bioenergetics

Trauma releasing exercises

I am just back from the three-day introductory training in David Berceli‘s Trauma Releasing Exercises (TRE). These exercises and Berceli’s work are well worth knowing. Surprisingly enough, there is no Wikipedia article on Berceli and his work. The article on post-traumatic stress disorder (PTSD) does not mention it either, nor somatic approaches to PTSD at all, even though these have been about for a long time and must in any case be more effective than the “recognized” approaches, CBT (cognitive behavioral therapy), EMDR (eye movement desensitization and reprocessing) and medication.

Berceli (as far as I can see) takes his basic model of the somatic effects of trauma from the work of Peter Levine; in any case the models are very similar. To summarize, the basic idea is that the human animal has (for some reason; we shall come onto this) suppressed a natural response to coping with stress, which needs to be reactivated for healing to occur. However, the two differ considerably in terms of methodology. Levine’s approach, known as Somatic Experiencing (SE), which is quite widely practised in Europe (though not a lot in Belgium), requires exploration of the trauma and the felt sense of the body in response to it. As such, it borrows from Gendlin’s ideas on Focusing and more generally is, it seems to me, within the intellectual tradition of Gestalt therapy. By way of contrast, Berceli’s approach, like most somatic psychotherapy, is more purely process-oriented. As such, it does not require or even directly encourage exploration of the traumatizing events, and particularly not by the therapist; rather, the focus is on what the body is doing in the here and now and on the ways in which the body’s natural attempts to self-regulate are hindered or can be supported. The independence of method from the client’s personal history offers some considerable advantages, since it makes possible group work and relies less on the skills of the therapist.

Berceli’s therapeutic method borrows from Bioenergetics (I may update this article when I have read his books, so check back), rather in the tradition of Alexander Lowen. Its aim is therefore to produce involuntary trembling in the body. Unlike Lowen, there is no element of talk therapy within the method, though Berceli does say that his method can be integrated within others, so leaves the door open to syncretic approaches. Significantly, however, the trembling is reinterpreted compared to the Reichian tradition, to which Lowen remained loyal. Rather than being glossed as the release of sexual/life energy held in stasis by the body, it is interpreted as the reactivation of the post-freezing response of animals described by Levine: “When it is out of danger, the animal will literally ‘shake off’ the residual effects of the immobility response and gain full control of its body. It will then return to its normal life as if nothing had happened“.[1]

Why is this response suppressed in humans? For this, Berceli seems to have no deeper or more convincing answer than does Levine: “Most human cultures tend to judge this instinctive surrender in the face of overwhelming threat as a weakness tantamount to cowardice. However, underneath this judgment lies a deep human fear of immobility. We avoid it because it is a state very similar to death. This avoidance is understandable, but we pay dearly for it.“[1] In other words, the response is suppressed by the ego under the weight of social stigma attached to it. Neither Levine, nor Berceli, as far as I can see, has (or even looks for) any evidence of this claimed stigmatization. Many bodily functions may be disrupted by trauma, but this does not mean that those functions themselves are necessarily stigmatized. Thus this appears to me not very convincing, and basically it eschews a psychoanalytic explanation of ego defenses and their role in the developmental process. There are lots of criticisms which can be easily leveled not only at the model, but also at how the practice relates to it. Most basically, the question arises as to why the practice does not endeavor to, nor succeeds, in simply reestablishing this response and allowing it subsequently to play whatever role it needs to play in the individual’s further experience. Rather it is recommended to continue the practice on an ongoing basis. It therefore does not constitute a “cure” for PTSD, but a door into another dimension of experience. Berceli explicitly encourages such an understanding, and views his work as transformative on a global scale. This is laudable and I thoroughly support it because I believe he is on to something; but it is not convincing theoretically.

The great advantage of Berceli’s exercises over classical bioenergetics (and over Reich’s simplified anatomical model of the biological basis of character formation) is that it is more anatomically informed, and results in exercises which are shorter and easier to carry out. This makes it more suitable for the problem it is intended to address, since persons suffering the physical developmental impact of childhood trauma are often limited in their range of motion. These exercises should absolutely be considered for use in all those contexts where people currently employ Lowen’s exercises (though not his whole framework of Bioenergetic Analysis, which he himself acknowledged did not have the clinical success he hoped for) and its derivates, such as Osho’s active meditations. Because Berceli’s exercises directly solicit and progressively release tensions in the hip adductors, iliopsoas and muscles of the pelvic floor, that is, in all of the major muscles primarily involved in the orgastic response, and they are more easily taught and experienced than existing alternatives, they seem to me the basis for a more effective practice which clients will better be able to follow and stick to (they of course do not substitute for other exercises used in group therapy the purpose of which is rather to generate than to release tensions, which will then be released in other ways).

