An Ocular Correlate of the Embodied Unconscious: Pupil Dilation as a Biomarker for Trauma, Dissociation, and Psychedelic-Facilitated Healing

Abstract

Industrialized psychiatry has fundamentally failed to integrate observable, physiological markers with the deep, embodied nature of trauma, treating human suffering as a set of disembodied cognitive events. As a corrective, the Wounded Healers Institute (WHI) advances its Addiction as Dissociation Model (ADM) and the foundational principle that “the physical body is the psychological unconscious.” This paper proposes a core thesis that mydriasis (pupil dilation) is a quantifiable, somatic correlate of the unconscious processing of stress, trauma, dissociation, and psychedelic-induced states of healing. We argue that this observable ocular response is a direct manifestation of the body’s innate survival and repair mechanisms. Consequently, pupillometry offers a powerful, non-invasive biomarker for validating the process of Memory Reconsolidation (MR) and authentic healing, aligning with the WHI’s epistemological emphasis on qualitative, embodied evidence over the reductionist metrics of a compromised system.

1.0 Introduction: The Failure of the Disembodied Paradigm

The prevailing frameworks in modern psychiatry are overwhelmingly reductionist and disembodied. They treat psychological phenomena as abstract cognitive events, fundamentally separated from their visceral, physical manifestations. This systemic mind-body dualism has led to a catastrophic failure to understand and effectively treat the root causes of human suffering. Instead, the system promotes the scientifically weak “chemical imbalance” theory to create a lucrative market for psychotropic drugs, its scientific integrity compromised by deep financial ties to the pharmaceutical industry. This paper seeks to bridge this dangerous gap by examining pupil dilation—mydriasis—as a direct, observable window into the body’s unconscious processing of trauma and the innate drive toward healing.

To achieve this, we must first establish a coherent alternative to the fragmented and compromised models of care. The Wounded Healers Institute (WHI) provides this necessary framework through two core tenets. First, the Addiction as Dissociation Model (ADM) reframes addiction not as a disease or moral failing, but as a predictable and adaptive trauma-related dissociative response—an unconscious attempt to survive overwhelming pain. Second, and more fundamentally, we operate from the principle that “the physical body is the psychological unconscious.” This assertion posits that trauma, memory, and unresolved psychological material are not abstract constructs but are physically stored and expressed through the body’s somatic pathways.

This paper’s thesis is that pupil dilation is a direct, observable manifestation of the body’s unconscious survival and healing mechanisms in action. We argue that by analyzing pupillary responses through the lens of the unconscious, adaptive, or mindful dissociation and spectral labyrinth technique, we can validate these ocular changes as a legitimate biomarker for dissociative states, psychedelic-activated neuroplasticity, and the successful resolution of traumatic memory via the brain’s innate healing algorithm.

This introduction serves as a call for a paradigm shift—away from disembodied theory and toward the living evidence of the body. The following section will outline the theoretical foundations of the WHI model, providing the necessary context for this integrated analysis.

2.0 A Neuropsychobiological Framework for Memory, Trauma, and Endogenous Healing

A coherent, integrated model of pathology is of paramount strategic importance for any true science of healing. Mainstream diagnostics, particularly the Diagnostic and Statistical Manual of Mental Disorders (DSM), offer a siloed, symptom-focused approach that fragments human experience, overlooking the profound interconnectedness of trauma, dissociation, and addiction. In contrast, the WHI’s holistic view provides a unified understanding of these phenomena. This section outlines the foundational principles of the ADM to provide the necessary context for interpreting observable physiological responses like pupil dilation as meaningful expressions of the embodied unconscious.

