Immobilization/shutdown/dissociation/frozen, a trauma response built into the nervous system

Back in March 2012, I posted that I had started reading Peter A. Levine’s latest book, In An Unspoken Voice: How the Body Releases Trauma and Restores Goodness. My post included excerpts from Levine’s description of being hit by a car and his experience afterwards.

His experience serves as a useful model for being and staying present through trauma and recovery. He knew how to allow his body and emotions to process naturally so that he did not get stuck in a traumatic state (i.e., PTSD).

Well, I am still reading that book. It’s very, very rich. Some parts are rather scientific. I’m taking my time to really understand it.

Levine uses polyvagal theory (I just posted an interview with Stephen Porges, who came up with the theory) to explain the states that people experience and can get stuck in from traumatic experiences.

Because Somatic Experiencing Practitioners and other therapists (as well as astute loved ones) who are helping someone recovery from trauma need to know which layer of the nervous system is dominant at any given time in a traumatized individual, I am going to describe them.

First, the primary job of our nervous system is to protect us. We have senses that alert us to danger. We may react to a perception of a threat in our bodies before it ever becomes conscious in the mind. That’s because the autonomic nervous system (which is not under our control) is involved when trauma occurs. We react instinctually.

This is good to know. It means that your trauma reactions are automatic, not something you can control, so there’s no need to feel shame or blame yourself. You were doing the best you could.

There are two defensive states that occur when encountering trauma: immobility/dissociation/shutdown (freeze) and sympathetic hyperarousal (fight or flight).

I’m going to write about them in separate posts to avoid being too lengthy.

The more primitive nervous system state is immobility. (Primitive in that evolutionarily it comes from jawless and cartilaginous fish and precedes sympathetic hyperarousal.)

It is triggered when a person perceives that death is imminent, from an external or internal threat.

Levine also uses the terms dissociation, shutdown, and freeze/frozen to describe this state. Note: If you’re an NLPer, dissociation means the separation of components of subjective experience from one another, such as cutting off the emotional component of a memory and simply remembering the visual and/or auditory components. (Source: Encyclopedia of NLP)

Keep in mind that Levine is talking about dissociation as an involuntary post-traumatic physiological state that trauma victims can sometimes get stuck with. There may be some overlap. According to Levine, symptoms of being in this state include frequent spaciness, unreality, depersonalization, and/or various somatic and health complaints, including gastrointestinal problems, migraines, some forms of asthma, persistent pain, chronic fatigue, and general disengagement from life.

Levine notes:

This last-ditch immobilization system is meant to function acutely and only for brief periods. When chronically activated, humans become trapped in the gray limbo of nonexistence, where one is neither really living nor actually dying. The therapist’s first job in reaching such shut down clients is to help them mobilize their energy: to help them, first, to become aware of their physiological paralysis and shutdown in a way that normalizes it, and to shift toward (sympathetic) mobilization. 

The more primitive the operative system, the more power it has to take over the overall function of the organism. It does this by inhibiting the more recent and more refined neurological subsystems, effectively preventing them from functioning. In particular, the immobilization system all but completely suppresses the social engagement/attachment system.

Highly traumatized and chronically neglected or abused individuals are dominated by the immobilization/shutdown system.

Signs that someone is operating from this state include:

  • constricted pupils
  • fixed or spaced-out eyes
  • collapsed posture (slumped forward)
  • markedly reduced breathing
  • abrupt slowing and feebleness of the heart rate
  • skin color that is a pasty, sickly white or even gray in color

Brainwise, volunteers in the immobility state exhibited a decrease in activity of the insula and the cingulate cortex. In one study, about 30% of PTSD sufferers experienced immobility and 70% experienced hyperarousal, with a dramatic increase of activity in these brain areas. Most traumatized people exhibit some symptoms from both nervous systems, Levine says.

I feel the deepest compassion for people in this state, because I have experienced it myself: the spaciness, depersonalization, sense of unreality, and passive, disengaged attitude toward life. It was many years ago. If I could, I would reach back in time to that injured woman and give her resources she just didn’t have back then.

I feel so grateful for the trauma recovery work I’ve done, both with a therapist and on my own. I haven’t experienced immobilization for years, except briefly.

Next up: sympathetic hyperarousal/fight or flight.

The price of busy-ness. If you need a massage, call me. I’m good.

I just encountered this great article, an opinion piece from the New York Times, about busy-ness and thought I’d share my thoughts.

