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Member driven blogs to spotlight solutions, share opinions, raise public awareness, and contribute to shaping our national mental health policy.  Stay current and up-to-date in the world of somatic psychology and practices.


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  • 4 Feb 2019 5:12 PM | Anonymous

    By Alice Kahn Ladas, EdD, CBT, lic. Psychologist, NM-505-471-6791  aladas@aol.com


    Before I talk about early Coping Strategies and how they can sabotage connection, I would like to review, briefly, what I have observed happening in the Reichian branch of body psychotherapy over the past 65 years. Contemporary brain research confirms the mind-body relationship and has brought psychotherapy around to what Reich was discovering almost a century ago. Until his work challenged Viennese cultural norms and they threw him out, Reich was Freud’s star pupil. The reasons for Reich being attacked in he USA remains unclear. Conflicting versions of that story are reflected in two books, Mickey Sharaf’s Fury On Earth and James Martin’s Wilhelm Reich and the Cold War. Was it McCarthy, European Emigree Psychiatrists, Russia or all of them combined?

    I am probably the oldest member of USABP, the living person who has been involved with Body Psychotherapy for the longest time and the only current member of USABP who met in person the physician who brought this form of body psychotherapy to the United States. To further connect our start with our present here is a quote from Reich’s Brief to the US Court of Appeals in 1951.

    “Not protection of old financial or
    Political privileges, but safeguarding the
    Planet, Earth, and transforming its
    Technological structure is the task of today.
    Let us hope that the great industrial powers
    Of our planet have retained their pioneering spirit.”

    People often ask how come I am in relatively good shape at my august age and I have given the usual answers: luck, genes, diet, exercise. Now I add Body Psychotherapy. Most questioners have no clue as to what that means which gives me the opportunity to tell them. Encountering the work of Reich and many of those who followed him were, for me, life changing and I am forever grateful.

    I attended my first Conference at Orgonon in 1948 and was personally examined by Reich in 1951 in order to be on the staff of his Infant Research Center. That same year, I brought orgone therapist, Dr. Alan Cott, to meet Mrs. Roosevelt because Reich believed, at the time, that Orgone energy might counteract the effects of nuclear radiation. Mrs. R ran the information by Robert Oppenheimer who said it is probably a hoax. That same year Reich learned he was wrong: the combination proved destructive.

    Reich has the distinction of being the only person to have his books burned by both the Nazis and the United States, as well as being on Russia’s top hit list. I was around for the book burning and destruction of Reich’s scientific equipment but did not turn in my books or orgone accumulator. I still have those precious ancient possessions. But I left the field of psychotherapy for several years--the event was so appalling.

    In 1955, I returned to join the study group of Lowen and Pierrakos and began introducing Lowen at his public lectures. My suggestion they form a not-for-profit organization was greeted favorably. After introducing Al to his first publisher, and writing the first brochure, I joined the original Board of five and remained there for many years. I also served on the Board of USABP from 2000 to 2007. So I have been involved in Body Psychotherapy for a VERY LONG time.

    Reich relied on patients words at the start of therapy but very little after that. He did it to the patient and was highly evaluative. If you want to know exactly how one person’s therapy went, A.E. Hamilton kept a diary of his sessions, although Reich told his patients not to. I rescued that diary from a snowdrift and you can read it in three J.s of Orgonomy, 31(1) (2)1997 and 32 (1).

    Following Freud’s dictum that only medical doctors could practice psychoanalysis, Orgonomy was also initially restricted to physicians. So Lowen got his medical degree before inventing his own version of Body Psychotherapy. Stanley Keleman was part of that original group. So were many others with whose names you are familiar.

    I had therapy sessions with both Lowen and Pierrakos and can testify they followed Reich’s pattern of evaluating and doing it to the patient until a highly qualified psychiatrist-patient screwed up his courage to ask “Would you like to know what is happening to me?” After much internal struggle, Bioenergetic Analysis gradually moved towards doing the work together, a collaborative adventure based on connection. But it involved a huge struggle and a lot of hurt feelings.

    For many years, there was such a strong emphasis on feelings that thinking was virtually cast aside…understandable since feelings had been neglected for eons. My article, "Using Goals in Bioenergetic Analysis," was rejected by the Bioenergetic Journal and published instead by The American Assoc. of Psychotherapists. But I believe and suspect you do too, that both feelings AND thoughts matter. My friend, colleague and founder of Radix™, Charles Kelley, discovered, to his dismay, that his seminars on feeling were well attended but those on purpose were not.

    A related pattern concerns research. Yale Professor, Dr. John Bellis, was forced to resign in 1961 as Director of Training partly because he wanted to include a research project as one of the requirements for becoming a Certified Bioenergetic Analyst. The research project of my husband Harold and myself, "Women and Bioenergetic Analysis," was disowned by IIBA until the CT Society published it. At my insistence, it was included as an appendix in our NY Times bestseller The G Spot and Other Discoveries About Human Sexuality. The study, presented as "From Freud Through Hite, All Partly Wrong and Partly Right," at a meeting of SSSS, was what led to meeting our coauthors, the researchers Whipple and Perry. As a result, readers from 18 countries and almost as many languages have the opportunity to learn about Body Psychotherapy.

    After 40 years of failing to persuade IIBA to establish awards for research, I joined the Board of USABP in 2000. They established two --one for practitioners and one for students--and, in 2008, named those awards after me. Unless we publish research in peer-reviewed journals other than our own, Body Psychotherapy is unlikely to get the recognition it deserves. Said Murray Bowen, in a 1980 speech entitled Psychotherapy: Past Present and Future, “A theory is just a theory until it is validated by research.” This September 2018, the new director of APA sent me an email confirming Bowen’s statement. He wrote to me saying he is not familiar with Body Psychotherapy.

    Recent brain research not only confirms that working with the body is vital but that we need to engage all parts of our brain in order to recover and grow. Since my involvement with Reich and Bioenergetics, many other very helpful methods of body psychotherapy have evolved. Now that we include the brain, as an organ to address consciously, along with other parts of our bodies, we have the opportunity to include both the thinking and feeling parts of that organ, along with the primitive section that tells us to continue doing what we once did to accommodate and stay safe in our family and culture of origin.

    It took me more than 60 years to come up with the idea I want to share now. Many of you work with similar concepts; it is the manner and timing of working with it that differs. I have found it exponentially increases the effectiveness of what I was already doing. Had any of my therapists, verbal or body-centered, said to me at the start of therapy “What did you do to adapt to your family and culture of origin?” we might have discovered precisely what to work on and saved lots of money and time. One of my present goals is to teach this work to other clinicians before I get too old. If you think what I write today has merit, invite me to do a workshop.

    Following the medical model, we give diagnoses. Theoretically, these lead to the best methods of treatment; and get paid by insurances. My diagnosis made me feel less than worthy. Wouldn’t you rather be told there is something right about you than something wrong? By focusing early on a client’s coping strategy in the family and culture into which she/he was born and viewing it as lifesaving, you make clients right. That helps promote the positive client/therapist relationship so crucial to all successful therapy.

    When clients become aware of what they had to do to cope in their family and culture of origin, it is often what they are still doing which prevents them from experiencing the kind of life they long for today. Were they freezing, running away? hiding? fighting, afraid to reach, stealing? If it helped them survive they were doing something right.

    Early coping strategies show up in bodies just as clearly as they do in words. These early questions are not a replacement for bodywork. They facilitate it. “If we decide to work together and are successful, what will that look like?” is on my written form for new clients. Some can answer that question and others can’t. Since intention plays an important role in the success of therapy, I have been seeking a written answer to that question for years. Today I ask a second more difficult question early on: “In your family and culture of origin, what did you do to get along?” Since early coping strategies are often partly, if not wholly, unconscious, this can take time. Once we identify it, we know what to work on. What they did then was useful but today it gets in the way of what they long for. I view their adaptation as "right" instead of "wrong." After identifying a client’s early coping strategy (and I say client instead of patient deliberately), I warn that changing a way of responding that was once lifesaving but no longer works, is as difficult as changing any other kind of compulsive behavior. The amygdala warns us not to change any behavior that once kept us safe. It does not understand you are no longer trapped in a situation you did not choose. Pay attention to what triggers that initial coping strategy. Take small steps to modify your response to the trigger. Instead of reacting, take a breath and act in order to get what you need today. Be patient, and expect you will have to deal with anxiety, possibly severe anxiety, as you make the changes needed to create the life you seek today.

    We discuss and practice many ways of handling anxiety. You know all of them.…keeping knees soft, opening stuck breathing, noticing your present surroundings, exercising, hitting, meditating, or going over the Bioenergetic stool if that was part of your training. We also do whatever is needed to free up energy blocks or increase energy. This can involve diet, exercise, stopping or adding meds, sleep patterns, new forms of brain stimulation, medical cannabis, etc.. Below is a list of possible questions to use in discovering your clients or your early coping mechanism. You might try them on a willing colleague or friend or on your clients. I hope you will find this approach as helpful as I have.

