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Helle Brok (Anette Knudsen), stress and hyporesponse

Helle Brok (Anette Knudsen), stress and hyporesponse

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Hyporespons<br />

the hidden challenge in coping<br />

with <strong>stress</strong>.<br />

By <strong>Helle</strong> <strong>Brok</strong> <strong>and</strong> <strong>Anette</strong> <strong>Knudsen</strong><br />

Studies of Relaxation an Psychomotor Therapy,<br />

VIA University College, Denmark<br />

Mail: hebr@viauc.dk (<strong>Helle</strong>)


Stress <strong>and</strong> body<br />

• In PMT the complaints of the clients are<br />

often related to <strong>stress</strong> (or anxiety).<br />

– There are different ways of helping clients dealing<br />

with these problems.<br />

– A common suggestion is teaching people to relax<br />

or to do physical activity.<br />

• This workshop has focus on optimal tension,<br />

dosering <strong>and</strong> connecting with undertensed<br />

muscles/ressources in the body


Focus in this workshop<br />

• To be aware of the hypo-tension in the<br />

muscles in order to get an optimal tension<br />

in the body.<br />

• To be aware of how activities are precisely<br />

dosed, respecting how much muscular<br />

presence <strong>and</strong> fullness the person can<br />

tolerate to build up.<br />

• To be aware of recourses (psysical,<br />

emotional, social) with start from<br />

undertensed muscles in the body


The underst<strong>and</strong>ing of optimal tension<br />

Optimal tension:<br />

”To react in the most suitable way in every<br />

situation, physical <strong>and</strong> psychological.”<br />

When you do not react in the most suitable way<br />

the reaction will remain in your body <strong>and</strong> mind.<br />

• That means to use the power <strong>and</strong> energy that the situation require, not more, not less,<br />

<strong>and</strong> to restitude after an effort. It is to react on feelings with exactly that energy, that is in<br />

or belongs to, the feeling. Let feelings flow through the body.<br />

• When you don’t react in the most suitable way, the reaction will remain in your body <strong>and</strong><br />

mind – until you react in one or another way, according to the energy, that belongs to the<br />

feeling. Most people have remained reactions in body <strong>and</strong> mind from the childhood <strong>and</strong><br />

youth.


Development of optimal tension in Denmark<br />

Psychiatrists:<br />

Schultz: autogen training<br />

Jacobsen: progressive <strong>and</strong> differented relaxation<br />

Fink: relaxation of the breathing muchels<br />

Carl Rogers:<br />

Client centered therapy<br />

Existentialist philosophy:<br />

Clients experience ’here <strong>and</strong> now’’<br />

Denmark:<br />

Grethe Jørgensen<br />

Ruth Ryborg<br />

Maibritt Schwab<br />

Lisbeth Marcher<br />

Merete H. Brantbjerg<br />

Wilhelm Reich:<br />

Charactor armour –<br />

Muscle armour<br />

Lillemor Johnsen:<br />

Hypothone muscles =<br />

ressources


Lillemor Johnsen<br />

• Through experiences with thous<strong>and</strong> of patients she<br />

discovered they became more diseased, when she<br />

treated only the hypertended muscles.<br />

• She discovered that the muscles in the body could also<br />

be hypo-tensed, <strong>and</strong> when she treated the hypotensed<br />

muscles the patients react in a positive way.<br />

• Conclusion: the hypo-tensed muscles contains the<br />

persons resources, <strong>and</strong> the person has to develop the<br />

resources before she positively is able to release the<br />

defense/the hypertensed muscles.<br />

• She found out how to graduate the tension of the<br />

muscles in a system.


Focus on hypotension<br />

• The aim of changing the focus to the<br />

hypotension in the body is to find<br />

personal resources <strong>and</strong> new ways of<br />

acting out, physical <strong>and</strong> emotional <strong>and</strong><br />

in that way to cope with <strong>stress</strong> <strong>and</strong><br />

anxiety.