The other great advantage is that the method can be employed in a very wide range of contexts, from schools to palliative care, contexts in which bioenergetics or anything else “explicitly” psychotherapeutic would have no chance of penetrating. It does not need and does not really have a unifying discourse, which minimizes resistance. People are willing to try it out who would never go near (or for that matter be able to afford) a psychotherapist, and stick with it because, after all, it is only their body doing what it wants to do, and it is hard to be against that.

On the other hand it would at least seem not to be a complete system for spiritual liberation in the sense we derive ultimately from Reich. Berceli applies his technique way beyond the boundaries of PTSD, presumably because people have reported positive effects in those contexts, and has some awareness of the endemic and embedded nature of societal trauma, but the need for wide appeal seems to prevent him from going deeply into underlying societal issues in the radical tradition of much psychoanalytic thought. I am not saying this is a bad choice. Perhaps it is an excellent one. But ultimately, personally and at societal level, one does need to go there. Refusing to do so will always limit the benefits that can be attained.

What Berceli’s discourse seems to me to lack is an understanding that the disruption of the trauma response is ultimately due to the fact that social experience, being so far from the natural state of man, continually regenerates trauma. On top of distorting ego development, social experience also acts in the present. Our shared cognitive models of the world and the human need for relationship continually pull us back to a depressed, unhealthy state, and would do so even if all “residues” of specific trauma were somehow dissolved. We touch here on the manner in which Berceli’s approach is most fundamentally incomplete. It is essentially solipsistic, and presupposes, ultimately as a matter of ideology, the ability of the individual body to regenerate in the absence of regeneration of the collective body and the social tissues, which although they are just as ossified as the somatic tissues, are not directly brought into vibration by the practice. This cannot work. An interpersonal dimension of therapy and practice is absolutely indispensable if we are to begin to reprogram the social mechanisms which propagate and perpetuate trauma.

So I guess that makes me a big fan and a big critic at the same time. However I will do and use the exercises and I recommend them to you to.

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[1] See http://www.traumahealing.com/somatic-experiencing/art_chapter1.html

On the energy economy of the masochistic body type

Some thoughts from personal experience on this topic. This entry is mainly based on self-analysis, on the basis of which I draw some general conclusions; I freely admit the methodological flaw in this way of reasoning (and even more so since I am not a “pure” example of this body type*), but those who are interested in a more systematic account will anyway refer to the literature on the subject. So:

By virtue of repeated violence and threats of violence during early childhood, the masochistic body type (“Maso”) develops two sets of marked body patterns.

Firstly, spasticity of the following muscles or muscle groups: (i) buttocks and thighs (gluteus medius and minimus, pectinius, quadriceps, rectus femoris, and the hip adductors); (ii) the deep pelvic and perineal muscles (the pelvic floor, which consists of three muscles, and the perineal pouch, see here for photo) involved in defecation and urination as well as in maintaining posture and (iii) the transversus and rectus abdominis muscles.

The original purpose of tensing these muscles was to protect the genitals from damage. The need to protect the genitals also has a symbolic interpretation and charge, insofar as it represents an attempt also to defend the ego from assault. The spasticity of these muscles is naturally paired with a lack of tonus in the muscles which move the hip and pelvis upwards and outwards.

Associated with this, a pattern of breathing is developed in response to pain and assault whereby oxygenation of the pelvic region is reduced, and thereby also its sensitivity to pain. This appears to involve primarily the transversus abdominis muscle, which is the deepest of the abdominal muscles and inserts into the linea alba (the line which runs from the solar plexus downwards). Spasticity of this muscle effectively shuts off energy flow along the front of the body, separating the pelvic region from the abdomen. It also limits the depth of abdominal breathing.

In addition to this, the Maso develops constrictions in the jaw and throat, running as far down as the solar plexus and also involving the pectoral muscles. These constrictions aim at inhibiting the vocal expression of anger and pain. The effect of constrictions in this segment is also to draw the shoulders forward and to compress the sternum from the manubrium (upper part of the sternum) which is compressed by the clavicles until the xiphoid process (region of the solar plexus).

