The Centre for Healing Blog

 

Working with body awareness from a trauma informed perspective (part 1)

healing mind body trauma informed trauma sensitive trauma therapy traumahealing Feb 13, 2024
embodied processing, integation, understanding, trauma healing, awareness, trauma-informed

“Where the body is not sensed being is diminished "– Jim Kepner.

”If you inhabit your body, you inhabit yourself ”– Peter Levine

A basic premise for embodied therapies is that the self or I is an embodied self. This goes against the conventional view of our western cultural values, that idealizes rationality and thinking and dismisses the body as a material object that is much less important. As Renee Descartes once said, “I think there for I am!” However, rational thinking is only one mode of knowing! Hiding in the body is a whole universe of untapped wisdom waiting to be discovered.

We are holistic beings. The mind, heart and body are one unitary experience that functions inseparably from each other. Although we may not know it, we all meet, respond to and adjust to every situation with the whole of our being, not just with our mind. If we are being yelled at or criticized we adapt as much by pulling in our shoulders to avoid feeling, slumping our spine, hardening and bracing our chest muscles, bowing our heads in shame or constricting our breathing. If we turn towards this with curiosity and compassion, we can discover more and more how our bodies maintain, shape and perpetuate our experience. Our experience of our bodies is our experience of our Self unfolding in each moment. If you inhabit your body fully,  you inhabit yourself as Peter Levine, founder of somatic experiencing suggests.

When we make our body an ‘it’ that exist below our head, instead of an ‘I’, we make ourselves less than we are. We diminish ourselves to the extent that we disown our body and see it as an object separate from our self. Jim Kepner,  a gestalt therapist in the states and the author of ‘Body Process – working with the body in psychotherapy’, believes that many of our problems – feeling disconnected, dissociated, fragmented, dull, lifeless, or out of control stem from our disconnected relationship with our body.

“Our ultimate aim is to enhance, deepen, expand and integrate the client’s experience of their whole being: from their deep embodiment to their expansive spirit” (Kepner 1993)

The body is the sensing organ of the field: 

When we are fully occupying our body, we have the capacity to receive much more direct, immediate information about our current state and our relationship to our environment. We are more able to experience and recognize what’s figural and immediately present - our feelings, needs and desires, and we can then listen to our bodies about what is needed, what boundaries are required, and what is missing or out of balance. This is crucially important for healthy self-regulation and functioning. Even our body symptoms are messages that tell us where were disconnected, needing listening and deep attention. When we occupy our bodies we are much more likely to be in touch with reality and to discern how our environment is impacting on us. When we are in touch with our bodies, we tend to have better mental health. Why is this? Because the more embodied we become, the more we can experience a sense of solid selfhood and we have more capacity to feel present, grounded, in the moment, concrete, real, energized, substantial, awake, alive and open to learning from ourselves and others. Our sense of reality is in large part based upon our contact with our sensory ground – our 5 senses. Without clear sensation and interoception (the sense of the internal state of the body) we lose touch with reality, our sense of self, and our location in relation to our environment, and connection to our felt sense and needs. We remain lost in and encapsulated in our conceptual mind. 

 


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Desensitisation – what is it? (Anaesthetizing the sensing self)

Jim Kepner argues that as a result of trauma and environmental conditioning, many of us are desensitized and numb. ‘Desensitisation is the process of coping (creatively adjusting) to disturbing and intense sensations by altering the capacity for perception’. It is the process of numbing ourselves to sensations in our body in order to cope with overwhelming experiences and trauma. Therefore, desensitisation is not bad or wrong – In fact we all exist along the continuum between being completely desensitised and over-sensitised, where we feel too much to the point of feeling overwhelmed, like we have no boundaries or skin.

When do we tend to desensitise?

There is always a good reason why the mind isn’t ready to bring attention to the body, and to use desensitization as  survival strategy! Its important to explore and appreciate this before we push to become embodied? We may numb ourselves in the acute phase of a grief reaction or in an emergency situation like a car crash as a way to cope. Deadening of our emotional selves may temporarily help us to move into action, pseudo-functioning and act on auto pilot - i.e. to arrange a funeral, go to war, be a surgeon,  or call emergency assistance, manage the impact of trauma and abuse when there is no support. Or desensitization can manifest in psychological detachment from physical pain – e.g hiker getting blisters but desensitising till they arrive at destination. A huge degree of desensitisation is present in any addictive behaviour whether compulsive eating, sexual addiction or substance abuse. In our fast moving / busy lives we can often desensitise to some degree due to the pressure we encounter to stay in our minds trying to fix, figure out and problem solve life. Ideally we want to slow down, or allow sufficient time to linger over experiences and fully sense. This also  allows the nervous system to slow down and come into healthy parasympathic states of rest and recouperation. 

