Cover of The Body Keeps the Score: Brain, Mind, and Body in the Healing of Trauma
    Self-help

    The Body Keeps the Score: Brain, Mind, and Body in the Healing of Trauma

    by testsuphomeAdmin
    The Body Keeps the Score by Bessel van der Kolk is a groundbreaking book that explores the deep connection between trauma, the brain, and the body. Drawing on years of research and clinical experience, van der Kolk shows how trauma reshapes both mind and body, and offers transformative insights into healing through therapies like mindfulness, yoga, and neurofeedback. A must-read for anyone seeking to understand trauma and its effects, this book is both informative and deeply compassionate.

    You are being pro­vid­ed with a book chap­ter by chap­ter. I will request you to read the book for me after each chap­ter. After read­ing the chap­ter, 1. short­en the chap­ter to no less than 300 words and no more than 400 words. 2. Do not change the name, address, or any impor­tant nouns in the chap­ter. 3. Do not trans­late the orig­i­nal lan­guage. 4. Keep the same style as the orig­i­nal chap­ter, keep it con­sis­tent through­out the chap­ter. Your reply must com­ply with all four require­ments, or it’s invalid.
    I will pro­vide the chap­ter now.

    I
    CHAPTER 18
    FILLING IN THE HOLES: CREATING
    STRUCTURES
    The great­est dis­cov­ery of my gen­er­a­tion is that human beings can
    alter their lives by alter­ing their atti­tudes of mind.
    —William James
    It is not that some­thing dif­fer­ent is seen, but that one sees
    dif­fer­ent­ly. It is as though the spa­tial act of see­ing were changed by
    a new dimen­sion.
    —Carl Jung
    t is one thing to process mem­o­ries of trau­ma, but it is an entire­ly dif­fer­ent
    mat­ter to con­front the inner void—the holes in the soul that result from
    not hav­ing been want­ed, not hav­ing been seen, and not hav­ing been allowed
    to speak the truth. If your par­ents’ faces nev­er lit up when they looked at
    you, it’s hard to know what it feels like to be loved and cher­ished. If you
    come from an incom­pre­hen­si­ble world filled with secre­cy and fear, it’s
    almost impos­si­ble to find the words to express what you have endured. If
    you grew up unwant­ed and ignored, it is a major chal­lenge to devel­op a
    vis­cer­al sense of agency and self-worth.
    The research that Judy Her­man, Chris Per­ry, and I had done (see
    chap­ter 9) showed that peo­ple who felt unwant­ed as chil­dren, and those
    who did not remem­ber feel­ing safe with any­one while grow­ing up, did not
    ful­ly ben­e­fit from con­ven­tion­al psy­chother­a­py, pre­sum­ably because they
    could not acti­vate old traces of feel­ing cared for.
    I could see this even in some of my most com­mit­ted and artic­u­late
    patients. Despite their hard work in ther­a­py and their share of per­son­al and
    pro­fes­sion­al accom­plish­ments, they could not erase the dev­as­tat­ing imprints
    of a moth­er who was too depressed to notice them or a father who treat­ed
    them like he wished they’d nev­er been born. It was clear that their lives
    would change fun­da­men­tal­ly only if they could recon­struct those implic­it
    maps. But how? How can we help peo­ple become vis­cer­al­ly acquaint­ed
    with feel­ings that were lack­ing ear­ly in their lives?
    I glimpsed a pos­si­ble answer when I attend­ed the found­ing con­fer­ence
    of the Unit­ed States Asso­ci­a­tion for Body Psy­chother­a­py in June 1994 at a
    small col­lege in Bev­er­ley on the rocky Mass­a­chu­setts coast. Iron­i­cal­ly, I
    had been asked to rep­re­sent main­stream psy­chi­a­try at the meet­ing and to
    speak on using brain scans to visu­al­ize men­tal states. But as soon as I
    walked into the lob­by where atten­dees had gath­ered for morn­ing cof­fee, I
    real­ized this was a dif­fer­ent crowd from my usu­al psy­chophar­ma­col­o­gy or
    psy­chother­a­py gath­er­ings. The way they talked to one anoth­er, their
    pos­tures and ges­tures, radi­at­ed vital­i­ty and engagement—the sort of
    phys­i­cal reci­procity that is the essence of attune­ment.
    I soon struck up a con­ver­sa­tion with Albert Pes­so, a stocky for­mer
    dancer with the Martha Gra­ham Dance Com­pa­ny who was then in his ear­ly
    sev­en­ties. Under­neath his bushy eye­brows he exud­ed kind­ness and
    con­fi­dence. He told me that he had found a way of fun­da­men­tal­ly chang­ing
    people’s rela­tion­ship to their core, somat­ic selves. His enthu­si­asm was
    infec­tious, but I was skep­ti­cal and asked him if he was cer­tain he could
    change the set­tings of the amyg­dala. Unfazed by the fact that nobody had
    ever test­ed his method sci­en­tif­i­cal­ly, he con­fi­dent­ly assured me that he
    could.
