The core of van der Kolk's work turns on the realisation that talking or medication alone can be inadequate to touch the deep, embodied memory of trauma (he began his trauma work mostly with returned soldiers suffering from PTSD, but the same conclusions also apply for sexual assaults, accidents or childhood abuse). Van der Kolk uses a variety of techniques to release the deeply held tension in his patients' bodies: breathing, yoga, theatre and singing, as well as quite theatrical role-playing therapy which might seem a little woo-woo to some but apparently can be very powerful in integrating traumatic experiences into a coherent sense of self.
Most intriguing to me is EMDR (Eye Movement Desenstisation and Reprocessing), which at first blush does seem completely woo-woo -- patients relive traumatic memories while watching the movement of the therapist's finger in front of their eyes -- but is in fact extremely effective. This does make sense when you consider that this process mimics the rapid eye movement stage of sleep, during which memories are integrated. A member of my family, who has had a lot of conventional talk therapy, swears by EMDR.
The Body Keeps the Score is a gripping, lively and persuasive read, and I'm not surprised it's been such a huge success and so influential.