    Questions and suggestions from the therapist

    If we decide to work together and are successful, what would that look like? How might your life be different?

    Tell me how you coped with or kept yourself safe during your early years in your family and culture of origin?

    Where and how, in your behavior and your body, does this way of keeping safe manifest today?

    Would you like to modify or change your early way of staying safe because it no longer helps you be or get what you want?

    If you modified your early response, would that make you feel anxious?

    (The primitive part of your brain will tell you not to alter any behavior that kept you safe before so you may feel very anxious.)

    How will you deal with the anxiety?

    (Please be patient with yourself if you are not able to change as fast as you would like)

    For homework, please write a detailed description of what you did to stay safe in your family and culture of origin. Then write about how that behavior may be keeping you from creating what you would like to in your life today.

    If you are working with a couple, it is very useful to have each person write about their own early way of coping and also their partners way of coping. They can then compare their understanding of themselves and each other to see if they fully understand both their own coping strategies and those of their partner. That helps them recognize when their partners are triggered and to act rather than react.

    A warning is in order: Often the coping mechanisms are not fully conscious or even unconscious, so it may take time to unearth them correctly.

  • 4 Feb 2019 4:08 PM | Anonymous
    By Sheila Rubin, Co-founder of the Center For Healing Shame

    My client was a high functioning professional. During our many months of therapy she spoke of numerous times in her life when she felt too awkward or too shy or too depressed when she felt put down by people in her family or at work. She had a part of her that believed that something was wrong with her. And yet there was another part of her from long ago that knew that what was going on in her family was not right. And that part had been frozen in shame. All her emotions and her life forward direction stayed stuck and frozen in that shame/trauma bubble.

    My client had come in because she had heard Bret and I discuss healing shame on the Sounds True Self-Acceptance Summit in 2017. Listening to us talk about shame, she realized that she had done years of therapy but had never addressed her deepest issue. As she said: “I always thought there was something wrong with me!” She had kept getting more and more training in her field because she never knew when she would feel inferior and have to back up her work. And she had not dated at all because if anyone wanted to go out with her, she would wonder what was wrong with them!

    * * *

    NOTE: Transformance is a term coined by Diana Fosha, developer of AEDP, to describe “the force in the psyche that’s moving towards growth and expansion and transformation,” and the idea that healing is “not just an outcome but a process that exists within each person that emerges in conditions of safety.”

    * * *

    An active meditator, she knew how to sit with herself and track thoughts and emotions. We tracked her sessions from her first realization, during the Sounds True interview, that this emotion of shame had played a major but invisible role in her life. In early sessions she had talked about her confusion about her role as a younger daughter growing up in a large family and about having to follow the rules or be beaten—even when she didn’t know what was wrong. She would be beaten by her father for not giving him a glass in the correct way. She would be beaten by her sister for even having a thought that was different and by her mother just for looking a little different.

    “Shame is a binding emotion,” I told her one day. “Maybe shame bound up with your anger and sadness to protect you in childhood when your parents beat you. Maybe you learned to hold back your emotions so deeply and you learned to hold back your thoughts, and shame was like a cover of the deeper parts of you?”

    She joined my gentle curiosity as we gently unpacked the way shame had protected her. She had learned to think “Something must be wrong with me” because she had a different reaction than family members. She had a lifetime of holding back her thoughts and feelings. She had a lifetime of repeating the shame messages that had been placed on her by keeping herself small and believing that something was wrong with her. I explained that thought was actually the cognitive expression of shame.

    My presence was a safe witness that she had not experienced before. And she noticed what it was like to talk about her life without feeling judged.

    Shame can be like a multi-headed hydra, attacking self-esteem and self-worth and getting in the way of making life changes. It can help to have a new mirror. I mirrored the positives in her and the changes she was making in her life. I explained to her about healthy shame. And we processed the difference between that and the toxic shame that kept her stuck in the past and kept her energy system frozen for so many years.

    It was exciting to watch her transform as we encountered and processed and moved a little beyond the shame each week. Our work together led to an extraordinary session in which the curtain of shame lifted and I got to see the radiant person underneath. I would like to share a moment from that session with you. (I have changed various aspects of her story to keep her identity private.)

    - - -

    It was an odd look I had not seen on her face before, and I wanted both of us to stay a little longer with that moment.

    “Ooooooohhhhh. What’s that emotion?” I say, drawing out the sounds of my words. I’ve never seen this look before, I reflect back to her.

    She shrugs and stops herself from rushing forward into words that may have been there, and she pauses in that moment and shrugs.

    “That emotion,” I say with curiosity and wonder, “I have never seen on your face. Your eyes are getting big, and there’s a new lightness around your eyes.”

    She shrugs again.

    I ask again, more insistent, increasing my vitality affect and leaning in towards her a little.

    “THAT emotion,” I say, raising my excitement level a little more. “Can you name it? Do you notice it?” We look at each other for a few moments and she sighs.

    “I don’t know.”

    “I don’t know,” I repeat, as if joining her in a game of hide and seek. I ask again. “I wonder what it may be?”

    “I don’t know. I don’t know… I don’t know… maybe…maybe….. Oh my……. It’s happiness!!!” she says with extreme surprise.

    Happiness and joy! Two emotions that are new to her. We are at a transformance moment in our session, where a lifetime of being in the grips of the shame freeze has kept her emotions frozen and her life ordinary. I join her and name the delight of her overflowing joy and the waterfall and pleasure of this incredible moment.

    It touched my heart to share that moment of joyous discovery with her. It brought tears to my eyes and we cried tears of joy together.

    © 2018 Sheila Rubin

    About the Author:

    Sheila Rubin is the Co-founder of the Center For Healing Shame. The Center For Healing Shame is based in Berkeley, California. Workshops are offered in Berkeley, at various other locations in the United States and Canada, and online. There is also a full training and certification program for therapists. The education is designed to help therapists show clients how to recognize shame, work through it and move on by:   

    • Becoming more sensitive to the shaming often implicit in the therapy situation and learning how to counter shame in therapy.
    • Helping clients separate feelings of shame from other emotions.
    • Learning how to take clients back to early shaming situations and reverse the outcome.
    • Supporting clients to move their energy powerfully outward rather than turn it against themselves.

    Sheila and Bret have been at the forefront of guiding mental health professionals to recognize and move through shame with their clients.

    The Center for Healing Shame is qualified to provide CE credits for MFTs, LCSWs, LPCCs and LEPs registered in California - CAMFT Approved CE Provider #134393. PhDs in California and PhDs and licensed therapists outside of California may be able to receive CE credits through the co-sponsorship of R. Cassidy Seminars. 

    Learn More


  • 24 Jan 2019 6:37 PM | Anonymous
    This article is by Diane Poole Heller, Ph.D.,

    She is an established expert in the field of Adult Attachment Theory and Models, trauma resolution, and integrative healing techniques. She is a trainer, presenter, and speaker offering workshops, teleseminars and educational materials on Trauma, Attachment Models and their dynamics in childhood and adult relationships, as well as many other topics. Learn more at https://dianepooleheller.com


    “As I travel and teach around the world, I feel we are experiencing a global epidemic of loneliness.” 


    Once strongly tied together, families or marriages are now often fragmented, disconnected, or slowly growing farther apart. Love relationships seem to be dissolving faster than ever into divorce or separation. We all deserve to experience healthier, more resilient relationships. To do so, we need the skills, tools, and practices to heal our past wounds.


    In practical terms, we may need to learn to “re-relate” into resiliency bonding versus trauma or wound bonding. Resiliency Bonding is a term I have devised to describe relationships that are based on our original design before it may have been disturbed. These relationships reflect secure, safe attachment within a Relational Field of mutual respect, appreciation of differences, acceptance of healthy interactions, and well-defined boundaries. They also include a mostly positive holding environment that allows an easy flow between aloneness and connectedness. 


    My sincere hope is that relationships with our partners, spouses, parents, children, friends and colleagues can be more enjoyable, fun, sustainable, mature, rewarding and loving. I want us all to have this possibility and share it with our near and dear. 


    We all grow up in a relational field with our original caregivers—a matrix of sorts that embodies the relational dynamics of the family and thus become “familiar” to us, as in “of the family.” These ingrained patterns may strongly influence how we see and feel in all of our later relationships. They create a “blueprint of expectations” of sorts, built out of our early encounters with others. When we are raised with secure attachment, we tend to find relationships are easier. We expect to be treated well and know that is what we deserve. We treat our partners with respect as well. We trust our partners and others realistically, and have Basic Trust in humanity and the world more or less unconditionally. Even when the chips are down, we still feel a basic optimism. 


    We answer “Yes!” to Einstein’s famous question, “Is the Universe friendly?”