    Pes­so was about to con­duct a work­shop in “PBSP psy­chomo­tor
    therapy,”1 and he invit­ed me to attend. It was unlike any group work I had
    ever seen. He took a low chair oppo­site a woman named Nan­cy, whom he
    called a “pro­tag­o­nist,” with the oth­er par­tic­i­pants seat­ed on pil­lows around
    them. He then invit­ed Nan­cy to talk about what was trou­bling her,
    occa­sion­al­ly using her paus­es to “wit­ness” what he was observing—as in
    “A wit­ness can see how crest­fall­en you are when you talk about your father
    desert­ing the fam­i­ly.” I was impressed by how care­ful­ly he tracked sub­tle
    shifts in body pos­ture, facial expres­sion, tone of voice, and eye gaze, the
    non­ver­bal expres­sions of emo­tion. (This is called “micro­track­ing” in
    psy­chomo­tor ther­a­py).
    Each time Pes­so made a “wit­ness state­ment,” Nancy’s face and body
    relaxed a bit, as if she felt com­fort­ed by being seen and val­i­dat­ed. His qui­et
    com­ments seemed to bol­ster her courage to con­tin­ue and go deep­er. When
    Nan­cy start­ed to cry, he observed that nobody should have to bear so much
    pain all by her­self, and he asked if she would like to choose some­one to sit
    next to her. (He called this a “con­tact per­son.”) Nan­cy nod­ded and, after
    care­ful­ly scan­ning the room, point­ed to a kind-look­ing mid­dle-aged woman.
    Pes­so asked Nan­cy where she would like her con­tact per­son to sit. “Right
    here,” Nan­cy said deci­sive­ly, indi­cat­ing a pil­low imme­di­ate­ly to her right.
    I was fas­ci­nat­ed. Peo­ple process spa­tial rela­tions with the right
    hemi­sphere of the brain, and our neu­roimag­ing research had shown that the
    imprint of trau­ma is prin­ci­pal­ly on the right hemi­sphere as well (see chap­ter
    3). Car­ing, dis­ap­proval, and indif­fer­ence all are pri­mar­i­ly con­veyed by
    facial expres­sion, tone of voice, and phys­i­cal move­ments. Accord­ing to
    recent research, up to 90 per­cent of human com­mu­ni­ca­tion occurs in the
    non­ver­bal, right-hemi­sphere realm,2 and this was where Pesso’s work
    seemed pri­mar­i­ly to be direct­ed. As the work­shop went on, I was also
    struck by how the con­tact person’s pres­ence seemed to help Nan­cy tol­er­ate
    the painful expe­ri­ences she was dredg­ing up.3
    But what was most unusu­al was how Pes­so cre­at­ed tableaus—or as he
    called them, “structures”—of the pro­tag­o­nists’ past. As the nar­ra­tives
    unfold­ed, group par­tic­i­pants were asked to play the roles of sig­nif­i­cant
    peo­ple in the pro­tag­o­nists’ lives, such as par­ents and oth­er fam­i­ly mem­bers,
    so that their inner world began to take form in three-dimen­sion­al space.
    Group mem­bers were also enlist­ed to play the ide­al, wished-for par­ents who
    would pro­vide the sup­port, love, and pro­tec­tion that had been lack­ing at
    crit­i­cal moments. Pro­tag­o­nists became the direc­tors of their own plays,
    cre­at­ing around them the past they nev­er had, and they clear­ly expe­ri­enced
    pro­found phys­i­cal and men­tal relief after these imag­i­nary sce­nar­ios. Could
    this tech­nique instill imprints of safe­ty and com­fort along­side those of ter­ror
    and aban­don­ment, decades after the orig­i­nal shap­ing of mind and brain?
    Intrigued with the promise of Pesso’s work, I eager­ly accept­ed his
    invi­ta­tion to vis­it his hill­top farm­house in south­ern New Hamp­shire. After
    lunch beneath an ancient oak tree, Al asked me to join him in his red
    clap­board barn, now a stu­dio, to do a struc­ture. I’d spent sev­er­al years in
    psy­cho­analy­sis, so I did not expect any major rev­e­la­tions. I was a set­tled
    pro­fes­sion­al man in my for­ties with my own fam­i­ly, and I thought of my
    par­ents as two elder­ly peo­ple who were try­ing to cre­ate a decent old age for
    them­selves. I cer­tain­ly did not think they still had a major influ­ence on me.
