Introduction Case
Illustrations |
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ENERGY PSYCHOLOGY
applies principles and
techniques for working with the body’s physical energies to facilitate
desired changes in emotions, thought, and behavior.
Energy psychology has been used interchangeably with
"energy-based psychotherapy," or simply "energy therapy," and it is also an umbrella term for numerous specific
formulations, such as Thought Field Therapy, Emotional Freedom
Techniques, Energy Diagnostic and Treatment Methods, and more than a
dozen others.
While applications of energy
psychology are being pioneered with clients suffering from a wide range of diagnoses, its
methods have received the most attention for their purported speed and effectiveness with
anxiety-related disorders, such as phobias, generalized anxiety, and post-traumatic stress disorder (PTSD).
Phobia treatments lend themselves
particularly well to demonstrations because the results can be
immediately tested. In the first
on this CD, illustrating the elimination, in a single-session, of a
severe, long-standing case of acrophobia, you will see the subject begin to
shake, perspire, and fight back a sense of being pulled forward as she
approaches the edge of a balcony. Thirty minutes later, you see her
calmly walk up to the railing, lean over, and with some shock and
disbelief, say about her longstanding fear of heights, “It’s gone!!!”
Rather than an extraordinary result, this case is quite typical of the
outcomes being widely reported within the energy psychology treatment
community for a variety of conditions, particularly uncomplicated
phobias, mild to moderate anxiety, and a range of “everyday” emotional
overreactions such as jealousy, guilt, and shame. I will begin by describing one of my first public
demonstrations of the speed and power of the methods:
I had been scheduled to co-teach
a week-long class on complementary medicine, but my arrival was
delayed for several days. My co-instructor decided to introduce me to
the class by having me demonstrate a phobia treatment. When I arrived,
I was escorted from my taxi to the meeting room, where I was
introduced to the group and to the volunteer, a 37-year-old woman who
had had a debilitating stroke at age 30. Placed into an MRI machine
shortly after her stroke, she had become fearful and confused, began
to panic, could not get out, and terror took over. She had been
claustrophobic ever since, to the point that she could not sleep with
the lights out or even under a blanket, could not drive through a
tunnel, or get into an elevator. Besides being enormously
inconvenient, this was confidence-shattering as she worked to get her
speech back.
So there we were, the two of us
in front of the group. Within 20 minutes of reprogramming her meridian
energy response to enclosed places (using techniques you will learn in
this program for stimulating selected acupuncture points while having
the client mentally activate a disturbing stimulus), her anxiety when
thinking about taking an MRI went from 10+, on a scale of 10, down to
0. The only way I could think of to test it was to have her go back
into her room and get into the closet. During the break, she did just
that. She went into the closet and her partner then turned out the
lights. She stayed there five minutes with no anxiety. When she
returned to report what happened to the group, she said the only
problem was that she found it “boring.” The rest of the group was
amazed. That evening she slept with the lights out and under the
covers for the first time in seven years. Her partner was elated, and
she was overjoyed that her seven-year battle with her morbid fear of
enclosed places had ended within a few minutes of treatment.
Six weeks after this single
session, the following e-mail arrived: “You are not going to believe
this! The test of all claustrophobia tests happened to me. I got stuck
in an elevator by myself for nearly an hour. In the past I would have
gone nuts and clawed the door off, but I was calm and sat down on the
floor and waited patiently for the repair men to arrive. . . It was
an amazing confirmation that I am no longer claustrophobic!!!!!!!!
Thank you. Thank you. “
Based upon a growing body of
clinical evidence, her phobia is not likely to return unless bad
fortune retraumatizes her in a situation that involves an enclosed
space. While I would not have attempted such a single-session
demonstration unless my initial interactions and questions led to a
sense that the person was relatively stable and that the phobia was
specific to a particular context rather than a symptom of deeper
psychological issues, the basic techniques can be used in a wide range
of clinical situations. This program will show you how to apply them,
and it will give you a context for determining when they are and are
not indicated.
A phobia is a relatively isolated
symptom, but more pervasive conditions can also be addressed. The
following case also starts by treating a phobia, an aspect of the
patient’s post-traumatic stress disorder (PTSD), and then moves on to
his intrusive memories, insomnia, and generalized anxiety disorder.
Despite 17 years of
psychotherapy for symptoms of PTSD tracing back to the Vietnam war,
Rich’s insomnia was so disabling that he had checked himself in two
months earlier for yet another round of inpatient treatment at the
Veteran’s Administration Hospital in Los Angeles. When he would try to
sleep, his mind would race and any of more than 100 haunting war
memories might intrude into his awareness. Trapped in these
overwhelming images, he was unable take shelter in sleep, where even
worse nightmares might await. Every night was dreaded and interminably
long. Every day was clouded with exhaustion. He could not function
effectively. He also suffered from a severe height phobia that had
developed over the course of some 50 parachute jumps he had been
required to make during the war.
