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“When we talk about cultivating a nonjudgemental, agendaless space between, we might easily believe this means we are passively present. Quite the contrary. We are dynamically awake in the midst of the inner stillness and receptivity, attending to and following what is emerging in our people.”

“Following is about linking with another and keeping that one in the center of flowing awareness, which is exactly what the right hemisphere has the potential to do beautifully. In fact, we may best begin by following our own internal movement as it arises in the presence of the other person.”

“Each time we offer a reflection, we are also quietly repairing/disconfirming attachment wounds that always contain elements of our parents or others not being able to see us because of their own injuries.”

“Traumas embed when our system is overwhelmed by pain and fear without having sufficient internal resources or companionship to help integrate the experience ... Our people may see others being present, but as either unavailable for support or actively injurious, or the experience may have been so terrifying that even had someone tried to help, our people might not have been able to receive it ... what remains now is a sense of isolation with the remaining anguish and terror. Over the years, I have found that as soon as a sense of accompaniment enters the memory, there is a new foundation for doing the work. Just as our people have internalized those who injured them, that same capacity can bring us inside to support processing the emotions and to resolve this primary wound of being alone.”

“Our infant muscles let go and mold to the shape of our mother's bodies when we are securely held. Our bodies learn the meaning of the sensations of hunger and thirst from the interpersonal sweetness of our need being seen, met and satisfied by our mother as food is offered. We take in her attentiveness along with the nourishment, and this shapes our openness to all kinds of nurturance throughout our lives. Our hearts beat more slowly and our amygdalae calm when she is in a ventral state, her presence reassuring us of the possibility of safety in connection.”

“Research on avoidant attachment (a left-hemisphere-dominant form of relating) suggests that a mother's inner state of relative disengagement is reflected in her infant's biological response of needing to go it alone through increased attempts at self-regulation even at one year of age (Hill-Sonderlund et al., 2008). It is as though there is unspoken communication that life is about independence, encouraging mother and baby to move apart into more separate universes--together. For both parent and child, the long-term effects of such isolation are profound, leading to changes in their epigenetic profiles that support increased inflamation, the headwaters of many chronic illnesses (Fredrickson et al. 2013)”

“This process of letting go of being in charge often unfolds over time as we develop greater trust in the wisdom of our patient's system as it awakens within the embrace of the relationship, so that we gradually need less and less to find our own security by taking the lead.”

“It wasn't that I gave up on her healing, but, as she continued to struggle to get in the door and actively needed her self-hatred to stay functional, I began to realize more deeply that her patterns had meaning and that it wasn't useful for me to predetermine what recovery might look like for her.”

“It is rather paradoxical for our task-focused self when it isn't the quality of the practice, but our honest and humble acceptance of the emerging moment, that prepares us for nonjudgemental, agendaless presence with another. Being kind to ourselves can be helpful as we seek to practice this way of being, because it places us at cross-purposes with our culture, where performance and improvement are so valued and the limits and variability of our humanness are cause for criticism and correction. Many aspects of our training as well as our everyday experience in this society urge us to take control to achieve a particular result, and this can become so implicitly ingrained that it feels wrong to sink toward our innate humanity. Again, just listening with kindness to the competing voices inside is good preparation for extending this attentiveness and kindness to all aspects of the person about to come in our door.”

“Between each meeting, I usually feel drawn to do a brief practice to let go of what was experienced and settle into the felt sense of opening into receptivity. It begins with rooting my feet into the stability of the earth; then listening to the sensations of my muscles, belly and heart with no intent to change anything; glancing upwards at the spaciousness of the sky as the complement to the solidity beneath my feet; following the flow of my in-breath and out-breath a couple of times, again with no intention to shift anything but just listen and experience; and opening into a bowl of receptivity, which may feel like an expansion and quieting of my heart. The experience is different every time. Sometimes there is pervasive distraction, sometimes a wish to change the tension in my muscles or the depth of my breath, sometimes judgement about how I'm doing this practice, and sometimes it flows like a sweet river. Most important is being present to what is with as little judgement as possible, even when this means being present to judgement itself. That level of acceptance, much more than the quality of the practice itself, is what can prepare us to receive our person with the same quality of attending.”

