beliefs/ disbeliefs.
WHEE is safe for people to use on their own, as it does not produce the intense, heavy
emotional releases seen in EMDR. WHEE is much quicker and more user friendly than EFT,
and can be done with discrete tapping that is not embarrassing to users in front of people who
are unfamiliar with these techniques. Because WHEE is so rapid and easy to use, people
readily go deeper into their issues, coming to know fairly quickly that they are capable of
managing any issues that emerge into their consciousness.
Effects similar to those of EMDR and EFT.
Multi-point focus: As in EMDR, the first point of awareness is the troublesome issue (which
usually includes emotions and their associated thoughts a reverse order to the common focus
in EMDR); the second is a positive awareness (cognitions and feelings); and the third is a body
awareness of alternating right and left stimulation. The bilateral stimulation produces very deep
releases of negativity, following which profoundly helpful positive cognitions and emotions can
be installed. Because any alternating right and left sensory stimulation (tactile, visual and
auditory) produces similar shifts, it is speculated that the real mechanism is the alternating right
and left brain hemispheric stimulation that occurs with the sensory stimulation.
Systematic Desensitization, described below, may also fit here when negative issues are
neutralized by pairing them with muscle relaxation exercises and relaxing imagery (Wolpe,
1958).
In all of the above methods, there is a pairing of a focus on conscious issues that is combined
with a focus on physical sensations. One learns to hold the awareness of the problem with its
associated emotional components while focusing as well on physical sensations.
2. Pairing a conscious focus on a problematic issue with a positive conscious focus
(e.g., permission to change; affirmation; image; memory)
Sedona method Holding the problem issue in conscious focus, asking yourself whether you
can release it now; installing positive cognitions/ emotions in a similar manner. Negative issues
are released rapidly, and positive replacements are installed rapidly (http://www.sedona.com).
For instance, focusing on a negative issue, such as fear of speaking in public, ask
yourself whether you are ready to release it now. Giving yourself the permission to do so
will often diminish the intensity of fear immediately. When the negatives are dissipated
completely, picture to yourself that you are speaking in public with pleasure and
confidence, asking whether you are ready to feel increasingly confident and comfortable
with this mental image. As you give yourself the permission to feel more positive, your
confidence and comfortable feelings increase.
Multi-point focus: 1. First point of focusing is a negative issue; second focus is on whether
people are willing to grant themselves permission to release some or all of their negativity.
2. Similar to EMDR. First point of focusing is a positive replacement for the negative that has
been released; second focus is on whether people are willing to grant themselves permission to
strengthen the positive.
Behavior modification Positive behaviors + positive reinforcement/ rewards (words of praise;
food; tokens that can be exchanged for material rewards) lead to repeats of these behaviors;
Negative behaviors + ignoring/ negative reinforcements/ punishments lead to changes in
behavior. This is the basis for much of our learning. We do something and decide through the
effects we achieve and responses we receive from others (or not) whether it is worthwhile to
repeat our behaviors (Wolpe, 1958).
For instance, a child pees in the potty and is praised, learning that peeing in the potty is
a positive thing to do. A child reaches a hand towards a hot toaster. Either through the
"No!" of a parent, or through the unpleasant feedback of painful fingers (which would fit
in category 1) the child learns to avoid touching a hot toaster. These principles can be
applied systematically in therapy.
Systematic desensitization Conscious focus + picturing yourself in a calm, pleasant
situation/ recalling a specific time when you were enjoying yourself (may use muscle relaxation
or breathing to relax which would place this in the first category); Conscious focus on a
problem issue + conscious focus/ imagery of a positive focus. The positive neutralizes the
negative. This is usually done in small, gentle increments (Wolpe, 1990).