The Interdependent Axis of Trauma and Healing

The body’s capacity to manage trauma and facilitate healing is regulated by a sophisticated, interdependent cascade of endogenous systems. The initial threat activates the Endogenous Opioid System (EOS), which releases endorphins to numb physical and emotional pain and initiate peritraumatic dissociation. This vital survival mechanism is also the neurobiological foundation for what Bessel van der Kolk (1985) termed the “addiction to trauma,” wherein an individual can form a conditioned bond to this pain-numbing state. Following this acute survival response, the Endocannabinoid System (ECS), the body’s central healing and regulatory network, attempts to restore homeostasis and modulate emotion, memory, and pain. Finally, should deeper integration be required, the hypothesized Endogenous Psychedelic System (EPS) is believed, as presented by WHI in our blogs, to provide the critical neuroplastic window necessary for the profound resolution of traumatic memory, temporarily quieting the brain’s rigid defenses to allow for the emergence of deeply held, embodied memories.

The Universal Algorithm of Healing

The brain possesses an innate, universal, and evidence-based neurological algorithm for healing trauma: Memory Reconsolidation (MR). It is not a specific therapeutic technique but the neurobiological process that all effective therapies ultimately facilitate. For this natural healing algorithm to be activated, three essential steps must occur:

1. Activation: The original traumatic memory, with its associated emotional and somatic charge, is accessed and brought into active awareness.
2. Contrast/Conflict: A new, contradictory experience is introduced simultaneously. This creates a “prediction error” in the brain that signals the old memory is inaccurate, making its neural pathway temporarily malleable.
3. New Acquired Knowledge/Integration: The memory is updated with the new, non-threatening information and re-stored in a modified, non-distressing form.

The question becomes, what is the mechanism of action. A review of SLT reveals not only mechanism of action (MoA), but also may add a reset of our hardwares emotional circuitry that adds the color needed to see the forest from the trees, us and them, and 1+1=3 logic. Or to see that there is no wrong answer, when it is a matter of awareness, consciousness, and who knows exactly what. Knowing who is living dissociated and who is not becomes a powerful knowledge in a world that does not know if AI is real or not; yet.

Dissociation as an Adaptive Mechanism

From the WHI perspective, dissociation is not an inherent pathology but an innate, adaptive survival response to trauma. It is the mechanism by which the body severs an individual from an overwhelming present moment to ensure survival. The symptoms of Post-Traumatic Stress Disorder (PTSD)—such as flashbacks, emotional numbing, and amnesia—are fundamentally manifestations of this dissociative process. They represent the body’s ongoing stress response as it attempts to return to homeostasis after a traumatic event has fragmented the coherent encoding of memory. The sense code the memories, as they are the librarians of experience.

These innate biological systems—the axis of healing and the algorithm of memory reconsolidation—form the basis of the trauma response. They are the unconscious engine driving the observable physiological reactions that provide a direct window into the body’s silent, unceasing efforts to survive and heal.

3.0 Pupil Dilation: A Scientific Review of an Unconscious Ocular Response

To integrate an observable physiological sign like pupillary response into a comprehensive psychological framework, we must first review its established physiological basis. While industrialized science often reduces such phenomena to mere mechanical artifacts, the WHI paradigm seeks to translate them into the symbolic language of the embodied unconscious. This section will conduct a neutral review of the current scientific literature on the physiological mechanisms and established triggers of mydriasis to build an objective foundation for the integrated analysis that follows.

The Autonomic Nervous System’s Regulation of the Iris

Pupil size is controlled unconsciously by the autonomic nervous system (ANS), which balances two opposing branches to modulate the iris in response to internal and external demands. This intricate regulation is a direct physical expression of the body’s state of arousal and safety.

Nervous System Branch	Core Function & Mechanism	Ocular Response
Sympathetic Nervous System	Fight-or-Flight: Mobilizes the body for survival in response to threat or high arousal. The locus coeruleus-norepinephrine (LC-NE) system releases norepinephrine, which stimulates the dilator pupillae muscle of the iris.	Triggers rapid pupil dilation (mydriasis) to maximize light intake and enhance visual acuity for threat detection.
Parasympathetic Nervous System	Rest-and-Digest: Calms the body and conserves energy. Releases acetylcholine, which stimulates the sphincter pupillae muscle of the iris.	Triggers pupil constriction (miosis), reducing light intake and signaling a state of safety, relaxation, and homeostasis.