Hypo <strong>and</strong> hyper tensed muscles physical<br />

Hypo tension Hyper tension<br />

(Under tension) (over tension)<br />

B4 B3<br />

Non functional<br />

B2 B1<br />

Nearly functional<br />

N<br />

Functional<br />

Consistency of the muscle:<br />

A1 A2<br />

Nearly functional<br />

loose – limp …………………………. firm <strong>and</strong> volume………..……………. ….tense – hard<br />

Quality of the muscle:<br />

whipped cream…draw back ……….firm <strong>and</strong> volume............................push………..board<br />

Reaction velocity (speed)<br />

no reaction………Slow ……………..… elasticity..................................quick....no entrance<br />

A3 A4<br />

Non functional


Hypo <strong>and</strong> hyper tensed muscles phycho-physical<br />

Hypo tension Hyper tension<br />

B4 B3<br />

Non functional<br />

B2 B1<br />

Nearly functional<br />

Ressources<br />

Energy<br />

Contact with the muscles<br />

passive psychological defence active psychological defence<br />

(psychoses/weak self) (neorotic/stronger self)<br />

absent barricated<br />

N<br />

Functional<br />

A1 A2<br />

Nearly functional<br />

A3 A4<br />

Non functional<br />

You can work with musles which are nearly functional <strong>and</strong> funcional (B2, B1,<br />

N, A1, A2)


Hyporesponse is challenging when<br />

dealing with <strong>stress</strong><br />

• The areas that have given up do not dem<strong>and</strong><br />

attention in the way that, for instance, tight<br />

shoulders would.<br />

• It is easy to overlook the body’s signals that<br />

work by absence.<br />

• Learning how to relax does not change this<br />

dynamic.


Ressource oriented skilltraining<br />

supporting a presence here <strong>and</strong> now<br />

• Flexibility<br />

• Centering<br />

• Grounding<br />

• Boundaries<br />

• Containment<br />

• Orientation <strong>and</strong> the ability to regulate contact<br />

• Concrete sensing of the body will maintain a focus on<br />

myself<br />

• Hyporesponse in muscles that are connected to basic presence <strong>and</strong> coping skills will lead to these<br />

skills weakened, distanced <strong>and</strong> vulnerable to external pressure as well as internal rise. Increased<br />

external pressure will typically strengthen a hyporesponsive strategy. We cope by distancing<br />

ourselves or distancing parts of ourselves. This defensive strategy is a way to try <strong>and</strong> dive beneath<br />

the pressure, a way of escaping it. Within a hyporesonsive strategy there is no way of meeting the<br />

pressure <strong>and</strong> taking a conscious st<strong>and</strong>.


Basic skills that are weakened when in<br />

a state impacted by <strong>hyporesponse</strong><br />

To change it takes:<br />

�learning how to tolerate <strong>and</strong> maintain a level of<br />

presence.<br />

�practicing how to find a level of dosing in an<br />

activity that will build up presence instead of<br />

exhaustion.<br />

�Improving your ability to cope with <strong>stress</strong> begins<br />

with acceptable of your inner capacity –<br />

regardless of size – <strong>and</strong> with supporting both the<br />

need for rest <strong>and</strong> for building <strong>and</strong> maintaining a<br />

level of energy <strong>and</strong> presence.


Increasing presence by building up<br />

• So…….<br />

energy<br />

bodily activities does have an impact on<br />

hyporesponsive muscles –but only as long as<br />

activities are precisely dosed, respecting how<br />

much muscular presence <strong>and</strong> fullness the<br />

person can tolerate to build.


The underst<strong>and</strong>ing of optimal tension in Denmark<br />

The unbalanced muscles represents different ways to<br />

react:<br />

•fight <strong>and</strong> defence (sympaticus) or giving up parasympaticus).<br />

•These reactions can be felt in the consistency of the muscles.<br />

•The unbalanced body has minor energy.<br />

•The unbalanced person has less possibilities of acting out.


The underst<strong>and</strong>ing of optimal tension<br />

Your muscles can be hypertensed or hypotensed<br />

<strong>and</strong> it can be a mirror of your mind.<br />

In your body it will stay as hypertensed or<br />

hypotensed muscles, as well as there can be<br />

vegetative reactions.<br />

In your mind it will stay as an unsolved conflict.<br />

The unbalanced tensions are often established in<br />

the childhood <strong>and</strong> they are mirroring the<br />

personality.