    Those of us that are fortunate to begin life in secure attachment typically find it easier to connect, to commit when we find a good potential partner, and to maintain contact. We predominantly feel safe in our relationships and partnerships. We have a sense of humor and playfulness. We can disagree, have different styles, and still respect each other. We make enough pro-relationship choices that are win-wins for each person that our “coupledom” is preserved and rich. 


    If the original bonding or attachment patterns were too painful, the residue of hurt often influences us from behind the scenes—without us even being aware of it. 


    If attachment was impaired by too many disruptions in bonding with caregivers, we may later fear that our adult relationships will bring us the same pain. We may unconsciously or consciously react based on past experiences. We may project the past onto the present without realizing that it dooms us to relive our worst moments over and over again. 


    “Though we may be in a present-day relationship, we expect to wake up in the living room of Mom and Dad.” 


    There we “know” we will be confronted with the same controlling attitudes, criticisms, lack of presence or appropriate boundaries, manipulations, or other problems we may have experienced as a child as part of the familiar family scenario. We worry we will not be seen or met or that our very essential nature will be annihilated. 


    Attachment patterns are so easily transmitted through the generations that it is the human condition to project the past onto our present. Because of this tendency, we may be blind to the love we actually have in our lives now. And if we cannot first sort out what belongs to the past and what is actually happening in the present, “It is possible that we cannot even believe OUR OWN STORY about what is happening in our current relationships.” 


    We may be more in relationship with the old hurtful patterns from our history than in relationship with our partner or friends. 


    “How can we change this destiny and live fully and freely in the present?” 


    Attachment Styles: Secure Attachment 


    Secure Attachment, as illuminated and defined in Dan Siegel’s book on Attachment Theory, The Developing Mind, is what we hope to encounter with our original parents. If we have not had this original experience of security, safety, and caring, we need to learn how to find our way back to it later in life. Fortunately, this can happen even after attachment disruptions have occurred in childhood. 


    “Later we can ‘earn’ or ‘learn’ how to reorient to Secure Attachment through a healthy relationship of any kind—such as therapist, significant other or marriage partner, good friend or even a neighbor or doctor.” 


    In childhood, Secure Attachment includes a “healthy holding environment” that occurs with “good enough” parents who are loving, responsive, and attuned. These caregivers are present, safe, available, and allow for the natural flow or rhythm between connection and aloneness. The child grows up and develops good boundaries, feels secure, has a sense of basic trust in others, and has a strong sense of integrated identity with self esteem intact. This is the kind of attachment I believe we are designed for. 


    In secure attachment, adults join children in play. They know how to initiate and repair when misattunements happen. The parent-child dyad knows how to find harmony again. Parents can contain whatever the child is experiencing: from pain, anger, and frustration to joy, bliss, and expansion of the life force. 


    “Secure Attachment is there waiting to be excavated from the mire and tar of past hurts. We can rediscover it because it is hard-wired as a ‘bonding blueprint’ into our psycho-physiology. We just need to ‘dust off the diamond’ of our true ‘in-light’- enment.” 


    Mary Ainsworth calls this our primary attachment system. The good news? If we were not lucky enough to have had a “healthy holding environment” in the beginning, with the proper support, more often than not, we can find our way home to Secure Attachment later in life. This return to our innate design for health is the basic and predominant focus of my work. I want to help answer the important question, “How do we cross that bridge from any type of attachment disruption back to Secure Attachment and reap the rewards of enjoyment and connection from enduring, stable, fulfilling and loving relationships?” 


    We are all social beings who need connection. We also need the alone time to connect deeply with ourselves and be in touch with the depth or our own being. We long for intimacy with others AND intimacy with self. 


    Disrupted attachment styles cause us to have an imprint for pain, rather than consistent love, in our relationships—especially our dyadic partner relationships which pull on our attachment histories the most. These patterns are easily imported into our adult relationships consciously or unconsciously. Unresolved early attachment disruptions may wreak havoc later. They often run our relationships into the ground before we and our partners even know what hit us. 


    When disruptions occur in our early years, the patterns get formed so quickly, and often occur pre-verbally and pre-cognitively. In this way, they become wired into our sensory motor awareness. For example, a child learns to block their kinesthetic and corresponding muscle movement to reach out if he or she experienced a lack of responsiveness to needs early on. She may later need to resurrect this latent or thwarted impulse. 


    “I had a client who had recurring dreams of having their arms chopped off when needs arose for them, due to a history with a troubled parent where having needs was severely punished.” 


    These examples reflect one reason why it is often crucial to include body-based therapies in healing early attachment wounds (along with emotional and cognitive work). The emerging body-oriented therapies help access and lay the groundwork for allowing the original sensory-motor patterns to eventually arise, complete, and prevail. Bringing our awareness back to secure attachment in the body as well as integrating the emotional cognitive self helps us to heal the old wounds more effectively. This healing frees us from repeating old, destructive patterns. 


    Unfortunately, attachment disruptions are easily transmitted through the generations. Because this happens so naturally it is best to not focus on blaming our parents or our parents’ parents. Many of our parents did not have the opportunity to do therapy and did not know how to self-reflect about this important topic in their lifetime. 


    “Blame would have to go back to the caveman and what is the point of that?” 


    The culture and the time period deeply influence our experiences as well. Many of us have children of our own now and know how difficult parenting can be. But this is not about being perfect parents or perfect partners. 


    According to John Gottman’s relationship research in The Seven Keys to Successful Marriage, having the empathetic attunement to realize there has been a break in the connection of a relationship and then initiating and/or receiving repair attempts to restore the connection in a more harmonious way is 80 percent of what gives relationships sustainability over long periods of time. 


    The art of repair is one of the best predictors of longer, happier, healthy relationships. When people develop and practice their ability to repair, this capacity results in deeper intimacy and well-being in all of our relationships. Given its 80 percent chance of improving our connectedness, this skill is definitely worth investing some time and energy in. 


    Of course, in all relationships, it helps to recognize that we all have unresolved history homework to do. This includes our partners and friends. Compassion for our own journey and the journeys of others is an invaluable key when exploring this tender territory. Often we need to unlearn attachment disruptions and relearn how to find our way back to Secure Attachment. How do we build and eventually cross this bridge back to Secure Attachment? If our original patterns were not healthy, we need to recognize them internally, heal the original wounding, and then practice specific exercises to help us learn Secure Attachment. 


    When we do the hard work of discovering the dilemmas we carry within us from childhood, we become freer and more transparent to present-day reality. We can stop watching the same old recurring movie built out of the past that we continue to project onto our lives. 


    When we cease calling on the “Central Casting of our Unconscious” that keeps us locked into passed down old patterns, we have the opportunity to replace those well-worn relationship blueprints with new designs. We are empowered to write new, fresh scenes to live by. 


    For most of us, resolving early wounding is possible. I have gathered an array of effective Corrective Experiences that help heal specific attachment disruptions. 


    Exercises include excavating the various elements of Secure Attachment, one by one to specifically target what may have been disturbed when we were younger. Examples include healing the attachment gaze by connecting to kind eyes, the welcome to the world exercise, and initiating bodily or emotional impulses, such as reaching out and trusting others, and several more beyond the scope of this article. 


    Re-discovering Secure Attachment is NOT done solely through “wound tracking,” emotional catharsis, or talk therapy alone. As therapists, we need to realize how to evoke the original healthy impulses for Secure Attachment and bonding on an intrinsic level. This means healthy impulses arise naturally in the safe context of therapy or other “safe enough” relationships. We also need to be able to “presence” Secure Attachment ourselves to be effective. Most of us have a mix of disruption styles if we did not imprint a secure style first. Let’s look briefly at the most commonly described disruptions as noted in Dan Siegel’s The Developing Mind


    Avoidant Attachment Style 


    Avoidant attachment results when parents have been extremely unavailable, neglectful, absent, or outright hostile toward a child. This environment teaches the child to regard relationships as unfulfilling because they do not meet their natural needs. The child learns to avoid relationships in order to survive or to diminish pain. Adults with this history often diminish the importance of relationships and focus more on work or hobbies and avoid investing emotional energy in others beyond a superficial level. 


    If the original “relationship restaurant” was terrible, adults adapt by minimizing the importance of all relationships and stop “eating out.” In the extreme, they stop looking for “contact nutrition” at all and go on a fast. 


    Why keep going back to the same bad restaurant when it is usually closed for dinner, no one is waiting the tables, the food can be toxic, the music too loud, the environment blank, and the atmosphere rejecting? 


    In Avoidant Attachment, a person adapts to such severe disappointment in relationships from poor bonding by no longer reaching out. They may avoid connection at all costs as it is associated with great pain of abandonment, lack of presence, or fear of rejection. Avoidantly-attached adults may “decide” they are loners and isolate by choice. They may feel that expressing few, if any, needs or dismissing support from others makes them better off, or even superior to, others who are in contact with emotions and real needs. However, this is usually a survival-based adaptation, made by default due to extreme early bonding deficits with caregivers. It’s not a conscious choice. 


