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The Body Remembers : The Psychophysiology of Trauma and Trauma Treatment - Babette Rothschild

The Body Remembers

The Psychophysiology of Trauma and Trauma Treatment

Hardcover

Published: 17th October 2000
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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.

This book breaks new ground in the understanding of trauma-related work . . . . Every therapist who reads this book is likely to find their work benefits from it. . . . [I]nvaluable for clinicians working with clients, researchers, students and the general public who want to understand the psychophysiology of trauma and knowing what to do about its manifestations. "

Acknowledgmentsp. ix
Introductionp. xi
On Building Bridgesp. xi
Working with the Body Does Not Require Touchp. xiv
The False Memory Controversyp. xiv
Organization of This Bookp. xv
A Disclaimerp. xv
Theory
Overview of Posttraumatic Stress Disorder (PTSD): The Impact of Trauma on Body and Mindp. 3
Charlie and the Dog, Part Ip. 4
The Symptomatology of PTSDp. 6
Distinguishing Stress, Traumatic Stress, PTS, and PTSDp. 7
Survival and the Nervous Systemp. 8
Defensive Response to Remembered Threatp. 12
Dissociation, Freezing, and PTSDp. 13
Consequences of Trauma and PTSDp. 13
Development, Memory, and the Brainp. 15
The Developing Brainp. 16
What is Memory?p. 26
The Body Remembers: Understanding Somatic Memoryp. 37
The Sensory Roots of Memoryp. 38
Charlie and the Dog, Part IIp. 45
The Autonomic Nervous System: Hyperarousal and the Reflexes of Fight, Flight, and Freezep. 46
The Somatic Nervous System: Muscles, Movement, and Kinesthetic Memoryp. 50
Emotions and the Bodyp. 56
Expressions of Trauma Not Yet Remembered: Dissociation and Flashbacksp. 65
Dissociation and the Bodyp. 66
Flashbacksp. 70
Practice
First, Do No Harmp. 77
On Braking and Acceleratingp. 78
Evaluation and Assessmentp. 80
The Role of the Therapeutic Relationship in Trauma Therapyp. 82
Safetyp. 87
Developing and Reacquainting Resourcesp. 88
Oases, Anchors, and the Safe Placep. 92
The Importance of Theoryp. 96
Respecting Individual Differencesp. 98
Ten Foundations for Safe Trauma Therapyp. 98
The Body as Resourcep. 100
Body Awarenessp. 100
Making Friends with Sensationsp. 106
The Body as Anchorp. 107
The Body as Gaugep. 109
The Body as Brakep. 115
The Body as Diary: Making Sense of Sensationsp. 116
Somatic Memory as Resourcep. 118
Facilitating Trauma Therapy Using the Body as Resourcep. 120
Additional Somatic Techniques for Safer Trauma Therapyp. 129
Dual Awarenessp. 129
Muscle Toning: Tension vs. Relaxationp. 135
Physical Boundariesp. 140
The Question of Client-Therapist Touchp. 147
Mitigating Session Closurep. 148
Somatic Memory Becomes Personal Historyp. 150
Beware the Wrong Roadp. 151
Separating Past from Presentp. 155
Working with the Aftermath of the Trauma Firstp. 156
Bridging the Implicit and the Explicitp. 160
Charlie and the Dog, the Final Episodep. 171
Referencesp. 174
Indexp. 180
Table of Contents provided by Syndetics. All Rights Reserved.

ISBN: 9780393703276
ISBN-10: 0393703274
Series: Norton Professional Books (Hardcover)
Audience: General
Format: Hardcover
Language: English
Number Of Pages: 208
Published: 17th October 2000
Dimensions (cm): 24.3 x 16.7  x 2.4
Weight (kg): 4.75