EtiotropicTM OPED: Just Effective or Cure? Integrity? Only Complete Trauma Management?

The biggest suspected biological culprit among several noted in the literature is the manner in which some people's genetics affect the liver, which effects alter processing of the alcohol molecule in various ways, some of which are represented by rapidly increasing tolerance that is then attended by wild and other uncontrollable chemical use and bizarre behavior. Aversely, other well defined genetic markers for alcohol dehydrogenase (ADH) and aldehyde dehydrogenase (ALDH) demonstrate genetically coded liver enzymic protections, often even denoted ethnically, for literally hundreds of millions if not now billions of persons living on this planet. For the non protected, thus affected adversely in the other direction, the damaged liver begins, starting in early life (30's) hepatic encephalopathy. That means for you PTSD-causes-AD and "lets treat it all at the same time" thinkers that even in sobriety the brain still isn't going to work cognitively until the liver heals or one gets a transplant, which produces overnight the return of complete cognitive functionings. Before discovering that biological issue, everybody just concluded that the thought processing deficit was indicative of Korsakov's Syndrome. Adding to this knowledge / opinion bank, lots of new psychotherapists believed it to be representative of low self esteem, or retardation, and a little further back in history, well maybe not so far back, just a worthless personality.

When conducting my third literature review (linked above) of the biogenetics of AD 20 years ago, the gene investigative culture was looking for a single marker which would substantiate its findings related to the way different livers metabolized alcohol within the digestive system. In 2009, thirty-four total markers show unchallengeable association of the alcohol dehydrogenase (ADH) and aldehyde dehydrogenase (ALDH) with AD. And that is just the liver! We are not even talking yet about the lungs, esophagus, or much less the brain! Where are the philosophers who used to plug this kind of stuff into their formulas while trying to figure out the human consciousness? I'll add a well grounded ─ taken from training psychotherapists for 3 decades ─ guess to that later.

Unlike the SUD counselor who frequently comes from the recovering CD treatment arena, and who thinks of the uncontrolled use as a natural manifestation of such biologically affected people given the molecular structure of the alcohol molecule and their livers' particular genetic under codings, the PTSD trained and oriented practitioner will surmise that the disordered use is a characterization of a past trauma's internalized (the Behaviorists' term, not mine) retention. And sometimes also unbeknownst to the new PTSD expert is that that kind of use is preponderantly attended by bizarre behavior that contradicts the original identity that existed prior to the dramatic toxically influenced actions. That contradiction establishes the cause of a separate source of trauma when the CD person becomes sober and is confronted in an awakening nanosecond by what he or she did when using (drunk or in other ways highly drugged) the day or evening before which varies with the way that individual believed he or she should behave or otherwise represent one's self. Behaviorists or choice proponents argue, of course, and ignorantly of the biological factors, that the person puts him or herself upon the barstool without anyone's help, demonstrating choice. How could it be a traumatizing event if it is chosen, they argue? Please. I do not have time to address the full biological intricacies of the issue of choice at this time, as this exposition is going to be long as is.

However, a political brush stroke should provide at least a small highlight. The notion that Chemical Dependence (CD), the older but helpful term representing psychotropic mixes determined by sources and economics of supply, presents as primarily a biogenetic issue having physically caused psychological damage to identity in lieu of people making choices about their use, and one of the rationales for that consumption being psychological stress created by past trauma, upsets the non CD treatment community a little bit; actually, it upsets them a lot. Their training is primarily in mental health, not Alcoholism. Nevertheless, their upsettednesses that academic and discipline shortfall won't predominate unless they are able to change the U.S. Constitution to recognize them as immutable leaders-rulers of mental health care. Although they are making a good stab at it by merging CBT with Evidence-Based controls and government, eventually these Behaviorists - scientists and statisticians will learn that these drug and PTSD issues present comorbid coincidentally.

For one, the so called study correlates that conclude association demonstrates a PTSD causal relationship to CD do not account for the fact that practically everybody in this country has been very highly traumatized at one time or another. And two, drugged and drunk people are constantly causing trauma through toxic behavior, for example, by killing over 24,000 people a year in auto calamities alone, maiming multiple times that figure, and leaving behind untold numbers of surviving family members, friends, business associates, church and school members. At the same time flabbergasting numbers include those drunks being victimized, for example through rape, muggings and every kind of human exploitation, while lesser defended: easy targets for sleaze-based predators.

Although those patients are presenting as extremely harmed persons, which the Cognitive Behaviorists are finally catching on to in this later millennium on the subject, treatments of multiple sources of trauma can be ordered and all etiology completely reversed, as in CURED. The only difficulty is not for the patient, as expunging trauma's multiple etiologies in identity offers an existence of congruity not just meaningfully attended by amelioration of pain, anxiety, depression, stress, and dissociative states, but in fact cures them if trauma related, which Eric Kandel, probably the world's most prolifically published neuroscientist, says is the case in 90% of such presentations (significant loss precedes depression). It's just very difficult for untrained therapists to experience that much devastation of another human being. In this culture, that training must eventually take place as a standard, not an advanced curriculum for those so ideologically inclined, or because of my skills or lack of as a marketer of my product.

To reinforce if not prove the notion of Chemical Dependency's biogenetic likelihood of establishment prior to later occurring events, such as trauma caused by combat, rape or loss of a loved one, to be fact - not opinion or supposition, all the provider has to do is employ a systemic based Chemical Dependency assessment form that recognizes the full delusionary memory system that attends the use. That system is comprised of euphoric recall, repression and blackouts, the latter being an otherwise complete failure of the neuro synapse to record anything that happened, frequently even over long periods, days and weeks. That individual construct of hallucinatory self evaluation is supported by repression of massive amounts of trauma incurred by family members affected by the bizarre while toxic pathological behaviors over the life time of that use by the CDP (Chemically Dependent Person ─ see how much nicer that sounds than the "SUD Person," or "SUDP?").

That individual, relational and systemic trauma etiological compendium protects itself similarly as individual trauma etiology is protected. Family members and the systems while in survival on the one hand try to address the damage done to them, and on the other attempt to keep it in place. That so called duality by some thinkers manifest in numerous ways. But for purposes of assessment of CD or SUD, family members both try to get help with which to solve the problem and at the same time can act like it never happened, and worse, sabotage the assistance activities. Honesty, or lying in the contrary, important moral variables to the Behaviorists in the intrapsychic – based assessment and upon which their extensions, Cognitive Behaviorists, hinge their concepts of the human drugged consciousness and discussions, have nothing to do with the challenges to accurate assessment caused by biological attacks upon the person when toxic and the bizarre behavioral caused traumas' undermining family perspectives of what's happening.

The Johnson Institute, a central figure 40 years past in the development and international professional expression through training of the Minnesota CD treatment and medical-social management model, produced ions ago a system based assessment tool which was and is hailed by every, that is, single facility licensing auditor as absolutely the "best" and most complete approach to determining the facts pertaining to the use that they had seen in the Chemical Dependency and mental health fields. With that program's permission, we've used their design in family systems approaches for 30 years documenting the pathological, meaning obvious problems with, the use back to the first drink on almost every occasion.

Regarding "almost," if in some instance the problems with first use didn't show up at entry (but mid and later life problems triggered treatment), that documentation was continued in our family treatment regimes as a matter of fact, not guesswork, throughout the first 3 months of acute treatment for all family members (with collaborative data from pastors, priests, business associates to eventually include the prospective Chemically Dependent Person's entire universe). "Fact" means that descriptions of problem use are taken and recorded without convoluting philosophical abstractions that explain and excuse why the use was occurring. For example, a family member early on would not report an event that usually would include a full period over which like events occurred, because he or she believed that a significant loss in the family had caused the use; hence, it was understandable to that theoretical perspective. Reporting what happened without the philosophical guesswork as to psychological cause allowed collection of less tainted data. Better than that, the reporting of fact without the defending abstraction set into motion the address of the underlying trauma resulting to the family member from the use by the AD, CD or SUD affected person.

Emphasizing the thoroughness of this approach, but of course with the necessary humilities, each family member was treated for standards compliance purposes as an identified patient (IP), not just as collateral for the AD IP suffering trauma from the aberrant drinking / drug use behaviors. Of course as described below, every such trauma etiology affecting a family member was identified and reversed, giving greater clarification to the systemic assessment process. The full familial or other system member documentation post acute trauma address reveals to the psychological causal theory protagonist a grave view. He or she has not only been dead wrong, but obviously guided by some strange goings on.

How can I be that way? I mean, so curmudgeon like, opinionated, rigid, acerbic, rude, even angry sounding, and the most horrendous of all, uneclectic. Here's how. Our multifaceted and multi-therapists ─ but trauma resolution and sobriety focused and positively synergistically directed ─ facilitated family approach to CD treatment and psychological trauma removed the effects of trauma from everybody in the system, and the system relational components, allowing the data to be joined for analysis without the distortions inherently attending the pathological, more often than not, lifetime traumatizing processes. Better than that, formal treatment at the multiple, that is, intrapsychic, interpsychic and systemic levels of trauma's etiological identification and reversal lasted never less than two years, including for the record children to age 5. Additional trauma resolution activities were provided to those having been affected by traumas not occurring during the defined pathological use period. This information has been properly published since 1984 and as indicated presented in its entirety free for study, research, or reading for pleasure on the Internet since 1994.

Writing on 60 years studies, George E. Vaillant author of the landmark book, A Natural History of Alcoholism, proved beyond anyone's questions or doubts by a sane person that attempting to define pre alcoholism psychological factors after its onset and disaster upon the psychologies of the alcoholic and the family is like trying to shoot fish in a barrel of water. You can't hit them because of the "skewed effect" created by light's deflections. In practice, the deflections present as psychological trauma, which when directly addressed at etiological levels disappear, leaving only a very clear view of the facts pertaining to what happened to everyone involved. The moral is "Yes, Rodney. We can all get along. But in this family, it will only happen with no drug use!"

"Facts are ok." But, say the CBTer's, "What's theoretically or logically wrong with the current rampage for drug abuse being caused by pre, or especially in cases of sexual assault – rape of women when drunk or drugged, psychological factors? Doesn't that work?" To answer it within cognitive behavioral lingo, "Not hardly."

Only two things are important here other than desecration of truth. When pre substance use trauma is seen as the cause of the drug abuse, reconciling the previous trauma, if it can even be done within that spin, follows with "If trauma caused my SUD, and I've reconciled that trauma, then, first, I could not have been traumatized by the later use as it was chosen to meet a natural need!" ─ thus no additional trauma should be necessary to consider, which if not done supports psychological delusions of power over addiction and use behavior never to be identified, much less reconciled, by the CD patient. Second, being successfully treated for the first trauma should mean that "I now have no stressors that might cause further abuse. I can return to enjoyment of drug use like the rest of the responsible social users still do within the community." Good luck America with its new psychological cure for Alcoholism caused by liver metabolism of an ingested foreign substance, just a little strange molecule!

How can these scientists turned practioners miss something this big? When they are our objective finest, why would they just read the wrong evidence? Why? Because psychotropic substance use is not an objective issue for therapists – scientists whose professions are spawned out of a super and now supra with EB ordained drinking culture where responsible alcohol use is considered to be an accepted and natural part of the human existence. Regrettably, that idea results in the assessment by the therapist, at the speed of light by the way before being saved by suppression, of the therapist's own substance use capacities, which allow for, are intended to, and do medicate for stress, not forgetting providing for relaxation and fun, onto the biologically different Chemical Dependent Person.

As the Cognitive Behaviorists live on, and draw the intellect for their theories from, adages, and for which I'm trying to accommodate them in this writing, social drinkers, as in this example of the using therapist or scientist, like to think that they are in control of their party time. The stress causes alcoholism theory supports the social drinker's notions that cognitive erudition and advanced intra and inter personal communication skills gives them immunity from the true risks of drug / alcohol use. They have carte blanch credit to medicate for happy or depressed times, or for no reason other than enjoying a particular lifestyle. And Buddha, Allah and Lord help the patient during evaluation by a therapist who is the mother of a drug addicted teenager or young adult, and especially when neither mother nor child yet know it.