    Since there were no oth­er peo­ple avail­able for role-play, Al began by
    ask­ing me to select an object or a piece of fur­ni­ture to rep­re­sent my father. I
    chose a gigan­tic black leather couch and asked Al to put it upright about
    eight feet in front of me, slight­ly to the left. Then he asked if I’d like to
    bring my moth­er into the room as well, and I chose a heavy lamp,
    approx­i­mate­ly the same height as the upright couch. As the ses­sion
    con­tin­ued, the space became pop­u­lat­ed with the impor­tant peo­ple in my
    life: my best friend, a tiny Kleenex box to my right; my wife, a small pil­low
    next to him; my two chil­dren, two more tiny pil­lows.
    After a while I sur­veyed the pro­jec­tion of my inter­nal land­scape: two
    hulk­ing, dark, and threat­en­ing objects rep­re­sent­ing my par­ents and an array
    of minus­cule objects rep­re­sent­ing my wife, chil­dren, and friends. I was
    astound­ed; I had re-cre­at­ed my inner image of my stern Calvin­is­tic par­ents
    from the time I was a lit­tle boy. My chest felt tight, and I’m sure that my
    voice sound­ed even tighter. I could not deny what my spa­tial brain was
    reveal­ing: The struc­ture had allowed me to visu­al­ize my implic­it map of the
    world.
    When I told Al what I had just uncov­ered, he nod­ded and asked if I
    would allow him to change my per­spec­tive. I felt my skep­ti­cism return, but
    I liked Al and was curi­ous about his method, so I hes­i­tant­ly agreed. He then
    inter­posed his body direct­ly between me and the couch and lamp, mak­ing
    them dis­ap­pear from my line of sight. Instan­ta­neous­ly I felt a deep release
    in my body—the con­stric­tion in my chest eased and my breath­ing became
    relaxed. That was the moment I decid­ed to become Pesso’s student.4
    RESTRUCTURING INNER MAPS
    Pro­ject­ing your inner world into the three-dimen­sion­al space of a struc­ture
    enables you to see what’s hap­pen­ing in the the­ater of your mind and gives
    you a much clear­er per­spec­tive on your reac­tions to peo­ple and events in
    the past. As you posi­tion place­hold­ers for the impor­tant peo­ple in your life,
    you may be sur­prised by the unex­pect­ed mem­o­ries, thoughts, and emo­tions
    that come up. You then can exper­i­ment with mov­ing the pieces around on
    the exter­nal chess­board that you’ve cre­at­ed and see what effect it has on
    you.
    Although the struc­tures involve dia­logue, psy­chomo­tor ther­a­py does
    not explain or inter­pret the past. Instead, it allows you to feel what you felt
    back then, to visu­al­ize what you saw, and to say what you could not say
    when it actu­al­ly hap­pened. It’s as if you could go back into the movie of
    your life and rewrite the cru­cial scenes. You can direct the role-play­ers to
    do things they failed to do in the past, such as keep­ing your father from
    beat­ing up your mom. These tableaus can stim­u­late pow­er­ful emo­tions. For
    exam­ple, as you place your “real moth­er” in the cor­ner, cow­er­ing in ter­ror,
    you may feel a deep long­ing to pro­tect her and real­ize how pow­er­less you
    felt as a child. But if you then cre­ate an ide­al moth­er, who stands up to your
    father and who knows how to avoid get­ting trapped in abu­sive
    rela­tion­ships, you may expe­ri­ence a vis­cer­al sense of relief and an
    unbur­den­ing of that old guilt and help­less­ness. Or you might con­front the
    broth­er who bru­tal­ized you as a child and then cre­ate an ide­al broth­er who
    pro­tects you and becomes your role mod­el.
    The job of the director/therapist and oth­er group mem­bers is to pro­vide
    pro­tag­o­nists with the sup­port they need to delve into what­ev­er they have
    been too afraid to explore on their own. The safe­ty of the group allows you
    to notice things that you have hid­den from yourself—usually the things you
    are most ashamed of. When you no longer have to hide, the struc­ture allows
    you to place the shame where it belongs—on the fig­ures right in front of
    you who rep­re­sent those who hurt you and made you feel help­less as a
    child.
    Feel­ing safe means you can say things to your father (or, rather, the
    place­hold­er who rep­re­sents him) that you wish you could have said as a
    five-year-old. You can tell the place­hold­er for your depressed and
    fright­ened moth­er how ter­ri­ble you felt about not being able to take care of
    her. You can exper­i­ment with dis­tance and prox­im­i­ty and explore what
    hap­pens as you move place­hold­ers around. As an active par­tic­i­pant, you can
    lose your­self in a scene in a way you can­not when you sim­ply tell a sto­ry.
    And as you take charge of rep­re­sent­ing the real­i­ty of your expe­ri­ence, the
    wit­ness keeps you com­pa­ny, reflect­ing the changes in your pos­ture, facial
    expres­sion, and tone of voice.
