Body psychotherapy

Body psychotherapy,[1][2][3][4] also called body-oriented psychotherapy, is an approach to psychotherapy[5] which applies basic principles of somatic psychology. It originated in the work of Pierre Janet, Sigmund Freud and particularly Wilhelm Reich who developed it as vegetotherapy.[6] Branches also were developed by Alexander Lowen, and John Pierrakos, both patients and students of Reich, like Reichian body-oriented psychotherapy[7][8][9] and Gerda Boyesen.[10]

History

Wilhelm Reich and the post-Reichians are considered the central element of body psychotherapy.[11] From the 1930s, Reich became known for the idea that muscular tension reflected repressed emotions, what he called 'body armour', and developed a way to use pressure to produce emotional release in his clients.[12] Reich was expelled from the psychoanalytic mainstream and his work found a home in the 'growth movement' of the 1960s and 1970s and in the countercultural project of 'liberating the body'.[12] Perhaps as a result, body psychotherapy was marginalised within mainstream psychology and was seen in the 1980s and 1990s as 'the radical fringe of psychotherapy'.[13] Body psychotherapy's marginal position may be connected with the tendency for charismatic leaders to emerge within it, from Reich onwards.[14]

Alexander Lowen in his Bioenergetic analysis[15] and John Pierrakos in Core energetics[16] extended Reich's finding of the segmented nature of body armour: "The muscular armour has a segmented arrangement...always transverse to the torso, never along it".[17][18] Lowen claimed that "No words are so clear as the language of body expression".[19] Subsequently, the Chiron Centre for Body Psychotherapy added influences from Gestalt therapy to their approach.[20]

The early 2000s saw a 'renaissance of body psychotherapy' which was part of a broader increased interest in the body and embodiment in psychology and other disciplines including philosophy, sociology, anthropology and cultural studies.[21] Object relations theory has arguably opened the way more recently for a fuller consideration of the body-mind connection in psychotherapy.[22][23][24]

Branches

There are numerous branches of body psychotherapy, often tracing their origins to particular individuals: for example, 'Bioenergetic analysis' to the work of Lowen and Pierrakos; 'Radix' to the work of Chuck Kelley; Organismic Psychotherapy to the work of Malcolm and Katherine Brown;[25] 'Biosynthesis' to the work of David Boadella;[26] 'Biodynamic Psychology' to that of Gerda Boyesen; 'Rubenfeld Synergy' to Ilana Rubenfeld's work;[27] 'Body-Mind Centering' to Bonnie Bainbridge Cohen's work, and 'Body-mind Psychotherapy' to Susan Aposhyan;[28] the development of Jack Painter's 'Postural and Energetic Integration' into a psychotherapeutic modality.[29]

Many of these contributors to body psychotherapy were influenced by the work of Wilhelm Reich, while adding and incorporating a variety of other influences.[30] Syntheses of these approaches are also becoming accepted and recognised in their own right (e.g. The Chiron Approach: Chiron Association of Body Psychotherapists).[31]

Alongside the body psychotherapies built directly on the work of Reich, there is a branch of post-Jungian body psychotherapies, developed from Jung's idea of the 'somatic unconscious'.[32] While many post-Jungians dismiss Reich and do not work with the body,[33] contributors to Jungian derived body psychotherapy include Arnold Mindell with his concept of the 'dreambody' and the development of process oriented psychology.[34][35][36][37] Process oriented psychology is known for its focus on the body and movement.[38][39]

Body psychotherapy and dance movement therapy have developed separately and are professionally distinguished, however they have significant common ground and shared principles including the importance of non-verbal therapeutic techniques and the development of body-focused awareness.[27]

A review of body psychotherapy research finds there is a small but growing empirical evidence base about the outcomes of body psychotherapy, however it is weakened by the fragmentation of the field into different branches and schools.[40] The review reports that one of the strongest studies is longitudinal (2 year) outcome research conducted with 342 participants across 8 different schools (Hakomi Experiental Psychology, Unitive Body Psychotherapy, Biodynamic Psychology, Bioenergetic Analysis, Client-Centred Verbal and Body Psychotherapy, Integrative Body Psychotherapy, Body-Oriented Psychotherapy, and Biosynthesis). Overall efficacy was demonstrated in symptom reduction, however the study design limited further substantive conclusions.[41]

