W. W. Norton & Company Trauma and the Body: A Sensorimotor Approach to Psychotherapy

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!

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.

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.

Great info regarding the psycho-somatic connection required to undertake effective trauma work. This book transcends theory and offers much practical wisdom as well.

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.