SYNOPSIS: This introductory course is based on the 190-page book, The Body Remembers: The Psychophysiology of Trauma and Trauma Treatment (2000) by Babette Rothschild, M.S.W., LCSW.
For both clinicians and their clients there is tremendous value in understanding the psychophysiology of trauma and knowing what to do about its manifestations. 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.
* On Building Bridges
* Working with the Body Does Not Require Touch
* The False Memory Controversy
* Organization of This Book
* A Disclaimer
PART I: THEORY
1. Overview of Posttraumatic Stress Disorder (PTSD): The Impact of Trauma on Body and Mind Charlie and the Dog, Part I
* The Symptomatology of PTSD
* Distinguishing Stress, Traumatic Stress, PTS, and PTSD
* Survival and the Nervous System
* Defensive Response to Remembered Threat
* Dissociation, Freezing, and PTSD
* Consequences of Trauma and PTSD
2. Development, Memory, and the Brain
* The Developing Brain
* What is Memory?
3. The Body Remembers: Understanding Somatic Memory
* The Sensory Roots of Memory
* The Autonomic Nervous System:
Hyperarousal and the Reflexes of Fight, Flight, and Freeze
* The Somatic Nervous System: Muscles, Movement, and Kinesthetic Memory
* Emotions and the Body
4. Expressions of Trauma Not Yet Remembered: Dissociation and Flashbacks
* Dissociation and the Body
PART II: PRACTICE
5. First, Do No Harm
* On Braking and Accelerating
* Evaluation and Assessment
* The Role of the Therapeutic Relationship in Trauma Therapy
* Developing and Reacquainting Resources
* Oases, Anchors, and the Safe Place
* The Importance of Theory
* Respecting Individual Differences
* Ten Foundations for Safe Trauma Therapy
6. The Body as Resource
* Body Awareness
* Making Friends with Sensations
* The Body as Anchor
* The Body as Gauge
* The Body as Brake
* The Body as Diary: Making Sense of Sensations
* Somatic Memory as Resource
* Facilitating Trauma Therapy Using the Body as Resource
7. Additional Somatic Techniques for Safer Trauma Therapy
* Dual Awareness
* Muscle Toning: Tension vs. Relaxation
* Physical Boundaries
* The Question of Client-Therapist Touch
* Mitigating Session Closure
8. Somatic Memory Becomes Personal History
* Beware the Wrong Road
* Separating Past from Present
* Working with the Aftermath of the Trauma First
* Bridging the Implicit and The Explicit
After completing this home-study course, you'll be better able to...
“This book taught me more than I’ve learned in any other training in trauma recovery.”
–Willene V. L. Pursell, Ph.D. / Psychologist / July 7, 2009
"While mental health sciences continue to make important discoveries on the psychophysiology of psychological trauma, there are hardly any works that discuss the implications of those findings for the treatment of trauma survivors. In The Body Remembers, Babette Rothschild beautifully succeeds in bridging this gap. She not only provides a clear window on this very important subject, but also presents a highly practical integration of the psychophysiology of trauma and the ways in which clinicians may assist trauma survivors to resolve the effects of overwhelming experience on mind and body. She presents many fine, brief vignettes, and clearly demonstrates the extra value of treatment interventions at the sensorimotor level."
—Onno van der Hart, Ph.D., Professor in the Department of Clinical Psychology, Utrecht University, The Netherlands
"The new paradigm in traumatology is the incorporation of theories built upon recent findings in neurobiology. After reviewing these findings, Rothschild introduces a thorough approach to helping the traumatized. A tribute to van der Kolk's view of the 'body keeps the score,' this book is the first to combine with consistency theory, research, and practice in enabling the traumatized to have hope, recover their balance, and avoid medical maladies resulting from chronic traumatic stress."
—Charles R. Figley, Ph.D., Director and Professor, Florida State University Traumatology Institute
"This book fulfills its major goal - to build a bridge between the practice of traditional verbal trauma therapy and body-oriented therapies. It demonstrates how the body is a resource in the treatment of PTSD. This text does an admirable job of combining the theory of how the mind and body process, record, and remember traumatic events (presented in an easily understandable format) with practice strategies to help both body and mind. As Rothschild notes, PTSD is a 'disorder of memory gone awry' that must be treated phenomenologically in a boundaried, anchored, safe internal and external setting to unite implicit and explicit memories. This book is a 'must' for the professional's library!"
—Mary Beth Williams, Ph.D., LCSW, CTS, Past President, Association for Traumatic Stress Specialists