Special Contribution Paper

Toward SAT Theory of “Emotive Cognitive Behavior Therapy“That Promotes

Changes in Behavior
Munakata Tsunetsugu, Dr. HSc.
Developer of SAT Method
Institute of Emotive Cognitive Behavioral Therapy
Emeritus Professor , University of Tsukuba
Contact：：munakata21@yahoo.co.jp

Summary
In order to promote changes in behavior that will empower you to solve your problems by yourself, you need to beable to perceive yourself as having a self-image that does not worry about what others around you may say or do, is calmand self-confident, is able to act cheerfully and is amiable to others. By contrast, if you perceive yourself as having aself-image that worries about what others around you may say or do, is emotionally unstable, lacks self-confidence, isgloomy and acts with hostility and skepticism towards others, you will be chronically stressed and unable to change yourbehavior in a way that will enable you to solve your problems by yourself. Since being cognizant of one’s self-image that
determines behavior is in a significant way determined by the sum of your past self-image memories, you need to either
refrain from relying on your memories or change them. Kishitsu (or temperament) Coaching is based on the SAT methodof health counseling. It guides you to understand your inherent temperament, which are based on characteristics suchexternal appearance and expression, behavior and attitude. By understanding your temperament, you will be able toobserve yourself and others objectively, and this will enable you to lower your excessively high expectations of yourself
and others by developing self-cognition or other-cognition that is “not based on past memories.” In this way, you will beable to expand the possibility of reducing your own stress and improving your relationships with others.
The discovery of microchimerism and the like has revealed that what you believe to be your own experience may infact be what you understand to be your own experience that reflects the genetic activity or the firing pattern of the nerve
cells of others. As a result of the influence of the nerve cell activities of another person’s organ or those of the baby in thewomb, organ recipients or expected mothers experience changes in the self as well as in their behavioral tendency,
preference and attitude. They have difficulty changing their own behaviors, not because they cannot change theirself-image, but because they cannot change the image of others they harbor in their own minds. In this connection, it may
be possible to develop SAT Therapy into an Emotive Cognitive Behavior Therapy (ECBT) that will voluntarily promote
your own problem solving behavior through the action of the frontal cortex by identifying the facial images that substitutefor the facial expressions of the chimeras in your body, thereby suppressing the excitability of the amygdala thatpossesses facial responsive nerve cells, and restoring your own capacity to think, judge and behave adaptively.

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Keywords: Structured Association Technique (SAT); self-image; Kishitsu coaching; microchimerism; ECBT (Emotive
Cognitive Behavior Therapy)

1. Introduction
How you determine your own behavior depends on how you view yourself, i.e., yourself-image. Those who have a negative self-image are unable to act positively． Such individuals
will not be able to act cheerfully because they worry so much about what those around them may
say or do that they cannot remain calm and are emotionally unstable, lack self-confidence andare gloomy. Moreover, such individuals will not be able to be amiable with others, and instead act
with hostility or skepticism toward others. On the other hand, since those who have a positive
self-image are not concerned about those around them, they are calm, self-confident and areable to act cheerfully. Such individuals are able to be amiable with others.
At first glance, it may appear that anyone who is able to improve their social reputation orsocial status and increase their influence over others will be able to promote their own positive
behavior. However, since people like that will continue to perceive themselves as having aself-image that worries about what others around them may say or do, is emotionally unstable,
lacks self-confidence, is gloomy, is unable to be amiable with others, and acts with hostility andskepticism toward others, they will remain under stress and end up frustrated, chronically ill andaccident prone.
The perception of self-image that determines your own behavior is determined by your past
self-image memories. This is why you will not be able to change your behavior if you leave yourbelief about your past self-image unchanged. To be able to change your behavior and solve yourproblems by yourself, first of all, it is important that you change your belief about your self-image.
To see how the seminars and training based on SAT Therapy are helping clients change theirself-image assumptions (scripts), you only need to look at the educational effects that SAT
Therapy has wrought as described in the Research Committee Report of Academy for HealthCounseling which annually appeared in the Journal of Health Counseling.
SAT Therapy is designed to promote changes in behavior that empower you to solve yourown problems by yourself without relying on your past self-image memories. This paper will
theoretically examine how SAT Therapy may be able to help you overcome assumptions of past
self-image memories.

