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

    by testsuphomeAdmin
    Cover of The Body Keeps the Score: Brain, Mind, and Body in the Healing of Trauma
    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.

    M
    CHAPTER 20
    FINDING YOUR VOICE: COMMUNAL
    RHYTHMS AND THEATER
    Act­ing is not about putting on a char­ac­ter but dis­cov­er­ing the
    char­ac­ter with­in you: you are the char­ac­ter, you just have to find it
    with­in yourself—albeit a very expand­ed ver­sion of your­self.
    —Tina Pack­er
    any sci­en­tists I know were inspired by their children’s health
    prob­lems to find new ways of under­stand­ing mind, brain, and
    ther­a­py. My own son’s recov­ery from a mys­te­ri­ous ill­ness that, for lack of a
    bet­ter name, we call chron­ic fatigue syn­drome, con­vinced me of the
    ther­a­peu­tic pos­si­bil­i­ties of the­ater.
    Nick spent most of sev­enth and eighth grade in bed, bloat­ed by
    aller­gies and med­ica­tions that left him too exhaust­ed to go to school. His
    moth­er and I saw him becom­ing entrenched in his iden­ti­ty as a self-hat­ing
    and iso­lat­ed kid, and we were des­per­ate to help him. When his moth­er
    real­ized that he picked up a lit­tle ener­gy round 5:00 p.m., we signed him up
    for an evening class in impro­vi­sa­tion­al the­ater where he would at least have
    a chance to inter­act with oth­er boys and girls his age. He took to the group
    and to the act­ing exer­cis­es and soon land­ed his first role, as Action in West
    Side Sto­ry, a tough kid who’s always ready to fight and has the lead in
    singing “Gee, Offi­cer Krup­ke.” One day at home I caught him walk­ing with
    a swag­ger, prac­tic­ing what it was like to be some­body with clout. Was he
    devel­op­ing a phys­i­cal sense of plea­sure, imag­in­ing him­self as a strong guy
    who com­mands respect?
    Then he was cast as the Fonz in Hap­py Days. Being adored by girls and
    keep­ing an audi­ence spell­bound became the real tip­ping point in his
    recov­ery. Unlike his expe­ri­ence with the numer­ous ther­a­pists who had
    talked with him about how bad he felt, the­ater gave him a chance to deeply
    and phys­i­cal­ly expe­ri­ence what it was like to be some­one oth­er than the
    learn­ing-dis­abled, over­sen­si­tive boy that he had grad­u­al­ly become. Being a
    val­ued con­trib­u­tor to a group gave him a vis­cer­al expe­ri­ence of pow­er and
    com­pe­tence. I believe that this new embod­ied ver­sion of him­self set him on
    the road to becom­ing the cre­ative, lov­ing adult he is today.
    Our sense of agency, how much we feel in con­trol, is defined by our
    rela­tion­ship with our bod­ies and its rhythms: Our wak­ing and sleep­ing and
    how we eat, sit, and walk define the con­tours of our days. In order to find
    our voice, we have to be in our bodies—able to breathe ful­ly and able to
    access our inner sen­sa­tions. This is the oppo­site of dis­so­ci­a­tion, of being
    “out of body” and mak­ing your­self dis­ap­pear. It’s also the oppo­site of
    depres­sion, lying slumped in front of a screen that pro­vides pas­sive
    enter­tain­ment. Act­ing is an expe­ri­ence of using your body to take your
    place in life.
    THE THEATER OF WAR
    Nick’s trans­for­ma­tion was not the first time I’d wit­nessed the ben­e­fits of
    the­ater. In 1988 I was still treat­ing three vet­er­ans with PTSD whom I’d met
    at the VA, and when they showed a sud­den improve­ment in their vital­i­ty,
    opti­mism, and fam­i­ly rela­tion­ships, I attrib­uted it to my grow­ing ther­a­peu­tic
    skills. Then I dis­cov­ered that all three were involved in a the­atri­cal
    pro­duc­tion.
    Want­i­ng to dra­ma­tize the plight of home­less vet­er­ans, they had
    per­suad­ed play­wright David Mamet, who was liv­ing near­by, to meet
    week­ly with their group to devel­op a script around their expe­ri­ences.
    Mamet then recruit­ed Al Paci­no, Don­ald Suther­land, and Michael J. Fox to
    come to Boston for an evening called Sketch­es of War, which raised mon­ey
    to con­vert the VA clin­ic where I’d met my patients into a shel­ter for
    home­less veterans.1 Stand­ing on a stage with pro­fes­sion­al actors, speak­ing
    about their mem­o­ries of the war, and read­ing their poet­ry was clear­ly a
    more trans­for­ma­tive expe­ri­ence than any ther­a­py could have offered them.
    Since time immemo­r­i­al human beings have used com­mu­nal rit­u­als to
    cope with their most pow­er­ful and ter­ri­fy­ing feel­ings. Ancient Greek
    the­ater, the old­est of which we have writ­ten records, seems to have grown
    out of reli­gious rites that involved danc­ing, singing, and reen­act­ing
    myth­i­cal sto­ries. By the fifth cen­tu­ry BCE, the­ater played a cen­tral role in
    civic life, with the audi­ence seat­ed in a horse­shoe around the stage, which
    enabled them to see one another’s emo­tions and reac­tions.
    Greek dra­ma may have served as a rit­u­al rein­te­gra­tion for com­bat
    vet­er­ans. At the time Aeschy­lus wrote the Oresteia tril­o­gy, Athens was at
    war on six fronts; the cycle of tragedy is set in motion when the return­ing
    war­rior king Agamem­non is mur­dered by his wife, Clytemnes­tra, for
    hav­ing sac­ri­ficed their daugh­ter before sail­ing to the Tro­jan War. Mil­i­tary
    ser­vice was required of every adult cit­i­zen of Athens, so audi­ences were
    undoubt­ed­ly com­posed of com­bat vet­er­ans and active-duty sol­diers on
    leave. The per­form­ers them­selves must have been cit­i­zen-sol­diers.
