Mind: A Journey to the Heart of Being Human: An Interview With Daniel J. Siegel, MD
Daniel J. Siegel’s Mind: A Journey to the Heart of Being Human is a thought-provoking book that offers a comprehensive, powerful definition of the “mind,” as an “emergent, self-organizing, embodied, and relational process that regulates the flow of energy and information.” Notably, a comprehensive, complex, and dynamic definition that is felt to be missing from a wide range of fields, including medicine, psychology, and even philosophy.
Throughout the book, Siegel explores the how, what, when, where, and why of who we are—all the while emphasizing and explaining the mind’s capability and how to characterize it. He invites the reader to join him on a journey using imagery, personal experience, science, and concepts of time as he works toward the goal of adequately ensuring understanding of the “mind” and “integration,” which could allow for better understanding of how to facilitate well-being.
This book provides an invaluable opportunity for readers to explore and reflect on their own experiences and their impact not only on professional lives and practice, but on personal lives as well. What follows is a Q&A . . . the exchange is between Ashley Ford, MD, and Daniel J. Siegel, MD. -Howard Forman, MD
Ashley Ford: The mind is often studied and discussed, but you note that an actual definition is missing from a wide range of fields that deal with the mind, including from clinical practice and education to scientific research and philosophy. How do you define mind in your book Mind: A Journey to the Heart of Being Human?
Daniel J. Siegel: By linking a wide range of disciplines together, we offer this definition of one aspect of the mind as the emergent, self-organizing, embodied, and relational process that regulates the flow of energy and information. This view enables us to see energy and information flow as the fundamental element of a system from which the mind arises.
Where is this system? This flow occurs both within the body, including its brain, as well as in the sharing of energy and information between an individual and others and the environment in which the person lives.
What kind of system is this? The characteristics of this system include that it is open, capable of being chaotic, and non-linear, meaning that small inputs lead to large and difficult to predict results. Complex systems have emergent properties that arise from the interaction of the elements of the system; one of those processes is self-organization. And so the proposal is that one aspect of mind is this embodied and relational process that emerges from, and then regulates, energy and information flow within an individual (the embodied aspect) and between the individual and the world around (the relational aspect).
Ashley Ford: How might understanding and exploration of the mind enhance someone’s personal life and assist in creating a healthier mind?
Daniel J. Siegel: This definition of the mind as a self-organizing process enables us to ask the question, what is optimal self-organization? The mathematics of complex systems—those that have these emergent self-organizing processes—reveals that when aspects of the system are differentiated and linked, when they are “integrated,” they move in a way that is flexible, adaptive, coherent (hold well over time or are resilient), energized, and stable (FACES). This flow comes when a complex system is integrating—when it links differentiated elements to each other.
When integration is blocked, chaos and/or rigidity arise. Amazingly, each symptom of every described syndrome can be viewed as chaos or rigidity. And so far, research on individuals with a range of psychiatric disorders has revealed impaired integration in the brain. The Human Connectome project has shown that the best predictor of a wide range of measures of well-being is how interconnected the connectome is—that is, how integrated the brain is.
Ashley Ford: How would a better understanding of the mind improve the effectiveness of physicians and mental health providers?
Daniel J. Siegel: By offering a definition of the mind, we can see how the mind is both within us and between us, within the body and the brain, and within the relational connections we have with one another and the world around us. Our work as clinicians is greatly aided with this definition. It allows us to work with our relationships and our embodied brains in trying to move an individual’s life toward more integration in a range of domains—from how we connect with one another with respect, to how we link different aspects of our brain to each other.
For example, studies have shown that physicians who offer an empathic comment, one that recognizes the differentiated internal subjective experience of the patient, have a clinical response in which the patient has a more robust immune response and can recover from a common cold a day sooner. That is an example of how an integrated relationship promotes health in the body.
Ashley Ford: Can you discuss integration and how the emergence of impaired integration through chaos and rigidity has helped you understand patients with mental illness rather than categorizing them into a DSM grouping that might limit the understanding of who they are (p 198).
Daniel J. Siegel: Seeing the unique aspects of an individual is a challenge in any clinical encounter. By defining the mind as a self-organizing process, we can see that chaos or rigidity would be the result of a system that is not integrated. In this way, chaos or rigidity can be assessed in a person’s life to illuminate how some domain of integration may be impaired for this individual. This person-specific domain assessment can lead to treatments that are strategically planned to address this individual’s forms of blocked integration.
This model provides a way to view the broad spectrum of life’s challenges and helps the clinician see each individual as unique; to have treatments that do more than simply reduce symptoms, but also move the person to states of well-being. Instead of being clinicians who aim only to reduce symptoms, this framework enables us to define the mind and mental health and aim treatment toward well-being by promoting integration. This allows us to truly be mental health professionals as we promote health directly.