2. Kishitsu Coaching Method Promotes Changes in Behavior to Memory
Assumptions
1)

The Kishitsu coaching method forms the overall basis of SAT Therapy, which has been

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applied since 2006. Kishitsu coaching guides you to realize your life so that you will be able to
make the best of your own Kisitsu(or temperament) by applying your knowledge of genetic
temperament to deepen your understanding of the self and that of others, thereby enabling you
to engage in self-care behaviors suited to your own genetic temperament. Kishitsu coaching is
indeed an attempt to promote your understanding of the self and that of others without relianceon “past memories of the self.” Kishitsu coaching tries to change the level of expectation you
have of yourself and others to the level that is closer to the level of expectation that does notplace undue pressure on the self or on others. Understanding temperament based on external
appearance and facial expression, speech and behavior, and attitude leads to an objective
observation of the self and others. After you undergo Kishitsu coaching, you will be able tochange your perception of yourself and of others, as well as lower the level of expectation you
have of yourself and of others. This in turn will expand the possibility of reducing your own stressand improving your relationships with others.
Of course, since “observation” of the self or of others itself is determined by past memoriesof the self, it is possible that self-cognition as it really is may be distorted. That being said, it
makes a world of difference whether you have a solid knowledge of KIsitsu(or temperament) ornot, and if you continue your observation of the self for a long time, you will be able to come toterms with yourself as you are and with others as they are.
In addition, Kishitsu coaching is a coaching method that involves setting a goal ofdeveloping a positive self-image that will enable you to avoid worrying about what those around
you may say or do and instead express your true feelings while remaining calm andself-confident. After this goal is set, medium goals are established followed by small goals.
Kishitsu coaching is structured to guide you to first achieve your small goals then your medium
goals and finally your big goal. After undergoing Kishitsu coaching, you will be able to engage in
specific and realistic self-care behaviors based on genetic temperament. In the coachingprocess, you are shown “a list of behavioral goals” and asked to select the ones that first come toyour mind. It is Kishitsu coaching that makes it possible to support specific and small goals thatare also practical by applying SAT (Structural Association Technique), a therapeutic method1)designed to promote structured inspiration using ” a list of behavioral goals” .

3. SAT Imagery Therapy Changes the Image of Others in the Self
When you undergo Kishitsu coaching, you realize that the kisitsu(or temperamentcharacteristics of the self are not monolithic but rather overlap a variety of kisitsu characteristics
that manifest themselves in different situations. Thus it is necessary to identify the different
kisitsu characteristics that are manifested in different situations and take advantage of eachsituation. It is still unclear, however, why a variety of kisitsu characteristics are manifested inInternational Journal of Structured Association Technique No.5

21different situations. Given that the research on microchimerism discussed below suggests thepresence of a multitude of others within the self, it is natural that a diversity of kisitsu
characteristics should express themselves.
As the research in microchimerism began to make progress in 1990s, it became clear that,even when one talks about the self, the self is expressed in a diversity of ways. First of all, as is
generally known, it is a biological fact that more than 80% of all fertilized eggs of humans die in
the female uterus. The cells of the fertilized egg that has died, the cells of the embryo or those of
the pre-fetus (4-7 week after fertilization) or those of the fetus may get into other parts of themother’s body, or in case of multiple conceptions, the fetus may fuse with other fetuses. Or,
alternatively, if it is you who has become pregnant, the cells of your deceased brother or sistermay enter your body via your mother. Consequently, researchers have confirmed that even cells
that were not born as individuals may share the inside of your body as chimeric cells with thechimeric cells of at least three generations of blood relatives, namely, parents, siblings and2)children. J. Lee Nelson refers to this phenomenon as microchimerism.

