Professional Documents
Culture Documents
a
Institute of Psychology, University of Heidelberg ,
Hauptstraße 47-51, D-69117 , Heidelberg , Germany
b
Somatic Counseling Psychology, Naropa University ,
2130 Arapahoe Avenue, Boulder , CO , 80302 , USA
c
Clinic for General Psychiatry, Centre for Psychosocial
Medicine, University Clinic Heidelberg , Voß-Str. 4,
D-69115 , Heidelberg , Germany
Published online: 18 Mar 2013.
To cite this article: Sabine C. Koch , Christine Caldwell & Thomas Fuchs (2013) On
body memory and embodied therapy, Body, Movement and Dance in Psychotherapy:
An International Journal for Theory, Research and Practice, 8:2, 82-94, DOI:
10.1080/17432979.2013.775968
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Body, Movement and Dance in Psychotherapy, 2013
Vol. 8, No. 2, 82–94, http://dx.doi.org/10.1080/17432979.2013.775968
Introduction
Phenomenology has given rise to a number of theories on body memory (Bergson,
2007; Casey, 2000; Fuchs, 2012). The phenomenological perspective assumes that
memory comprises not only one’s explicit recollections of the past but also the
acquired dispositions, skills and habits that implicitly influence one’s present
experience and behaviour. The term body memory refers to all the implicit
knowledge, capacities and dispositions that structure and guide our everyday being-
in-the-world without the need to deliberately think of how we do something, to
explicitly remembering what we did, or to anticipate what we want to do. It is the
basic know-how that is mediated by the body and that we need for our everyday
getting along with the world. This knowledge is acquired in the course of our
embodied experiences – mainly in early childhood – and then modified and
changed throughout our entire life (T. Fuchs, personal communication, June 30,
2011).
torture, threat of death, are stored in the body, often suppressed from
consciousness, and can lead to psychosomatic diseases. In trauma, the feeling
of ‘at-homeness’ is often lost and needs to be regained. Research on post-
traumatic stress disorder (PTSD) teaches us about the rules of this memory
system (e.g. Ogden, 2006; van den Kolk, 1996). Traumatic memories may
emerge as displaced or in the form of bodily symptoms, without any explicit
awareness of the connection between the past and the present experience.
Traumatic events in many cases withdraw from any explicit representation
(Summa, 2012a).
Although these categories are not strictly mutually exclusive, the taxonomy
provides a first orientation as to the important dimensions of the construct. An
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body just does it. Phenomenology describes body memory as the habitual structure
not of the brain, but of ourselves insofar as we are living bodies (T. Fuchs, personal
communication, June 30, 2011).
An important problem for the cognitive sciences is how to measure and
operationalise body memory (Bermeitinger & Kiefer, 2012; Jansen, 2012; Suitner,
Koch, Bachleier, & Maass, 2012; Summa, Koch, Fuchs, & Müller, 2012).
Phenomenology does not measure phenomena, but primarily provides a way to
describe them. We can, for example, look at different types of body memory and
analyse the way our present experience is structured by our past: sensory, sensorimotor
or kinaesthetic memory, spatial memory, inter-corporeal memory, pain memory,
traumatic memory, etc. Next, we may take advantage of the connection of implicit and
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No sooner had the warm liquid mixed with the crumbs touched my palate than a
shudder ran through me and I stopped, intent upon the extraordinary thing that was
happening to me. An exquisite pleasure had invaded my senses, something isolated,
detached, with no suggestion of its origin. ( . . . )1 Will it ultimately reach the clear
surface of my consciousness . . . ?
Finally, after several attempts, the core of the implicit bodily experience opens
up and its autobiographic content appears.
And suddenly the memory revealed itself. The taste was that of the little piece of
madeleine which on Sunday mornings at Combray (because on those mornings I did
not go out before mass), when I went to say good morning to her in her bedroom, my
aunt Léonie used to give me, dipping it first in her own cup of tea or tisane.