The review of outcome research across different types of body-oriented psychotherapy concludes that the best evidence supports efficacy for treating somatoform/psychosomatic disorders and schizophrenia,[42] while there is also support for 'generally good effects on subjectively experienced depressive and anxiety symptoms, somatisation and social insecurity.'[43] A more recent review found that results in some of these domains were mixed or might have resulted from other causes (for example, somatic symptoms in one study improved even after therapy had ended, suggesting that the improvements may have been unrelated to the therapy).[44]

Trauma

Body psychotherapy is one modality used in a multi-modal approach to treating psychological trauma, particularly post-traumatic stress disorder (PTSD) and complex post-traumatic stress disorder (C-PTSD).[45][46][47][48]

Recovering a sense of physical boundaries through sensorimotor psychotherapy is an important part of re-establishing trust in the traumatised.[49] Blending somatic and cognitive awareness, such an approach reaches back for inspiration to the pioneering work of Janet, as well as employing the more recent work of António Damásio.[50]

The necessity of often working without touch with traumatised victims presents a special challenge for body psychotherapists.[51]

Organizations

The European Association for Body Psychotherapy (EABP) and The United States Association for Body Psychotherapy (USABP) are two professional associations for body psychotherapists.[52]

The EABP was founded in 1988 to promote the inclusion of body psychotherapy within a broader process of professionalisation, standardisation and regulation of psychotherapy in Europe, driven by the European Association for Psychotherapy (EAP).[37] The EABP Board committed to meeting the EAP standards for establishing the scientific validity of psychotherapy modalities and achieved this in 1999/2000 for body psychotherapy as a whole, with various individual modalities subsequently also achieving this recognition.[53] It was accepted as a European-Wide Accrediting Organisation in 2000.[54]

EABP has a bi-annual conference; organises a Council of ten National B-P Associations; supports a FORUM of Body-Psychotherapy Organisations, which accredits more than 18 B-P training organisations in 10 different countries; the EABP website also provides a list of research papers; a searchable bibliography of body-psychotherapy publications, containing more than 5,000 entries.[55]

The USABP was formed in June 1996[56] to provide professional representation for body psychotherapy practitioners in the United States. The USABP launched a peer-reviewed professional journal in 2002, the USA Body Psychotherapy Journal, which was published twice-yearly from 2002 to 2011.[57] In 2012, the sister organisations, EABP and USABP, together launched the International Body Psychotherapy Journal.[58]

There is also an Australian Association of Somatic Psychotherapy Australia.[59]

Cautions

The importance of ethical issues in body psychotherapy has been highlighted on account of the intimacy of the techniques used.[20]

The term bioenergetic has a well established meaning in biochemistry and cell biology.[60] Its use in RBOP (Reichian body-oriented psychotherapy) has been criticized as "ignoring the already well established universal consensus about energy existing in Science."[61]

There is a group of psychotherapists who believe that psychotherapy should be thought of as a craft and evaluated based on the effectiveness of the treatment, rather than evaluated based on scientific validity.[62][63] However, efficacy studies of body psychotherapy have been few in number and, although the results are supportive of the use of body psychotherapy in some contexts, this trend "is not overwhelming".[64]

