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Inspiration

The Hand Model of the Brain: A Guide to Integration

Dan Siegel
Dan Siegel
Aug 9, 2017
8 min de leitura

De Dr. Dan Siegel

Assistir · 7

Your right hand can serve as a working map of the human brain. Fold the fingers over a tucked thumb, let the palm stand for the brain stem and the wrist for the spinal cord, and you have a portable model of the organ that runs your breathing, your emotions, your memories and your capacity to pay attention. In a short 2017 video posted to his YouTube channel, psychiatrist and author Dan Siegel walks viewers through this "hand model of the brain," a teaching tool he says has been used in classrooms, corporate offices, meditation settings and with people working through epidemics. The model's central claim is simple and bold: once you know how the regions are arranged, you can direct your attention to link them, and that linking, which Siegel calls integration, is the foundation of well-being.

Leitura · 7 seções

Why did Siegel shrink the brain down to the size of a hand?

The video opens with an admission about a limitation. "Sometimes the brain in our head is modeled as a plastic model like the one you see here that's two times life size," Siegel says, noting that it is fun to carry a model that large because you can take it apart and look inside. But a model that size is hard to bring into everyday life. "So what I invented was a model of the brain that you actually have in your hand," he says in the video, adding with a grin that his daughter has urged him not to call it a "handy model."

That tradeoff is the quiet engine of the whole idea. The anatomical plastic model rewards study; the hand rewards repetition. You cannot unscrew the lobes of your own hand, but you can carry the map into a meeting, a classroom or a quiet morning sit. Siegel's bet is that a model you always have with you will get used, and a model that gets used will change how you direct your attention. He is explicit about that payoff: "when you know about the parts of the brain you can learn how to direct your attention in a way that can get certain areas to not only get activated but also to start to work together and you can change both the function and the structure of your brain by knowing about how the brain is structured."

Where do the cortex, limbic area and brain stem sit in your hand?

The orientation matters, so Siegel sets it first. Imagine the brain sitting in your head with the frontal part behind the forehead. To mirror that in your hand, you place your thumb in the middle of your palm and fold your fingers over it. The fingers become the cortex, the outer layer. Lift the fingers and the thumb is the limbic area, tucked beneath. The palm below the thumb is the brain stem. The wrist represents the spinal cord, which connects the head brain to the rest of the body.

Siegel is careful about one detail. The limbic area should have two thumbs for a perfect model, one for each hemisphere, "but most of us just have one." He also flags a terminology issue. Researchers have described neurons near the heart and intestines as a "heart brain" and "gut brain," and he acknowledges those terms. For the purposes of the model, he keeps to the "head brain," the structure inside the skull that the hand represents.

What does the brain stem actually do?

Siegel calls the brain stem "the oldest part of this head brain," the deepest structure in the model. Its job is basic regulation. "It takes in information from the body and it helps regulate things like how you breathe and how you digest food how your heart functions," he explains. The brain stem also houses a set of regions that generate what he describes as the "fight, flight, freeze and faint" response to threat.

This is where the model becomes practically useful. When you feel threatened, whether by a difficult boss, a tense classroom or a frightening news cycle, the brain stem is involved in producing a reactive state. Knowing this does not eliminate the reaction, but it gives the reaction a location. You can notice that your palm, so to speak, has taken over, and then move your attention upward.

How does the limbic area shape emotion and memory?

The thumb is where emotion lives in Siegel's account. He describes the limbic area as "a 200 million year old region when became mammals" and says it works with the "300 million year old Reptilian Brain" to create emotion alongside the body. The brain stem works with the limbic area to motivate behavior, and the limbic area "appraises the meaning of things," judging whether something is significant and whether it is good or bad.

Siegel also places memory and attachment here. He mentions the hippocampus and the amygdala as part of how memory is divided up and connected through the limbic region. And he links the attachment bond mammals form with caregivers, which allows them to be protected and to feel connected, to this same area. The attachment connection, he says, is "not just in childhood but throughout our whole lifespan." For readers who have ever been surprised by a sudden flash of feeling, the thumb is the region the model points to.

What is the prefrontal cortex, and why does it matter so much?