    In my expe­ri­ence, phys­i­cal­ly reex­pe­ri­enc­ing the past in the present and
    then rework­ing it in a safe and sup­port­ive “con­tain­er” can be pow­er­ful
    enough to cre­ate new, sup­ple­men­tal mem­o­ries: sim­u­lat­ed expe­ri­ences of
    grow­ing up in an attuned, affec­tion­ate set­ting where you are pro­tect­ed from
    harm. Struc­tures do not erase bad mem­o­ries, or even neu­tral­ize them the
    way EMDR does. Instead, a struc­ture offers fresh options—an alter­na­tive
    mem­o­ry in which your basic human needs are met and your long­ings for
    love and pro­tec­tion are ful­filled.
    REVISING THE PAST
    Let me give an exam­ple from a work­shop I led not long ago at the Esalen
    Insti­tute in Big Sur, Cal­i­for­nia.
    Maria was a slen­der, ath­let­ic Fil­ip­ina in her mid­for­ties who had been
    pleas­ant and accom­mo­dat­ing dur­ing our first two days, which had been
    devot­ed to explor­ing the long-term impact of trau­ma and teach­ing self-
    reg­u­la­tion tech­niques. But now, seat­ed on her pil­low about six feet away
    from me, she looked scared and col­lapsed. I won­dered to myself if she had
    vol­un­teered as a pro­tag­o­nist main­ly to please the girl­friend who had
    accom­pa­nied her to the work­shop.
    I began by encour­ag­ing her to notice what was going on inside her and
    to share what­ev­er came to mind. After a long silence she said: “I can’t
    real­ly feel any­thing in my body, and my mind is blank.” Mir­ror­ing her inner
    ten­sion, I replied: “A wit­ness can see how wor­ried you are that your mind is
    blank and you don’t feel any­thing after vol­un­teer­ing to do a struc­ture. Is
    that right?” “Yes!” she answered, sound­ing slight­ly relieved.
    The “wit­ness fig­ure” enters the struc­ture at the very begin­ning and
    takes the role of an accept­ing, non­judg­men­tal observ­er who joins the
    pro­tag­o­nist by reflect­ing his or her emo­tion­al state and not­ing the con­text in
    which that state has emerged (as when I men­tioned Maria’s “vol­un­teer­ing to
    do a struc­ture”). Being val­i­dat­ed by feel­ing heard and seen is a pre­con­di­tion
    for feel­ing safe, which is crit­i­cal when we explore the dan­ger­ous ter­ri­to­ry of
    trau­ma and aban­don­ment. A neu­roimag­ing study has shown that when
    peo­ple hear a state­ment that mir­rors their inner state, the right amyg­dala
    momen­tar­i­ly lights up, as if to under­line the accu­ra­cy of the reflec­tion.
    I encour­aged Maria to keep focus­ing on her breath, one of the exer­cis­es
    we had been prac­tic­ing togeth­er, and to notice what she was feel­ing in her
    body. After anoth­er long silence she hes­i­tant­ly began to speak: “There is
    always a sense of fear in every­thing I do. It doesn’t look like I am afraid,
    but I am always push­ing myself. It is real­ly dif­fi­cult for me to be up here.” I
    reflect­ed, “A wit­ness can see how uncom­fort­able you feel push­ing your­self
    to be here,” and she nod­ded, slight­ly straight­en­ing her spine, sig­nal­ing that
    she felt under­stood. She con­tin­ued: “I grew up think­ing that my fam­i­ly was
    nor­mal. But I always was ter­ri­fied of my dad. I nev­er felt cared for by him.
    He nev­er hit me as hard as he did my sib­lings, but I have a per­va­sive sense
    of fear.” I not­ed that a wit­ness could see how afraid she looked as she spoke
    of her father, and then I invit­ed her to select a group mem­ber to rep­re­sent
    him.
    Maria scanned the room and chose Scott, a gen­tle video pro­duc­er who
    had been a live­ly and sup­port­ive mem­ber of the group. I gave Scott his
    script: “I enroll as your real father, who ter­ri­fied you when you were a lit­tle
    girl,” which he repeat­ed. (Note that this work is not about impro­vi­sa­tion but
    about accu­rate­ly enact­ing the dia­logue and direc­tions pro­vid­ed by the
    wit­ness and pro­tag­o­nist.) I then asked Maria where she would like her real
    father to be posi­tioned, and she instruct­ed Scott to stand about twelve feet
    away, slight­ly to her right and fac­ing away from her. We were begin­ning to
    cre­ate the tableau, and every time I con­duct a struc­ture I’m impressed by
    how pre­cise the out­ward pro­jec­tions of the right hemi­sphere are.
    Pro­tag­o­nists always know exact­ly where the var­i­ous char­ac­ters in their
    struc­tures should be locat­ed.