Today, CD and SUD, at least for those in the know like me, should be treated behaviorally and systemically (as in identity lending groups which give a spiritual or bigger view to the formerly toxic Self), with a little once called Person Centered Therapy added with lots of education pertaining to the Disease thrown in, first to establish a non toxic biology. Using "should" here means that deep thinking ─ formerly affected by chronically drug saturated organs that affect the way the brain tries to right itself, and combined with that same brain's neurobiological disabilities occurring through degeneration of synaptic functioning after it has been decimated by the physiological damage done to it by the alcohol solubility of the complete neuron, to include drowning its most important Long Term Potentiations and Long Term Depressions of pre and post synaptic membranes' interactions otherwise scientifically known as the seat of memory and learning in the brain ─ is done for. So entreating such people to just follow directions for awhile, go to a lot of meetings (as in AA) rather than jump right into serious psychodynamic kinds of thinking and feeling that rely upon those formerly submerged synaptic processes for decision making, and supported by some great tools like Cognitive-Behavioral Therapy and of course the Twelve Step program of Alcoholics Anonymous, is really the way to go.

Emphasizing "for a while," if you want at the appropriate time to get to the trauma etiology attending the pathological use's influence, not to mention any other trauma source's etiology resulting from, say, war. That caveat means that a bridge is required to allow a non practicing (sober) Chemically Dependent Person rebuilt under standard CDP treatment with CBT, group lent identity, some rigorous basic Person Centered Therapy groups (of course, exclude Rational Emotive Therapy from the bridge as it functions antithetically to Roger's thesis and work) and inculcated with conversion to assist the crossing into trauma's etiologies caused by at least the pathological use and who knows what else, to make the transition into the now more stabilized and consequently existentially capable neurological trauma resolution capacities. Can you identify the life trauma issues while building the bridge to the complete trauma resolution or cure work to come in Etiotropic TMT? Of course you can, but in an orderly way that assures the patient the experience of congruency in concert with the rapidly changing for the better biological realities.

When the new PTSD, but non SUD trained (by the Chemical Dependency field, not Academia's version of SUD) experts catch on to the existence of two animals instead of the one, they'll understand clearly that linking as CD causal early or parallel occurring psychological trauma produces the proverbial squirrel chasing its tail, but set to the finale of Paul Dukas' The Sorcerer's Apprentice, for emphasis of the CBT's application to PTSD as causal of SUD modality's frenetic effect upon the poor patient's mind.

After sobriety has been attained long enough for the brain and liver to at least function fairly well, which takes about 6 months in the minimum, then the extra bright CD counselor gets his or her TRT (Trauma Resolution Therapy) book out and begins to nuke that CD caused psychological trauma etiology. Following the ETM rules for addressing this kind of commorbidy, the issue becomes how and when to address each trauma source's etiological sequelae. Using ETM's Multiple Sources of Trauma formula, instead of the recent CBT mixed up notion of "complex trauma or PTSD," for treating these two sources of presenting psychological trauma, the latest occurring trauma etiology is addressed first, allowing the patient after that task is completed to return in weeks, months or years to address and reverse with TRT trauma's etiology caused by the earlier occurring event. Or if the past trauma presents as the Most Pressing Trauma (MPT) to address, then it can be worked into the milieu, but not so that it demonstrates a causal linkage to the chemical use pathology, which although exacerbated by trauma, is not the cause of the substance use pathology. They co occur as distinct variables for address, at least for those of us who know what is going on in this apparently unrelenting social management disaster.

One more quick comment about really past trauma. Invariably a professional would ask while I was speaking as a visiting or guest lecturer at a particular symposium, as opposed to from within our professional programs, if our formula for resolving trauma could be applied to past lives trauma. The usual case examples offered for discussion from these persons included one patient in her twenties and another in her forties. The first suffered past lives trauma from surviving in a life boat while watching her ship, the Titanic, sink in the North Atlantic. She was suffering from memories of frostbite and seeing the dead still floating frozen on debris. The later aged lady was trying to get over a snake bite which caused her death while she was the Queen of Egypt close to the year 42 BC. The upshot of the answer was always the same. "If I didn't get third party reimbursement, it never happened." The other answer of course is that once real or this life's trauma is resolved, Karmic needs from a past life of anything, as General Douglas MacArthur said about old soldiers while speaking before congress in his farewell address after being fired by President Truman, "They just fade away."

Alternatively, while mired in a vortex of sucking lava inherent to their epistemology, but thinking they are instead standing on Everest's high ground with the big view, the Behaviorists are still trying to nail down some behaviors as symptoms from something, maybe PTSD, and coming from some place such as, and not respectively stated, combat, sexual child abuse, or battering attending a first violent marriage to or adolescent upbringing by an alcoholic husband, father, brother or mother, wife or sister. It is in the end for Behaviorists somewhat like trying to diagnose the original locations of houses, autos, poor cows (am sincerely sorry for all life lost to these tragic disasters) and their parts comingled within the circulation of a tornado, but not while the scientist is standing back and making his calculations from a safe viewing area. More likely, trying to affix the roots of all those parts to previous ground locations is akin to diagnosing PTSD symptoms comorbid with CD or SUD while just trying to hold on to a windblown clipboard and mini-computer as the houses-, barns-, autos- and horrid livestock-churning cyclone is bearing straight down on our objective observer and the calamity is only 100 yards away. "Send me a sign!?" Said the lust enamored brain surgeon to his deceased wife when seeking from the spiritual world her guidance whether or not to marry the vamp played by the venerable Kathleen Turner. Following psychic howls of "Nooooo! Nooooo!" accompanied by his former wife's spinning wall hanging portrait and hurricane force winds blowing through the living room, the solemn unperturbed doctor, Steve Martin, responded in The Man with Two Brains "Any sign will do."

And that symptom focused obsession imposed by the new (adding education and a little "Interpersonal Therapy") Behaviorists who have crusaded into the psychological trauma treatment domain is, unbeknownst to its creators, followers and advocates, the Nosotropic focused academic's or scientist's downfall in program design from its inception. To wit, as ETM TRT's half gigabyte of literature on this subject emphasizes to the treatment and research worlds a 4 part immutable axiom to PTSD, hopefully to soon be PTI (Psychological Trauma Injury) treatment:

trauma etiology and symptoms are mutually inclusive; you can't have one without the other, and
a) Attempts to change or otherwise prevent symptomatic thought - behavior, which efforts include their interpretation as likely stemming from etiology, and / or b) evaluation by an objective observer for the purpose of improving performance of symptom control functionings, result in c) the strengthening of trauma's etiology within the domain of identity by an amount of protective neuro-molecular activity correlated positively, or better said identically, to that used by the patient to try to control the behavioral- and thought-symptoms in the first instance.
Thus, the key to curing psychological trauma is to remove etiology without interpreting symptoms for patients; meaning, do not explain to the patient the DSM version of PTSD otherwise intended primarily for clinicians to help them to understand patients.
And to achieve number 3, that is, removing, reversing or otherwise expunging trauma's etiology, exogenous variables like psychotropic medicating effects accepted by the culture as human necessities, must be removed (addressed below).

Hence, you don't have to be a doctorate of philosophy, inferring one to be an advocate of logical thinking, to realize that continuation of etiology will always sustain the same amount of symptoms, albeit in differing and sometimes not readily identifiable manifestations. They especially become too difficult to recognize for Behaviorists when PTSD symptoms become enmeshed with the coping teacher's educational - thought - behavioral control models. People go nearly nuts, excuse me, I meant enter a bottomless quagmire, trying to learn to identify their behaviors that they don't like as PTSD related, and as they continue to pop up or pop down, or crash in or fling themselves out for the entire life span. Or, if God forbid the PTSD is attended by CD and SUD as comorbid participants in such a case, then it really does become a trick for the patient to guess accurately whether a hard slamming refrigerator door is a PTSD representation in memory of a combat gunshot, a gamma and violent alcoholic father or husband getting another couple of beers on his way to a hard night of clobbering the populace, or a recovering CD person's quick flashes invoking the need for a cold one.

Summarizing within another axiom for comorbid PTSD with SUD, or telling you something you can hang your hat on, or take to the bank, or whichever saying best fits your needs:

Alcoholism causes PTSD all over the place.
PTSD DOES'T cause Alcoholism!

Get to the Point so that I don't Have
to Read this Whole Thing!

So, "is ETM TRT an Evidenced-Based approach to trauma treatment and management or not?" Sort of! ETM TRT is absolutely based on very solid and easily replicable evidence as provided in the book ETM Professional Due Diligence for the 1st Secular Cure of PTSD, by me. I wrote it 20 plus (as in 10) years ago for the University of Houston 3 month long course on Trauma Resolution Therapy: a structured psychodynamic approach to the treatment of Post Traumatic Stress, also written by me in 1986 and taught by our now Master ETM TRT Trainer and co developer of our professional training programs, Craig Carson, through 1990 and in other academic forums until now. That book's purpose was to show How To Do TRT. It was not to demonstrate efficacious performance. That was already done in conjunction with the patient in the highest acclaimed standards for 3^rd parties from government compliance for their facility licensing mandates and JCAHO facility credentialing and controls of patient problem solving and progress charting, and etc. Instead, I wrote Due Diligence, originally published in the Development chapters of The Integrated Trauma Management System, the first text attending ETM TRT training later (1990-1994), as an accompaniment to the titles to report that evidence in that history and thus provide a solid legal mechanism for transferring from the authors to the implementing Certified TRT Counselor the means and authority to administer ETM TRT to the public. If litigation were to arise in a complaint involving TRT's application, then we did our part as the authors to ensure that everything possible was given to the new TRT Counselor that would show the courts the validity of the model in terms of our having done our due diligence in making ETM TRT available effectively, safely, and ethically to end users, the public. (I never had any such claims to address from this system, now surpassing 3 decades of care.) The students, of whom each was a licensed professional in his or her own right before studying ETM, were to evaluate this material and only apply it to patients if the professional concluded that the model was based on sound evidence and the best of research.

In approximately 2500 instances of student (professionals) course enrollments, participation and graduation, not a single professional declined to agree to administer the ETM TRT model as demonstrated in the ETM Tutorial, and in the process signifying their own due diligence in the adoption of the model. Thus, although we were applying every bit of the evidence legally necessary for the professional dissemination of ETM to consumers, with regards to the meaning of the term "Evidenced-Based" as it is currently being exploited for purposes of dawa (although Arabic, that term is used prolifically in English) by advocates of a competing ideology, the answer regarding ETM's participation in that actually delusional-based programmatic patient and population harming EB mess is an emphatic, unequivocal, non ambiguous, and forever "Not necessarily at this time!"

Actually, I've just decided that for the benefit of ETM TRT Counselors working within government programs to list ETM with SAMHSA with a special request to do so by replacing the Evidenced-Based label with one entitled Focused Caring-Based. In the clinical setting, evidence doesn't get anybody well. Caring does. But there are even better names for righting this government misdirection. Divide the services into two categories: Nosotropic and Etiotropic.

Etiotropic vs. Nosotropic

Behaviorism is a Nosotropic, as in symptom reduction focused, modality. Behaviorism acknowledges that not only has it always failed in the treatment of PTSD, but it proves its underlying and subsequently constantly obviously impoverished theory of the effects of psychological trauma on the human consciousness to the world by repeatedly replicating its failures and discussing them without any idea that something could be wrong with its characterizations and admonitions. That is, they opine, unresolved psychological trauma is an intrapsychic problem, malady or mental health disorder and illness that only science can successfully solve. "Only" justifies supremacy doctrines that aggressively preclude competition through political and exclusionary tactics. Another way of saying that, someone once said during the era attending the turn of the millennium, "It's our way or the highway."

