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The Transformative Power of Altruism in Animal-Assisted Psychotherapy

In his 2017 work, Cozolino presents a compelling exploration of the neurological mechanisms underlying the therapeutic benefits of altruistic behavior, particularly in the context of animal-assisted psychotherapy (AAP). He emphasizes the role of the orbital medial prefrontal cortex (ompfc) in fostering bonding and attachment, which can be particularly beneficial for individuals with social anxiety or post-traumatic stress disorder (PTSD). This blog delves into Cozolino's insights and their implications for therapy, highlighting how caring for animals can serve as a crucial bridge to human connection for those who struggle with forming relationships due to past trauma.

Understanding the Orbital Medial Prefrontal Cortex (ompfc)

The ompfc is a part of the brain involved in complex processes related to decision-making, social behavior, and emotional regulation. Cozolino (2017) explains that the activation of ompfc circuitry through altruistic behavior, such as taking care of animals, can stimulate bonding and attachment. This neurological activation is particularly significant in therapeutic settings where clients may initially feel safer forming attachments with animals rather than people.

Altruistic Behavior as a Therapeutic Tool

Altruism, or the selfless concern for the well-being of others, activates neural circuits in the ompfc that are essential for emotional bonding and attachment. Cozolino notes that this activation helps individuals modulate anxiety and fears by allowing the ompfc to regulate the amygdala and other subcortical structures. This regulation is crucial because the amygdala is associated with processing emotions such as fear and anxiety. By modulating these responses, the ompfc helps individuals feel safer and more secure, which is particularly beneficial in a therapeutic context.

Animals as Bridges to Human Connection

For clients with social anxiety or PTSD, forming relationships with animals can be a less intimidating step towards human connection. Cozolino suggests that taking care of animals can serve as a valuable bridge to more risky relationships with people. This step-by-step approach can help clients gradually build the confidence and skills needed to form healthy human attachments.

The Role of Animal-Assisted Psychotherapy (AAP)

In AAP, animals play a pivotal role in the therapeutic process. They provide a non-judgmental presence that can help clients feel more at ease. This is particularly important for individuals who have experienced developmental trauma and may fear the therapeutic relationship. The bond formed with an animal in therapy can activate neural circuits in the ompfc, which are central targets for change in psychotherapy. This activation helps clients feel safer and more secure, paving the way for deeper therapeutic work.

Practical Applications in Therapy

The insights provided by Cozolino have practical implications for therapists working with clients who have experienced trauma or who struggle with social anxiety. Incorporating animals into therapy can offer several benefits:

1. **Safety and Security**: Animals provide a sense of safety and security, which can help clients feel more comfortable in the therapeutic setting. This is particularly important for clients with a history of trauma, who may find it difficult to trust others.

2. **Emotional Regulation**: The activation of ompfc circuitry through interactions with animals can help regulate the amygdala and other subcortical structures. This regulation can reduce anxiety and fear, making it easier for clients to engage in the therapeutic process.

3. **Building Trust**: Forming a bond with an animal can be a precursor to forming trust in human relationships. This gradual approach can help clients develop the confidence needed to take risks in their relationships with people.

4. **Altruistic Behavior**: Caring for an animal involves altruistic behavior, which activates the ompfc and fosters bonding and attachment. This can be a powerful tool for clients who struggle with forming connections due to past trauma.

Case Studies and Success Stories

Numerous case studies highlight the effectiveness of AAP in helping clients with social anxiety and PTSD. For example, a client who had experienced significant developmental trauma might find it challenging to open up to a therapist. However, through interactions with a therapy dog, the client could gradually build trust and feel more comfortable in the therapeutic setting. Over time, the bond with the animal can serve as a foundation for forming a trusting relationship with the therapist.


Cozolino's work underscores the profound impact of altruistic behavior on neurological processes involved in bonding and attachment. In the context of AAP, these insights highlight the potential for animals to serve as bridges to human connection for clients who fear the therapeutic relationship due to developmental trauma. By activating neural circuits in the ompfc, interactions with animals can help regulate the amygdala and other subcortical structures, reducing anxiety and fostering a sense of safety and security. For therapists, incorporating animals into therapy offers a powerful tool for helping clients build trust and form healthy attachments, ultimately facilitating deeper and more effective therapeutic work.

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