Integration in Mental Health Daniel J. Siegel, M. D Integration in Mental Health Daniel J. Siegel, M.D. Mindsight Institute, California Mind Your Brain, Inc., (c) 2015

Seven Important Terms Health Compassion Kindness Empathy Mind Mindfulness Mindsight Mind Your Brain, Inc., (c) 2015

Mindful Awareness Focusing Attention on Intention Awareness of Awareness itself “Training the Mind” to focus on inner experience Differentiating Sensory Awareness from Observing/Narrating Awareness and Linking with Attentional Practice Mind Your Brain, Inc., (c) 2015

Mindfulness: Using the focus of attention to transform… The Brain (Davidson et al) (Lazar et al) The Immune System (Davidson et al) Sense of Well-Being (Kabat-Zinn et al) Physician Burn-Out (Reduction: Epstein, et al) Attention (Jha, et al) Relational Function (Shapiro, et al) Epigenetic Regulation (Fredrickson, et al) Telomerase Levels (Epel, et al) Mind Your Brain, Inc., (c) 2010

Mindsight: Insight Empathy and Integration Mind Your Brain, Inc., (c) 2015

Compassion or Empathy? Compassion builds on Empathy Empathy without Compassion may lead to Burnout Over-identification (Linkage without Differentiation) leads to Burnout Compassion is a teachable skill Compassion, Empathy, and Kindness are interdependent but somewhat distinct processes Mind Your Brain, Inc., (c) 2015

Mind Your Brain, Inc., (c) 2015

Mind: A common term in search of a definition Mind Your Brain, Inc., (c) 2015

Mindsight: Insight, Empathy and Integration in Relationships and the Brain Mind Your Brain, Inc., (c) 2015

WHAT CONNECTS RELATIONSHIPS, MIND, AND BODY/BRAIN? (EMBODIED) BRAIN MIND RELATIONSHIPS Mind Your Brain, Inc., (c) 2015

RELATIONSHIPS: SHARING “BRAIN”: THE EMBODIED MECHANISM MIND: An EMERGENT, SELF-ORGANIZING PROCESS emerging FROM and also REGULATING the FLOW OF ENERGY AND INFORMATION within the Body and within our Relationships Mind Your Brain, Inc., (c) 2015

Mind includes: Awareness Subjective Experience and an EMBODIED AND RELATIONAL process that regulates the flow of energy and information (Self-Organizing, Emergent Process of both brain and relationships) Mind Your Brain, Inc., (c) 2015

INTEGRATION: THE LINKAGE OF DIFFERENTIATED PARTS Mind Your Brain, Inc., (c) 2015

The River of Integration Mind Your Brain, Inc., (c) 2015

Integration in Health Mind Your Brain, Inc., (c) 2015

A Convergence of Findings: All Regulation Derives from Neural Integration Inter-Personal Attunement AND Intra-Personal Attunement Harness Similar Neural Mechanisms that Promote Neural Integration and Mental Coherence Interpersonal Integration Cultivates Internal Neural Integration Clinical Examples: The Common Cold; Psoriasis Treatment; Mind Your Brain, Inc., (c) 2015

Relationships: Mindsight and Neural Integration Mind Your Brain, Inc., (c) 2015

Examples of Impaired Neural Integration Developmental Trauma - MRI ( Teicher et al) Autism, Schizophrenia - rsfMRI (Raichle et al) Bipolar Disorder – MRI (Blumberg et al) OCD – PET (Baxter, et al) Mind Your Brain, Inc., (c) 2010

STRENGTHENING THE MIND: Enhancing Regulation: Monitoring Modulating Mind Your Brain, Inc., (c) 2015

Mind Your Brain, Inc., (c) 2015

Major Mindsight Principles Mind viewed as a self-organizing emergent property or process that REGULATES energy and information flow The mind is both EMBODIED and RELATIONAL Regulation entails MONITORING and MODIFYING Harmony emerges from integration—the linkage of differentiated elements of a system Chaos and/or Rigidity result from impaired integration Mind Your Brain, Inc., (c) 2015

The PART we play as Clinicians: Focus on Inner Experience: Presence Attunement Resonance and Trust

Presence and the Social Brain What does it mean to be “present”? Pre-Sense… Why is presence one of the most important aspects of our interpersonal relationships? How does presence increase telomerase, improve epigenetic regulation, and enhance immune function? What are the connections among presence, attunement, resonance and trust (PART)? Mind Your Brain, Inc., (c) 2015

The Wheel of Awareness Mind Your Brain, Inc., (c) 2015

Mindfulness & the Plane of Possibility: Varying the Degrees of Certainty Mind Your Brain, Inc., (c) 2015

Presence and the Open Plane Transforming Stress Thriving with Uncertainty Openness to Possibility Cultivating Connection Integration and Harmony Mind Your Brain, Inc., (c) 2015

Implications of the Plane of Possibility Mental experience arises from an energy probability distribution curve Mental representations and activities as Peaks Mental processes of Mood, Intention and Modes as Plateaus Awareness arises from the Open Plane where certainty is near zero and possibility is infinite Mind Your Brain, Inc., (c) 2015

Mind Your Brain, Inc., (c) 2015

Human Connectome Project What is the number one factor associated with Positive Traits in Life? A highly interconnected Connectome! (Smith, et al, 2015) Mind Your Brain, Inc., (c) 2015

Middle Prefrontal Functions Bodily Regulation Attuned Communication Emotional Balance Fear Extinction Flexibility Insight Empathy Morality Intuition Mind Your Brain, Inc., (c) 2015

Integration Made Visible Is Kindness and Compassion Mind Your Brain, Inc., (c) 2015

“SELF”: Singular Noun or Plural Verb? Mind Your Brain, Inc., (c) 2015

“MWe” Mind Your Brain, Inc., (c) 2015