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states:
If we look at muscular tonus as one of the ways in which our organism regulates itself,
then we need to expect that such self-regulative activity is experience dependent; i.e.
our individual capacity to regulate affective states is built on and developed from our
experiences (Schore, 2003). Such dependency on experience not only suggests the
ability of muscle to experience but also forms the basis for the relational dimension of
muscles. Bainbridge Cohen highlights the significance of the relational experience for
the development of tonus: After birth, the tone continues to be a response to gravity and
is further modified by the way we are related to physically, perceptually, and
emotionally. Tone is relative and is reflective of the interaction between one’s inner and
outer environment. (Bainbridge-Cohen, 1993; quoted after Warnecke, 2011, p. 1).
with the world by experiencing new attitudes, new postures, acquiring new capacities,
such as being more outgoing, showing more self-assertiveness or less aggression and
so on. These are types of bodily behaviour that go hand-in-hand with new ways of
interacting with our conspecifics. Common psychotherapy methods such as role-play
or psychodrama may be regarded as ways of establishing new bodily behaviour
enabling new possibilities of feeling and interacting. Taken together, this suggests an
embodied approach to behaviour change based on body memory (T. Fuchs, personal
communication, June 30, 2011).
To work professionally with body memory, body-oriented therapists should have
sufficient self-experience with their own body: body awareness, bodily grounding
experiences, and also embodied skills – skilful ways of doing arts, sports, dance,
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playing an instrument – which means to have experienced how one’s lived body
changes through learning processes. This includes the experience of flow
(Csikszentmihalyi, 1990), of being connected to an instrument, an object or a partner,
and dealing with them in a more and more skilful way, after many weeks, months or
years of training. For this is the basic way of experiencing body memory and the bodily
connection to the world (T. Fuchs, personal communication, June 30, 2011).
The therapist needs to be able to read those cues, supported by systematic
approaches of movement analysis (Kestenberg, 1995; Koch, 2011), but she also
needs a specific capacity for increased reciprocity of her own and the other’s body,
the kind of bodily skills which may be, but are not necessarily related to
intersubjectivity. But, of course, the next requirement for therapists who work with
the body is to develop an intuition as well as a body of knowledge for how the body
expresses the self, for how feelings are visible in very slight cues and slight changes
of behaviour, even in the first encounter with the patient. Therapists should be
experienced in the manifestation of bodily signs. On the next level, there are the
different ways of doing body psychotherapy as such, and going into the encounter
with the patient also on a bodily level (Pylvänäinen, 2012), including joint
movement or touch (Winther, 2012), including ways of helping the patient verbalise
experiences and recollections that come up with them (Konopatsch & Payne, 2012,
Kruithoff, 2012; Michalak, Burg, & Heidenreich, 2012). Some memories emerge in
terms of metaphors in search for some translation (Kolter et al., 2012), some want to
be processed merely in the non-verbal realm (Panhofer, Payne, Parke, & Meekums,
2012), both skills are usually part of the professional training in body-oriented
psychotherapies.
With respect to different populations, body memory seems particularly relevant
in the treatment of trauma survivors (e.g. Koch & Harvey, 2012) and in dementia
(Summa, 2012b). In dementia, while explicit memory is distorted, implicit memory
remains intact and can be utilised in embodied therapies: positive affect,
contentment and resilience can be evoked and even developed by working with
intact body memories. In the light of the demographic change, this provides a
hopeful perspective for an increasing number of patients.
From the standpoint of declarative or explicit memory, the survivor (to be called
Mona) was able to calmly but shakily narrate the sequence of events that
occurred when she was vacationing with her young teenage son in Phuket that
Christmas. They were outside and saw the wave coming, and then they grasped
hands and tried to run away from it. The wave overtook them and they lost
contact with each other as they were tumbled in the muddy, debris-filled water.
Mona recalled inhaling the muddy water, having her body be completely out of
her control as it was tossed in with the debris, and at one point a piece of debris
hitting her left knee and twisted it. She was terrorised, out of air and thought she
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was going to die. At that moment, she was ejected out above the wave and was
able to breathe. She grasped onto a fixed object and was able to hold herself out
of the water until it receded. At this point the new terror of losing her son took
over. For over an hour, she tried to climb around the debris and find her son,
screaming for him until she lost her voice. At one point in that hour, a nameless
local person realised that she had no shoes on and was hurting her feet, and
silently set a pair of shoes in front of her. Miraculously, she found her son unhurt,
having also clung to a tree while the waters raged.
