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Photo by Todd Heisler/Rocky Mountain News/Iraq 2003

 

 

 

 

"It's not just the soldiers who are living on hair-trigger alert. It's all of us. That's what bombs do. Whether they are used or not, they violate everything that is humane. They alter the meaning of life itself."
— Arundhati Roy author of War Talk

 

 

 

 

Preventing Retraumatization

”Working with survivors inevitably creates in the mind’s eye of the therapist a similar landscape of pain, horror and hell as the one burned into the client’s.”
— Ed Tick
author of Sacred Mountain:
Encounters with the Vietnam Beast

What can bodyworkers do to clear vicarious retraumatization and maintain their vital capacity to serve? These suggestions come from people who have worked in this field for more than 20 years.

Remember beauty. Survivors survive because they have some relationship with beauty. Journalist Chris Hedges, who has covered the bloodiest of our recent wars, recalls how, when captured and held prisoner, he recited to himself all the poems he could remember and reconstructed the literature he held dear. Therapists must learn from this. Cultivate what you find beautiful and own this beauty as part of yourself.
“Write, write, write.” These are the words of Ed Tick, Ph.D., who has worked for more than 10 years with victims of the Vietnam War. He is a prolific writer who uses language to implore us to wake up and heal. Clearly his capacity to be of ongoing service is fueled and repeatedly regenerated by his communication and outreach. To Tick’s recommendation I would add “dance” or “make art.” The point is to express your experience, not hold it in. Share it with the world and the world will listen and respond.
“Be with nature. Let your body release through physical movement. Hike in the wilderness.” These are the words of a World War II veteran whose health radiates from his eyes.
Receive bodywork. “Limit your practice with survivors so that you can care for yourself.” This is what Amber Gray, former clinical director of the Rocky Mountain Survivors’ Center calls “mapping.” It’s a requirement for her staff therapists and volunteers.
Network. Connect with others in the field. Feel yourself to be part of a larger community of healers with the same intention to end the lineage of shock and trauma.

 

 

 

 

Photo by Ahmad Terry/Rocky Mountain News/Iraq 2003.

 

 

 

 

Useful mirroring and sensory
awareness language

”What are you noticing in your body?”
”Notice how you are breathing.”
”Where do you feel energy flowing in your body now?”
”If you are able to notice how you feel trapped in places in your body, it is because you are now free.”
”You can be in charge now.”
”You can control how much you remember.”
”You have survived for a reason.”
”Now you can recognize when you feel
overwhelmed.”

 

 

 

 

"I have survived to tell my story so that people will know what really happens in this world."
— A survivor of political torture after successful completion of therapy

 

 

 

 

Photo by Todd Heisler/Rocky Mountain News/Iraq 2003.

 

 

 

 

"Bodyworkers are in a better position to address shock and trauma than other therapists because more people see them. People aren't healed by medication. They are healed by connection and contact. For this reason, somatic therapists are the ones who offer the most relief for survivors."
— Steve Cannon, Vietnam veteran

 

 

 

 

Ten steps to resolve shock
1. Identify what can be learned from the experience.
2. Sustain and enforce the awareness of this learning.
3. Establish a strong relationship with your body.
4. Develop an inner witness.
5. Make a bond with nature.
6. Laughter is the best medicine.
7. Use language as a healing tool.
8. Use touch to heal.
9. Separate past from present.
10. Address shock immediately.

— from We Are All in Shock: How Overwhelming Experience Shatters You and What You Can Do About It by Stephanie Mines, Ph.D.

 

 

 

 

Photo by Ahmad Terry/Rocky Mountain News/Iraq 2003.

 

 

 

 

Tools for working with survivors
• Ask for permission to touch.
• Give the client the option of receiving touch while clothed.
Undressing is not required for massage or energy medicine.
• Encourage the client to let you know what feels safe to him and what activates him.
• Use gentle hand placement.
• Pace treatment and maintain contact through dialogue.
• Advise client of your next move, such as: “I will now work with your feet.”
• Work with the feet and encourage the felt sense of support and connection.
• Do not push for storytelling.
• Make sure client is grounded before session completes.
• Respect what your client tells you.

 

 

 

 

"Prepare to have your heart broken if you want to work with survivors of war and torture. There is no way to touch their lives without your heart breaking."
— Amber Gray, former clinical director, Rocky Mountain Survivors' Center

 

 

 

 

 

 

 

 

 

 

War and the Body
Serving the Survivors

By Stephanie Mines

 


As a survivor of torture I know how wounds of violation can live in the body and the mind. My recovery included bodywork and so I know both its assets and liabilities in resolving shock of this magnitude. I am now both a practitioner and a teacher of somatic therapies for survivors, which has added substantially to my perspective on what it takes to rebuild one’s life from the pyres of hatred.