    Sopho­cles was a gen­er­al offi­cer in Athens’s wars against the Per­sians,
    and his play Ajax, which ends with the sui­cide of one of the Tro­jan War’s
    great­est heroes, reads like a text­book descrip­tion of trau­mat­ic stress. In
    2008 writer and direc­tor Bryan Doer­ries arranged a read­ing of Ajax for five
    hun­dred marines in San Diego and was stunned by the recep­tion it received.
    (Like many of us who work with trau­ma, Doerries’s inspi­ra­tion was
    per­son­al; he had stud­ied clas­sics in col­lege and turned to the Greek texts for
    com­fort when he lost a girl­friend to cys­tic fibro­sis.) His project “The
    The­ater of War” evolved from that first event, and with fund­ing from the
    U.S. Depart­ment of Defense, this 2,500-year-old play has since been
    per­formed more than two hun­dred times here and abroad to give voice to
    the plight of com­bat vet­er­ans and fos­ter dia­logue and under­stand­ing in their
    fam­i­lies and friends.2
    The­ater of War per­for­mances are fol­lowed by a town hall–style
    dis­cus­sion. I attend­ed a read­ing of Ajax in Cam­bridge, Mass­a­chu­setts,
    short­ly after the news media had pub­li­cized a 27 per­cent increase in
    sui­cides among com­bat vet­er­ans over the pre­vi­ous three years. Some forty
    people—Vietnam vet­er­ans, mil­i­tary wives, recent­ly dis­charged men and
    women who had served in Iraq and Afghanistan—lined up behind the
    micro­phone. Many of them quot­ed lines from the play as they spoke about
    their sleep­less nights, drug addic­tion, and alien­ation from their fam­i­lies.
    The atmos­phere was elec­tric, and after­ward the audi­ence hud­dled in the
    foy­er, some hold­ing each oth­er and cry­ing, oth­ers in deep con­ver­sa­tion.
    As Doer­ries lat­er said: “Any­one who has come into con­tact with
    extreme pain, suf­fer­ing or death has no trou­ble under­stand­ing Greek dra­ma.
    It’s all about bear­ing wit­ness to the sto­ries of veterans.”3
    KEEPING TOGETHER IN TIME
    Col­lec­tive move­ment and music cre­ate a larg­er con­text for our lives, a
    mean­ing beyond our indi­vid­ual fate. Reli­gious rit­u­als uni­ver­sal­ly involve
    rhyth­mic move­ments, from dav­en­ing at the Wail­ing Wall in Jerusalem to
    the sung litur­gy and ges­tures of the Catholic Mass to mov­ing med­i­ta­tion in
    Bud­dhist cer­e­monies and the rhyth­mic prayer rit­u­als per­formed five times a
    day by devout Mus­lims.
    Music was a back­bone of the civ­il rights move­ment in the Unit­ed
    States. Any­one alive at that time will not for­get the lines of marchers, arms
    linked, singing “We Shall Over­come” as they walked steadi­ly toward the
    police who were massed to stop them. Music binds togeth­er peo­ple who
    might indi­vid­u­al­ly be ter­ri­fied but who col­lec­tive­ly become pow­er­ful
    advo­cates for them­selves and oth­ers. Along with lan­guage, danc­ing,
    march­ing, and singing are unique­ly human ways to install a sense of hope
    and courage.
    I observed the force of com­mu­nal rhythms in action when I watched
    Arch­bish­op Desmond Tutu con­duct pub­lic hear­ings for the Truth and
    Rec­on­cil­i­a­tion Com­mis­sion in South Africa in 1996. These events were
    framed by col­lec­tive singing and danc­ing. Wit­ness­es recount­ed the
    unspeak­able atroc­i­ties that had been inflict­ed on them and their fam­i­lies.
    When they became over­whelmed, Tutu would inter­rupt their tes­ti­mo­ny and
    lead the entire audi­ence in prayer, song, and dance until the wit­ness­es could
    con­tain their sob­bing and halt their phys­i­cal col­lapse. This enabled
    par­tic­i­pants to pen­du­late in and out of reliv­ing their hor­ror and even­tu­al­ly to
    find words to describe what had hap­pened to them. I ful­ly cred­it Tutu and
    the oth­er mem­ber of the com­mis­sion with avert­ing what might have been an
    orgy of revenge, as is so com­mon when vic­tims are final­ly set free.
    A few years ago I dis­cov­ered Keep­ing Togeth­er in Time,4 writ­ten by the
    great his­to­ri­an William H. McNeill near the end of his career. This short
    book exam­ines the his­tor­i­cal role of dance and mil­i­tary drill in cre­at­ing
    what McNeill calls “mus­cu­lar bond­ing” and sheds a new light on the
    impor­tance of the­ater, com­mu­nal dance, and move­ment. It also solved a
    long-stand­ing puz­zle in my own mind. Hav­ing been raised in the
    Nether­lands, I had always won­dered how a group of sim­ple Dutch peas­ants
    and fish­er­men had won their lib­er­a­tion from the mighty Span­ish empire.
    The Eighty Years’ War, which last­ed from the late six­teenth to the
    mid­sev­en­teenth cen­tu­ry, began as a series of guer­ril­la actions, and it seemed
    des­tined to remain that way, since the ill-dis­ci­plined, ill-paid sol­diers
    reg­u­lar­ly fled under vol­leys of mus­ket fire.
