The brainstem is developed, soothed, and repaired through experiences that are rhythmic, repetitive, relational, and somatosensory
Bruce Perry, MD, PhD
This is part 3 of the Strengthening the Foundation of the Brain series. I kicked off the series two weeks ago with a blog and podcast on the importance of taking a Neurodevelopmental Approach with kids who have experienced early trauma, toxic stress, or other experiences that have impacted the development of the foundation of the brain.
Keep reading or listen on the podcast!
Last week, I had the great pleasure of interview Melissa Corkum about The Safe and Sound procotol– a listening intervention that has been carefully created to offer the brain auditory experiences that can organize and in a way, reset, the autonomic nervous system (brainstem).
Strengthening the Foundation of the Brain
When we lived in Texas, we had to water the foundation of our house.
Like a garden.
I thought this was pretty weird but apparently this is one of the ways you keep the foundation of your house nice and strong.
When the foundation gets weak, the house starts to crack. At the ceiling! A weak foundation impacts the very top of the house.
A weak, underdeveloped, and poorly organized brainstem- the foundation of the brain- impacts the top of the brain: the cortex.
Guess what the cortex does?
The cortex allows for cause and effect thinking- thinking about consequences and taking that into consideration before doing something.
The cortex helps us understand what another person is experiencing (this contributes to empathy).
The cortex stores all our coping skills. Things like “I’m starting to get stressed- I should take a break and go for a walk!”
The cortex helps us find our words. Things like “I’m feeling angry!”
The cortex helps our brain slow down enough that there is a pause before we react- a moment where we can identify what’s happening and think about what the most appropriate thing is to do.
When the foundation of the brain is shaky, a little amount of stress can metaphorically collapse the brain. The cortex goes off line, the lid is flipped, and there is no thinking, only doing.
Teaching our kids coping skills is very important- but remembering that they can only use them if their foundation is strong enough to not collapse under stress is also important.
What does the brainstem do?
The brainstem is the lowest, most inside region of the brain. It sits at the base of the brain and connects the skull brain to the spinal cord. The brainstem is the first part of the brain to really wire up, flourishing with neural connections. The brainstem is organizing and developing in utero and is working pretty effectively in healthy, full term infants.
The brainstem is responsible for all the things our brain and body does automatically- in fact, it’s called the autonomic nervous system.
Heart rate, respiration, and most importantly in this Strengthening the Foundation fo the Brain series- the regulation of energy and arousal in the nervous system.
It can be easy to overlook the relationship between energy, arousal, and behavior because we’ve been taught to believe the behavior is largely deliberate, intentionaly, and something we do with a lot of thinking.
Almost all behavior is implicit.
Meaning, almost all behavior is autonomic. Most behavior happens without us thinking about it, though without a doubt, we can strengthen our brain to have the ability to slow down and think about more behavior (not all).
A much more effective path toward changing behavior isn’t encouraging kids to think about their behavior more.
It’s to change the energy and arousal in the nervous system that is driving that behavior.
Rhythmic, Repetitive, Relational, and Somatosensory
The brainstem is developed, soothed, and repaired through experiences that are rhythmic, repetitive, relational, and somatosensory (Bruce Perry, MD, PhD).
The brain develops from the bottom up and the inside out (Perry) and the brainstem is the first part of the brain to fully develop.
It’s the bottom-most and inside-most part of the brain.
This part of the brain is really coming together in utero and shortly after birth…when babies are getting a lot of what? Rhythmic, repetitive, relational, somatosensory experiences.
Floating in a cushy bed of amniotic fluid while mama walks is HIGHLY rhythmic, repetitive, relational, and somatosensory. Every part of baby is having a deep sensory experience while being completely enveloped by amniotic fluid.
And how about the always-present beat of mama’s heart? The average human heart rate is the perfect tempo for regulation!!!
Rock, Bounce, Up, Down
With tiny babies, we swaddle, we hold, we wrap up…we pick up, put down, rock, bounce. All I have to do is take hold of a baby doll and I’m almost instantly bobbing up and down.
Watch new parents looking at the dairy wall in the grocery store…staring at a sea of yogurt options, bleary eyed and struggling to even remember what’s on their list….and gently bobbing up and down with a little bend in their knees while holding baby close to their chest.
These instinctual ways of being with a baby are continuing to support the development and regulation of the brainstem.
Kids are rhythmic!
For YEARS children are focused on rhythmic, repetitive, relational, somatosensory experiences. They run, jump, hop, skip, roll balls back and forth….the DANCE!!!
As more and more of their brain comes on-line and they develop more and more gross motor skills and capacities, they continue to engage in regulating and brain-building activities. We are designed for this!!
This is truly some of my favorite research when it comes to brain development because we can harness the powers of rhythmic, repetitive, relational, somatosensory activities when helping children who experienced traumatic, stressful, or neglectful early caregiving. Too much harsh sensory input, or too little sensory input, may have delayed the development of a strong foundation of the brain.
When the foundation is shaky, everything collapses in a moment, with seemingly little stress.
One of the most important things we can do with children who have experienced early complex trauma or toxic stress is PLAY WITH THEM.
Intentionally thinking about the concepts of rhythmic, repetitive, relational, and somatosensory helps, but if that feels like too much, just play!
Playgrounds! Balls. Catch. Race to the end of the driveway. Skip everywhere! Blow cottonballs back and forth. Dance and drum!!! Fill up a bin of water beads and hide ‘treasures’ inside.
BUT!!! Don’t forget about the crucial importance of RELATIONAL!!! We have to play WITH them. To organize and regulate the brainstem our kids need experiences engaging in the rhythm of relationship, the back-and-forth serve-and-return that happens when two people come together.
That’s a non-negotiable piece of this equation.
Get them moving!
Kids starting to melt-down and lose their mind?? MOVE THEIR BODY! Add a yoga ball to homework time. Keep these ‘Get Moving’ (no affiliate!! I just think they’re cool!) cards nearby and have them draw two every five minutes.
Be sure your child is drinking (something thick is great!!!) or maybe has a crunchy snack or thick bubble gum.
All of these experiences are what??? Rhythmic, repetitive, relational, somatosensory.
Adding in more movement will probably not solve ALL of your problems, but I can almost guarantee it will bring SOME regulation. And it sure is a lot more fun and easier on your relationship than lectures and consequences. Especially because these activities are regulating for us too :) We are more likely to smile, be relaxed, and tolerate stress when WE are engaging in these activities too!!
Which is very, very good for you, your child, and your relationship.
Be creative…have fun…ENJOY!!