    Avoidantly-attached children, as they move into adulthood, overly rely on themselves and dismiss others as not important. As David Wallin points out in his excellent, clinically oriented book, Attachment in Psychotherapy, this dismissing stance enters into the therapist-client relationship, too. A client might say, “Oh, you are going on vacation for three weeks? No big deal. I don’t need you anyway. Therapy with you doesn’t do anything for me. I prefer to do it myself.” These statements may be—and usually are—far from the truth.


    Let’s get down to the nitty-gritty of what helps us and our clients clinically. I suggest specific Corrective Experiences that can help break the grip of a wounded past and bring other people back into the Avoidantly-attached person’s life in nourishing ways. These Corrective Experiences include the Kind Eyes Exercise that involves a person looking out into the world into the kind, loving eyes of someone looking back at them. 


    In this exercise, you imagine someone lighting up when they open their door and see you. You take that image and feel “into” your eyes and allow your eyes to reach out to that joy you see in the other person’s eyes. Sounds nice, right? But this exercise requires a tremendous amount of trust and the overcoming of intense fear as an Avoidantly-attached person takes the huge risk of “looking again” after years of blinding themselves to contact, especially in their eyes. 


    When successful, this exercise helps to restore healthy contact and reduces the defenses and/or disconnection in the eyes. The disconnection or dissociation can become a pattern from meeting too much hostility or vacancy as a child. This exercise accesses the original attachment gaze and gives it support, and perhaps emotional limbic nourishment as well, and exposes the original wound. We work with the attachment gaze to give it time to heal, discharge emotion, over-arousal and the original distress. Often the eyes have stopped “seeing” in terms of actual contact. Safety in contact has to be restored to resurrect the possibility of deeper connection and for the client to literally see anew in a way based on the reality of today. 


    Welcome to the World Exercise is another highly effective Corrective Experience exercise for repairing Avoidant attachment. In this exercise, clients create their version of a perfect, well-celebrated welcome of themselves as a unique being with very special contributions to make to the world. The fulfilling and “full-feeling” experience communicated by the therapist (or other) and received by the client (or person) is: “We are so glad you are here. We have been waiting for you. I celebrate you and your very existence. You have the birthright to exist. I want to be in real contact with you. I welcome you. You belong here. We want you here!” 


    This Welcome to the World Corrective Experience helps clients regain the sense of their existence being celebrated. Instead of having one foot on the planet and one foot off—as if they have never committed to arriving here in the first place—they can land on their feet in a more connected, embodied, grounded way. Now the life force and brilliancy predominantly residing in their heads, including their often extraordinary intelligence, can more fully inhabit their physicality and beingness. 


    Ambivalent or Anxious Attachment Style 


    The “here today, gone tomorrow” Ambivalent Attachment type of bonding leads to continual frustration and relational insecurity. 


    Even if, at times, the parents were authentically loving, unpredictable caregiving and emotional inconsistency may have manifested in a way that the person feels incapable of ever being truly loved or lovable. 


    The following story may aptly illustrate part of how Anxious Attachment is installed as a bonding style. In the story, researchers put a pigeon in a cage with a little bar at one end to access food with its foot. At first, every time the pigeon hit the bar a pellet of food came out. For a little while, the pigeon keeps hitting the bar and eating pellets until it is no longer hungry or interested. The pigeon seems to forget about it and just explores the cage. The bird goes back once in a while when it’s hungry. 


    Then the experimenters only change one thing—to have the pellets come irregularly (intermittent reward). The pigeon then becomes obsessive, continually hitting the bar (like many gamblers in Vegas at the slot machines). 


    Researchers surmised that intermittent reward was a major cause of obsessive focus. To up the ante, they electrify the floor underneath the cage where the unpredictable pellets fall out. In order to hit the bar, the pigeon has to stand on the electrified floor. The pigeon does not choose to retreat to safety of the unelectrified side of the cage away from the bar. It chooses to keep pushing the bar to see when the next pellet will arrive—even when it is very painful to do so. 


    I make this analogy to Anxious or Ambivalent Attachment where love from parents was, in fact, present (like the nutritional value of the pellets), but the child never knew when, why or where, or for how long until it would be gone again. This is a ”here today, gone tomorrow” parenting style. 


    Ironically and understandably, it is often the case that the parents are distracted or preoccupied with their own unresolved relationships histories. 


    The child cannot figure out what makes the relationship good or bad, so they are constantly trying to rearrange themselves to fit the parents’ changing moods and responses. Or they attempt to manipulate or control the parent to eke out the positive merging, support and/or love. 


    The result is the child, and later the adult, becomes obsessively over-focused on the parent or external resources and severely under-focused on themselves. They become habitually unaware of internal sources of satisfaction and fulfillment. 


    In adulthood this manifests as obsessive focus on the other in relationships—a bit like gambling. You keep investing more money in the game and never feel like you can win. They try to get the love they need but never feel it is enough. 


    The Anxiously-attached child or adult can never relax in the relationship. Instead of parents helping with affect modulation, their inconsistent behavior disrupts it. Neither self-soothing nor feeling content in the interactive regulation with another feels satisfying in any kind of sustaining way. 


    If they feel loved now, the question always arises, “What about tomorrow?” “Will it last?” “This is too good to be true.” There is the tremendous desire for loving connection entangled with the debilitating fear of losing it. 


    Corrective Experiences for this attachment style include re-establishing a felt sense of consistency and the ability to receive love and caring when these essential qualities are actually present. “I want and yearn for love and connection but cannot have it.” The basic personal identity is formed around that idea —the“parent-patterned” experience that “I can want, but cannot have”. This can result in yet another dilemma that it is critical for the Anxiously-attached person to realize: 


    If and when love actually presents itself, they often need to create distance themselves or dismiss the love in order to keep this original identification intact. They then create their own worst nightmare by never being available to receive the love they so actively seek because, paradoxically and predictably, it has to be rejected or deflected for self identity to remain intact. 


    As therapists, we need to help our clients to see this pattern if it fits and to actively “disorient them towards health.” It entails restructuring the identity to regain its capacity to actually receive love. Healing Exercises include increasing one’s capacity to receive love and nurturing from others without dismissing it. As easy as it sounds on the surface, this is very challenging. The identity of the Anxiously-attached adult is literally based on “I can want, but I cannot have.” Or, “I cannot have without the uncontrollable and unpredictable loss that I am always anxiously awaiting and anticipating.” 


    Another relevant exercise is to have the client look at all the ways people in their lives try to show them love. The Five Languages of Love is a good reference. Have the person see if they dismiss or minimalize others’ love for them. It is helpful to point out how painful it may be for their partners or friends to have the love they offer deflected. I had that happen in my own life when my partner said how much he loved me and how much it hurt him that I could not seem to take it in. 


    I initially felt insulted and was certain that he was wrong—until I took an honest look at myself and realized I did not feel deserving of love, and was determined to believe that his love could not be true. 


    Let me share another example of how painful this can be for an Anxiously-attached individual. I once had a friend share with me that when her boyfriend would turn over in his sleep away from her she would experience a terrible sense of abandonment and a severe sense of loss. She would lie in bed weeping even although she knew cognitively that he was simply turning in his sleep and not really leaving her. 


    It seems that this turning away was enough of a trigger to re-stimulate the intermittent reward patterning of the “here today, gone tomorrow” style of loving from unpredictable parents. This causes the child to be stressed while searching to attach to a moving target, never knowing when the rug will be pulled out from under them—even when the love was real and present for them because they could lose the love at any moment and not understand why. Instead of the parent’s interactions with the child increasing self or interactive regulation, the inconsistency actually increases the relational distress. This terrible unpredictability sets up a hyper-awareness of the “other,” and an over-focus on looking for need satisfaction, nurturing, or external love. 


    Because of this pattern, the Anxiously-attached person remains anxious because they lose contact with themselves, in fact abandon themselves, and then try to get themselves back from other people. The obvious trouble lies in the fact that you can’t get yourself back from others. You get yourself back by learning to recognize or develop your sense of self and to stay connected to yourself in the first place—when alone and in the presence of others. You include yourself in the relational field rather than all of your attention flowing out into the other. 


    Anxiously-attached persons want interactive regulation and affect modulation with others and prefer not, or lack the capacity, to self soothe or self-regulate. Avoidantly-attached persons prefer the opposite. In Secure Attachment both can return to having self regulation as well as interactive regulation and affect modulation in a harmonious way. This opens many more options for well-being. 


    Another exercise teaches clients how to stay connected to their inner self with greater ease as they learn to keep their sense of self intact when in the presence of others. This requires developing a dual awareness: one that does not eliminate the self but includes the other in the relational field without using manipulation. 