    This changed when Prince Mau­rice of Orange became the leader of the
    Dutch rebels. Still in his ear­ly twen­ties, he had recent­ly com­plet­ed his
    school­ing in Latin, which enabled him to read 1,500-year-old Roman
    man­u­als on mil­i­tary tac­tics. He learned that the Roman gen­er­al Lycur­gus
    had intro­duced march­ing in step to the Roman legions and that the his­to­ri­an
    Plutarch had attrib­uted their invin­ci­bil­i­ty to this prac­tice: “It was at once a
    mag­nif­i­cent and ter­ri­ble sight, to see them march on to the tune of their
    flutes, with­out any dis­or­der in their ranks, any dis­com­po­sure in their minds
    or change in their coun­te­nances, calm­ly and cheer­ful­ly mov­ing with music
    to the dead­ly fight.”5
    Prince Mau­rice insti­tut­ed close-order drill, accom­pa­nied by drums,
    flutes, and trum­pets, in his rag­tag army. This col­lec­tive rit­u­al not only
    pro­vid­ed his men with a sense of pur­pose and sol­i­dar­i­ty, but also made it
    pos­si­ble for them to exe­cute com­pli­cat­ed maneu­vers. Close-order drill
    sub­se­quent­ly spread across Europe, and to this day the major ser­vices of the
    U.S. mil­i­tary spend lib­er­al­ly on their march­ing bands, even though fifes and
    drums no longer accom­pa­ny troops into bat­tle.
    Neu­ro­sci­en­tist Jaak Panksepp, who was born in the tiny Baltic coun­try
    of Esto­nia, told me the remark­able sto­ry of Estonia’s “Singing Rev­o­lu­tion.”
    In June 1987, on one of those end­less sub-Arc­tic sum­mer evenings, more
    than ten thou­sand con­cert­go­ers at the Tallinn Song Fes­ti­val Grounds linked
    hands and began to sing patri­ot­ic songs that had been for­bid­den dur­ing half
    a cen­tu­ry of Sovi­et occu­pa­tion. These songfests and protests con­tin­ued, and
    on Sep­tem­ber 11, 1988, three hun­dred thou­sand peo­ple, about a quar­ter of
    the pop­u­la­tion of Esto­nia, gath­ered to sing and make a pub­lic demand for
    inde­pen­dence. By August 1991 the Con­gress of Esto­nia had pro­claimed the
    restora­tion of the Eston­ian state, and when Sovi­et tanks attempt­ed to
    inter­vene, peo­ple act­ed as human shields to pro­tect Tallinn’s radio and TV
    sta­tions. As a colum­nist not­ed in the New York Times: “Imag­ine the scene in
    Casablan­ca in which the French patrons sing “La Mar­seil­laise” in defi­ance
    of the Ger­mans, then mul­ti­ply its pow­er by a fac­tor of thou­sands, and
    you’ve only begun to imag­ine the force of the Singing Revolution.”6
    TREATING TRAUMA THROUGH THEATER
    It is sur­pris­ing how lit­tle research exists on how col­lec­tive cer­e­monies
    affect the mind and brain and how they might pre­vent or alle­vi­ate trau­ma.
    Over the past decade, how­ev­er, I have had a chance to observe and study
    three dif­fer­ent pro­grams for treat­ing trau­ma through the­ater: Urban Improv
    in Boston7 and the Trau­ma Dra­ma pro­gram it inspired in the Boston pub­lic
    schools and in our res­i­den­tial centers;8 the Pos­si­bil­i­ty Project, direct­ed by
    Paul Grif­fin in New York City;9 and Shake­speare & Com­pa­ny, in Lenox,
    Mass­a­chu­setts, which runs a pro­gram for juve­nile offend­ers called
    Shake­speare in the Courts.10 In this chap­ter, I’ll focus on these three groups,
    but there are many excel­lent ther­a­peu­tic dra­ma pro­grams in the Unit­ed
    States and abroad, mak­ing the­ater a wide­ly avail­able resource for recov­ery.
    Despite their dif­fer­ences, all of these pro­grams share a com­mon
    foun­da­tion: con­fronta­tion of the painful real­i­ties of life and sym­bol­ic
    trans­for­ma­tion through com­mu­nal action. Love and hate, aggres­sion and
    sur­ren­der, loy­al­ty and betray­al are the stuff of the­ater and the stuff of
    trau­ma. As a cul­ture we are trained to cut our­selves off from the truth of
    what we’re feel­ing. In the words of Tina Pack­er, the charis­mat­ic founder of
    Shake­speare & Com­pa­ny: “Train­ing actors involves train­ing peo­ple to go
    against that tendency—not only to feel deeply, but to con­vey that feel­ing at
    every moment to the audi­ence, so the audi­ence will get it—and not close off
    against it.”
    Trau­ma­tized peo­ple are ter­ri­fied to feel deeply. They are afraid to
    expe­ri­ence their emo­tions, because emo­tions lead to loss of con­trol. In
    con­trast, the­ater is about embody­ing emo­tions, giv­ing voice to them,
    becom­ing rhyth­mi­cal­ly engaged, tak­ing on and embody­ing dif­fer­ent roles.
    As we’ve seen, the essence of trau­ma is feel­ing god­for­sak­en, cut off
    from the human race. The­ater involves a col­lec­tive con­fronta­tion with the
    real­i­ties of the human con­di­tion. As Paul Grif­fin, dis­cussing his the­ater
    pro­gram for fos­ter-care chil­dren, told me: “The stuff of tragedy in the­ater
    revolves around cop­ing with betray­al, assault, and destruc­tion. These kids
    have no trou­ble under­stand­ing what Lear, Oth­el­lo, Mac­beth, or Ham­let are
    all about.” In Tina Packer’s words: “Every­thing is about using the whole
    body and hav­ing oth­er bod­ies res­onate with your feel­ings, emo­tions and
    thoughts.” The­ater gives trau­ma sur­vivors a chance to con­nect with one
    anoth­er by deeply expe­ri­enc­ing their com­mon human­i­ty.
    Trau­ma­tized peo­ple are afraid of con­flict. They fear los­ing con­trol and
    end­ing up on the los­ing side once again. Con­flict is cen­tral to theater—inner
    con­flicts, inter­per­son­al con­flicts, fam­i­ly con­flicts, social con­flicts, and their
    con­se­quences. Trau­ma is about try­ing to for­get, hid­ing how scared, enraged,
    or help­less you are. The­ater is about find­ing ways of telling the truth and
    con­vey­ing deep truths to your audi­ence. This requires push­ing through
    block­ages to dis­cov­er your own truth, explor­ing and exam­in­ing your own
    inter­nal expe­ri­ence so that it can emerge in your voice and body on stage.
