Trauma and the Body: A Sensorimotor Approach to Psychotherapy

299 Pages·2006·1.872 MB·English

by  Pat Ogden, Kekuni Minton, Clare Pain, Daniel J. Siegel, Bessel A. van der Kolk

Trauma and the Body
2
The Norton Series on Interpersonal Neurobiology Daniel J. Siegel, M.D., Series
Editor
The field of mental health is in a tremendously exciting period of growth and
conceptual reorganization. Independent findings from a variety of scientific
endeavors are converging in an interdisciplinary view of the mind and mental well-
being. An “interpersonal neurobiology” of human development enables us to
understand that the structure and function of the mind and brain are shaped by
experiences, especially those involving emotional relationships.
The Norton Series on Interpersonal Neurobiology will provide cutting-edge,
multidisciplinary views that further our understanding of the complex neurobiology
of the human mind. By drawing on a wide range of traditionally-independent fields
of research—such as neurobiology, genetics, memory, attachment, complex systems,
anthropology, and evolutionary psychology—these texts will offer mental health
professionals a review and synthesis of scientific findings often inaccessible to
clinicians. These books aim to advance our understanding of human experience by
finding the unity of knowledge, or “consilience,” that emerges with the translation of
findings from numerous domains of study into a common language and conceptual
framework. The series will integrate the best of modern science with the healing art
of psychotherapy.
3
A NORTON PROFESSIONAL BOOK
4
Trauma and the Body
A Sensorimotor Approach to Psychotherapy
5
Pat Ogden, Kekuni Minton, and Clare Pain
Foreword by Bessel van der Kolk, M.D.
Series Editor’s Foreword by Daniel J. Siegel, M.D.
W. W. Norton & Company
New York • London
6
Copyright © 2006 by Pat Ogden
Copyright © 2006 by W. W. Norton & Company, Inc.
All rights reserved
For information about permission to reproduce selections from this book, write to Permissions, W. W.
Norton & Company, Inc., 500 Fifth Avenue, New York, NY 10110
Production Manager: Leeann Graham Library of Congress Cataloging-in-Publication Data Ogden, Pat.
Trauma and the body: a sensorimotor approach to psychotherapy / by Pat Ogden, Kekuni Minton, and Clare
Pain.
p. cm.
“A Norton Professional book.”
Includes bibliographical references.
ISBN: 978-0-393-07585-4
1. Mind and body therapies. 2. Psychic trauma—Treatment. 3. Self. 4. Body language. 5. Body, Human—
Psychological aspects. 6. Sensorimotor integration. I. Minton, Kekuni. II. Pain, Clare. III. Title.
RC489.M53 0353 2006
616.89’1—dc22
7
2005049533
W. W. Norton & Company, Inc., 500 Fifth Avenue, New York, N.Y. 10110
www.wwnorton.com
W. W. Norton & Company Ltd., Castle House, 75/76 Wells St., London W1T 3QT
8
In memory of
Martha Barth Ogden,
1904–2001
9
Contents
Acknowledgments
Series Editor’s Foreword by Daniel J. Siegel, M.D.
Foreword by Bessel A. van der Kolk, M.D.
Introduction
Part I: Theory
Chapter 1: Hierarchical Information Processing: Cognitive, Emotional, and Sensorimotor Dimensions
Chapter 2: Window of Tolerance: The Capacity for Modulating Arousal
Chapter 3: Attachment: The Role of the Body in Dyadic Regulation
Chapter 4: The Orienting Response: Narrowing the Field of Consciousness
Chapter 5: Defensive Subsystems: Mobilizing and Immobilizing Responses
Chapter 6: Adaptation: The Role of Action Systems and Tendencies
Chapter 7: Psychological Trauma and the Brain: Toward a Neurobiological Treatment Model (by Ruth
Lanius, Ulrich Lanius, Janina Fisher, and Pat Ogden)
Part II: Treatment
Chapter 8: Principles of Treatment: Putting Theory into Practice
Chapter 9: The Organization of Experience: Skills for Working with the Body in Present Time
Chapter 10: Phase 1 Treatment: Developing Somatic Resources for Stabilization
Chapter 11: Phase 2 Treatment: Processing Traumatic Memory and Restoring Acts of Triumph
Chapter 12: Phase 3 Treatment: Integration and Success in Normal Life
10