“Remembering that the impulse to control is an indication that we are having a neuroception of danger, perhaps we can be compassionate rather than critical of ourselves when we do step in to overtly manage the process. Perhaps we can begin to ask inside about the nature of the threat that brings on the need to assert control and fix. As always, dropping the questions into our right hemisphere and not expecting a particular answer in this moment opens the way for a deeper understanding to emerge bit by bit.”

“It makes sense for us to want a symptom, an 'it' to go away. If we begin to sense that we are made up of many selves ... then we might instead say, 'the anxious part of me is really suffering. I wonder how we might help her'. There is often a palpable softening as we gaze on a person inside who has value apart from the distressing symptom. We also may sense more clearly that this experience isn't all of us, but belongs to a part who has had encounters that give this anxiety context and meaning. The change of pronoun, granting personhood, may move us into a more right-centric way of perceiving, which also opens us to a more both/and perspective of broad acceptance, arouses our warm curiosity, expands receptivity to the present moment. It can really be a very profound change.”

“We can perhaps hold both the desire to separate from these bodily memories and the willingness to be with them in the broad embrace of welcome and compassion. I do believe this kind of acceptance is a lifetime's work that inevitably leads to 'failure' at times. Our biology wants to protect us from what may harm us, and the arising of implicit memory can feel quite threatening. If we can soften towards our own tendency to want to move away and offer to begin again with gestures of inclusion, this is likely what is possible and optimal for us humans. Humility and grace are perhaps the gifts of this tension, gifts that we can then extend to our people in the form of honoring their struggle.”

“The bodily experience we have taken in from [other people that our body has internalized as 'imported parts'] will affect our muscles, belly and heart brains, autonomic nervous system, eyes, ears and vocal cords when they are active in us. While carrying this much of others can feel like an overwhelming burden, it is also the open door to healing, since their aliveness inside us means they can be touched with the ... care that others might offer us.”

“The depth at which we take in the preceding generations astonishes me. There is likely an epigenetic component to this as well as transmission through the internalizations that get passed down through the generations. Whole cultures are carried forward that way, so it makes sense that family legacies might be transmitted that way as well.”

“Our brainstems take in the rhythmic movements of [our mother/primary attachment] as she attentively follows our bid for play, our drift towards sleep, our signal that it is time to be quietly together. In our midbrain, our SEEKING system finds the waiting eyes and arms of our mother's CARE system in times of PLAY or GRIEF, patterning the expectation that connections will be restored when they are momentarily lost, that ruptures will call forth repairs.”

“The path of waiting and listening forgoes certainty and exposes us to a sense of tentative unknowing, which is often uncomfortable at best. This may only be tolerable when we have developed some degree of trust in the inherent healing capacity built into the human system and the power of interpersonal receptivity to animate the process. For most of us, this trust arrives because we have experienced it ourselves and can now embody it for others. As this deep learning proceeds in us, we may be able to rest more easily into the waiting because the unknowing is increasingly being held within our expanding window of tolerance. As we are able to work in this way, I believe our people get a felt sense of our profound and enduring respect for their inherent wisdom, something that is likely a unique and healing experience given their history of traumatic relationships. I don't believe I have found any offering that is more empowering than respect.”

“Paradoxically, the kind of leading we want to offer is the opposite of taking control. Instead, it begins with accepting responsibility for getting support for our inner world and healing process to such an extent that the need for control recedes in favor of trust in the inherent healing capacity that is awakened when the necessary interpersonal sustenance arrives.”

“As we speak from a particular perspective, our words not only reveal something about our hemispheric vantage point, but they also go on to reinforce this way of seeing, wrapping us within a distinct perceptual slant. Then, because of our resonance with each other, we are simultaneously issuing an invitation for others to join us in this mode of attending. As we shift towards left dominance, we move internally out of relationship and into isolation, no matter how many people may be present, and we are inviting others into disconnection from themselves and others as well.”