    MAKING IT SAFE TO ENGAGE
    These the­ater pro­grams are not for aspir­ing actors but for angry, fright­ened,
    and obstreper­ous teenagers or with­drawn, alco­holic, burned-out vet­er­ans.
    When they come to rehearsal, they slump into their chairs, fear­ful that
    oth­ers will imme­di­ate­ly see what fail­ures they are. Trau­ma­tized ado­les­cents
    are a jum­ble: inhib­it­ed, out of tune, inar­tic­u­late, unco­or­di­nat­ed, and
    pur­pose­less. They are too hyper­aroused to notice what is going on around
    them. They are eas­i­ly trig­gered and rely on action rather than words to
    dis­charge their feel­ings.
    All the direc­tors I’ve worked with agree that the secret is to go slow
    and engage them bit by bit. The ini­tial chal­lenge is sim­ply to get
    par­tic­i­pants to be more present in the room. Here’s Kevin Cole­man, direc­tor
    of Shake­speare in the Courts, describ­ing his work with teens when I
    inter­viewed him: “First we get them up and walk­ing around the room. Then
    we start to cre­ate a bal­ance in the space, so they’re not walk­ing aim­less­ly,
    but become aware of oth­er peo­ple. Grad­u­al­ly, with lit­tle prompts, it
    becomes more com­plex: Just walk on your toes, or on your heels, or walk
    back­wards. Then, when you bump into some­one, scream and fall down.
    After maybe thir­ty prompts, they’re out there wav­ing their arms in the air,
    and we get to a full-body warm up, but it’s incre­men­tal. If you take too big
    a jump, you’ll see them hit the wall.
    “You have to make it safe for them to notice each oth­er. Once their
    bod­ies are a lit­tle more free, I might use the prompt: ‘Don’t make eye
    con­tact with anyone—just look at the floor.’ Most of them are think­ing:
    ‘Great, I’m doing that already,’ but then I say ‘Now begin to notice peo­ple
    as you go by, but don’t let them see you look­ing.’ And next: ‘Just make eye
    con­tact for a sec­ond.’ Then: ‘Now, no eye con­tact … now, con­tact … now,
    no con­tact. Now, make eye con­tact and hold it … too long. You’ll know
    when it’s too long because you’ll either want to start dat­ing that per­son or to
    have a fight with them. That’s when it’s too long.’
    “They don’t make that kind of extend­ed eye con­tact in their nor­mal
    lives, not even with a per­son they’re talk­ing to. They don’t know if that
    per­son is safe or not. So what you’re doing is mak­ing it safe for them not to
    dis­ap­pear when they make eye con­tact, or when some­one looks at them. Bit
    by bit, by bit, by bit …”
    Trau­ma­tized ado­les­cents are notice­ably out of sync. In the Trau­ma
    Center’s Trau­ma Dra­ma pro­gram, we use mir­ror­ing exer­cis­es to help them
    to get in tune with one anoth­er. They move their right arm up, and their
    part­ner mir­rors it; they twirl, and their part­ner twirls in response. They
    begin to observe how body move­ments and facial expres­sions change, how
    their own nat­ur­al move­ments dif­fer from those of oth­ers, and how
    unac­cus­tomed move­ments and expres­sions make them feel. Mir­ror­ing
    loosens their pre­oc­cu­pa­tion with what oth­er peo­ple think of them and helps
    them attune vis­cer­al­ly, not cog­ni­tive­ly, to some­one else’s expe­ri­ence. When
    mir­ror­ing ends in gig­gles, it’s a sure indi­ca­tion that our par­tic­i­pants feel
    safe.
    In order to become real part­ners, they also need to learn to trust one
    anoth­er. An exer­cise in which one per­son is blind­fold­ed while his part­ner
    leads him by the hand is espe­cial­ly tough for our kids. It’s often as
    ter­ri­fy­ing for them to be the leader, to be trust­ed by some­one vul­ner­a­ble, as
    it is to be blind­fold­ed and led. At first they may last for only ten or twen­ty
    sec­onds, but we grad­u­al­ly work them up to five min­utes. After­ward some of
    them have to go off by them­selves for a while, because it is so emo­tion­al­ly
    over­whelm­ing to feel these con­nec­tions.
    The trau­ma­tized kids and vet­er­ans we work with are embar­rassed to be
    seen, afraid to be in touch with what they are feel­ing, and they keep one
    anoth­er at arm’s length. The job of any direc­tor, like that of any ther­a­pist, is
    to slow things down so the actors can estab­lish a rela­tion­ship with
    them­selves, with their bod­ies. The­ater offers a unique way to access a full
    range of emo­tions and phys­i­cal sen­sa­tions that not only put them in touch
    with the habit­u­al “set” of their bod­ies, but also let them explore alter­na­tive
    ways of engag­ing with life.
    URBAN IMPROV
    My son loved his the­ater group, which was run by Urban Improv (UI), a
    long-stand­ing Boston arts insti­tu­tion. He stayed with them through high
    school and then vol­un­teered to work with them the sum­mer after his
    fresh­man year in col­lege. It was then that he learned that UI’s vio­lence
    pre­ven­tion pro­gram, which has run hun­dreds of work­shops in local schools
    since 1992, had received a research grant to assess its efficacy—and that
    they were look­ing for some­one to head the study. Nick sug­gest­ed to the
    direc­tors, Kip­py Dewey and Cis­sa Cam­pi­on, that his dad would be the ide­al
    per­son for the job. Luck­i­ly for me, they agreed.
    I began to vis­it schools with UI’s mul­ti­cul­tur­al ensem­ble, which
    includ­ed a direc­tor, four pro­fes­sion­al actor-edu­ca­tors, and a musi­cian.
