Somatic Psychology Perspective

Human beings are a mind and a body.  We encounter the world through our senses (body) and our nervous system is shaped by our body’s experience (Moya, 2015).  There is no living body without mind, so to be more accurate each human being is a mindbody (Totton, 2003).  We cannot separate one from the other.  Each mindbody comes with its own capabilities and disabilities, and differences and similarities to others.  Yet, it remains a constant that every human has a mindbody and we need to take care of the whole system not just aspects of it.

If we consider that each mindbody is a means of communication and exploration (Payne, Koch, Tantia, & Fuchs, 2019), then it makes sense that we experience our world in relation to others.  We are all social animals, we do not live in isolation, but in relationship with another human, animal, and the environment both natural and built (Mallgrave, 2015).  There is always a stream of information being cycled into and through our body about our surroundings and interactions with other.

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Imagine if I pet my dog, I can feel her fur under my hand, I see the relaxed nature of her body as she receives my love, feel her body move close to mine for more contact. I feel more relaxed, happy, satisfied, and regulated in our relationship.  This is an example of positive social interaction. 

What if that is not your experience?  Or what if there are times when things were so bad and so scary that they cannot be forgotten?  What if you notice that you don’t respond to situations the same anymore, things are scarier, you are angrier, what people do and don’t do have stopped making sense? What if you notice what you do and don’t do has stop making sense, too?

What is trauma?

At its most basic definition trauma is the response to a terrible event, the mindbody has been shocked in some way that now parts of it are on high alert to make sure that you never experience that again (Kraybill, 2019).  This is the trauma response, when parts of your body or mind highjack your entire system to get you out of a situation that for some reason those parts deem dangerous. 

Physical responses:  The body acts (what feels like) on its own accord to remove you from the danger.

Ex: A war veteran hears firecrackers and hits the deck.  No thought at all, just the physical reaction to stay safe.

Emotional responses:  A reaction where a person can be overwhelmed with emotion and they employ the fight, flight, flee, and fawn response to get them out of danger. 

Ex: A person who have survived sexual trauma employs flirting and giggling to find a way out of an uncomfortable situation and escape.

This can be very confusing for the both the traumatized person and the other they are reacting to.  Many times, our reactions do not make sense to others if we have had a trauma.  They may not make sense to ourselves.  This place of discord is where the pain of the trauma can recapitulate itself.  My maladaptive reactions to stimuli are what continues to hurt me after I have survived the trauma.  At the time, the adaptations to the event kept you alive.  You survived.  So, these adaptations served you well at the time, but now can and maybe are making life more difficult.  These adaptations were also amazingly creative and there is an in the moment beauty to what they did because you are here reading these words.  What does someone do with this information?  It was good, but now it’s not?  It kept me alive and now it causes me pain, what the hell? 

Trauma Responses:

  • Flashbacks (these can be physical, mental, or emotional)

  • Sadness

  • Guilt

  • Numbness

  • Avoidance

  • Nightmares

  • Hyper-vigilance

  • Loss of spiritual connection

  • Fear of (certain people, places, things, etc.)

  • Unpredictable emotions

  • Strained Relationship(s)

  • Self-Blame

  • Feeling weak/stupid

  • Physical Symptoms

    • Headaches

    • Nausea

    • Backache

    • Irritable Bowl

This is not by any means a complete list and it has been found that there is a correlation (not causation) between auto immune disorders and trauma (Allison, 2019).

Vicarious Trauma

Vicarious or secondary trauma is the emotional response our mindbody has to witnessing the pain, fear, and terror that others endured (Manning-Jones et al., 2016).  This has been attributed to counselors who help process others trauma, but the list does not end there.  It is anyone who puts their own life and emotional wellbeing on the line to help others.  Firefighters, police officers, EMT, Doctors, Nurses, social workers, advocates of survivors and in the now COVID reality we live in, respiratory techs, orderlies, anyone who is on the front lines helping to alleviate the suffering of patients. 

