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Trauma and the Body: A Sensorimotor Approach to Psychotherapy

By Pat Ogden, Kekuni Minton, and Clare Pain
Forewords by Daniel J. Siegel, M.D. and Bessel van der Kolk, M.D.

The body, for a host of reasons, has been left out of the “talking cure.” Psychotherapists who have been trained in models of psychodynamic, psychoanalytic, or cognitive therapeutic approaches are skilled at listening to the language and affect of the client. They track the clients’ associations, fantasies, and signs of psychic conflict, distress, and defenses. Yet while the majority of therapists are trained to notice the appearance and even the movements of the client’s body, thoughtful engagement with the client’s embodied experience has remained peripheral to traditional therapeutic interventions.

Trauma and the Body is a detailed review of research in neuroscience, trauma, dissociation, and attachment theory that points to the need for an integrative mind-body approach to trauma. The premise of this book is that, by adding body-oriented interventions to their repertoire, traditionally trained therapists can increase the depth and efficacy of their clinical work. Sensorimotor psychotherapy is an approach that builds on traditional psychotherapeutic understanding but includes the body as central in the therapeutic field of awareness, using observational skills, theories, and interventions not usually practiced in psychodynamic psychotherapy. By synthesizing bottom-up and top down interventions, the authors combine the best of both worlds to help chronically traumatized clients find resolution and meaning in their lives and develop a new, somatically integrated sense of self.

Contents Include: Hierarchical information processing: Cognitive, Emotional and Sensorimotor • Window of Tolerance: The Capacity for Modulating Arousal • Attachment: The Role of the Body in Dyadic Regulation • The Orienting Response: Narrowing the Field of Consciousness • Defensive Subsystems: Mobilizing and Immobilizing Responses • Adaptation: The Role of Action Systems and Tendencies • Psychological Trauma and the Brain: Towards a Neurobiological Treatment Model • Principles of Treatment: Putting Theory into Practice • The Organization of Experience: Skills for Working with the Body in Present Time • Phase One Treatment: Somatic Resources for Stabilization • Phase Two Treatment of Traumatic Memory: Restoring Acts of Triumph •Phase Three Treatment: Integration and Success in Normal Life

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