The Tao of Trauma: A Practitioner's Guide for Integrating Five Element Theory and Trauma Treatment

The Tao of Trauma: A Practitioner's Guide for Integrating Five Element Theory and Trauma Treatment

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Overview

Explains trauma using a combination of the Five Elements (from Traditional Chinese Medicine) and a touch perspective; for practitioners of a variety of modalities, including acupuncturists, somatic therapists, massage therapists, and mental health providers.

Combining Eastern and Western trauma physiology, clinician-educators Alaine Duncan and Kathy Kain introduce a new map for acupuncturists, medical practitioners, mental health providers, and body-oriented clinicians to help restore balance in their patients. Using concepts from Acupuncture and Asian Medicine (AAM), alongside descriptions of the threat response from Western bio-behavioral science, they describe common physical symptoms, emotional presentations, and paths for healing for five survivor "types" detailed by the authors and correlated to the Five Elements of AAM. This ancient/modern integrative lens illuminates the diverse manifestations of traumatic stress in its survivors—chronic pain, autoimmune illness, insomnia, metabolic problems, and mental health disorders—and brings new hope to survivors of trauma and those who treat them.

Product Details

ISBN-13: 9781623172220
Publisher: North Atlantic Books
Publication date: 01/08/2019
Pages: 352
Sales rank: 215,643
Product dimensions: 5.90(w) x 8.90(h) x 1.10(d)

About the Author

ALAINE D. DUNCAN, MAc is a respected acupuncture clinician, educator, and researcher with over twenty-seven years in practice. A charter member of the Integrative Health and Wellness program at the D.C. Veterans Administration Medical Center, she was also founding director of Crossings Healing and Wellness in Silver Spring, MD and currently serves in a volunteer capacity as Clinical Director for Acupuncturists Without Borders of the National Capitol Area, which provides free weekly clinics to immigrants and refugees.

KATHY KAIN, Phd has been a senior trainer in the Somatic Experiencing® training program for nineteen years and has worked with thousands of people over her thirty-seven years of practicing and teaching bodywork and trauma recovery. She shares her expertise in the physiology of traumatic stress through her popular program "Touch Skills Training for Trauma Therapists" and is author of Ortho-Bionomy: A Practical Manual (North Atlantic Books, 1997) and coauthor with Steve Terrell of Nurturing Resilience: Helping Clients Move Forward From Development Trauma - An Integrative Somatic Approach (North Atlantic Books, forthcoming 2018).