“All of us develop the protections our implicit memories need to keep what are perceived to be worse dangers from us. ... Our initial work is ... about respectfully acknowledging that our people's system is acting wisely in this moment, no matter what it looks like on the outside. Holding this firmly in our own body, heart and mind is of inestimable benefit to those who come to us.”

“... when an experience is too strong for our current internal and external regulatory resource to manage ... [chemical changes activate to] tuck these pathways into our ... body. In this way, our ongoing lives are protected from the constant incursion of the raw pain and fear and the injured parts of ourselves are partly shielded from new injury. We might say they have been enwombed, awaiting the arrival of support. At the same time, the memories also remain malleable enough that they can be touched and awakened, which is essential for healing. However, we also remain vulnerable to them being brought into activity when support isn't available... a frowning face (man or woman), certain breathing patterns, and even sensory fragments (the color of a person's shirt or hair, the smell of alcohol on someone's breath) all have some probability of awakening the terror. The widely dispersed individual streams that make up these memories are all gathered into the neural net that formed at the time of the initial experience, and when our outer or inner world tugs on any strand, there is some probability that more of the neural net will open, bringing the rush of embodied feelings. Most often, the explicit memory does not arrive at the same time, so there is no context for the flood of sensations and emotions, which feels as if they are related to what is happening right now .... What can look like an out-of-proportion response to what is happening in the moment is exactly in proportion to what is unfolding internally. If we sense this so deeply that this knowing is viscerally available when our patients are having strong emotional experiences, we will be able to offer them acknowledgement of the validity of their experience rather than having to control or change it.”

“The tensions that accompany the impulse to control subside, and the energies of our mental/emotional life are more directed and devoted to listening rather than speaking... We may be able to more easily attend to our people's communications that often remain below conscious awareness: subtle changes in breath, coloring, eye tension, prosody of voice, small movements towards or away, changes in the quality of eye contact. Receptivity means that we don't grasp what we notice for assessment. Instead, we are simply present to those implicit communications in the spirit of holding a tender space in which they can reveal themselves to whatever extent our 'patient's' system feels safe to be vulnerable in the moment.”

“Relational neuroscience increasingly assures us that we are continually shaping one another's embodied brains, and that the safety provided by deep listening offerings a unique support for engagement. However it is one thing to believe it cognitively and quite another to grow into the practice of this belief.”

“As we follow and respond, our people have the opportunity to teach us about the intricacies of our multigenerational inner world and the processes that can heal at such a deep level.”

“If people have harmed us, that part is usually a protector whose need to cause injury comes from desperate attempts to not feel destroyed by the pain and fear they are carrying. Generally they are not conscious of this process, but it likely mirrors what has been passed down through the generations in the family.”

“The seminal work of Stephen Porges ... suggests that presence becomes possible when there is a felt sense of safety ... When we are in the role of practitioner, if our autonomic nervous system is receiving what it needs to have a neuroception of safety (our system's felt sense, below the level of conscious awareness, that we are safe) then our social engagement system (the ventral vagal parasympathetic) will be alive in the room as our patients arrive. In this state, we become a potentially safe landing strip for them. When we are able to offer this safe haven, the possibility of the other person moving toward a similar felt sense of safety awakens the healing space between us through resonance.”