Fig 1. Distribution of chimeric cells found in pigmentation photographed with3

ultraviolet ray ）As the term suggests, microchimerism cells (cells that have genes of other people) get
inside our bodies (Figure 1). For example, in the United States, brains of 183 female corpse
ranging from 35 to 101 years old at the time of death were studied. A solid 65% of the female
4)

brains were found to contain male chimeric cells .
So, in that case, the genetic activities as well as the genetic expression patterns and neuralInternational Journal of Structured Association Technique No.5

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firing patterns of other people’s nerve cells

Note 1)will affect both your mind and body without yourbeing aware of them. In other words, it is possible that what you thought to be your own
experience is in fact your understanding of the experience that reflects the genetic activities or
the firing patterns of other people’s never cells. And, being influenced by the nerve cell activitiesof other people’s organs or those of the fetus, you may experience the same changes in the self
as well as in their behavioral tendency, preference and attitude that organ recipients andpregnant women experience.
In this way, even though people are unique individuals, there are chimeric nerve cell
activities of many relatives who possess temperament genes different from one’s own. As aresult, the nerve cell activities that the self produces and those that others produce are mutuallycontradictory, and this makes it difficult to maintain one’s identity as distinct from that of others.
From this, it is clear that living as individuals is inherently difficult. The reason it is difficult tocontrol the self is not that changing the self is difficult but rather that changing the others inside
the self is so much harder. If this is the case, then the only recourse is to develop a method forcontrolling the nerve cell activities of the others inside the self.
In our bodies there are chimeric cells that possess genes that are different from those of
the self. As can be seen in Figure 2, this is scientifically demonstrated by the tie-dying of the5)chromosomes.

White blood cells(CD45+ cells) are approaching to attack
chromosomes X (red) X (red) that indicate the female cells of
the non-self found inside the sex chromosomes X (red) Y(blue) that indicate the cells of a male with autoimmunity and5)

Fig 2. Chimeric cells of female found inside the pancreas of a male Type 1 diabetic

As shown in Figure 2, the existence of chimeric cells inside your body cannot be understoodwith the left side of the brain (which processes logical thinking), unless you take steps tovisualize the chimeric cells by tie-dying them with chromosomes. However, you can haveanother person read the questions in Q1 and Q2 of Table 1 while you keep your eyes closed, or
you can continue the SAT image therapy by using an IC recorder. In this way, the right side of
the brain (which processes intuitive thinking) should be able to discern the difference between

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cases where there are no chimeras and cases where there are. In other words, although the““Self-Realization Support Therapy Sheet Based on a Simplified Three-Generation Method”
presented in Table 1 was not developed until 2013, if it is assumed that “all of the chimeric cells
in your body are carried to term and are no longer in your body, as strange as it seems, in nearly
all cases, you will have a favorable image of the inside of your mother’s womb. When you areable to form such a favorable image, as is evidenced in your response to Q1, you will, without
question, perceive yourself or your parents as having a smiling or peaceful face, and your own
personality as “having a cheerful and amiable self-image that does not worry about what othersaround you may say or do and is calm and self-confident.” On the other hand, if the chimeras are
not born and instead remain in your body, in almost all cases, you will worry about what othersaround you may say or do, be emotionally unstable, lack confidence, be gloomy, not be able tobe honest with others, and act with hostility and skepticism toward others. In short, if the self
does not carry any chimeric cells in its body, it will have a cheerful and amiable self-image that
does not worry about what others may say or do and is calm and self-confident, However, if you
are under the influence of the chimeric nerve cell activities, you will intuitively be worried about
what others around you may say or do, be emotionally unstable and gloomy, lack self-confidence,
be gloomy, and act with hostility and skepticism toward others. This may be because chimeric
nerve cell activities are accompanied by fear and other negative emotions. There are a few
exceptions, but in most cases, people are intuitively able to form this kind of self-image. Even if
the person undergoing therapy is unaware of it, the right hemisphere of the brain knows how theexistence or non-existence of chimera affects self-image and images of the parents differently.
As is shown in Table 1, the reason such results are obtained when SAT Therapy uses
activities of the right hemisphere of the brain is that patients undergoing SAT Therapy are unable
to take notice of concrete thought processes. Instead, they have to respond using only their“inspiration.” Generally speaking, those who do not use the creative activities of their right brain
find it hard to have inspirations, and even if many of those who manage to have inspirations, theylack confidence in the validity of their inspirations. Particularly, since those who have difficulty
engaging in emotive cognitive behavior usually use their left brain activities but not their rightbrain activities, they need to train themselves to have inspirations. In some cases, those who arepoor at having inspirations may increase their left brain activities by using a physical contact
therapy in conjunction with SAT Therapy.
And now, as strange as it seems, when you respond to Q4 and Q5, you will intuitively realize
why those of us who have chimeric cells worry about what others around them may say or do,
are emotionally unstable, lack self-confidence, are gloomy and develop a self that predisposes
them to act with hostility and skepticism toward others? If your original self is able to perceive
your personality as “having a cheerful and amiable self-image that does not worry about what