    Urban Improv cre­ates script­ed skits depict­ing the kinds of prob­lems that
    stu­dents face every day: exclu­sion from peer groups, jeal­ousy, rival­ry and
    anger, and fam­i­ly strife. Skits for old­er stu­dents also address issues like
    dat­ing, STDs, homo­pho­bia, and peer vio­lence. In a typ­i­cal pre­sen­ta­tion the
    pro­fes­sion­al actors might por­tray a group of kids exclud­ing a new­com­er
    from a lunch table in the cafe­te­ria. As the scene approach­es a choice point
    —for exam­ple, the new stu­dent responds to their put-downs—the direc­tor
    freezes the action. A mem­ber of the class is then invit­ed to replace one of
    the actors and show how he or she would feel and behave in this sit­u­a­tion.
    These sce­nar­ios enable the stu­dents to observe day-to-day prob­lems with
    some emo­tion­al dis­tance while exper­i­ment­ing with var­i­ous solu­tions: Will
    they con­front the tor­menters, talk to a friend, call the home­room teacher,
    tell their par­ents what hap­pened?
    Anoth­er vol­un­teer is then asked to try a dif­fer­ent approach, so that
    stu­dents can see how oth­er choic­es might play out. Props and cos­tumes help
    the par­tic­i­pants take risks in new roles, as do the play­ful atmos­phere and the
    sup­port from the actors. In the dis­cus­sion groups after­ward stu­dents respond
    to ques­tions like “How was this scene sim­i­lar or dif­fer­ent from what
    hap­pens in your school?” “How do you get the respect that you need?” and
    “How do you set­tle your dif­fer­ences?” These dis­cus­sions become live­ly
    exchanges as many stu­dents vol­un­teer their thoughts and ideas.
    Our Trau­ma Cen­ter team eval­u­at­ed this pro­gram at two grade lev­els in
    sev­en­teen par­tic­i­pat­ing schools. Class­rooms that par­tic­i­pat­ed in the UI
    pro­gram were com­pared with sim­i­lar non­par­tic­i­pat­ing class­rooms. At the
    fourth-grade lev­el, we found a sig­nif­i­cant pos­i­tive response. On
    stan­dard­ized rat­ing scales for aggres­sion, coop­er­a­tion, and self-con­trol,
    stu­dents in the UI group showed sub­stan­tial­ly few­er fights and angry
    out­bursts, more coop­er­a­tion and self-asser­tion with peers, and more
    atten­tive­ness and engage­ment in the classroom.11
    Much to our sur­prise, these results were not matched by the eighth
    graders. What had hap­pened in the inter­im that affect­ed their respons­es? At
    first we had only our per­son­al impres­sions to go on. When I’d vis­it­ed the
    fourth-grade class­es, I’d been struck by their wide-eyed inno­cence and their
    eager­ness to par­tic­i­pate. The eighth graders, in con­trast, were often sullen
    and defen­sive and as a group seemed to have lost their spon­tane­ity and
    enthu­si­asm. Onset of puber­ty was one obvi­ous fac­tor for the change, but
    might there be oth­ers?
    When we delved fur­ther, we found that the old­er chil­dren had
    expe­ri­enced more than twice as much trau­ma as the younger ones: Every
    sin­gle eighth grad­er in these typ­i­cal Amer­i­can inner-city schools had
    wit­nessed seri­ous vio­lence. Two-thirds had observed five or more inci­dents,
    includ­ing stab­bings, gun­fights, killings, and domes­tic assaults. Our data
    showed that eighth graders with such high lev­els of expo­sure to vio­lence
    were sig­nif­i­cant­ly more aggres­sive than stu­dents with­out these his­to­ries and
    that the pro­gram made no sig­nif­i­cant dif­fer­ence in their behav­ior.
    The Trau­ma Cen­ter team decid­ed to see if we could turn this sit­u­a­tion
    around with a longer and more inten­sive pro­gram that focused on team
    build­ing and emo­tion-reg­u­la­tion exer­cis­es, using scripts that dealt direct­ly
    with the kinds of vio­lence these kids expe­ri­enced. For sev­er­al months
    mem­bers of our staff, led by Joseph Spinaz­zo­la, met week­ly with the UI
    actors to work on script devel­op­ment. The actors taught our psy­chol­o­gists
    impro­vi­sa­tion, mir­ror­ing, and pre­cise phys­i­cal attune­ment so they could
    cred­i­bly por­tray melt­ing down, con­fronting, cow­er­ing, or col­laps­ing. We
    taught the actors about trau­ma trig­gers and how to rec­og­nize and deal with
    trau­ma reenactments.12
    Dur­ing the win­ter and spring of 2005, we test­ed the result­ing pro­gram
    at a spe­cial­ized day school run joint­ly by the Boston Pub­lic Schools and the
    Mass­a­chu­setts Depart­ment of Cor­rec­tion. This was a chaot­ic envi­ron­ment
    in which stu­dents often shut­tled back and forth between school and jail. All
    of them came from high-crime neigh­bor­hoods and had been exposed to
    hor­ren­dous vio­lence; I had nev­er seen such an aggres­sive and sullen group
    of kids. We got a glimpse into the lives of the innu­mer­able mid­dle school
    and high school teach­ers who deal dai­ly with stu­dents whose first response
    to new chal­lenges is to lash out or go into defi­ant with­draw­al.
    We were shocked to dis­cov­er that, in scenes where some­one was in
    phys­i­cal dan­ger, the stu­dents always sided with the aggres­sors. Because
    they could not tol­er­ate any sign of weak­ness in them­selves, they could not
    accept it in oth­ers. They showed noth­ing but con­tempt for poten­tial vic­tims,
    yelling things like, “Kill the bitch, she deserves it,” dur­ing a skit about
    dat­ing vio­lence.
    At first some of the pro­fes­sion­al actors want­ed to give up—it was
    sim­ply too painful to see how mean these kids were—but they stuck it out,
    and I was amazed to see how they grad­u­al­ly got the stu­dents to exper­i­ment,
    how­ev­er reluc­tant­ly, with new roles. Toward the end of the pro­gram, a few
    stu­dents were even vol­un­teer­ing for parts that involved show­ing
    vul­ner­a­bil­i­ty or fear. When they received their cer­tifi­cate of com­ple­tion,
    sev­er­al shy­ly gave the actors draw­ings to express their appre­ci­a­tion. I
    detect­ed a few tears, pos­si­bly even in myself.
