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The Tao of Trauma: A Practitioner's Guide for Integrating Five Element Theory and Trauma Treatment

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Explains trauma using a combination of the Five Elements (from Traditional Chinese Medicine) and a touch perspective; for practitioners of a variety of modalities, including acupuncturists, somatic therapists, massage therapists, and mental health providers.

Combining Eastern and Western trauma physiology, clinician-educators Alaine Duncan and Kathy Kain introduce a new map for acupuncturists, medical practitioners, mental health providers, and body-oriented clinicians to help restore balance in their patients. Using concepts from Acupuncture and Asian Medicine (AAM), alongside descriptions of the threat response from Western bio-behavioral science, they describe common physical symptoms, emotional presentations, and paths for healing for five survivor "types" detailed by the authors and correlated to the Five Elements of AAM. This ancient/modern integrative lens illuminates the diverse manifestations of traumatic stress in its survivors--chronic pain, autoimmune illness, insomnia, metabolic problems, and mental health disorders--and brings new hope to survivors of trauma and those who treat them.

352 pages, Paperback

First published January 8, 2019

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Alaine D Duncan

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5 stars
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30 (26%)
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11 (9%)
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Displaying 1 - 10 of 10 reviews
1 review
April 19, 2019
Alaine Duncan's book is more than a practitioner's guide. There are few books that connect the somewhat metaphorical concepts of Acupuncture and Asian medicine with the physical frameworks of Western medical understanding of human physiology. The easy to follow yet thorough and well-referenced text makes the unity of these perspectives clear. The implications for trauma treatment are profound and the lessons for our daily lives are there too.
Profile Image for Valfreyja.
46 reviews16 followers
December 20, 2023

“An exploration of the impact of traumatic stress on survivors would not be complete without a brief exploration of the science of epigenetics. Epi-genetics explores the impact of external circumstances such as exposure to toxic chemicals or traumatic stress on genetic expression and function.

Recent research has demonstrated that traumatic stress can cause modifications that turn on or turn off the expression of genes.
War and natural disasters, as well as physical and emotional abuse, leave marks on families that can be traced through generational lines. Trauma-induced epigenetic changes can influence as many as three subsequent generations.

~


Wisdom grows in the depth of its quiet stillness.
When disturbed by a sense of life threat, our quiet contemplation is transformed into its opposite-consuming fear. We may find ourselves constantly scanning our environment with jumpy eyes and anxious attention.

Fear can be so consuming as to make it difficult to feel a sense of safety, even when we're not under threat.

Unable to sink deeply and comfortably into ourselves, we can't sleep for fear of what may come in the night. We feel collapsed, frozen, and untrusting.

Alternatively, our capacity to discern danger may become unreliable. We can't utilize fear productively to guide us toward safe activities or people and instead put ourselves in risky situa-tions. We may crave high-adrenalin experiences to help us simply feel alive.

* "There and then" is not actually "here and now?"
* In the presence of overwhelming fear, decisions tend to be impulsive, reactive, primal, and geared toward lifesaving. We won't pause and consider thoughtfully an answer to the question.
* Traumatic stress too often results in a loss of trust in other people or a sense of disconnection from our own true nature.

The neurological platform for fear, anchored in the brain stem, moves rapidly and becomes uterly consuming, while the neurological platform that supports relationships and executive function, rooted in our frontal core, becomes subverted or repressed by this powerful fear response. In this state, we are unable to consider questions of meaning, long term implications, or matters of the Heart, We simply react in order to survive" which can have unfortunate social implications.


~


When our Heart is penetrated by a commanding message of life-threat, every organ system is called to arousal. If we are repeatedly called into this response, we can become habituated to a sense of constant threat and may have trouble realizing that the threat is over and that we have survived.

We can feel anxious and uncentered and struggle with our cognition, focus, or memory. We may not sleep well-our mind can't rest peacefully at night. Our eyes, as well as our emotions, may be flat, and we may feel profoundly sad.

Social interactions leave us feeling inhibited and awkward. We struggle to feel vulnerable and safe in relationships. Alternatively, disembodied joy or hysteria may overwhelm our capacity for meaningful presence and connection. “
Profile Image for Valfreyja White.
14 reviews
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November 4, 2025

"An exploration of the impact of traumatic stress on survivors would not be complete without a brief exploration of the science of epigenetics. Epi-genetics explores the impact of external circumstances such as exposure to toxic chemicals or traumatic stress on genetic expression and function.
Recent research has demonstrated that traumatic stress can cause modifications that turn on or turn off the expression of genes.