The fingers are the cortex, and the cortex is where maps get made. Siegel describes it region by region: the back of the fingers handles the visual map from the eyes in the occipital cortex, the sides handle sound in the temporal lobe, and the front, from the second-to-last knuckles forward, is the frontal cortex, also called the association cortex, where thoughts become connected. The very front, marked by the last knuckles down to the fingernails, is the prefrontal cortex.

The prefrontal cortex gets the most attention in the video because of what it does. "It integrates cortex limbic area, brain stem, body and even the social world together," Siegel says. It sits on top of the other regions and coordinates them. That is why he describes integration as the key function of the whole system.

He describes what happens when integration breaks down. "When you're not integrated it can become chaotic and rigid," he says. He calls this "flipping your lid." In practice, the result is either an outburst or a withdrawal. To show it physically, he lifts his fingers and demonstrates how the prefrontal region stops linking the other areas, so the system becomes disintegrated. The image is a simple one: a fist that is closed and coordinated versus a hand that has come apart.

Can practicing integration really improve well-being?

Siegel links the model to two practices: a "wheel of awareness" exercise he associates with mindfulness meditation, and any form of reflective practice. In either case, he says, "you are integrating the whole system." He offers a concrete method: know the parts, notice how they may be differentiating themselves, whether that means anger, sadness, loneliness or fear, and then open to all of them and connect them.

He grounds the argument in research. "There's a new set of studies called the connectome studies," he says, and "what research has shown from the human connectome project is the best predictor of your well-being is how interconnected your connectome is." He draws the implication that integration is "likely the source of well-being," not only in the body and the head brain, but in relationships and even in our relationship to nature. He goes further still: "creativity emerges from this integration collaboration emerges from integration."

"Integration creates well-being," Siegel says near the close of the video, pointing to work, home and community as the places where it matters.

Source: Dan Siegel, YouTube video, August 2017.

A caution is worth keeping in view. The video is a short teaching clip, not a clinical protocol, and its statements about the connectome and about the age of brain regions are Siegel's own summaries of research and evolutionary history. The strongest takeaway is a practical habit rather than a scientific claim: when you feel your attention lurch toward reaction, pause, locate where in the hand the reaction is happening, and try to bring the regions back into connection.

Where to go from here

Start with the model itself. Put your thumb in your palm, fold your fingers over it, and name each region as you touch it: fingers for the cortex, thumb for the limbic area, palm for the brain stem, wrist for the spinal cord. Then lift the fingers and notice how the prefrontal region at the fingertips is the one that links everything. Try doing this once a day for a week, and when you notice a strong reaction, check which region seems to be running the show. If you want to go further, watch the full video and pay attention to Siegel's descriptions of how each region contributes, then explore his broader work on interpersonal neurobiology and the wheel of awareness practice he mentions.

