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UNDERSTANDING YOUR BRAIN

UNDERSTANDING YOUR BRAIN. PLEASURE AND PAIN. CONFERENCE FOR TEACHING & LEARNING 2019 MELISSA FRANKLIN AND BETH GIEBUS-CHAVEZ. Please say Hello, and your name if unfamiliar, to your neighbor on your left, and your right. HELLO!. PLEASURE OR PAIN COMFORT OR DISCOMFORT

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UNDERSTANDING YOUR BRAIN

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  1. UNDERSTANDING YOUR BRAIN PLEASURE AND PAIN CONFERENCE FOR TEACHING & LEARNING 2019 MELISSA FRANKLIN AND BETH GIEBUS-CHAVEZ

  2. Please say Hello, and your name if unfamiliar, to your neighbor on your left, and your right. HELLO!

  3. PLEASURE OR PAIN COMFORT OR DISCOMFORT TO REST OR TO MOVE, that is the question

  4. Brain physiology & the experience of the mind Noticing sensations of discomfort/pleasantness in the body as an extension of the brain Common pain avoidance patterns that interfere with learning in the classroom & underlie addictions Resilience through authentic human connection How to bear pain in a present moment OVERVIEW

  5. Fight-flight-freeze: spend energy, match response to environment • Rest-digest-immune repair: conserve/gain energy • THE FUNCTION OF PAIN IS FOR CHANGE • (no pain receptors inside brain; it’s too late) Daniel Wolpert “The brain is for movement.” APPROACH OR AVOID?

  6. Body Check with standing stretches • Notice sensations • Are you open to something new • or perhaps challenging? YOUR BODY IS THE BACK DOOR INTO YOUR MENTAL STATE

  7. Pain Med. 2012 Nov; 13(11): 1474–1490. • Published online 2012 Sep 14. doi: 10.1111/j.1526-4637.2012.01488.x • Epigenetics and the Transition from Acute to Chronic Pain • Thomas Buchheit, MD, Thomas Van de Ven, MD, PhD, and Andrew Shaw, MB, FRCA, FCCM • Epigenetics is the study of heritable modifications in gene expression, turning genes off & on. • Significant laboratory and clinical data support the notion that epigenetic modifications are affected by the environment and lead to differential gene expression. • Diet and psychological stresses have been found to alter epigenetic processes such as DNA methylation, histone acetylation, and RNA interference. • Since epigenetic modifications potentially play an important role in inflammatory cytokine metabolism, steroid responsiveness, and opioid sensitivity, they are likely key factors in the development of chronic pain. • Similar to mechanisms involved in the development of cancer, neurodegenerative disease, and inflammatory disorders, the literature endorses an important potential role for epigenetics in chronic pain. Intergenerational Epigenetics -EXPERIENCE CHANGES PAIN SENSITIVITY-

  8. https://developingchild.harvard.edu/reward-motivation-brain/ MOOD MOVE TOWARD Brain Physiology PLEASURE BEGIN 3:30 min https://developingchild.harvard.edu/science/key-concepts/executive-function/

  9. FEELING GOOD = BODY HEALTH • PLEASURE PATHWAY INHIBITS STRESS RESPONSE: • DOPAMINE, ‘WANTING’, BUT REQUIRES MORE & MORE TO AVOID WITHDRAWAL • SEROTONIN, LONG LASTING • NOREPINEPHRINE, READINESS • ENHANCES IMMUNE FUNCTION • SOCIAL BONDING: OXYTOCIN (CARDIOMYOCYTE REGENERATION) MOVE BODY SOCIAL BEHAVIOR DECISION MAKING EMOTION PLEASURE MEMORY F E A R THINK-PAIR-SHARE Can you think of a moment when your mood effected your behavior, perhaps even sometime earlier today?

  10. All compulsive behavior, from substance abuse to social media, converges in the striatum of the brain and involves dopamine. Neurophysiologist, Rachel Wurzman • https://www.ted.com/talks/rachel_wurzman_how_isolation_fuels_opioid_addiction#t-1099720 • On the right…10:10 to 8:20

  11. Comfort and discomfort are the net sum of all input –events and thoughts about the events, and other thoughts in the absence of events. • Executive function give choice over our response to an event but only within the milieu of all input, memories and current condition.