    Another paradox is that once you abandon yourself for another, you are in double trouble. When you leave YOU, you are, by definition, disconnected and abandoned. And in abandoning yourself, where are you going to go? 


    You can’t, in reality, leave yourself! REALLY, where are you going to go? 


    Until we learn to stay connected to ourselves in the presence of others we are doomed to be and feel abandoned. We must recognize this pattern as an internalized map that came from early bonding deficits and repair connection to self and redefine connection to others so we do not continue to see the partner or other as the Source. 


    It is a perceptual trick. Once you learn to stay connected to your inner core, you will naturally find it a stable, consistent source of nourishment and fulfillment, as well as finding contact nutrition from relationships outside of the self. 


    Disorganized Attachment Style 


    Disorganized Attachment can result when a parent is terrifying or overly chaotic. The relationships were so overwhelmingly scary, painful, harmful that the child had no safe holding environment in which to process or cope with this terror and pain. With the original caregivers, there was regular, devastating disruption of the attachment system without the relief of a safe haven. Because of this extreme situation, ANS regulation and Affect Modulation are severely interrupted, thus leaving the child with multiple incoherent models of the self, the other, and the relationship between them. In place of a coherent well integrated sense of self, fragmentation rules. 


    The main difficulty in addressing Disorganized Attachment clinically is in the major double bind of conflict between two of our major human pyscho-biological drives, 1) the deep need to attach to a safe attachment figure and 2) the strong need to survive. 


    Later, adults with the disorganized attachment style become very afraid when they begin to feel close or intimate because closeness is over-associated with fear of the original parents who could not be trusted. They become stuck and mired in an approach avoidance pattern. For the person to feel safe enough to stay in the relationship and enjoy it in a relaxed and nourishing way, the need for connection and fear for survival must get untangled. 


    A Corrective Experience may include the Installation of a Competent Protector to establish the essential quality of safety missing as resource. Ideally parents model protective sensitivities toward their offspring as most animal species are biologically designed to do. A rabbit runs from predators such as coyotes, fox, hawks, snakes etc., but once it returns safely to the rabbit hole she lavishes her affection on her young. Snuggling happens—not attack from one’s own species. 


    However, when children are terrified by one or both of their parents, it does not make sense biologically, psychologically, or soulfully. This terror disorganizes the attachment system, designed to operate and facilitate deep bonding in the environment of relative safety. 


    The need to attach is so strong that we are said to bond with any caregiver no matter what their actual behavior—even if life-threatening. This may require the child to literally override his or her own survival system or warning signals to allow them to walk into danger instead of running away from it or risking fighting back. They must be provided clarity in communication to override the original double messages presented to them by parents or caregivers. The attachment system must have a safe place to land, usually in relationships outside of the family. 


    This can be done in the safe context of therapy, where the defensive responses for self-protection (fight or flight) can be re-directed toward the original threat of one of both of the parents. 


    Allan Schore’s synthesis of research finds that the best modalities for healing attachment wounds include body-based therapies. In other words, the body needs to feel the return of safe Secure Attachment in a deeply physical way—as well as emotionally—so that the new corrective experiences of healthy relating can eventually override the original negative wounding. 


    The challenge is that attachment patterning happens so early, beginning in the womb. We need to develop skills to work pre-verbally, nonconceptually, within bottom-up processing for most of the session. But we also use top-down processing, to educate and help integrate the healing at the end of the session. What we need to appreciate with our clients and our relationship partners is that much of our current adult behavior can be considered a reflex from our early attachment patterning. We need to learn how to develop skills to function as securely attached adults (as partners and therapists) even if we had insecure attachment in childhood. 


    Somatic Experiencing® (SE) developed by Peter Levine and the Dynamic Attachment Repatterning experience (DARe) that I have developed over the past seven years are two such therapies. I believe that our original design is organized for Secure, safe attachment and that our bodies and brains can rediscover how to embody and live from this foundation. 


    We can then integrate this felt sense emotionally and cognitively. 


    This heals the scars and dysregulating impressions of the past left in our brain, autonomic nervous system, and attachment system. 


    My biggest passion in teaching is to help clients become “unimpressed” by the disturbing elements of their history. They literally discharge the hurtful emotions and fear from the body and brain so that they can risk opening to themselves and others again. 


    I believe our birthright is to give and receive love open-heartedly, and derive deep satisfaction, fulfillment, and nourishment from nurturing healthy relationships. 


    We can return to a state of pure transparent beingness—our deep nature and true authentic self—from where we can be truly intimate with ourselves and share intimately with others.


    This is our greatest gift to ourselves and to everyone else. It takes great courage to really “show up”. I believe that, in most cases, we can heal in the context of a corrective securely attached relationship in our lives at any time, with anyone, or directly from the “universal field of being” that holds the archetype for all that is true for us as spiritual essential beings. 


    We are naturally social beings and need a strong relationship both to ourselves and to others. On an Essential level, we have all that we need in just Being. Part of our fulfillment comes from sharing our “beingness” with others. We need our alone time as well, some more than others. Secure Attachment allows for an easy transition between connection and aloneness. 


    It is this balance of the inner and outer would that gives us wholeness. 


    This is the journey home to secure attachment. 


    For more information about Diane and her upcoming teaching schedule and training DVDs please visit dianepooleheller.com

    Copyright 2019 Dr. Diane Poole Heller   

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  • 22 Jan 2019 4:24 PM | Anonymous

    by Aline LaPierre, MFT, SEP, PsyD 

    Five arguments in favor of the use of touch in therapy

    There is a widespread belief in the psychological community that the use of touch in psychotherapy is illegal. The “taboo” against the use of touch was established long ago. This prohibition, which still persists today, prevents touch from being accepted as a valuable psychotherapeutic approach.

    Here, I evaluate five common questions I have encountered in my years of teaching the therapeutic use of touch:
    1. Does touch unduly foster dependent infantile wishes and gratify Oedipal fantasies?
    2. Does touch gratify a client’s manipulative needs?
    3. Can touch lead to transference and countertransference problems?
    4. Is touching clients a slippery slope to sexual transgression?
    5. Shouldn’t touch be reserved for family and social interactions?

    Does Touching Clients Serve Or Hinder The Goals of Psychotherapy?

    Current developmental research validates the use of touch as an important, if not essential, therapeutic intervention. There is now solid research indicating that critical levels of attuned touch are important for normal brain maturation and for socioemotional and cognitive development. Given that the primary importance of attachment is widely accepted, and that neuroscience provides evidence of the body’s critical role in development, the time is ripe to examine the vital contributions of touch and bodywork in the repair of relational and emotional trauma.

    Argument #1

    Does touch unduly foster dependent infantile wishes and gratify Oedipal fantasies?

    Psychoanalytic tradition asserts that using touch to satisfy a patient’s desire for the missing comfort of the mother fosters a clinging infantile dependency, and serves as a stimulant for Oedipal fantasies.

    Counter-Argument

    Touch is a fundamental mode of human connection in the infant–mother relationship. In order for mother and child to relax into breastfeeding and reciprocal gazing, a baby must be securely supported in its mother’s arms. Secure holding underlies a baby’s feeding and gazing connection.

    Adults who seek psychotherapy have generally experienced some form of abandonment, abuse, or neglect in early life, and often report never having had the experience of being securely held in a way that allowed them to yield into trusting support. I am reminded of a client who insisted on lying down during his sessions, yet kept lifting his head to look around. His neck soon tired, and he could barely continue to lift it. Finally, he uttered the words: “Is anybody coming?” and burst into tears. He remembered lying in his crib for hours, waiting for his mother, who never came. He finally had given up hope that she would ever come, and had fallen into a collapse that became his basic stance in life: “No use trying; it won’t happen.” For this client, being touched was an immense relief. The experience of having someone hold his weary neck and tend to his preverbal needs was transformative. He was able to release the long-held pattern of hopelessness, and open to the gratifying sensations of supportive presence. As our somatic work progressed, he reclaimed his desire to live.

    On an analyst’s couch, patients face away from the analyst, away from relational contact. This helps patients focus on their inner process, and leads to insight and growing maturity. But in cases of early relational trauma, the lack of contact can exacerbate the isolation of clients who yearn for connection, or who have not experienced satisfying nurturing relationships. Abused and neglected individuals have never had the experience British pediatrician and psychoanalyst Donald Winnicott called "going on being" — the secure holding within which a baby can be fully absorbed in the intense work of its development.

    Avoiding touch contact can repeat the physical neglect or rejection undergone by a client as a child. The touch taboo can rob patients of effective, perhaps critical, ways to fulfill primary needs that were never met. Early traumatized clients need neurological repatterning experiences in addition to reworking the cognitive and emotional aspects of their relational traumas. A physically close, but nonsexual, nonviolent, non-abusive, nurturing, comforting, and affect-regulating touch experience can help clients (and their nervous systems) move through the painful early deficits that often continue to bring suffering in their adult relationships.