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Transcript

[0:00] hello my name is Dan Siegel and it's an

[0:04] honor to introduce you to the hand model

[0:06] of the brain

[0:07] sometimes the brain in our head is

[0:10] modeled as a plastic model like the one

[0:12] you see here that's two times life size

[0:15] and it's fun to carry a big model around

[0:18] this

[0:19] size because you can take it apart and

[0:22] look at some of the insides and see

[0:23] what's going on but it's hard to carry

[0:26] this around in everyday life so what I

[0:29] invented was a model of the brain that

[0:32] you actually have in your hand my

[0:34] daughter has urged me not to call it a

[0:36] handy model but it is kind of Handy and

[0:38] the model goes like this if this brain

[0:41] were oriented in my head in this

[0:42] Direction with this frontal part here

[0:46] behind the forehead we would create this

[0:48] in our hand model by putting our Thumb

[0:50] in the middle our fingers over the top

[0:52] and this will be oriented this way now

[0:55] the hand model of the brain is very

[0:58] useful because when you know about the

[1:01] parts of the brain you can learn how to

[1:04] direct your attention in a way that can

[1:07] get certain areas to not only get

[1:09] activated

[1:10] but also to start to work together and

[1:14] you can change both the function and the

[1:17] structure of your brain by knowing about

[1:21] how the brain is structured so let's

[1:23] walk through these areas of the brain

[1:25] and how they can link together this hand

[1:27] modeled the brain has been useful in

[1:30] classrooms it's been useful in Corporate

[1:32] Offices it's been useful for mediation

[1:35] for meditation for people out in the

[1:38] field working with the stresses of

[1:40] working with epidemics and for people

[1:42] who are just in general trying to

[1:45] improve their lives so let's go through

[1:47] this hand model and see how it can

[1:49] support your work and your life

[1:51] if you take your hand and put your thumb

[1:54] in the middle and fold your fingers over

[1:56] the top this would be the completed

[1:59] model

[1:59] the top of the brain is called the

[2:02] cortex and would be represented in your

[2:03] fingers if you lift up the cortex you'll

[2:07] see beneath it the limbic area which

[2:10] should have two thumbs to be a perfect

[2:12] model but most of us just have one and

[2:15] in this limbic area you see that there

[2:17] are connections upwards to the cortex

[2:20] and even downwards to the area just

[2:22] below it called the brain stem in your

[2:24] palm and this whole head brain is

[2:27] connected to the body through a number

[2:29] of regions including the spinal cord

[2:32] represented in your wrist

[2:34] now let's quickly review what these

[2:37] areas do and you can see how what you do

[2:40] with your mind can change the way the

[2:43] brain functions if we lift up the cortex

[2:46] and lift up the limbic area let's begin

[2:48] with the brain stem the brain stem is

[2:51] the oldest part of this head brain and I

[2:53] keep on saying head brain because you

[2:55] have neurons around your heart and

[2:57] around your intestines that people are

[3:00] calling the gut brain and the Heart

[3:02] brain and so I'll use the word just

[3:04] brain but actually it's a hand model of

[3:07] the head brain

[3:08] the deepest oldest part of the head

[3:11] brain is this brain stem it takes in

[3:14] information from the body and it helps

[3:16] regulate things like how you breathe and

[3:18] how you digest food how your heart

[3:20] functions in addition the brain stem has

[3:22] a very important set of regions that

[3:25] create the fight flight freeze and faint

[3:29] response that comes when we feel

[3:32] threatened so if you're working in a

[3:34] business for example or you're in a

[3:36] classroom or you're at home and you feel

[3:38] threatened by what's going on the brain

[3:40] stem gets involved to create this

[3:42] reactive state

[3:44] in addition this brain stem Works

[3:47] closely with if you put your next area

[3:49] down the thumb region which is the

[3:51] limbic area this is a 200 million year

[3:54] old region when became mammals that

[3:58] works with the 300 million year old

[4:00] Reptilian Brain and together they work

[4:03] to create emotion in working with the

[4:06] body the body brain stem limbic area

[4:08] create emotion

[4:09] the brain stem works with the limbic

[4:12] area to also motivate us to drive our

[4:14] behaviors and this limbic area appraises

[4:18] the meaning of things whether things are

[4:20] significant or not whether they're good

[4:21] or bad

[4:22] in addition there are certain ways

[4:25] memory is divided up and connected

[4:27] through the limbic area with an area you

[4:29] may have heard the hippocampus or with

[4:32] its amygdala region and then on top of

[4:35] that you have the attachment experience

[4:38] we have as mammals where we connect with

[4:40] caregivers so that they can protect us

[4:42] and we can be sued by them is also

[4:45] mediated by this limbic region not just

[4:47] in childhood but throughout our whole

[4:49] lifespan

[4:50] now these limbic functions work closely