ETM TRT's Etiotropic approach on the other hand, when indulging philosophical characterizations of the issue, views psychological trauma as a very sophisticated phylogenetic brain and perfectly logical integrative process of both psychological and neurological extinction of the identity that existed before the trauma causing event occurred. TRT proves that thesis by recording in writing etiology's acknowledged facts pertaining to the initial trauma causing event. No one makes suppositions about causes of behavior during TRT's facilitation. Thereafter, the recording of fact continues as thoughts and behavior that actually occurred at the moment survival initiated the need for some kind of protection. It, too, is facticed (new word to mean the process of recording fact) with a timely recording of the very necessary survival response. Thereafter, that factual record enlightens a third party observer of a 2nd ETM TRT axiom pertaining to the address of psychological trauma:

Every behavior, no matter its social vulgarity emanating from trauma etiology, occurs exactly as it should given the relationship of etiology to the person as a whole.

"The proof" of that statement "is in the pudding," as someone else also once said. If extinction is disrupted by exogenous variables (see below and available as a mainstay in training texts), then remove them and the extinction will continue until the integration is successfully completed. Existentially oriented caring for the trauma affected person, which one can find throughout the classic and theological literature upon which our lives have been founded, will go a long way in facilitating that process. Although that method will work, it is difficult within a behavioral performance, disorder-sin-control-obsessed, or punitive driven massive drinking and drug using culture to keep the exogenous (this culture's) variables at bay long enough to complete extinction naturally. So apply TRT's Etiotropically and TRT daedally focused written structure to facilitate the extinction quite naturally, but with a no-nonsense speed that gets to use the cliché "blinding" when compared to the singularly existential oriented natural approach.

When you're done, you'll see it my way no matter how ensconced you are into that natbrain program where you teach or are taught, and constantly led by cheerleaders to interpret thoughts as coming from the disorder. After being TRT cured of psychological trauma, or as another way of framing that concept ─ extirpating trauma's etiology without hypnosis, chemotherapy, rapid fire talk or other draconian modalities, quick guessing interpretations look like gumballs that roll one at a time out of its glass candy holder and drop down onto the lip where you collect your prize, just another interpretation of how one's behavior or ideas come from their incurable PTSD. And your investment is only 5¢, 2 bits, 3 bits, a dollar?! only for a single Cognitive Behavioral Therapy solution, for the moment. And I guarantee you that if you don't have the money for the CBT Gumball machine, somebody from your CBT group or self help program will slide you an after dinner Chinese cookie with the real truth printed as a slogan on a 3 inch long slip of glossy white front and back paper and prefaced with a large bold face type number between 1 to 12 telling you on which of those Steps you should be working.

I'm not hyping my own product just for saving the world and making a couple of billion along the way. Rather, there is something more important here than trivial individual advancement. I'm trying to say to you that there is a logical path that, if followed and given some cognitive support exactly as does TRT follow with parallel facilitation the natural sequelae in trauma etiology's reversal, provides the Holy Grail to the mental health field: a cure for psychological trauma. So don't think of this essay, please, as an advertisement for a money making machine. I am a bonified altruist, and only here to help you, said the man from the government. But I don't know how to do it without demonstrating that path through the publication of my intellectual property. To that end, I've made that available to you students and experts of psychological trauma to study but not implement without training in a no charge online ETM Tutorial for 16 years. And if in the process of trying to find that free tutorial you run into dvds for sale of ETM TRT, they aren't it ─ just somebody as usual pirating the work.

ETM TRT is an absolute, meaning unequivocally accurate, accounting of the entire address of every etiological element otherwise historically thought to be unavailable for discussion with Behaviorists. Although some Cognitive Behaviorists and a few psychodynamically oriented degriefers provide an intellectual interpretation of those etiological elements, it is lip service. CBT redirects the individual out of there as a principle of theory. And its therapists are not trained with an existential acumen that will allow them to proceed in to that environment of pain and suffering with the experiential processing necessary to make the passage required to cure the trauma. Even as they try to add their latest grudging capitulation, the earlier referenced Interpersonal Therapy, at least they are catching on to the notion that maybe people do need to address the identity destruction issues, they still are only doing it for the purpose of knocking down symptoms, and horribly also now jumping up into the performance ratings, thanks be to EB. Can't wait for the auditing-for-fraud brigade to arrive to save Evidence-Based.

Some Cognitive Behavioral Therapists state, "I know how to do experiential processing. But I don't think it is best for the client. Better to keep them out of all that pain, and move on with the rest of their lives." You don't mean it? Emotional pain interferes with a patient's upbeatedness? Or did I mean to refer to the therapist's?

Scrignar, who according to the literature was trained by the great behaviorist Wolpe, started that rumor way back in 1987 with his infamous but sort of true statement about the problems with psychodynamic approaches to PTSD treatment. Therapist and patient become "overloaded" by the internal damage caused by the trauma. Showing how to really address it without all that overwhelming rough stuff, Scrignar recommended the rubberband snapping method. Put a rubberband around the patient's wrist and teach him to snap it every time a symptom pops up into his brain as a thought. Change to another wrist if one gets sore, and then move on to ankles, ears, neck and then round off to unmentionable gender specific erogenous zones, I wondered? Adding for information, TRT Counselors never become "overloaded" and neither do their patients. When confronted by that fact by a TRT Counselor in a conference for which he was the primary speaker, Scrignar is said to have responded "Well, Trauma Resolution Therapy just makes people want to sue the perpetrators."

It doesn't. But so what if it did? People who have sustained lifelong personal injury due to intent, mental illness, or gross negligence of a perp is not a litigable matter? Although that question is philosophically important to the moral definition of the world at large, the changing legal times as they address psychological trauma damages are answering "Apparently not." Legislators have begun through tort reform to write the whole destructive business off to, literally named, "Heart Balm." And they cap pain and suffering damages as if identity to a traumatized individual never existed. The American culture will rue the day for that legislative travesty.

Alternatively, and in deeper respects considering the impunity from prosecution our political and media aristocracy gets, maybe that's what us ordinaries want, too. That is, the free reign to destroy others' lives through a little thing like unilateral abrogation of commitment to agreement, regardless of whether or not it applies to sex, love, marriage or something more intriguing like how to have a relationship with honesty. But we shouldn't make it a legal norm, should we? Let's just keep it around as something that used to be a good idea, contract logic and law be interred. After all, what's wrong with living in France?

TRT further proves the relationship of etiology to non disturbed-sleep survival responses by taking direct testimony from the victim – patient documenting the known facts regarding the relationship. That fete stands in considerable contrast to Nosotropically initiated dependence on statistical correlation analysis as the only evidentiary tool supporting the theoretical link. And they are trying to get above a 62% rating of effectiveness, which I think is hyped from 18%, if that, in most cases. If after exclusion of the cultural interferences like socially medicating with alcohol they can't get a 100%, they should get out of the business. The Behaviorists, with their Nosotropic only methods of making guesswork out of prospective enigmatically presenting symptoms that are supposed to relate back to some conglomeration of destruction not even identified in the modality, except for the referenced few sharp onlookers who have surmised finally that grief has something to do, possibly, with the symptomatic behaviors, are always astonished that there is a more logical method for skinning the PTSD Tarantula? Rattlesnake? Great White? Sorry, but I do love cats, thus find that cliché more than repugnant.

Etiotropic TM facilitates the factual discussions of that inherently natural integrative activity by first removing the interfering variables, including the negative influences effectuated by Behaviorism philosophy and its nonsensical debates over the validity of their guesswork modality and its ever continuous proofs of failed thought in the design of their helping but now obviously simultaneously hindering notions of mental health care for trauma affected individuals. The primary and almost only thing that constant guessing game really does is objectify the whole process pertaining to the understanding of pain so that the helper feels comfortable in charging for the advertised "professional" services. It is harder to find logic for such fees when the impetus for the relationship is nothing more than offering unquestionable caring that is focused upon the incremental contradictions and subsequent losses to identity, an otherwise simple mainstay of the etiology's ever sequitur core. It is especially intriguing for the charger when finally finding out that not only is the previously disordered client probably not even mentally ill, but actually was innocent of the whole thing. But thank Moses, catchy slogans save the day again for the CBT professional: "Hey, it wasn't your fault. But it is your problem."

Countering, Cognitive Behaviorists say "Oh no! We have to teach people who've had their bells rung during combat how to live life in a more edified manner." And that erudite epiphany effect hoping Cognitive Behaviorist preacher keeps shouting her Gospels: What CBTers' have learned in college psychology and doing experiments on the student population is wrong with, excuse me again, I meant "aberrant" about, people. That will make them better individuals, that is, as made over in the Behaviorist's own image, not to mention better taxpayers.

What a sad joke that is. Know this! Combat veterans don't need anyone to teach them how to be a better person once trauma etiology in identity has been expunged, reversed, removed, reconciled, CURED! In fact, I've never seen a combat veteran whose trauma has been reconciled need anything from anybody other than love and caring and someone for them to give the same. Cognitive Behaviorism is a clinician self flattering concept that happens to provide for a lifetime paying client for the practice, or ever attending self help group where everyone cajoles "There is no cure for PTSD; so keep coming to meetings so that you can learn how to work on yourself." Substituting the CBT disorder interpretive historic terms Family Disease and Co Dependency for PTSD at the time, albeit, they were the same malady, that song was the Al Anon and ACA (Adult Children Alcoholics) meeting ending anthem years ago. It's probably still sung today at the close. Now we have our greatest and most honored constituents, the American veteran, getting the same unnecessary defeatist – join the disordered world forever and live in serenity - altercall 30 years later! So humiliating for these prodigious defenders of the best that we are!

Not only do combat veterans not need to be taught how to live life, they also don't need to grow! They've done all that while Cognitive-Behaviorists were at the University. Just cure them of the trauma caused by combat, which includes that etiology ─ destruction to identity ─ caused in adaptation to the original trauma (as the great Dr. Bruno Bettelheim noted in his analysis of concentration camp murder victims to be while he was in the camp as one of the harrowed), because that is our liability to them as a free people benefiting from those men and women's offerings of themselves. Then, if they want to go to college and study whatever they want about human beings, or join growth groups just for general personality enhancement purposes, or find a spiritually meaningful religion, or be a non edified mechanic who loves to fix things and make the most complex technical machines run smoothly as my good friend Ray Nora, bless his magnificent fighting heart and who took one through the head in his ordered second tour, wanted to be in private civilian life when he got back home.

To make sense of their ideologically created phenomenon, and to keep funders from catching on, Behaviorists have coined and championed the same obfuscating mantra referenced earlier being sung in the Self-help Chemical Dependency Family Disease groups. Restating for emphasis this Cognitive-Behavioral perpetrated misrepresentation and fraud: "There is no cure for PTSD!" And of course that obviously is compounded into truth when treating SUD as a symptom as described above with the thought that once the PTSD is brought under control, that maneuver will also teach people that the resulting obsessive drug use and attendant bad behavior is not good and, too, should be controlled also. What a convoluted and unnecessary to boot mess! Are you PTSD guys trying to take us aging Chemical Dependency fighting gladiators all the way back to controlling documented pathological chemical use as manifested by Alcoholism? Sure you are, referring to the always over shouting contrarian-based bandwagon-jumping Behaviorism marketers' representing the controlled drinking establishment. Good marketing idea, changing the name back to "controlled drinking" from Moderation Management ─ kind of a catchy term, especially given the wonderment the acronym draws upon, or steals from. What a story! The only thing I wanted to source in this essay. See MM's creator, Audrey Kishline's, Dateline interview with Murray.

How do you think we were able to re codify the former Chemical Dependency's complete abstinence from all psychotropic substances approach, which was hallmarked within the helping cultures in the last half century of the previous millennium (from the 1950s until and thru the 1990s) by the disheartening but intrepidly (by the correct side) fought battles ongoing between the mental health Behaviorism-based professional and Alcoholism recovery constituencies as the latter worked their modality requiring a chemically free life into the mainstream of healthcare. Those fights occurred as very substantial conflicts, but have now been abetted into an apparent armistice where the once ferocious Chemical Dependency has been finally disabled down into a multifaceted and always confused behavioral disorder, now just lingering with lesser enthusiasm for the un cool Disease model and as only another part of the DSM. The new name has considerable political overtones pandering to this and the next generation of masters level counselors sanctioned, at least during Spring Break, by this heavy and alcoholic drinking and over drug using culture, thus always constantly producing, and assuring for infinity trauma causing events at a rate equivalent only to the nuclear fission reaction. In the plural form, the newest professional enabling nomenclature is most appropriately called SUDs.