Rich was one of twenty patients
seen by Gary Craig, a pioneer in energy therapies, and his associate
Adrienne Fowlie, during a week-long visit after a hospital
administrator had invited them to demonstrate the effects of
energy-oriented psychotherapy on emotional trauma. Rich’s treatment
first focused on his height phobia. He was asked to bring to mind a
situation involving heights, and his fear level shot up immediately.
He was wearing short pants, and he pointed out that the hair on his
legs was literally standing up. At the same time, he was directed to
stimulate a series of electromagnetically-sensitive points on his skin
by tapping them with his fingertips. Within 15 minutes using this
procedure, Rich had no fear reaction when imagining situations
involving heights. To test this, Craig had him walk out onto the fire
escape of the third floor of the building and look down. Rich
expressed amazement when he had no fear response whatsoever.
Craig then focused on several of
Rich’s most intense war memories, using the same tapping procedure.
They were similarly “neutralized” within an hour. He still remembered
them, of course, but they had lost their debilitating emotional
charge. Craig taught him a technique for stimulating energy points
that he could apply to his remaining memories outside the treatment
setting. He complied with this homework assignment, focusing on
several of the more intense memories. Eventually, there was a
generalization effect, and haunting memories stopped intruding into
his awareness, even at night. Within a few days his insomnia had
cleared, and he discontinued his medication. He checked himself out of
the hospital shortly after that. At a two-month telephone follow-up,
he was still free of the height phobia, the insomnia, and the
intrusion of disturbing war memories.
Case
studies that address other clinical issues
Most of the twenty V.A. Hospital
patients treated by Craig and Fowlie enjoyed near-immediate, readily
observable results for PTSD symptoms that had in many instances resisted
years of psychotherapy. Sessions with six of these men, including the
work with Rich, were videotaped and are available for inspection as part
of a home study course that can be obtained through www.emofree.com.
You
might think, based on these outcomes, that every V.A. Hospital in the
country would be experimenting with these methods. That is not how it
played out. Even with the conspicuously rapid help these men were
enjoying for the stubborn symptoms of PTSD, none of their therapists
accepted invitations to sit in on the sessions. No interest was shown in
watching the videotapes. And though most of the patients expressed
strong enthusiasm and appreciation, no one on the clinical staff
indicated any curiosity to hear more or learn more.
The V.A. hospital episode is a microcosm of the way much of the
psychotherapy community has responded to the first two decades of energy
psychology. Though the professional atmosphere is becoming more
receptive, this resistance is understandable. Seasoned clinicians have
learned through hard experience to be reluctant about embracing new
methods before they have been scientifically substantiated. Controlled
research, of course, always lags behind new clinical innovations, but
formal investigations that establish or discredit the reports of energy
psychology practitioners have been particularly slow to appear. And even
as they are beginning to emerge, experienced clinicians are skeptical
upon hearing claims that strange and unfamiliar methods produced
near-instant cures of longstanding problems. Therapy is not believed to
be that rapid. Time is needed for building rapport, examining the
antecedents of the problem, exploring the meaning of the symptoms in the
person’s life, assessing which therapeutic modalities are most
appropriate for the unique situation, applying them, observing, and
revising.
What Are The Mechanisms?
What might account for the
contrast between the videotaped outcomes with the patients at the V.A.
hospital, corroborated by thousands of similar cases reported by growing
numbers of energy-oriented therapists, and conventional wisdom regarding
the therapeutic process? If we try to understand the results in terms of
the stock concepts of psychotherapy—such as insight, cognitive
restructuring, reward and punishment, or the curative powers of the
relationship—they make no sense. If we examine electrochemical shifts in
brain chemistry that are brought about by stimulating points on the skin
that are known for their electrical conductivity, however, a coherent
explanation for these rapid shifts in longstanding patterns of mind,
emotion, and behavior begins to emerge.
Pre- and post-treatment brain scan
images tell the story visually (click
here to view). This series shows the progression, over 12 sessions
conducted during a 4-week period, of a patient being treated for
generalized anxiety disorder. The treatment involved tapping
electrochemically sensitive areas of the skin while anxiety-provoking
images were brought to mind. The neurological signature of generalized
anxiety disorder is strong in the first session and has completely
normalized by the 12th session.
As the wave frequencies shifted
toward normal levels, the symptoms of anxiety decreased in both their
intensity and their frequency. Similar sequences of images and symptom
reduction were also typical of other patients with generalized anxiety
disorder who received energy-based treatments. Patients who were
successfully treated with what has been the standard therapy for
generalized anxiety disorder (Cognitive Behavior Therapy, combined with
medication as needed), showed a similar progression in their brain scans
during the pilot study (discussed further below) from which these images
were taken. But it took a greater number of sessions to achieve
equivalent improvements. And more importantly, on one-year follow-up,
the brain wave ratios following the Cognitive Behavior Therapy protocol
were more likely to have returned to their pre-treatment levels than
they were for the patients who received the energy treatments.