Your fear of dogs (spiders, mice, snakes, exams or whatever) is elaborated into a list of
all aspects of this phobia, with the most intense items towards the top of the list. You
rate the intensity of each item on the list.
e.g. Seeing a large, barking dog on a leash right next to you. = 10/10 intensity
Seeing a medium sized dog not on a leash walking towards you. 9/10
Seeing a large dog on a leash coming towards you from the other end of the block =
8/10
Seeing a small dog behind a fence in a yard barking = 4/10
Seeing a small dog on a leash walking towards you = 2/10
You hold the conscious image of the least intense item in your awareness, along with
the associated feelings and any traumatic memories. You practice connecting your
awareness with positive memories (alternatively, may use deep breathing and/or other
forms of relaxation). You pause after a few minutes to note how much the intensity of the
negative item has decreased. Repeat until it is zero. Then proceed to neutralize the next
least intense item. Proceed until the entire list is neutralized. Then practice with a dog
present, perhaps working your way up through a series of small to larger dogs.
Flooding As with Systematic Desensitization, but with focus on the most intensely negative
aspects of the problem. The positive feelings of conscious focus on a positive memory
neutralize the negative thoughts and emotions. This is usually done in powerfully confrontive
therapy sessions (Sundel and Stone-Sundel, 2005).
You start with the mental image of a large, barking dog on a leash right near you. Using
the same methods as in Systematic Desensitization, you reduce the intensity of your
reactions until they are completely dissipated. The rest of the list is usually neutralized
as well with this procedure.
Multi-point focus with Systematic Desensitization, Behavior Modification, and Flooding: First
point of focus is a negative cognition and/or emotion; second point of focus is a counteracting
positive cognition and/or emotion. The positives diminish the intensity of the negatives.
Cognitive Behavioral Therapy (CBT) Incorporates varieties of Behavioral Modification
approaches (Cormier, Nurius and Osborn, 2008).
For example: A person with a panic disorder is asked to consider whether they have
ever come to any harm whatsoever due to the things they think about during their panic
attacks. They are taught relaxation techniques for diminishing the intensity of their fears
during panic attacks. They may practice systematic desensitization in the therapy room
for issues that arise during panic attacks. Gradually, they learn that whatever comes up
during a panic attack can be neutralized through the techniques they learn, and are able
to control and then to abort and eliminate their panic attacks.
Multi-point focus: As in Systematic Desensitization, Behavior Modification, and Flooding; plus
logical reasoning about the irrationality of the symptoms.
TFT, EFT, WHEE, TAT All of these include pairings of conscious focus on a problem +
counteracting affirmation
General 2- and 3-point approaches
Simultaneously holding awareness in the present while connecting with traumatic memories -
This is a subtle 2-points of reference element that is present in most therapies.
You have a conflict or traumatic experience that has eluded emotional release. You may
be plagued with negative memories and feelings, and with more severe post traumatic
stress you may also flashbacks, nightmares, eruptions of intense feelings and panic
attacks. Whether your trauma has been mild, moderate or severe, the process of
therapy is to bring the memories and feelings to the surface through discussions with the
therapist who usually has a calm, soothing presence. Pairing the memories of negative
past experiences with the calming therapist presence becomes a form of desensitization.
Multi-point focus: First point of focus (often without conscious awareness) is being in the safe
environment of a therapist's treatment room; second point is the negative issue(s) being
addressed. As with Systematic Desensitization, Behavior Modification, and Flooding, the
positive neutralizes the negative.
3. Touching two (or more) parts of the body + conscious focus
Brain Gym (also WHEE and EMDR) Alternating stimulating the right and left side of the
body (which simultaneously stimulates the left- and right-brain hemispheres) while holding a
conscious focus on a physical problem (such as poor muscular coordination). Tapping on one
side of the body stimulates the opposite brain hemisphere. Brain Gym procedures usually
include crossed-midline stimulation with the hands, so that a dual, simultaneous stimulation of
right- and left-hemispheres is achieved. That is, the right hand taps on the left side of the body.