Research on Stimulus-Related Mydriasis

Peer-reviewed literature confirms that pupil dilation is a highly sensitive and reliable indicator of specific physiological and cognitive states.

• Acute Stress, Fear, and Emotional Arousal: A substantial body of research demonstrates that pupil size increases significantly in response to emotionally arousing stimuli, both negative and positive. This response is primarily driven by the activation of the sympathetic nervous system’s locus coeruleus-norepinephrine (LC-NE) system. The release of norepinephrine during states of fear, surprise, or intense cognitive effort directly causes the dilator pupillae muscle to contract, resulting in mydriasis. Pupillometry is therefore widely used as an objective measure of sympathetic arousal and cognitive load.
• Psychedelic Substance Use: The mydriatic effects of classical psychedelics like psilocybin and LSD are well-documented. This dilation is primarily attributed to their agonistic activity at 5-HT2A serotonin receptors in the brain. Activation of these receptors modulates the autonomic nervous system, leading to a state of sympathetic dominance that is visibly expressed through significantly enlarged pupils.
• Dissociative States: While research is more nascent, studies have begun to explore pupillary responses in individuals with clinically recognized dissociative disorders. Some findings suggest altered pupillary light reflexes and baseline pupil size in individuals with dissociative disorders, potentially indicating a state of chronic hyperarousal or dysregulation within the autonomic nervous system. This aligns with clinical observations of a “thousand-yard stare” or wide-eyed appearance in individuals experiencing dissociative states, suggesting a persistent state of physiological hypervigilance.

This scientific review affirms that the pupil is an active and sensitive indicator of autonomic arousal, emotional intensity, and specific neurochemical activation. This establishes a firm, objective basis for synthesizing these physiological facts with the WHI’s neuropsychobiological framework, allowing us to interpret what the eye reveals.

4.0 Integrated Analysis: Interpreting Mydriasis Through the Lens of the Addiction as Dissociation Model

Having established the objective physiological underpinnings of mydriasis, we can now perform this paper’s central task: integrating the raw biological data of pupil dilation with the neuropsychobiological framework of ADM, supported by (O’Brien, 2023a) SLTheory, Neuroexperiential Model, and Adaptive Information Process (AIP) Model. This is an act of translation, converting an observable physical sign into profound psychological insight. By viewing the eye not merely as an organ of sight but as a direct conduit to the embodied unconscious, we can interpret its responses as meaningful communications about trauma, dissociation, and the innate drive to heal.

Pupil Dilation as a Correlate of the Embodied Unconscious

The principle that “the body keeps the score” finds a clear and visible expression in the pupil. During a traumatic event, the amygdala becomes overactive, encoding powerful emotional and sensory reactions that exist outside of linear time. When a person is subsequently triggered, this unconscious somatic memory is reactivated, launching the locus coeruleus-norepinephrine system and flooding the body with norepinephrine. The resulting pupil dilation is a direct, visible sign of this process—a physical manifestation of a memory the conscious mind may not even recognize. It is the body speaking its truth, unfiltered by cognitive defenses.

Similarly, the pronounced mydriasis observed during a psychedelic experience is a physical marker of the activation of the body’s healing potential. Classical psychedelics quiet the brain’s Default Mode Network (DMN)—the neurological substrate of the ego and its rigid defenses. This temporary dissolution of control, coupled with enhanced neuroplasticity from 5-HT2A receptor activation, creates the ideal conditions for Memory Reconsolidation. The dilated pupil, in this context, is the external signal that this neurobiological “window of opportunity” for deep healing has been opened.