    Our attempt to make Trau­ma Dra­ma a reg­u­lar part of the eighth-grade
    cur­ricu­lum in the Boston pub­lic schools unfor­tu­nate­ly ran into a wall of
    bureau­crat­ic resis­tance. Nonethe­less, it lives on as an inte­gral part of the
    res­i­den­tial treat­ment pro­grams at the Jus­tice Resource Insti­tute, while
    music, the­ater, art, and sports—timeless ways of fos­ter­ing com­pe­tence and
    col­lec­tive bonding—continue to dis­ap­pear from our schools.
    THE POSSIBILITY PROJECT
    In Paul Griffin’s New York City Pos­si­bil­i­ty Project the actors are not
    pre­sent­ed with pre­pared scripts. Instead, over a nine-month peri­od they
    meet for three hours a week, write their own full-length musi­cal, and
    per­form it for sev­er­al hun­dred peo­ple. Dur­ing its twen­ty-year his­to­ry the
    Pos­si­bil­i­ty Project has accrued a sta­ble staff and strong tra­di­tions. Each
    pro­duc­tion team is made up of recent grad­u­ates who, with the help of
    pro­fes­sion­al actors, dancers, and musi­cians, orga­nize scriptwrit­ing, scenic
    design, chore­og­ra­phy, and rehearsals for the incom­ing class. These recent
    grads are pow­er­ful role mod­els. As Paul told me: “When they come into the
    pro­gram, stu­dents believe they can­not make a dif­fer­ence; putting a pro­gram
    like this togeth­er is a trans­form­ing expe­ri­ence for their future.”
    In 2010 Paul start­ed a new pro­gram specif­i­cal­ly for fos­ter-care youth.
    This is a trou­bled pop­u­la­tion: Five years after matur­ing out of care, some 60
    per­cent will have been con­vict­ed of a crime, 75 per­cent will be on pub­lic
    assis­tance, and only 6 per­cent will have com­plet­ed even a com­mu­ni­ty
    col­lege degree.
    The Trau­ma Cen­ter treats many fos­ter care kids, but Grif­fin gave me a
    new way to see their lives: “Under­stand­ing fos­ter care is like learn­ing about
    a for­eign coun­try. If you’re not from there, you don’t speak the lan­guage.
    Life is upside down for fos­ter-care youth.” The secu­ri­ty and love that oth­er
    chil­dren take for grant­ed they have to cre­ate for them­selves. When Grif­fin
    says, “Life is upside down,” he means that if you treat kids in fos­ter care
    with love or gen­eros­i­ty, they often don’t know what to make of it or how to
    respond. Rude­ness feels more famil­iar; cyn­i­cism they under­stand.
    As Grif­fin points out, “Aban­don­ment makes it impos­si­ble to trust, and
    kids who have gone through fos­ter care under­stand aban­don­ment. You can
    have no impact until they trust you.” Fos­ter-care chil­dren often answer to
    mul­ti­ple peo­ple in charge. If they want to switch schools, for exam­ple, they
    have to deal with fos­ter par­ents, school offi­cials, the fos­ter-care agency, and
    some­times a judge. This tends to make them polit­i­cal­ly savvy, and they
    learn all too well how to play peo­ple.
    In the fos­ter-care world, “per­ma­nen­cy” is a big buzz­word. The mot­to is
    “One car­ing adult—that’s all you need.” How­ev­er, it is nat­ur­al for teenagers
    to pull away from adults, and Grif­fin remarks that the best form of
    per­ma­nen­cy for teens is a steady group of friends—which the pro­gram is
    designed to pro­vide. Anoth­er fos­ter-care buzz­word is “inde­pen­dence,”
    which Paul coun­ters with “inter­de­pen­dence.” “We’re all inter­de­pen­dent,”
    he points out. “The idea that we’re ask­ing our young peo­ple to go out in the
    world com­plete­ly alone and call them­selves inde­pen­dent is crazy. We need
    to teach them how to be inter­de­pen­dent, which means teach­ing them how to
    have rela­tion­ships.”
    Paul found that fos­ter-care youth are nat­ur­al actors. Play­ing trag­ic
    char­ac­ters, you have to express emo­tions and cre­ate a real­i­ty that comes
    from a place of depth and sor­row and hurt. Young peo­ple in fos­ter care?
    That’s all they know. It’s life and death every day for them. Over time,
    col­lab­o­ra­tion helps the kids become impor­tant peo­ple in one another’s lives.
    Phase one of the pro­gram is group build­ing. The first rehearsal estab­lish­es
    basic agree­ments: respon­si­bil­i­ty, account­abil­i­ty, respect; yes to expres­sions
    of affec­tion, no to sex­u­al con­tact in the group. They then begin singing and
    mov­ing togeth­er, which gets them in sync.
    Now comes phase two: shar­ing life sto­ries. They are now lis­ten­ing to
    one anoth­er, dis­cov­er­ing shared expe­ri­ences, break­ing through the
    lone­li­ness and iso­la­tion of trau­ma. Paul gave me a film that shows how this
    hap­pened in one group. When the kids are first asked to say or do
    some­thing to intro­duce them­selves, they freeze, their faces expres­sion­less,
    their eyes cast down, doing any­thing they can to become invis­i­ble.
    As they begin to talk, as they dis­cov­er a voice in which they them­selves
    are cen­tral, they also begin to cre­ate their own show. Paul makes it clear the
    pro­duc­tion depends on their input: “If you could write a musi­cal or play,
    what would you put in it? Pun­ish­ment? Revenge? Betray­al? Loss? This is
    your show to write.” Every­thing they say is writ­ten down, and some of
    them start to put their own words on paper. As a script emerges, the
    pro­duc­tion team incor­po­rates the stu­dents’ pre­cise words into the songs and
    dia­logue. The group will learn that if they can embody their expe­ri­ences
    well enough, oth­er peo­ple will lis­ten. They will learn to feel what they feel
    and know what they know.
