[HN Gopher] The brain's reading of the body's state is key to me...
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       The brain's reading of the body's state is key to mental health
        
       Author : graderjs
       Score  : 155 points
       Date   : 2022-02-19 09:07 UTC (13 hours ago)
        
 (HTM) web link (psyche.co)
 (TXT) w3m dump (psyche.co)
        
       | tomhoward wrote:
       | Some friends have a 7-year-old son who is being assessed/treated
       | for autism-spectrum disorder; he's outgoing, sociable and highly
       | intelligent, but has issues with emotional and behavioural
       | dysregulation and can often get into kind of manic states. One of
       | the techniques I've seen his parents use when he's getting into
       | these states is to ask "where are you feeling this in your
       | body?", then for him to focus on that region while using
       | controlled breathing to calm down.
       | 
       | Re this: _There is also the possibility of using interoception
       | training as a form of mental health treatment_
       | 
       | This kind of thing exists, though still in the fringes. I've been
       | using versions of it for over 10 years to resolve the effects of
       | many earlier-life experiences caused ongoing charged reactions
       | and chronic mental and physiological issues (after years of
       | mainstream medical treatment and therapy was ineffective). It's
       | very much a process of identifying and letting go of the way
       | these experiences (often described as traumas, but not always in
       | that category) are held/felt in different parts of the body
       | ("butterflies the stomach" when nervous is the most obvious
       | example, but goes much much further/deeper than this).
       | 
       | I'm now completely free of depression and mostly free of anxiety
       | and fatigue/pain issues (CFS/ME) but still continuing to
       | progress.
       | 
       | If any researches/professionals working in this field happen to
       | be reading this, I'd love to get in touch.
        
         | [deleted]
        
         | kayodelycaon wrote:
         | This sounds like variations on cognitive behavioral therapy and
         | mindfulness in the best possible way. There are many mental
         | illnesses that are curable in this way.
         | 
         | And you're exactly right this exists but it isn't a fringe
         | method without strong and clear evidence. It's just not the
         | common approach.
         | 
         | The key is finding good mental health professionals such as
         | psychiatrists who specialize in holistic treatment or
         | therapists who explicitly works on teaching therapy techniques.
         | 
         | Unfortunately, people don't know enough about mental health to
         | know this an option or they aren't willing to put in the work
         | necessary. Changing your thinking is a long, slow process.
        
           | mansoon wrote:
           | Cognitive behavioral therapy by unskilled practitioners is a
           | form of torture. The ethics are contextual. The manualized
           | protocol is insufficient.
        
             | mansoon wrote:
             | The topmost comment in this tree is describing something I
             | agree to as ethical.
        
           | 0xcde4c3db wrote:
           | > The key is finding good mental health professionals
           | 
           | Unfortunately, the odds of actually doing this aren't great
           | in my experience. The field seems to be packed with people
           | who are only qualified on paper and have no idea how to
           | actually help people, and it's hard to screen them without
           | going through their intake process first.
        
             | ratsmack wrote:
             | With today's industrialized medicine, this is becoming a
             | bigger problem across the entire medical system.
        
             | kayodelycaon wrote:
             | I know. It's often difficult to find anyone at all.
        
               | p1esk wrote:
               | https://news.ycombinator.com/item?id=30398529
               | 
               | I'm not associated with them, just saw it earlier today
               | on HN.
        
         | ericmcer wrote:
         | Interesting, yeah this is kinda similar to "being present".
         | Focusing intensely on something like how the inside of your
         | knee feels or your breath can pull you away from your current
         | mindset.
        
           | kayodelycaon wrote:
           | It is. I find this technique extremely effective in combating
           | psychosis, but it is exhausting to maintain for any length of
           | time.
        
             | andrei_says_ wrote:
             | As someone with experience in similar approaches -
             | exhausting because of the effort to keep your attention
             | focused on the desired object and away from the destructive
             | loop?
        
               | kayodelycaon wrote:
               | Basically. When dealing with psychosis, I'm having to
               | constant ignore everything going on in my head and force
               | myself see past whatever my brain wants to do, feel, and
               | see.
               | 
               | For me, I know what's real and what isn't. I just can't
               | stop myself from acting on not real information.
        
         | agumonkey wrote:
         | it's interesting because meditation uses body-focus as a main
         | trick
         | 
         | also physical exercise and manual labour also floods your brain
         | with signals from your body
         | 
         | about your case and idea, do you think that our reflexes acts
         | like a kind of stuck loop: situation X -> reflex ->
         | interpretation of negative context -> more reflex .. a kind of
         | emotional fibrillation :) ?
        
           | ajkjk wrote:
           | There are a lot of kinds of meditation, so saying that
           | without qualification is too broad to be correct.
        
         | gloryjulio wrote:
         | This is the best plain description of the practical meditation
         | techniques which can help to improve mental health. Hope more
         | people can benefit from reading this.
        
