BEFRIENDING THE BODY Trauma victims cannot recover until they become familiar with and befriend the sensations in their bodies. Being frightened means that you live in a body that is always on guard. Angry people live in angry bodies. The bodies of child-abuse victims are tense and defensive until they find a way to relax and feel safe. In order to change, people need to become aware of their sensations and the way that their bodies interact with the world around them. Physical self-awareness is the first step in releasing the tyranny of the past.In my practice I begin the process by helping my patients to first notice and then describe the feelings in their bodies—not emotions such as anger or anxiety or fear but the physical sensations beneath the emotions: pressure, heat, muscular tension, tingling, caving in, feeling hollow, and so on. I also work on identifying the sensations associated with relaxation or pleasure. I help them become aware of their breath, their gestures and movements.All too often, however, drugs such as Abilify, Zyprexa, and Seroquel, are prescribed instead of teaching people the skills to deal with such distressing physical reactions. Of course, medications only blunt sensations and do nothing to resolve them or transform them from toxic agents into allies. The mind needs to be reeducated to feel physical sensations, and the body needs to be helped to tolerate and enjoy the comforts of touch. Individuals who lack emotional awareness are able, with practice, to connect their physical sensations to psychological events. Then they can slowly reconnect with themselves.
What is…” She flipped through a few pages, looked up into his eyes. “Is this…?” “My journal,” he said, reaching out to glide a knuckle down her cheek. Her skin was so damn soft. She was a contradiction in terms to him, and one that he found endlessly fascinating: a woman with the inner strength to rival any Spec Ops member he’d ever known, yet she had such a kind, soft heart beneath that hard-won armor. Resilient. Independent yet willing to compromise. Formidable in her confidence and strength of will, yet gentle and loving. He loved her so hard it hurt. “I bought it the night after you stayed at my place,” he continued. “I knew if I was going to have a real shot with you going forward then I needed to get my shit together once and for all. You said the writing thing really helped you so I called my counselor and talked to her about it. She thought it would be good for me too. So I wrote in it every day since. I’ve been working hard at it.” Taya leafed through the pages until she came to the end and looked back up into his eyes. “It’s full.” “Yeah. Guess I had a lot to say.” The tenderness in her eyes slayed him. “Nathan, I’m so proud of you.” Her pride in him made him feel twenty feet tall. He let out a relieved breath. “I want to read it to you. That’s my next step, if you’re okay with it.” “Of course it’s okay. I’d love for you to read it to me, as long as you feel comfortable doing it.” “That’s the thing, I am. And I wouldn’t be with anyone else except you. You make me feel…whole.” He didn’t know how else to say it, how else to explain himself, except he needed her to know he was trying like hell to deal with his issues. “I know I’ve got a long way to go before I get to the same place you’re at, but I’m willing to put in the work to get there. I feel safe with you and I’m ready to move forward, let go of all the stuff that happened before. Like you said, I’m doing it for me. I’m sick of my past having any kind of hold over me. So I’m going to do whatever it takes to make peace with it.” Her answering smile lit up her whole face, made her gray eyes sparkle like gems. “Then I’ll gladly listen to whatever you want to say.” Warmth kindled in his chest. She did that; warmed him from the inside out, just by being her. “Good, because I love you.” She froze, her eyes widening slightly. He nodded, laughed at her shocked expression. “Yep, I love you. That’s what I came here to say. I love you and I’m a better man because of it, but not as good a man as I’ll be down the road if you stand by me.” Her eyes filled with tears and she flung her arms around him. “I love you too,” she blurted out against his neck. “So, so much. And of course I’ll stand by you.” Nate felt like his heart might burst. He hugged her hard. “Would you move to Virginia with me? When your dad’s strong enough. I know you need to be here for a while longer, but after that, I want you in my bed every night so I can wake up beside you each morning.” She gave a soggy laugh, her face still buried in his neck. “There you go again with the romance.” “Oh, baby, have I got plans for you.” He stroked a hand over her back, fascinated by the combination of softness and strength that was uniquely her. Then his stomach rumbled, making her smile. He was starving, hadn’t eaten since lunchtime. “Hey, you wouldn’t happen to have any bacon in the house, would you? Because I’d kill for a BLT right now.
In response to threat and injury, animals, including humans, execute biologically based, non-conscious action patterns that prepare them to meet the threat and defend themselves. The very structure of trauma, including activation, dissociation and freezing are based on the evolution of survival behaviors. When threatened or injured, all animals draw from a "library" of possible responses. We orient, dodge, duck, stiffen, brace, retract, fight, flee, freeze, collapse, etc. All of these coordinated responses are somatically based- they are things that the body does to protect and defend itself. It is when these orienting and defending responses are overwhelmed that we see trauma.The bodies of traumatized people portray "snapshots" of their unsuccessful attempts to defend themselves in the face of threat and injury. Trauma is a highly activated incomplete biological response to threat, frozen in time. For example, when we prepare to fight or to flee, muscles throughout our entire body are tensed in specific patterns of high energy readiness. When we are unable to complete the appropriate actions, we fail to discharge the tremendous energy generated by our survival preparations. This energy becomes fixed in specific patterns of neuromuscular readiness. The person then stays in a state of acute and then chronic arousal and dysfunction in the central nervous system. Traumatized people are not suffering from a disease in the normal sense of the word- they have become stuck in an aroused state. It is difficult if not impossible to function normally under these circumstances.