An interesting tangent from this
study was in the comparison between patients whose primary treatment was
anti-anxiety medication vs. patients whose primary treatment involved
stimulating energy points while holding anxiety-provoking images. Both
groups enjoyed a reduction of symptoms. But the brain scans for the
medication group did not show noticeable changes in the wave patterns,
even though the symptoms of anxiety were reduced while the drug was
being taken. This suggests that the medication was suppressing the
symptoms without addressing the underlying wave frequency
imbalances.
What Acupuncturists Have
Always Known
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New understanding about the
relationship between energy and the flow of information within the body
is causing conventional medicine to rapidly update the perspective that
views the person primarily as a biochemical entity. The EEG, EKG, PET,
and MRI are diagnostic instruments that build on this principle. And as
James Ochsman notes in Energy Medicine in Therapeutics and
Human Performance, there is “increasing awareness in the biomedical
community that electrical and magnetic fields, as well as light and
sound, affect cellular processes and can be used to stimulate healing in
various tissues.”1
These principles are being applied
within mental health settings as well. The magnetic stimulation of
specific areas of the brain, for instance, has been shown to help with
major depression that did not respond to other therapies,2
as well as with bipolar disorders.3
The surgical implantation of deep brain
stimulators—devices that deliver precisely targeted electrical
stimulation in the brain—has assisted thousands of patients with
Parkinson’s disease. These “brain pacemakers” are also being applied
with severe depression, obsessive-compulsive disorders, and other
neurological conditions.4
Except for such still rare and sometimes invasive applications, however,
Western medicine has produced few treatment modalities to date that take
full advantage of the ways the body’s energies can be directed to
mediate the complex flow of biological information to restore health.
But other cultures have. From
Hindu yogic practices to traditional Chinese medicine to tribal healers
throughout the world, models for working directly with the body as an
energy system are plentiful. One of the most elaborately articulated
models, and one that has held up relatively well to Western scientific
scrutiny, is the practice of acupuncture. Acupuncture is not only among
the oldest known medical treatments, extending back at least 4,500
years, it is one of the most widely used health care systems on the
planet. The World Health Organization lists more than 50 conditions for
which it is effective, including psychological problems such as anxiety,
depression, and insomnia. Anesthesia through acupuncture has been widely
documented in procedures from appendectomies to heart surgery. In
acupuncture, the tips of needles are inserted at specific points in the
skin to treat pain or disease. While many Westerners find it challenging
to assimilate this concept into their worldviews, once the
well-established effectiveness of acupuncture as an anesthetic is
accepted, evidence showing that stimulating a set of acupuncture points
can reduce anxiety becomes more cognitively palatable.
An acupuncture point, or acupoint, is
a tiny area of the skin with significantly lower electrical resistance
(measured in “Ohms”) than other areas of the skin (12,000 to 14,000 Ohms
vs. 300,000 to 400,000 Ohms). Acupoints also have a higher concentration
of receptors that are sensitive to mechanical stimulation and can, when
stimulated, send signals directly to areas of the brain that are
associated with emotions. Their electromagnetic properties can be
activated by tapping, massaging, or holding them, as well as through
more intrusive means such as the insertion of needles or electrical
stimulation. At least 360 acupoints are distributed along a network of
energy pathways that are called the meridian system. A more accurate
translation (from the Mandarin) than “point” is “hollow,” and because of
their lower electrical resistance, acupuncture points have been called
“windows” into the body’s energy system.5
These entryways into the
body’s energy system can be used for restoring physical and mental
health. Stimulating an acupoint can send impulses to areas of the body
that are far away from the point itself. A 1998 article published in the
Proceedings of the National Academy of Science, for instance,
reporting research using functional MRI measurements, showed that an
acupuncture treatment in a toe affected blood activity in the brain,
though no nerve, vascular, or other physical connections are known to
exist.6
Another study, coming out of Harvard Medical School, again based on fMRI
measurements, demonstrated that “acupuncture needle manipulation
modulates the activity of the limbic system and subcortical structures.”7
Stimulating specific points on the skin not only changed brain activity,
it deactivated areas of the brain that are involved with the
experience of fear and pain!
A Basic Hypothesis
The implications of these findings
for working with psychological issues are enormous. Here is a
preliminary explanation for the near-instant, lasting results seen
in the phobia and PTSD cases reported earlier:
AN EMOTIONAL
PROBLEM
-
A harmless sight, sound, smell, feeling, or
thought (the trigger) is recognized by the part of the brain
that identifies threat (the amygdala) as being similar to a
previous experience that involved physical danger or emotional
threat.
-
The amygdala sends impulses to the autonomic
nervous system that elicit the "fight, flight, or freeze" alarm
response. Chemicals such as adrenaline, noradrenaline, and
cortisol are released into the bloodstream, causing bodily
processes to undergo a series of dramatic changes. At the same
time, primitive areas of the brain, designed to respond to
threat, shape perception and thought. The rational mind has
little involvement in this sequence.