Not only am I a recovering serious person, I’m also a recovering busy person. For several years, I worked full-time and went to graduate school while raising a child as a single mother. In hindsight, that was insane.

This downtime after my last contract job in the technology world ended about six weeks ago has been lovely. I’m recovering from adrenal exhaustion, and then, just when I was starting a running practice that I felt joyful about and ready for, I pulled a calf muscle and have had to lay low for longer while it heals. (It’s healing very nicely, with self-care and other healing hands working on it. Thanks, Brigitte and Pauline!)

The universe is telling me to slow down, and I’m listening. I’ve been letting a lot of stuff slide, trusting that the important things will rise to the top of the list and the rest will get done when and if they get to the top. One day at a time. I’m loving my daily Tarot readings, the cards that influence my awareness and development and trust in the universe. My favorite deck is the Osho Zen deck.

During this period I’ve also attended several trainings in Somatic Experiencing, which is based on the truly great trauma recovery research and writing of Peter Levine. (I’m currently reading In An Unspoken Voice: How the Body Releases Trauma and Restores Goodness.) I fell in love with it. The main premise is that trauma deregulates the nervous system (into freeze or fight or flight), and that the body can heal itself, with loving attention and guidance.

I’ve been practicing body awareness as well as writing about grounding, centering, and having boundaries. You can expect more posts along those lines.

I also seem to be developing an organic vision for my bodywork and changework practice that involves more teaching and writing. And—I am available now! Call me if you need a massage. I am really good, my rate is reasonable ($1 per minute), and I give discounts for regular customers and referrals.

Who knew that all this time, throughout the history of the human species with all of its atrocities and traumas, that the secret to trauma recovery was right there all along, being ignored by the mind, which in order to “be civilized” began to believe itself superior to the body?

How cut off are we from our own lives? Have you ever had something like this happen to you?

I recently wrote a friend to ask if he wanted to do something this week, and he answered that he didn’t have a lot of time but if something was going on to let him know and maybe he could ditch work for a few hours. I wanted to clarify that my question had not been a preliminary heads-up to some future invitation; this was the invitation. But his busyness was like some vast churning noise through which he was shouting out at me, and I gave up trying to shout back over it.

Self-importance is a joy killer, and that’s all most busy-ness is, when you get right down to it. If you are swept away in a current of busy-ness, why, then you must be somebody important! Or at least somebody.

It’s the opposite of being here now, of being present and grounded/centered/boundaried/etc. in your own body. It’s dissociation.

Here’s more, about a New York artist who moved to a village in the south of France:

What she had mistakenly assumed was her personality — driven, cranky, anxious and sad — turned out to be a deformative effect of her environment. It’s not as if any of us wants to live like this, any more than any one person wants to be part of a traffic jam or stadium trampling or the hierarchy of cruelty in high school — it’s something we collectively force one another to do.

How do we collectively force one another to be too busy to be real? It’s as I suspected:

Busyness serves as a kind of existential reassurance, a hedge against emptiness; obviously your life cannot possibly be silly or trivial or meaningless if you are so busy, completely booked, in demand every hour of the day.

I’m listening, feeling, and letting each day unfold while not losing myself in breathless busy-ness. Isn’t that what summer is for?

The space and quiet that idleness provides is a necessary condition for standing back from life and seeing it whole, for making unexpected connections and waiting for the wild summer lightning strikes of inspiration — it is, paradoxically, necessary to getting any work done.

Well, it’s almost noon, and I’m still in bed on this Monday morning, in bed with my laptop, tarot cards, book. Actually, my butt is getting numb, and I feel thirsty. I believe I’ll get up, stretch, drink some green tea, and mosey over to the yoga mat. I hear a down-ward facing dog calling my name.

A model for experiencing and recovering from trauma: Peter Levine’s story

A few days ago, I finally started reading In an Unspoken Voice: How the Body Releases Trauma and Restores Goodness, by Peter A. Levine. This book comes full circle from Waking the Tiger, Levine’s first book, the book that changed my life.

It changed my life by giving me a new understanding of how trauma affects people and how to recover. Trauma is actually stored energetically in the body.

Levine, an ethologist, noticed the shaking that animals who narrowly missed being killed for dinner did, once free of their predators. That shaking allowed them to rejoin the herd not much worse for the wear.

When I read the book in 2002, I was skeptical but open. What Levine said was so different from what any other experts on trauma (psychotherapists) were saying.

One day, feeling exhausted from dealing with difficult emotions and memories, I flopped down on my bed and started to doze off.  The next thing I knew, my body was moving spontaneously, and I knew from having read the description that I was releasing energy blocks from trauma.