The war I lived through was a political uprising, a struggle for equality with strong racial overtones. The armies at battle were street fighters, indigenous forces with primitive resources and police armed with advanced technology. I lived for almost four years in an environment of ongoing violence, followed by years of hiding after being beaten and tortured, ostensibly for information, but actually as punishment for my beliefs and choices.

I have been able to uproot most of the nervous system behavior instilled during this period and resulting from these horrors. The successes and failures on this journey orient me now as I construct resources with the clear intention of serving both survivors and therapists. In addition, this is my outreach to perpetrators of war, torture and human violation, for once the cycle ends, it ends for everyone.

Here I focus specifically on the somatic interventions that restore vitality and presence for someone who has been in war or who has been affected by combat or the violation of human rights. Indeed, massage therapists, energy healers and bodyworkers of all kinds are the most likely candidates to contact the truth of war. Our hands traverse territories where secrets are embedded. Our fingers walk the borders between sanity and hysteria.

War is like chemotherapy or radiation for cancer. The residual toxins, however, live even longer. These toxins include environmental pollutants, like depleted uranium or Agent Orange, that enter the soil of the earth and the bodies of the survivors, including the DNA of the children they bear. These toxins shape muscles, limbs and embryonic development. They direct nervous system behavior, relationships and the expression of emotions.

Guilt, rage, frustration, horror, grief and shame are also toxic byproducts of war. They burrow into the folds of the brain and therefore into muscles, ligaments, tendons and nerves. War lives in our bodies and in the body of the earth for generations. Unless the energies of war are resolved, pacified and repatterned, wars are inherited, passed like a monstrous load from generation to generation in palpable ways.

When you touch the body of a survivor of war or political torture, you are likely to encounter buried land mines. All survivors are always, of necessity, keeping something down, like someone about to vomit, having been instructed not to. Without guidance about dismantling their own explosive energies, survivors all too often go under. This is evidenced, horribly, by the fact that the number of Vietnam War veteran suicides now doubles the number of combat deaths, and continues to rise. (Daniel Hallock. Hell, Healing and Resistance. Plough Publishing, Farmington, PA:1998.)

Who Are the War Survivors?
War is everywhere. Chris Hedges, author of War Is A Force That Gives Us Meaning, tells us that modern war is really a war against civilians. On occasion we may foolishly think we are not the civilians Hedges is referring to, but we are. We are all living in the midst of war. You and I are the survivors. We participate in a world shaped by responses to threat. The truth of this is in our bodies and in the bodies of all those we touch.

Somatic therapists put their hands on the body of truth, not the myth of war. We enter the physical space between denial and surrender, between history and personal reality. Our clients are not only those who survive experiences beyond the nervous system’s healthy capacity to integrate. Our clients are also the wives, husbands, mothers, fathers and children of the combatants, living or dead. Our clients are the young people threatened by the wars to come and the descendants of those who fought in previous wars. This is why bodyworkers now, more than ever, need an immediate education in the physiological, neurological and spiritual consequences of overwhelming experience.

To treat the long-term, deeply ingrained wounds of war and torture, our attention must first go to the nervous system. This is the strand bodyworkers, knowingly or unknowingly, unravel from the strangleholds of fear and denial. The intricate interaction of skin, spinal column and neurology is what we aim to free. Our hands communicate directly with survival mechanisms. We, of necessity, evoke memories that reside, like throngs of insects, just on the other side of a wall that combat veteran Farley Mowat calls “the cotton wool of protective forgetfulness.”

The Sacred Box
Denial is omnipresent in the body of the survivor. It is the sacred box in which survivors keep their secrets. Denial is the best friend of those who witness or experience combat, torture, horror and abuse, including the war criminals themselves. Denial is neurologically established for the purpose of survival. It is the commander in the reptilian brain’s control center. Here, the commander, with the key to the box in hand, obsessively issues orders to the body to survive terror. But the reptilian brain only speaks in present tense. It needs education to vacate its past protective role at the necessary time, like an overprotective mother you must inform, even cajole, to step down when she is no longer needed in this capacity.