-
The physical sensations of the alarm response
are experienced as anger-like feelings (fight), fear-like
feelings (flight), or an inability to take action (freeze).
AN ENERGY-BASED
TREATMENT
-
The triggering image is brought to mind while
physically stimulating a series of acupoints that are believed
to send impulses directly to the amygdala.
-
These impulses have the effect of
interrupting the alarm response, and they plausibly result in
the amygdala reducing the number of neural connections
between the image and the alarm response.
-
After a number of repetitions of #1, the
image can then be brought to mind, or the situation can actually
be experienced, without eliciting the alarm response.
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An evolutionary twist made the critical second step of the treatment
possible. Simply bringing to mind an image that triggers an
emotional response creates neurological changes. The response may become
stronger or weaker. The apparent survival value of this mechanism is
that, during primitive times, you could update your assessments about
what is life-threatening based on more recent experiences. The scent of
an animal that was not common in your locale might have been coded as
mildly dangerous. But then you see the animal. It looks fiercer than you
imagined. You recall a valley some distance from your cave where you had
first noticed the scent. Neural connections between the image of the
valley and the alarm response are immediately built. But the
reprogramming can work in either direction. Any time a fearful memory is
brought to mind, the neural connections between the image and the
mechanisms that cause the emotional response may be increased or
decreased. The memory becomes labile when reactivated,
susceptible to being consolidated in a new way.8
Energy interventions apparently take hold during this moment of
increased "neural plasticity."
So far, we have introduced three basic principles of
energy psychology that are supported by at least preliminary research:
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Bringing a troubling image or memory to mind makes
it temporarily responsive to interventions that alter the
stress-activating circuitry in the amygdala and other brain structures
(neural plasticity).9
-
Stimulating specific acupoints can, as demonstrated
in the Harverd study,10
send signals that deactivate areas of the brain that are involved with
the experiences of fear and pain.
-
Brain wave patterns that are markers of generalized
anxiety and other mental disorders have been identified,11
and as you have seen, at least one early study suggests that
stimulating acupoints while bringing anxiety-provoking images to mind
changes these brain wave patterns.12
Other research focuses on energy
interventions for enhancing peak performance rather than overcoming
psychological problems. It is well known in sports psychology, for
instance, that mental rehearsal can enhance performance. Vividly
imagining 50 successful free throws initiates neurological shifts13
and improves your performance on the court.14
Reports from energy psychology practitioners suggest a fourth principle, that combining such
imagery with acupoint stimulation intensifies this effect. Based upon
these four principles, the following statement provides a tentative
explanation for the rapid improvement that is so frequently reported
after energy interventions.
Hypothesis:
Stimulating
specific electromagnetically-sensitive points on the skin while bringing
a psychological problem or goal to mind can help a person overcome that
problem or reach that goal by changing the circuitry in the amygdala and
other areas of the brain.
This hypothesis is stated in the
most reductionistic manner possible. It does not, however, rule out
emotional, cognitive, and even spiritual correlates to the processes
that can be described in neurological terms. It is likely, in fact, that
effective interventions that enter from any of these levels can affect
all of them.
What Does the
Research Show?
Research to support or refute this
hypothesis in clinical settings is only beginning to be conducted.
Respectable peer-reviewed efficacy research does exist for related
areas, such as acupuncture15
and Therapeutic Touch,16
but even the most fundamental questions remain unanswered about energy
psychology. Are its treatments as rapid and effective as the early
proponents are reporting? For what conditions are they most effective?
Exactly which procedures constitute the “necessary and sufficient
conditions” for therapeutic change? What are the precise mechanisms
involved when the tapping of acupoints results in the reduction or
elimination of a psychological symptom?
Different practitioners have
different answers to these and related questions, and far more research
is needed to address and eventually resolve many of the areas of
confusion and controversy. A few early studies do shed some light on
basic issues. For instance, are the clinical outcomes due to tapping the
acupoints or are they simply a placebo effect due to focusing on the
problem with a caring practitioner? This is a fundamental question that
must be addressed before any new treatment is credibly established.