In combination, these two groups of muscular spasticities arch the spine in the form of a C, a posture which expresses and communicates resignation and defeat.

Such spasticities develop in early childhood and inevitably have a permanent developmental impact at the skeletal level. The anatomy in particular of the pelvis/hip area is affected by the imbalance between muscle pairs which results from permanent tension in the adductor muscles.

The Maso’s energy economy is characterized by a high level of primary energy in the genital region but a limited ability to circulate and use this energy, requiring discharge at low thresholds, or otherwise manifesting as anxiety. Essentially, the Maso is unable to tolerate a high level of energy is his body, because of the fact that this energy overcharges the genitals. Compulsive masturbation is a way to avoid anxiety. Anxiety manifests itself because the discharge of energy has been blocked. As anxiety increases, discharge scripts are cathected. These scripts are typically sexual in character and develop into more or less developed forms of obsessive-compulsive behaviour. Such scripts may be actually enacted, or merely direct the expression of sexual desire. The masochistic character also has a tendency to overuse and possible abuse of alcohol. In my case there is also a tendency to compulsive eating and obesity, which is a common, but I am not sure whether general, characteristic of the body type.

Clearly, the therapeutic challenge is to loosen these two sets of primary rigidities and to deepen the breathing so that the pelvic area is better oxygenated.

*) As regards physical body armoring, however, I think this type predominates, both based on self-observation and on theoretical grounds which I omit.

I just finished reading Alexander Lowen’s autobiography. Certainly a remarkable man, who has understood Reich as few others have and taken his insights to a new level. It is a curious book nonetheless, disarmingly personal, honest about his failures, long on anecdote with no seeming purpose, extraordinarily understated prose that scarcely conveys what the adventure of his life must have felt like.

In relating the Reichian orgasm reflex to bodily vibrations and rigidities and in devising exercises which attempt to release those rigidities and anchor psychotherapy in the body, he is undoubtedly right.

What strikes me about the book though (perhaps I would see it differently if I read some of his others) is the lack of a theory of the emotions and of transference and countertransference; of the interpersonal dimension of human experience and of what this can bring to the transformation of character structure.

Lowen seems to see Bioenergetics as essentially palliative – he does not believe in its ability to change the character structure, and presumably has therefore never experienced this in his practice with patients, or recognized it in himself. Perhaps this is partly semantic. However, I certainly believe the character structure can not only be loosened, but really changed.

When I was in London last weekend at the tantra festival, it was educational to observe people’s bodies during the belly-dancing session that was organized. The essential identity of body and psyche and the different character types were very clearly on display.

Yet at the same event there was at least one person whose body – and presence – clearly expressed a grace of character that she cannot have had in childhood. There was no mistaking this. This was Sarita, and it made a big impression on me. I am certainly not a big fan of all the New Age stuff she proposes (www.schoolofawakening.com). But this is not important; all I want to observe is, that when you are a vehicle of grace, you are transformed organically.

So what is Lowen missing? I believe this starts in the psychotherapeutic paradigm and in his adherence to the Reichian model of charge and discharge, which I have discussed elsewhere. In rehabilitating the body, Lowen has displaced the primacy of the intellectual in therapy, but he has not realized that this is still only a partial vision. Thought has been complemented, supplanted, or subordinated by feeling; but emotion remains, in his worldview, poorly understood, maladaptive, merely a mechanism which imprints the mind’s neuroses on the body; and therapy consists of releasing emotions, as if they were only to be abandoned, overcome, transcended. And Lowen’s book indeed is disarmingly emotionless, though he himself was obviously an emotional man.

Lowen’s exercises have become very popular in tantric circles, though he himself shows no signs whatsoever of having encouraged this or even known about it. In this context, however, their therapeutic consequences are, I believe, completely transformed. By embracing love, acceptance, and sexual transcendence in the moment, complementary mechanisms of healing come into play which genuinely loosen and can ultimately resolve the pattern of neurosis embedded in thought, feeling and emotion. This resolution restores the whole woman or man. It is what we mean by satori, enlightenment; not a mystic concept but the very real end of therapy as in the Freudian tradition it can only be understood – not merely as a palliative treatment for distinct, severe mental disturbances, but as the individual resolution of socioculturally endemic patterns of neurosis and the recovery of healthy human life.