Table of Contents

List of Illustrations xv

Foreword xvii

Preface xxiii

Acknowledgments xxvii

Introduction 1

A Note on Translation of AAM Terms 7

Part 1 East Meets West for Integrative Healing

1 The Western Perspective on Traumatic Stress 11

History and Context 11

Positive, Tolerable, and Toxic Stress 15

Understanding Toxic or Traumatic Stress 17

Integrative Healing Creates More Possibilities 26

The Impact of Trauma on Individuals, Families, and Communities 27

2 Polyvagal Theory Illuminates and Informs Acupuncture and Asian Medicine 31

Three Neurophysiological Platforms 31

The Sympathetic Nervous System and Self-Protection 34

The Ventral Vagus/Social Engagement System 35

The Dorsal Vagus System 38

Polyvagal Theory and Acupuncture and Asian Medicine 40

Ventral Vagus 41

High-Tone Sympathetic 41

Low-Tone Dorsal Vagal 42

High-Tone Dorsal Vagal 42

3 Acupuncture and Asian Medicine's Perspective on Traumatic Stress 45

Axioms of Acupuncture and Asian Medicine 46

The Tao 46

Yin and Tang 47

Qi (Energy) 50

The Law of the Five Elements 52

The Self-Protective Response and the Five Elements 56

The Five Survivor Types 65

The Metal Type: The Arrest/Startle Phase-Awaken Arousal 67

The Water Type: Defensive Orienting Phase-Signal Threat 68

The Wood Type: Specific Self-Protection Response Phase-Mobilize a Response 69

The Fire Type: Completion Phase-Restore Coherence 70

The Earth Type: Integration Phase-Digest the Gristle 71

The Five Element Correspondences as a Resonant Framework 72

Part 2 Preparing for Caring

4 Touch, Coherence, and Resonance 77

Touch and the Human Experience 78

Coherence Is Cardiac Regulation in Our Organs and Tissues 80

Coherence Builds Resonance between Systems 83

Mindful Touch Supports Coherence in and Resonance between Systems 85

The Energetic Nature of Body Tissues 86

5 Principles of Practice 91

Framing a Session 94

Build Capacity in the Kidney/Adrenal System to Recognize Safety versus Threat 94

Assess Your Client According to the Five Survivor Types 95

Engage in an Ongoing Consent Process 95

Practice Tick-Tock to Restore the Wave inside the Zone of Resiliency 96

Use Interoception to Harvest Embodiment of Qi in Tissues and Organs 98

Titration-Build a Solid Foundation, One Brick at a Time 99

When There Is an "Oops" 100

Guidance for the Use of Touch 102

Scope of Practice 104

Orientation for Various Clinical Disciplines 105

Somatic Psychotherapists 105

Acupuncturists 106

Physical Care Providers 107

Medical Practitioners 108

Part 3 Restoring Balance and Regulation via the Five Elements

6 Metal and Autumn: Awaken Arousal 113

The Five Steps of the Self-Protective Response 113

Orientation: The Nature of the Metal Element 116

Context: The Role of the Metal Element in the Self-Protective Response 119

Common Symptoms for the Metal Type: The Lung and Colon 120

Remedies for Restating Regulation in the Metal: 122

A Guided Exercise in Interoceptive Awareness 123

Mindful Touch: Creating Embodied Awareness of the Skin as a Protective Container 126

Restoring Regulation in the Diaphragm System after Traumatic Stress 131

Social Implications for Restoring Regulation in the Metal Element 144

Conclusion 145

7 Water and Winter: Signal Threat 147

The Five Steps of the Self-Protective Response 147

Orientation: The Nature of the Water Element 150

Context: The Role of the Water Element in the Self - Protective Response 152

Common Symptoms for the Water Type: The Kidneys and Bladder 153

Remedies for Restoring Regulation in the Water 155

Inviting a Felt Sense of Safety 157

Building Capacity in the Kidney/Adrenal System 158

Repairing Boundary Ruptures 164

Supporting Bone Flexibility and Resilience with Mindful Touch 168

Restoring Regulation in the Fear/Terror Centers in the Brain Stem 170

Social Implications for Restoring Regulation in the Water Element 175

Conclusion 179

8 Wood and Spring: Mobilize a Response 181

The Five Steps of the Self-Protective Response 181

Orientation: The Nature of the Wood Element 184

Context: The Role of the Wood Element in the Self-Protective Response 186

Common Symptoms for the Wood Type: The Liver and Gall Bladder 189

Remedies for Restoring Regulation in the Wood 195

Restoring Protective/Defensive Responses in the Secondary Diaphragms 195

Integrating Motor and Sensory Function in the Orientation System 203

Restoring Vitality in the Liver Blood 207

Social Implications for Restoring Regulation in the Wood Element 210

Conclusion 213

9 Fire and Summer: Restore Coherence 215

The Five Steps of the Self-Protective Response 215

Orientation: The Nature of the Fire Element 218

Context: The Role of the Fire Element in the Self-Protective Response 222

Common Symptoms for the Fire Type: The Heart, Heart Protector, Small Intestine, and Triple Heater 226

Remedies for Restoring Regulation in the Fire 228

Restoring Interoception in the Gates of the Heart Protector 229

Using Co-Regulation to Restore or Support Self-Regulation 232

Restoring the Infrastructure for Connection 236

Restoring the Spirit of the Heart 240

Social Implications for Restoring Regulation in the Fire Element 244

Conclusion 247

10 Earth and Late Summer: Digest the Gristle 249

The Five Steps of the Self-Protective Response 249

Orientation: The Nature of the Earth Element 252

Context: The Role of the Earth Element in the Self-Protective Response 257

Common Symptoms for the Earth Type: The Spleen and Stomach 258

Remedies for Restoring Regulation in the Earth: 261

Restoring Peristalsis in the Guts 262

Supporting Completion Responses Stored in the Muscles/Flesh 267

Impact of Poisoning and Electrocution on the Fluid System 273

Social Implications for Restoring Regulation in the Earth Element 276

Conclusion 277

Appendix 1 Chart of Correspondences of the Five Elements 279

Appendix 2 The Twelve Organ Systems or "Officials" in AAM 283

Appendix 3 Helpful Phrases to Enhance Interoception 285

Notes 287

Index 307

About the Authors 321

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