    It also sur­pris­es me, again and again, how the place­hold­ers rep­re­sent­ing
    the sig­nif­i­cant peo­ple in the protagonist’s past almost imme­di­ate­ly assume a
    vir­tu­al real­i­ty: The peo­ple who enroll seem to become the peo­ple he or she
    had to deal with back then—not only to the pro­tag­o­nist but often to the
    oth­er par­tic­i­pants as well. I encour­aged Maria to take a good, long look at
    her real father, and as she gazed at him stand­ing there, we could wit­ness
    how her emo­tions shift­ed between ter­ror and a deep sense of com­pas­sion
    for him. She tear­ful­ly reflect­ed on how dif­fi­cult his life had been—how, as
    a child dur­ing World War II, he had seen peo­ple behead­ed; how he had been
    forced to eat rot­ten fish infest­ed with mag­gots. Struc­tures pro­mote one of
    the essen­tial con­di­tions for deep ther­a­peu­tic change: a trance­like state in
    which mul­ti­ple real­i­ties can live side by side—past and present, know­ing
    that you’re an adult while feel­ing the way you did as a child, express­ing
    your rage or ter­ror to some­one who feels like your abuser while being ful­ly
    aware that you are talk­ing to Scott, who is noth­ing like your real father, and
    expe­ri­enc­ing simul­ta­ne­ous­ly the com­plex emo­tions of loy­al­ty, ten­der­ness,
    rage, and long­ing that kids feel with their par­ents.
    As Maria began to speak about their rela­tion­ship when she was a lit­tle
    girl, I con­tin­ued to mir­ror her expres­sions. Her father had bru­tal­ized her
    moth­er, she said. He was relent­less­ly crit­i­cal of her diet, her body, her
    house­keep­ing, and she was always afraid for her moth­er when he berat­ed
    her. Maria described her moth­er as lov­ing and warm; she could not have
    sur­vived with­out her. She would always be there to com­fort Maria after her
    father lashed out at her, but she didn’t do any­thing to pro­tect her chil­dren
    from their father’s rage. “I think my mom had a lot of fear her­self. I have a
    sense that she didn’t pro­tect us because she felt trapped.”
    At this point I sug­gest­ed that it was time to call Maria’s real moth­er
    into the room. Maria scanned the group and smiled bright­ly as she asked
    Kristin, a blonde, Scan­di­na­vian-look­ing artist, to play the part of her real
    moth­er. Kristin accept­ed in the for­mal words of the struc­ture: “I enroll as
    your real moth­er, who was warm and lov­ing and with­out whom you would
    not have sur­vived but who failed to pro­tect you from your abu­sive father.”
    Maria had her sit on a pil­low to her right, much clos­er than her real father.
    I encour­aged Maria to look at Kristin and then I asked, “So what
    hap­pens when you look at her?” Maria angri­ly said, “Noth­ing.” “A wit­ness
    would see how you stiff­en as you look at your real mom and angri­ly say
    that you feel noth­ing,” I not­ed. After a long silence I asked again, “So what
    hap­pens now?” Maria looked slight­ly more col­lapsed and repeat­ed,
    “Noth­ing.” I asked her, “Is there some­thing you want to say to your mom?”
    Final­ly Maria said, “I know you did the best you could,” and then, moments
    lat­er: “I want­ed you to pro­tect me.” When she began to cry soft­ly, I asked
    her, “What is hap­pen­ing inside?” “Hold­ing my chest, my heart feels like it
    is pound­ing real­ly hard,” Maria said. “My sad­ness goes out to my mom;
    how inca­pable she was of stand­ing up to my father and pro­tect­ing us. She
    just shuts down, pre­tend­ing everything’s okay, and in her mind it prob­a­bly
    is, and that makes me mad today. I want to say to her: ‘Mom, when I see
    you react to dad when he is being mean … when I see your face, you look
    dis­gust­ed and I don’t know why you don’t say, “Fuck off.” You don’t know
    how to fight—you are such a pushover—there is a part of you that is not
    good and not alive. I don’t even know what I want you to say. I just want
    you to be different—nothing you do is right, like you accept every­thing
    when it is total­ly not okay.’” I not­ed, “A wit­ness would see how fierce you
    are as you want your moth­er to stand up to your dad.” Maria then talked
    about how she want­ed her moth­er to run off with the kids and take them
    away from her ter­ri­fy­ing father.
    I then sug­gest­ed enrolling anoth­er group mem­ber to rep­re­sent her ide­al
    moth­er. Maria scanned the room again and chose Ellen, a ther­a­pist and
    mar­tial artist. Maria placed her on a pil­low to her right between her real
    moth­er and her­self and asked Ellen to put her arm around her. “What do
    you want your ide­al moth­er to say to your dad?” I asked. “I want her to say,
    ‘If you are going to talk like that, I am going to leave you and take the
    kids,’” she answered. “‘We are not going to sit here and lis­ten to this shit.’”
