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Trauma and the Body: A Sensorimotor Approach to Psychotherapy (Norton Series on Interpersonal Neurobiology) 1st Edition

4.7 4.7 out of 5 stars 173 ratings

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The body, for a host of reasons, has been left out of the "talking cure."

Psychotherapists who have been trained in models of psychodynamic, psychoanalytic, or cognitive therapeutic approaches are skilled at listening to the language and affect of the client. They track the clients' associations, fantasies, and signs of psychic conflict, distress, and defenses. Yet while the majority of therapists are trained to notice the appearance and even the movements of the client's body, thoughtful engagement with the client's embodied experience has remained peripheral to traditional therapeutic interventions. Trauma and the Body is a detailed review of research in neuroscience, trauma, dissociation, and attachment theory that points to the need for an integrative mind-body approach to trauma. The premise of this book is that, by adding body-oriented interventions to their repertoire, traditionally trained therapists can increase the depth and efficacy of their clinical work. Sensorimotor psychotherapy is an approach that builds on traditional psychotherapeutic understanding but includes the body as central in the therapeutic field of awareness, using observational skills, theories, and interventions not usually practiced in psychodynamic psychotherapy. By synthesizing bottom-up and top down interventions, the authors combine the best of both worlds to help chronically traumatized clients find resolution and meaning in their lives and develop a new, somatically integrated sense of self.

Topics addressed include: Cognitive, emotional, and sensorimotor dimensions of information processing • modulating arousal • dyadic regulation and the body • the orienting response • defensive subsystems • adaptation and action systems • treatment principles • skills for working with the body in present time • developing somatic resources for stabilization • processing
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Editorial Reviews

Review

I strongly recommend this fascinating and essential reading...it offers clinicians of all orientations a variety of psychosomatic treatment strategies. (Journal of Psychosomatic Rsearch, Julia Mueller)

About the Author

Kekuni Minton, Ph.D., is a faculty member at Naropa University.

Pat Ogden, PhD, a pioneer in somatic psychology, is the founder of the Sensorimotor Psychotherapy Institute and the author of Sensorimotor Psychotherapy, Trauma and the Body, and The Pocket Guide to Sensorimotor Psychotherapy in Context. She lives in Boulder, Colorado.

Clare Pain, M.D., is Assistant Professor of Psychiatry at the Universities of Toronto and Western Ontario.

Noted neuropsychiatrist
Daniel J. Siegel, MD, is clinical professor of psychiatry at the University of California Los Angeles School of Medicine, and executive director of the Mindsight Institute in LA. He is founding editor of the Norton Series on Interpersonal Neurobiology.

Product details

  • Publisher ‏ : ‎ W. W. Norton & Company; 1st edition (October 13, 2006)
  • Language ‏ : ‎ English
  • Hardcover ‏ : ‎ 384 pages
  • ISBN-10 ‏ : ‎ 0393704572
  • ISBN-13 ‏ : ‎ 978-0393704570
  • Reading age ‏ : ‎ 1 year and up
  • Item Weight ‏ : ‎ 1.65 pounds
  • Dimensions ‏ : ‎ 6.5 x 1.3 x 9.6 inches
  • Customer Reviews:
    4.7 4.7 out of 5 stars 173 ratings

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Customer reviews

4.7 out of 5 stars
173 global ratings

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Customers say

Customers find the book informative and valuable for understanding trauma. They find it clear, concise, and effective, with practical advice. Readers describe the writing as well-organized, clear, and well-written.

AI-generated from the text of customer reviews

16 customers mention "Information quality"16 positive0 negative

Customers find the book informative and valuable for understanding trauma. They say it's a great resource for therapists and anyone working with trauma patients. The part on intervention and treatment is practical, demonstrated by case episodes. Readers appreciate the scientific research and comprehensive approach.

"...and most practical reference on the subject, and it basically describes trauma, its effects, and in causatum, how we are possibly "programmed" by..." Read more

"Brilliantly composed, academically sound, and psychotherapeutically vital -- easily one of the most important works regarding trauma that current..." Read more

"Truly excellent information. Not a quick read, but not overly dense for the lay person either...." Read more

"...It is a great resource to understand trauma further." Read more

11 customers mention "Readability"11 positive0 negative

Customers find the book easy to read and effective. They appreciate the clear, practical advice that helps.

"This book is one of the best books I have ever read. I am a survivor of extreme abuse and torture...." Read more

"...Very, very effective!" Read more

"Love this book - but it won't actually teach you how to do sensorimotor therapy. It is a great resource to understand trauma further." Read more

"That is the most useful book I've seen for the last few years...." Read more

6 customers mention "Reading quality"6 positive0 negative

Customers find the book well-written and easy to understand. They describe it as an organized, clear summary of current approaches to trauma.

