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“The redirection of orientation and attention can be as simple as asking clients to become aware of a "good" or "safe" feeling in the body instead of focusing on their physical pain or elevated heart rate. Or the therapist can ask clients to experiment with focusing attention away from the traumatic activation in their body and toward thoughts or images related to their positive experiences and competencies, such as success in their job. This shift is often difficult for clients who have habituated to feeling pulled back repetitively into the most negative somatic reminders of their traumatic experiences. However, if the therapist guides them to practice deeply immersing themselves in a positive somatic experience (i.e., noting the changes in posture, breath, and muscular tone that emerge as they remember their competence), clients will gain the ability to reorient toward their competencies. They experience their ability to choose to what they pay attention and discover that it really is possible to resist the somatic claims of the past.”

PsychotherapyTrauma TherapySomatic TherapySensorimotor TherapySomatic Experience
Book:Trauma and the Body: A Sensorimotor Approach to Psychotherapy
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“When clients are hyperaroused or overwhelmed emotionally, voluntarily narrowing their field of consciousness allows them to assimilate a limited amount of incoming information, thereby optimizing the chance for successful integration. For example, as one client began to report her traumatic experience, her arousal escalated: Her heart started to race, she felt afraid and restless, and had trouble thinking. She was asked to stop talking and thinking about the trauma, to inhibit the images, thoughts, and emotions that were coming up, and orient instead to her physical sensation until her arousal returned to the window of tolerance. With the help of her therapist, she focused on her body and described how her legs felt, the phyisical feeling of anxiety in her chest, and the beating of her heart. These physical experiences gradually subsided, and only then was she encouraged to return to the narrative.”

PsychotherapyTraumatic ExperiencesTrauma MemoriesTrauma TherapySensorimotor Therapy
Book:Trauma and the Body: A Sensorimotor Approach to Psychotherapy
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“This reorienting is not an attempt to avoid or discount clients' pain and ongoing suffering. Rather, it is a means to help them observe, firsthand, how their chronic orienting tendencies toward reminders of the past recreate the trauma-related experience of danger and powerlessness, whereas choosing to orient to a good feeling can result in an experience of safety and mastery. As clients become able to do so the new objects of orientation often become more defined and & Goodman 1951). Rather than attention being drawn repeatedly to physical pain or traumatic activation, the good feeling becomes more prominent in the client's awareness. This exercise of reorienting toward a positive stimulus can surprise and reassure clients that they are not imprisoned indefinitely in an inner world of chronic traumatic reexperiencing, and that they have more possibilities and control than they had imagined. These orienting exercises need to be practiced again and again for mastery.”

PsychotherapyPowerlessnessTraumatic ExperiencesTraumatizedFlashbacksTrauma TherapySensorimotor Therapy
Book:Trauma and the Body: A Sensorimotor Approach to Psychotherapy
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“Although Megan "knew" she was not in danger, her body told her that she was. If sensorimotor habits are firmly entrenched, accurate cognitive interpretations may not exert much influence on changing bodily orgamzation and arousal responses. Instead, the traumatized person may experience the reality of the body rather than that of the mind. To be most effective, the sensorimotor psychotherapist works on both the cognitive and sensorimotor levels. With Megan, a purely cognitive approach might foster some change in her integrative capacity, but the change would be only momentary if the cowering response were reactivated each time she received feedback at work... However, if she is encouraged to remember to "stand tall" in the face of criticism, her body and her thoughts will be congruent with each other and with current reality.”

PsychotherapyHealing The PastTrauma SurvivorsChild Abuse SurvivorsTrauma TherapySensorimotor TherapyEmotional Flashback
Book:Sensorimotor Psychotherapy: Interventions for Trauma and Attachment
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“In sensorimotor treatment, traumatized clients are taught to become aware of trauma-related tendencies of orientation and to redirect their attention away from the past and toward the present moment. Repeatedly "shifting the client's attention to the various things going on outside of the flow of conversation [evokes] experiences which are informative and emotionally meaningful" (Kurtz, 2004, p. 40). Redirecting orientation and attention from conversation to present-moment experience-that is, from external awareness to internal awareness, and from the past to the present⎯engages exploration and curiosity, and clients can discover things about themselves that they did not know previously (Kurtz, 2004).”

PsychotherapyTrauma TherapySensorimotor Therapy
Book:Trauma and the Body: A Sensorimotor Approach to Psychotherapy
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“having clients orient to the stimulus on which they are very fixated helps them consciously and directly attend to reminders of past trauma. This provides the opportunity for the reactions to the trauma-related stimulus to change from involuntary and reflexive to reflective awareness and assimilation. The client's sense of control and efficacy is often enhanced, whereas simply orienting to new, neutral, or pleasurable stimuli may not accomplish this (Ford, personal communication, August 12, 2005).”

Trauma TherapySensorimotor Therapy
Book:Trauma and the Body: A Sensorimotor Approach to Psychotherapy
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