Bodywork inevitably seduces and draws out the body’s stories, and therein lies both its gift and its warning. How precisely can we honor the release of massive energies long withheld without reactivating original shock? And what happens to us as we do so?

“It was only by listening to my body that I realized I was living a lie,”says Vietnam veteran Steve Cannon, who specifically requested his real name be used in this article. Cannon was adamant about the crucial role somatic therapists and bodyworkers play. “I survived by suppression, by burying everything in my body. What I needed was direction about how to just be with my body and my feelings.

“It should be a requirement,”Cannon continued with intensity, “that every bodyworker dedicate themselves to studying how shock lives in the cells of the body and how it can be reactivated. Bodyworkers need to create a context for their clients to manage their emotional and physiological responses or they are in danger of reinforcing denial and perpetuating suffering."

The Light at the End of the Tunnel
The three keys to somatic treatment for survivors are sensory awareness, integration and grounding. These cannot be accomplished by touch alone. Words to accompany somatic interventions and a spacious receptivity are essential ingredients in the recovery formula. Appropriate interventions, in combination with intentional dialogue, point to the light and the life at the end of the tunnel. These particular skills, given the nature of our reality now, have to be included in the curricula of a bodyworker’s training.

Somatic therapists are the guides to this reclamation of the body —
the treasure that is rediscovered after an arduous journey underground. The rewards of life are what survivors earned but were unable to claim alone. Thus treatment becomes rebirth, and bodyworkers are the midwives.

Immobility and constriction, otherwise known as freezing or parasympathetic shock, is a common muscular condition for survivors. Vigilance or hyper-alertness is its sympathetic twin. Becoming conscious of the specifics of both tonic immobility and hypertension is an important step out of hell. Gentle mirroring by the therapist of these holding patterns is a good introduction to the unifying potential of sensory awareness. But the mirroring must be done carefully and wisely. Both integration and grounding must be assured before any bodywork session can be complete.

The danger in bodywork with survivors is that of intense reactivation and emotional flooding. In fact, Amber Gray, massage therapist and former clinical director of the Rocky Mountain Survivors’ Center, does not recommend bodywork for torture survivors. “For the torture survivor, physical contact is torture. All assumptions about the body must be left behind when you approach survivors of war and torture."

Subtle interventions, such as energy medicine, are the most effective and even they should be introduced in a titrated way, making sure the effects of each intervention are observed before another is introduced. This way the somatic portals to the wounded body and spirit are respectfully opened.*

Somatic therapists must listen to the cacophony of horror in their hands and in the voices that report and release. This requires the therapist not run from pain. Bodywork with survivors is both active and receptive meditation, slowing us down, centering us by attending to what is. It is the direct opposite of denial. Thus it is living compassion, having the tolerance to be with the dark as well as the light, the shadow that is in all of us.
There are two other primary cautions to bodyworkers who choose to serve survivors. One is not to move quickly and the second is to never be formulaic. I asked Cannon what aspect of the bodywork he experienced failed him. He replied it was the mandatory instruction to “drink lots of water” or the smile that belies denial. When you bring the darkness of the world to the massage table you don’t want to be reminded to “have a nice day.”

Two Survivors
Brian O’Leary’s (a pseudonym) sparkling eyes and joyous laugh told me that although he lost all his friends (they were teenage soldiers in World War II) at the Battle of Midway and nearly lost his mind, he has healed. Ralph Peters (also a pseudonym), on the other hand, could not look me in the eye at all. His plane crashed in Vietnam and since then he’s crashed cars, and traumatized his body, over and over again. His hands tremble with terror, guilt, rage and grief. The keys to his new car, the one he had just gotten after his last crash, rattled as he held them while we spoke. In the end, he left them on the table, racing off to get to an appointment he clearly would not make on time.

O’Leary chose the course of nature, using five element, or nature-based healing systems** to find his way back to himself. His life now is one of deep contemplation and well boundaried self-respect.

As a former pilot, Peters keeps diving in. He has been Rolfed, structurally integrated and medicated. He has gone on and off anti-depressants as often as he has been in and out of businesses and relationships. He grasps for one hand after the other. Desperate to be handsome, manly, youthful and successful, he struggles to keep his emptiness at bay, whereas O’Leary opened to it. This is the difference between organic pacing that allows a knotted nervous system to find its way home and healing that is pushed to its limits.

Interactive and carefully paced interventions hold the most promise. These, however, require courage and mentoring. Mature attunement to the body’s history will revolutionize the benefits of bodywork for all survivors.