War and natural disasters, as well as physical and emotional abuse, leave marks on families that can be traced through generational lines. Trauma-induced epigenetic changes can influence as many as three subsequent generations.

Wisdom grows in the depth of its quiet stillness. When disturbed by a sense of life threat, our quiet contemplation is transformed into its opposite-consuming fear. We may find ourselves constantly scanning our environment with jumpy eyes and anxious attention.

Fear can be so consuming as to make it difficult to feel a sense of safety, even when we're not under threat.
Unable to sink deeply and comfortably into ourselves, we can't sleep for fear of what may come in the night. We feel collapsed, frozen, and untrusting. Alternatively, our capacity to discern danger may become unreliable. We can't utilize fear productively to guide us toward safe activities or people and instead put ourselves in risky situations.
We may crave high-adrenalin experiences to help us simply feel alive.

* "There and then" is not actually "here and now?"
* In the presence of overwhelming fear, decisions tend to be impulsive, reactive, primal, and geared toward lifesaving. We won't pause and consider thoughtfully an answer to the question.
* Traumatic stress too often results in a loss of trust in other people or a sense of disconnection from our own true nature.

The neurological platform for fear, anchored in the brain stem, moves rapidly and becomes uterly consuming, while the neurological platform that supports relationships and executive function, rooted in our frontal core, becomes subverted or repressed by this powerful fear response. In this state, we are unable to consider questions of meaning, long term implications, or matters of the Heart, We simply react in order to survive" which can have unfortunate social implications.

When our Heart is penetrated by a commanding message of life-threat, every organ system is called to arousal. If we are repeatedly called into this response, we can become habituated to a sense of constant threat and may have trouble realizing that the threat is over and that we have survived. We can feel anxious and uncentered and struggle with our cognition, focus, or memory. We may not sleep well-our mind can't rest peacefully at night. Our eyes, as well as our emotions, may be flat, and we may feel profoundly sad.

Social interactions leave us feeling inhibited and awkward. We struggle to feel vulnerable and safe in relationships. Alternatively, disembodied joy or hysteria may overwhelm our capacity for meaningful presence and connection.”
Profile Image for Ray Gates.
108 reviews
January 26, 2023
This is a great resource and really does well to explain the relationship between 5SPR and Five Elemeny Theory. As a PT and a Tai Chi practitioner/Instructor I was able to see the connection very well, and am going to look into putting this into my PT practice. I would rate this as 4.5 stars (but cannot) only because there were some musculoskeletal explanations that I'm not sure are entirely accurate (I need to double check my texts) otherwise this is highly recommended.
Profile Image for Karen Zhang.
10 reviews
April 3, 2023
Fascinating read understanding the five Chinese elements (metal, water, wood, fire, earth), their relationship with the changing seasons, and correlation with the body's functions following threat arousal and trauma. Deep insights into Eastern medicine and the ways that we can stabilise and bring coherence to multiple systems within the body. Interesting to get a glimpse from a practitioners standpoint having undertaken a few AAM (acupuncture and Asian medicine) treatments.
Profile Image for Erin Moloney.
21 reviews2 followers
September 19, 2023
I need this for my library! A perfectly succinct overview of two of my favorite research interests - somatic psychotherapy and traditional Chinese medicine. The 5 element theory when applied to the aftermath of trauma really helps conceptualize the complexity of a dsyregulated nervous system. The healing potential of sacred touch and presence was made apparent through the client case studies.
Profile Image for Hannah Dnls.
151 reviews1 follower
May 28, 2020
A practical guide for trauma treatment. Will refer to when my clients need more assistance. Gives good descriptions in an easy to understand language
Profile Image for Zuhair.
Author 1 book3 followers
Read
February 5, 2024
Compassionate, exciting and thorough synthesis of Eastern Five Elements theory and Western Somatic Experiencing model of trauma resolution.
Profile Image for Jessica McDonald.
2 reviews
May 17, 2022
I've read this book several times and keep finding new nuggets of wisdom and a deeper understanding and love of Traditional Chinese Medicine. This is a practical book for any type of body worker with rich history of the 5 elements, somatic experiencing, touch work, and case studies. Love this so much.
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