But, what about the flashbacks and psychotic nightmares? No problem! Hit the evidenced-based GO key and up flashes the answers on the screen: Respiradol, Lamotrigine and Paxil. Whoops, there it is again, the number 1 pharmacological cure prescribed to literally thousands of our wonderful but PTSD affected Iraq War veterans on return to America even while a couple of VA psychiatrists in the know were refusing to withdraw anyone from the drug because of the enormous danger otherwise made known as far back as 1999. Oh? Then let's just ease that last little workhorse out to pasture and especially off the monitor until someone figures out how to detoxify veterans after we've made them well (well?). And on top of this potpourri for Evidenced-Basers, if the therapist is dumb enough to let the patient keep drinking during treatment of PTSD, even if not using the polypharmacological supports, then that professional and the attendant group of scientists' studying this Tomfoolery are, as the enlightened humanist and now often quoted philosopher Johnny Lee said to music, "Looking for love in all the wrong places."

The Behavioral Scientists can't see their EB strengthened system as silliness, however, without being able to cure psychological trauma or PTSD completely. From the cured perspective, when one considers the referenced constant failures' effects on individual trauma victims, not to mention the imbecilic braggadocios advertising of their hamster exerciser circular mind interrogation ─ the colloquial expression for "interrogation" or self analysis is although much rougher, also clearer in its meaning, but regrettably is not admissible here ─ treadmill approach to PTSD treatment, it does not seem so funny! The "Evidenced-Based" hegemony motivated cry of the Behaviorist – scientist of today looks, as viewed from the TRT Counselor and the TRT cured patient, not just like malpractice and malfeasance, but more like a 2 word slogan based proselytization model. It makes marketing managers for virtually all religions in the country envious. Why couldn't they, they ask, figure out how to get the taxpayer to pay for their religious-based programs, too, with direct cash no less?

Think that's over the top ranting? Say the words "complete resolution," "cure," or "etiology reversal" at a Behavioral Science leadership controlled professional conference on PTSD, and you'll find yourself trying to sink instead of float when bound and thrown into the Witch's Drowning Pool at Þingvellir. Now that was evidenced-based problem solving at its finest! As a memory refresher for those of you who've studied this precursor of the EB modality, and for those for whom this historic scientific methodology is new, Iceland tested for evidence of witchcraft and adultery by women by tying them up and throwing them into a deep pool. If during the test a woman sank and drowned, the evidence showed she was innocent. Alternatively, if she floated, then the evidence and test proved she was a witch or guilty of adultery, whereas she was then burned at the stake. The most ostensible flaw in the methodology was demonstrated by mostly thin ladies sinking, and fat ones floating, as I am told, unless of course thin women tend to be chaste and mainstream religion believers and the more robust promiscuous and spiritually wicked. That science testing apparatus was no longer usable, however, after the country outlawed capital punishment across the board in 1841. For those not getting this, that means that after the program got rolling in practice, thereafter becoming an established part of the norms and mores of the culture, evidence-baser sheep couldn't address the shortfalls in the science's theory by themselves. It took someone from outside to finally shut them down. I apologize for the slur against sheep.

In the end, psychologically oriented therapists and scholars will discover that Nosotropically based forms of objectification of the process, if carried into the treatment environment for psychological trauma, will disqualify the helper in the most stringent thought defenses deeply imbedded within the etiology protecting components of the trauma affected Survivor, strengthening them in perpetuity. Caring deeply for people at the source of trauma caused devastation to identity, on the other hand, mitigates those defenses, allowing for a cure of psychological trauma and its often enigmatic, that is, hopefully helping but quixotically always hindering symptom-codification-approach-to-human-problem-solving term, PTSD.

But still, say people who don't fight over thought models as assiduously as do Christians, Jews, Hindus, Islamists, Buddhists, Zoastrians and Behaviorists, what's the big deal over a little psychobabble? While doing the intricate logic that formed America's by-laws created during the American Revolution in 1777, a principal architect, first Vice President and 2^nd President of this country John Adams, wrote to his wife, Abigail, his opinion of a formerly illiterate person's endeavors to become educated. Adams, in his time in that congress and during his representations of the revolutionary government worldwide, had held positions of great power and authority, in the process communicating constantly with the finest minds this country and others had available to it. John and Abigail were, themselves, students of the great classics, philosophers and religions of all time.

Mr. Adams, also one of the earlier Harvard graduates and a privately trained attorney, and raised on a farm in Braintree, Massachusetts, was rigorous in his constant admonitions to his children stressing academics in writing, philosophy, logic, science and art. Few people contributed as much to the formation of this country's system of balance between thought models that assured individual freedom would remain equally offset against the collective interests of the population as a whole in its needs to care for individual aspects developed under no government to speak, but simultaneously protect all from wrongdoings, which required some central social controls (employing the rule of law, that is, controls on behavior, but stipulated not to control thought or being). No one had provided more character dedicated to the discipline of objective rational thought no matter the selfish, highly emotional and deeply grieving elements that stressed the logic of the new order during the American Revolution. With that grand compendium of education and experience supporting his philosophy, here is what Mr. Adams said to his wife who was tutoring the man seeking self betterment through academia.

"But let him know that the moral sentiments of his heart are more important than the furniture of his head."

Such is the basis of the Etiotropic as opposed to Nosotropic approach, except with a caveat being that the former has incorporated a discipline into its structured thought that makes safe the total journey into complete understanding of the trauma and its effects on the existential fiber only barely separable from the ontology of the traumatized person. The idea bonds helper and victim at their moral hearts, not in the furniture of their brains, as the incomparable Mr. Adams placed the value on literacy, eventually in academia to become science, and with an extension to the Evidenced-Based concept being vetted by its competitor in this cause.

As the Evidenced-Based system of mental health management becomes established through federal grant and state funding, it will act as a huge grading machine, and not unlike Adam Smith's economic treatise for capitalism's "Invisible Hand" operating over a country graveled road always adding more base-coarse and ground rock and trying to smooth out the bumps and potholes following the last storm, but never fixing the underlying structural problems that, in these two metaphors, plague, desecrate and in the worst instances sunder seemingly completely the heart. It is this most perplexing force that cowers analysis and torpids reason making it even more difficult to mend the potholes descending into our social management models. More egregiously, those repetitiously raked and grinded rock roads and especially the recurring potholes metaphor out, not just as social management deficits, but as us governeds' brains and minds.

Although the extended meaning of that analogy would be better saved for discussion in another forum, I will give you a glimpse into its content. Curing psychological trauma, and I mean with no if, ands or buts, removes both its enabling and disabling characteristics that preclude clear views of cause and effect. That non trauma fettered perspicacity is fundamental for the maintenance of true and full intellect otherwise necessary for judicious management of not just the individual Self, but of a free thinking society as a whole. Symptom management, or in this EB application referenced as Disorder Mania, set into foundational cement as if ordained by a new great authority from the supreme technosphere, is a direct affront to and assault upon individual identity and thought, otherwise constitutionally and magnificently protected in this culture. The elements of our individualized and then collectively shared thought represent both unique and same states of being. They must never accede interpretive power and thus social control to a narrow if not myopically affected polity operating out of an elitist mentality ordered by nothing less than peer revue (not malapropism) journals: when publishing for the Behavioral Sciences, they are in the main the ruminations of psychiatrists, psychologists, scholars and other scientists vying for career advancement and prestige, and who do not as a whole have the faintest idea of the full strengths required to study the complete human condition, including those nasty, subjective, and confusing, but thank God they are only primal, emotions. That last clarifier assures for us more cerebral-based nonpareils that at least our next generations will not be so encumbered as have been we who had to work so hard to overcome them ─ those ever onerously humbling negative feelings, that is.

And even though their titles sound good, these probably fine people in their rights as citizens are more often than not, as also I will explain in another post on this issue, overwhelmingly impaired by the same illnesses – disorders, especially to include those imposed by psychological trauma and pathological chemical use. They, like the constituencies they serve, are still trying to find out what hit them, too. My contention regarding the authoritative sounding Evidenced-Based machinery being constructed by them for managing the more difficult issues harming our society is that we don't need another Supreme Court, especially one comprised of who knows what, and managed by no one who has a little plain public common sense, not to mention having a broader, as well as much more profound understanding of the human consciousness and its functionings than have those followers and advocates of Behaviorism.

Someday, estimating maybe 70 to 125 or so years from now, after psychological trauma's professional address with Nosotropic concepts underpinned by Behaviorism philosophy have been replaced with the Focused Caring-based paradigm and epistemology, or possibly something even better might present by then, the Behavioral philosophy grafted from nearly several thousands of years old stoicism-only way of living life will be looked back upon as having been nothing more than Behaviorism advocates' needs and stalwart attempts to protect themselves from their experiences of the patients' or trauma victims' destructions to Selves caused by the apparently never ending traumatic events the professional is trying to manage, and in the process protect those kinds of helpers, understandably necessarily for them individually, from having to see similar destruction to their own lives no doubt caused by like events.

Etiotropic TMT System Philosophy and Epistemology

That underlying and almost unknown individual devastation, whether sundering identity of laymen or professionals, does not exist in a vacuum. It connects in all and overlapping systems, starting with trauma shared in a single relationship, expanded to the next level – a family, then to neighborhoods, schools, treatment centers, combat units, EMS organizations, local communities, states and nations as a whole. As individual trauma moves down and into its farthest recesses, therein it becomes as in Zen, one with all trauma victims. In that shared world of hurt, and of course that nor any word is adequate to explain what is truly shared, everyone has been destroyed exactly the same. Believe that no matter my competitors' arguments about trauma's unique effects! In that extraordinarily pain-compounded but simple world, trauma becomes a confluence not unlike a thermo-trauma heated underground reservoir of a seemingly ─ to Nosotropicers anyway ─ impenetrable holocaust of human suffering. Regardless of the toughness of individual consciousness, their combining damages to identity flow across but underneath the surface boundaries of abstract intellect, providing the cause that binds damaged souls together and draws trauma affected therapists to their trade.

As always is the case, though, for psychological trauma's defense, and especially in its systemic sense, the unaddressed molten undercurrent precludes the affected and their helpers from knowing the full answers. Disastrously occurring and perdurably recurring bizarre, inimical, duplicitous, odious, pernicious, enigmatic, shocking, senseless and finally fatiguing behaviors exploding on the surface do not change ─ presenting and representing over generations, centuries and millenniums. But always flowing below those outward notions of confused and convoluted lives and events, and even as the edifying Evidenced-Based modality moves in to bring its new controls, in the final analysis they only form a slightly heavier manhole cover which serves to hover atop the fissures that cascade down into that ocean sized cauldron of unresolved trauma so unimaginable that it is describable only in the poet's vision of the Inferno. As long as it exists, as it has since the beginning, that unrequitable hell runs the whole internally fuelled and since before antiquity forever extant, but presenting for the Behaviorist only externally, social pathological shebang: trauma begets trauma. Not deep. But exact.

There is an answer to this: the Etiotropic epistemology. It drills down into that abominable morass, one well at a time, each sending the purest healing waters channeled from the deepest cool clear bottomless aquifer ever known, humankind's capacity to care for and love one another. And it delivers that care precisely on target at the most intense locus of combustibility ever imagined, but as if 10 billion fire hoses each manned by our bravest of firemen closing on the demon pain, pouring all that they have from their hearts into the core, turning that formally thought indomitable unquenchable catastrophe and horror into nothing but steam evaporating as condensation to perpetually refill their strength, the deep lake of human caring. As more wells resolving individual traumas go down, the liquid grace flows over and into that formerly thought to be unfillable hellhole, but now with every individual trauma cure quieting it, soothing it, cooling it, and finally sending it into an oblivion so ethereally pronounced that when the fire is out and gone, no one will even remember that it was ever there in the first place.