    Avoiding safe, nurturing touch
    is a cruel re-creation of the original relational trauma,
    a repeat of the experience of physical neglect or rejection
    undergone by an individual as a child.

    Argument #2

    Does touch gratify a client’s manipulative needs?

    It is argued that while some patients are genuinely in need of the reparative contact denied in childhood, others will use contact to avoid self-awareness, and sidestep facing painful feelings.

    Counter-Argument

    Psychotherapists are trained to address manipulations and enactments, and a client’s manipulative strategies are not reserved to the arena of touch alone. The fear that gratification leads to avoidance or entitlement is a residue of childrearing techniques handed down from past generations, which were mostly concerned with shaming children into becoming compliant, obedient citizens.

    If the findings of Harry Harlow on the innate need for touch in baby monkeys can be extended to human beings, it should be expected that the need to be touched would arise in the therapy of clients with attachment trauma who were touch deprived. It is detrimental to the nervous system and unfulfilled early need for connection to have clients relive painful memories of “wire-mesh mothers” or “cloth mothers” without offering somatic repair. Client manipulations are a sign that basic needs have been denied, and withholding touch may repeat the original missing experience. In order to avoid painful feelings of misattunement and neglect in their therapy, there is a high likelihood that traumatized clients may depersonalize their therapist and the therapeutic relationship.

    It can therefore be argued that avoiding contact is a cruel re-creation of the original relational trauma — a repeat of the experience of physical neglect or rejection undergone in infancy. Caring touch that offers gentle support may, in fact, lay the foundation that helps patients deepen their capacity for self-exploration.

    The psychotherapeutic use of touch encourages the preverbal self to be cognized, and brings about a strengthening of the body ego. Far from creating dependency, touch sets the separation-individuation process in motion:

    Holding and rocking allows unconscious, preverbal healing to occur. Bodily feelings arising during touching can be profoundly self-communicative, self-informing. They bridge preverbal gulfs, integrating and resolving old emotional-bodily confusions and conflicts. It is as if, in the containing hands of the manual practitioner, the body-self understands itself a little more and can relax and grow in such understanding. (Bevis, 1999)

    Argument #3

    Can touch lead to transference and countertransference problems and block the expression of hostile feelings?

    Psychoanalysis and traditional psychodynamic models maintain that touching patients violates the therapist’s neutrality and negatively intrudes on the therapeutic process. It is argued that, when working with primitive mental states, touch can hinder and contaminate the transference by: a) blocking the expression of hostile feelings, b) triggering the need to protect personal boundaries, and c) foreclosing free association. Additionally, in cases where transference involves the enactment of an abusive past, touch can rekindle a patient’s powerlessness in the face of violation, and trigger unaddressed issues of power differentials and microaggressions. Touch, it is therefore argued, is more than likely to lead to transference and countertransference problems.

    Counter-Argument

    Although these concerns are valid and important, they are also one-sided arguments that reveal a lack of knowledge about the psychotherapeutic use of touch. Why would the avoidance of touch not be equally contaminating to the transference?

    A somatically-trained psychotherapist is aware of situations when touch is contraindicated. In cases where the transference involves the enactment of an abusive past, touch is used with great care, if at all. If the body has been violated, it is acknowledged so that if, and when touch interventions are chosen by therapist and client, they offer a reparative experience that does not rekindle the powerlessness of the original violation. Some types of touch and movement, such as grasping or pushing away, are intended to help clients externalize hostile aggression and assertively express re-owning their integrity.

    Supportive touch that elicits trust and safety can give deprived clients a caring, comforting, affect-regulating, yet nonsexual, nonviolent, and non-abusive experience that helps the body, brain, and nervous system learn to receive nurturing. Touch encourages the nonverbal self to become known, and bodily memories that arise during a touch session are profoundly self-informing. Being held and nurtured allows healing to access unconscious preverbal experience that would not otherwise be reached. In the containing hands of the somatic psychotherapist, the body-self understands itself a little more and learns to overcome the debilitating effects of overwhelming traumatic triggers.

    Argument #4

    Is touching clients a slippery slope to sexual transgressions?

    It is a major concern to those who mistrust the use of touch that it may be interpreted by a client as an invitation to intimate contact, and lead to sexual acting out. When exploring physical, sexual, and emotional abuse, some patients might experience the therapeutic use of touch that is meant to be empathic and compassionate as an invasion of personal space, or an expression of covert aggression.

    It is also argued that since abusive, violating touch is used to enforce power, establish dominance, and maintain control, therapists could fall into the trap of using touch to dominate or manipulate clients — especially in situations where male therapists are working with female clients.

    Counter-Argument

    Psychotherapists are trained to sustain boundaried emotional intimacy in the therapeutic relationship. One may therefore wonder why the profession has such a fear that touch, more than any other intervention, would easily sweep away the professionalism of a trained psychotherapist. Because abused individuals often do not have access to their capacity to set boundaries, the issue of boundary breach is a serious therapeutic concern to the somatic therapist. It is not, however a reason to foreclose on using touch interventions.

    Therapists who use touch interventions learn to track the subtleties of biological communication. The therapeutic use of touch, like any modality, requires professional training and emphasizes the development of personal somatic self-awareness on the part of the therapist. Those who see touch as dangerous do not understand the profound respect for the intelligence of the body that somatic training inspires in its practitioners. It is the therapist who is not trained in somatic techniques and body psychotherapy who is at higher risk of transgressions.

    When exploring issues of physical, sexual, and emotional abuse, a somatically-trained therapist is aware that touch can trigger experiences of personal boundary breach that could shut down a client’s capacity to trust the therapeutic process. The touch taboo speaks to the violation of boundaries, and untold suffering caused by sexual and physical abuse. These tragic touch dysfunctions bring mistrust to the use of touch as a therapeutic intervention. Unfortunately, they also foreclose on the deep yearning and disappointment that neglect and the lack of loving touch leave in client lives.

    Few of us have been touched in aware and attuned ways.
    Our fears about touch reveal the pervasive dysfunctions of touch
    that bring therapists to mistrust it as a therapeutic intervention.

    Most body-centered disciplines, such as medicine, surgery, chiropractic, nursing, bodywork, and physical therapy, use some form of touch for which practitioners are professionally trained. Each of these disciplines has a code of ethics to safeguard the patient and ensure the practitioner’s professionalism. The ethical criteria for the use of touch in psychotherapy follow similar guidelines to those in other health professions:

    • Professional training in the modality employed
    • Proficiency in using the chosen techniques
    • Obtaining client-informed consent
    • Attunement to the client's therapeutic issues and needs, and maintaining open communication
    • Confidence in the choice of the therapeutic intervention

     

    Argument #5

    Should touch be reserved for family and social interactions?

    This argument holds that touching is a natural expression of emotional connection, and should therefore be reserved for family and social interactions such as handshakes to express friendship, a touch on the shoulder for empathy, or a congratulatory hug to express joy.

    Counter-Argument

    Avoiding touch can have the effect of perpetuating the belief that psychological issues do not concern the body, thereby reinforcing the split between psychological and somatic dimensions. Avoiding touch maintains the impression that psychological issues are more important than bodily experience.

    The therapeutic use of touch and bodywork connects the cognitive self with its biological intelligence to help clients understand how thoughts, emotions, and sensations work as a unified whole. The therapeutic use of touch is an implicit language that directly addresses and integrates nonverbal physiological needs with psychodynamic awareness. Like attachment parenting, it puts a premium on giving individuals what they need to grow their capacity to be strong, independent, and loving.

    In Conclusion

    The following words by Bessel van der Kolk encapsulate the healing needs of the early traumatized self:

    "How do you quiet down the frightened animal inside of you? The answer to that is probably in the same way that you quiet down babies. You quiet them by holding and touching them, by being very much in tune with them, by feeding and rocking them, and by very gradual exposure to trying new things."

    References available on request: aline@neuroaffectivetouch.com

    Dr. Aline LaPierre, PsyD, MFT, SEP is the founder and director of The NeuroAffective Touch® Institute which offers trainings in the therapeutic use of touch. She is past faculty in the Somatic Doctoral Program, Santa Barbara Graduate Institute (2000-2010). Aline is the coauthor of Healing Developmental Trauma: How Trauma Affects Self-Regulation, Self-Image, and the Capacity for Relationship now available in ten languages. She is currently Vice-President of the United States Association for Body Psychotherapy (USABP) and Deputy Editor of the International Body Psychotherapy Journal (IBPJ). 

    Aline LaPierre NeuroAffective Touch

    NeuroAffective Touch® (NATouch™) is a neurologically informed psychotherapy that uses somatic psychology, touch, and body-centered approaches as vital psychobiological interventions.


