Art Therapy, Attachment Theory, Autism Spectrum Disorder,

Art Therapy: two main types include the simple "art as therapy" with relaxation benefits for the individual who is creating on their own; and "art psychotherapy" in which a therapist and patient are seeking deeper understanding of the patient’s nonverbal issues. Emotional problems and memories from early childhood are formed without words. Art therapy can help a patient or individual reach those non-verbal thoughts or feelings with the aid of drawing or sculpture, song lyric and music or a poem and illustration. Free-form movement and dance or theater can also help channel non-verbal ideas into visual form. (Edwards, David, 2004, 2) (6.Chennai_Symposium) Section G. Art & Relaxation has more information and art examples.

  1. 100 Art Therapy Exercises - The Updated and Improved List, Expressive Art Inspirations, (
  2. Art Worksheets for Therapy, free download with registration: (therapy-worksheets/art)
  3. More detail is available regarding ten types of Art Therapy Interventions in a series of posts by an art therapist. Links to the series are in an introductory post: (psychologytoday)
  4. Art therapy can be useful for breaking the ice with a group of unresponsive teens according to a 16 page paper that describes how to organize for a group art therapy session and includes a few example art therapy techniques for use with groups: (
  5. Coping with anger is the theme of a list of games and art activities geared for younger children learning about emotions and self control: (kimscounselingcorner)
  6. An Introduction to Art Therapy and Creativity in Organisations, Akila L.K. and C. Nandagopal, Proceedings of the International Symposium on Emerging Trends in Social Science Research, Chennai-India, 3-5 April 2015 Paper ID: C543,   (6.Chennai_Symposium)

Attachment Styles:  Early childhood experiences with caregivers and other adults can leave a child with a more secure trust that adults help consistently when asked versus a less secure belief that asking for help won't be punished or ridiculed or in some other way wouldn't be helped so why ask? See chapter 8: Trust is learned early, and G7. Fear & our Inner Child for more information.

  1. Secure attachment typically occurs when the caregiver is available when the child is fearful but who isn't overly protective or controlling when the child is happily playing or exploring.
  2. Anxious attachment may occur when a main caregiver allows little freedom for the child to explore without being stopped or cautioned in some way.
  3. Avoidant attachment may occur when a main caregiver doesn't respond to the child's verbal cues or body language - smiles are ignored instead of being returned. (8.6)
  4. Disorganized attachment may have a mixture of a few styles.

  • Cognitive Reframing, – a list of steps for recognizing and reframing negative thought patterns on the website (8.10)
  • Psychotherapy, John Bowlby, – a brief video about John Bowlby’s theory: (8.11)
  • To Be Resilient, Don’t Be Too Virtuous, I want to tell you what I think is missing from most graduation speeches., an article about the importance of moderation for success. Virtues are similar to the core values that form during childhood. Resilience, the ability to keep going after a setback, may be supported by having trust in oneself. A secure attachment style develops when the caregiver trusts the child to explore safely and the child trusts the caregiver to be nearby if needed. (8.12)
  • Attachment styles at work: Measurement, collegial relationships, and burnout, by Workers with an avoidant attachment style were more likely to have burnout and less positive interactions at work and those with an anxious attachment style had more negative issues at work and were likely to be overly invested. (8.13
  • Attachment Theory; A Guide for Couple Therapy, by Susan M. Johnson, 2003, – a 21 page discussion of attachment theory and counseling techniques for working with couples.(8.14
  • Adolescent-parent attachment: Bonds that support healthy development, Marlene M Moretti, PhD and Maya Peled, MA Paediatr Child Health. 2004.(8.15)
  • Neel Burton, How to Deal with Insults and Put-Downs,, Feb. 13, 2013, (11.51)
  • Narcissism and Attachment theory. What is the connection?, provides information about avoidant attachment style and the tendency to blame others and anxious attachment style and the tendency to accept blame - to accept responsibility for others’ feelings or actions. (11.71)
  • How to Change Your Attachment Style: What is Codependency?, (11.72).  