A study published in the
Journal of Clinical Psychology examined this question as well as the
question of how much improvement could be gained in a single session
with individuals who volunteered to receive help with strong irrational
fears of insects or small animals, including rats, mice, spiders, and
roaches. Acupoint tapping was compared with a relaxation technique that
uses diaphragmatic breathing. Significantly greater improvement was
found, based on standardized phobia scales and other measures, in the
group that received the tapping treatment. On follow-ups, 6 to 9 months
later, the improvements held.17
A study conducted at Queens College in New York to see if these findings
could be replicated produced markedly similar results.18
With preliminary evidence
suggesting that the stimulation of acupoints is more effective than
relaxation training in the treatment of a phobia, a next logical
question is whether it matters which points are tapped. Is there
something about simply tapping the body that has a curative effect, or
is there really something special about the points that were identified
in ancient China? A preliminary investigation of this question suggested
that in treating 49 people with height phobias, those who tapped the
traditional points showed significantly more improvement than those who
tapped “placebo” points.19
In a subsequent study, published in
Anesthesia & Analgesia, treatments that involved stimulating
acupoints were applied by the paramedic team after a minor injury and
compared with treatments that stimulated areas of the skin that do not
contain acupoints. Again, the treatments that used the traditional
points were more effective, resulting in a significantly greater
reduction of anxiety, pain, and elevated heart rate.20
Clinical reports of unusually
rapid and powerful outcomes using energy interventions are abundant,
with many of the 600 professional members of the Association for
Comprehensive Energy Psychology each having documented at least a few in
their case notes. Some of the most dramatic results have been highly
publicized, causing substantial suspicion among professionals and doing
little to advance the scientific argument. Such “anecdotal” reports are
highly subjective. A bit more credibility can be afforded systematic
clinical observations. For instance, 105 victims of ethnic violence in
Kosovo, after receiving energy psychology treatments from an
international team over a period of several months (TFT, or “Thought
Field Therapy,” was the primary modality), reported complete recovery
from the post-traumatic emotional effects of 247 of the 249 memories of
torture, rape, and witnessing the massacre of loved ones they had
identified.21
Still scientifically equivocal, this is a mind-bending
claim, and the impact on the local community was apparently profound.
Dr. Skkelzen Syla, the equivalent of the Surgeon General of Kosovo,
stated in a letter of appreciation:
Many well-funded relief
organizations have treated the posttraumatic stress here in Kosova. Some
of our people had limited improvement but Kosova had no major change or
real hope until . . . we referred our most difficult patients to [the
therapists using TFT]. The success from TFT was 100% for every patient,
and they are still smiling until this day [i.e., on follow-up, each was
free of relapse].
While systematic clinical
observation, as in the Kosovo report, does not attempt to meet the
stringent standards of controlled scientific research, early large-scale
studies in clinical contexts provide the most objective information
currently available about energy interventions.
The largest of the early studies,
conducted over a 14-year period and involving more than 29,000 patients,
was supervised by Joaquín Andrade, M.D. He introduced energy psychology
methods to 11 allied clinics in Argentina and Uruguay after he was
trained in the approach in the United States. Dr. Andrade had, as a
young man, spent long periods of time in China, where he studied
traditional acupuncture, and he had been applying it in his medical
practice for thirty years. He was struck with the effectiveness of this
new application, which focused directly on anxiety and other
psychological disorders, and which did not use needles to stimulate the
acupuncture points.
The staff of the 11 clinics met
this new procedure with both excitement and skepticism. While the group
had no funding for research, they decided to track the outcomes of
treatments with these new methods and compare them with the treatments
currently in place.
Standard record-keeping already
maintained a patient’s intake evaluation, the interventions used, and
the treatment outcomes. Dr. Andrade’s team added a simple procedure for
briefly interviewing the patient, usually by telephone, at the close of
treatment and then one month, three months, six months, and twelve
months later. The interviewers had not been involved in the patient’s
treatment. They had a record of the diagnosis and intake evaluation, but
not of the treatment method. Their job was to determine if at the time
of the interview the initial symptoms remained, had improved somewhat,
or if the person was now symptom-free.
Over the 14-year period, 36
therapists were involved in treating the 29,000 patients whose progress
was followed. Their impressions, supported by the data they collected,
were that the energy interventions were more effective than their
existing treatments for a range of conditions. They also conducted a
number of sub-studies that allowed more precise conclusions.
The sub-studies included control
groups, comparing energy interventions with the methods that were
already in use at the clinics. They also used a formal randomized design
so that any given patient had an equal chance of receiving the energy
therapy or the conventional protocol.
The largest of the sub-studies,
conducted over a five-and-one-half year period, followed the course of
treatment of approximately 5,000 patients diagnosed with anxiety
disorders. Half of them received energy therapy treatments and no
medication. The other half received the standard treatment being used at
the clinics for anxiety disorder, which was Cognitive Behavior Therapy (CBT),
supplemented by medication as needed. The interviews at the end of
treatment, along with the follow-up interviews at 1, 3, 6, and 12
months, showed that the energy therapy was significantly more effective
than the CBT/medication protocol in both the proportion of patients
showing some improvement and the proportion of patients showing complete
remission of symptoms:
Outcome
Comparisons with 5,000
Anxiety Patients at Close of Therapy
|
CBT /
MEDICATION |
ENERGY
GROUP |
Some
Improvement |
63% |
90% |
Complete Remission
of Symptoms |
51% |
76% |
While conducting telephone interviews to place people in one of three
categories (“no improvement,” “some improvement,” “complete remission of
symptoms”) is not the most stringent way to measure clinical outcomes,
various other measures supported these findings, including pre- and
post-treatment scores on standardized psychological tests, including the
Beck Anxiety Inventory, the Spielberger State-Trait Anxiety Index, and
the Yale-Brown Obsessive-Compulsive Scale. Pre- and post-treatment
brain scan images
also matched the interviewer ratings. However, these more objective
measures were not consistently applied or tracked.
