Le corps et le trauma : Une approche sensorimotrice de la psychothérapie

by Pat Ogden, Kekuni Minton, Clare Pain

Le corps, pour une foule de raisons, a été mis de côté dans les thérapies basées sur la parole.
Tout psychothérapeute, qu'il soit d'orientation psychodynamique, psychanalytique ou cognitivo-comportementaliste, s'est entraîné à écouter le langage verbal et non verbal des patients. Il cherche pour ne pas dire traque les associations libres, les fantasmes, les signes de conflits psychiques, la détresse intérieure ou les processus de défense conscients ou non des patients.
Cependant, bien que la majorité des thérapeutes soient entraînés à détecter l'apparition de tout mouvement du corps de leur patient, les expériences corporelles du patient, la manière dont il vit son corps, demeurent totalement périphériques dans les interventions thérapeutiques classiques.
Le trauma et le corps constitue une revue détaillée des recherches liées aux neurosciences, au trauma, à la la dissociation, et aux théories de l'attachement qui prônent une approche intégrée de la relation corps-esprit dans les traitement du trauma et de ses conséquences. L'intérêt et l'originalité de cet ouvrage c'est qu'en ajoutant aux thérapies traditionnelles des interventions orientées vers le corps, le thérapeute augmente la profondeur et l'efficacité de son travail clinique. La thérapie sensorimotrice se base sur la compréhension des thérapies traditionnelles mais en incluant le corps comme élément central dans le champ thérapeutique de la conscience, utilisant les capacités d'observation, les théories et les modes d'intervention peu usuel dans les thérapies d'orientation psychodynamiques.
En synthétisant l'ensemble de leurs interventions, les auteurs combinent le meilleur des deux mondes pour aider des patients traumatisés chroniques à trouver des solutions et du sens à leur vie, et surtout à développer une nouvelle vision d'eux-mêmes.

Genres: Psychology, Nonfiction, Mental Health, Self Help, Counselling, Health, Bodies

496 pages, Kindle Edition

First published October 13, 2006

Reviews

[Julene · Rating 5 out of 5]

Excellent book giving both theory and practice of how to work with trauma. I'm studying her work now in Level I training and plan to use this book for the long haul as a reference text. Her work is built around Hakomi body-centered psychotherapy principles, Pat Ogden had a long stretch working with Ron Kurtz, so I'm reading his books as well. It's all in the lineage with my Continuum movement work and I'm delighted to read these astute psychologists, the pioneers who brought the importance of body work into the therapeutic process.

[Alexis · Rating 5 out of 5]

This was simply an amazing text with respect to working with clients who have experienced trauma. The background information provides a comprehensive, yet understandable, overview of the effects of trauma across the client's experiences in a way that really makes these clients make sense. The therapeutic work outlined uses a heavy sensorimotor process-oriented approach. I was pleasantly surprised at how naturally it seemed like this would fit with the interpersonal process approach to psychotherapy, as well as how simply it could be integrated into third wave cognitive-behavioural therapies like ACT and DBT. Highly recommend.

[Jami · Rating 3 out of 5]

The information is great, but the presentation is redundant.

[xenia · Rating 2 out of 5]

Gestalt therapy emptied of its phenomenological framework and refitted into a neuro/neo-behaviourist lens. Good information, but another example of scientific imperialism — the taking of decades old humanist developments and re-presenting them as valid and novel through science. Very repetitive. Perhaps an ironic move by the author, to structure the book after trauma.

The key idea here is that there are three registers of consciousness: the somatic, the affective and the cognitive — essentially: physical sensations, emotions and thoughts. Psychotherapy has developed treatments for processing thoughts and emotions, but not bodily states. Through becoming aware of one's bodily state, one becomes aware of not only one's triggers, but one's automatisms after triggering — nonconscious action patterns, sensations across time, reflex behavioural intentions, and so forth. Because trauma is deeply embodied, there is a need to become re-embodied, to return to the body and integrate these points of intensity, for healing to occur.

[Mimi · Rating 5 out of 5]

"Sanat ovat korvaamattomia trauman hoidossa - ne eivät kuitenkaan kykyene korvaamaan sen huolellista havainnoimista, kuinka asiakkaat yrittävät puolustaa itseään nykyhetkisessä tilanteessa tai kuinka nämä puolustuskeinot syrjäytyivät alkuperäisessä traumatisoivassa tilanteessa."