  • 30 Dec 2018 4:42 PM | Anonymous

    By Reza Mohammed B.S. with Dr. Andrew Hahn, Psy.D. and Joan Beckett, LMHC

    Sarah was a 42 year old mother of two who came in for a session because of profound anxiety, that she described as “the most anxious I have ever felt in my life.”

    “I feel like I am going to jump out of my skin, this anxiety is paralyzing and overcoming my soul/being. I can’t breathe, I am having a hard time concentrating and I don’t feel like I can be around my in-laws and family this week at Thanksgiving,” she said.

                “We just had a pre-thanksgiving meal where I had a confrontation with my father. I told him I forgive you for everything you have done to me, and the only thing he responded was I don’t recall being mean to you. He has dementia so that was the end of the confrontation...There is just this unrest inside my being, I can’t seem to calm it down. I woke up at 4AM today and couldn’t fall back asleep, it’s too difficult to function in my life right now. I have no idea what is causing this unrest.”

                “There is a lot of fear along with anxiety that makes things doubly difficult, the only comforting thing is cuddling with my family. That is all I want to do, I don’t want to do anything else,” she said with an exasperated look on her face before breaking out in tears.

                “Now I’m sensing some anger inside, which I have been unaware of. It’s coming from my spine, there is a lot of emotion there. Yoga brings up a lot of emotion for me, it feels like that. After I saw my father and family yesterday, I felt pain in my upper right back, and my inner right ear inexplicably...It’s interesting because when I was a teen, my father struck my head and ruptured my eardrum.”

                “I’ll do anything to make this stop, I am desperate.”

                Muscle Testing indicated that Sarah’s highest priority intention was nothing she said, and we could not work directly on anything she said. It indicated that Sarah’s highest priority intention was a deathwish. A deathwish pattern is present when some part of the client wants to die. It typically results from one of two situations:

                Something so terrible happened that a part of the client wishes to be dead. And/or

                A parent cannot stand something about themselves, projects it onto the child and wants to destroy it. The child perceives that in order to receive the parent’s love, it must let itself be destroyed, i.e. they must die.

                A deathwish pattern can manifest as mental hopelessness and suicidal intention, emotional despair and depression and/or physical illness.

                After I explained this to Sarah, and asked her if it resonated in anyway, she began crying. “Both my sister and I attempted suicide as teenagers because of our parents,” she said through her tears.

                MT indicated that the inducting statements were to be “ A part of me wants to die, A part of me wishes I were dead, Someone who was supposed to love me wants me dead, and in order to receive their love a part of me has to die.” MT also indicated that the root cause was at age 11. When I asked Sarah if this resonated, she said she immediately felt “[her] back on fire.”

                As she fully allowed and experienced “ A part of me wants to die, A part of me wishes I was dead, Someone who was supposed to love me wants me dead, and in order to receive their love a part of me has to die,” she immediately felt a “pressure right around vagina, heat and tension in mid-upper back, a nervous inner angst in mid-upper back, and feeling like screaming at the top of [her] lungs and hitting something, spazzing out”.

    As she fully allowed and experienced the sensations, a narrative came to her:

                “I feel like I am having a nervous breakdown, I give up, it’s like I am competing and I surrender. I think this is when the sexual abuse began, I am feeling strong sensations in my vagina. I can’t remember how early it was when it began...I thought it began when I was being groomed to be abused and molested sexually. I did everything my father and my friend’s father wanted me to do, to please them. I talk about knowing myself and taking care of myself all the time, but I didn’t truly know myself. I am feeling this throbbing energy in my crotch...yes, this sexual abuse began at age 11. I am feeling sensation in my left inner ear, right inner ear, tension in jaw..”

                “When my friend’s father touched me, fondled me, and brought me to orgasm, I would contain the orgasm. He would ask if I came, and I would say yes. Although it felt good, I was afraid. I am feeling strong sensations in crotch/ inner ears, the focus is flipping back and forth...I’m remembering that when I smoked my father’s cigarette, he hit me as hard as he could in the ear, and tore my ear drum. That has stayed with me.”

                “I’m experiencing a throbbing sensation in my vaginal croch, and I’m now remembering sitting on the couch at my friends house with her sister, and their father. Their father fondled me and went into my vagina as I sat next to his sleeping daughters’ watching TV. I feel petrified as I was succumbing to a man fondling me, and I was afraid my friend and sister would wake up, so I laid as still as I could.”

                “My friend’s father frequently asked me if I came/ orgasmed because I didn’t know how to freely orgasm, and I always contained the sensation in my body. And so, I was pleasing him by allowing him to do that. Part of me felt good to finally be noticed, but another part of me felt violated, polluted and dirty. I always had conflicting feelings.”

                “I was seeing my best friend’s father from age 11-18 before I stopped. I attempted suicide when I was 16 from the inner toil and stress of the relationship...I’d like help where to go from here”

                This was a crucial point in the session. One of the gems of Life Centered Therapy is that everything is part of the process even those statements or beliefs that the client is sure are simply content level statements about the here and now. What Sarah may believe she means is that she was unable to do this process because she felt she needed guidance on where to go from this point, it was much more likely that her content level reaction was in reality a process level comment, i.e she was in a story where she needed guidance on where to go.

                Muscle Testing indicated that this content level statement was a part of the narrative itself. We gained movement by saying, “You’re still in the story. You’d likehelp where to go from here. What happens next?”

                “I have trouble feeling alone, and I never want to leave my acupuncturist. I always feel alone, needing help, I needed a lot of help when younger, I needed to be saved, rescued. The abuse I endured on a regular basis always left me so alone...both my inner ears are killing me.”

                “ I have a chronic problem of grinding my teeth when I sleep. It’s from the angst of enduring the hell of my younger victimization. There is this intense tension in my Jaw right now.”

                MT indicated that an acupressure intervention called boundary tapping was necessary. Sarah intuitively felt that the necessary statements were: “I am in full control of my body and who touches me, I am at full choice about taking on other people’s emotions, and I am not truly alone when I am with myself. I have the ability to comfort myself in a way so that I don’t feel alone.”

                When she checked in with the “paralyzing anxiety” she reported that it had moved from the worst in her life, a 10, to “total calm, a 0”. The pressure right around her vagina had lessened, as had the mid-upper back heat and tension, nervous inner angst in mid-upper back. The feeling of screaming at the top of lungs and hitting something, spazzing out, had gone completely”.

    This session is a powerful example of how efficient and effective the therapeutic process can be when the mind and body are properly utilized together. The wisdom of Sarah’s body held the key to her healing; the powerful sensations that arose for her were a window into a series of traumatic sexual and physical abuses that she had been unable to handle at a younger age. The unexplainable pain in her inner ear was a remembering of her father striking her in the ear and rupturing her eardrum, and the throbbing energy in her crotch may have been a crystallization of the molestation by her best friend’s father, during which she had to contain herself to avoid waking her up.

               

                Due to the fact that the anxiety completely vanished, we can assume it was a direct result of these crystallizing experiences that were unconsciously playing out in her mind-body system. By tapping into the deeper wisdom of the body, Sarah was able to access what she needed to heal and release it so that the worst anxiety she had experienced in her life dissipated from a 10 to a 0. If we were to use cognitive behavioral or other forms of talk therapy that only utilized the conscious mind, we’d be unlikely to get the same results because of one foundational premise: the body holds a memory of any experience we have had that we couldn’t handle, and we have to tap into our unconscious minds and a deeper level of wisdom in order to heal most efficiently.

    Every time we experience some kind of shock, it creates an imprint in our body. Sooner or later, this imprint leads to some kind of difficulties in our life. The difficulties get stored in our body as a discomfort and present themselves in our sessions as body sensations. In this way, the body holds the key to our healing, as it is a direct doorway into where exactly we got stuck and our difficulty crystallized.


    Learn More About Life Centered Therapy

  • 3 Dec 2018 5:47 PM | Anonymous
    This is an article from Jan M. Bergstrom, LMHC, SEP, DaRTT. It is based on her new book that covers specific body based interventions for dealing with stress.

    It never fails to surprise me that during the holiday season I receive so many calls from my clients that are stressed out. In my 23 years of practice, I see my clients come in and are in a state of "rev" in their nervous system. Here are some great interventions from my new book coming out this Spring 2019 for use with your clients or with yourself during stressful times, including the holidays. Enjoy!

    Grounding and Centering Practice in Action

    Grounding and Centering are two other practices that reconnect you directly with the resources that are naturally available in your own body. It is important to reestablish your relationship to both the ground and to your body’s center, the place where action and feeling originate. These functions are compromised during trauma reactions. In trauma, you lose your ground, so an important part of healing is learning how to find your ground and center again. As you ground and center yourself before each exercise or process in this book, it will help you create a feeling of safety, and a sense that you are in charge. Here is how you do it.

    Grounding Technique

    1.     Sitting in a chair, gently push the heels of your feet into the ground. Notice the sensations in your legs when you engage the muscles and release the muscles. Experiment with finding just the right amount of pressure in your feet.

