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Talk it Out or Move Through It? The Best Way to Heal Trauma

Fight, Flight, Flee, Flop: Understanding Trauma Responses

Narrative Therapy vs. Somatic Approaches for Healing Trauma

Narrative therapies and somatic approaches represent two significant modalities in the realm of psychological healing, each with its unique perspectives on treating trauma and facilitating recovery. While both approaches aim to aid individuals in overcoming the adverse effects of traumatic experiences, they differ significantly in their methodologies, focal points, and underlying philosophies. This article will compare and contrast narrative therapies and somatic approaches, emphasizing the critical role of narrative therapy in the healing process.

Narrative Therapies: Unpacking the Story

Narrative therapy centers on the stories that individuals construct and live by, understanding these narratives as key to one's identity, experiences, and perceptions of the world. This approach posits that problematic narratives, which may be narrow, negative, or damaging, contribute to psychological distress. The therapeutic process involves helping individuals to identify, deconstruct, and re-author these narratives, thereby enabling them to reshape their identities and experiences in more empowering ways (White & Epston, 1990).

Key Aspects of Narrative Therapy:

  • Empowerment through Re-authoring: Narrative therapy empowers individuals by highlighting their agency in reshaping their stories.

  • Problem-Separation: It separates problems from people, reducing personal blame and increasing objectivity towards issues.

  • Externalization: By externalizing problems, narrative therapy allows individuals to address issues more freely and creatively.

Somatic Approaches: Healing through the Body

In contrast, somatic approaches to therapy emphasize the body's role in storing and processing trauma. Advocates of somatic therapy argue that traumatic memories are not just mental constructs but are also physically encoded in the body's nervous system, manifesting as chronic stress, tension, and other somatic symptoms. Somatic therapy seeks to address these physical manifestations through body-awareness practices, movement, and other techniques that directly engage the body (Rothschild, 2017).

Key Aspects of Somatic Therapy:

  • Body Awareness: Somatic therapy increases body awareness, helping individuals recognize and respond to physical cues associated with trauma.

  • Release and Regulation: It facilitates the release of trapped physiological energy and teaches regulation techniques to manage bodily responses.

  • Integration: Somatic approaches aim for the integration of bodily experiences into a coherent sense of self, enhancing overall well-being.

The Interplay and Distinctions

While narrative therapy focuses on the stories we tell about our lives, somatic therapy attends to the stories told through our bodily experiences and reactions. The former underscores the cognitive and linguistic construction of reality, emphasizing the therapeutic potential of reinterpreting and reconstructing personal narratives. The latter, however, delves into the non-verbal, often unconscious, memories stored within the body, addressing trauma's physical residue.

Complementary Yet Distinct: Narrative therapy and somatic approaches can complement each other, offering a holistic healing model that addresses both the mind and the body. However, the distinction lies in the primary entry point for healing: narrative therapy starts with the story, seeking cognitive and emotional understanding and transformation, while somatic therapy begins with the body, aiming to heal trauma through physiological engagement and awareness.

Substantiating Narrative Therapy as Critical for Healing

Narrative therapy holds a critical place in the healing process due to its profound impact on personal identity and the interpretive frameworks individuals use to make sense of their experiences. By reconstructing narratives, narrative therapy not only alters one's relationship with trauma but also redefines one's identity and potential for future experiences. This re-authoring process offers a path toward empowerment and liberation from past constraints, highlighting narrative therapy's indispensability in psychological healing (Etchison & Kleist, 2000).

In conclusion, both narrative therapies and somatic approaches provide valuable paths toward healing, each with its unique focus and methodologies. However, the critical role of narrative therapy in addressing the cognitive and linguistic aspects of trauma recovery underscores its fundamental importance in the therapeutic landscape. By enabling individuals to reinterpret and reconstruct their narratives, narrative therapy facilitates profound psychological transformation and empowerment, marking its indispensable place in the journey toward healing and wholeness.

For professionals working with trauma survivors, understanding the interplay between narrative and somatic approaches can significantly enhance your ability to support comprehensive healing. The NeuroNarrative Approach™, developed by Trey Malicoat, offers a groundbreaking framework that integrates the transformative power of narrative therapy with the insights of neuroscience and somatic experiencing. To learn more about how you can master the NeuroNarrative Approach™ and expand your skill set, visit Explore classes, coaching, retreats, and intensives designed to equip you with the tools and insights needed to guide your clients toward profound healing and resilience.

In Gratitude,



  • Etchison, M., & Kleist, D. M. (2000). Review of narrative therapy: Research and utility. The Family Journal, 8(1), 61-66.

  • Rothschild, B. (2017). The body remembers: The psychophysiology of trauma and trauma treatment. W. W. Norton & Company.

  • White, M., & Epston, D. (1990). Narrative means to therapeutic ends. W. W. Norton & Company.

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