International Journal of Structured Association Technique No.524others around them may say or do and is calm and self-confident,” in Q3, ask yourself which typeof emotion prevents you from realizing your original self: anxiety: anger or sadness. If, say, youranswer is anxiety and you find in the SAT Emotions Table an inner voice that symbolizes thatemotion, you will wonder, “How is this going to end?” And if you cry out that inner voice often
enough, you will be able to find a physical discomfort with a subjective stress level of about 80%
such as the “tightening of the stomach.” You will be able to experience how a multitude ofchimeric nerve cells have spread as a result of not only the tightening of the stomach but also thecoalescing of different parts of the body such as the shoulders and the back where that inner
voice has been crying out over and over again. You will have the same sort of experience evenwith a chronic source of stress such as a marital problem or a workplace related issue, and theemotions behind that stress will be felt in the same order: first, the inner voice, then, the physicaldiscomfort.
Next, if you close your eyes and feel the physical discomfort, as strange as it seems, you will
be intuitively able to see different facial expressions, including a horrified face, an anxious faceand a sad face, and know intuitively, with the somatic sensation in the parietal lobe and themultiple sense of fusiform gyrus that recognizes facial expressions, whether those faces belong
to a man or a woman６）（Figure 3）.

Fig 3.

Multiple sensations of inferior parietal lobule, etc. bearing the fusiform
gyrus that recognize facial expressions and their somatic sensation６）

And if you consciously try to feel those facial expressions while closing your eyes, you will
intuitively experience negative emotions accompanying such feelings as fear, anxiety, anger andsadness. However, normally, even if you should become conscious of a physical discomfort suchas the “tightening of the stomach,” you will not be conscious of those unpleasant facial
expressions. That being said, even if you are not conscious of them, it is conceivable that thefiring patterns of the nerve cells that create images actually appear in the visual associationcortex. Those unpleasant facial expressions are projected onto the faces of those around you,and it is probably these faces that you are reacting to when you experience negative emotions.
However, since that would make only external stressors problematic, you will not believe thatwhat is projected onto the faces of those around you are only responses to feelings and images
formed inside the self. As you well know, with relationship issues, no matter how close the parties

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concerned may come to resolving them through discussions, fundamental solutions are
impossible to achieve. This is probably because no one realizes that human relationships arephenomena that occur when chimeric nerve cell activities inside the bodies of the persons
concerned project feelings and images onto their faces.

Fig 4. The enlargement of the induced cephalic portion of the spine7）*Figure 4 shows the enlargement over time of the cephalic portion of the spine induced by a stimulation in which a numberof nerve cells fire simultaneously. It also shows that the enlargement of the cephalic portion is unique to the spines thathave been stimulated and does not spread to neighboring spines.

Even when the self is unaware, the emotions and physical discomforts that cause chronic
stress may be produced by chimeric nerve cell activities. The dendrite of a single nerve cell has
anywhere from several thousands to several tens of thousands of spinal memories that havememories of the kind of chemical substances, light, oscillations and so on that they haveaccepted to this point（Figure 4）. It is said that the phenomenon of memory transfer that organ
donors experience has been reported many times. For example, if an organ donor has spiralmemories of feelings that make him/her want to be tied to things like alcohol, nicotine
noradrenalin, the recipient of that cell will tend to replicate the behavioral characteristic of having
8

