Fibromyalgia and our memories, our brains
” Our memory is in large part the starting point for how we think, how our preferences form, and how we make decisions”, Maria Konnikova
Several weeks ago on CBC radio upon hearing an interview with Dr. Konnikova regarding the science of memory, I became intrigued with the ways in which she has based an understanding of neuroscience upon the brains and memories of two fictional characters- Sherlock Holmes and Dr. Watson. Being a Holmes lover and extremely interested in how the brain works- as my readers will well know from my many blogs, I hastened to read this amazing book regarding these two distinct minds which she dubs the brain attics. This term she pilfers from Holmes who said: “I consider a man’s [sic] brain originally is like a little empty attic, and you have to stock it with such furniture as you choose” (cited in Konnikova, p. 26).
Chapter two regarding the concept of the brain attic was one that captured my intense interest as I have often referred to my own brain as one which is tired and needs emptying. I am hooked on wanting to change my brain and it’s bad/useless memories and having it become more like that of Holmes than Dr. Watson! The Watson attic (which in my case is constantly on high alert (the amygdala), is, in Konnikova’s words, “jumbled and largely mindless” p.29) and needs cleaning out. I need my brain attic to be more observant and recognize the memories which precipitate continuous anxiety/fear. More importantly, her emphasis on meditation training is in line with my own thinking about the ways in which meditation can clear out the brain’s attic memories, although as Konnikova says, it takes practice, practice, practice.
As with all the books I suggest as important reading material for people interested in how the brain and, especially memories affect those of us with fibromyalgia, I am leery about giving away too much in-depth information regarding the content. I encourage readers to read the book in its entirety. IT IS NOT A BOOK ABOUT FIBROMYALGIA– THE READER IS WARNED! It is a book about forcing the mind to be more observant and logical. Here I am trying to join together relationships that I have not been able to read about elsewhere.
Fibromyalgia is a mammoth puzzle and “your neck bone is connected to your head bone” ( a sentence from words to the song Dry Bones by James Weldon Johnson and J Rosamund Johnson). It is an appropriate analogy here. Let me tire you once more with the ways in which I have to this point, unraveled what for me has become some major aspects of the dis-ease. How to present it? A circle is not appropriate, nor is it linear so that visually one cannot uncover what I consider to be the gestalt, the complete picture. It seems to me I can only repeat words that are linked within a mishmash of brain/memories in a person who suffers from a Watson-type brain. What follows is my description of the fibromyalgia person.
First, there is the highly anxious individual who may or may not have developed anxiety in utero or in childhood (the old nature-nurture issue). This person has stored long-term memories in the attic’s ‘storage space’ which both Lars Clausen (in his book Fibromyalgia Relief) and Dr.Konnikova point out is called consolidation. It is likely that childhood trauma has been responsible for this storage. Every time a new stressful event occurs, the file (as Konnikova has coined it) is pulled out and more is added to this memory. The attic becomes more cluttered.
Secondly, this highly anxious person is at the same time the highly sensitive person whose fight–or–flight Watson- the brain is on the lookout for even more and more anxious memories to add to the file. It does not discriminate- “What’s stored is organized according to some associative system…” ( Konnikova, p.31), called ‘associative activation’. With the Holmes- mind one can acknowledge the emotion – in the case of fibromyalgia, it is fear/anxiety-but you cannot let it get in the way of objective reasoning (p.40).
Thirdly, we now have the body being affected by this constant hyper–vigilance of the central nervous system, from that part of the brain which is always on the lookout for new anxieties to add to the file. Other systems are affected, the muscular–skeletal seems to be the first to go! The immune system becomes compromised. Pain and subsequent fatigue begin, followed by a myriad of other disquieting symptoms, causing more anxiety to add to the memory pile up.
Clausen writes of memory reconsolidation which some neuroscientists are advocating. As Clausen has written: “Unless we reconsolidate the emotions we have of our past memories, we will continue reacting to the old emotion of each memory” (p.71). In other words, we must clean out the attics of our brains! Consolidation is considered to take place within the first few hours so it is necessary to stop these emotions from becoming part of the furniture of the attic! However, in spite of the controversy that surrounds the issue of reconsolidation, there are those who suggest that previous memories can be made labile through reactivation of the memory, such as Clausen’s technique of ICE (previous blog).
Konnikova advocates being mindful, but there is more to changing the brain and subsequently those unwelcome stored memories. The vast scientific literature that has been presented over the past few decades based upon the neuroplasticity of the brain points to other techniques as well as learning to observe diligently. Movements such as Chi-gong, yoga, dancing, taking on new tasks that are creative and repetitive, music, and art all feed into the realm of strategies that together can activate new pathways. We are seeking to develop a Holmes brain where “thoughts, properly filtered, can no longer slyly influence your behavior without your knowledge”, (.p21). But Konnikova warns: “It won’t be easy”, (p.21).
“You know my methods, Watson”, Sherlock Holmes
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