This ability to verbally narrate the sequence of events (declarative memory)
bodes well for recovery from an intense trauma such as this one. However, she
was still emotionally dysregulated, experiencing panic attacks, intrusive feelings
of terror and an inability to regulate these feelings (emotional memory).
Physically, she experienced uncontrolled shaking (body memory), coupled with
strong pains in her leg (pain memory), so much so that her doctors were thinking
she might need an operation on her knee. She was able to articulate that ‘my head
knows I have survived and that we are safe, but my body doesn’t. My body is still
in the tsunami.’
What we did was we began to carefully and slowly find ways that she could
consciously approximate some of the shapes that her body tumbled in, in the
tsunami. It is important at this point to create a distinction between simply re-
enacting the event and the emotions associated with it, which can often be re-
traumatising because there is no distinction between past and present, and working
with the body memory, which is a way of helping the body itself to find a coherent
narrative of the event via its own movements, and to feel relieved and empowered by
that coherency. Working with the body memory involves allowing the body to
‘remember’ the event via precise, conscious actions, while keeping ones attention
and focus on the body in its present circumstances, which in this case was safely
lying on the floor of a dance studio with a therapist holding you and coaching you
and keeping you oriented and cared for. This can change the body memory so that it
does not become an implicit procedural memory re-enacted as PTSD, plus create a
new association with intercorporeal body memory, where one is not alone anymore.
It is important that the client leads this experience, rather than be imposed by the
therapist, as part of the meta-processing is the lived experience of the client finding
the movements that her body wants to make in order to generate physical coping.
Physical coping is strongly related to a sense of agency, and agency is strongly
correlated to recovery.
90 S.C. Koch et al.
She would enter the movement memory just slightly, and the shape and flow
and direction of it would cause her to experience a lot of charge and arousal and
affect (emotional memory) that was incoherently stored, because the original
event was so outside of what she could process. I would hold her knee, while also
often holding her head or her arm, supporting her body to move in ways that ‘felt
right’ (note that these movements did not necessarily exactly replicate the
tsunami experience, but they created a lived, phenomenological experience in the
present moment that connected her in a coherent and empowered way to the past
experience – similar to verbally retelling a story not being the same as reliving
it). She would alternate this with resting and relating to me, listening to my voice
and sharing eye contact. She was able to feel her feelings and move them in a
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harbour of safety rather than a life-threatening context, and this is what her body
needed – to create different states that can hold and manage the experience.
Eventually she was able to get to some very complex and precise movement
sequences that actually healed her knee – as a byproduct – because she was able
to physically unravel the twisting and distorted shapes that had been imprinted in
the flesh.
What is so fascinating is the precision that the body craves at these moments.
Quite literally, a movement that raises the arm 5 cm is experienced as a ‘no’,
while the same arm movement rising 10 cm is felt as a ‘yes.’ The skill of the
therapist at this point to is to help the client to stay very oriented and focused on
the implicit body memories revealing themselves very precisely, without the
distortions of the analytical mind and without the environmental cues from the
original trauma experience. This sense of finding the exact movements that
stabilise and connect explicit and implicit memory systems may be at the heart of
helping a traumatic event not become an enduring and constantly re-stimulated
post-traumatic stress.
On a body level she was able to tell a coherent story about what had happened
to her. She could already tell a story on the verbal level of what happened, but it
was not until her body could find it and tell the story without words in its own
language system that she was able to find some peace with the experience.
imprinted they go into long-term memory and into an implicit memory storage. But they
are not stored in the way we understand images are being stored, autobiographical,
hippocampal memory is stored, they are stored particularly affect-laden. There is a
strong relationship between the affect centres and the movement centres. We store these
memories in our neural networks, as well as in firing patterns in the muscle fibres. That
becomes body memory and is very important for how we organise things along a
movement continuum from reflexive movement, to motor planning, to drive states, to
the very spontaneous, creative movements. Thus, body memory is very strongly a
Gestalt between the brain and the rest of the body, whereas for autobiographical
memory there is not much evidence outside the hippocampus. As body-oriented
therapists, we have to understand that there are many different forms of memory that we
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are constantly accessing, encoding, storing and retrieving (C. Caldwell, personal
communication, October 2010).