In the new book, Levine describes his subjective experience of being hit by a car.

Importantly, he describes PTSD as not an illness but as an injury that can occur from war, rape, sexual abuse, assault, and the like, and also after surgery, serious illnesses, falls, abandonment, receiving shocking or tragic news, witnessing violence, and getting into car accidents. Major shocks to our sense of well-being, in other words.

Some excerpts from his experience:

I can’t figure out what has happened. How did I get here? Out of a swirling fog of confusion and disbelief, a crowd of people rushes toward me. They stop, aghast… Slowly I orient myself and identify the real attacker… A wide-eyed teenager bursts out. She stares at me in dazed horror. In a strange way, I both know and don’t know what has just happened… I sink back into hazy twilight. I find that I am unable to think clearly or to will myself awake from this nightmare.

A man rushes to my side… he announces himself as an off-duty paramedic. When I try to see where the voice is coming from, he sternly orders, “Don’t move your head.” The contradiction between his sharp command and what my body naturally wants — to turn toward his voice — frightens and stuns me into a sort of paralysis. My awareness strangely splits, and I experience an uncanny “dislocation.” It’s as if I’m floating above my body…

…I need to have someone’s comforting gaze, a lifeline to hold onto. But I’m too terrified to move and feel helplessly frozen.

…Finally, I manage to shape my words and speak. My voice is strained and tight. I ask him, both with my hands and words, “Please back off.” He complies.

After a few minutes, a woman unobtrusively inserts herself and quietly sits by my side. “I’m a doctor, a pediatrician,” she says. “Can I be of help?”

Please just stay with me,” I reply. Her simple, kind face seems supportive and calmly concerned. She takes my hand in hers, and I squeeze it. She gently returns the gesture… I feel emotionally held by her encouraging presence. A trembling wave of release moves through me, and I take my first deep breath. Then a jagged shudder of terror passes through my body. Tears are now streaming from my eyes…

I am sucked down by a deep undertow of unfathomable regret. My body continues to shudder. Reality sets in.

In a little while, a softer trembling begins to replace the abrupt shudders. I feel alternating waves of fear and sorrow… I’m afraid of being swallowed up by the sorrow and hold onto the woman’s eyes. Her continued presence sustains me. As I feel less overwhelmed, my fear softens and begins to subside. I feel a flicker of hope, then a rolling wave of fiery rage. My body continues to shake and tremble. It is alternately icy cold and feverishly hot. A burning red fury erupts from deep within my belly.

I hear my shirt ripping. I am startled and again jump to the vantage point of an observer hovering above my sprawling body..The Good Samaritan paramedic reports that my pulse was 170… The paramedics are requesting a full trauma team. Alarm jolts me… As I am lifted into the ambulance, I close my eyes for the first time. A vague scent of the woman’s perfume and the look of her quiet, kind eyes longer. Again, I have that comforting feeling of being held by her presence.

Even though my eyes want to dart around, to survey the unfamiliar and foreboding environment, I consciously direct myself to go inward. I begin to take stock of my body sensations. This active focusing draws my attention to an intense, and uncomfortable, buzzing throughout my body.

…I notice a peculiar sensation in my left arm. I let this sensation come into the foreground of my consciousness and track the arm’s tension as it builds and builds. Gradually, I recognize that the arm wants to flex and move up. As this inner impulse toward movement develops, the back of my hand also wants to rotate. Ever so slightly, I sense it moving toward the left side of my face — as though to protect it against a blow. Suddenly, there passes before my eyes a fleeting image of the window of the beige car… I hear the momentary “chinging” thud of my left shoulder shattering the windshield. Then, unexpectedly, an enveloping sense of relief floods over me. I feel myself coming back into my body. The electric buzzing has retreated…  I have the deeply reassuring sense that I am no longer frozen, that time has started to move forward, that I am awakening from the nightmare

…I feel tremendous relief along with a deep sense of gratitude that my body did not betray me… As I continue to gently tremble, I sense a warm tingling wave along with an inner strength building up from deep within my body.

And it goes on. He gets the ambulance paramedic to tell him his vital signs: heart rate is 74, blood pressure 125/70. Normal. He knows from research that he won’t be getting PTSD.

Thank you, Peter Levine, for providing this fabulous first-person account of the subjective experience of someone who experienced trauma. The body and emotional awareness, the knowledge to tell the paramedic to back off, to receive comfort from the pediatrician, and mostly to allow his body to do what it needed to to — shake and make defensive movements and allow intense emotions to flow — is just brilliant.