But, say those who argue that we can achieve the same ends through some serious education directed as fire extinguishers on the hopping hot surface, and then covering the blow off valves with a ready supply of erudite band-aids to prevent those eruptions from always exploding, at least long enough so that we don't have to think about what's down there all of the time ─ "Why would we do something apparently incongruous as you try to dramatically paint it as so repeatedly ineffectual and causal of more heartache, when we are the elite, the wonderment of men and women philosophers and students of the human being?" After all, they tell us that educating the trauma affected underprived or other bad actors so that they will choose a more edified lifestyle and stop beating up on and killing people has got to be the wave of the future! "Don't you think?" No, I don't! And this answer is very important to this ideology. But I'll have to explain that negative response to our leaders' hopes for education's social problem solving influences in the section below entitled "The Survivor." But first, next is a summary of exogenous variables and why they have to go if curing psychological trauma both individually and collectively is the goal.

Exogenous Variables that Preclude Psychological Trauma's or PTSD's Cure

Exogenous variables interchanges synonymously with "cultural" variables. I used the former during week long trainings because it kept the audience nonplussed until they knew what trauma resolution meant in practice. Otherwise, people think they mean prohibition. They don't.

Regardless of the prejudices carried into the ETM epistemology by professionals who are social drug users, the variables pertaining to social or medicinal use as de-stressors must be removed from the treatment environment, but always by doing so ethically.

For example, one variable that will interfere with the 100% cure expectation is application of pharmacological therapy previous to or in concert with TRT's application. The ethical issue, of course, is to not interfere with a therapy provided by alternative treatment. Consequently, people functioning under medication are referred back to that provider for continuing care. Moreover, we encourage, even require, depending on whether or not we are already involved, that the individual not attempt self detoxification for the purposes of participating in TRT.

Also, I'm presenting this summary in this essay obviously because the noted variables interact with the previously described co occurrence of PTSD and SUD.

Apply TRT after removal of the following variables, and a trauma cure will occur 100% of the time when ETM TRT's criteria for application are strictly adhered to. Certain exogenous variables and one model prospective limitation [e)] can prevent that 100% cure. If not removed from the treatment arena, the exogenous variables that will break the 100% rule are:

A parallel application of psychotropic medications and previous applications of the same even though the patient has withdrawn from that use, but in the latter depending on the extent and kinds of medications used over time.
Periodic social drug / alcohol use (not chemical dependency – see "c)" next), for example, the patient engages in TRT group on Wednesdays and drinks two beers on every Saturday, and no other alcohol or drug consumption occurs during the week. Of course, the non Chemically Dependent social drinker may return to that use after completing the therapy's full application to a particular source of trauma.
Comorbid issues, such as Bipolar Disorder and Chemical Dependency are presenting parallel or in concert with the PTSD (where non pathological social use is treated herein as an exogenous variable that will preclude reaching the cure phenomenon {see above "b)"}, pathological drug / alcohol use is addressed as a primary issue of its own and one of the sources of trauma that should be addressed after the patient attains substantial sobriety within the ETM multiple sources definition and instruction for treatment).
The application is made for the purpose of controlling or ending symptoms rather than for resolving the trauma, that is, reversing the trauma's etiologies, or the person is engaged in a rigorous PTSD Behavioral Modification or Cognitive Behavioral Therapy control program parallel to TRT's application.
The traumatic event(s) occurred before the age of 3 years (not an exogenous variable, but the referenced limitation of the therapy; it can, however, possibly and even likely be addressed by TRT if done so within the multiple sources of trauma TRT application guidelines).
The traumatized person is currently being exposed to an ongoing threat to the continuity of life as in the role of the battered spouse or participation in immediate combat operations by military personnel.
Undefined head injury.
A TRT psychotropically medicated, social drug / alcohol using, or Chemically Dependent using TRT Therapist.

As demonstrated in the ETM TRT literature, some of these variables can be circumvented or mitigated such that the quality of resolution approaches, but usually does not wholly attain the complete resolution or cure goal otherwise available without these variables' interferences with the application. TRT can produce fine results, meaning to increase substantially cognitive clarification of what happened to the person's identity because of the event(s) even when all the exogenous variables are not considered. But those outcomes based just on cognitive understandings are not what reverses trauma's etiology, thus resolving completely or curing the trauma. Instead, that requires application without a variable's interference of TRT's engine, Etiotropic Incremental Fusion Induction (EFI), in concert with the TRT's facilitating structure. In lay terms, that professional naming nomenclature provides the basis for the name we advocate for solving what CBTers call the traumatic event's "internalization" as Focused-Caring. Therefore, not addressing all the variables will not allow the patient to achieve the best that is available had the referenced variables been addressed by ETM's formulas and guidelines.

But there is bad news here also. Not addressing the variables can have in some and not necessarily always predictable application negatives that reduce performance of TRT to the level of Cognitive Behavioral Therapy, or even adversely affect a patient who has already been harmed enough by the initial event(s). Such people do not need the risk of a malfeasant therapy experience when errors can absolutely be avoided by following the directions on the box.

These issues, that is, identifying and addressing the variables that will preclude psychological trauma's optimum address, may tend to dampen one's enthusiasm for becoming a TRT clinician. They should and are placed in this essay with the intension of dissuading from participation with TRT anyone less than is the therapist who is dedicated to helping people by simply identifying the trauma's etiology and in the process removing the pain that attends it.

Incidentally, that pain is not removed by teaching people to intellectualize, condescend to or in other ways control it cerebrally. Cognitive Behaviorists, dating all the way back to the Skinner – Rogers debates, hate this answer. Nevertheless, it must be included briefly here. Emotional pain must be experienced, not as a free floating mass of explosive air bursts coming together in a giant and often hysterical catharsis, called abreaction or for us simpletons, grief. That as nothing to do with anything pertaining to resolving trauma. Instead, each feeling that is attached to each and every loss attending every single trauma intrusion on, decimation to, ripping apart of, or tearing asunder of the existentially based also as beginning to be referenced now as "core" elements of identity, that is, the values, beliefs, images and other realities comprising that person, must be facilitated experientially between therapist and patient and in the best application with all group members. When it is facilitated orderly, which occurs on every single occasion that TRT's structured Matrixes' organizing all that formerly by Behaviorists to be "overload" material in an easily negotiable as in incremental manner, each emotion and its identity contradicted forming loss is identified, experienced with another person or persons through focused empathy, and then dissipated. Gone! That is what TRT does; it removes ALL of that pain when applied within the parameters described here.

From the choir, although putting up with these issues that influence the extraordinarily fine level of output one gets can be onerous in some cultures, I'll assure you that seeing an individual completely cured of a previously thought to be incurable condition, in this instance referring to PTSD occurring from whatever source, and experiencing that outcome as a facilitator of it is well worth the commitment to the discipline required to achieve that cure. That is why my wife, Nancy, Craig Carson and I have applied so much of our lives and personal resources to making this phenomenon available to those who need it. For a little more clarity with a summary of this ideological showdown, our structure, again for advertisement purposes called Trauma Resolution Therapy (TRT), has allowed the plain human sharing accurate empathy preaching Rogers to have kicked the more tightly engineered intellectualizing Skinner's butt in this survival of the fittest battle over who gifted us with the wisest interpretation of the human consciousness.

Educating the Survivor
If the trauma's complete resolution were allowed to proceed undeterred by cultural (interchanges with previously referenced "exogenous") variables, then what purpose would the Survivor who was created when the devastation to original identity took place, serve? None! It was only created when the traditional controller or operational aspects of identity was pretty much smashed during the event ─ then resmashed in successive ones as in repeated exposure to multiple combat traumas over a full or several tours ─ as a temporary and stalwart protector during the brain's integrative process. As the integration proceeds or progresses absent the interfering variables, that Survivor naturally losses its influence. It is needed less as the integration goes forth. To complete that function, the brain has provided copious extinction facilitating neuromolecular interactions between predominantly the Noradrenergic and Opioid neurotransmitter systems. But the Survivor, which has protected the person as needed during this activity and which maintains conscious control, filters all information, erudite education or otherwise, coming in to the organism.

So if a Behaviorist talks some poor soul of a trauma victim into changing his or her behavior before the original destruction is repaired, then the commands to change the behavior threaten not just the Survivor's abilities to the job, but induces the Survivor to conclude that his or her entire life as it is consciously understood will dissipate, leaving the trauma affected person still trauma affected and still vulnerable, the protection from which explains the Survivor's existence. Hence, the Survivor finagles the Behaviorist's shallow if not inane attempts to strengthen controls by effecting behavioral change; the Survivor appears to comply with the entreaties, but in reality only gives appearances of making changes that suggest that they are back in control and adapting changes that are acceptable to the interventionist or self helpers, depending on whom is giving the advice regarding how the trauma affected person should think, feel and act. What better way is available than adapting the model of never ending and obsessive compulsive self analysis of one's thoughts and behavior, always readily supplied by the Survivor who is consistently fueled by the continuingly stored original damage and now which is being added to in the second etiology development's case by the failed and unnaturally controlling Behavioral Modification. "Keep coming back for the rest of your life; it only gets better!"

There is an even more formidable issue for the educational solution to overcome. When a traumatic event occurs, it becomes recorded eidetically in memory. That recording is established by a hyper process of Long Term Potentiation of synaptic traces all modulated by the Hypothalamus Adrenal Pituitary Axis (HAPA) operating in full out blow and go activity simultaneous with inhibition, thus Long Term Depression, of the Synaptic traces housing the original identity existing pre event. Included with the HAPA stress response is the activation of the Noradrenergic and Opioid neurotransmitter systems, also functioning at 150% of capacity. Where they provide the substrate with HAPA of the initial shock and catharsis elements of grief, the Noradrenergic produced neurotransmitters effectuate the plasticity required for new synaptic development and modulation of the old. The intensity for this process operates at the extreme, which the brain phylogenetically provides for its integration of the rapidly imposed change.

When cognitive component of Behavioral Therapy applies its education at a later time in an attempt to help people to identify and then control their thoughts, feelings and behaviors resulting from the substrate's ongoing movie replaying of the event in memory, and most of the time unconsciously, the supposedly illuminating information enters this system without a comparable HAPA charge for providing new edifying synaptic trace development. Where it is supposed to, at least as hoped for by its theorists, to provide a countervailing synaptic molecular learning experience to overcome the internalized trauma movie, the educational impetus is woefully inadequate to the challenge.

Education to the stored traumatic event is akin to slinging individual particles of bird seed at the alligator hide back of a prehistoric crocodile that is about to eat you. Throw some alcohol, opiate or Cannabis molecules into that substrate and your educational program is whistling Dixie. Worse, you are about to find yourself being rolled underwater like a mincemeat ragdoll in the jaws of a croc that otherwise is so happy and nearly fulfilled that you did not know what you were doing while wandering around in his jungle.

Objectification thru the guise of science, very frequently being administered by similarly affected scientists, which is allowed to only measure what it can see, meaning behaviors, provides a method that allows the scientists to study others without getting too close to the healers' own secrets, most notably kept even from themselves. They try to make other PTSDer's do the work so they can participate fairly closely to the real answers, but not too close. ETM TRT, which precludes any reference to or attempt to change symptomatic behaviors, neutralizes the Survivor in both patient and helping scientist / therapist, in the process providing one no uncertain path out of the negative system synergism created by the newly EB systemically contained and enmeshed horrendous pain and suffering hallmarked by sadness, loss and chaotically perplexing attempts to help, but which simultaneously torpid the polity into exacerbation.

The only helping effort that gets past the Survivor's controls is with respect to Dr. Rogers, not just "accurate empathy," but by focusing therapist and group members caring for the person directly upon ─ that means
without deflection into unrelated issues like learning someone else's notions about living life ─ the depth of the destruction to which they have been subjected. And, that level of caring has to be, if curing psychological trauma is the goal, provided no matter the untoward survival behavior emanating from the trauma's maintenance in etiology. You don't have to motivate the trauma affected to become responsible and take care of themselves, especially as therapists take care of themselves. In the case of our magnificent American veterans, anything less than this level of unqualified caring and gratitude is an affront and patent disservice to those who gave extraordinary, meaning above and beyond the call of duty, service to and for us.

