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Coming into Mind: The Mind-Brain Relationship: A Jungian Clinical Perspective PDF

242 Pages·2006·2.612 MB·English
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Coming Into Mind Contemporary neuroscience has a valuable contribution to make to understanding the mind-brain. Coming Into Mind aims to bridge the gap between theory and clinical practice, demonstrating how awareness of the insights gained from neuroscience is essential if the psychological therapies are to maintain scientific integrity in the twenty-first century. Margaret Wilkinson introduces the clinician to those aspects of neuroscience which are most relevant to their practice, guiding the reader through topics such as memory, brain plasticity, neural con- nection and the emotional brain. Detailed clinical case studies are included throughout to demonstrate the value of employing the insights of neuroscience. The book focuses on the affect-regulating, relational aspects of therapy that forge new neural pathways through emotional connection, forming the emotional scaffolding that permits the development of mind. Subjects covered include: • Why neuroscience? • The early development of the mind-brain • Un-doing dissociation • The dreaming mind-brain • The emergent self This book succeeds in making cutting-edge research accessible, helping mental health professionals grasp the direct relevance of neuroscience to their practice. It will be of great interest to Jungian analysts, psychoanalysts, psychodynamic psychotherapists and counsellors. Margaret Wilkinson is an analyst in private practice and an assist- ant editor of the Journal of Analytical Psychology. Page Intentionally Left Blank Coming Into Mind The mind-brain relationship: a Jungian clinical perspective Margaret Wilkinson First published 2006 by Routledge 27 Church Road, Hove, East Sussex BN3 2FA Simultaneously published in the USA and Canada by Routledge 270 Madison Avenue, New York NY 10016 Routledge is an imprint of the Taylor & Francis Group © 2006 Margaret Wilkinson Typeset in Sabon by RefineCatch Ltd., Bungay, Suffolk Printed and bound in Great Britain by TJ International Ltd, Padstow, Cornwall Paperback cover design by Lisa Dynan All rights reserved. No part of this book may be reprinted or reproduced or utilized in any form or by any electronic, mechanical, or other means, now known or hereafter invented, including photocopying and recording, or in any information storage or retrieval system, without permission in writing from the publishers. This publication has been produced with paper manufactured to strict environmental standards and with pulp derived from sustainable forests. British Library Cataloguing in Publication Data A catalogue record for this book is available from the British Library Library of Congress Cataloging in Publication Data Wilkinson, Margaret. Coming into mind : the mind-brain relationship : A Jungian clinical perspective / Margaret Wilkinson. p. cm. Includes bibliographical references and index. ISBN 1–58391–708–X (hbk : alk. paper) ISBN 1–58391–709–8 (pbk : alk. paper) 1. Cognitive neuroscience. 2. Cognitive psychology. 3. Neuropsychology. I. Title. QP360, W53 2006 612.8′2—dc22 2005023324 ISBN10: 1–58391–708–X (hbk) ISBN10: 1–58391–709–8 (pbk) ISBN13: 9–78–1–58391–708–X (hbk) ISBN13: 9–78–1–58391–709–8 (pbk) Contents List of figures and plates vi Foreword vii Acknowledgements xiii List of abbreviations xv 1 Why neuroscience? 1 2 Brain basics 13 3 The early development of the brain-mind 33 4 Memory systems 56 5 The fear system and psychological kindling in the brain-mind 76 6 Un-doing dissociation 94 7 The adolescent brain 114 8 The dreaming mind-brain 131 9 The emergent self 154 Postscript 179 References 187 Index 203 List of figures and plates 2.1 A neuron 15 2.2 The human brain 17 2.3 Communications systems in the brain 23 3.1 The development of neural connections in the developing brain 34 5.1 The release of the stress hormone cortisol 78 Plates 1–3 Holly’s paintings Plates 4–9 Sophie’s paintings Foreword Psychoanalysis and psychotherapy are now in a dynamic period of growth and change. This acceleration of development in the field of mental health is in large part due to the incorporation of very recent advances in the sciences that border psychoanalysis, clinical psych- ology, and psychiatry. In particular, a convergence of findings in developmental and affective neuroscience is now enriching and reorganizing fundamental models of early human emotional and social development. The mutually enriching cross-fertilization of knowledge across both the basic and applied sciences has allowed for the creation of more complex psychoneurobiological models of the initial stages of the development of the mind, especially the unconscious mind. These updated developmental advances have in turn generated a deeper understanding of change processes within the unconscious mind that potentially occur over all later stages of the lifespan, including models of change within the psycho- therapeutic context. In a number of recent contributions I am arguing that the inter- disciplinary perspective that emerges from the simultaneous and parallel advances in the biological and psychological sciences is act- ing as a potent catalytic force for a Kuhnian paradigm shift in a number of applied sciences, including psychoanalysis, the science of unconscious processes (Schore 2005a, in press). This current transformation is objectively expressed in a significant increase of clinically relevant interdisciplinary information available to psycho- therapists, and subjectively in the