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What Is Neuroplasticity and Can It Heal Trauma?

How prediction errors update the nervous system.

The prediction does not update through argument. This is the foundational insight of the neuroscience of plasticity as it applies to the loop, and it is what makes the work of opening qualitatively different from the work of understanding. Understanding is necessary and it is not sufficient. The nervous system that produced the loop was not taught it through argument. It learned it through experience: through the accumulated experience of specific situations that produced specific responses that were reinforced by the environment’s responses and encoded in the body as predictions about what the environment will require and what responses will produce safety. The nervous system updates its predictions the same way it learned them: through experience. New experiences that differ from the predictions revise the predictions. The revision is slow. It requires accumulated evidence. But it is real and it is measurable.

The neural circuits that produce the not-choosing loop are strong because they have been used extensively, repeatedly, across decades of relevant situations. This is not a metaphor. The brain’s architecture changes in response to use: circuits that fire together wire together, and the circuits that fire most consistently in the situations where the loop runs have been reinforced with every activation. The same mechanism that built it is the mechanism that can revise it. The brain continues reorganizing its functional architecture in response to experience throughout the lifespan, a capacity the neuroscience calls use-dependent plasticity. The circuits that would produce a different response have been used minimally in the high-stakes situations where the loop most characteristically runs. Changing the balance requires use: repeated activation of the alternative circuits, in the high-stakes situations, over sufficient time to produce the reorganization.

The internal working model can be updated in adulthood. This is not a therapeutic opinion or a hopeful assumption. It is a finding with a specific empirical basis. The Adult Attachment Interview, developed through Mary Main’s research at Berkeley, can measure the attachment security of adults and reliably predict the attachment security of their children. What the research found, unexpectedly, is that a subset of adults who had not had secure early caregiving showed the same interview profile as adults who had: organized, coherent, able to discuss difficult developmental history without being overwhelmed by it or dismissive of it. Main calls this earned security. These were adults whose nervous systems had arrived at the same functional state as continuously secure adults through a different route: accumulated relational experiences that provided counter-evidence to the original prediction, and the psychological work of making coherent narrative sense of the developmental history. The working model had revised.

Interoception, the body’s capacity to attend to and accurately register its own internal states, is the mechanism through which the updating becomes available in the ordinary moments of ordinary days. The person who has been overriding the body’s signals, who has been moving emotional experience from the body into the mind, who has been maintaining the management of the interior at the cost of the interior’s own reports, is working with reduced access to the information that the nervous system uses to update its predictions. The return to interoceptive awareness, the gradual restoration of the capacity to notice what the body is actually reporting rather than what the mind has decided the body should be reporting, is the process through which the gap between the performance and the actual experience begins to close.

The role of mindfulness-based practices in the neuroscience of change is supported by a substantial research literature that has accumulated over the past two decades. The practice of mindfulness, which at its most basic is the trained capacity to attend to present-moment experience without automatic reactivity, produces measurable changes in the neural systems most relevant to the loop. The amygdala, which is the primary driver of the automatic threat response, shows reduced volume and reduced reactivity in long-term meditators. The prefrontal cortex, which provides the moderating influence over the amygdala’s reactivity, shows increased thickness and increased connectivity in people with sustained mindfulness practice. The insula, which is the primary interoceptive cortex, shows increased activation in meditators. These are not trivial changes. They are the neural architecture of a nervous system that is less automatic in its threat response and more attuned to the body’s real-time report.

The timeline for genuine revision of the working model is not the timeline of insight-based change, which can occur in a single significant conversation or a single significant reading. It is the timeline of neuroplasticity-based change, which requires repeated activation of new circuits across hundreds of relevant experiences over months and years. This is not a counsel of discouragement. It is a counsel of appropriate calibration. The most common failure mode of the opening is the person who has had a genuine insight into the loop who expects the insight to produce immediate and durable behavioral change and who, when the behavioral change does not arrive with the expected immediacy, concludes that the insight was insufficient. The insight is real. The change is real. The timeline is longer than the insight, and longer than the hope, and shorter than the life. The revision is happening even when it is not visible. The nervous system is working on it.

Source: From Chapter 104, “The Neuroscience of Choosing Differently The Life That Is Already Yours by Nikita Datar.

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