Save the World, and Preferably America First, Now!

Rather than just tearing down the competition, and then leaving our culture with no apparent hope for getting better without the Behaviorist's rabid co contributor system of scientific racketeering styled obfuscation, try this approach. It is real and has been around for 30 years, tested, acclaimed by the highest authorities, and proven to work and in the trenches for nothing more than a few thousand dollars in training employee expense; not the jillions the CBT EB government merger will cost when it really gets off the ground.

Set the ETM epistemological stage or clinical environment: establish your goals to identify and expunge trauma etiology, not teach people to live with it.
Establish your management systems so that they remove the referenced exogenous variables.
Identify with ETM's Multiple Sources of trauma formula every source of trauma, following directions explicitly for which source to address first and so on.
Identify with TRT every trauma causing event (within every source) and its directly implanted etiology on individuals as defined in ETM TRT, and as each affected person and system presents, regardless of whether the events are long or near term in their happenings, and regardless of the number of events or myriad sources of trauma to address, or the degree of psychic devastation caused to any and all persons, and regardless of whether or not symptoms of so called true PTSD are presenting as the trigger for initiating care.
Cure each and every person of all traumas' influences for the near and all time by incrementally identifying the patterns of etiology caused by each event, and then reverse, remove or expunge that hosted cause of so much protracted and previously thought to be immutable pain and suffering.

"That," as the song asks, "is all there is." Can you imagine? I believe a guy wrote some lyrics about that, too. After the trauma is done, nobody will need to measure anything. No one has to manage anything. There'll be no more humongous bureaucracy that grows with every new war, overlapping drug doped bodies decimated by uncured trauma on top of each other as every new decade passes. And every political persuasion will want to fund it. Why? Because it will with assuredness, the feeling of complete satisfaction that comes with unequalled success, augmented by the congruity attending knowing what is right and doing it, and comforted by the absolute confidence that the traumatic condition once known as Post-Traumatic Stress Disorder will be gone, dissipated, over with. That is to mean, psychological trauma is no longer an unmanageable disaster for humankind, forevermore.

Conclusion
This counterattack by me, as the author of another helping paradigm, and upon which my work has shown to be the bête noir of psychological trauma's cure, would be totally unnecessary if the federal government elevate into its principles, not just giving it "Notes" play, the use of legal definitions, that is, logic and reason as decided by a jury, for evidence of treatment effectiveness instead of those coming out of the application of laboratory styled scientific principles applied in conjuring this kind of Evidence-Based definition. Return the database of truth to the full public and free media through all publications, not that bigoted and prejudiced body of literature called peer review journals. Furthermore, the federal, treatment and academic leaderships who have conjured this bureaucratic systemic psychopathological catastrophe can be intervened upon successfully in an open forum of real discussion. In a fair arena, thanking somebody for the Internet and given that my health allows me the time, I would enjoy addressing in that debate their phony claims to intellectual ascendency. Their arrogant admonitions that they should have the exclusive right to control the time immemorial decisions pertaining to ontological definition of man- and woman-kind must be confronted in order to roll back their calamity in the making. The government's task in this instance should only be one of assuring equal rights to thought via competition of intellect, service and expression.

How can it do that?

Change the identification name from the euphemistically Evidence-Based category to employ it for what it is: a Nosotropic-Based management approach. Then add the Etiotropic-Based nomenclature to the new category at the top.
Get out of the referenced one sided "Evidenced-Based" performance measurement business for psychological trauma care and treatment issues.
Don't side with ideologies, unless they are mine. They come out of the U.S. Constitution which already protects individual identity.
Make the treatment trigger psychological trauma etiology (injury to identity) instead of conformance with PTSD nomenclature currently thought to be needed to initiate the helping response.
Lean on the psychiatrists to change the DSM definition of Post Traumatic Stress from a disorder to an injury (Psychological Trauma Injury - PTI).
Give Purple or some other colored Hearts to trauma affected veterans signifying with a clear symbol our understanding of their wound and how proud we are of them for giving so much to our country.
Hold individual providers legally responsible and monetarily accountable for their claims and performances with individual patients and organization trauma management contracts.
Audit for individual and facility compliance with JCAHO level standards, not the so called overarching principle of Evidence-Based management operating in the hands of our great federal and state bureaucracies.
Invite Academia to participate in its traditional role as observers, reporters and the opining professors that they are, as long as they can show that their often valuable observations are not connected through systems measurement control back to individual patients, thus causing no harm by the superficial understandings and concepts of humankind and learning now representing the preponderance of academic training being provided to counselors.
Institutionally disconnect symptom evaluation theory in the assessment of psychological trauma's effects from disability. Pay them instead for the damages done to identity for however long it took the government to get to their employee and address the injury. Focus upon the facts that the event occurred and may have influenced them profoundly, and that they deserve to have the effects addressed. Don't tie symptoms to the factual address of etiology by the patient, that is, if you want to remove the issue for that individual, his or her family and the community instead of putting people into group therapy for the rest of their lives trying to figure out who they are and what happened to them along the way to being that person.
Don't ask combat veterans stupid questions in assessments such as "Have you had any symptoms of PTSD since you were blown up by the IED?"
Give every American Veteran, before you dope them up, the choice of addressing combat related trauma by helping them to cope with it for life or have it cured immediately and forever.
Make controlled drinking teaching therapists civilly responsible for any deaths or personal property damage caused by their patient when convicted of DUI occurring in concert with the catastrophe.
NEVER again experiment on American Veterans affected by combat trauma without the public's vetting of the project.

Now, who are you going to believe and trust? Government, the whole of mental health academia and its treatment communities, or me, the only person from western civilization who has developed a complete secular cure for psychological trauma?

Where to Read about EB

For the study of the Evidence-Based modality from its advocates' opposing views, here below are some excellent resources. In fact, one of them even refers to itself as a Center for Excellence, which title I never understood even though I read all their principles. By the way, they are the same principles required by JCAHO and state government licensing programs, of which we had 9, every one audited annually for compliance and patient progress by the accrediting organizations. Aside from being the Chairman and CEO of all plant, I was also the compliance officer, a magnificent medical management training and learning experience working at both initializing (authoring each facility's 3 inch spiral bound operations manual comprised of 35 chapters in the original document) macro and micro levels with credentialing auditors. And because of what they taught me, free even except for JCAHO fees, I never met an auditor I didn't like, at least after being converted to their discipline of focusing every iota of teamwork on caring for the patient. But they did not use that gifted organizational management model for trying to prove to non believers from another ideology that trauma could be completely reconciled and resolved. That is irrelevant to the healer's, as of course opposed to the researcher's, task of caring preeminently for the patient instead of science.

COCE; SAMSHA's Co Occurring Center for Excellence

Overarching Principles for addressing Persons with Co Occurring Disorders focus on SUD

Evidence-Based Mental Health Treatments and Services: Examples to Inform Public Policy; Anthony F. Lehman, Howard H. Goldman, Lisa B. Dixon, and Rachel Churchill; June 2004

Acknowledgements

Saturday, October 3, 2009

Competition, Politics and Ethics of a Cure for PTSD, or Not

I'm told that some counselor certification boards may have promulgated the use of the terms "Cure" and "Guarantee" in advertising as unethical for its members. I've researched those rules and have not found the asseverations to be accurate. However, I acknowledge this rule, if every found to be so written, to have once been a necessary approach to clinical treatment given the modalities historically engineered and vetted by that organization or any others thinking similarly. In addition to that, "cure" and "guarantee" can sound like marketing hype, which might diminish the dignity of not only those using the terms, but their profession as a whole. But, regrettably, all has changed in this culture since we had those good thoughts about our services. Banning words by themselves is not an appropriate concept now, if in fact, so ruled. The meanings of cure and guarantee when applied through competition, politics, and ethics in the counseling field have changed.

Nosotropically ordained (symptom – behavioral focused) scientists, supported by their reigning treatment option Cognitive Behavioral Therapy, claim constantly in workshops and training throughout the landscape, "There is no cure for PTSD!" That public and professional exclamation in turn economically and ideologically supports their own treatment models that only teach people how to cope with the incurable psychological trauma and PTSD, for life, no less. Think of the burgeoning clientele infinitely producible for this industry in this constantly traumatized and traumatizing culture, turning it into the disordering of America.

Now see what happens to that industry when not only is psychological trauma curable in its longer term PTSD configuration, but readily curable just as well in the near term. No industry will develop. America gets to think credibly of its decisions without stigmatizing everyone who has been unfortunately harmed. The "Disorder" industry will dissipate.

In the mean time, these aggressive competitors, trying to grab the neutral mantel of science, have created a political process that must be responded to in kind. PTSD is not only curable, but simply so when removing that competition's failures from the politics of the culture. That is why the formerly eyebrow raising "cure" must now be substituted for the term, heretofore used with Etiotropic TMT's application for its first 30 years, and less ostentatious construct "complete resolution."

Regardless of the words finally selected, "cure" and "complete resolution" both mean that the trauma previously retained in memory has been ended. No more trauma to carry for life. No more symptoms for CBT to control in ever increasing numbers. And especially, no more disordering of America.

Saturday, October 20, 2007

Processing Carnage Involving Combat Team Members

An especially difficult process of reconciling trauma involving carnage of combat team members requires emphasis. When an explosion separates a team member’s body parts, either killing or wounding him or her, the not wounded participant sees in reappearing glimpses (as part of the process) his own body elements removed the same. Here is a simple, that is brief, explanation of how this process works, and TRT's role in ending it.

Fusion has hallmarked the team's development. And it is underpinned by projection of one team member on to the others, and vice versa. As different in the traumatic instance when death is an outcome (as opposed to carnage in wounding) the loss is more obvious (than projection and transference attends carnage by itself). As explained in the ETM professional training course's address of Trauma Resolution Therapy (TRT) theory of combat trauma, loss of the life of a team member is, in the final understanding, equivalent to the loss of one’s own life. A team member dies and the surviving team member eventually realizes that he is grieving at the deepest level of him/herself the death of the partner who has done the projecting onto the deceased. Therein, that surviving person grieves two people’s deaths: the associate's and his - her own.

Carnage's effects are much the same, except that they are rarely noticeable and often only present from the unconscious or otherwise become available for processing in TRT, which never fails to address this issue. That issue will be confusion of the viewer's body parts that are still intact with the team member’s that are not. For example, when a combat partner has been decapitated instantly by explosion or other means, the living associate not only goes into shock due to the beginning of the processing of loss of the head of the partner, but through the projection phenomenon onto that partner the head of himself.

The experience can be represented by apparent confused and indication of destablelizing thoughts which frequently manifest by asking of oneself: “Why is my head still on my body while his is over there in the grass?”; or asked another way, she may say to herself “Why isn’t my head lying over there in the grass?” Here, combat training helps combat functionality with rote and helpfully overlaying thoughts - defenses against slaughter such as “This is war." "This is my job." "People’s heads are supposed to be," or at least "It is natural - normal for an associate's head to be separated from his / her body after an explosion."

Of special note and what you will learn in TRT, the carnage should be addressed first before the loss of the associate's life and the transfering of the death onto the viewer.

When the surviving combatant returns to a secure zone, ETM TRT will (or should) be applied via its near-term method. It, like the longer-term TRT application (when the event occurred from 90 to an infinite number of days out), will apply its laser like incremental efforts to expunge that particular trauma’s etiology. The address by TRT will reverse (remove) that etiology and end the delusional thoughts attending patterns of same constructs (more flash thoughts that transfer the carnage onto the viewer). ETM TRT's reversal of the carnage induced trauma etiology ends the transfer of the carnage onto one’s self.

Tuesday, September 11, 2007

Dr. Pauline Boss: You can Do Better than Existential Grief Facilitation

Dr. Pauline Boss, Professor of Social Science in Minneapolis, MN, discussed on this year's 9/11 anniversary her treatment of family members who lost loved ones in the attack on the World Trade Center in New York city. She is a deeply caring social psychotherapist who emphasizes those traumatized in a special way. Their family members' bodies were never recovered, leaving an intangible loss focus rather than the tangible one that attends burial.