See also

References
  1. Totton, N. (2003) Body Psychotherapy: An Introduction Open University Press. ISBN 0-335-21038-4 (pb); 0-335-21039-2.
  2. Staunton, T. (Ed.) (2002) Body Psychotherapy Brunner Routledge. ISBN 1-58391-115-4 PB0; 1-58391-116-2 (pb)
  3. Macnaughton, I. (2004) Body, Breath and Consciousness: A Somatics Anthology, ed. Macnaughton, North Atlantic Books. ISBN 1-55643-496-0 ISBN 978-1-55643-496-9
  4. Courtenay Young (2010) article The Science of Body Psychotherapy Today
  5. Sharf, R.S. (2011) Theories of Psychotherapy and Counselling p. 600
  6. "What is Body Psychotherapy and Somatic Psychology?". USABP.
  7. Edward W. L. Smith (1 January 2000). The Body in Psychotherapy. McFarland. p. 16. ISBN 978-0-7864-8181-1.
  8. Sharf, Richard (2011). Theories of psychotherapy and counseling: concepts and cases. Belmont, CA: Brooks/Cole. p. 594. ISBN 978-0-8400-3366-6.
  9. "History of Bioenergetics The Body Mind Therapy". Body Psych.
  10. The ‘New’ Collected Papers of Biodynamic Psychology, Massage & Psychotherapy: 2022 edited by Courtenay Young, ISBN 978-1-908729-23-1 (eBook)
  11. Totton, N. (Ed.). (2005). New Dimensions in Body Psychotherapy. London: Open University Press/McGraw-Hill p.3
  12. Totton, (2005) p.3
  13. Totton (2005) p.3
  14. Eiden, B. (2002) in Staunton, T. (Ed.) Body Psychotherapy p.27
  15. Lowen, Alexander. "Bioenergetic analysis". Current Psychotherapies.
  16. Pierrakos, John. Core Energetics. Life Rhythm.
  17. Reich, (1976) Character Analysis p. 370-1
  18. Eiden, p. 39-40
  19. Cited by Schutz, W.C. (1973) Joy p. 26
  20. Sharf, p. 600
  21. Totton (2005) p.4-5
  22. Eiden, p. 38-9
  23. "HOW CAN BODY PSYCHOTHERAPY HELP?". Cambridge Body Psychotherapy Therapy.
  24. Brown, Time. "Body Psychotherapy – a short guide to the art and science of Bodylistening". Bodyworks.org. Archived from the original on 2018-03-20. Retrieved 2016-05-22.
  25. Brown, Malcolm (2013). "Organismic Psychotherapy: Our recent Italian workshop". Somatic Psychotherapy Today (Spring): 52–54. Retrieved 22 December 2013.
  26. Boadella. D. (1987) Lifestreams: An introduction to Biosynthesis. Routledge & Kegan Paul. ISBN 0-7102-1145-7
  27. Steckler, Laura Hope (2006). "Somatic soulmates". Body, Movement and Dance in Psychotherapy. 1: 29–42. doi:10.1080/17432970500410960. S2CID 218601199.
  28. Aposhyan, S. (2004) Body-Mind psychotherapy: Principles, Techniques and Practical Applications. W.W. Norton. ISBN 0-393-70441-6
  29. Asaf Rolef Ben-Shahar. (2014) Touching the Relational Edge: Body Psychotherapy pp.43-44 Postural Integration. Karnak Books Ltd. ISBN 978-1-78220-094-9
  30. Marlock, G. & Halko Weiss (Eds) (2006) Handbuch der Körperpsychotherapie (The Handbook of Body Psychotherapy). Schattauer. ISBN 978-3-7945-2473-0
  31. Hartley, L. (Ed.) (2009) Contemporary Body Psychotherapy. Routledge. ISBN 978-0-415-43939-8
  32. Totton, N. (2003). Body Psychotherapy: An Introduction. Berkshire, England: Open University Press, McGraw-Hill House. ISBN 0-335-21039-2 (p.28)
  33. Heuer, G. (2005). "In my flesh I will see god": Jungian body psychotherapy. In N. Totton (Ed.), New Dimensions in Body Psychotherapy. ISBN 978-0335-21592-8 (pp. 102–144). London: Open University Press/McGraw-Hill. (p.106,107)
  34. Caldwell, C. (1997) 'Dreams and the dreaming body. Amy and Arny Mindell' in C. Caldwell (Ed.) Getting in touch: The guide to new body-centered therapies. Wheaton, IL: Quest. ISBN 978-0835-60761-2 (p.61)
  35. Totton, N. (2003). Body Psychotherapy: An Introduction. Berkshire, England: Open University Press, McGraw-Hill House. ISBN 0-335-21039-2 (p.107-108)
  36. Audergon, J.-C. (2005). The body in Process Work. In N. Totton (Ed.), New Dimensions in Body Psychotherapy (pp. 153–167). London: Open University Press/McGraw-Hill. ISBN 978-0335-21592-8