    The focus changes nat­u­ral­ly as rehearsals begin. The fos­ter kids’
    his­to­ry of pain, alien­ation, and fear is no longer cen­tral, and the empha­sis
    shifts to “How can I become the best actor, singer, dancer, chore­o­g­ra­ph­er,
    or light­ing and set design­er I can pos­si­bly be?” Being able to per­form
    becomes the crit­i­cal issue: Com­pe­tence is the best defense against the
    help­less­ness of trau­ma.
    This is, of course, true for all of us. When the job goes bad, when a
    cher­ished project fails, when some­one you count on leaves you or dies,
    there are few things as help­ful as mov­ing your mus­cles and doing
    some­thing that demands focused atten­tion. Inner-city schools and
    psy­chi­atric pro­grams often lose sight of this. They want the kids to behave
    “normally”—without build­ing the com­pe­ten­cies that will make them feel
    nor­mal.
    The­ater pro­grams also teach cause and effect. A fos­ter kid’s life is
    com­plete­ly unpre­dictable. Any­thing can hap­pen with­out notice: being
    trig­gered and hav­ing a melt­down; see­ing a par­ent arrest­ed or killed; being
    moved from one home to anoth­er; get­ting yelled at for things that got you
    approval in your last place­ment. In a the­atri­cal pro­duc­tion they see the
    con­se­quences of their deci­sions and actions laid out direct­ly before their
    eyes. “If you want to give them a sense of con­trol, you have to give them
    pow­er over their des­tiny rather than inter­vene on their behalf,” Paul
    explains. “You can­not help, fix, or save the young peo­ple you are work­ing
    with. What you can do is work side by side with them, help them to
    under­stand their vision, and real­ize it with them. By doing that you give
    them back con­trol. We’re heal­ing trau­ma with­out any­one ever men­tion­ing
    the word.”
    SENTENCED TO SHAKESPEARE
    For the teenagers attend­ing ses­sions of Shake­speare in the Courts, there is
    no impro­vi­sa­tion, no build­ing scripts around their own lives. They are all
    “adju­di­cat­ed offend­ers” found guilty of fight­ing, drink­ing, steal­ing, and
    prop­er­ty crimes, and a Berk­shire Coun­ty Juve­nile Court judge has
    sen­tenced them to six weeks, four after­noons a week, of inten­sive act­ing
    study. Shake­speare is a for­eign coun­try for these actors. As Kevin Cole­man
    told me, when they first turn up—angry, sus­pi­cious, and in shock—they’re
    con­vinced that they’d rather go to jail. Instead they’re going to learn the
    lines of Ham­let, or Mark Antony, or Hen­ry V and then go onstage in a
    con­densed per­for­mance of an entire Shake­speare play before an audi­ence of
    fam­i­ly, friends, and rep­re­sen­ta­tives of the juve­nile jus­tice sys­tem.
    With no words to express the effects of their capri­cious upbring­ing,
    these ado­les­cents act out their emo­tions with vio­lence. Shake­speare calls for
    sword fight­ing, which, like oth­er mar­tial arts, gives them an oppor­tu­ni­ty to
    prac­tice con­tained aggres­sion and expres­sions of phys­i­cal pow­er. The
    empha­sis is on keep­ing every­one safe. The kids love sword­play, but to keep
    one anoth­er safe they have to nego­ti­ate and use lan­guage.
    Shake­speare was writ­ing at a time of tran­si­tion, when the world was
    mov­ing from pri­mar­i­ly oral to writ­ten communication—when most peo­ple
    were still sign­ing their name with an X. These kids are fac­ing their own
    peri­od of tran­si­tion; many are bare­ly artic­u­late, and some strug­gle to read at
    all. If they rely on four-let­ter words, it’s not only to show they’re tough but
    because they have no oth­er lan­guage to com­mu­ni­cate who they are or what
    they feel. When they dis­cov­er the rich­ness and the poten­tial of lan­guage,
    they often have a vis­cer­al expe­ri­ence of joy.
    The actors first inves­ti­gate what, exact­ly, Shake­speare is say­ing, line by
    line. The direc­tor feeds the words one by one into the actors’ ears, and they
    are instruct­ed to say the line on the out­go­ing breath. At the begin­ning of the
    process, many of these kids can bare­ly get a line out. Progress is slow, as
    each actor slow­ly inter­nal­izes the words. The words gain depth and
    res­o­nance as the voice changes in response to their asso­ci­a­tions. The idea is
    to inspire the actors to sense their reac­tions to the words—and so to
    dis­cov­er the char­ac­ter. Rather than “I have to remem­ber my lines,” the
    empha­sis is on “What do these words mean to me? What effect do I have on
    my fel­low actors? And what hap­pens to me when I hear their lines?”13
    This can be a life-chang­ing process, as I wit­nessed in a work­shop run
    by actors trained by Shake­speare & Com­pa­ny at the VA Med­ical Cen­ter in
    Bath, New York. Lar­ry, a fifty-nine-year-old Viet­nam vet­er­an with twen­ty-
    sev­en detox hos­pi­tal­iza­tions dur­ing the pre­vi­ous year, had vol­un­teered to
    play the role of Bru­tus in a scene from Julius Cae­sar. As the rehearsal
    began, he mum­bled and hur­ried through his lines; he seemed to be ter­ri­fied
    of what peo­ple were think­ing of him.
    Remem­ber March, the ides of March remem­ber:
    Did not great Julius bleed for jus­tice’ sake?
    What vil­lain touch’d his body, that did stab,
    And not for jus­tice?
    It seemed to take hours to rehearse the speech that begins with these
    lines. At first he was just stand­ing there, shoul­ders slumped, repeat­ing the
    words that the direc­tor whis­pered in his ear: “Remember—what do you
    remem­ber? Do you remem­ber too much? Or not enough? Remem­ber. What
    don’t you want to remem­ber? What is it like to remem­ber?” Larry’s voice
    cracked, eyes to the floor, sweat bead­ing on his fore­head.