There is a special skill involved in dealing with implicit processing and very
strong client-initiated and client-directed remembering on the body level. One of the
primary components is the process of paying attention. Caldwell spends a lot of time
on training students how to oscillate their attention – oscillating from inner
experience to outer world, from panoramic focus to narrow focus, and from one
sense to another. What happens in trauma is that attention is pulled involuntarily in a
certain direction, and it fixates. Training therapists so that they become attentional
athletes allow them to hold and deeply connect to a client’s body memory systems
while also maintaining their own separate and facilitative identity. It makes attention
a strong beam that can bathe the client in basic resources for working with their
difficult experiences in a productive way. The beam has to be free of content and
analysis, and in this way the beam itself creates the holding environment for the
implicit memory on the body level to be situated in the self in an integrated and
fruitful way. Thus, high-quality attention partners with body memory in effective
therapeutic environments.
Conclusions
Body memory is a new interdisciplinary topic helping to shed light on the
mechanisms of implicit memory, and connecting it to applications in embodied
therapies. Fuchs’ taxonomy of body memory shows that the phenomenon reaches
beyond the formation of bodily habitualities as mainly addressed by theories on
implicit memory in cognitive science, and includes the different modalities of our
situated and intersubjective embeddedness in the environment. It helps to
conceptualise certain treatment aspects in embodied therapies. However, the
essentially dynamic character of body memory needs further investigation (Koch,
2011), and this is more generally true for the role of bodily movement in
embodiment research. We are only beginning to investigate this rich field... and at
the beginning there was movement.
Acknowledgements
We would like to thank Annabelle Humm for the transcription of the original interview with
Prof. Fuchs.
92 S.C. Koch et al.
Note
1. This and the following passages are quoted from Proust (1913/1981, 1913/1934, pp. 48–51).
Notes on contributors
Sabine C. Koch, psychologist, and dance/movement therapist, MA, DTR, did her PhD about
microanalysis of gender-related non-verbal communication at the workplace within a social
psychology framework, and her habilitation about the effects of movement on affect, attitude
formation and cognition within an embodiment and phenomenological framework. She holds an
MA in Dance/Movement Therapy from MCP Hahnemann University in Philadelphia (USA) and
specialised in movement analysis with the Kestenberg Movement Profile (KMP). She coordinates
a BMBF research project on ‘Language of movement and dance: movement and meaning,
emergence of metaphors in movement, and body memory’. As an embodied practice she started as
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a gymnast, went through different dance forms and is now doing Capoeira.
Christine Caldwell, PhD, LPC, BC-DMT, NCC, ACS, is the founder, former director and
professor in the Somatic Counseling Psychology Department in Boulder, CO, USA. She teaches
and trains internationally, and has authored two books and over 30 chapters and articles on topics
ranging from research, addiction, conscious movement, prenatal and perinatal imprints, diversity
issues and contemplative practice. Her embodied practices include movement meditation and
hiking in the wilderness. Email: caldwell@naropa.edu.
Thomas Fuchs, psychiatrist and philosopher, MD in history of medicine, PhD in philosophy,
professor of philosophical foundations of psychiatry at the Department of Psychiatry in
Heidelberg, coordinates the European Marie-Curie Research Training Network ‘TESIS –
Toward an Embodied Science of Intersubjectivity’ (2011 – 2015) and of the Joint National
Research Project ‘The brain as an organ of interrelations’, funded by the Volkswagenstiftung
(2008 – 2011), both including major centres from philosophy, neurobiology, developmental
psychology and psychiatry. As an embodied practice, he plays the piano and is doing
mindfulness meditation. Email: thomas.fuchs@med.uni-heidelberg.de.
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