  37. Young, Courtenay (2011). "The history and development of Body Psychotherapy: European collaboration". Body, Movement and Dance in Psychotherapy. 6: 57–68. doi:10.1080/17432979.2010.545189. S2CID 145018589.
  38. Payne, Helen (2006). "Tracking the web of interconnectivity". Body, Movement and Dance in Psychotherapy. 1: 7–15. doi:10.1080/17432970500468117. S2CID 145077139.
  39. "Modern Body Psychotherapy". bodypsychotherapist.
  40. Röhricht, F. (2009). Body-oriented psychotherapy: The state of the art in empirical research and evidence-based practice: A clinical perspective. Journal of Body, Movement & Dance in Psychotherapy, Vol. 4, No. 2, pp. 135-156.
  41. Koemeda-Lutz, M., Kaschke, M., Revenstorf, D., Schermann, T., Weiss, H., & Soeder, U. (2006). Evaluation der Wirksamkeit von ambulanten Körperpsychotherapien—EWAK. Eine Multizenterstudie in Deutschland und der Schweiz. Psychotherapie Psychosomatik medizinische Psychologie, 56, 1–8 cited by Röhricht, p.146
  42. Röhricht, p.147
  43. Röhricht, p.149
  44. May, John (2005). "The Outcome of Body Psychotherapy". The USA Body Psychotherapy Journal. 4 (2).
  45. Levine, P. (1997) Waking the Tiger: Healing Trauma. North Atlantic Books. ISBN 1-55643-233-X
  46. Victims of Cruelty: Somatic Psychotherapy in the Healing of Posttraumatic Stress Disorder. Eckberg M. Levine P.
  47. Levine, P. (2005) Healing Trauma: A Pioneering Program for Restoring the Wisdom of Your Body Sounds True, Har/Com edition. ISBN 1-59179-247-9; ISBN 978-1-59179-247-5
  48. "Integrative Body Psychotherapy". INTEGRATIVE BODY PSYCHOTHERAPY - IBP.
  49. Ogden, P. et al., (2006) Trauma and the Body p. xxv
  50. Foreword, Ogden, p. xxix-xxxii
  51. Rothschild, B. (2002) 'Body psychotherapy without touch', in Staunton, Ch. 5
  52. "What is EABP". European Association for Body Psychotherapy. Archived from the original on 2018-03-20. Retrieved 2016-05-22.
  53. Young, C. 2011 p.61
  54. "European Wide Accrediting Organisations". EAP.
  55. "EABP bibliography". Archived from the original on 2017-05-03. Retrieved 2009-12-14.
  56. "USABP | Somatic Perspectives on Psychotherapy". Archived from the original on 2013-07-30. Retrieved 2013-09-30. Retrieved 29 September 2013.
  57. "USABP". Archived from the original on 2013-10-03. Retrieved 2013-09-30. Retrieved 29 September 2013.
  58. International Body Psychotherapy Journal
  59. Somatic Psychotherapy Australia
  60. Nelson, David L., Cox, Michael M. Lehninger: Principles of Biochemistry. New York: W.H. Freeman and Company, 2013. Sixth ed., pg 24.
  61. Arias, A. G. (August 2012). "Use and misuse of the concept energy". Latin American Journal of Physics Education. 6 (1): 400. CiteSeerX 10.1.1.669.3285.
  62. Young, Courtenay. "What Is Body-Psychotherapy? A European perspective" (PDF). eabp.org. Archived from the original (PDF) on 19 August 2019. Retrieved 8 May 2018.
  63. Young, C.; Heller, M. (2000). "The scientific what!' of psychotherapy: Psychotherapy is a craft, not a science!". International Journal of Psychotherapy. 5 (2): 113–131. doi:10.1080/713672057.
  64. May, John (2005). "The Outcome of Body Psychotherapy". The USA Body Psychotherapy Journal. 4 (2): 64.

Further reading
  • Heller, Michael C. (2012). Body psychotherapy: history, concepts, methods. (M. Duclos, Trans.) New York: W.W. Norton & Company. ISBN 978-0-393-70669-7
  • Lowen, Alexander. (1958). The Language of the Body.
  • Marlock, G., Weiss, H. with Young, C. & Soth, M. (2015). The Handbook of Body Psychotherapy & Somatic Psychology. Berkeley, CA: North Atlantic Books. ISBN 978-1-58394-841-5
  • Cimini, Giuseppe; Ferri, Genovino (2018). Psychopathology and Character: Psychoanalysis in the Body and the Body in Psychoanalysis. Reichian Analysis. Roma: Alpes Editore. ISBN 978-8-86531-514-9
  • Ferri, Genovino (2017). Body Sense: Stories of Psychotherapy Supervision. Roma. Alpes Editore. ISBN 978-8-86531-414-2
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