    After a short break and a sip of water, back to work. “Justice—did you
    receive jus­tice? Did you ever bleed for justice’s sake? What does jus­tice
    mean to you? Struck. Have you ever struck some­one? Have you ever been
    struck? What was it like? What do you wish you had done? Stab. Have you
    ever stabbed some­one? Have you ever felt stabbed in the back? Have you
    stabbed some­one in the back?” At this point Lar­ry bolt­ed from the room.
    The next day he returned and we began again—Larry stand­ing there,
    per­spir­ing, heart rac­ing, hav­ing a mil­lion asso­ci­a­tions going through his
    mind, grad­u­al­ly allow­ing him­self to feel every word and learn­ing to own
    the lines that he uttered.
    At the end of the pro­gram Lar­ry start­ed his first job in sev­en years, and
    he was still work­ing the last I heard, six months lat­er. Learn­ing to
    expe­ri­ence and tol­er­ate deep emo­tions is essen­tial for recov­ery from
    trau­ma.
    • • •
    In Shake­speare in the Courts, the speci­fici­ty of the lan­guage that is used in
    rehearsal extends to the stu­dents’ off­stage speech. Kevin Cole­man notes
    that their talk is rid­dled with the expres­sion “I feel like …” He goes on: “If
    you are con­fus­ing your emo­tion­al expe­ri­ences with your judg­ments, your
    work becomes vague. If you ask them, ‘How did that feel?’ they’ll
    imme­di­ate­ly say: ‘It felt good’ or ‘That felt bad.’ Both of those are
    judg­ments. So we nev­er say, ‘How did that feel?’ at the end of a scene,
    because it invites them to go to the judg­ment part of their brain.”
    Instead Cole­man asks, “Did you notice any spe­cif­ic feel­ings that came
    up for you doing that scene?” That way they learn to name emo­tion­al
    expe­ri­ences: “I felt angry when he said that.” “I felt scared when he looked
    at me.” Becom­ing embod­ied and, for lack of a bet­ter word, “en-lan­guaged,”
    helps the actors real­ize that they have many dif­fer­ent emo­tions. The more
    they notice, the more curi­ous they get.
    When rehearsals begin, the kids have to learn to stand up straight and
    walk across a stage unself­con­scious­ly. They have to learn to speak so that
    they can be heard in all parts of the the­ater, which in itself presents a huge
    chal­lenge. The final per­for­mance means fac­ing the com­mu­ni­ty. The kids
    step out onto the stage, expe­ri­enc­ing anoth­er lev­el of vul­ner­a­bil­i­ty, dan­ger,
    or safe­ty, and they find out how much they can trust them­selves. Grad­u­al­ly
    the eager­ness to suc­ceed, to show that they can do it, takes over. Kevin told
    me the sto­ry of a girl who played Ophe­lia in Ham­let. On the day of the
    per­for­mance he saw her wait­ing back­stage, ready to go on, with a
    waste­bas­ket clutched to her bel­ly. (She explained that she was so ner­vous
    she was scared she’d throw up). She had been a chron­ic run­away from her
    fos­ter homes and also from Shake­speare in the Courts. Because the pro­gram
    is com­mit­ted to not throw­ing kids out if at all pos­si­ble, the police and tru­ant
    offi­cers had repeat­ed­ly brought her back. There must have come a point
    when she began to real­ize that her role was essen­tial to the group, or
    per­haps she sensed the intrin­sic val­ue of the expe­ri­ence for her­self. At least
    for that day, she was choos­ing not to run.
    THERAPY AND THEATER
    I once heard Tina Pack­er declare to a room­ful of trau­ma spe­cial­ists:
    “Ther­a­py and the­ater are intu­ition at work. They are the oppo­site of
    research, where one strives to step out­side of one’s own per­son­al
    expe­ri­ence, even out­side your patients’ expe­ri­ence, to test the objec­tive
    valid­i­ty of assump­tions. What makes ther­a­py effec­tive is deep, sub­jec­tive
    res­o­nance and that deep sense of truth and verac­i­ty that lives in the body.” I
    am still hop­ing that some­day we will prove Tina wrong and com­bine the
    rig­or of sci­en­tif­ic meth­ods with the pow­er of embod­ied intu­ition.
    Edward, one of the Shake­speare & Com­pa­ny teach­ers, told me about an
    expe­ri­ence he’d had as a young actor in Packer’s advanced train­ing
    work­shop. The group had spent the morn­ing doing exer­cis­es aimed at
    get­ting the mus­cles of the tor­so to release, so that the breath could drop in
    nat­u­ral­ly and ful­ly. Edward noticed that every time he rolled through one
    sec­tion of his ribs, he’d feel a wave of sad­ness. The coach asked if he’d
    ever been injured there, and he said no.
    For Packer’s after­noon class he’d pre­pared a speech from Richard II
    where the king is sum­moned to give up his crown to the lord who has
    usurped him. Dur­ing the dis­cus­sion after­ward, he recalled that his moth­er
    had bro­ken her ribs when she was preg­nant with him and that he’d always
    asso­ci­at­ed this with his pre­ma­ture birth.
    As he recalled:
    When I told Tina this, she start­ed ask­ing me ques­tions about
    my first few months. I said I didn’t remem­ber being in an
    incu­ba­tor but that I remem­bered times lat­er when I stopped
    breath­ing, and being in the hos­pi­tal in an oxy­gen tent. I
    remem­bered being in my uncle’s car and him dri­ving through red
    lights to get me to the emer­gency room. It was like hav­ing sud­den
    infant death syn­drome at the age of three.
    Tina kept ask­ing me ques­tions, and I start­ed to get real­ly
    frus­trat­ed and angry at her pok­ing away at what­ev­er shield I had
    around that pain. Then she said, “Was it painful when the doc­tors
    stuck all those nee­dles in you?”
    At that moment, I just start­ed scream­ing. I tried to leave the
    room, but two of the oth­er actors—really big guys—held me

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