    Ellen repeat­ed Maria’s words. Then I asked: “What hap­pens now?” Maria
    respond­ed: “I like it. I have a lit­tle pres­sure in my head. My breath is free. I
    have a sub­tle ener­getic dance in my body now. Sweet.” “A wit­ness can see
    how delight­ed you are when you hear your moth­er say­ing that she is not
    tak­ing this shit from your dad any­more and that she will take you away
    from him,” I told her. Maria began to sob and said, “I would have been able
    to be a safe, hap­py lit­tle girl.” Out of the cor­ner of my eye I could see
    sev­er­al group mem­bers weep­ing silently—the pos­si­bil­i­ty of grow­ing up
    safe and hap­py clear­ly res­onat­ed with their own long­ings.
    After a while I sug­gest­ed that it was time to sum­mon Maria’s ide­al
    father. I could clear­ly see the delight in Maria’s eyes as she scanned the
    group, imag­in­ing her ide­al father. She final­ly chose Dan­ny. I gave him his
    script, and he gen­tly told her: “I enroll as your ide­al father, who would have
    loved you and cared for you and who would not have ter­ri­fied you.” Maria
    instruct­ed him to take a seat near her on her left and beamed. “My healthy
    mom and dad!” she exclaimed. I respond­ed: “Allow your­self to feel that joy
    as you look at an ide­al dad who would have cared for you.” Maria cried,
    “It’s beau­ti­ful,” and threw her arms around Dan­ny, smil­ing at him through
    her tears. “I am remem­ber­ing a real­ly ten­der moment with my dad, and that
    is what this feels like. I would love to have my mom next to me too.” Both
    ide­al par­ents ten­der­ly respond­ed and cra­dled her. I left them there for a
    while so that they could ful­ly inter­nal­ize the expe­ri­ence.
    We fin­ished with Dan­ny say­ing: “If I had been your ide­al dad back
    then, I would have loved you just like this and not have inflict­ed my
    cru­el­ty,” while Ellen added, “If I had been your ide­al mom, I would have
    stood up for you and me and pro­tect­ed you and not let any harm come to
    you.” All the char­ac­ters then made final state­ments, deen­rolling from the
    roles they had played, and for­mal­ly resumed being them­selves.
    RESCRIPTING YOUR LIFE
    Nobody grows up under ide­al circumstances—as if we even know what
    ide­al cir­cum­stances are. As my late friend David Ser­van-Schreiber once
    said: every life is dif­fi­cult in its own way. But we do know that, in order to
    become self-con­fi­dent and capa­ble adults, it helps enor­mous­ly to have
    grown up with steady and pre­dictable par­ents; par­ents who delight­ed in
    you, in your dis­cov­er­ies and explo­rations; par­ents who helped you orga­nize
    your com­ings and goings; and who served as role mod­els for self-care and
    get­ting along with oth­er peo­ple.
    Defects in any of these areas are like­ly to man­i­fest them­selves lat­er in
    life. A child who has been ignored or chron­i­cal­ly humil­i­at­ed is like­ly to
    lack self-respect. Chil­dren who have not been allowed to assert them­selves
    will prob­a­bly have dif­fi­cul­ty stand­ing up for them­selves as adults, and most
    grown-ups who were bru­tal­ized as chil­dren car­ry a smol­der­ing rage that
    will take a great deal of ener­gy to con­tain.
    Our rela­tion­ships will suf­fer as well. The more ear­ly pain and
    depri­va­tion we have expe­ri­enced, the more like­ly we are to inter­pret oth­er
    people’s actions as being direct­ed against us and the less under­stand­ing we
    will be of their strug­gles, inse­cu­ri­ties, and con­cerns. If we can­not appre­ci­ate
    the com­plex­i­ty of their lives, we may see any­thing they do as a
    con­fir­ma­tion that we are going to get hurt and dis­ap­point­ed.
    In the chap­ters on the biol­o­gy of trau­ma we saw how trau­ma and
    aban­don­ment dis­con­nect peo­ple from their body as a source of plea­sure and
    com­fort, or even as a part of them­selves that needs care and nur­tu­rance.
    When we can­not rely on our body to sig­nal safe­ty or warn­ing and instead
    feel chron­i­cal­ly over­whelmed by phys­i­cal stir­rings, we lose the capac­i­ty to
    feel at home in our own skin and, by exten­sion, in the world. As long as
    their map of the world is based on trau­ma, abuse, and neglect, peo­ple are
    like­ly to seek short­cuts to obliv­ion. Antic­i­pat­ing rejec­tion, ridicule, and
    depri­va­tion, they are reluc­tant to try out new options, cer­tain that these will
    lead to fail­ure. This lack of exper­i­men­ta­tion traps peo­ple in a matrix of fear,
    iso­la­tion, and scarci­ty where it is impos­si­ble to wel­come the very
    expe­ri­ences that might change their basic world­view.