[4:53] if you fold your fingers over with the

[4:56] cortex which is basically making Maps

[4:58] so this region makes maps of the outside

[5:02] world with our eyes in the back the

[5:04] occipital cortex sound comes in the side

[5:06] the temporal lobe with the way in which

[5:10] we map out sound

[5:12] and you even have an area in the front

[5:14] from these second to last Knuckles

[5:17] forward called The frontal cortex also

[5:20] known as the association cortex where

[5:21] you make associations in thought and the

[5:24] front most part of this frontal lobe

[5:26] here is demarcated by your last Knuckles

[5:29] down your fingernails and this is called

[5:31] the pre-frontal cortex now you may have

[5:34] heard a lot about the prefrontal cortex

[5:36] because it's involved basically in

[5:38] something called integration it

[5:40] integrates cortex limbic area you can

[5:43] see it sits on top of it brain stem body

[5:46] and even the social world together

[5:49] now when you do a practice let's say

[5:51] like we have a wheel of awareness

[5:53] practice as a form of mindfulness

[5:54] meditation or do any kind of mindfulness

[5:57] reflective practice you are integrating

[6:00] the whole system

[6:01] when you're not integrated it can become

[6:04] chaotic and rigid it's like flipping

[6:06] your lid so instead of living with

[6:08] Harmony within yourself and Harmony and

[6:11] connection to others you're literally

[6:13] becoming chaotic with an outburst or

[6:15] rigid and withdrawn that's demonstrated

[6:18] by literally lifting up your fingers and

[6:20] showing how this prefrontal region is no

[6:23] longer linking the cortex limbic area

[6:25] brain stem body in the social world it's

[6:28] become disintegrated now the amazing

[6:31] thing is there's a new set of studies

[6:33] called the connectome studies which show

[6:36] how the areas of the brain that are

[6:39] differentiated can then become connected

[6:42] so it's connectone and what research has

[6:45] shown from the human connectome project

[6:47] is the best predictor of your well-being

[6:51] is how interconnected your connectome is

[6:56] so anything you can do to understand

[6:59] your hand model of the brain and to

[7:02] bring an honoring of differences and a

[7:05] connection of these areas you'll be

[7:07] promoting integration

[7:09] and you'll be giving yourself the gift

[7:11] that keeps on giving

[7:13] and the amazing thing too is that

[7:15] integration is likely the source of

[7:18] well-being not just in our bodies

[7:20] including the head brain but in our

[7:22] relationships with other people and even

[7:24] with nature around us creativity emerges

[7:28] from this integration collaboration

[7:30] emerges from integration so the hand

[7:33] while the brain reminds us to know the

[7:36] different parts understand how they may

[7:39] be differentiating themselves if we're

[7:41] angry or getting upset feeling sad

[7:44] feeling lonely making faults that emerge

[7:47] and then opening ourselves to all of

[7:49] these and connecting them together

[7:51] whether you do this in the wheel of

[7:53] awareness practice or some other kind of

[7:55] reflective practice having this brain of

[7:58] yours become more integrated is the

[8:01] pathway

[8:02] toward more well-being in your life

[8:05] whether it's at work at home or in your

[8:08] communities integration creates

[8:10] well-being

[8:11] thanks for joining me

[8:13] and goodbye

Dan Siegel
ArtistDan Siegel

Dan Siegel is a psychiatrist, educator and bestselling author who coined "mindsight" and interpersonal neurobiology, and leads the Mindsight Institute, using science to bring more…

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Perguntas frequentes

The hand model of the brain is a teaching tool by Dan Siegel that maps brain regions onto a hand: the fingers represent the cortex, the thumb the limbic area, the palm the brain stem, and the wrist the spinal cord. Siegel says it was created because the large plastic brain models are hard to carry in everyday life.
In the hand model, the prefrontal cortex is the front of the fingers, marked from the last knuckles down to the fingernails. Siegel says it integrates the cortex, limbic area, brain stem, body and social world together.
Siegel describes the brain stem as the oldest part of the head brain, regulating breathing, digestion and heart function. It also contains regions that create the fight, flight, freeze and faint response to threat.
Integration is the linking of the brain's differentiated regions so they work together. Siegel says that when integration breaks down, the brain can become chaotic and rigid, and that integration is likely the source of well-being.
Siegel says a perfect model would have two thumbs for the limbic area, one per hemisphere, but he notes most people only have one. The limbic area handles emotion, appraises the meaning of things, and is tied to memory and attachment.
Siegel suggests naming each region on your hand while noticing your reactions, then trying to connect them through reflective practice such as the wheel of awareness. The goal is to bring the prefrontal region back into linking the other areas when you feel overwhelmed.

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