Autism Spectrum Disorder: a neurological condition affecting behavior and social and verbal skills. The condition may also have physical symptoms and other comorbid conditions. Overstimulation and stress may lead to the child or adult with autism “freezing” from the stress response and having trouble speaking or responding at all, or they might act out in an uncontrolled manner or with repetitive speech and motions. The symptoms vary between individuals so much that that is considered the norm among specialists - treat each individual patient with autism spectrum disorder as an individual with their own set of symptoms. A mother of a child on the spectrum provided a few tips in advance for the holiday season about coping with the special needs of children on the autism spectrum and how to handle possible behavior outbursts or meltdowns, for your own comfort and for the child and their parent: What to Know About Halloween from an Autism Mom, (G.popsugar)

Best Practices

Best Practices: a term from the business world to refer to methods that have been found to consistently provide good results and which new methods might be compared to in order to rate their value next to the Gold Standard of the Best Practice."A method or technique that has consistently shown results superior to those achieved with other means, and that is used as a benchmark." (1.businessdictionary

Crisis Hotlines & Resources

  • U.S. National Suicide Prevention Hotline: Call 1-800-273-8255, Available 24 hours everyday. (
  • National Helpline: Substance Abuse and Mental Health Services Administration: "SAMHSA’s National Helpline, 1-800-662-HELP (4357), (also known as the Treatment Referral Routing Service), is a free, confidential, 24/7, 365-day-a-year treatment referral and information service (in English and Spanish) for individuals and families facing mental and/or substance use disorders."  (
  • National Domestic Violence Hotline: 24/7 confidential support at 1−800−799−7233 or TTY 1−800−787−3224. (
  • Rape, Abuse and Incest National Network, RAINN Hotline: 1-800-656-HOPE, (
  • Child Welfare Information Gateway: a variety of toll-free hotline numbers for concerns involving the safety of children. (11.18)
  • Power and Control and Equality Wheels  The following training materials are for helping victims of domestic violence and batterers learn how to recognize problem behaviors but emotional manipulation or abuse of power and control can occur in many types of relationships not just between couples.The Power and Control Wheel (11.15) was developed by the Domestic Abuse Intervention Programs (DAIP). (11.16) Manipulative behaviors are grouped into eight categories in the model. An additional Equality Wheel (11.17) was developed to help guide batterers and victims of emotional or physical abuse towards healthier ways to interact. It is grouped into eight equivalent categories with examples of healthier ways to interact with each other. Problems frequently can involve communication issues by both people in a relationship.

Database, Dictionaries, Dialectical Behavior Therapy, & Dopamine

Quotes, proverbs, pithy sayings, and wisdom from world religion

  • A few resources available online: (11.goodreads); or (11.bartleby); or Bartlett’s Familiar Quotations: (I.1); or (11.brainyquote); or is a database of databases: (11.refdesk); and (11.religioustolerance).

Dictionaries and Encyclopedias: 

  • is a database that provides a list of other informational websites on whatever topic you enter: (11.refdesk)
  •, “Dictionary, Thesaurus, & Grammar”: (G.en.oxforddictionaries)
  • includes over 100 resources “with facts, definitions, biographies, synonyms, pronunciation keys, word origins, and abbreviations.”: (G.encyclopedia

Dialectical Behavior Therapy. a type of cognitive therapy developed to work with patients with Borderline Personality Disorder which has physiological - chemical causes, and emotional, early childhood related causes. See 8.2 for more information.

  • Dialectical Behavior Therapy (DBT) for  Borderline Personality Disorder. [3]
  • Dialectical Behavior Therapy in a Nutshell, by Linda Dimeff and Marsha Linehan, PhD. [4
  • A workbook for DBT: The Dialectical Behavior Therapy Skills Workbook: Practical DBT Exercises for Learning Mindfulness, Interpersonal Effectiveness, Emotion Regulation & Distress Tolerance," by Matthew McKay, Ph.D, Jeffrey C. Wood, Psy. D, and Jeffrey Brantley, MD, (New Harbinger Publications, Inc., 2007, Oakland, CA).  [5]

Dopamine: a brain neurotransmitter involved in the control of movement and behavior, it may also help with creativity and confidence.

Effective Care & the Endogenous Caannabinoid System

Effective Care: a term used in the healthcare industry to describe healthcare strategies that have proven to be helpful for most patients with a certain condition most of the time. 

  • "Effective care refers to services that are of proven value and have no significant tradeoffs -- that is, the benefits of the services so far outweigh the risks that all patients with specific medical conditions should receive them." -The Dartmouth Atlas of Healthcare - (1.effective_care.pdf). 

Endogenous Cannabinoid System: See the I. Addiction or Starvation?, for more information about the Endogenous Cannabinoid System. Endogenous refers to something that can be made internally by our body rather than a chemical that is needed to be obtained from an external source on a daily or semi-regular basis such as oxygen from the air we breathe which we need within every few minutes or cellular damage can start to occur; or trace nutrients such as essential fats which can be stored and may only need to be consumed in the diet every few days or weeks without resulting in negative health effects. 