a liking for the stimulation that alcohol and tobacco provide. ）At smoking cessation clinics, a typical treatment involves injecting nicotine into a patient’s
skin in place of smoking. As long as nicotine is in the body, strange as it may seem, the desire tosmoke disappears. The spinal memories of a neurocyte dendrite that desires nicotine excite theparasympathetic nerve that possesses nicotine receptors, and then crave to replicate the firing
pattern that induces relaxation.
As with dependency on nicotine, which has a relaxing effect, spinal memories of chimeric
nerve cells are postulated to be dependent on emotive substances (adrenalin, vasopressin, CRF,
oxytocin, etc.), and the firing pattern (transmission of change in membrane potential) that may
replicates emotions caused by emotive substances (fear, excitement, anger, sadness, affection,etc.). It is believed that the individual chimeric cells that disappeared inside the womb havenegative emotions that accompany the disappearance of those cells. And, although it may be
hard to believe, research suggests that it is these negative emotions that cause people to have aself-image that predisposes them to worry about what others around them may say or do, beInternational Journal of Structured Association Technique No.5

26

emotionally unstable, lack confidence, be gloomy and have feelings that make them act withhostility and skepticism toward others.

Table 1.

Original Self-Realization Support Sheet Based on a Simplified Three-General
Method©Tsunetsugu Munakata 2012

Q1. Most people are unaware that over 80% of all fertilized eggs die without ever attaching to theuterine wall. However, most cells in the embryo and fetus of a presumably dead fertilized egg are
fused together as chimeras – indirectly through the mother and directly with you in the womb.
Ignore these biological facts and assume that the lost chimeric relatives were all born. Now,
close your eyes and imagine yourself in your mother’s womb, floating in the amniotic fluid withthe uterine wall all around you, and enjoying the sensation of floating. Imagine that your chimeric
relatives, with a smile and a calm look on their faces, are waiting to welcome you into the world.
Assume that there are no fused chimeras inside your body. What sort of image do you haveof the time you were still in your mother’s womb? Does your mother’s womb feel warm and soft?
What kind of image do you have of your facial expression and that of your father and motherwhen you were in your mother’s womb? Also, if you had such an image of your mother’s womb
and the facial expressions of your parents, and you were able to see the smiling chimeras, whatsort of character would your self-image come to have as you go through childhood, laterchildhood, adolescence and adulthood? Would it be “emotionally stable, emotionally unstable,
worry about what others say or do, not worry about what others say or do, cheerful, gloomy,
self-confident, lack self-confidence, amiable, hostile, skeptical, or some other characteristic(_________)?

●Womb image●Self-image●Your own facial expression●Facial Expression of mother’s and father’s,

stable or unstable, worry (not worry) about people around you,, cheerful,gloomy, self-confident, lack self-confidence, amiable, hostile, skeptical, other ()

Q2. Again, close your eyes. This time think about your relatives, siblings, children and so on,
and assume their lost chimeric relatives have amalgamated to your body. What’s the inside ofyour mother’s womb like? Does it feel crammed? How about the temperature inside thewomb? And is it dark there? What sort of image do you have of your mother? How about yourfather’s? If you had such an image of your mother’s womb and the facial expressions of yourfather and mother, what sort of character would your self-image come to have as you go
through childhood, later childhood, adolescence and adulthood?
●Womb image●Your own facial expression●Facial Expression of mother’s and father’s,●Self-image stable or unstable, worry (not worry) people around you,, cheerful, gloomy,

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self-confident, lack self-confidence, amiable, hostile, skeptical, other ()

Q3. I’m sure the self-image you had before and the self-image. Which self-image have youformed so far whenever a problem arose: the image of the former self (Q1) or that of the latter
self (Q2)?
Before, former self_____% latter____%