Mydriasis as an Indicator of a Dissociative State

According to the ADM, addiction is a conditioned bond to a dissociative state, which is itself an adaptive survival response to trauma. Therefore, trauma-induced pupil dilation is a primary somatic signal of this survival state. The physiological hyper-alertness—the wide-eyed scanning for threat driven by the sympathetic nervous system—is the direct somatic expression of psychological fragmentation. It is the body remaining on high alert for threat even as the conscious mind disconnects or “zones out” to escape an overwhelming reality. The dilated pupil is the physical signature of a being whose body is locked in a state of vigilance while their conscious awareness has fled.

A Link to Endogenous Healing Systems

The very stress event that triggers the sympathetic nervous system and causes pupil dilation is the same event that activates the body’s tiered endogenous healing cascade. The initial shock engages the Endogenous Opioid System (EOS) to numb the pain and facilitate survival via dissociation. This sets the stage for the Endocannabinoid System (ECS) to attempt to restore homeostasis and regulate the dysregulation. Finally, in optimal conditions, the hypothesized Endogenous Psychedelic System (EPS) may activate, providing the neuroplasticity required for full resolution. Pupil dilation, therefore, marks the initiation of this entire biological cascade—a signal that the body has registered a threat and is deploying its innate, multi-layered capacity for survival and repair.

This integrated analysis transforms our understanding of a simple physiological reflex into a profound diagnostic tool. The next section will explore the practical and clinical implications of this perspective.

5.0 Clinical Implications: Pupillometry as a Validation of Authentic Healing

The search for valid, observable, and non-invasive markers of therapeutic progress is of paramount strategic importance in a field dominated by subjective self-reporting and the reductionist quantitative metrics of industrialized psychiatry. The WHI framework critiques this “quantitative addiction” and instead prioritizes methods that honor the qualitative reality of lived, embodied experience. Pupillometry, when interpreted through this lens, emerges as a powerful tool for generating objective data that supports a holistic, person-centered paradigm.

Pupillometry as a Proposed Biomarker for Healing

We formally propose that tracking changes in an individual’s pupillary response patterns over time can serve as a clinical validator of authentic trauma healing. This approach moves beyond abstract metrics and observes the nervous system’s direct, non-verbal communication, providing tangible evidence of progress in the body’s own language.

• Baseline Regulation: As trauma is integrated and the nervous system returns to a state of homeostasis, an individual’s baseline pupil size may become less reactive and more regulated. This would provide an objective marker of a calmer, more resilient internal state, indicating successful integration of traumatic memories.
• Reduced Trigger Reactivity: A core goal of trauma resolution is to neutralize the emotional charge of triggering stimuli. A diminished pupillary dilation response when presented with previously triggering memories, images, or narratives could objectively demonstrate the successful reconsolidation of that traumatic memory. The body would no longer be launching into a full-scale survival response, a change visibly reflected in the eyes.
• Psychedelic-Assisted Validation: In the context of psychedelic care, consistent and robust mydriasis can serve as a positive indicator that the necessary neurobiological state for Memory Reconsolidation has been achieved. It provides observable confirmation that the medicine is activating the 5-HT2A receptors and quieting the DMN, creating the optimal conditions for the brain’s innate healing algorithm to engage.

Aligning with WHI’s Epistemology of Embodied Truth

Framing pupillometry in this way transforms it into a form of qualitative science. It is an observational method that honors lived experience by directly observing the body’s non-verbal communication. This stands in stark contrast to the dehumanizing labels and statistical aggregates of the industrialized system. By watching the eyes, we are not reducing a person to a number; we are bearing witness to the living, dynamic process of their nervous system as it moves from a state of threat to a state of safety. This approach generates objective data that supports, rather than supplants, a holistic, embodied paradigm of healing.

The power of this approach lies in its ability to validate the invisible process of healing in a visible, undeniable way, bridging the gap between subjective experience and objective measurement.

The Eyes as a Window to the Unconscious

The Telltale Eye: What Your Pupils Reveal About Unseen Stress and Trauma

Have you ever looked into someone’s eyes in a moment of fear and seen them widen? That’s more than just a reaction—it’s a story the body is telling.

