Research
What the Research Says
Research is building around effective strategies for trauma treatment. Trauma exposure is a risk factor for all psychiatric and many physiological disorders. The negative impacts of trauma leading to polysymptomatic ad polysyndromal presentations (Taylor, 2020). Complex trauma, based in long lasting, relational trauma, being the more difficult to treat (West, 2011). Rhodes (2015) qualitative study summarised the effects of complex trauma on the body, “women with complex trauma histories often feel disconnected from their bodies and struggle to feel safe in their own skin”.
TCTSY has been shown to:
Reduce PTSD symptomatology
Increase tolerance for physical and sensory experience Increase interoceptive awareness and capacity Increased ownership and control over one’s body
Yoga and Trauma symptom reduction
Yoga has been shown to significantly reduce trauma symptoms (Zaccari, B., 2022; Taylor, J., 2020; Mitchell, K., 2014; Van der Kolk, 2014). Van der Kolk et al. (2014) discuss the outcome of a randomised control study of individuals with treatment resistant PTSD, “Yoga significantly reduced PTSD symptomatology, with effect sizes comparable to well-researched psychotherapeutic and psychopharmacologic approaches. He goes on to specify that “Yoga may improve the functioning of traumatized individuals by helping them to tolerate physical and sensory experiences associated with fear and helplessness and to increase emotional awareness and affect tolerance”
TCTSY – A stand alone and complementary therapeutic treatment
Zaccari et al. (2022) studied women experiencing PTSD in relation to sexual trauma in the US military. It showed TCTSY produced similar benefits to the gold standard treatment psychotherapy (CPT). In addition they found the benefits from TCTSY were seen earlier in treatment and the participants were more likely to complete the treatment. The authors suggest that TCTSY be considered as an adjunctive, pre-cursor or concurrent treatment to psychotherapies. Further studies highlight the mutual benefits of concurrent treatment where the body-based therapy was found to make experiences with counselling more meaningful and focused (Schintler, 2020).
The Importance of Interoception –
Jennifer Marchand (2020) demonstrates that TCTSY offers more than trauma sensitive yoga and suggests it fits best in the Trauma Informed Care (TIC) framework. She elaborates on the specific methodology of TCTSY to “highlight how it extends beyond sensitivity through its specific treatment purpose of increasing interoceptive capacity”. Neukirch (2019) studied the relationship between yoga, PTSD and interoceptive awareness, finding yoga led to significant increases in interoception and significant decreases in PTSD symptoms, depression, anxiety, and stress, confirming the importance of interoception in trauma recovery.
Well-being, Calm and Wholeness
Rhodes (2015) qualitative study of yoga participation by women with complex trauma histories found they “experienced improved connections with and sense of ownership and control over their bodies, emotions and thoughts, and a greater sense of well-being, calmness, and wholeness in their bodies and minds”. Her in depth dissection of the women’s experience with yoga lead to the title of her paper representing the summation of their healing process of “claiming peaceful embodiment”.
For more research see: https://www.traumasensitiveyoga.com/resources/research
References
Marchand, J. (2020). Moving Beyond Trauma-Sensitive Yoga with the Trauma Center Trauma Sensitive Yoga Model (TSTCY). International Society of Traumatic Stress Studies – Complex Trauma Perspectives.
Mitchell, K., Dick, A., DiMartino, D., Smith, B., Niles, B, Koenan, K. and Street, A. (2014). A pilot study of a randomized controlled trial of yoga as an intervention for PTSD symptoms in Women. Journal of Traumatic Stress 27(2):121–128. doi:10.1002/jts.21903.
Neukirch, N., Reid, S., & Shires, A. (2019). Yoga for PTSD and the role of interoceptive awareness: A preliminary mixed-methods case series study. European Journal of Trauma and Dissociation, 3, 7–15. https://doi.org/10.1016/j.ejtd.2018.10.003
Rhodes, A. (2015) Claiming peaceful embodiment through yoga in the aftermath of trauma. Complementary Therapies in Clinical Practice 21 (247-256). https://doi.org/10.1016/j.ctcp.2015.09.004
Schintler, T., Taylor, G. and Watson, J. (2020). Trauma-Informed Body Based therapies in sexual assault Program evaluation. WestCASA Body Based Therapies Program.
Taylor, J., McLean, L, Korner, A., Stratton, E. & Glozier, N. (2020): Mindfulness and yoga for psychological trauma: systematic review and meta-analysis, Journal of Trauma & Dissociation, DOI: 10.1080/15299732.2020.1760167
Van der Kolk, BA., Stone, L., West, J., Rhodes, A., Emerson, D., Suvak, M. and Spinazzola, J. (2014). Journal of Clinical Psychiatry 75. doi:10.4088/JCP.13m08561
West, J. (2011) Moving to Heal: Women’s Experiences of Therapeutic Yoga after Complex Trauma. Boston College Electronic Thesis or Dissertation.
Zaccari, B., Sherman, A., Febres-Cordero, S., Higgins, M. and Kelly, U. (2022). Findings from a pilot study of Trauma Center Trauma-Sensitive Yoga versus cognitive processing therapy for PTSD related to military sexual trauma among women Veterans. Complementary Therapies in Medicine. Vol 70. https://doi.org/10.1016/j.ctim.2022.102850