After, l latter self_____% latter____%

Q4. By the way, which type of emotion prevents you from realizing your original self: anxiety:anger or sadness (multiple responses permitted)? Which inner voice symbolizes those emotions(see Emotions Table; multiple responses are permitted)? When you close your eyes and cry out
with that inner voice, in which part of the body do you feel a sense of discomfort – head, neck,shoulder, back, chest, arm, hand, stomach, hip, leg, etc.(multiple responses permitted)? You cansee how the affected parts have coalesced to cause the chimeras to spread, can’t you? Whatwould you say is the level of stress caused by the bodily discomfort (0% - 100%)?
Anxiety, anger, sadness, inner voice:
Bodily discomfort: head, neck, shoulder, back, chest, arm, hand, stomach, hip, leg, etc.
(), stress level __%Q5. Close your eyes and feel these bodily discomforts. When you do this, what kind of person
comes to mind? Is it a man or a woman? What kind of facial expression does he or she have:frightened, anxious, angry or sad? What you are seeing is one of your chimeric relatives. Do you
feel stress when that chimeric relative usually appears in your subconscious? When you see that
face, what kind of feeling or emotion do you have?
●Facial expression●Male, Female●Your feeling/emotion when you see the face ofthe person that comes to mind
Q6. Which warm-color light – golden yellow, yellow, cream, white, green, orange, pink or sky blue
– do you think helps heal the chimeric cells in the parts of the body you feel a sense of discomfort(multiple responses permitted)? Select the color(s) that come(s) to mind first. Now form an imageof the cell being protected by the light in that part of the discomforting part of the body. What sortof image have you formed for that cell? Is it warm, bright or large? Or does it feel good,reassuring or refreshing (multiple responses permitted)?
Golden yellow, yellow, cream, white, green, orange, pink and sky blue
Images ((Warm, bright, large, soft, good feeling, reassuring, perky feeling, refreshing ()

Q7. When you have that good body sensation, what sort of facial expression does the chimericcell in that part of the body have – smile, gentle, dependable, forward-looking, pleasant, cheerful,spirited, kind and so on. Is that cell, a man or a woman? Is he/she your sibling? Can you cut
him/her off as someone you want nothing to do with? Is he/she a kid? Or is he/her a relative of
your parents’ or an ancestor? Is he/she a relative on your father’s side or on your mother’s side?
In a flash, tell us how you are related. Look at the Surrogate Facial Image List. What is theInternational Journal of Structured Association Technique No.528

number of the facial image that resembles the chimeric cell under discussion? What is the stresslevel (0% - 100%) when you look at the facial image of that number? If the stress level does notcome down to 0%, repeat Q6 until the final stress level is down to 0%.
Expression (smile, gentle, dependable, forward-looking, pleasant, cheery, spirited, kind・(() M・F, Relationship: sibling, own child, relative on mother’s or on father’s side, No.
) Stress__%

Q８．Next, select the methods for establishing those surrogate facial images.
1. Display it near you 2. Used it for my standby screen (cell or smart phone) 3. Place it on my PC
desktop

4. Tuck it in my notebook

5. Put in a clear file

6. Other ()

Q6 and Q7 of Table 1 are posed to encourage you to change the activities of the chimeric-

nerve cells in your body. Close your eyes and take in the minus ion (C1 ) from the cell membrane
by using warm color light images (sunny yellow・yellow・cream・white・green・orange・pink・
sky blue) at a 500-600nm middle wavelength. Then guide the action potential of the cells first to
hyperpolarization then to those cells whose action has been suppressed. The grounds for
adopting this counseling method are sought in the mouse experiment conducted by K. Kaneda etal.9）Rhodopsin, a protein that receives light, is contained in cell membranes, but even in normal
nerve cells, there are relatives of rhodopsin. Rhodopsin was used in the present experiment.
Since the animal type halorhodopsin is an extremely unstable protein, gene transfer was carriedout on the microbe type halorhodopsin by using a virus unique to nerve cells (AAV2 virus vector)
in mice. And by targeting only the synapses of cells, a light operating method that turns on andoff automatically has been developed, paving the way for a successful experiment insuppressing neural activities using 500-600nm middle wavelength colors such as yellow andorange.
Next, in Q6 of Table 1, instead of using real light, an imaginative light image is used. However,
it is understood that, whether they are based on real experience or only on imaginative
experience, the same regions of the brain respond to people’s memories. Images you only
imagined that you experienced will also remain in the brain as memory images. Here, a relaxedphysical image is formed by using the light imaging method to suppress the excitability of nerve
cells and eliminate the physical discomfort. By using the somatic sensation of the parietal lobe
that reflects that relaxed body image and the multiple sensation of facial recognition of fusiform
gyrus that reflects emotions, it is possible to discover the rewarding expressions of your chimeric
relatives, smiling, calm, reliable, forward-looking, perky, and so on.
Also, to stabilize these rewarding expressions of your chimeric relatives, you will be guided
to select a method for expanding the synoptic area of the spine head involving the promotion of
long-term potentiation – a phenomenon where the number of synoptic responses in theInternational Journal of Structured Association Technique No.5