In another sub-study, the length
of treatment was dramatically shorter with energy therapy than with CBT
supplemented with medication:
Length of Treatment
Comparisons within a Sampling of 190 Anxiety Patients
|
CBT /
MEDICATION |
ENERGY GROUP |
Typical Number
of Sessions |
9 to 20 |
1 to 7 |
Average Number
of Sessions |
15 |
3 |
Another question that will be of interest to anyone experimenting with
energy interventions is whether tapping the acupoints is as effective as
the traditional method of placing needles in them. As an acupuncturist,
this was of particular interest to Dr. Andrade. A third sub-study, while
very small, had a surprising outcome, suggesting that tapping the points
in the treatment of anxiety disorders may actually be more effective
than inserting needles into them:
Tapping vs. Acupuncture
Comparisons in the Treatment of 78 Anxiety Patients
|
NEEDLES
(N=38) |
TAPPING
(N=40) |
Positive Response |
50% |
77.5% |
It must once again be emphasized that these are
preliminary findings. The study was initially envisioned as an
exploratory in-house assessment of a new method and was not designed
with publication in mind. Not all the variables that need to be
controlled in robust research were tracked, not all criteria were
defined with rigorous precision, the record-keeping was relatively
informal, source data were not always maintained, and the degree to
which any valid conclusions would generalize to other settings is
unknown.
Nonetheless, the sub-studies did
use randomized samples, control groups, and “blind” assessment, and the
clinical outcomes were striking enough that the principal investigator
did report them, initially in an earlier version of the Energy
Psychology Interactive CD. That initial report, which includes
greater detail on the background of the study, can be accessed by
clicking here. If subsequent research corroborates these preliminary
findings, it will be a notable development since CBT combined with
medication as needed is currently the established standard of care for
anxiety disorders, and the greater effectiveness of the energy approach
suggested by this study would be highly significant.
Energy
Interventions within Psychotherapy
The place of energy interventions
within the field of psychotherapy is still unfolding. With some kinds of
problems, such as uncomplicated phobias and many mild to moderate
anxieties, the energy intervention itself can often overcome the
problem. With other psychiatric disorders, energy interventions are
being combined with more traditional approaches, and a growing number of
clinical reports suggest that they significantly increase the
effectiveness of the standard approaches. Therapy is still about
insight, intention, positive thinking, cognitive restructuring, and the
healing power of relationship, but being able to directly shift the
energies that appear to impact the neurology which maintains
psychological problems is a powerful adjunct.
While we know of no systematic
research on indications and contraindications for energy psychotherapy,
early
clinical impressions suggest that they seem unusually effective with
fear, anxiety, and the emotional difficulties of everyday life, from
unwarranted anger to excessive feelings of guilt, shame, jealousy,
rejection, isolation, and grief. They should probably be combined with
other treatment modalities when working with mild to moderate reactive
depression, learning skills disorders, substance abuse-related
disorders, and eating disorders. They should probably be no more than a
supplemental treatment modality when working with major endogenous
depression, personality disorders, dissociative disorders, bipolar
disorders, psychotic disorders, delirium, or dementia.
Consensus and
Controversy within Energy Psychology
Energy psychology, as such, is a
relatively new discipline. The first national professional meeting in
the United States was held in 1999. Although research evidence is still
preliminary, the anecdotal support is massive, and systematic
investigation does support claims regarding energy treatments in related
areas, such as
acupuncture and
Therapeutic Touch. In addition,
numerous empirical demonstrations of energy fields and associated
phenomena date back at least to
Harold Burrs work at Yale in
the 1930s.
Additional
discussion of the body's electromagnetic and subtle energy
systems
While at this point there is still
a lack of consensus about the essential mechanisms that might explain
the favorable treatment outcomes, virtually all of the energy-based
psychotherapies share two essential components:
-
They all have the
client mentally access a “problem state.”
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They
simultaneously introduce an intervention designed to balance energies
that become disturbed when that problem state is accessed.
There is also general agreement
among practitioners that energy interventions retrain the body so that a
stimulus which had triggered a disturbed emotional response no longer
evokes that response.
Beyond these common denominators,
major differences can be found among the various approaches. They
differ, for example, in:
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The kinds of “problem state” they
target. Some are more oriented toward the presenting problem; some
concentrate on psychodynamic issues; some focus on past trauma; some
promote “peak performance”; some conceive of treatment goals in
spiritual terms.
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The specific energy systems they
focus upon (the meridians, the chakras, the biofield, etc.).
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How they attempt to correct
disturbances in those energies.