  12. FEELING BAD = POOR HEALTH • STRESS RESPONSE READIES THE BODY FOR MOVEMENT: • CORTICO STERIODS, FIGHT/FLIGHT/FREEZE • DISRUPTS IMMUNE REPAIR DO SOMETHING! MOVE BODY SOCIAL BEHAVIOR DECISION MAKING X EMOTION MEMORY PAIN PAIN AND DISCOMFORT BLOCK LEARNING

  13. ADVERSE CHILDHOOD EXPERIENCES STUDY, KAISER & CDC • NM IS HIGH FOR ACE’S - POVERTY & THE ACE PYRAMID • https://www.cdc.gov/violenceprevention/acestudy/about.html • DOSE RESPONSE PREDICTS HEALTH OUTCOMES FOR THRIFTY ENERGETICS (DIABETES, METABOLIC SYNDROME, OBESITY) • ADVERSE EVENTS PREDICT ATTENTIONAL PATTERNS ADAPTIVE IN UNPREDICTABLE ENVIRONMENTS

  14. WALKING THROUGH THE ACE QUIZ: • https://www.npr.org/sections/health-shots/2015/03/02/387007941/take-the-ace-quiz-and-learn-what-it-does-and-doesnt-mean • MOST OF US HAVE EXPERIENCED A MINIMUM OF AT LEAST ONE ACE. ADVERSE CHILDHOOD EXPERIENCES SELF-REFLECTION ACTIVITY

  15. AVOID ANGER HIDE PEOPLE PLEASE SHAMEOTHERS SECRETS WANT TO BE ALONE BLAME OTHERS SHAME BLAME SELF HATRED FROM Brene Brown’s video “Vulnerabiity in Education”

  16. “When students pick up shields they can’t learn, and you can’t see them.” Brene Brown Match below to moving away, toward or against: student skips class, or sits in back silent student believes they failed because defective or ‘not smart’ it’s the teacher’s fault, the material is too hard, hate the class

  17. Discomfort, from any source especially social shame and fear, is an irresistable impetus to pick up a shield. • THINK-PAIR-SHARE • What are examples when we as instructors intentionally increase discomfort in students, in the form of warnings, mild shame, and so on?

  18. The ANTIDOTE to discomfort, from shame, fear and otherwise, is comfort. • PUT ANOTHER WAY, THIS IS EMPATHY AND CONNECTION. • THINK-PAIR-SHARE Come up with examples of ways to dispel discomfort as instructor, how to show compassion, feel compassion. • see Social Recovery handout for inspiration! Br J Psychiatry. 2015 Feb;206(2):122-7. doi: 10.1192/bjp.bp.114.146472. Epub 2014 Nov 27. Participant views on involvement in a trial of social recovery cognitive-behavioural therapy. Notley C1, Christopher R1, Hodgekins J1, Byrne R1, French P1, Fowler D1.

  19. BUILDING CORE CAPABILITIES RELATIONSHIPS, FAMILY, WORK, TIME MANAGEMENT, CREATIVITY, LEARNING “The opposite of addiction is connection.” Writer/mental health advocate, Johann Hari • https://www.ted.com/talks/johann_hari_everything_you_think_you_know_about_addiction_is_wrong#t-870092 • On the right… 8:45 https://developingchild.harvard.edu/resources/video-building-core-capabilities-life/

  20. “How do I stay in the present moment when it feels unbearable?” If we momentarily free ourselves from the past (shame, hurt)and even the future (fear of shame, hurt)but cannot bear what is in front of us, or, within us,then what? ThichNhat Hanh plumvillageonline Published on May 29, 2014 https://www.youtube.com/watch?v=t5Ka2RS0UC4

  21. Discomfort brings to awareness a need to make a change • Pain avoidance is greater than seeking pleasure • Addiction may form to avoid the pain of adverse childhood events, the pain of opioid withdrawal, a lack of social trust • Resilience comes from human connection, allows learning • Discomfort causes us to pick up shields • We know what to move toward or away from, or when to act or when to rest, by looking inward – gut check, body scan • Learning happens with trust in the person we are learning from, and when we believe achievement is possible summary

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