ＰＡＲＴ３

Ｍｉｎｄｆｕｌｎｅｓｓ ＳＩＭＴ
for Trauma & PTSD

Ｍｉｎｄｆｕｌｎｅｓｓ SIMT・One of Mindfulness Therapy
・Developed by Japan
SIMT:Self Insight Meditation Therapy

By Kenjirou Ohta
（Japanese Association of Mindfulness Psychotherapy）

PTSD
Posttraumatic StressDisorder• (A) avoidance– avoidance from an experiencesimilar to the injury experience thatthe person was exposed to– Evasion actions such as theremembrance evasion of the injury
experience itself• (B) Intrusive recollection (flashback)• (C) Injury often re-experience in thedream• Change of a manner, the action– A social action becomes difficult

Change in the brain of PTSD
• Hippocampal atrophy• Change that was seen in the victimof the great earthquake disaster– Atrophy of cingulate cortex,CC– Atrophy of Orbitofrontal cortex,OFC• OFC– control of fear feelings– delete memory of the fear

• Front part of CC– Memory and Removal of the trauma

SIMT for PTSD/Trauma• Once a month, twohours,counselling by therapist• Daily hｏｍｅｗｏｒｋ• Submission of Ｒｅｃｏｒｄ Ａ• Ｇｅｔ ａｄｖｉｃe ｆｒｏｍ Therapist• Ｓｅｓｓｉｏｎ １ ｔｏ １０• Afterwards，client plans theexposure method by oneself andcarries it out

Ｄａiｌｙ Ｈｏｍｅｗｏｒｋ• Ｗｏｒｋ Ａ Early Getting up• Ｗｏｒｋ Ｂ Ｅｘｃｅｒｃｉｚｅ・Ａｃｔｉｏｎ• Ｗｏｒｋ Ｃ Ｍｅｄｉｔａｔｉｏｎ• Ｗｏｒｋ Ｄ Ｉｎｓｉｔｅ ｏｎ Ａｃｔｉｏｎ• Ｗｏｒｋ Ｅ （Change by Session）– S1=Ｏｂｓｅｒｖe ｉｎ ｄａｉｌｙ Ｌｉｆｅ
– S2=Ｎａｍｉｎｇ of Psychology
phenomenon• Ｗｏｒｋ Ｆ （Change by Session）– S1=Observe on Eating– S2= Move attention intentionally• Ｗｏｒｋ Ｇ Ｍｙ Ｏｗｎ Ｗｏｒｋ

Ｅｆｆｅｃｔ ｔｏ Ｔｒａｕｍａ／ＰＴＳＤ
Ｆｒｕｓｈｂａｃｋ of ＰＴＳＤ and
Depressive Disorder

Case1
Case3
Case6
Case9

Case4
Case5
Case8
Case10(18months)
StartEnd ⇒Half YearWhy Ｃured By SIMT?
★A new reaction pattern becomes a custom– Improvement of the acceptance of an
unpleasant thing- Negative thought decreases– Constructive actions increase★As a result
 Psychological satisfaction, self-affirmation
 Change of the cranial nerve☆ Activation ＝ prefrontal cortex、PFC（ｗｏｒｋｉｎｇ ｍｅｍｏｒｙ、 Repressibilit ）、
Parasympathetic nerve 、 Serotonin nerve、hippocampus）☆ Calming ＝inside prefrontal cortex、PFC （negative thinking)、 sympathetic
nerve、 amygdala（Emotion）、 Adrenal
cortical hormone
 The part that caused a symptom isnormalized Recovery of the social action functionConsideration of the reason to
be cured by SIMT
★Similarity with EMDR
Ｔｒａｉｎｉｎｇ ｏｆ Distribution of the attention
Watching, remembrance of the trauma, simultaneous
observation of unpleasant feelings★Ｔｈｉｎｋ／ｎｏ－ｔｈｉｎｋ
When person repeats training of the restraint of theremembrance, as a result, he/she does not remember.
★ Polyvagal Theory”The Pocket Guide to the Polyvagal Theory” byStephen W. Porges,2018” The mindfulness requires to be neutral ・・・。
It is not compatible with the defense state to have to
get a good evaluation for survival.“”(Japanese version p245)
However, SIMT ｗill be effective against depression
and PTSD because SIMT attaches great importance tothe on-site training in the spot of life that is personal
relationships to evaluate and to be evaluated.

Ｃａｓｅ★Ｗｏｍａｎ in her 40s★A certain event happened. Intense fear. She
tried medical therapy, the breathing method,exercise, but was not cured.

★Symptom at start of SIMTＮightmare, flashback, suffocation,
hyperpnoea, formication, the throat that is asound and a shadow☆ Evasion, associated topic, TV, experience★Ｐｒｏｃｅｓｓ of SIMT
One time of individual interview
Five times of group sessions
Sending and advice of the diary by the mailA symptom became light in 18 months

Prefrontal Cortex, CingulateGyrus,Hippocampus

Tohoku Univercity• Change that was seen in thevictim of the great earthquake
disaster– Atrophy of cingulate cortex,CC– Atrophy of Orbitofrontal cortex,
OFC

http://revive.doorblog.jp/archives/8462759.html
https://www.tohoku.ac.jp/japanese/2012/05/press20120516-02.html

Think/No Think• Anderson and Green• http://koumurayama.com/koujap
anese/unwanted.pdf