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E-Book of Articles - World Federation of Music Therapy

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1: thalamus<br />

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2: amygdala<br />

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3: hippocampus<br />

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Sutton, Julie; Beyond the Ordinairy<br />

In this model, the amygdala normally receives sensory information from the<br />

thamalus and „screens“ this for survival threat. If the stress is not too great,<br />

the information is assessed and passed to the hippocampus for emotional<br />

processing - that is, a sense <strong>of</strong> feeling about the stress is developed. After<br />

this emotional „evaluation“ the next step is the higher processing at the<br />

prefrontal cortex. If extreme stress is assessed at the amygdala stage, an<br />

alarm call results and any further processing is blocked. This removes the<br />

possibility <strong>of</strong> placing emotional value on the experience and is sensed in the<br />

body through feelings <strong>of</strong> numbness and shock. Here, the „flight or flight“<br />

mechanism occurs. In the most extreme experiences, it is believed that<br />

permanent damage occurs in the amygdala. For those who live with PTSD<br />

the social support systems we rely on to survive stressful events are no<br />

longer available because <strong>of</strong> this damage. Without the ability to assign<br />

emotional value on our responses to situations involving others, the normal<br />

social interactions become useless.<br />

4: prefrontal cortex<br />

Even if not developing psychiatric symptoms those traumatised by violent<br />

conflict experience the sense <strong>of</strong> loss <strong>of</strong> security and safety at a level that<br />

can feel like a threat to physical and/or psychological survival. The<br />

communities <strong>of</strong> Belfast and Mostar have had access to such experiences, in<br />

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