“We might ask what role relational neuroscience plays in these kinds of experiences. For me, it begins with the body. Cultivating an understanding -- and most importantly a felt sense -- of these neural pathways helps us attune body to body with our people as they enter these deeper, more challenging realms. Through resonance, our capacity to attend to our bodies while remaining in a ventral state gradually becomes theirs. An indispensable support comes from our left hemisphere's deepening understanding of the particulars of the healing process. The stability this provides helps our right stay as engaged as possible in the relationship with all its emerging uncertainty. When Joshua became so suddenly depressed, Jaak Panksepp came to mind, so I could remain curious rather than scared. When Caroline entered increasingly intense states with her mother, Stephen Porges helped me remain mindful of our joined windows of tolerance and the necessity of staying in connection for co-regulation and disconfirmation to occur. The whole process of leading, following and responding rests on his statement, "Safety IS the treatment". In the broadest way, Dan Siegel's voice fosters deep acquaintance with the principles of interpersonal neurobiology, which supports hope for healing, confidence in our inherent health, and appreciation for our co-organizing brains. Each of these strands of knowledge increases our trust in the process. You may sense yourself adding to the list those that have been most helpful for you.”

“Over the years I have come to realize we just can't know how or when resolution will come ... As a dedicated follower, I have been privleged to witness and support the wisdom that emerges ... I expect to be surprised by what the next people will teach me as they pursue their unique path towards resolution and open to inhabiting their inherent health.”

“let's ask our systems how they might let us know when we are taking that step into left-hemisphere dominance ... Often, the respectful gesture of simply pausing to pose this curiosity is enough. Our systems will respond as and when they can.”

“Forms used in many clinics ask patients to rate their status on a regular basis, hoping to see an ever-upward trend, and sometimes judging the efficacy of the therapist without regard for the complexity of the challenges they are holding together in the space between. All of this is well-intentioned with the primary goal being rapid reduction of suffering. However it is built on the assumptions of the left hemisphere.”

“Since we began with a felt sense of safety this day, several neural streams are initially supporting the renewal of our connection. In our midbrain, the energies of the SEEKING system are animating the CARE system, which can both foster the good feelings between us and support offers of repair should we have a rupture (Panksepp & Biven, 2012). Once in connection, our ventral vagal parasympathetic system is affecting the prosody of our voices, our facial mobility, and the attentiveness of our listening, maintaining social engagement (Porges, 2011). Since ventral lateralizes to the right hemisphere, we more easily stay rooted in the right-centric way of attending that keeps us in connection with this moment and with each other (McGilchrist, 2009). In this intimacy, our brains are coupling in many regions, so there is an experience of social emotional engagement and embodied communication as we become a single system in two bodies (Hasson, 2010). Because we are trustworthy partners in this healing process, social baseline theory tells us that our amygdalae are calming just because we are together (Beckes & Coan, 2011). All of this is happening without doing anything, even without saying anything, in microseconds below conscious awareness because of the safe space we have cultivated over time. We can more clearly understand why Porges says, "Safety IS the treatment".”

“... we might be drawn into a more left-centric way of hearing ... and experience the promotion of safety as a somewhat mechanical process in which A inevitably leads to B-- [ie: the belief that 'my being in a ventral state will automatically draw you into one, and if it doesn't then there is something wrong with one of us'.] Viewing it that way encourages us to turn social engagement into a technique, even a manipulation of the other person's nervous system toward what we view as a more desirable state. Ironically, when the left hemisphere is dominant rather than supportive of right-centric attending, we have already moved out of social engagement and thus are in no position to offer safe space to another. When we make an effort to return to it, we have forgotten that neuroception is continually arising automatically and not under the control of our will. The very pressure to activate ventral makes the space between us unsafe.”

“More important than the words or silence is my inner stance of making room for what is stirring within him, becoming alertly still enough inside that his inner world senses safety, the precursor to him opening into vulnerability.”

“if our attention is what we're going to do next to accomplish a specific goal (often decrease a symptom) rather than openness to what the other person is bringing to the moment, we have stepped into our left hemispheres and out of relationship- and our patient will feel that as a kind of subtle abandonment. This interchange will likely happen below the level of conscious awareness and yet lead our person to step back a bit internally, awaiting the arrival of true presence, without agenda or judgement, so that safety can arise in the space in between. At that moment, the healing power inherent in this co-organizing/co-regulating relationship arrives. We have been returning to this crucial distinction in these pages, as much as possible with ongoing compassion for the challenge we experience as we open to the right remaining consistently in the lead.”