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Bottom up processing4/15/2023 Over time, this would reshape a person’s physiological and emotional responses to these experiences in the present.Įxperimental research has demonstrated, however, that the brain’s ability to regulate arousal through cognition becomes compromised, and can even by deactivated, by acute stress. Top-down processing presumes that something similar to a boss-employee relationship exists between the prefrontal cortex and the limbic system: namely, the thinking centers of the brain can activate cognitive controls adjusting the feeling centers of the brain.įollowing this logic, enhanced cognitive regulation would enable a person to alter the relevance of current environmental “stimuli”, things like: Most often this involves efforts to resolve trauma symptoms by working with the dorsolateral prefrontal cortex, the area of the brain most responsible for logic and reason. Traditional talk-based psychotherapy, and most cognitively-oriented trauma-focused therapies, are viewed as taking a top-down approach to treatment. Hiding in plain sight, this side doorof the brain may be accessible through use of integrative mind-body techniques, expressive arts-based therapies, and other innovative forms of intervention. However, limitations of both treatment approaches, and the false binary they presume, suggest there may in fact be a third pathway toward recovery from trauma. These terms refer to the emphasis of a given treatment model in targeting two distinct brain regions. Trauma therapies are often fall into one of two distinct categories: top-down or bottom-up.
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