    2.     Bring your awareness to what your feet feel like in your shoes as they are resting on the floor. Wiggle your toes and name the sensations that arise. Become aware of your feet on the ground.

    3.     Begin Deep slow breathing – explore pace breathing by Marsha Linehan, where you slowly inhale to a count of five, completely expanding the rib cage and belly, then slowly exhale to a count of seven until your rib cage has contracted and your shoulders have dropped. Do this at least five times.

    4.     Gain physical support from a comfortable chair. Bring your awareness to your buttocks as it sinks into the chair and your back as it is being supported. Name the sensations that arise. Experiment with slumping over and then sitting up straight, lengthening the spine as you do so. Imagine having a string pulling you up straight. Notice any and all sensations as they arise. Does your back hurt? Your vertebrae creak? Can you feel the blood leaving your head? Do you feel taller? More in control? Become aware of each sensation, whether physical or cognitive. Don’t judge these sensations, just greet them.

    5.     Focus non-judgmentally on the sensations you can feel throughout your whole body. Start scanning your feet and slowly move up through your legs, abdomen, torso, into your arms and hands, finishing off at your neck and head. Just allowing whatever shows up to be there.

    6.     Tense, then relax your muscles. Try using an exercise ball if you have or can get one. If you don’t have one, try a beanbag, a roll of socks, a crumpled towel—anything that you can hold in your arms or between your legs and squeeze tight, hold for five seconds, then relax for five seconds. Notice the sensations and the difference between the engaging muscles and releasing muscles. 

    This same practice can be done with movement, such as Tai Chi, Qi Gong or Yoga. Take a class and see if you can focus on what is happening in your body moment by moment rather than thinking about your day or what is in the future. If you start thinking about the past or future, don’t worry. Just gently bring yourself back to your body awareness and breathing.

    As with the Mindfulness practice, this Grounding Technique will help you to calm yourself, control your thoughts and triggers, and enable you to bring yourself to the present at will—whenever you find your thoughts and anxieties spiraling into the past or worries of the future.

    The Grounding Technique becomes even more powerful when it is combined with the Centering Technique. This technique is a bit more unique, but every bit as transformative.

    Centering Techniques

    1.     Place one hand on your heart and notice what happens in your body when all thoughts are dropped, and you focus on just your hand. Observe the weight of the hand, its temperature, the sensation of the hand itself and the sensation of it resting over your heart. Notice any changes in your breathing, your heartbeat, even the energy you feel in your hand. Visualize in your mind’s eye a warm ball of golden energy swirling around in your hand as it rests upon your heart.

    2.     Keeping your hand on your heart, gently place the other hand on top of your head. Apply a slight pressure on the top of your head to create a sensation of being grounded to the earth. With the hand on your heart, focus on channeling warmth and empathy throughout your body through this hand.

    With practice, you will find these techniques are effective in helping you to gain and remain calm and detaching yourself from the thoughts and memories that haunt you. By learning how to become aware of your thoughts and the sensations they awaken in your body, you will gain mastery over them.

    Techniques to Help Stay Grounded and Centered

    There always comes a time when you find it hard to stay present with an emotion or body feeling. This is totally normal, and you may find yourself wanting to stop your investigation of the material that is coming up. No problem! In fact, it is important to know when to stop and what to do. I recommend healthy alternatives rather than medicating your feelings by eating, drinking, taking drugs or engaging in self-abusive behaviors. Here are some healthy techniques for staying grounded and centered. You may have heard these suggestions a thousand times and, like anything we hear a thousand times, they may go in one ear and out the other. But this time, try something different., Try at least three of these exercises, just once. Afterwards, reflect on how your body feels, and how your mind feels. Then do them again, another day. You’ll be surprised with the difference such simple activities can have on both your body and your mind.

    1.     Go outside and take a walk in your favorite place. If you find your thoughts spinning off into worries as your feet carry you along the pathway, bring your mind back to the moment. Observe the sky above you, the earth below you, the flora and fauna. How many birds can you see? Smile at the people you pass. When you get home, see how many things you can recall from your walk. The more alert you are to the world that surrounds you, the less space there is in your mind for worries.

    2.     If you have a dog, take your dog for a walk or go to a dog park. Use the time to truly enjoy your pet’s own joy for the outdoors.

    3.     If you have a cat, pet and play with it. There is a reason we call our pets “pets.” Just petting the fur of a dog or cat can have a comforting effect on both the pet and ourselves, as our endorphins are stimulated.

    4.     Call a close friend and reach out for support. If you are in recovery, call a fellow member or your sponsor. Be sure to listen and be there for your friend, as much as your friend is there for you. If your friend is unavailable for such an emotional call, don’t judge your friend. They might be in the middle of taking care of their own needs. Ask them to call when they have more time, and call someone else. Remember, we are all struggling. The more thoughtful you are of your friends’ time and needs, the more thoughtful they will be of yours.

    5.     Work out moderately at the gym or at home. If you haven’t worked out for some time, start small. If you find yourself watching TV, use the commercial breaks for short spurts of exercise. Try finding a five- or ten-minute YouTube video you can work out with. If you go to the gym, start with twenty minutes, work up to half an hour, and make a fifty-minute workout three times a week your goal. Don’t push yourself too hard. Be gentle with yourself. You’ll get there.

    6.     Dance to your favorite music, journal your feelings, draw or use some medium for an artistic expression of what you are feeling. Indulge in your playful side. You never lost it—you just learned to ignore it as you matured. Let it out!

    7.     Move your body and open your arms and spread them out to create a circle. Experiment with expanding the size of this ‘container’ until it is “big enough” to hold all the feelings and sensations or “all of the parts” of your pain.

    8.     Use your body to put one palm on the side of each knee: push arms against the outer part of the knees while simultaneously pushing out with the legs. Or use the arms to push against the side of the body. This creates resistance and engages your muscles to fight back, which can give you a feeling of empowerment  .

    9.     If you have a flashback or start to dissociate or “fade out,” become aware or what is called “orienting” to the external environment (or room). This technique can be a helpful way to “come back” into the room. To do it, just choose and describe three things in the room that you like and reflect on why like them.

    10.  You can also turn your head and neck and slowly as you focus on objects in the window, the wall, the door, the lamp, the bookcase. Or focus on objects that might be comforting  such as your most favorite object, or cues that tell you where you are.

    Mind’s Eye Imagery

    Mind’s eye imagery is a technique that draws on images to calm and ground the body. Remember all these resources I’m referring to are those internal or external cues that help you to find a safe place to return to when you become triggered as you navigate through your childhood trauma.

    I usually ask my clients to think of a time in their life when they traveled somewhere, had a favorite animal they loved, connected with someone special and experienced a felt sense of calm, acceptance, grounding, centeredness, and safety. Once they find this experience (or several experiences), I ask them to write them down. These visual image resources will be used throughout the rest of the book for any of the processes that we journey through. They will act as anchors. An anchor is like a ballast. It gives stability in times of need. And that is just what you are seeking.

    Mind’s Eye Imagery Practice in Action

    While in this grounded and embodied state, sit somewhere where you are comfortable, and close your eyes to contemplate these scenes below. Allow yourself at least a minute for each scene. Notice your felt sense or bodily sensations. See if you can put words to them. Some examples might be: calm, relaxed, soft, warm, centered, tight, airy, spinning, or whatever words describe the sensations. Remember, don’t judge the sensations—just find a word that best describes the sensations you feel as you contemplate the scenes that follow.
    1.     Sitting on your favorite beach listening to the ocean waves
    2.     Hiking up your favorite mountain, reaching the top overlooking a beautiful valley
    3.     Looking across the Grand Canyon and the river that flows through it
    4.     Being on a tropical island
    5.     Sitting in a cozy cottage with a warm fire burning in the fireplace, the snow gently falling outside
    Did these scenes calm you? Excite you? What changed in your internal state as you contemplated these scenes? Did you find one that brought you instant calm? If you didn’t, think of a time when you were traveling or in nature and you loved what you were seeing and feeling. If so, you have created a room in your mind where you can find instant comfort. When stressed, anxious or triggered, go to this place and relax. There’s no admission to be paid, no taxes or mortgages you must come up with, no applications to fill out. This place is yours, available to you whenever and wherever you find yourself. Welcome!

    About the Author:
    Jan M. Bergstrom, LMHC, SEP, DaRTT has been in private practice for 23 years working with individuals and couples. She is a Licensed Mental Health Counselor and has a master’s degree in counseling psychology. She enjoy her work and brings years of experience and expertise to all her clients.

    Find out more:

    www.janbergstrom.com
    www.healingtraumanetwork.net
    www.healingourcoreissuesinstitute.com

    ________________

    1 Linehan, DBT Skills Training, Handouts and Worksheets, Guilford Press, 2014

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