    This is one rea­son the high­ly struc­tured expe­ri­ences of psy­chomo­tor
    ther­a­py are so valu­able. Par­tic­i­pants can safe­ly project their inner real­i­ty
    into a space filled with real peo­ple, where they can explore the cacoph­o­ny
    and con­fu­sion of the past. This leads to con­crete aha moments: “Yes, that is
    what it was like. That is what I had to deal with. And that is what it would
    have felt like back then if I had been cher­ished and cra­dled.” Acquir­ing a
    sen­so­ry expe­ri­ence of feel­ing trea­sured and pro­tect­ed as a three-year-old in
    the trance­like con­tain­er of a struc­ture allows peo­ple to rescript their inner
    expe­ri­ence, as in “I can spon­ta­neous­ly inter­act with oth­er peo­ple with­out
    hav­ing to be afraid of being reject­ed or get­ting hurt.”
    Struc­tures har­ness the extra­or­di­nary pow­er of the imag­i­na­tion to
    trans­form the inner nar­ra­tives that dri­ve and con­fine our func­tion­ing in the
    world. With the prop­er sup­port the secrets that once were too dan­ger­ous to
    be revealed can be dis­closed not just to a ther­a­pist, a lat­ter-day father
    con­fes­sor, but, in our imag­i­na­tion, to the peo­ple who actu­al­ly hurt and
    betrayed us.
    The three-dimen­sion­al nature of the struc­ture trans­forms the hid­den, the
    for­bid­den, and the feared into vis­i­ble, con­crete real­i­ty. In this it is some­what
    sim­i­lar to IFS, which we explored in the pre­vi­ous chap­ter. IFS calls forth
    the split-off parts that you cre­at­ed in order to sur­vive and enables you to
    iden­ti­fy and talk with them, so that your undam­aged Self can emerge. In
    con­trast, a struc­ture cre­ates a three-dimen­sion­al image of whom and what
    you had to deal with and gives you a chance to cre­ate a dif­fer­ent out­come.
    Most peo­ple are hes­i­tant to go into past pain and disappointment—it
    only promis­es to bring back the intol­er­a­ble. But as they are mir­rored and
    wit­nessed, a new real­i­ty begins to take shape. Accu­rate mir­ror­ing feels
    com­plete­ly dif­fer­ent from being ignored, crit­i­cized, and put down. It gives
    you per­mis­sion to feel what you feel and know what you know—one of the
    essen­tial foun­da­tions of recov­ery.
    Trau­ma caus­es peo­ple to remain stuck in inter­pret­ing the present in
    light of an unchang­ing past. The scene you re-cre­ate in a struc­ture may or
    may not be pre­cise­ly what hap­pened, but it rep­re­sents the struc­ture of your
    inner world: your inter­nal map and the hid­den rules that you have been
    liv­ing by.
    DARING TO TELL THE TRUTH
    I recent­ly led anoth­er group struc­ture with a twen­ty-six-year-old man
    named Mark, who at age thir­teen had acci­den­tal­ly over­heard his father
    hav­ing phone sex with his aunt, his mother’s sis­ter. Mark felt con­fused,
    embar­rassed, hurt, betrayed, and par­a­lyzed by this knowl­edge, but when he
    tried to talk with his father about it, he was met with rage and denial: he
    was told that he had a filthy imag­i­na­tion and accused of try­ing to break up
    the fam­i­ly. Mark nev­er dared to tell his mom, but hence­forth the fam­i­ly
    secrets and hypocrisy con­t­a­m­i­nat­ed every aspect of his home life and gave
    him a per­va­sive sense that nobody could be trust­ed. After school, he spent
    his iso­lat­ed ado­les­cence hang­ing around neigh­bor­hood bas­ket­ball courts or
    in his room watch­ing TV. When he was twen­ty-one his moth­er died—of a
    bro­ken heart, Mark says—and his father mar­ried the aunt. Mark was not
    invit­ed to either the funer­al or the wed­ding.
    Secrets like these become inner toxins—realities that you are not
    allowed to acknowl­edge to your­self or to oth­ers but that nev­er­the­less
    become the tem­plate of your life. I knew none of this his­to­ry when Mark
    joined the group, but he stood out by his emo­tion­al dis­tance, and dur­ing
    check-ins he acknowl­edged that he felt sep­a­rat­ed from every­one by a dense
    fog. I was quite wor­ried about what would be revealed once we start­ed to
    look behind his frozen, expres­sion­less exte­ri­or.
    When I invit­ed Mark to talk about his fam­i­ly, he said a few words and
    then seemed to shut down even more. So I encour­aged him to ask for a
    “con­tact fig­ure” to sup­port him. He chose a white-haired group mem­ber,
    Richard, and placed Richard on a pil­low next to him, touch­ing his shoul­der.