I want to be able to witness another’s trauma and not be triggered myself.

What if there is no “normal” to return to after long-term PTSD? Be unfaithful to your sorrows.

I tagged a customer review of a book on Amazon because it moved me and I wanted to track comments on the review. It spoke to me.

(The book is In an Unspoken Voice: How the Body Releases Trauma and Restores Goodness by Peter A. Levine, author of Waking the Tiger, a book that changed my life.)

Fred wrote:

I agree with the comments about this book. I have the book and a couple of his other ones and I learned from them, they were my first knowledge of what trauma could do. I want to make a specific trauma comment and since the author has helped me alot what better place to do it!

At age 60 I am finally and only recently past the terror of early, continuous and prolonged childhood abuse because of the healing work I have done on my own. I recommend books and techniques from Alice Miller, Peter Levine (of course!), David Berceli, Babette Rothschild, EMDR, EFT, PARTS/EGO STATES work, NLP. I am a little leery about unsupervised guided imagery and meditation because they can be so close to dissociation, I sure did.

My comment is that with early abuse in whatever form the child has to create coping and defensive mechanisms to be able to survive mentally. These PARTs then prevent the child from growing naturally like all children should. As an adult these PARTS drew me to abusers and perpetuated actions which continued to retraumatize me. I didn’t know any better.

People who experience trauma as adults can use the techniques the author describes and those listed above to get back to normal. I have come to the awful realization that I have no NORMAL to go back to! My former desires and reasons for living no longer exist. They were based on avoiding reality, lessening the pain and terror, and plowing through dissociation to be able to function. While I don’t have the terror anymore I am still trauma parallyzed (Freeze, surrender) as I have been for most of these 6 decades and I don’t have the NORMAL interests and motivations which would help me get past that. “I” do not exist.

My hope from this review is that this Catch 22 can be added to trauma discussions. I don’t know what can be done to create a resource or if there are even more people like me out there.

I guess a correlary is to emphasize the need to help children who do experience trauma, as early as possible. (Another of the author’s books.)

Fred says there’s no normal to return to because of childhood abuse.

I ask Fred and others who have experienced long-term PTSD who don’t believe they have anything like a “normal” self to return to:

What if “normal” is an illusion? What if there is no normal?

Really, if your trauma began at age 1 or 11 or 21, the “returning to normal” is returning to how you were before the trauma began. What would it look like for a 60-year-old healing trauma victim to return to being a normal one year old? It doesn’t seem to work like that.

Perhaps “normal” is a concept that the mind desires that doesn’t really exist. Even for so-called “normal” people!

If that’s the case, then I say you get to determine what normal means for you.

Maybe normal means being a more present, heart-centered, resourceful person.

Maybe normal means finding what you believe you missed out on: a sense of worthiness, love, inner peace, trust, self-respect, and so on.

Maybe it’s having a strong connection to an enlightened witness. Maybe that enlightened witness is an inner part, Divine Essence, or another person.

Maybe normal is being a valued member of a community and building close relationships.

Maybe normal is being playful and having fun. Maybe it’s setting the boundaries you need to thrive.

Maybe normal is feeling centered in your body and having your energy flow freely, and learning how to return to that state when you become uncentered or blocked.

Maybe it’s wanting to experience the most joy, connection, sanity, and love — both giving and receiving — as you can and having a damn good reason for doing so. Living really well is the best revenge and the best healing you can possibly do.

Imagine that you fully and completely have the experience of being normal. What would that do for you ? Let’s hear it! “Then I’d be…”

And what would that do for you?

Take it as far as you can and enjoy experiencing that staate.

There’s a Zen phrase “unfaithful to my sorrows” that I use on my About me page. To me, it means that no matter what your sorrows are, or how many or deep they are, or how long you’ve had them, there are at least moments when you’re unfaithful to them — times when you forget them and notice something else. A rainbow. Some music. A dream image. A dust bunny. A release of tension.

We tend to believe we’re defined by our sorrows and traumas, but we’re not. We can let these non-sorrow moments become large.

Krishnamurti put it like this:

What can be described is the known, and the freedom from the known can come into being only when there is a dying every day to the known, to the hurts, the flatteries, to all the images you have made, to all your experiences— dying every day so that the brain cells themselves become fresh, young, innocent.

My dear friend Keith Fail says it more simply,

We’re always bigger than we think we are.