Saturday, 31 August 2019

Overcoming fear through focused body movement


September 2019
by  Dr Elizabeth McCardell, M. Couns., PhD 
 
     In Germany in the 1920s to the 40s some very innovative work was going on that traversed psychotherapy and body work. Dancers, gymnasts, massage therapists and other body workers were in conversation with psychoanalysts and psychologists (including C. G. Jung) and these conversations were the seed to recognizing that no psychological problem exists without a bodily response and no psychological/emotional problem exists outside a bodily experience. It is curious, therefore, that the two forms of therapy then went off in separate directions. Psychotherapy started to think of itself as entirely to do with the mind and social domain, and physical work as having nothing much to do with feelings and thoughts. Both had got caught up in a mechanical way of doing things. I’m talking mainstream here; alternative modalities didn’t lose track of the whole embodied self.

     It is interesting that the severe anxiety response particularly in post-traumatic stress disorder is being our entrĂ© into more holistic approaches to healing. Anxiety is a fear response, a flight-freeze-fight response that stirs up adrenalin, causes cortisol levels to soar, saturates the blood with higher levels of glucose and more white blood cells, hyperventilation, saturates the mind with recurring thoughts and imaginings, stirs stomach discomfort, gives us a dry mouth, makes us feel we can’t escape,  etc. Imagine being in a sustained fear response lasting days, maybe years. Fear is crippling, and those consumed by it tend not to venture far.

     In the 80s a Tai Chi practitioner friend was involved in a study with a group of elderly people with a fear of falling, Many had already fallen several times and broken bones. My friend was hired to teach the group some simple Tai Chi exercises. The more they exercised in this flowing fluid way, the less fear was experienced. Fear of falling, and interestingly, other fears went away.

     Exercise is good, but I think there is more to what was going on here.  I have two main thoughts on the matter. Focused body movement matters.  Tai Chi is a mindful, focussed form of exercise. Mindfulness is now a tool in psychotherapy. When you are aware of what you’re doing, your thoughts are no longer on your anxiety.

     My other thought is that mindful physical exercise expands our perceptual strengths and capacities. Most of us have a dominant sensory perception, where the less dominant ones are not paid much attention.  When one perception shapes a person’s experience in a fairly exclusive way, negotiating the greater world can be compromised. Think of someone who practically exclusively gets around using just what they can see as a means of knowing what is there and how it must feel to meet the unseen, unexpected whatever. It would be scary.

     We usually talk of only five sensations: sight, hearing, taste, smell, and touch, but there is another: proprioception. Proprioception, also known as kinaesthetic sense, is the sense of self body movement and position in relation to space and other things. Developing proprioception can be very beneficial for people who have an over developed sense of sight (maybe they spend all day on their phones). When fear arises from encountering the unknown (which is always there) – eg not being able to see into a dark room – having a strong body knowing, that is, a better proprioceptive sense, can give greater security, because presences and absences can often be felt actually in the body. You don’t have to see everything to feel secure.

     Focussed exercises, like those in the martial arts, where you are aware of your own sense of balance, your core fulcrum, as it were, the slowness or speed of your body movement, the grace of an arm, perhaps an unsteadiness of a leg, your breath, your sweat, expand your sense of safety and confident engagement in the world. It’s also great fun.

     As one of the early German body practitioners who worked alongside a psychotherapist, said, the therapeutic work is speeded up when patients do both focussed body work and psychotherapy. I encourage my clients in the pursuit of both for their healing.