Some practitioners, for instance,
use a uniform set of procedures to
correct the energy disturbances. Others believe that, while this
“one-size-fits-all” approach might
be effective in a percentage of cases, there is also a
“one-size-misses-many” effect. They
introduce more elaborate assessments and interventions in an effort to
increase the probability of successful treatment with a greater
proportion of clients and issues. One of our most esteemed colleagues
believes that the essential mechanism is to create sensory overload
while, in line with LeDoux’s findings about neural plasticity, mentally
activating the psychological issue. He believes that certain acupuncture
points send strong signals to the relevant brain areas, but he also
believes that any strong sensory input can have the effect of changing
the circuitry to an anxiety-provoking image. He reports strong results
in combining the stimulation of selected acupoints with other sensory
stimulation—from eye movements to the taste of a strong peppermint candy
to the smell of lavender perfume—while simultaneously focusing on the
psychological problem via memory, imagination, or talk.
Energy Psychology Interactive
examines the range of thinking among the leaders of the field on the
issue of how elaborate an approach must be utilized. It includes a
basic, relatively simple procedure as well as a progression of more
sophisticated interventions that are also more complex to learn. Each of
these interventions, however, and their underlying principles, can be
systematized, divided into bite-sized units, and presented in an
engaging manner. That is the purpose of this interactive CD.
What You Will
Learn in Energy Psychology Interactive
As in any other form of treatment,
energy psychology sessions vary widely from practitioner to
practitioner, client to client, and session to session. However, certain
features distinguish energy-based psychotherapy from other treatment
approaches, and in this program you will gain skill and understanding
about each of these components. Along with developing rapport and
gathering information about the client’s background and treatment goals,
the major elements of energy-based psychotherapy include:
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Explaining the nature of an energy-oriented
approach to psychological problems, discussing its relevance to the
client’s concerns, and obtaining informed
consent about proceeding.
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Introducing procedures such as energy checking
for assessing the body’s
energies as they impact and are impacted by psychological problems.
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Checking for and correcting specific forms of
neurological disorganization that tend to
interfere with the outcome of energy-based treatment techniques.
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Checking for and correcting a specific variation
of cognitive dissonance, called a psychological
reversal, which also tends to interfere with treatment
outcomes if left unchecked.
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Identifying an initial target problem,
often within a more comprehensive treatment plan, and formulating
that problem in a manner that is appropriate for energy
interventions.
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Assessing the client’s
subjective level of distress in relationship to the
target problem as well as the level of distress in the body’s
energetic response to the target problem.
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Energetically "locking"
the problem into the body (for the purposes of the treatment
session).
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Proceeding with a series of procedures designed
to reprogram energy responses
that are involved with the target problem.
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Anchoring the
gains by pairing energy methods with mental projections of positive
back-home outcomes and teaching energy techniques for use in the
back-home setting.
You will gain basic skills and
knowledge in each of these areas by working through the modules in this CD. The program
provides both an entry point for the clinician with little or no experience in
energy-based approaches to psychotherapy and a resource for experienced
practitioners. It takes you step by step through many of the fundamentals of
energy psychology.
Three booksEnergy Psychology (Fred P. Gallo, CRC Press, 1999), Energy Diagnostic and Treatment Methods (also by Gallo, W.W. Norton, 2000), and Energy Medicine (Donna Eden,
Tarcher/Penguin Putnam, 1999)were primary sources in the formulation of this program
and can be used as secondary texts. Energy medicine, in particular, goes
beyond the scope of this program as it introduces you to the
larger field from which
energy psychology emerged.
Click here to see which chapters in
each of the three books correspond with the specific modules in the CD.
Getting Started
Each of the program’s 17 modules
opens with a brief introduction to the topic you are about to explore
and is then comprised primarily of interactive questions and answers.
These questions, rather than
reviewing material you have already studied, are ways of introducing you
to each new idea that will follow. They are to stimulate your interest
and curiosity. They are not to test you, though you can subsequently use
them to review the program and get a sense of the degree to which you
have mastered the material. Also placed within many of the modules are
suggestions for “practice sessions.” While not essential for continuing
through the module, they serve as an early bridge across the divide
between theory and practice. Video clips illustrate many of the
procedures and can be accessed with a click of the mouse.
The program is designed for
self-study. It also lends itself well to an ongoing study group. An
excellent way to learn the materials is for two or more individuals to
independently go through the program, a module at a time, and then meet
to discuss the principles described in that module and practice the
techniques it presents. This is also the way in which the program is
typically used as a text for graduate classes in psychology and related
fields.
The first module, titled “The
Basic Basics,” is designed to provide you with an experience of how
energy psychology works and feels. It introduces you to some of the
discipline’s more fundamental methods and invites you to experience them
with relatively little explanation. It also encourages you to read two
tutorials in the “Embedded Topics” area that show you how the “basic
basics” can be applied to a range of psychological problems and goals.
Called "Focusing on Problems" and "Focusing on Potentials," we suggest
you print out these tutorials and keep them with the Companion Book.
