Somatic climatology

In a previous post, I discussed John Sarno’s ideas on the psychological etiology of pain and other pathologies. In this context I would like to add some further hypotheses on how emotional repression affects the body and the felt sense.

The repression of emotions from consciousness does not merely prevent their expression in the neocortex. Emotions are naturally linked to the much more ancient endocrine system, which affects the body by means of hormones produced in the glands and vectored through the bloodstream and ultimately the extracellular matrix. The nervous and endocrine systems are interdependent, with response coordinated by the hypothalamus in the brain. The repression of emotions is a process which affects both the nervous system and certain key endocrine functions related to the evolutionarily adaptive response to the emotion in question. However, the body’s natural response to these locked emotions is not altogether disabled – they continue to produce effects in parts of the somatic and autonomic nervous systems as well as in parts of the endocrine system. The key point to understand is therefore that repression from consciousness is not equivalent to complete somatic disactivation. Repression by the ego is an imperfect dam, around which the stored emotions must find routes in order to maintain homeostasis. Because these routes do not provide for a full discharge of the emotions, however, the body is under constant tension.

We may consider that the primary emotional response is the alloplastic one – the one which is directed to changing the situation at the origin of the emotions being felt – and that it is this alloplastic response which is suppressed (if we are anything like our bonobo cousins, the repressed instinct may frequently be to have sex; this response does not change the external situation as such but rather its social expression, and could be termed mesoplastic or socioplastic). In its place, an autoplastic response is favored – the organism tries to change itself.

The inappropriate and sustained nervous and endocrine response to repressed emotions is what gives rise to the pathologies discussed, and it is important to realize that this is not just a “trick of the mind” but rather that it takes place on a biochemical level which, while not fully autonomous, enjoys a degree of autonomy from the conscious functions which we tend to think of when we use the term “mind”. In reality, of course, it is our terminology and its intrinsic duality which is at fault, because the bodymind operates as an integrated system in which certain material may be withheld from consciousness, but the vast majority is unavailable to consciousness in the first place.

The same objection has to be raised in respect of a focus on pathological syndromes only. In fact, the repressed response does not produce candidate pathologies only, but directly influences the biochemical environment of the body, proprioception, and our mental somatic map. It is not only pain, allergy or disturbed bowel function which may be provoked by emotional circumstances, but more generally also our level of somatic energy, our self-perception and our sense of wellness: aspects which we may think of as an innate part of our personality, but in reality are no more so than these other more obvious disturbances.

This raises, from my perspective, the interesting question of how an undisturbed individual would experience the body and embodiment. If it was not immediately obvious to me that my pain had emotional causes, it was even less obvious that the same was true for my general sense of self, for my general sense of inhabiting the body I inhabit. If this experience can also be altered by an awareness of its etiology, then interesting times lie ahead.

I wish all my readers a happy 2013!