Wednesday, September 6, 2023

The Neurosequential model and meditation practice.

 Dynamic neurosequential meditation.  This is a practice I thought up while in my onboarding classes for CECA and DEN SPGS.  

The neurosequential model was developed very recently (actually still in development) in education and psychology to evaluate and address youth and trauma.  It is defined as a developmentally-informed, biologically-respectful approach to work with at risk youth.  Although it is not a specific technique or intervention to children and their education, it is a way to organize the child's history and functioning based on the model.   Developed by Dr. Bruce Perry who specializes in childhood trauma, he developed this approach to better evaluate development and reaction of traumatized youth.  This system emphasizes the importance of supportive relationships, and experience that nurtures and positively influences the children to develop and heal.  This is a somewhat systematic approach to human development and social interaction and trauma response and processing using neurological developmental frameworks that are already known in physiology.  

In this systematic approach to working with children that have experienced trauma we try to bring them from building a framework of step by step development to help them regulate emotions, relate and then reason.  This follows the development of the brain and the theory of the 'amphibian, mammalian and higher brain functions.  This is also an aspect of the new 'polyvagal' theory and exercises which aim to bring you from the amphibian through the mammailain to a more social higher brain functioning. 

By building on the lower levels of action and reaction, the practice of relation supports development of cal by focusing on relationships, and building of personal support and self soothing self regulating actions.   IN this theory is an approach that uses how the brain works into the education and trauma therapy realm.  It can be used with adults and children as well  It is a way to see how we shape our behavior, trauma reactions and recover of trauma.  

It is my theory that Buddhist meditation and practice can be interwoven with this model and use brain physiology and psychological development and reaction as set out in this neurosequential model to explain and outline the Buddha Dharma and the steps of practice of meditation and the application of Sila in our daily lives. 

What we are hoping to do in mediation is to gradually develop a beginning level of regulation of reactions as well as emotional stability, Once they can regulate their five aggregates, they can begin to relate better to their own thoughts and reactions as well as with other people and situations. 

Sensory Integration: Brainstem, this is where brainstem (most primitive mind) sleep , blood pressure, heart rate and temperature are controlled.  In the meditative practice this is the basics of breath work, self calming, even vagal tone work.  (like vagal tone exercises to stretch the neck and look opposite, hold breath and valsalva maneuver as well as cold packs on the neck or face to stimulate the 'Whale reflex'.

Self-Regulation: The Midbrain, motor regulation, sensory arousal and appetite.  Here we are doing other types of exercises like Qi Gong, movement, rocking back and forth, concentrating on each of the senses.  Similar to guided meditations where we go into that place and see 5 things, hear 4, touch 3 and smell one... etc...

Rational Functioning:  The Limbic system.  Here sexual behavior and emotional reactivity is placed.  We are looking at some other types of practices, this would delve into more tantric and things like the Kama Sutra et al.  emotional reactivity is where we practice calm abiding and equanimity.  

Cognitive Problem Solving: The Cortex, this is abstract thought affiliation and attachment.  Here we get into Vipassana as well as deeper contemplation and Sila. 

the 8 P's

Present, 

Parallel

Patient

Persistent

Patterned

Predicable,

positive 

Protective. 

This is a chart of the state dependent (nonsequential network)

Traditional    Reflect    Flock    Freeze    Flight    Fight

Hyperarousal Rest    Vigilance    Resistance    Defiance    Aggression

Dissociative    Rest     Avoidance    Compliance    Defiance    Aggression

Sense of time    Future    Days/hrs    hrs/min    Minutes   no sense of time

IQ    120-100    100-80    90-60    70-50    50 and lower

HR 70-90    90-100    101-110    111-135    130-160

Brain area    Cortex    Limbic    Midbrain    Brainstem    Brainstem

Cognition    Abstract    Concrete    Emotional    Reactive   Reflexive

Mental state    Calm    ALert    Alarm    Fear     Terror attack

(reference for the above chart )   

https://www.google.com/imgres?imgurl=https%3A%2F%2Fslideplayer.com%2Fslide%2F12997393%2F79%2Fimages%2F13%2FCALM%2BAROUSAL%2BALARM%2BFEAR%2BTERROR.jpg&tbnid=-zVmAnm4pUlAxM&vet=10CAQQxiAoA2oXChMI0LrWrdiXgQMVAAAAAB0AAAAAEAY..i&imgrefurl=https%3A%2F%2Fslideplayer.com%2Fslide%2F12997393%2F&docid=UChk_CraU_tM9M&w=1024&h=768&itg=1&q=reflect%20flock%20freeze%20flight%20fight&ved=0CAQQxiAoA2oXChMI0LrWrdiXgQMVAAAAAB0AAAAAEAY

If we look at the above chart we can see also a similar aspect in the wheel of Samsara.  The lower functioning areas would be like the hell realms, the next as in fear etc, is the Preta realm, and alarm would be like the animal realm, reactionary.  Above that is the human realm, then the Deva and heaven realms. 


References:

https://www.researchgate.net/profile/Lorraine-Freedle/publication/342623817_Application_of_the_Neurosequential_Model_of_Therapeutics_NMT_in_an_integrative_outdoor_behavioral_healthcare_program_for_adolescents_and_young_adults/links/5efd731a299bf18816fa4b16/Application-of-the-Neurosequential-Model-of-Therapeutics-NMT-in-an-integrative-outdoor-behavioral-healthcare-program-for-adolescents-and-young-adults.pdf


https://www.amygdalaptsdconference.com/assets/media/documents/Joining_Forces_family_violence_research_assessment_interventions.pdf#page=106


https://youtu.be/_3is_3XHKKs

Now for example in meditaiton practice we can match almost exactly the 6 R's of Neurosequental model of therapy (NMT)  For here we have relevance:  The meditations in the Mahasattipathana are actually prescriptions for very specific problems we can have in regards to our individual suffering.  these can be to develop empathy or foster a sense of dissociation with a problemed thought or thought process. (need some examples from the sutras etc)

The second R is rythmic.  Here we have a great example of using the breath as a rythm as well as using the poetic (and not so poetic) sutras as a practice to get us inito a more regulated state of being and more focused. 

The third R is Repetition.  Here we can see the use of mantras as well as focusing on the breath for our concentration and ... (need more examples)

Fourth, the R of Rewarding.  

THe 6Rs of Trauma (Perry) 

Relational (safe)

Relevant (matched to the persons development mentally , like emotional maturity. 

Repeditive.  Easy on this one, the same process, like a routine or a ceremony and such.  Pujas etc. 

Rewarding (this must be somewhat fun).

Rythmic.  (in the example it is 'resonant with the newural patterns). i.e. I think this would mean for it to match expectations even if un said or 

Respectful: 

Reference:  https://attachmentdisorderhealing.com/developmental-trauma-3/