My comments in this article do not take exception with the great value that has traditionally attended the basic requirement of at least a component of the existential grief method, nor do I suggest that non burial of the deceased is not accompanied by differences. But I write here to say that ETM's clinical component Trauma Resolution Therapy (TRT) adds a highly focused structure to the method that allows existential grief to be facilitated incrementally at the specific etiology caused by the event. The now common laser focus analogy fits. In so doing, TRT can and does routinely reverse that etiology and resolves the trauma attending it completely, something the general existential application cannot do. That resolution includes complete reconciliation of ALL losses and processing of the correlate emotional chains that are part of the trauma's retention in memory.

Moreover, TRT can be facilitated in a time relatively certain, for example unlike the years that are required to facilitate grief existentially in the cases referenced by Dr. Boss, ETM TRT can do the job and much more thoroughly - completely in about 9 months. And the lack of physical remains does not impede the resolution nor extend the time required. With respectful regard to this Doctor and all who currently work in such demanding cases, the long period attending that simple grief processing method, as in this case referenced for some people as 6 years, is unnecessary to the extent that the now obsolete method (general existential grief facilitation), when compared to ETM TRT's structured capacities, falls into the category of incompetence. That is, why would anybody keep anyone in therapy for 6 years, assuming no monetary reason, when the etiology of the problem can be expunged not just completely so that it doesn't continue to recur in protracted grief cycles, but much more quickly? The only answer could be for ethical professionals is that either they are ignorant of the better approach, or they don't believe my claims and the testimonials that attend this work.

Either way, now that you are informed and fully challenged, ETM TRT is available for study at http://etiotropic.com/. Do so and save your clients years, and most often even lifetimes, of ever continuing horror and what appears to be to the uninformed professional unresolvable loss.

ETM TRT is not just another treatment method. It is a whole new paradigm for the address of psychological trauma. Please evaluate - scrutinize ETM TRT theory and application in the ETM Tutorial's Professional Academic Development section. Also, don't suggests to the public that trauma and loss are not wholly reconcilable and within relatively short periods.

Wednesday, September 5, 2007

Anti-Cult Legislation and Criminal / Civil Fraud Litigation Against Islam as a Means of . . .

Introduction

I began a study of Islam when I predicted in the spring, 2003, the guerrilla war that followed the initial set piece battle for Iraq. When I realized America did not recognize what was likely to follow its success, I determined that my skills and knowledge from disseminating ETM TRT to professionals and traumatized organizations were greatly needed. Virtually no one on the planet saw the relationship between trauma management of systems and the uses of Islamic terrorism to destroy our country. The following reading and discussion comes from part of this new work with this group of terrorists, Islamists. And of course as you know if an avid student and presenter of ETM TRT in crisis management environments like the military and schools, that although the original combat component of my thesis was initiated with communists uses of terrorism in Vietnam, the structure and method for ETM TRT intervention on those terrorism theories and methods is pretty much the same today in the middle east.

In the referenced article (Ban Islam?) inspiring my response in this one, Dr. Daniel Pipes made a quick and current survey of new calls for attempts to control Islam. Some included recommendations by western countries to ban the religion / political group and culture. Others, as legislators, were building votes needed to criminalize the Koran, comparing it to Mien Kamp, Adolph Hitler’s 1924 book describing his subsequent attempts to rule the world. Dr. Pipes gave his “take” on the question of what to do with Islam. The following article is mine. I’m publishing it here because in my work, trauma management involving interventions on cult organizational structures was a routine requirement. In fact, I wrote one book, Guerrilla Warfare’s Pathogenesis and Cure, to explain how to disable the use of terrorism used by lesser forces to achieve war and political ends. I’ll write more about this subject at another time and in another blog. But for now, here is my “take” on the subject and what I recommended to do about the infamous and notorious cult, sometimes advertised as a religion, Islam. In its original submission form, the article's audience was very knowledgeable readers of Islamic and anti-radical Islamic literature. Hence, some of the discussion may not be readily understood by those of you with treatment backgrounds only. When I publish the second blog regarding Islam, I'll include the ever growing bibliography supporting that subject.

Anti-Cult Legislation and Criminal / Civil Fraud Litigation Against Islam as a Means of Preventing Incalculable Numbers of Dead in the Accelerating War with that Cult.

Notice please in the title, no use of a Hedge such as Radical Islam, nor in the body proofs of the concept / fact of Islam's cult status. That activity, already written and saved, will be published as a part of my second blog.

Good review, Dr. Pipes. But same traumatized analysis and consequent conclusions. Sort out the general moderate, whoever that is. Talk sense (logic) to him as if he were not a member of a cult where his life is over with the wrong word. Arrest / deport bad thinking Islamists, whoever they are. And convince the left that we have to pull together (not exactly a part of this article's thesis).

Those of us who have read a few Koranic verses plus some good books by non apologist authors, not to mention Bin Laden's and Zawahiri's treatises published in "The Alcaeda Reader" among other good places, know that as you guys keep hanging our security on your abilities to convert Islamic moderates into doing something constructive and lasting from within Islam, you turn us regular citizens into ducks on a pond full of alligators, each of them representing some sort of unidentified Muslim, who at any moment will have his second epiphany (the first being the call to Islam). That second psychic inspiration as you know is lurking in the notion that allah wrote the Koran and it calls for not just defensive but offensive slaughter of infidels, specifically saying that if they (the brothers) don't join the real jihad and help kill their non muslim friends (excuse me, I mean unbelieving significant others. Muslims don't have non believer friends), then the brothers will be killed because they've proved that they are apostates. If they believe in Allah as the true author of Muhammad's organizational management schizoid caused hallucinations, then those Muslim moderates are always sure to be confronted by their Allah - loving peers about doing their true Muslim duty. That is again, giving up backsliding and begin slaughtering people as instructed. Defensively or offensively, it doesn't matter. Given the great psychopathic mind that this Allah has (or had), he has the ever continuing requirement to slaughter humankind covered both ways. And showing his understanding of basic non violent human inclinations, and how easily they can be rattled by a sharp thinker, allah even also interpreted before they (Muhammad's moderates) would that they wouldn't like killing seemingly otherwise innocent people. They might even also detest killing not so innocent people, like unbelievers. But as his prophet (the messenger) said somewhere in the Hadith, and as aptly reminded by the single most UNconfused Muslim in the universe, Dr. Ayman Al Zawahiri, "Somebody's got to do it to keep me (allah) happy."

This thing, whole thing, Islam, is a world class cult intended for the demise of the human species. For 1400 years it's been sending your moderates into contiguous countries so that they could get oppressed, have their feelings hurt, and rise up with the invading Muslim armies to annihilate the previous owners of the now and new for eternity, "Muslim lands."
Listen to me learned people! There NEVER, NEVER, NEVER, EVER will be anything called moderate Islam. Only in your terrorism traumatized dreams and frightened hopes is there such an entity. Surely, the great anti-Islam Word Warrior Dr. Pipes, the indefatigable and perpetually and unjustly accused Islamophobic (but the truest badge of honor and courage) Robert Spencer, and you folks providing commentaries are not going to keep dancing with this moderate Islam mess of a thesis. To survive, you have to shake that trauma caused delusion about Islamic moderation out of your heads and confront the roots of this battle now while we still have the capacity.

Above all, when you deal with split mind cult members and no doubt their rulers, generalities like we have to support moderates somehow through high intellect reasoning and factual information is inadequate and showing only your ignorance of cult functionings. Muhammad had your arguments figured out and stopped a millennium or so before you came on the scene. You all, despite your tremendous bravery and leadership skills, are going to be rolled over as were your quartrillion predecessors when facing the screaming terrifying Muslim hoards of the first and second millennia. Here are 2 specifics that will do the job to put Islam away in its last century on earth, the 21st.

First, we must enact anti-violent cult legislation with Islam as the focus. France and a popular Muslim in Algeria already said that a couple of years ago on MEMRI and some other important places. To that end, we have to initiate through the Congressional Islam study group federal prohibitions against individual rights -stripping and violence-ordained organizations where their bylaws give them their cult definition operational controls and identity. Make Islam the primary focus of the legislation, as its theories and methods are readily available within the Koran and Sunnah for congressional, legal and yes even media exegesis. Identification of a socially based organization as a cult as a political control process as opposed to its being a religion will have no trouble with the religion amendment to the US Constitution. Give your so-called moderates an opportunity to become prideful apostates of the cult and new believers and members in something better, or at least a little less dramatic and clearly Islamic like, but with refinement. For example, it can keep all the harmless and beneficial advice about how and when to pray, and how to clean shoes. It can add some things like "love everybody" not just the oath of Islam takers, and kill nobody just because someone doesn’t think like you (or allah). That new formation will have Federal mandated guidelines for establishment of their new political group's religious parameters. They should and will conform with the International promulgations for all political, to include religious, activities. That is, the declarations may not advocate anywhere, much less demand, violence or anything else that strips members of their basic individual human rights. Call the new religion "Islam II The Sequel", or “Islam Without the Real Satanic Verses: a Violence Free Approach to Arab Religion,” or as one good Muslim leader in North Africa has proclaimed the title, that represents his extremely admirable work in trying to separate Islam from its violent self, “Protestant Islam.” Hammer the anti-cult legislation’s constitutional validity out in the US courts where jive talk doesn't testify to one meaning in English, and its opposite in Arabic.

Second, file suit and charges, respectively, against Islamic organizations including all Mosques in Federal court for civil and criminal fraud and inducement to defraud American citizens. The fraud is the representation of itself, Islam, as a peaceful religion, while trying to hide during prosthelization of new converts the fact, among many, that the bylaws (Koran and Sunnah) require that they (new members) be killed if they should decide to try Buddhism or such for a while, after having joined up. How long do you think Islam would remain the fastest growing religion if they say on their brochure’s front page “If you change your mind and try to leave Islam once committed, you will be killed. So take this decision seriously and be sure!” Islam, following its 1000+ years old marketing model constantly seeks members under that single ploy, not to mention in this comment for lack of space a trillion others. Strengthen the litigation by including as codefendants to the fraud claims Universities like Southern California that sell the peaceful religion representation of Islam by obfuscating in its public education materials the facts of Islamic literature that demonstrate in unequivocal terms the horrendous history and documentation of Islam's intent and record, not to mention leaving the risks inherent in even studying Islam without considering the world social ramifications of reaching a negative conclusion. To meet 2007 advertising and investment (money raising) requirements, full disclosure of ALL prospective negatives MUST be presented forthrightly in full view for a solicitee's study and appraisal.

Prepare to fight the Caliphate that will form worldwide immediately following initiation of cult legislation and fraud criminal charges and civil litigation against Islam and conspiring academia. The ensuing war will be simple to fight and winnable. It will be against a readily identifiable enemy with an unambiguous title, the old "Islam" sticking to its belief in allah ordained jihad, of the slaughtering type, but no longer hidden by its convoluted and mind splitting claims of intended annihilation on the one hand by jihadists, and the whining "We are an oppressed religion of peace" by your moderates. Attending that two pronged and now, since the secular intervention by the American Constitution and its body of laws, clearly delineated scam is an equally unambiguous statement of war upon this country. We will then conduct that war with all of America's undivided strengths accordingly. That conflict will not cost as much in human lives if fought now as it will later (in a couple of years) cost if we don't act immediately. We can save a lot of lives, not to mention a wonderful civilization, with some to-the-point anti cult legislation and equally exacting litigations that tightly target the purveyors of this replicating use of offensive trauma management techniques to undergird its world control scheme called Islam.