     A person with a metabolic difference due to genetics, chronic illness, or the standard changes associated with aging may need an external source of nutrients that other people of average health would be able to make internally - “endogenously.”  

     Cannabinoids are a type of chemical called phospholipids which are formed from a lipid, a type of fat, and the mineral phosphorus. I have a genetic difference in my ability to phosphorylate and I have found that having an external source of cannabinoids in my diet every day helps my chronic illness conditions and improves my muscle and nerve control. 

     Phospholipids are found in human breast milk and helps stimulate the infant’s appetite and helps support adequate weight gain. The cannabinoids and phospholipid group perform two main functions - they are flexible and form a significant part of membrane walls, like building blocks or bricks; they can also be released from the membrane and act as messenger chemicals that can activate other systems or be modified slightly to become a different type of messenger chemical called eicosanoids

  • Eicosanoids include the leukotrienes: Santa Cruz Biotechnology,(
  • Behavioral Neurobiology of the Endocannabinoid System, Ch. 13 Drug Addiction, Zuzana Justinova et al, from the book Editors David Kendall and Stephen Alexander (Springer, 2009, Nottingham, U.K.). For information regarding drug addiction and genetic differences of the endogenous cannabinoid system see page 334.(Searchworks) Endocannabinoids: The Brain and Body’s Marijuana and Beyond, editor and Chapter Three by Emmanuel S. Onaivi, et al., (CRC Press, 2006, Boca Raton, FL).  (I.Endocannabinoids: Full Text pdf)
  • For information regarding Binge eating disorder, drug addiction and rimonabant: see pages 72-73 and 91, and Impulse control see: page 333 Chapter Three, Endocannabinoid Receptor Genetics and Marijuana Use.
  • For information regarding Schizophrenia: see page 378, Chapter 15, Neuropsychiatry: Schizophrenia, Depression, and Anxiety,Ester Fride and Ethan Russo.

"Fair Use Guidelines," "Falling in Love"

Fair Use Guidelines: copyright laws protect the intellectual property rights of authors and publishing companies. People who copy and publish other people’s work may be legally held responsible and face fines or other penalties. How much a work is copied and whether it was modified in some way that changed the artistic or intellectual content may be taken into account on a case by case basis. Offering information for no charge for educational or entertainment purposes but not for the purposes of profit may also be acceptable. A publishing company has been trying to set standard fees based on the number of words copied in a quote. Writers are concerned that policy would conflict with the case by case aspect of the traditional way the Fair Use Guidelines have been interpreted. (G.FairUse)

Falling in Love: Love at first sight or the sensation of falling in love may have to do with a sudden rush of hormones and instincts may be involved. The feeling can be very strong and cause physical and emotional symptoms which may overpower rational control of one’s thoughts, choices and actions. “Experience is a good school, but the fees are somewhat high.” -Heinrich Heine. (p23, G.Heine) The classic scenario of boy meets girl, follows her home, etc., is shared in a short story from a previous era. Fiction can be helpful to share an inside perspective to what other people might be thinking or how they interpret other people’s actions. A short story from 1889 shares the story of a rich young man who may have an overly positive view of himself and his chance encounter with a young lady of less well to do circumstances. He learns a lesson about valuing people for more than how much money they are worth. (pp23-38, G.Heine)


Groupthink: people have a tendency to want to conform to a group’s standards of behavior even if it may seem irrational. The tendency can be taken to an extreme and lead to mob mentality also known as mass hysteria. See: “Groupthink,” by for a definition and a list of articles on the topic: (7.39

"Hand Washing" and "High Risk Counseling"

Hand Washing: a life saving medical procedure that took twenty years to become widely accepted by physicians for preventing the spread of infection between surgical and prenatal patients.

High Risk Counseling: a term used in health care and social work to refer to individualized counseling for patients with above average health or social risks. 


Iodine: a mineral that is essential for metabolism and the immune system. It may help protect against cancer and autism risk. good food sources include kelp and other sea weeds and seafood, iodized salt and products containing iodized salt, coconut, rhubarb, and fortified foods and supplements.


Leukotriene: an eicosanoid messenger chemical that can be formed form endogenous cannabinoids when they are freed from storage within cellular membranes.