"I have found this book to be quite essential and an important reading about a body-based approach to understanding our trauma and the discussion of..." Read more

"Brilliantly composed, academically sound, and psychotherapeutically vital -- easily one of the most important works regarding trauma that current..." Read more

"This is a well-organized, well written summary of current approaches to trauma therapy...." Read more

"...It's well organized and easy to understand. It adapts cutting edge brain theory to working with traumatized clients. I highly recommend it." Read more

Top reviews from the United States

  • Reviewed in the United States on July 6, 2019
    Truly excellent information. Not a quick read, but not overly dense for the lay person either. I am not a professional, but got SO much out of this for myself. Goes along well with Waking the Tiger (Levine) and the Pocket Guide to the Polyvagal Theory (Porges). The focus being bottom up trauma access for healing (from the body first, not from the cognitive mind). Very, very effective!
    23 people found this helpful
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  • Reviewed in the United States on December 20, 2012
    I have found this book to be quite essential and an important reading about a body-based approach to understanding our trauma and the discussion of treatments is involved. It is quite extensive and most practical reference on the subject, and it basically describes trauma, its effects, and in causatum, how we are possibly "programmed" by these trauma. I have found Ogden's approach to the subject to be quite warmhearted and clear yet not exactly an easy reading.

    Additionally, I think that this book goes suitably well with Stephen W. Porges' The Polyvagal Theory: Neurophysiological Foundations of Emotions, Attachment, Communication, and Self-regulation (Norton Series on Interpersonal Neurobiology) and Peter Levine's In an Unspoken Voice: How the Body Releases Trauma and Restores Goodness. It is to be highly recommended.
    35 people found this helpful
    Report
  • Reviewed in the United States on March 24, 2013
    This book is one of the best books I have ever read. I am a survivor of extreme abuse and torture. I seem to have survived by shutting down all types of feelings, physical and emotional. One day last fall my therapist, who had just returned from ISSTD, sat down in front of me with a pillow in front of her. She said, "Pretend I am him and push me away. Go ahead, push." I did. "Tell him what you think of him," she said. I did. I felt such powerful feelings, and later that day I felt a deep feeling like I had never experienced. I looked up Pat Ogden, who my therapist said she had just seen at ISSTD, and bought the book. At first, I almost returned it because it is very dense with smallish print. I thought, this is too hard. But I started, and it was phenomenal! I have underlined almost everything, and have stars in all the margins. I am reading it again now. All I can say is, for me, reading this book struck a chord in me and makes me yearn to heal in a way I haven't felt before.
    59 people found this helpful
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  • Reviewed in the United States on August 19, 2019
    This book introduces the effectiveness of sensorimotor approach without neglecting the importance of narrative-emotive approach in treating trauma. The part on intervention and treatment is very practical, demonstrated by case episodes. This is recommended to any therapist with whatever approach or orientation.
    4 people found this helpful
    Report
  • Reviewed in the United States on June 19, 2017
    Brilliantly composed, academically sound, and psychotherapeutically vital -- easily one of the most important works regarding trauma that current psychotherapeutic practice has to offer. Somewhere between Hakomi, Sensorimotor Psychotherapy, and Feldenkrais is the perfect blend of neurophysiology, psychology, and spirituality in helping to heal those suffering from the impediments of trauma.
    5 people found this helpful
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  • Reviewed in the United States on December 16, 2011
    An old roommate of mine stole this book from me a few years ago. I missed it dearly and decided to hunt it down via Amazon. It was quite a bit cheaper on here than in book stores, it's in perfect condition too. The only complaint is that it took about 3+ weeks to ship, and I started to think that my order was either lost or stolen. It wasn't, just super late! I love this book. Read it.
    One person found this helpful
    Report
  • Reviewed in the United States on April 18, 2014
    I went to a seminar on treating trauma and this book was recommended by the presenter. I've been reading it and find many techniques that I've already introduced to my clients. It's well organized and easy to understand. It adapts cutting edge brain theory to working with traumatized clients. I highly recommend it.
    8 people found this helpful
    Report
  • Reviewed in the United States on July 14, 2013
    That is the most useful book I've seen for the last few years. Firstly, it collects all major advances in IPNB such as neurobiology of trauma, polyvagal theory, attachment theory etc. Secondly, the book do show how to use it in practice!
    6 people found this helpful
    Report