I think somatic therapy is central to recovery from war and torture, but only with the education and honed intention of bodyworkers. When our training instructs us how to free the body from barbaric re-enactment, the profession of somatic therapy will fulfill its purpose of empowerment and embodiment. Then, those we touch will live to tell their stories with dignity and we will be able to stop war at its source.

*Subtle energy interventions that include education about recovery from abuse and violation and are specifically available for bodyworkers are trauma touch therapy, the TARA Approach and somatic experiencing.

**Five-element healing systems include Five Element acupuncture, Ayurvedic and Tibetan medicine, Qigong and the TARA Approach. These are beneficial adjuncts to psychotherapy.

Stephanie Mines, Ph.D., is the founder and director of the TARA Approach, a holistic treatment design for the resolution of shock and trauma. She is also the author of We Are All in Shock: How Overwhelming Experience Shatters You and What You Can Do About It (Career/New Pages, 2003). Her program’s website is www.tara-approach.org.

Organizations Serving Survivors
(*indicates they provide practitioner training)

Amnesty International, www.amnesty.org
• The International Rehabilitation Council for Torture Victims, Borgergrade 13, Box 9049, DK 1022 Copenhagen K Denmark, +45-33-76-06-00, fax: +45-33-76-05-00, irct@irct.org, www.irct.org
Mentoring the Soul,* 761 Madison Ave., Albany, NY 12208, phone/fax: 518/463-0588, e-mail: edtick@juno.com, www.mentorthesoul.com
Ed Tick has focused on services for combat
survivors, especially Vietnam veterans, for more than 15 years. He is the author of numerous
articles and regularly offers healing journeys to Vietnam. His commitment to the community of survivors is evident in the passion and clarity of his writing and presentations. His organization provides workshops, seminars and training.
Rocky Mountain Survivors' Center,*
1547 Gaylord St., Denver, CO 80206, 303/321-3221, fax: 303/321-3314, rmsc@rmscdenver.org*
(for volunteer training contact Valerie Moore, 303/321-3221, ext. 213)
Sensorimotor Psychotherapy Institute,*
Box 19438, Boulder, CO 80308,
e-mail: office@sensorimotorpsychotherapy.org,
www.sensorimotorpsychotherapy.org

The Sensorimotor Psychotherapy Institute offers an adjunct course specifically for massage therapists and bodyworkers.
Somatic Experiencing,* Box 1872, Lyons, CO 80540, 303/823-9524, fax: 303/823-9520, e-mail: ergos1@earthlink.net, www.traumahealing.com
Somatic Experiencing was developed by Dr. Peter Levine, author of Waking the Tiger: Healing Trauma. Extensive training offers the opportunity to study, in depth, a naturalistic approach to healing trauma.
The TARA Approach for the Resolution of Shock and Trauma,* 2910 County Road 67, Boulder, CO 80303, 303/499-9990, www.tara-approach.org, tara-approach@prodigy.net
The TARA Approach provides training in the
neurology and physiology of shock and trauma along with specific subtle energy medicine interventions have proven successful for survivors. Programs are open to massage therapists, bodyworkers and all somatic therapists.
Trauma Touch Therapy Program,* Colorado School of Healing Arts, 7655 W. Mississippi Ave., Lakewood, CO, 80226, 303/986-2320, www.csha.net
This is an advanced program for bodyworkers and associated healthcare professionals who want to better address the needs of their clients who have experienced trauma and abuse.

 

Reading List
• Bartov, Omer. Mirrors of Destruction: War, Genocide and Modern Identity. Oxford: Oxford University Press; 2000.
• Goleman, Daniel. Destructive Emotions: A Scientific Dialogue with the Dalai Lama. New York: Bantam; 2003.
• Hedges, Chris. War Is A Force That Gives Us Meaning. New York: Public Affairs; 2002.
• Johnson, Don Hanlon et al. The Body in Psychotherapy: Inquiries in Somatic Psychology. Berkeley: North Atlantic Books; 1998.
• Mines, Stephanie, Ph.D. We Are All in Shock: How Overwhelming Experience Shatters You and What You Can Do About It. New Jersey: Career/New Pages; 2003.
• Roy, Arundhati. War Talk. Cambridge, MA: South End Press; 2003.
• Talbott, Strove et al. The Age of Terror. New York: Basic Books; 2001.
• Tick, Edward, Ph.D. Sacred Mountain: Encounters with the Vietnam Beast. Santa Fe, N.M.: Moon Bear Press;1989.


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