It can show up as:

  • Burnout

  • Irritability

  • Lack of empathy (it’s like the empathy muscle is so used up it got exhausted)

  • Anger

  • Self-destructive behavior

  • Etc.

While it may have traveled to the mindbody in a slightly different path in those who witnessed the trauma as appose to receiving the trauma.  There comes a point when those who have experienced this can also develop PTSD.

 

Post-traumatic Stress

Known as PTSD (post-traumatic stress disorder) is a set of responses when the mindbody stays on high alert to protect itself from perceived danger after a trauma (Kraybill, 2019).  So, while it is officially categorized as a disorder, what it really is a form of nervous system injury.  Your nervous system had an immediate and what feels like permanent shift in how it feels and processes what happened to you in order to survive, and now it will stay that way until you do the work to unkink what has been tied in knots. (Neat how someone or something else’s actions caused a problem that you now get to try to undo, which is complete crap, but it is the reality of the situation.)

Complex Post-traumatic Stress

Known as C-PTSD it is the result of prolonged (feeling unending) trauma, think child abuse (emotional, physical, verbal, and mental), domestic violence, sexual abuse, war, etc.  and all the combinations that can come from this list.  Again, not complete, but you get the idea. 

 

Emotional flashbacks can show up a lot here.  You know you are in the situation, you are conscious of your actions, yet your mindbody is yelling at you to do something to get you out of danger.  You watch yourself react, your emotions are overwhelming, and you are completely emotionally highjacked by your own mindbody.  You feel out of control, so not only are you upset, you are upset at your own reactions, actions, and emotions in the moment.  So, it feels like this: AAAAHHHHHHHHH!!!! WTF, I must do something now to alleviate this pain and overwhelm.  These are the actions that we will come to later regret when we calm down and try to reengage in relationship. 

Trauma Integration

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If trauma is an injury, then we must face that it will never fully go away completely.  So, the idea of recovery, fully healing, or that someone will ”get over it” is not feasible. 

Integration, Self-compassion, and Fulfillment

If it is approached as an integration of your ongoing reality, yes, it is there, but I am working on not making it the center of my experience (Kraybill, 2019).  Then finding self-compassion and coping resources can help to make it a part of you but not who you are.  Trauma takes away a sense of self and ties a person in metaphysical knots.  These effects can be physical and tangible or emotion and intangible (the stuff not seen and therefore not understood by the survivor and the people in their lives).  Understanding your new reality and that there is happiness and fulfillment possible still is a step toward integration and moving forward into a satisfactory future.

 References

Allison, M. (2019). Correlations in Stress Disorders and Autoimmune Disease: A Review. Microreviews in Cell and Molecular Biology, 5(1).

Kraybill, O.G. (2019).  What is Trauma: What you need to know about trauma, and trauma therapy.  Psychology Today. Retrieved from https://www.psychologytoday.com/us/blog/expressive-trauma-integration/201901/what-is-trauma

Manning-Jones, S., de Terte, I., & Stephens, C. (2016). Secondary traumatic stress, vicarious posttraumatic growth, and coping among health professionals; A comparison study. New Zealand Journal of Psychology (Online), 45(1), 20.

Mallgrave, H.F. (2015). “Know thyself”: Or what designers can learn from the contemporary biological sciences. In Robinson, S., & Pallasmaa, J. (Eds.). (2015). Mind in architecture: Neuroscience, embodiment, and the future of design. MIT Press.

Moya, P. (2014). Habit and embodiment in Merleau-Ponty. Frontiers in human neuroscience, 8, 542.

Payne, H., Koch, S., Tantia, J., & Fuchs, T. (2019). Introduction to embodied perspectives in psychotherapy. In Payne, H., Koch S., Tantia, J., Fuchs, T. (Eds).  Routledge international handbook of embodied perspectives in psychotherapy.  [Foreword]. London and New York, Routledge Taylor and Francis Group. ISBN: 9781138065758

Totton, N. (2003). Body psychotherapy: An introduction. McGraw-Hill Education (UK).