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hippocampus is made to increase dramatically, and to continue to increase, by applying ahigh-frequency electric stimulation to a nerve strand over a short period of time. Toward this end,
you will be asked to pick out from the Surrogate Facial Expression List the surrogate facial
images that symbolize the rewarding expressions of your chimeric relatives and select thoseimages that will make physical discomforts vanish. Then, you will be guided to display near you
the images you have selected, use them in the standby screen of your cell phone or smartphone,
put them on your PC desktop, or insert them in your appointment organizer or your clear file. It isbelieved that the fusiform gyrus, which contains face reaction nerve cells, and the expression ofemotion in the amygdala which also contains face reaction nerve cells

10）, will be improved bysurrogate facial images that have rewarding expressions (Figure 5).

Fig 5.

Amygdala Reacts to Expressions of Dislike 10）

Assuming that 0% is your answer to the question “When you look at the surrogate
images you selected in Q7, to what percent does your physical discomfort decrease fromthe 80% you indicated earlier?” it can be said that you are no longer controlled by the neuralactivities of the chimeras. Consequently, you are now able to be true to your real self. Whenthe stress level accompanying your physical discomfort is high, as the illustration on the left
side of Figure 6 shows, the frontal cortex of your brain is hijacked by the amygdala, thereby
causing you to engage in maladjusted thinking, judgment and behavior. Consequently,
regardless what behavior goals you may set for yourself, you are unable to do what isnecessary to reach those goals. To stop the amygdala from hijacking the frontal cortex, youneed to lower your stress level (ideally to 0%, but at least to 30%) by replacing the negative
facial expressions you see with surrogate facial images.
Treatment provided in a recently developed cognitive behavioral therapy is counted under
the National Insurance point system. In this treatment, the depressive and unstable feelings thepatient has are mitigated by “helping the patient behave in ways that will lead to a resolution of
his/her problems by promoting a positive mindset and way of thinking (cognition) and bychanging his/her attitude that inhibits appropriate behavior.” This method of treatment aims to
mitigate your feeling of depression and anxiety, and encourage you to engage in adaptive

International Journal of Structured Association Technique No.530

behavior by, for example, guiding you to change your attitude from “this cup is half empty” to“this cup is half full.” In other words, the treatment helps patients change how they feel and act
by helping them to change their attitude from negative to positive thinking using the frontal
cortex of their brains. As such, it is precisely a treatment that advances the condition describedon the left side of Figure 6.
However, the effectiveness of cognitive behavioral therapy is difficult to sustain for those
who are emotionally unstable and prone to emotional expressions. This is because, as
11)demonstrated by Joseph LeDoux,

the world’s leading expert in amygdala research, astimulus does not always pass through the frontal cortex via the thalamus. There is also a route
through which a stimulus is transmitted directly to the amygdala. Since the amygdala ishijacked in individuals who are emotionally unstable and prone to emotional expressions, they
are often unable to control their emotions solely with their cognitive skills.
As the Emotive Cognitive Behavioral Therapy described in Table 2 shows, the method
employed in SAT Therapy first changes “the way you feel” and then “the way you think” and“the way you behave” by suppressing the excitability of the amygdala using surrogate facial
images. By changing “the way you feel,” SAT Therapy helps you to restore your capacity tothink, judge and behave adaptively, thereby enabling you to set problem-solving behavioral
goals you will actually be able to realize.