Desensitisation can become problematic and maladaptive when it is chronic and habitually used without choice. As mentioned, severe and chronic desensitisation most often develops early on in our lives as a survival mechanism (a creative adjustment in Gestalt terms) to avoid overwhelming pain, discomfort,  trauma or emotional neglect. As a child, if you risk rejection or violence from people significant to your welfare you are likely to feel overwhelmingly terrified and alone. To keep the connection to the adults we depend upon we are often put in a choiceless choice to divorce and disown feelings and expressions that are not acceptable or supported.   In trauma language, desensitization also correlates with hypo-arousal and  dorsal vagal shut down states (collapse and freeze states). If feelings are overwhelming and not met with support and care, its adaptive to shutdown and numb out. Desensitisation then is part of the self’s process of creatively adjusting to life – of resolving the field of traumatizing  experiences into the best possible solutions that serve our core needs for safety, survival and connection. 

 


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So what might be common signs of de-sensitization  and disembodiment? 

  • Dulling of sensation – a lack of interoceptive awareness of body sensations.
  • Reducing our quality of bodily attention.
  • Your Client describing feeling nothing, dead,  empty, depressed, wooden, shutdown and numb when asked what theyre feeling or sensing in their bodies
  • Chronically contracting our breath.
  • Having no language for sensations when asked. The person may also feel ashamed of this. 
  • Avoiding movements or activities that may arouse sensation.
  • Tensing and contracting our muscles to avoid feelings like sadness. The ability to soften into vulnerability and allow oneself to sob can only happen when the tensing and bracing pattern softens.
  • Altering our perception and awareness of the body (anorexia nervosa - severe distortion of perception of body)
  • The mind having dismissive or fearful attitudes towards the body and cultivating  body awareness. 
  • Other symptoms and signs of desensitization – chronic pain, tension patterns, anxiety low motivation, don’t care, collapsed, depressed mood. 

The costs of being disembodied and desensitised

Having to sever and deny one’s bodily nature in order to survive stops one from being fully who they are. The lessening of pain also brings with it lessening of pleasure and capacity for joy. Desensitisation then becomes a double-edged sword. When we are not in contact with our sensations (bodily self) there is little opportunity to develop a clear sense of what our feelings, desires, longings and needs are –of what matters.  We lose vital access to information about where we are and what we need. Hence we are less equipped to act in the world skillfully to know and meet our physical and relational needs e.g. to set boundaries, ask for comfort, to withdraw, relax, express emotion and take care of ourselves (eating, sleeping, relaxing). The more likely we are to  lose contact with important parts of ourselves e.g. anger, needs, sexual impulses, hurt, grief, and joy. The more disembodied we become the more likely we are to feel dull, insubstantial, empty, lifeless and numb, and paradoxically susceptible to more anxiety. 

When we are disconnected from our bodies, we are less likely to make full and satisfying contact with others (given that there is little contact with self), and there is less capacity for adaptation to the demands of the environment and growth.  Organismic self-regulation is compromised. Movement through the cycle of experience – from sensation, to awareness of needs and feelings, to action, to contact, to satisfaction, to integration and withdrawal is interrupted, often at the sensation level. One’s behaviour is then acted from guesses and  out of date beliefs and old identities rather than from our actual embodied needs and a clear figure of organismic interest. Furthermore,  when we disown our bodily awareness and feelings they often manifest in other less direct ways e.g. free floating anxiety, tensions, odd pains and somatic feelings.

The dilemma of reconnection for traumatized clients

Before I share some ideas about learning to become embodied, I would like to stay that for many of us that have experienced trauma, neglect or attachment disruption becoming reconnected to our bodies can feel like opening the trap door to hell. It is associated with fears of being flooded by intense unwanted feelings, feelings of overwhelming shame, feelings of dissociation and fragmentation, that for some can trigger suicidal ideation and deep despair. Hence, when we embark on a journey towards reconnection, we need to honor and understand the parts of us that are terrified of this. We need to first hear them, and build new skills and resources to re-sensitize and reconnect at a pace that doesn’t overwhelm us and stays within our window of tolerance.

We need to help the client develop resources they can return too (pendulate back too) when the clients activation levels feel too much. It helps to acknowledge the core dilemma of reconnecting, and to invite the Client, when they are ready, to begin the descent into their body at a pace that is manageable and not overwhelmiing. Paradoxically, often only by deeply understanding the fears and beliefs of going into the body  can clients naturally find the willingness and desire to connect to their embodied life. Even then it is helpful to go slowly and gently into this new territory of embodied life!!

Part 2 coming next week…

Written by Noel Haarburger B.B.SC, B’Ed (counselling)
(Embodied Processing Trainer & Psychologist)

 

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