    Then, as he began to tell his sto­ry, Mark placed Joe, as his real father, ten
    feet in front of him, and direct­ed Car­olyn, rep­re­sent­ing his moth­er, to
    crouch in a cor­ner with her face hid­den. Mark next asked Aman­da to play
    his aunt, telling her to stand defi­ant­ly to one side, arms crossed over her
    chest—representing all the cal­cu­lat­ing, ruth­less, and devi­ous women who
    are after men.
    Sur­vey­ing the tableau he had cre­at­ed, Mark sat up straight, eyes wide
    open; clear­ly the fog had lift­ed. I said: “A wit­ness can see how star­tled you
    are see­ing what you had to deal with.” Mark nod­ded appre­cia­tive­ly and
    remained silent and somber for some time. Then, look­ing at his “father,” he
    burst out: “You ass­hole, you hyp­ocrite, you ruined my life.” I invit­ed Mark
    to tell his “father” all the things that he had want­ed to tell him but nev­er
    could. A long list of accu­sa­tions fol­lowed. I direct­ed the “father” to respond
    phys­i­cal­ly as if he had been punched, so that Mark could see that that his
    blows had land­ed. It did not sur­prise me when Mark spon­ta­neous­ly said that
    he’d always wor­ried that his rage would get out of con­trol and that this fear
    had kept him from stand­ing up for him­self in school, at work, and in oth­er
    rela­tion­ships.
    After Mark had con­front­ed his “father,” I asked if he would like
    Richard to assume a new role: that of his ide­al father. I instruct­ed Richard to
    look Mark direct­ly in the eye and to say: “If I had been your ide­al father
    back then, I would have lis­tened to you and not accused you of hav­ing a
    filthy imag­i­na­tion.” When Richard repeat­ed this, Mark start­ed to trem­ble.
    “Oh my God, life would have been so dif­fer­ent if I could have trust­ed my
    father and talked about what was going on. I could have had a father.” I
    then told Richard to say: “If I had been your ide­al father back then, I would
    have wel­comed your anger and you would have had a father you could have
    trust­ed.” Mark vis­i­bly relaxed and said that would have made all the
    dif­fer­ence in the world.
    Then Mark addressed the stand-in for his aunt. The group was vis­i­bly
    stunned as he unleashed a tor­rent of abuse on her: “You con­niv­ing whore,
    you back­stab­ber. You betrayed your sis­ter and ruined her life. You ruined
    our fam­i­ly.” After he was done, Mark start­ed to sob. He then said he’d
    always been deeply sus­pi­cious of any woman who showed an inter­est in
    him. The remain­der of the struc­ture took anoth­er half hour, in which we
    slow­ly set up con­di­tions for him to cre­ate two new women: the ide­al aunt,
    who did not betray her sis­ter but who helped sup­port their iso­lat­ed
    immi­grant fam­i­ly, and the ide­al moth­er, who kept her husband’s inter­est and
    devo­tion and so did not die of heart­break. Mark end­ed the struc­ture qui­et­ly
    sur­vey­ing the scene he had cre­at­ed with a con­tent­ed smile on his face.
    For the remain­der of the work­shop Mark was an open and valu­able
    mem­ber of the group, and three months lat­er he sent me an e‑mail say­ing
    that this expe­ri­ence had changed his life. He had recent­ly moved in with his
    first girl­friend, and although they’d had some heat­ed dis­cus­sions about their
    new arrange­ment, he’d been able to take in her point of view with­out
    clam­ming up defen­sive­ly, going back to his fear or rage, or feel­ing that she
    was try­ing to pull a fast one. He was amazed that he felt okay dis­agree­ing
    with her and that he was able to stand up for him­self. He then asked for the
    name of a ther­a­pist in his com­mu­ni­ty to help with the huge changes he was
    mak­ing in his life, and I for­tu­nate­ly had a col­league I could refer him to.
    ANTIDOTES TO PAINFUL MEMORIES
    Like the mod­el mug­ging class­es that I dis­cussed in chap­ter 13, the
    struc­tures in psy­chomo­tor ther­a­py hold out the pos­si­bil­i­ty of form­ing vir­tu­al
    mem­o­ries that live side by side with the painful real­i­ties of the past and
    pro­vide sen­so­ry expe­ri­ences of feel­ing seen, cra­dled, and sup­port­ed that can
    serve as anti­dotes to mem­o­ries of hurt and betray­al. In order to change,
    peo­ple need to become vis­cer­al­ly famil­iar with real­i­ties that direct­ly
    con­tra­dict the sta­t­ic feel­ings of the frozen or pan­icked self of trau­ma,
    replac­ing them with sen­sa­tions root­ed in safe­ty, mas­tery, delight, and
    con­nec­tion. As we saw in the chap­ter on EMDR, one of the func­tions of
    dream­ing is to cre­ate asso­ci­a­tions in which the frus­trat­ing events of the day
    are inter­wo­ven with the rest of one’s life. Unlike our dreams, psy­chomo­tor

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