Mass Hysteria or Mob Mentality, Meditation & Mindfulness Therapy

Mass hysteria or Mob Mentality: our tendency to want to fit in with our peer group and follow along with what the group is doing can become dangerous. A law enforcement website provides more information and includes a video of a social science experiment involving a group sitting in the lobby of a waiting room - it may change the way you think about waiting rooms forever after: Mob Mentality: Chaos and Order, by Sgt RC Bull, retired,, (7.40

Meditation & Mindfulness Therapy: both techniques work on relaxing the body and mind by letting go of tension. the goal is to try to simply observe thoughts or aches and pains and let them flow through the perception instead of worrying about them. Mindfulness for hunger and fullness can involve tuning in closer to just what the body messages feel like when you are too full and uncomfortably bloated, or are getting physically hungry and feel a gnawing cramping sensation in the stomach.


Food Sources of some important Minerals: 

  • Calcium: dairy products and fortified substitutes made from almond, soy, rice or hemp. Sesame seeds, almonds and other nuts, seeds and beans. Canned salmon and sardines. 
  • Magnesium: oat bran, beans, nuts, seeds, whole grains, leafy green vegetables, chocolate, and molasses. 
  • Phosphorus: most foods contain this nutrient, particularly dairy and protein rich foods, also cereals, nuts and beans. An excess may be provided if carbonated beverages are used regularly.  
  • Potassium: all fruits and vegetables and juices are the richest sources, but animal products also contain some potassium. 
  • Sodium: processed foods containing salt and added table salt are the main sources but use of "softened" water can also increase a person's daily intake of sodium. 
  • Chloride: table salt and processed foods also provide the electrolyte, chloride.  
  • Iron: meat, poultry and fish contain heme iron which is more readily absorbed. Vitamin C eaten along with whole grain or beans, nuts and seeds can help increase absorption of non-heme iron. 
  • Iodine: iodized salt and processed food made with iodized salt. Seaweed and coconut products and any other produce grown near the ocean may contain more iodine than produce grown inland. 
  • Selenium: selenium is also more available near coastal waters. Seafood and meat can be better sources and Brazil nuts provide more than other foods. Two Brazil nuts per day may provide the 200 mcg recommended for daily needs. Excess intake regularly may cause toxicity symptoms. One milligram or more per day may cause vomiting, loss of hair and nails and skin lesions. (Nutrition & Diet Therapy, 8th Ed.) 
  • Zinc: shellfish, beef, dairy products, nuts, beans, pumpkin seeds. (G.zinc)   

Food Sources of some important Vitamins: 

  • Thiamin (B1): fortified flour or rice, whole grains, pork, beans, nuts, nutritional yeast, eggs, cantaloupe, green vegetables. 
  • Riboflavin (B2): Fortified cereal, milk, eggs, meat, fish, beans, nuts, and seeds. (G.riboflavin
  • Niacin (B3): nutritional yeast, meats, red fishes such as salmon and tuna, grains and fortified cereals, beans and seeds, milk, green leafy vegetables, coffee and tea. (G.Niacin)
  • Vitamin B6: fortified cereal, barley, buckwheat, avocados, baked potato with the skin, beef, poultry, salmon, bananas, green leafy vegetables, beans, nuts, sunflower seeds. (G.Nutritive Value of Food)
  • Folate: Fortified cereal and rice, beans, black eyed peas, green peas, grains, asparagus, green vegetables, orange juice. (G.folic-acid
  • Vitamin B12: shellfish, fish, meat, poultry, eggs, milk, cheese, dairy products, Nutritional or Brewer's yeast. Vegetarians who don't eat dairy, eggs, fish or other meat products may need a supplement of B12 or nutritional yeast, a vegan food source of vitamin B12. (G.B12)
  • Vitamin C: many fruits and vegetables and fortified juices including green peas, cabbage, potatoes and citrus fruits. 
  • Vitamin D: fortified dairy products or their substitutes made from almond, soy, rice or hemp. Salmon, sardines, mushrooms. And sunshine during summer months, 15-20 minutes several times per week.  

Power & Control Wheel & Equality Wheel

Power and Control and Equality Wheels: handouts developed for helping victims of domestic violence and batterers learn how to recognize problem behaviors.The Power and Control Wheel was developed by the Domestic Abuse Intervention Programs (DAIP). An additional Equality Wheel was developed to help guide batterers and victims of emotional or physical abuse towards healthier ways to interact. 

Quality Control Programs

Quality Control Programs: a business term referring to a system of management designed to regularly review procedures and policies for effectiveness at providing high quality products and services for the company. Generally a Quality Control Officer or Manager will be designated.