In moments of stress or danger, our body’s “fight-or-flight” system—the sympathetic nervous system—kicks into high gear. One of its first actions is to dilate our pupils, flooding our eyes with light to help us see any potential threats more clearly. It’s an ancient, automatic survival instinct.

At the Wounded Healers Institute, we operate on a foundational idea: “the body is the unconscious.” This means that long before our conscious mind can label a feeling or analyze a situation, our body has already registered the truth and is physically responding. Pupil dilation is a perfect example. It’s a direct, unfiltered message from this deep, embodied intelligence, revealing a level of stress or activation that the conscious mind might ignore, deny, or rationalize away.

Pay attention to these subtle bodily cues in yourself and others. They are whispers from a part of you that holds deep wisdom. But what happens when this stress response gets stuck? Next, we’ll explore the surprising link between dilated pupils and the survival state of dissociation.

“Zoning Out” vs. Deep Survival: Are Your Pupils Signaling Dissociation?

We’ve all experienced moments of “zoning out”—staring into space, lost in thought. But what if it’s more than just a lack of focus? From the Wounded Healers Institute perspective, what is often dismissed as daydreaming is frequently an adaptive survival mechanism known as dissociation.

When reality becomes too overwhelming, threatening, or painful, the brain has an incredible ability to protect us by disconnecting. This is dissociation. And just as in a moment of acute fear, the body remains on high alert. The same pupils that dilate to scan for a physical threat can remain wide as a sign of this internal, psychological vigilance. The body is still in fight-or-flight mode, even if the conscious mind has checked out.

This is a key insight of our Addiction as Dissociation Model (ADM). A person can become unconsciously “bonded” to this state of alert-numbness as a way to cope with unresolved trauma. The persistent “zoning out,” accompanied by the physiological signs of hyper-alertness, becomes a conditioned pattern—a way of surviving a world that feels unsafe.

If our eyes show us the signature of trauma, can they also show us the path to healing? In our next post, we’ll look at the powerful role of psychedelics in this journey.

Psychedelics and the “Window to the Soul”: Why Your Eyes Widen During Healing

One of the most immediate and visible effects of taking a classical psychedelic is significant pupil dilation. This happens because these substances interact with the brain’s serotonin system, specifically the 5-HT2A receptors, which triggers this physiological response.

But at the Wounded Healers Institute, we argue this is not a mere side effect. It is a critical external sign that the brain’s innate “healing algorithm” (Memory Reconsolidation) is being activated. The dilated pupil shows us that the Default Mode Network—the part of the brain associated with our ego and rigid patterns of thought—is quieting down. This allows deeply held, often unconscious traumatic memories to surface in a safe context, where they can finally be processed and integrated.

This is why we make a clear distinction between man-made “industrialized drugs,” which often just manage symptoms, and naturally occurring “healing superfoods” like psilocybin mushrooms. Psychedelics are catalysts. They don’t do the healing for you; they create the ideal neurobiological conditions for you to access your own body’s profound wisdom and heal yourself. The wide-open pupil is a beautiful, visible symbol of a mind that has become open enough for this deep work to occur.

This visible sign of deep brain activity opens up a revolutionary possibility. What if we could actually watch healing happen in real-time? Find out how in our final post.

A New Way to Measure Healing? Watching the Eyes Recover from Trauma

For too long, progress in mental health has been measured with subjective checklists and impersonal labels. We believe there is a better way. We propose that we can track and validate trauma recovery by observing changes in a person’s pupillary responses over time.

This isn’t science fiction; it’s about listening to the body’s own language. Here are some of the indicators we could look for:

• A Calmer ‘At-Rest’ State: As the nervous system heals and regulates, a person’s baseline pupil size may become more stable and less reactive, reflecting an inner sense of safety.
• Less Reaction to Triggers: When a traumatic memory is successfully healed, the things that used to trigger a stress response no longer have the same power. We might see this as a noticeably smaller dilation response to a memory that once caused distress.