In this process the stimulus to the left body side will activate the right hemisphere,
simultaneously activating the left hemisphere as the right hand experiences the sensations of
doing the tapping (Dennison and Dennison, 1989). The parallel but opposite side stimulation
occurs with the left hand stimulation of the right side of the body. This is a common denominator
in WHEE and EMDR when the 'butterfly hug' is used, in which each hand pats the biceps
muscles of the opposite arm.
The classic Brain Gym exercise is the 'cross-crawl,' in which, in a standing or sitting
position, a person alternates back and forth tapping with each hand on the opposite
knee. Brain Gym has been used successfully in enhancing poor coordination, especially
in children born with such disabilities.
The cross-crawl and other Brain Gym routines are used in Energy Psychology when there is an
'energy reversal,' in which case blocks to change may occur, hindering muscle testing for
intuited information and stopping releases of negative issues. The Brain Gym exercises clear
these reversals. Though the mechanism is unclear, it is postulated that these right-left
stimulations harmonize biological energies.
Multi-point focus: There is a dual, alternating simultaneous stimulation of right-plus-left brain
hemispheres with hands plus another part of the body (arms, knees, eyes). This has been
assumed to be a re-training of the neuromuscular system, perhaps correcting failure to learn to
'cross crawl' i.e. to coordinate hands and knees in crawling. However, a recent report of a
remarkable recovery using EFT to relieve poor motor coordination in a 22 year old man with
cerebral palsy (Look and Larson, 2009) and another on EFT for relieving residual motor
incoordination in a 58 year-old woman, six years following severe traumatic brain injuries (Craig,
Bach, Groesbeck, and Benor 2009) open a question mark about this presumed mechanism
NeuroLinguistic Programming (NLP) Touching a part of the body while focused consciously
on a problematic issue; touching a second part of the body while focused consciously on a
positive memory/ feeling; then touching both together ('collapsing anchors') leads to
neutralization of the negative by the positive (Bandler and Grinder, 1979).
For example: Diminishing the intensity of a negative memory or eliminating it entirely is
amazingly rapid and easy with this method. Hold in your mind the events and residual
emotions from a negative experience. Simultaneously, press with one finger on your
thigh, 'anchoring' the memory in that spot on your thigh. After about half a minute
release your pressure but sure to keep your hand still so that you will be able to touch
exactly the same spot again. Clear your awareness of the negative issues and then
focus your attention on a strongly positive memory with its associated feelings.
Simultaneously, press with a finger of your opposite hand on your opposite thigh. After
about half a minute release your pressure but sure also to keep your second hand still
so that you will be able to touch exactly the same spot again. Then, press both spots
simultaneously and hold for about half a minute and then release. Return to focus on the
negative experience. Most people note that the negative intensity has significantly
decreased or even disappeared.
The same effects can be achieved by imagining that the positive issue is in a bubble in your
right hand; the negative one in a bubble in your left hand. Bringing your hands together and
visualizing that the two bubbles merge achieves the same effect as the tactile anchoring
exercise. The bubble exercise might fit best in cluster (2).
Multi-point focus: First pair of points are a dual focus on a negative issue combined with
touching a part of the body with one finger (it does not appear to make a difference if the right
hand finger touches the right or left side of the body in this exercise); second pair of points are a
dual focus on a positive issue combined with touching a part of the body with a second finger.
The positive always counteracts the negative and neutralizes it to some extent. Repeating the
process can completely eliminate the negative issues.
Matrix Energetics Touching one part of the body that is intuited to be relevant to a
problematic issue, followed by touching the body at a second intuited point. The intensities of
the negative issue memories and associated emotions are weakened (Bartlett, 2009).
This is very similar to the NLP procedures, although the second point in Matrix
Energetics is chosen intuitively rather than consciously and is not specifically associated
with positive cognitions.
Multi-point focus: The first point is chosen intuitively to connect with the trauma; the second
point is chosen as a counteracting point. While no cognitions are needed with the second point,
the expectation is that it will counteract the issues in the problem focus. This may simply be
another variation on NLP.
The Meta-Medicine