Abstract

Memory reconsolidation research by neuroscientists has demonstrated the erasure of emotional learnings. This article reviews these historic findings and how they translate directly into therapeutic application to provide the clinical field with an empirically confirmed process of transformational change. Psychotherapists’ early use of this new, transtheoretical knowledge indicates a strong potential for significant advances in both the effectiveness of psychotherapy and the unification of its many diverse systems. The erasure process consists of the creation of certain critical experiences required by the brain, and it neither dictates nor limits the experiential methods that therapists can use to facilitate the needed experiences. This article explains memory reconsolidation, delineates the empirically confirmed process, illustrates it in a case example of long-term depression, indicates the evidence supporting the hypothesis that this process is responsible for transformational change in any therapy sessions, describes the differing mechanisms underlying transformational change versus incremental change, and reports extensive clinical evidence that the basis and cause of most of the problems and symptoms presented by therapy clients are emotional learnings, that is, emotionally laden mental models, or schemas, in semantic memory.

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FIML practice works most of all because it focuses directly on memory formation and reconsolidation, thus allowing beneficial changes to be made quickly in real-time. Discussions of how this is done can be found here: Memory reconsolidation as key to psychological transformation and here: Disruption of neurotic response in FIML practice.

Below is an excerpt that explains how memory reconsolidation works. FIML does precisely what is described below in real-time, real-world situations as they arise between partners or when they are together and something else arises. ABN

The Erasure of an Emotional Learning

MR research by neuroscientists has demonstrated that an emotional learning is nullified by the following set of three experiences, which have therefore been termed the empirically confirmed process of erasure (ECPE) (Ecker 2018). Hundreds of MR research studies have used a vast range of different procedures and protocols to produce these experiences (reviewed by Ecker 2015, 2018), which means that what the brain requires for erasure of an emotional learning is not any particular external procedure, but rather the internal occurrence of these three subjective experiences, whatever may be the external procedures that create them. Therefore the ECPE does not dictate or favor the use of any particular therapeutic techniques, and psychotherapists are free to facilitate these critical experiences using any of the therapy field’s vast array of experiential methods.

1. 1.Reactivated, Symptom-Generating Target Learning Experienced in AwarenessThis is the deliberate use of salient cues or contexts that reactivate the target emotional learning or schema underlying the client’s presenting symptom or problem. For example, a woman in therapy for depression and absence of motivation was cued into reactivation of her lifelong schema that had newly come into awareness and was verbalized as, “Mom sees and knows everything I ever care about or do, and then takes over and takes away everything I ever care about or do, which feels devastating for me, and my only way to be safe from her pillaging is for me to care about nothing and do nothing.” To assure that the schema is being directly accessed at its roots in the emotional learning and memory system and is not merely a cognitive insight, it is critically important that the emotions accompanying the reactivated schema are fully felt affectively and somatically while the schema also is cognized verbally and conceptually. Note that the schema is at core a mental model, from which are generated particular emotions, which in the example above would include helplessness, hopelessness, fear, desperation, despair, aloneness, and the deep pain of feeling used, pillaged and eclipsed in this way by her own mother. How that schema was found, brought into awareness, and then disconfirmed and unlearned is described in the case vignette in the next section.
2. 2.Experience of Mismatch/Prediction Error Destabilizes the Target Learning’s Neural EncodingWhile the target schema is reactivated in awareness as described above, this is an additional, concurrent experience or knowing that contradicts what the client knows and expects according to the schema. This is termed a memory mismatch or prediction error experience by memory researchers. In response to this experience of the world differing from the target learning’s expectations, the client’s brain rapidly transforms the neural encoding of the target learning from its stable, consolidated state in long-term memory into a destabilized, de-consolidated, labile state, which is susceptible to being updated and re-encoded by any relevant new learning that may occur next. This destabilization, which requires and is triggered by the mismatch/prediction error experience, begins the reconsolidation process.^Footnote2 The labile, destabilized condition persists for about 5 h, widely termed the reconsolidation window, after which the neural encoding automatically reconsolidates, that is, it returns to a stable state in long-term memory. The case vignette below describes how a contradictory knowing was found for the schema of the depressed woman, creating the needed mismatch experience.
3. 3.Experience of Counter-Learning Drives Unlearning, Nullification, Re-encoding and Replacement of Target LearningThis experience consists of just a few repetitions, during the rest of the therapy session, of the same mismatch experience created in the previous step. Each mismatch is a juxtaposition experience, in the sense that the client experiences both reality according to the target learning and a contradictory perception or knowing, with both in the same single field of awareness. Two or three repetitions of that juxtaposition experience serve as counter-learning that functions as an experiential disconfirmation of the target learning. Because the counter-learning is occurring while the encoding of the target learning is labile, the counter-learning rewrites and replaces the encoding of the target schema in memory. As a result, the target learning no longer exists in memory, so it cannot be reactivated and cause a relapse. The target learning is a model of the world in semantic memory, not an episodic memory of specific events and experiences; the latter is not erased. The unlearning of the target learning’s version of reality is the profound resolution of a core emotional issue in the client’s life, as noted earlier.^Footnote3 Successful erasure of the target learning is then verified by observing the markers of transformational change beginning to appear immediately: the symptom(s) driven by the target learning cease to occur; the target learning itself, which previously was felt as a potent and horrible truth of the world, no longer feels true or real and is not reactivated by situations that formerly did so, eliminating a problematic, distressed ego state; and those changes persist effortlessly and permanently. If the same counter-learning occurs without first finding, reactivating and destabilizing the target learning (steps 1 and 2 above), the counter-learning only creates its own encoding separate from that of the target learning. In that case, the two learnings compete for control of behavior and state of mind, producing at best only incremental change that is prone to relapse when the emotionally more intense target learning becomes newly retriggered by current circumstances.

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An advantage of FIML as therapy for unwholesome or unwanted schema is FIML is mostly done in real-time, real-world situations so the schema is right there in front of you clear as a bell in your own mind. You can see it and see very clearly how it is distorting reality.

Therapies that work by recalling unwholesome schema in a professional settings have the advantage of: 1) relying on a professional; 2) avoiding doing this work with your spouse or best friend; and 3) aiming for wholesale erasure of the schema once and for all.

FIML practitioners could use a schema method to do this but generally FIML works by focusing on the unwholesome schema the moment it arises and whenever it arises in the real-world (conditions permitting). This method erases or extirpates the unwholesome schema by observing its maladaptive dysfunction as many times as needed.

FIML is also able to deal with more than one maladaptive schema, and in real-life there are many, without causing confusion because when unwholesome schemas are encounter in real-world, real-time, their structure and origins are generally easily seen for what they are.

Many unwanted schema can be extirpated with just a few FIML exchanges. Some are more stubborn and may require more time and multiple occurrences.

Another advantage FIML has is it prevents new schemas from arising and taking hold. Unwholesome schemas do not all come from the deep past or from childhood. Schemas also arise later in life and often are based on serious misinterpretations. FIML is very effective at stopping schemas of this sort immediately, before they can consolidate and cause harm.

I would add that unwholesome schemas exist in virtually everyone and often we are dealing not with our own schemas but those of others. FIML partners can eliminate problem schemas between themselves, but often do no more than recognize them in others. However, understanding ourselves through FIML practice does help us understand others much better, and how deal with them more compassionately due to that understanding. ABN