Top reviews from other countries

  • Peter Bookworm
    5.0 out of 5 stars Super valuable book! An instant classic!
    Reviewed in Germany on June 11, 2023
    Very dense and informative! Cutting edge psychotherapeutic method, based on research and long experience! I can recommend this book to everyone who is interested in a deeper understanding why contemporary trauma therapy needs to be mind AND body-based!
    A must read, a classic!
  • jenny field
    5.0 out of 5 stars Five Stars
    Reviewed in Australia on February 10, 2017
    A comprehensive book addressing bottom up process and the body in relationship to trauma, well worth reading
  • Jenny Heron
    5.0 out of 5 stars The most effective therapy for trauma.
    Reviewed in the United Kingdom on November 9, 2012
    At this time, this is the only book describing Sensorimotor Psychotherapy, although Pat Ogden is currently working on another. This approach, based solidly in current neuroscience research, works at three levels: body, emotion and cognition. This uses a whole new level of information for getting in touch with and resolving distressing memories in a gentle, non-retraumatising way. As a counsellor/therapist working with survivors of childhood trauma, I had been taught nothing about how to avoid leaving my clients dysregulated at the end of their sessions, and neither had any of my colleagues. When I attended a talk about using this method for trauma I knew it was what I was looking for. Having undertaken the training, my clients have progressed exponentially, learning skills to manage their distress and feeling safer to do memory work.
  • Rod Glover
    5.0 out of 5 stars Excellent reference for an important and effective approach to trauma treatment
    Reviewed in Canada on August 13, 2007
    This book is the single most comprehensive, well-organized, and practical reference on a somatic (body-based) approach to trauma treatment I have on my bookshelf. And since I believe that the resolution of trauma is both safest and most effective when the body is involved, it is therefore the single most useful reference I have on trauma treatment period. The writing is clear, unpretentious, and appealing, and it deals authoritatively with an important emerging area of our field. This book is aimed at professional therapists, but I'm sure that much of it would be interesting and readable for many others.

    I've taken Ogden's training in Sensorimotor Psychotherapy for Trauma and found it to be extraordinarily useful, so I'm naturally inclined to be sympathetic to her book. However, I've also had the experience of reading unsatisfying and inadequate expositions of other approaches, and I am glad to say that this is not one of them. One of the great strengths of Ogden's approach, its teachability, shows up here as well.

    The first part of the book lays out a theoretical understanding of trauma based on scientific research in neurobiology and attachment. It cogently brings together topics including the three levels of information processing in the brain; modulation of physiological and affective arousal in the nervous system; attachment dynamics and neuropsychology; the inbuilt orienting and defensive responses, including fight/flight/freeze, submission, collapse, and dissociation; and relevant findings in affective neuroscience on inbuilt action systems such as nurturance, play/exploration, and sexuality.

    Ogden and her colleagues do not just select a few research results that support a pre-existing point of view, but have additionally asked what some substantial bodies of knowledge imply about how we think about trauma and what interventions we can or should make. The book does not avoid areas of doubt or debate either; instead it provides balanced and clinically informed discussions of topics such as traumatic memory, the type and nature of freeze responses in trauma, or the use of touch interventions in psychotherapeutic practice. Research and theory are well-documented, and the bibliography is comprehensive.

    The second part of the book lays out principles and clinical skills for treatment based on this theoretical model, and places them in a clearly defined phased treatment approach whose outlines will be familiar and comfortable for many clinicians. The skills include the moment-to-moment sensorimotor, affective, and cognitive interventions used in all phases of treatment, as well as skills, practices, and goals specific to each treatment phase.

    Finally, Ogden's approach is deeply humanistic and compassionate. All the interventions and practices are grounded in a framework that emphasizes a non-violent, respectful, mindful and integrative approach to the person who has survived a trauma. In the end, I believe, nothing can be more important than this.

    If I had one complaint about this book, it would that several of the skills are treated too briefly. The information is there, but in certain cases the very concentrated presentation needs considerable unpacking. I suppose this is parallel to the way that many texts might decline to train the reader in basic psychoanalytic or cognitive-behavioural skills, but since somatic intervention skills are less familiar and less well covered in the literature, it would have been nice to have more here. I am also looking forward to a book in which body psychotherapy for developmental issues (character structure) is addressed with equal lucidity and completeness, but that is genuinely another book.
  • Brian Mc
    5.0 out of 5 stars 'Re-languaged' Gestalt Psychotherapy
    Reviewed in the United Kingdom on March 18, 2017
    This is a brilliant book for counsellors and psychotherapists interested in trauma!
    What is makes clear is that Sensorimotor psychotherapy IS Gestalt Psychotherapy: e.g. Figure/ground; phenomenological tracking; tight therapeutic sequences; layer theory; experiment; grading; unfinished business; creative adjustment; field theory; awareness - three zones; moderations to contact,etc.
    I highly recommend this book.