Only the bloggesphere with the help of the Pipes, Spencers, the brave authors who've left Islam, the Bostoms, Emersons, Phillips (Britain), Gabriels, Malkins, Ibrahams and other heroes of our time, to include you commentators who've seen this war long before the rest of us started catching on after 9/11, and who with the referenced great authors, can bring these legal changes about, and only if we anti-Islamists pull together. There is no one else but you who can do this. If we beat Islam so that we survive with our lives, and our wonderful civilization prevails and continues to get even better in the centuries to come, it will be because of the work that you have already done, and the great sacrifices of life made by our majestic military service men and women who are keeping, for the time being at least, these wanton killers from the insides of our homes, schools, buidlings that remain, and the places of worship that attend to the individual needs of the hearts and minds of our citizenry.

But no matter these accolades, and my love of and appreciation for you, it's time now for you to move us forward again. Replace "Islamic Moderates" with Islam II The Sequal, underpinned by cut and dry declarations that assure organizational love and caring of fellow men and women and not horror, depravity of intellect, and liquidation of ontology. We can leave what the real Allah wants to those people who derive those kinds of understandings, and who truly believe that it is our nature to solve problems resulting from differences between people with love and caring, and most importantly without the shackling of encumbrances that attend communications from a madman of 1400 years ago, but who is still with us today through his declarations of carnage. New hurt by your take on what you think is Islamophobia, a supposed irrational hatred of Islam? Start your readings, or continue them in the second case with Robert Ibrihim's The Alqaeda Reader. Learn the true power of the cult of Islam on the minds of the human conscience. It no longer exists in that world, which comes closer to us every day that we wait.

Jesse Collins

Currently in study at an unknown location with the Robert Spencer School for Islamophobic Certification and the US Army General George Patton School for the Advance of Martyrdom. For you who are too young to have heard of the latter program, General Patton started it during WWII when he said to his troops "I don't want any of you men saying or thinking that you want to die for your country. I want you to make those dumb son of a bitches on the other side die for theirs."

Thursday, August 30, 2007

You Don't have to Reinvent The PTSD Management Wheel: ETM in Schools

This post follows the previous one regarding the military's study of ETM TRT, 1990-1992.

Craig Carson, the hands on trainer and contact with the study group, and I began to shift our focus to another organization set that had studied ETM TRT in a similar research process starting as early as 1987. It consisted of school districts being overwhelmed by traumatic events and their subsequent controlling effects by perpetrators. I wrote and Craig trained and implemented the nearly same strategic approach to that constituency. Between 1990 and the end of 1995, Craig trained and implemented ETM TRT into approximately 160 of Texas’ 1051 Districts in 5 of its 6 regions, which in that total consisted of approximately 600 schools. During that time, another study group trained and implemented ETM TRT into it’s district in a major metropolitan area in one of the more deeply plagued communities by violence , drug use and illegal drug sales.

That group concluded their research and study of ETM TRT, including its strategic use application against perpetrators who use trauma as a means of controlling systems targeted for takeover, by recommending to and thus from the State’s Texas Education Agency (TEA) at the annual district wide conference on September 4, 1994, that “All principals, counselors and medical personnel and some teachers in special roles, should be trained in ETM TRT!”

That referrenced group totalled approximately 25,000 professionals. As we were implementing that recommendation our health tragedies (referenced in other articles and my first post to this blog), beginning in 1995 ended our capacities to follow through with that commission. Being alone, Craig returned to his career in psychotherapy. But the model was codiefied as the combat model and like it is available today in the Etiotropic TM educational compendium at http://etiotropic.com/.

Wednesday, August 29, 2007

You Don't have to Reinvent the PTSD Management Wheel: ETM, the DOD and the Military

Why Etiotropic TM™ is NOT the DOD and Military’s Primary Pristine Psychological Trauma Management System Today and Why Incompetency (as in Walter Reed) Rules: Emphasizing the Gulf War of 1990-1991’s Intercession on DOD Planned Implementation of Etiotropic TM™ Following Research and Study

Department of Defense and Military: Their study and research of ETM TRT 1990-1991

In May 1990, a DOD – military education and research group assiduously studied Etiotropic TM (at the time viewed in the context of the clinical component Trauma Resolution Therapy™ - TRT) theory and application. The group’s members, numbering fifteen senior officers, unanimously recognized ETM TRT’s theoretical, application ethical and performance ascendance over all competing models.(1) It also showed that the model, albeit administered secularly (2) in treatment settings, would not adversely affect spiritual – religious beliefs' relationships existing between Chaplains, combatants and their families.

The group consisted of the senior commanding officers of the educational programs established at the military’s and other most well known and respected PTSD related facilities. They included such prestigious combat and medical programs and institutions at, for example, Fort Campbell’s 82nd Airborne Division, the US Army’s educational facility in New Jersey, the United States Marine Corps, Brooks Burn Unit and Fort Sam Houston Hospital in San Antonio, and the most famous of all, our country’s jewel of treatment for US Army combat veterans, Walter Reed Hospital.

After their original ETM TRT studies, I wrote a document, and then as always presented by Craig, as a special consultation for the DOD. It explained how to administer ETM TRT starting with the address of the trauma at the combat event. Then after identifying the relationship of the combatants to that event, ETM TRT would follow the combatants to more secure zones still in theater where some of the clinical component, for example, its short form address of near term trauma (under 90 days), could be administered. Once begun, ETM TRT provided for the continuing address of the event’s etiological effects to the individual’s home base, or following discharge.

That model had a strategic effect. When perpetrators applied traumatic events to individuals for the purposes of controlling them for the sake of power aggrandizement, removal of the trauma’s etiologies (there are two) would remove those perpetrators' controls. Intervention on perpetrators was the consequence.

That consultation which I wrote for the DOD (it would take high levels of authority to implement this strategic aspect of ETM) is recorded as it was in the ETM Tutorial at Etiotropic.com / ETM Tutorial / Professional / Strategic site location. But the best place to read about the strategic aspects of ETM TRT is in the summary (free eBook) version (with examples for near term application in relatively secure theater) entitled Guerrilla Warfare’s Pathogenesis and Cure found on the Etiotropic Trauma Management Trauma Resolution Therapy home, tutorial and online school pages, and also as an addendum to chapter 12 in the online ETM School’s text. It is entitled Etiotropic Trauma Management (ETM) Trauma Resolution Therapy (TRT) Online Training Certification. That latter book is one of a compendium of school supporting texts and is quite voluminous and published on demand with 680 pages of 8 ½ by 11 page size. Because, as I’m chagrined to say, that text book costs $75.00 (also the sales price - free to combat theater Chaplains and therapists) to build, or hand out as a course text, I recommend reading the free Guerrilla Warfare eBook found on the home page to get the idea if you are just forming an initial interest.

The strategic ETM TRT consultation, theory and application referenced in the just noted books is based on Vietnam combat and my experience in ground combat and helicopter operations where I was directly engaged in the processing of the wounded and killed in action. A summary of that experience is described in the ETM Tutorial’s development section. I did not write the consultation strategic focused document based on my personal traumatic experiences of that duty, for example, as if telling a combat story. Instead, I wrote as a combatant in a unique role that gave me tremendous insights into the traumatization of combatants, first respondents, and supervising managers. Of course, I did not think of trauma management at the time, but did so later when learning about trauma through development of ETM. I was also the body guard in all operations of the Commanding Officer, Colonel William Gentry Johnson, later to be Major General Johnson. Being that he was the TACA (onsite - over and on the battlefield, integration of helicopter and fixed wing combat with infantry activities) of every operation, approximately 1 per week lasting from 3 to 21 days, I saw the war and the various infantry - air (helicopter and fixed wing) and ground support (trucks and jeeps) activities, and then how they were evaluated and appraised by the Colonel when sending the "lesson's learned back to the DOD."

I also made those missions such as troop, reconnaissance insertion, emergency medevac, resupply and strike activities from the perspective of the helicopter combatant role, and often and importantly, being left in zones to accommodate helicopters too full with wounded. That fact is important because not only had I been in my own battle scenes, but I was able to see first hand what a responding trauma manager would see and experience entering a battle just following it or during it, and without having direct duties with the ground infantry (grunt / units). That freed me to observe the process. Later again after becoming a student and author of trauma, those observations underpinned the strategic and humane application recommendations I incorporated into the ETM on site trauma managers' duties.

At another time, I will post an article that shows more capacities to apply ETM starting with the battle scene so that you don't have to read the whole book. But quickly, here, so that there is no theoretical or application confusion with Jeffry Mitchell’s CISD, ETM only calls for identification of the event’s relationship to each combatant at the battle site – no grief therapy or CISD client centered methods are applied at the scene, except of course caring for the psychologically and physically debilitated within the parameters of knowing combatants must be stoic if possible and do their jobs during times of carnage.

On return to their respective commands, the study group’s officers began implementation of Etiotropic TM™. For example, at senior staff meetings, ETM TRT was described from the perspective of its theory and application and the study group officer’s descriptions. Application in treatment settings was to begin in tandem with additional professional training of staff therapists, counselors and chaplains. This was the process employed at all referenced institutions and was ongoing throughout the summer when on August 19, 1990, Sadam Hussein’s Iraq invaded Kuwait, beginning the Gulf War of 1990-1991.

Immediately upon the start of the war, the research group’s members were re ordered to participate directly in the war effort. Duty assignments and commands were changed to accommodate the massive deployments to the Gulf region. ETM TRT implementation was put on hold until the war’s end, at which time it was to restart. Regrettably, when that ending came it was followed by a change in administrations at the Executive (Presidency) level, which then engineered a reduction in military and DOD personnel. Our ETM study group and its recommendations were lost in the ensuing military personnel changes beginning in 1992. We then began to apply the ETM strategic values to school districts engaged nearly in guerrilla warfare with terrorist like gangs. That activity, actually starting in 1989, and lasting until 1997 for Craig, is summarized in another post on this blog.

Hence, Sadam Hussein's unfortunate legacy includes derailing the most progressive stance the US Government took on trauma management. The legacy left us with today's PTSD management mess, exemplified in the Walter Reed Hospital scandal described by the Washington Post in a June 17, 2007 article.

(1) From the DOD – Military Study Group (1 of multiple conclusion testimonials)

“For both personnel and organizations, Etiotropic Trauma Management (ETM) is the most effective and comprehensive crisis and trauma treatment program in the country. My interest in crisis debriefing and trauma treatment dates back to working with soldiers on the battle field in Vietnam, returning prisoners of war, and medical personnel in hospital trauma settings. Since the Vietnam war, I have continuously worked with victims of trauma and their families. My studies in crisis and trauma resolution include: Harvard University, the International Society for Traumatic Studies, the programs of Dr. Jeff Mitchell (author of Critical Incident Stress Debriefing), National Organization for Victim Assistance (NOVA) and others.

Etiotropic Trauma Management is a program with integrity. It provides quality treatment and delivers on all of its claims. Other programs tend to decrease anxiety in the debriefing process and the crisis worker tends to feel better for awhile. Later, issues arise, and trauma symptoms may go unrecognized and unattended. Only Etiotropic Trauma Management provides a method for dealing with the acute trauma manifestations.
This trauma management system greatly reduces the chance of a crisis experience affecting their professional and personal functioning. My thoughts are that this system would minimize the worker's compensation claims from traumatic reactions (PTSD) and the acting out behaviors of traumatic stress symptomatology.
When conferring with several professional colleagues who are well versed in crisis debriefing and trauma treatment, all agreed that Etiotropic Trauma Management offers the only complete program for emergency medical service personnel. I am a career Army Officer and currently assigned to Brooke Army Medical Center, San Antonio, Texas. Etiotropic Trauma Management is the program we are considering for use in our medical center.
We recently trained personnel so that the program can be recommended. ETM does not create victims; it resolves the impact of crisis and trauma. I urge EMS (Emergency Medical Services) organizations to give their personnel the best program possible, Etiotropic Trauma Management (ETM) and Trauma Resolution Therapy (TRT).

Very truly yours,

Gerald W. Conner CH (LTC) US Army”

EtiotropicTM OPED: Just Effective or Cure? Integrity? Only Complete Trauma Management?

Tuesday, October 27, 2009

The Evidenced-Based - Cognitive Behavioral Therapy – Self Help and Government Merger: Monopolistic Cultural Infusion of Behavioral Whack-a-Mole