To work with<br />

hypo tensioned muscles<br />

Methods with dosering<br />

• Working with strength <strong>and</strong><br />

strengthen the muscles<br />

• Active impulses with h<strong>and</strong>s<br />

when client is passive<br />

• “Pressing”/holding muscles<br />

• Working with the 3 senses:<br />

tactile sense, proprioceptive<br />

sense <strong>and</strong> vestibular sense<br />

(helping sense integration <strong>and</strong><br />

coordination/”keeping the<br />

body together<br />

To work with<br />

hyper tensioned muscles<br />

• Manual long deep slow<br />

stretching where the client is<br />

passive<br />

• Touching with intension of<br />

relaxing, stretching the muscles<br />

<strong>and</strong> take hypertensions away in<br />

the muscles<br />

• Ask client to use briefing active<br />

to relax<br />

• Everything which is soften the<br />

body<br />

• Passive stretch


Program <strong>Helle</strong> <strong>Brok</strong> -1<br />

Movement floor – contact with part of body<br />

• Intro: move on the floor, awareness of a place in your body with less energy, difficult to get in<br />

touch with, kind of “death” part. Move from this part to get in contact with in<br />

• Music Songbird by Kenny G (Kenny G)<br />

• Intervention: to activate undertensed muscle <strong>and</strong> be aware of <strong>and</strong> connect to it. (as well as<br />

any emotion connected to it)<br />

Movement floor – joy <strong>and</strong> a choice<br />

• Intro: move on floor. Make a conscious choice to move with joy. Connect joy <strong>and</strong> the place<br />

from first movement<br />

• Music; Cursum Perficio by Enya (Watermark)<br />

• Intervention: to make clients aware of choice of attitude, move from pain to joy <strong>and</strong><br />

resources.<br />

2 <strong>and</strong> 2 sharing<br />

Intro; share 2 <strong>and</strong> 2. one listen the other talking, what is your spot, how does it feel physical <strong>and</strong><br />

emotional, did you experience anything new.<br />

Intervention; to support the consciousness, to share open also support the feeling of containing


Program <strong>Helle</strong> <strong>Brok</strong> - 2<br />

Movement st<strong>and</strong>ing, with arms. Space – own room<br />

• Intro: make your own space. With your arms. Be aware how you want to make it, stay in contact with your<br />

self <strong>and</strong> only make it as you feel it feels right. Move from inside – put energy in to the movement<br />

• Music; Breath <strong>and</strong> Begin by Elizabeth Rogers (Breath <strong>and</strong> begin)<br />

• Intervention: to make clients aware of <strong>and</strong> having them make their personal space.<br />

Movement 2 <strong>and</strong> 2 back to back (only group 2)<br />

• Intro: move back to back. Stay with our own pulse <strong>and</strong> own room. What happen when you are in touch<br />

with another person or the music playing, will it take you away. Try stay with your room <strong>and</strong> pulse.<br />

• Music Don’t go breaking my Heart – by Elton John <strong>and</strong> Kicki D<br />

• Intervention: give awareness on what disturb the sense of own room, <strong>and</strong> on if possible to keep own<br />

Movement around in the room, keep your space – meeting others<br />

• Intro: move around the room. What happen when you meet others (emotional, physical, social)<br />

• Music Blue Eyes – Mika (the boy who knew to much)<br />

• Intervention: give awareness on what disturb the sense of own room when meeting others<br />

2 <strong>and</strong> 2 sharing<br />

Intro; share 2 <strong>and</strong> 2. one lisent the other talking, how does your room look, feel <strong>and</strong> sense.<br />

Intervention; to support the consciousness, to share open also support the feeling of containing<br />

(group two shared in own language)


Program <strong>Helle</strong> <strong>Brok</strong> - 3<br />

Movement grounding, move around the room<br />

• Intro: grounding support your sense of being you <strong>and</strong> st<strong>and</strong> by you self. Use the music to stamp, get down<br />

in your knees, move with power<br />

• Music; Falling High – Safri Duo (EX 3,5)<br />

• Intervention: to support the grounding.<br />

Break <strong>and</strong> theory<br />

4 different exercises:<br />

• 2 <strong>and</strong> 2, Hips against each other, give energy – building up energy (both sides)<br />

• 2 <strong>and</strong> 2 – Stretching arm with resistant from the other person. Optimal dosering<br />

• 2 <strong>and</strong> 2 – giving impulse on the spine – getting in touch, dosering <strong>and</strong> flexibility, connect<br />

with parts that are difficult to sense<br />

• Progressive relaxation - building up energy – contact with undertensted muscles

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