amplified energy level within the field. The current dialogue between neurobiological research on the brain and psychoanalytic studies of the mind is thus allowing for a realization of Freud’s prediction of a rapprochement between psychoanalysis and the natural sciences (Schore 1997). It is also viii Foreword leading to renewed creativity in re-viewing classic clinical phenom- ena in light of this fresh psychoneurobiological perspective. In this timely cutting-edge book Margaret Wilkinson offers an important voice to this interdisciplinary dialogue, effectively demonstrating that recent advances in the sciences that border psy- choanalysis need to be incorporated into day-to-day, indeed moment-to-moment therapeutic work. As an exemplary contribution to neuropsychoanalytic scholarship, the author presents the complex- ity of current neuroscience and developmental data in a clear and understandable fashion, comprehensible and recognizable to clini- cians of all schools. A number of current texts are now attempting to bridge the divide between the biological models of the brain and psychological models of the mind. But what particular aspects of human psychology are most relevant to the therapeutic context? Wilkinson’s talent, which draws from her extensive clinical experi- ence, is to specifically focus upon intersubjective affective-cognitive mechanisms that operate at the nonconscious core of the psycho- analytic encounter. She then turns to neuroscience to identify the brain systems that structurally mediate these implicit processes. Written from the pragmatic viewpoint of a working clinician, the early chapters outline clear expositions of current findings in not only neuroscience, but also in development, affect, memory, trauma, and dissociation, areas now of current intense interest to all schools of psychotherapy. At later points of the book she ventures deeply into a topic hardly touched upon in current neuropsycho- analytic writings – adolescence. And in perhaps the most creative chapter (8), she offers an important contribution to psychoanalytic dream work. Throughout all of these applications of neuro- psychoanalysis to clinical psychoanalysis, Wilkinson focuses upon recent studies of the early developing right hemisphere, which at all points of the lifespan is dominant for affect processing, implicit memory, the storage of traumatic experiences, and primitive defenses, such as dissociation. The reader will be enriched by the considerable amount of recent interdisciplinary information provided in these chapters. However, Wilkinson’s major contribution is to translate this data into prac- tical clinical material, familiar to psychotherapists, and then to demonstrate the usefulness of very recent advances in develop- mental, neuropsychoanalytic, and trauma information to more effective work. Knowledge of recent neuroscience may thus inform clinicians about the underlying psychoneurobiological mechanisms Foreword ix that lie at the core of what has previously been referred to as ‘internal psychic structure’, and how intersubjective processes within the therapeutic alliance transactions facilitate change in these unconscious structures. She boldly asserts that knowledge of current neuroscience can enable clinicians to ‘come to a clearer understanding of why they do what they do, especially in relation to the unconscious, empathic, dynamic aspects of work in the trans- ference and countertransference’. Wilkinson’s psychoanalytic perspective of the clinical encounter is significantly influenced by her deep understanding of Carl Jung’s analytical psychology. Continuing her earlier seminal publications on the numerous contact points of Jung’s writings and the data of contemporary science, this book represents the first detailed exposition of how many of Jung’s original psychoanalytic hypoth- eses, created within the framework of the early twentieth-century science of the unconscious mind, are now validated by neuro- scientific findings of twenty-first century neuropsychoanalysis. On that matter, I offer the following thoughts. In the final chapter of my first book (Schore 1994) I suggested that Jung (1943) described the ‘collective unconscious’ as an ‘image of the world’ that is the source of self-sufficiency, as it contains ‘all those elements that are necessary for the self-regulation of the psyche as a whole.’ The concept of both the self and regulation are, of course, central to Jung’s contributions to psychoanalysis. At every stage of the development of his theories Jung returned to the centrality of the concept of the self. This ‘innermost nucleus of the psyche’ is fundamentally composed of affect experiences, and it acts as a regulating centre that brings about the maturing of the person- ality. Although he never offered a formal developmental theory of the origin of the self, he was convinced that ‘The symbols of the self arise in the depths of the body’ (1940). And again, in Two Essays on Analytical Psychology (1943) he proposed: ‘The self is a quantity that is supraordinate to the conscious ego. It embraces not only the conscious but also the unconscious psyche, and is therefore, so to speak, a personality which we also are’. Indeed, over the course of his writings Jung attempted to shift the focus of psychoanalysis from the ego to the self. In my own ongoing studies of the origin, function, dysfunction, and repair of the self (Schore 1994, 2003a, 2003b) I have offered a large body of experimental and clinical studies which demonstrate that the implicit self system, formed in the attachment bond of

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