This method is a powerful example of what we call “qualitative science”—a science that honors the “lived experience” of the body. It stands in direct contrast to the cold, impersonal numbers of mainstream psychiatry, a system we critique as suffering from a “quantitative addiction.” By observing the eyes, we gather objective data that respects the whole person.

We encourage you to trust the wisdom of your own body. Its signals are not random noise; they are the most honest feedback you will ever receive. Support a new paradigm of mental health that sees, hears, and honors your entire embodied experience.

6.0 Conclusion: Reclaiming the Evidence of the Body

This analysis has demonstrated that pupil dilation is not a random physiological artifact but a meaningful, quantifiable expression of the embodied unconscious. Moving beyond the disembodied frameworks of industrialized psychiatry, we have reframed mydriasis as a reliable somatic marker for states of trauma, dissociation, and the profound neuroplasticity activated during psychedelic-facilitated healing. By integrating established physiological principles with the neuropsychobiological insights of the Wounded Healers Institute’s Addiction as Dissociation Model, we have shown that the eye provides a direct window into the body’s innate survival mechanisms and its relentless drive toward wholeness.

This perspective carries a powerful call for a paradigm shift. We urge clinicians, researchers, and legal professionals to move beyond models that fragment the human experience and deny the physical reality of psychological suffering. The time has come to embrace the “living science” of the body—to learn to read its signals not as pathologies to be suppressed, but as communications to be understood. The integration of observable somatic indicators like pupillary response is a crucial step toward a more authentic, effective, and humane model of care. It is a fulfillment of the moral-ethical imperative of the Healer profession: to bear witness to suffering, to honor the body’s wisdom, and to facilitate the innate, universal process of healing.

7.0 References

Bradley, M. M., Miccoli, L., Escrig, M. A., & Lang, P. J. (2008). The pupil as a measure of emotional arousal and autonomic activation. Psychophysiology, 45(4), 602–607. https://doi.org/10.1111/j.1469-8986.2008.00654.x

Ehlers, A., Hackmann, A., & Michael, T. (2004). Intrusive re-experiencing in post-traumatic stress disorder: Phenomenology, Theory, and Therapy. Memory, 12(4), 403–415. https://doi.org/10.1080/09658210444000025

Ellickson-Larew, S., Stasik-O’Brien, S., Stanton, K., & Watson, D. (2020). Dissociation as a multidimensional transdiagnostic symptom. Psychology of Consciousness: Theory, Research, and Practice, 7(2), 126–150. https://doi.org/10.1037/cns0000184

Fattore, L., Piva, A., Zanda, M., Fumagalli, G., & Chiamulera, C. (2018). Psychedelics and reconsolidation of traumatic and appetitive maladaptive memories: Focus on cannabinoids and ketamine. Psychopharmacology, 235(2), 433–445. https://doi.org/10.1007/s00213-017-4749-9

Feduccia, A. A., & Mithoefer, M. C. (2018). MDMA-assisted psychotherapy for PTSD: Are memory reconsolidation and fear extinction underlying mechanisms? Progress in Neuropsychopharmacology & Biological Psychiatry, 84(Pt A), 221–228. https://doi.org/10.1016/j.pnpbp.2018.03.003

Krediet, E., Bostoen, T., Breeksema, J., van Schagen, A., Passie, T., & Vermetten, E. (2020). Reviewing the potential of psychedelics for the treatment of PTSD. International Journal of Neuropsychopharmacology, 23(6), 385–400. https://doi.org/10.1093/ijnp/pyaa018

Laeng, B., Sirois, S., & Gredebäck, G. (2012). Pupillometry: A window to the preconscious? Perspectives on Psychological Science, 7(1), 18–27. https://doi.org/10.1177/1745691611427305

Lanius, U., Paulsen, S., & Corrigan, F. (2014). Neurobiology and treatment of traumatic dissociation: Toward an embodied self. Springer Publishing Company.