         | lokalfarm wrote:
         | Have you read Focusing by Eugene Gendlin?
         | 
         | https://en.wikipedia.org/wiki/Focusing_(psychotherapy)
        
         | mansoon wrote:
         | DM me please.
        
           | tomhoward wrote:
           | Thanks for the reply. No DMs on HN but you can email me
           | (address in profile).
        
       | ciconia wrote:
       | This is something I've been exploring on a personal level lately.
       | I'm practicing intermittent fasting, and have found that
       | listening to your body is key to maintaining personal discipline.
       | 
       | Sometimes I'd get "the munchies" and I'm gradually developing the
       | ability to respond to those urges by stopping, listening to my
       | body and understanding what it really wants. Now that it's more
       | used to it, my body would say "I don't need anything right now, I
       | have enough energy, proteins etc in my reserves, thank you."
       | 
       | It also occurred to me that I can develop this skill of listening
       | to my body for other uses/occasions. For example, listening to
       | music can also be done with our skin, which is sensitive to
       | vibrations.
       | 
       | Finally, it's the realization that our bodies have a very rich
       | interface with our environment, and can provide us with so many
       | signals, we just need to turn off our brains for a while in order
       | to have that feeling of connectedness.
        
         | BLKNSLVR wrote:
         | I've done some intermittent fasting as well, and one thing I've
         | noticed is that it's easier to suppress what feels like actual
         | hunger (stomach rumbling kinda feeling) than it is to suppress
         | a "want to eat", which I'm assuming is your "munchies".
         | 
         | If I think of, or see, something like Country Cheese biscuits
         | or Pringles, something clicks and there becomes a kind of
         | vacuum in my mind which can only be filled by that particular
         | snack.
         | 
         | Want, it seems, outranks the mild beginnings of need.
         | 
         | This is one data point that helped me realise just how much
         | humans are tuned to be slaves to their habits.
        
           | akdor1154 wrote:
           | I have the same experience but had never consciously realized
           | this difference. My gf is the opposite, which I find
           | interesting. Genuine hunger is a much more intense feeling
           | for her.
        
       | amelius wrote:
       | Reminds me of this video, where they ask: "where is your
       | headache?", "what color is your headache?", etc.
       | 
       | https://www.youtube.com/watch?v=UKGtv84aSjo
        
       | mansoon wrote:
       | I can justify this exhaustively. I will not do so in an argument
       | on the internet. You may ask questions. I reserve the right to
       | refuse.
       | 
       | This is how to protect your body if you have a strong impulse to
       | argue, and you find yourself testing it on the internet.
        
         | themodelplumber wrote:
         | Assuming you are conscious of the impulse. :-)
        
           | mansoon wrote:
           | I have stated in nonviolent language. What further proof do
           | you believe is possible?
           | 
           | Becoming this aware almost killed me.
        
       | buscoquadnary wrote:
       | So this isn't directly related but is in a similar veind. There's
       | a book I read called persuasion bt a Dr. Robert Calidni which is
       | about demonstrating various types of subconscious tricks to get
       | someone to be compliant. However one of the parts of the book I
       | found interesting was he also noted that many of these tricks of
       | persuasion would be made to disappear if the you brought
       | someone's attention to the trigger. E.g people are less complaint
       | when the weather outside is bad; however if you start by asking
       | someone how the weather is the effect disappears.
       | 
       | I take the whole book with a grain of salt since the whole of
       | social psychology is full of tons of issues right now but it is
       | interesting, especially when one considers the beneficial effects
       | of meditation that have been observed when that is mostly about
       | sitting and becoming aware of your body and your feelings.
        
       | golemotron wrote:
       | If this is true (and it seems to be), the metaverse and VR aren't
       | likely to help mental health. Too much of our entertainment
       | disembodies us.
        
         | Hoasi wrote:
         | > If this is true (and it seems to be), the metaverse and VR
         | aren't likely to help mental health.
         | 
         | And we haven't yet fully assessed the damage of "social" Web
         | 2.0...
        
         | agumonkey wrote:
         | I second this wholeheartedly.
         | 
         | I think there's no point in pursuing VR unless dedicated
         | training / tooling.
         | 
         | Approaching reality is pointless when you just have to walk
         | outside.
        
       | mansoon wrote:
       | The body keeps the score is the best book on this that I am aware
       | of.
        
       | kayodelycaon wrote:
       | As someone who is bipolar, it's very easy to see how the mind and
       | body are connected.
       | 
       | Getting my high blood pressure treated significantly helped my
       | anxiety, because it got rid of the constant pressure in my chest
       | that felt like anxiety.
       | 
       | Separating anxiety and asthma symptoms is difficult. They feel
       | very similar and trigger each other.
       | 
       | Unfortunately, this is far from new information. It is decades
       | old and this study currently offers no greater insight into what
       | is already a well-known effect. This is already incorporated into
       | a treatment of mental illness. Not as widely as it should be, but
       | it is there.
       | 
       | Nevertheless, this study gives me hope for the future, because
       | someone is looking in what I believe the right direction. It's
       | the one more step in a long series of steps into figuring why
       | this is the case.
        