Behavior targeting method

Behavior targeting method Frontal cortex

control

Hijack

Amygdala

AmygdalaFig 6. Frontal cortex hijacked by the excitability of the amygdala and the brain in which
the latter has been suppressed as well as the activities of the frontal cortex
strengthened with surrogate images

Table 2. Emotive Cognitive Behavioral Therapy Sheet Based on Surrogate Facial
Images© Tsunetsugu Munakata 2012

Q1 Select from the SAT Emotions Table the emotions closest to the source of your stress(anxiety, anger, sadness) and the inner voice you hear, and write down your selections below.
When you cry out that inner voice several times or when you close your eyes and recall the worst
scene that comes to mind regarding the stressor you chose, in which part of the body do you feelthe stress – head, neck, shoulder, back, chest, arm, hand, stomach, hip, leg, etc.? What wouldInternational Journal of Structured Association Technique No.5

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you say is the level of stress caused by the bodily discomfort (0% - 100%)?
Emotion behind the stress:: anxiety, anger, sadness
Inner voice of that emotion：
head, neck, shoulder, back, chest, arm, hand, stomach, hip, leg, etc.(
level
Q２

), stress__%

Of the surrogate images you discovered with the three-generation method, what is thenumber of the surrogate image that helps lower the level of physical stress when you see it inyour mind. Answer with what comes to mind first (multiple answers permitted).
The number of the surrogate images selected:
Q３

Now, look at the surrogate images that came to your mind first (multiple responses

permitted).What happens to the change in the level of physical stress you felt earlier? Or by whatpercentage has your stress level actually fallen. Select those images that lowered your stresslevel to 30% or blow. (If the stress level does not dip to 30% or lower, continue selecting theimages with the three-general method until the percentage falls to 30% or lower.)
Altered physical change

Stress level __% (at least to 30%

or lower, preferably to 0%)
Q４

How do you feel about the three undesirable stressors indicated in Q１? And do you findyourself thinking about them?
The changed way you feel or thinkQ５

Way you feel：

Way you think：

How are you going to behave in the future toward the stressors you selected earlier.

Answer with what comes to your mind first.

Note 1）This refers to the fact that differences in the genetic expressions of individual cells aremaintained steadily even when the cells divide. Among genetic expressions, there are genesthat are modified after birth, and those are referred to as cell memories.
Note 2）This refers to the fact that, regardless whether they are subject to external stimulation ornot, nerve cells manifest synchronous firing patterns.
Note 3）Multiple sensation refers to a sensory mechanism whereby information concerning thefive senses – vision (when you see a body), hearing (when you hear a voice), touch (thesensation transmitted via the skin), smell (odor you sense) and taste (when you taste food, etc.)– are synchronically integrated along with the somatic sensation that comes from your joints
and muscles.

References:
1) Munakata, T：SAT Ryoho (Therapy)、Kaneko Shobo, Tokyo (2006).

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DW.

Microchimerism and HLA-compatible relationships of pregnancy in women withscleroderma,

Lancet 351:559-62 (1998).

3) Pearson, Helen: Human genetics‐Dual identities, Nature 417,10-11（2002）.
4) Chan WFN, Gurnot C, Montine TJ, Sonnen JA, et al. Male Microchimerism in the Human
Female Brain, PLoS ONE 7(9): e45592 (2012).
5) VanZyl B et al.: Why are levels of maternal microchimerism higher in type 1 diabetes
pancreas?

Chimerism 1: 2,45- 50 (2010).

6) Nunn, J A et al: Functional magnetic resonance imaging of sysesthesia, Natureneuroscience,5(4), 371-375 (2002)
7) Tanaka J., Horiike Y., Matsuzaki M., Miyazaki T., Ellis-Davies G.C.R. and Kasai
H：”Protein-synthesis and neurotrophin dependent structural plasticity of single dendritic
spines,” Science 319. 1683-1687（2008）8)

Linton，Kate Ruth：”Knowing By Heart-Cellular Memory in Heart Transplants,”
MONTGOMERY COLLEGE STUDENT JOURNAL OF SCIENCE & MATHEMATICS、Volume2（2003）9)

Kaneda、K, Kasahara

H, Matsui R, Katoh T, Mizukami H, Ozawa K, Watanabe D, and Isa

T: Selective optical control of synaptic transmission in the subcortical visual pathway by
activation of viral vector-expressed halorhodopsin10）Hidehiko Takahashi

PLoS One 6(4): e18452. (2011)

et al.：”Contribution of Dopamine D1 and D2 Receptors to Amygdala

Activity in Human,”The Journal of Neuroscience, 30(8): 3043-3047（2010）11）LeDoux J：”Synaptic Self:-How our brains become who we are,” Viking (2002)

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