Body Remembers : The Psychophysiology of Trauma and Trauma Treatment

by
Format: Hardcover
Pub. Date: 2000-10-17
Publisher(s): W. W. Norton & Company
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Summary

This book illuminates that physiology, shining a bright light on the impact of trauma on the body and the phenomenon of somatic memory. It is now thought that people who have been traumatized hold an implicit memory of traumatic events in their brains and bodies. That memory is often expressed in the symptomatology of posttraumatic stress disorder-nightmares, flashbacks, startle responses, and dissociative behaviors. In essence, the body of the traumatized individual refuses to be ignored. While reducing the chasm between scientific theory and clinical practice and bridging the gap between talk therapy and body therapy, Rothschild presents principles and non-touch techniques for giving the body its due. With an eye to its relevance for clinicians, she consolidates current knowledge about the psychobiology of the stress response both in normally challenging situations and during extreme and prolonged trauma. This gives clinicians from all disciplines a foundation for speculating about the origins of their clients' symptoms and incorporating regard for the body into their practice. The somatic techniques are chosen with an eye to making trauma therapy safer while increasing mind-body integration. Packed with engaging case studies, The Body Remembers integrates body and mind in the treatment of posttraumatic stress disorder. It will appeal to clinicians, researchers, students, and general readers.

Author Biography

Babette Rothschild, M.S.W., L.C.S.W., has been practicing psychotherapy since 1976

Table of Contents

Acknowledgments ix
Introduction xi
On Building Bridges xi
Working with the Body Does Not Require Touch xiv
The False Memory Controversy xiv
Organization of This Book xv
A Disclaimer xv
PART I: THEORY
Overview of Posttraumatic Stress Disorder (PTSD): The Impact of Trauma on Body and Mind
3(12)
Charlie and the Dog, Part I
4(2)
The Symptomatology of PTSD
6(1)
Distinguishing Stress, Traumatic Stress, PTS, and PTSD
7(1)
Survival and the Nervous System
8(4)
Defensive Response to Remembered Threat
12(1)
Dissociation, Freezing, and PTSD
13(1)
Consequences of Trauma and PTSD
13(2)
Development, Memory, and the Brain
15(22)
The Developing Brain
16(10)
What is Memory?
26(11)
The Body Remembers: Understanding Somatic Memory
37(28)
The Sensory Roots of Memory
38(7)
Charlie and the Dog, Part II
45(1)
The Autonomic Nervous System: Hyperarousal and the Reflexes of Fight, Flight, and Freeze
46(4)
The Somatic Nervous System: Muscles, Movement, and Kinesthetic Memory
50(6)
Emotions and the Body
56(9)
Expressions of Trauma Not Yet Remembered: Dissociation and Flashbacks
65(12)
Dissociation and the Body
66(4)
Flashbacks
70(7)
PART II: PRACTICE
First, Do No Harm
77(23)
On Braking and Accelerating
78(2)
Evaluation and Assessment
80(2)
The Role of the Therapeutic Relationship in Trauma Therapy
82(5)
Safety
87(1)
Developing and Reacquainting Resources
88(4)
Oases, Anchors, and the Safe Place
92(4)
The Importance of Theory
96(2)
Respecting Individual Differences
98(1)
Ten Foundations for Safe Trauma Therapy
98(2)
The Body as Resource
100(29)
Body Awareness
100(6)
Making Friends with Sensations
106(1)
The Body as Anchor
107(2)
The Body as Gauge
109(6)
The Body as Brake
115(1)
The Body as Diary: Making Sense of Sensations
116(2)
Somatic Memory as Resource
118(2)
Facilitating Trauma Therapy Using the Body as Resource
120(9)
Additional Somatic Techniques for Safer Trauma Therapy
129(21)
Dual Awareness
129(6)
Muscle Toning: Tension vs. Relaxation
135(5)
Physical Boundaries
140(7)
The Question of Client-Therapist Touch
147(1)
Mitigating Session Closure
148(2)
Somatic Memory Becomes Personal History
150(24)
Beware the Wrong Road
151(4)
Separating Past from Present
155(1)
Working with the Aftermath of the Trauma First
156(4)
Bridging the Implicit and the Explicit
160(11)
Charlie and the Dog, the Final Episode
171(3)
References 174(6)
Index 180

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