Registered Dietitian

Registered Dietitian: an ancillary health professional who provides nutrition assessment and care planning for individuals and is trained in program administration and human resources management, and use of statistics and clinical research for assessing effectiveness of procedures and treatments. The Academy of Nutrition and Dietetics has a service for locating a nutrition counselor near you at the website (

Instinct & Policy; Resources

A woman looking at a laptop computer with a bottle of water, pile of books and a phone on the desk.

Table of Contents

  • Chapters and Glossary section summaries & links, and a link for the book version of this site, Instinct & Policy: Effective Care and Best Practices for Promoting Health and Preventing Harassment and Discrimination. 

A person's hand & chess pieces & surreal chessboard with a castle, a moat & drawbridge.

G1. Art & Relaxation

Time for a little rest and relaxation. Art can be therapeutic for its relaxing and meditative benefits and as a creative outlet. Art therapy can also be a useful tool for reaching the nonverbal feelings and ideas that might be troubling or exciting you - but wordlessly.

A mother is reading her young daughter a book, while they are sitting outside under a tree.

G2. Poetry & Prose

 Poetry and Prose, 

Writing stylishly for fun, 

- and for clarity. 

Haiku and confirmation bias and writing aids for pro's about prose.


A serene closeup image of a waterlily floating on water with its reflection &  ripples showing.

G3. Relaxation & Stress

  Information about Relaxation & Stress and oxidative stress is included in this very long section. It may be helpful if you suffer from an unresolved problem with chronic itch or other negative symptoms of inflammatory stress including migraines, psoriasis, IBS, TMJ, PTSD, and Dissociative Disorders

A closeup image of a woman holding her fingers in a heart shape over her pregnant belly; sun glows.

G4. Autoimmune & Vit.D

  "What does stress have to do with autoimmune disease? or vitamin D? 

You want me to take a bath? 

Are you kidding me?

Answer: "No."

The body needs vitamin D and magnesium in order to protect against allergic sensitivity during pregnancy and throughout life.

A newborn infant is yawning, a new mother is smiling with love. A closeup image.

G5. Preeclampsia & TRP ch.

"Baby on board," - words to treasure and sometimes to fear. Preeclampsia is a complication of pregnancy that can be life threatening for mom and baby. The condition can affect up to 8% of pregnancies and yet is not well understood -  overactive TRP channels may hold answers & solutions  for preeclampsia, IBS and other chronic conditions. This discussion of TRP channels is continued from G3. Relaxation & Stress

G6. Music & Movement

Music may soothe the savage beast and movement has been found by research to help reduce the negative effects of oxidative stress - the inflammatory condition that results from emotional or or other physical stress on the body. Add music & movement together for a fun way to reduce stress. 

A group of children are in costume, one is protecting others from a scary looking "wolf.".

G7. Fear & our Inner Child

 Who’s afraid of the big bad wolf?” 

Fear is a warning and so is pain. Explore your inner child and discover what childhood or more ancient fears may be lurking in your imagination and possibly holding you back from succeeding as an adult. 

A plate of cookies, chocolate chip & others in decorative shapes, one has a smiley face.

G8. Chocolate Chip Cookies

How could a book about gender roles and policy not include a chocolate chip cookie recipe? Comfort food can be made with more nutritious ingredients and are best eaten in moderation, but comfort sometimes needs an extra helping.

Sushi rolls, cut in colorful circles with Nori seaweed wrapper holding the rice rolls together.

G9. Iodine & Thyroid

Iodine is an essential mineral for the entire body and all of the endocrine glands, however it is so essential for the thyroid that the gland can preferentially take up iodine - so if there are low thyroid symptoms there may be low iodine too, or excess halides. (G9.halide

A seagull is flying over water with waves, a small bit of tree branch is showing.

I. Introduction & Welcome

 Welcome, a site dedicated to helping put effective care resources in the hands of patients and healthcare providers, and businesses and policy writers, in order to help promote better quality of life in an economic and timely manner. Links to the 12 Chapters are included as I share my professional and patient story and site dedications - to Viktor Frankl and to those who’ve lost loved ones to alcohol or drugs. 

A graphic image of DNA in the spiral with the letters "DNA" and a test tube also visible.

I. Addiction or Starvation?

Addictive behavior with alcohol, other drugs and food can involve a genetic difference in metabolism for some individuals. Use of foods or supplements that contain phospholipids or cannabinoids may be a safe way to help stop abuse of opioids or alcohol. If you are born unable to make chemicals required for life, that other people can make - it is starvation, & addiction is a search for food. Use of foods or supplements with phospholipids or cannabinoids may be a safe way to help stop abuse of opioids or alcohol.