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Exploring Somatic Approaches in Therapy

Apr 24, 2025

Somatic Approaches in Therapy Summit

Introduction

  • Presenter: Kaleigh Isaacs, founder of the Awake Network
  • Guest: Dr. Pat Ogden
    • Pioneer in somatic psychology
    • Creator of the Sensorimotor Psychotherapy Method
    • Co-founder of the Hakomi Institute
    • Author of key books in somatic psychology
  • Focus of the Talk: Sensorimotor Psychotherapy, key concepts, tools, and practices

Key Concepts in Somatic Therapy

Bridging the Gap Between Talk Therapy and Somatic Therapy

  • The body reflects experiences of attachment and trauma.
  • Patterns in the body (e.g., posture indicating fear) can hinder resolution in talk therapy alone.
  • Trauma impacts subcortical, instinctive defensive responses, and physiological arousal.
  • Somatic therapy directly addresses these issues through somatic resources like self-touch and grounding.

Instinctive Defenses

  • Instincts such as fight, flight, freeze, and others are innate.
  • Trauma can form patterns of instinctive defenses from past experiences.
  • Sensorimotor therapy can help empower these defenses in a therapeutic setting.

Resourcing in Trauma Work

Importance of Resourcing

  • Helps regulate arousal within the 'window of tolerance'.
  • Teaches clients to recognize signs when arousal approaches the window's edge.

Somatic Resources

  • Self-touch: Different forms can provide comfort and reduce arousal.
  • "Stop sign" gesture: Can help some clients establish boundaries and calm down.
  • Breath: Complex resource; deep breathing is not universally effective.

Experiential Learning

  • Adjusting posture can align with emotions and cognitive beliefs.
  • Integration of parts work: Avoid overriding parts with positivity.

Tracking and Therapeutic Process

Tracking the Body in Therapy

  • Tracking involves noticing body movements and expressions holistically.
  • Looking for how a client's body reflects their psychological issues.
  • Exploring movements like reaching can reveal attachment issues.

Top-Down and Bottom-Up Integration

  • Mindfulness is used to integrate both cognitive and body-focused approaches.
  • Shift in body is often needed to change cognitive beliefs and emotions.

Role of the Therapist

Avoiding Overwhelm

  • Therapists should aim to work at the edges of the client's window of tolerance.
  • Empower clients to recognize their own signs of dysregulation.

Integrating Sensorimotor Practices in Talk-Based Therapies

  • Get curious about body movements and their significance.
  • Observe clients and others to see how bodies reflect psychological states.

Foundational Principles and Practices

Philosophical and Spiritual Foundations

  • Importance of principles like organicity (belief that healing intelligence is within the client).
  • Unity of mind, body, and spirit.

Experiential Integration

  • End sessions with integrative movement exercises to embody learning.

Conclusion

  • Dr. Ogden emphasizes the importance of a philosophical foundation and the body's role in therapy.
  • Encourages therapists to foster curiosity about the body and its therapeutic potential.