The remainder of the program then
builds upon these “basic basics” and provides theory and
rationale for each additional procedure that is introduced. When you
have completed the first module and related materials, return to the
Contents Page and find the next basic module, which is on “Energy
Checking” (proceed down the list of the 17 Basic Modules).
Numerous charts, tables, and
topics of interest that are accessed directly from the 17 Basic Modules
are also listed in the Embedded Topics index (see
Contents
Page) so they can be studied
independently as you wish. If you have not yet carefully read the six
Use
Considerations in the
introductory material, please do so now. They frame the designers’
intentions regarding the relationship between the program and its user,
and specify important disclaimers. Otherwise:
Jump
to the first interactive module:
The
Basic Basics
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1 James L. Oschman,
Energy Medicine in Therapeutics and Human
Performance (New York: Butterworth Heinemann, 2003), p. xxvii.
2 Paul B. Fitzgerald, et al., “Transcranial Magnetic Stimulation
in the Treatment of Depression: A Double-blind, Placebo-Controlled Trial,”
Archives of General Psychiatry, 2003, 60, 1002-1008.
3 Michael Rohan, et al., “Low-Field Magnetic Stimulation in
Bipolar Depression Using an MRI-Based Stimulator;” American Journal of
Psychiatry, 2004, 161, 93-98.
4 Joan Arehart-Treichel, “Efficacy Evidence Builds For Vagus
Nerve Procedure,” 2003, Psychiatric News, 38(17), 26.
5 Lee Pulos, “The Integration of Energy Psychology with
Hypnosis.” In Fred P. Gallo (Ed.), Energy Psychology in Psychotherapy
(New York: Norton, 2002), 167-178, p. 170.
6 Z.H. Cho, et al., “New Findings of the Correlation Between
Acupoints and Corresponding Brain Cortices Using Functional MRI,”
Proceedings of National Academy of Science,1998, 95, 2670-2673.
7 K.K.S. Hui, et al., “Acupuncture Modulates the Limbic System
and Subcortical Gray Structures of the Human Brain: Evidence from fMRI
Studies in Normal Subjects. Human Brain Mapping, 2000, 9(1): 13-25.
8 This observation emerges from a research program conducted at
New York University by Joseph LeDoux. See, for instance, Karim Nader,
Glenn E. Schafe, & Joseph E. LeDoux, “The Labile Nature of
Consolidation Theory,” 2000, Nature Neuroscience Reviews, 1(3), 216-9.
We are grateful to Joaquín Andrade, M.D., for pointing out the
significance of LeDoux’s work in explaining some of the neurological
mechanisms of energy psychology.
9 Again, Joseph LeDoux’s team at New York University’s Center
for Neural Science has produced dozens of studies elaborating this
concept.
10 Hui, et al., op. cit.
11 Daniel G. Amen,
Images into Human Behavior: A Brain SPECT
Atlas (Newport Beach, CA: MindWorks, 2003).
12 Joaquín Andrade & David Feinstein, “Energy Psychology:
Theory, Indications, Evidence.” In David Feinstein, Energy Psychology
Interactive: Rapid Interventions for Lasting Change (Ashland, OR: Innersource, 2004).
13 Martin Lotze, et al., “Activation of Cortical and Cerebellar
Motor Areas During Executed and Imagined Hand Movements: An fMRI
Study,” Journal of Cognitive Neuroscience. 1999;11, 491-501.
14 K.A. Martin, S.E. Moritz, & C. Hall, “Imagery Use in Sport: A
Literature Review and Applied Model,” The Sport Psychologist, 1999,
13, 245–268.
15 See, for instance, the journals
Acupuncture in Medicine,
Clinical Acupuncture and Oriental Medicine, International Journal of
Clinical Acupuncture, and Medical Acupuncture.
16 Dorothea Hover-Kramer,
Healing Touch: A Guide Book for
Practitioners, 2nd ed. (Albany: Delmar, 2001).
17 Steve Wells, et al., “Evaluation of a Meridian-Based
Intervention, Emotional Freedom Techniques (EFT), for Reducing
Specific Phobias of Small Animals,” Journal of Clinical Psychology,
2003, 59, 943-966.
18 Harvey A. Baker, & L. Siegel, “One Session of Emotional
Freedom Techniques is Effective in Reducing Fear of Specific Animals:
A Controlled Laboratory Study,” Presented at the First Annual Meeting
of the Association for Comprehensive Energy Psychology, San Diego,
May, 2001.
19 Joyce Carbonell, “An Experimental Study of TFT and
Acrophobia,” The Thought Field, 1997, 2(3), 1-6.
20 A. Kober, et al., “Pre-hospital Analgesia with Acupressure in
Victims of Minor Trauma: A Prospective, Randomized, Double-Blinded
Trial,” Anesthesia & Analgesia, 2002, 95, 723-727.
21 Carl Johnson, “Thought Field Therapy–Soothing the Bad Moments
of Kosovo,” Journal of Clinical Psychology, 2001, 57, 1237-1240.
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