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Empowerment in the context of trauma 03/31/2011

Posted by ALT in Philosophy/Spirituality, Treatments.
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3 comments

Empowerment: the new favorite buzzword of mental health policymakers.  I’ve already mused a little bit about what that word might mean – both to them [certainly not having much to do with agency or self-actualization] and those of us interested in practicing true psychiatry (literally, soul healing).

A few more thoughts about empowerment in the specific context of trauma and trauma resolution, drawn mostly from famed trauma specialist and mind-body healer Dr. Peter Levine’s book Waking the Tiger.

According to Levine, trauma response is a necessary survival skill common to all members of the animal kingdom, and there are three basic, built-in strategies: fight, flight, or freeze.  After the previous two efforts (fight or flight) have failed, action is suspended and the intense survival energy is literally frozen in the motionless body of the prey.  This “freeze” response  is helpful for a couple reasons: 1. playing dead may lure the predator into a false sense of security, allowing for future escape 2. if escape is not possible, it is the body’s natural anesthesia for the coming pain of death.  Interestingly, for the prey who escape the event is not over until the discharge of the frozen energy – via convulsions or shaking — occurs.  It is an essential and instinctive conclusion to the traumatic episode.  It is how they move on with their lives sans emotional baggage/trauma.

Again, this is a response seen in all members of the animal kingdom; the gazelle trapped in the jaws of a tiger, the mouse being batted around by your adorable tabby cat.  The frozen, seemingly lifeless body.  The surge of energy and quick escape at the opportune moment.  And then the shaking or convulsions afterwards — a release of the stored energy.

The “release of energy” part  is where human beings can get into trouble.  A lot of times our natural traumatic response does not reach its instinctive conclusion, and instead the energy is trapped in an ever-deepening cycle inside the body, undischarged and untamed.

So a complete trauma response looks like this:

And an incomplete response looks like this:

Levine’s premise (based on over 20 years of clinical work with the traumatized) is that the trauma response can be completed at any time – even many years later.  What is essential to completing the response [ie, healing] is not necessarily a cerebral re-living or re-telling of the memory (though this could help), but allowing the body to experience the completed, successful response, and to achieve the empowering reality of a challenge (trauma) successfully met. 

So in the context of traumatic response, empowerment is an instinctive self-actualization.  The means to achieving a complete trauma response are built in, biologically, to the mammalian brain

Which means: self-actualization doesn’t have to be an entirely esoteric, philosophical pursuit!  

And you don't have to read all/any of these.

  

Great news, because overly cerebral processes often end up feeling artificial and insincere.  A healthy dose of instinct can clear that right up.

Peter Levine on releasing the physiological effects of trauma 03/01/2011

Posted by ALT in Treatments.
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3 comments

    

From Peter Levine’s book Waking the Tiger: Healing Trauma

“Trauamtic symptoms are not caused by the “triggering” event itself.  They stem from the frozen residue of energy that has not been resolved and discharged; this residue remains trapped in our nervous system where it can wreak havoc on our bodies and spirits.  The long-term, alarming, debilitating, and often bizarre symptoms of PTSD [post-traumatic stress disorder] develop when we cannot complete the process of moving in , through, and out of the “immobility” and “freezing” state…

[See the immobility state as a potentially life-saving response to trauma in this video of a lion hunting a gazelle.  The gazelle freezes completely as the lion carries her off.  SHE IS NOT DEAD.  Her body's natural response is to freeze a. so that she may attempt an escape after lulling the lion into a false sense of security or b. she can protect herself from further trauma - in this state she experiences no pain.]

A threatened human must discharge all the energy mobilized to negotiate that threat or it will become a victim of trauma.  This residual energy does not simply go away.  It persists in the body, and often forces the formation of a wide variety of symptoms e.g., anxiety, depression, and psychosomatic and behavioral problems.  Thesee symtoms are the organism’s way of containing (or corralling) the undischarged residual energy.

Animals in the wild instinctively discharge all their compressed energy and seldom develop adverse symptoms.  We humans are not as adept in this arena.  When we are unable to liberate these powerful forces, we become victims of trauma.  In our often unsuccessful attempts to discharge these energies, we may become fixated on them.  Like a moth drawn to a flame, we may unknowingly and repeatedly create situations in which the possibility to release ourselves from the trauma trap exists, but without the proper tools and resources most of us fail…

Fortunately, the same immense energies that create the symptoms of trauma, when properly engaged and mobilized, can transform the trauma and propel us into new heights of healing, mastery, and even wisdom.  Trauma resolved is a great gift, returning us to the natural world of ebb and flow, harmony, love, and compassion… I believe that we humans have the innate capacity to heal not only ourselves, but our world, from the debilitating effects of trauma.”

- Peter Levine

You can also hear more from Peter Levine in this 45 minute interview about the premise of his “Somatic Experiencing” therapeutic response to trauma.

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