         | BLKNSLVR wrote:
         | "hope for the future" is it's own separate mental health data
         | point as well.
        
       | mansoon wrote:
        
         | ta988 wrote:
         | The really good ad tracking system of HN that is listening to
         | your deeper thoughts. Can't fight it.
        
           | mansoon wrote:
           | Hacker news is an extraordinary joint cognitive system. The
           | recent increase in noise clarifies the signal that
           | propagates.
        
         | dboreham wrote:
         | HN Birthday Paradox?
        
         | mansoon wrote:
         | For fuck's sake.
         | 
         | Today is a good day to have understood the necessity of
         | coincidence. =)
        
       | amelius wrote:
       | My problem is the reverse. When my brain is working, my jaw
       | tenses up, and my breathing becomes shallow. I tried everything,
       | but it seems impossible to decouple mental performance from these
       | physical issues. I wish that there was some kind of bio-feedback
       | device that could warn me when I push myself too far.
        
         | retrac wrote:
         | There are some biofeedback devices re: jaw clenching/teeth
         | grinding in particular. Both muscle innervation sensors
         | (applied to the skin) and pressure sensors (held between the
         | teeth) out there. Not sure if they're actually effective but
         | one small study with people who grind their teeth while asleep
         | found significant reductions from a mouthguard that vibrated
         | when a pressure threshold was exceeded:
         | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4389117/
        
         | themodelplumber wrote:
         | I used a biofeedback device for measuring jaw tension among
         | other things a long time ago...it was really helpful for
         | training the body in how to naturally relax. Not sure it would
         | solve the problem for someone entirely but it's worth a try.
         | 
         | For pushing too far I use a timer system based around
         | supporting the work characteristics, and it's been really
         | helpful too. Hopefully you find something that helps.
        
           | amelius wrote:
           | Thanks, could you provide a link to the system that you used?
        
             | themodelplumber wrote:
             | Sure, it's Module #4 here:
             | 
             | https://www.friendlyskies.net/maybe/the-balance-first-
             | approa...
             | 
             | --Marc
        
               | amelius wrote:
               | Ok, thanks! Do you also have a link for the bio-feedback
               | device that you used?
        
               | themodelplumber wrote:
               | I wish I did, it was at a university biofeedback lab in
               | about 2000. I'd guess anybody who works with biofeedback
               | devices could recommend something better by now anyway.
        
               | amelius wrote:
               | Heh, ok, yes I expected you to say something like this. I
               | had biofeedback therapy as a child (also jaw/bruxism
               | related), and those devices looked archaic, even for that
               | time :)
        
               | themodelplumber wrote:
               | Speaking of which...What about a retro-computing project
               | in QBasic?
               | 
               | https://archive.org/details/ElectronicsNow199612/page/n36
               | /mo...
        
         | User23 wrote:
         | Try consciously resting your tongue against the roof of your
         | mouth and breathing through your nose.
        
       | neitsab wrote:
       | Many commenters here have already noted the strong connection
       | between this study findings and common Buddhist-/mindfullness-
       | based meditation instructions.
       | 
       | To me it was the concept of _interoception_ which produced the
       | stronger callback to Buddhist themes, in this case to the notion
       | of  "sixth inner sense" commonly referred to in Pali Buddhist
       | scriptures:
       | 
       | > In Buddhism, "mind" denotes an internal sense organ which
       | interacts with sense objects that include sense impressions,
       | feelings, perceptions and volition.[0]
       | 
       | I have always found this sixth sense organ a welcome -and even
       | necessary- addition to the regular Western list of senses, as
       | without it it is impossible to account for the bountiful nature
       | of our inner experiences (and our perception of them, which
       | evidently foregoes the five other physical senses). I am really
       | glad to see we have a somewhat established (if not very well-
       | known) comparative concept to use in the scientific framework of
       | understanding.
       | 
       | [0]: https://en.wikipedia.org/wiki/%C4%80yatana
       | 
       | edit: typo and missing word
        
         | qiskit wrote:
         | Not only buddhism. The romans gave us "mens sana in corpore
         | sano" - sound body, sound mind.
         | 
         | It seems like ancient peoples around the world associated
         | healthy body with a healthy mind.
        
           | lazide wrote:
           | And healthy minds tend towards keeping their bodies healthy
           | too.
           | 
           | The issue is that it doesn't pay to ensure everyone is
           | mentally healthy - far from it, it many cases it pays the
           | bills exacerbating other peoples mental illnesses :(
        
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