An Excerpt from a
Transcript
Below you will find an excerpt of the transcript (including a full table of contents) from the course with Pat Ogden, PhD. Transcripts are a great way to review, take notes, and make the ideas from the sessions your own. Here’s the sample:
Why the Body Holds the Key to the Treatment of Trauma
with Pat Ogden, PhD
and Ruth Buczynski, PhD
Contents
What Makes a Sensorimotor Approach to Trauma Unique . . . . . . . . . . . . . . . . . . . . . . |
3 |
Working with Patients in “The Now” . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
4 |
Key Skills: Tracking and Body Reading . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
5 |
Contact Statements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
8 |
Experiments to Engage Curiosity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
10 |
Using Touch: A Potent Intervention . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
11 |
How Body Awareness Helps to Track Potential Transference . . . . . . . . . . . . . . . . . . . . |
12 |
Therapy Walk-Throughs: How Therapists Should Begin . . . . . . . . . . . . . . . . . . . . . . . . |
15 |
How to Reinstate Lost Resources . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
17 |
How to Develop Interoceptive Awareness . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
19 |
How to Work with Procedural Memory . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
20 |
About the Speaker . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
22 |
What Makes a Sensorimotor Approach to Trauma Unique
Dr. Buczynski: We want to dig deep into the whole idea of sensorimotor psychotherapy, but first we should give a recap to people who are new – who haven’t heard us talking about this before.
Can you just give us a quick rundown? Let’s start with a rundown on what makes your approach, or your way of thinking about trauma, unique.
Dr. Ogden: Most of the therapists that we train have been trained in the psychodynamic approach, which is talking about the trauma, trying to resolve it through understanding it.
But talking about can stimulate the implicit and the physiological recollections of the trauma, and a person can detach as they are talking about it.
We work with and directly address the body, where trauma first impacts. Trauma stimulates the subcortical brain, the instinctive responses of fight, flight, freeze and a feigned-death response.
We see the effects of trauma on the body and the nervous system – a nervous system that is hyperaroused or hypoaroused; we see tension that reflects freezing or truncated active defensive responses that were simulated in the face of trauma.
We really want to work with how the body has taken on the trauma and how it hasn’t resolved it physically and physiologically.
Dr. Buczynski: What would you say that we’re missing if we’re not thinking about the body when we’re treating people who have experienced trauma?
Dr. Ogden: We miss concrete ways to work with some of the symptoms of trauma at the level that is driving those symptoms.
We all know that trauma dysregulates the nervous system; when trauma happens, the physiological arousal is stimulated to arouse the body for defense and protection, and often that arousal doesn’t come back down.
People often try to work on that with insight – helping a person realize that he/she is safe now – that the trauma is over. But if your physiology is still hyperaroused, your body is constantly telling you that you are not safe.
What we want to do is work directly with somatic resources to help the body itself calm down – and then the client will get a message from the body that, “I’m okay now. It’s safe now.
Working with Patients in “The Now”
Dr. Buczynski: One of the key aspects of sensorimotor psychotherapy is to work in “the now.” Why is the present so important?
Dr. Ogden: That’s a great question. Because we’re never working with the actual events of the past, we’re working with how those events are impacting the person in the present moment.
Instead of just talking about it, as a person starts to recount their trauma, we will see the effects – the leftovers from whatever happened to them in the body, in the prosody – their affect in the now, in the present moment.
Really, the present moment is all we have to try to reorganize those responses.
Practitioners who have taken our course have told us how helpful these are for reviewing key concepts and illustrations.
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