Somatic Experiencing: Using interoception and proprioception as core elements of trauma therapy

Here we present a theory of human trauma and chronic stress, based on the practice of Somatic Experiencing® (SE), a form of trauma therapy that emphasizes guiding the client's attention to interoceptive, kinesthetic and proprioceptive experience. SE™ claims that this style of inner attention,...

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Main Authors: Peter ePayne, Peter Alan Levine, Mardi A. Crane-Godreau
Format: Article
Language:English
Published: Frontiers Media S.A. 2015-02-01
Series:Frontiers in Psychology
Subjects:
Online Access:http://journal.frontiersin.org/Journal/10.3389/fpsyg.2015.00093/full
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author Peter ePayne
Peter Alan Levine
Mardi A. Crane-Godreau
author_facet Peter ePayne
Peter Alan Levine
Mardi A. Crane-Godreau
author_sort Peter ePayne
collection DOAJ
description Here we present a theory of human trauma and chronic stress, based on the practice of Somatic Experiencing® (SE), a form of trauma therapy that emphasizes guiding the client's attention to interoceptive, kinesthetic and proprioceptive experience. SE™ claims that this style of inner attention, in addition to the use of kinesthetic and interoceptive imagery, can lead to the resolution of symptoms resulting from chronic and traumatic stress. This is accomplished through the completion of thwarted, biologically based, self-protective and defensive responses, and the discharge and regulation of excess autonomic arousal. We present this theory through a composite case study of an SE treatment; based on this example, we offer a possible neurophysiological rationale for the mechanisms involved, including a theory of trauma and chronic stress as a functional dysregulation of the complex dynamical system formed by the subcortical autonomic, limbic, motor and arousal systems, which we term the core response network (CRN). We demonstrate how the methods of SE help restore functionality to the CRN, and we emphasize the importance of taking into account the instinctive, bodily based protective reactions when dealing with stress and trauma, as well as the effectiveness of using attention to interoceptive,proprioceptive and kinesthetic sensation as a therapeutic tool. Finally, we point out that SE and similar somatic approaches offer a supplement to cognitive and exposure therapies, and that mechanisms similar to those discussed in the paper may also be involved in the benefits of meditation and other somatic practices.
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spelling doaj.art-aff0268686ce40848a6ea64d99ca27f42022-12-21T22:30:20ZengFrontiers Media S.A.Frontiers in Psychology1664-10782015-02-01610.3389/fpsyg.2015.00093124489Somatic Experiencing: Using interoception and proprioception as core elements of trauma therapyPeter ePayne0Peter Alan Levine1Mardi A. Crane-Godreau2Geisel School of Medicine at DartmouthFoundation for Human EnrichmentGeisel School of Medicine at DartmouthHere we present a theory of human trauma and chronic stress, based on the practice of Somatic Experiencing® (SE), a form of trauma therapy that emphasizes guiding the client's attention to interoceptive, kinesthetic and proprioceptive experience. SE™ claims that this style of inner attention, in addition to the use of kinesthetic and interoceptive imagery, can lead to the resolution of symptoms resulting from chronic and traumatic stress. This is accomplished through the completion of thwarted, biologically based, self-protective and defensive responses, and the discharge and regulation of excess autonomic arousal. We present this theory through a composite case study of an SE treatment; based on this example, we offer a possible neurophysiological rationale for the mechanisms involved, including a theory of trauma and chronic stress as a functional dysregulation of the complex dynamical system formed by the subcortical autonomic, limbic, motor and arousal systems, which we term the core response network (CRN). We demonstrate how the methods of SE help restore functionality to the CRN, and we emphasize the importance of taking into account the instinctive, bodily based protective reactions when dealing with stress and trauma, as well as the effectiveness of using attention to interoceptive,proprioceptive and kinesthetic sensation as a therapeutic tool. Finally, we point out that SE and similar somatic approaches offer a supplement to cognitive and exposure therapies, and that mechanisms similar to those discussed in the paper may also be involved in the benefits of meditation and other somatic practices.http://journal.frontiersin.org/Journal/10.3389/fpsyg.2015.00093/fullAutonomic Nervous SystemLimbic SystemMeditationstressTraumainteroception
spellingShingle Peter ePayne
Peter Alan Levine
Mardi A. Crane-Godreau
Somatic Experiencing: Using interoception and proprioception as core elements of trauma therapy
Frontiers in Psychology
Autonomic Nervous System
Limbic System
Meditation
stress
Trauma
interoception
title Somatic Experiencing: Using interoception and proprioception as core elements of trauma therapy
title_full Somatic Experiencing: Using interoception and proprioception as core elements of trauma therapy
title_fullStr Somatic Experiencing: Using interoception and proprioception as core elements of trauma therapy
title_full_unstemmed Somatic Experiencing: Using interoception and proprioception as core elements of trauma therapy
title_short Somatic Experiencing: Using interoception and proprioception as core elements of trauma therapy
title_sort somatic experiencing using interoception and proprioception as core elements of trauma therapy
topic Autonomic Nervous System
Limbic System
Meditation
stress
Trauma
interoception
url http://journal.frontiersin.org/Journal/10.3389/fpsyg.2015.00093/full
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AT mardiacranegodreau somaticexperiencingusinginteroceptionandproprioceptionascoreelementsoftraumatherapy