Najavits, L. M., & Walsh, M. (2012). Dissociation, PTSD, and substance abuse: An empirical study. Journal of Trauma & Dissociation, 13(1), 115–126. https://doi.org/10.1080/15299732.2011.608781

Nijenhuis, E. R. S., & van der Hart, O. (2011). Dissociation in trauma: A new definition and comparison with previous formulations. Journal of Trauma & Dissociation, 12(4), 416–445. https://doi.org/10.1080/15299732.2011.570592

O’Brien, A. (2023a). Addiction as trauma-related dissociation: A phenomenological investigation of the addictive state [Doctoral dissertation, International University of Graduate Studies]. Wounded Healers Institute. https://woundedhealersinstitute.org/courses/addiction-as-dissociation-model-course/

O’Brien, A. (2023b). Memory reconsolidation in psychedelics therapy. In Path of the wounded healer: A dissociative-focused phase model for normative and pathological states of consciousness: Training manual and guide. Wounded Healers Institute. https://woundedhealersinstitute.org/courses/addiction-as-dissociation-model-course/

Palhano-Fontes, F., Andrade, K. C., Tofoli, L. F., Santos, A. C., Crippa, J. A. S., Hallak, J. E. C., & de Araujo, D. B. (2015). The psychedelic state induced by ayahuasca modulates the activity and connectivity of the default mode network. PLoS ONE, 10(2), e0118143. https://doi.org/10.1371/journal.pone.0118143

Reimer, J., & D’Amato, R. J. (1996). Serotonergic regulation of pupillary function in the rat. Journal of Ocular Pharmacology and Therapeutics, 12(1), 77–88. https://doi.org/10.1089/jop.1996.12.77

van der Kolk, B. A. (1985). Adolescent vulnerability to post-traumatic stress. Psychiatry, 48(4), 365–370. https://doi.org/10.1080/00332747.1985.11024294

van der Kolk, B. A. (2014). The body keeps the score: Brain, mind, and body in the healing of trauma. Viking.

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References

O’Brien, A. (2023a). Addiction as Trauma-Related Dissociation: A Phenomenological Investigation of the Addictive State. International University of Graduate Studies. (Dissertation). Retrieved at woundedhealersinstitute.org/courses/addiction-as-dissociation-model-course/

O’Brien, A. (2023b). Memory Reconsolidation in Psychedelics Therapy. In Path of the Wounded Healer: A Dissociative-Focused Phase Model for Normative and Pathological States of Consciousness: Training Manual and Guide. Albany, NY: Wounded Healers Institute. Retrieved at woundedhealersinstitute.org/courses/addiction-as-dissociation-model-course/

O’Brien, A. (2023c). Path of the Wounded Healer: A Dissociative-Focused Phase Model for Normative and Pathological States of Consciousness: Training Manual and Guide. Albany, NY: Wounded Healers Institute. Retrieved at woundedhealersinstitute.org/

O’Brien, A. (2024a). Healer and Healing: The re-education of the healer and healing professions as an advocation. Re-educational and Training Manual and Guide. Albany, NY: Wounded Healers Institute. Retrieved at woundedhealersinstitute.org/

O’Brien, A. (2024e). Path of the Wounded Healers for Thrivers: Perfectionism, Altruism, and Ambition Addictions; Re-education and training manual for Abusers, Activists, Batterers, Bullies, Enablers, Killers, Narcissists, Offenders, Parents, Perpetrators, and Warriors. Re-Education and Training Manual and Guide. Albany, NY: Wounded Healers Institute. Retrieved at woundedhealersinstitute.org/

O’Brien, A. (2025). American Made Addiction Recovery: a healer’s journey through professional recovery. Albany, NY: Wounded Healers Institute. Retrieved at woundedhealersinstitute.org/

*This is for informational and educational purposes only. For medical advice or diagnosis, consult a professional.