Luin tätä parin kuukauden ajan kuusiviikkoisen harjoittelujakson aikana ja kokonaisuudessaan läpi vielä sen jälkeen. Ohjauksen ja lukemisen yhteistuloksena sain kyllä aika kovan motivaation opiskella lisää, ja tämä kirja on yksi niistä jotka täytyy ehdottomasti hommata omaan kirjahyllyyn tulevaisuutta varten.

[Kyren · Rating 4 out of 5]

a really interesting book about somatic
therapies for dealing with trauma. there is lots on how trauma impacts the brain (and in turn how that relates to the body). fairly accessible, though sometimes overly technical for a non-specialist reader. overall an interesting and informative book

[Magnus Lidbom · Rating 3 out of 5]

This seems to me a rather dry and academic book. It contains a great deal of helpful information but did not really connect with me. I think the core of it lies in that the book seems to consist mostly of a torrent of detailed, purely theoretical, descriptions of various conceptual models. I find books on psychology that take care to balance theoretical underpinnings with reconnecting to human experience to be far more helpful. Without sufficiently frequent, emotional and concrete connection to human experience the models are apt to remain pure abstractions which I will not be able to make use of in order to really understand myself and others in a practically applicable way. At least that is my experience.

[Tom]

available as an ebook

[Dr. Barrett Dylan Brown, Phd · Rating 5 out of 5]

Granpa says this is good stuff: I trust him.

[Alice · Rating 5 out of 5]

Fantastic contribution to the somatic psychology literature, with a comprehensive range of chapters exploring different dimensions of the physical and mental aspects of trauma.

[Sebastian · Rating 4 out of 5]

3.5 It could be more concisely written. Some conceptions are inspiring: hypoarousal, three subsystems of defense response, and core-periphery balance.

[Louisa]

bit rambly

[Tegan V · Rating 4 out of 5]

A very rich text full of gobs of resources and activities to understand how our bodies hold info and portray that info in many ways. The amount of worksheets alone makes this book a great tool for therapists and clients alike…however, I think its size (800+ pages) and all the info is very daunting and thus a bit intimidating as well. Honestly a condensed version would be helpful that nails the main points quickly.

But, overall an amazing insight into an area of therapy that I did not know before. As the afterward says, “the sensation and movement of the body is a laboratory that is always available to teach us more about the hidden recesses of the self, expanding our understanding so that we can try out new ways of living and relating.”

[Michael Dadson · Rating 5 out of 5]

This a a good overview of the approach that is a great reminder of some of the principles and methods taught in the courses. I have take the level two training and served as a assistant on many trainings and I highly recommend the approach as an important addition to a therapists toolkit.

[Jessica · Rating 5 out of 5]

So interesting with actual practical applications to take into practise to assist my clients and enhance my work. Will definitely be reading further into this area

[Justin · Rating 4 out of 5]

Book was fine, but was more looking for exercises like cross crawl and not about being mindful of feelings in your body

[Selin B · Rating 4 out of 5]

Travmayı somatik temelli anlamak için şahane, alanda travma çalışsın çalışmasın her meslektaşın okuması gereken bir kitap

[BVC · Rating 3 out of 5]

Il contenuto è quasi sempre molto interessante, ricco di spunti applicativi coerenti con modelli cognitivisti e psicodinamici e, a conclusione, sono stati scritti tre capitali sulle fasi di trattamento. Molto utile, a conti fatti.

Il problema è che diversi contenuti si basano esplicitamente su quell'idiozia della teoria del cervello trino di MacLean. Ci sarebbe anche la teoria polivagale di Porges ma di quella non so ancora abbastanza.

[Stargazer · Rating 5 out of 5]

A fascinating read. I learned a lot about the immobilizing defenses - mobilizing defenses are covered in a lot of books, but in here you can learn about freezing, feigned death, deep freeze and other submissive responses outside 'the window of tolerance' - responses reverted to when fight or flight can increase danger. The majority of my reading is done courtesy of the public library, but i'm considering buying this one. A practical approach to mind-body healing for counsellors of all types.

[Kate Wester · Rating 4 out of 5]

Dense.