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Moshe Feldenkrais's Work with Movement - A Parallel Approach to Milton Erickson's Hypnotherapy

Utilization

The "utilization principle" (Erickson & Rossi, 1979) is recognized as central to Erickson's work, and it is likewise important in understanding Feldenkrais. Feldenkrais and Erickson often match the student-client's ongoing experience and behavior in order to facilitate learning and change. In one dramatic example, Erickson joined in with the agonized chant of a terminally ill cancer patient in order to induce hypnotic anesthesia (Zeig, 1980, p. 185). Once I saw Feldenkrais work, rather grossly I thought, with a small boy with an athetoid form of cerebral palsy until I realized he was matching the child's rhythm and quality of movement; the boy was able to learn far more easily from this resonant pattern than from very smooth movements which lay outside his range of experience. Bandler and Grinder (1975) have discussed utilization in terms of "pacing and leading" and say that in pacing, "the hypnotist is making himself into a sophisticated biofeedback mechanism" (p. 16). Feldenkrais's methods indeed exemplify a sophisticated biofeedback mechanism. Functional Integration® creates a direct kinesthetic linkage whereby the practitioner and student become " a new entity", joined by the hands of the practitioner (Feldenkrais, 1981a, pp. 3-4). Feldenkrais kinesthetically "paces and leads" the students breathing, muscular tonus, rhythm, and other subtle qualities and styles of minimal neuromuscular behavior.

Feldenkrais's movements often accentuate the student's way of holding the body; his hands shape themselves to the musculoskeletal contours, supporting and exaggerating what is already being enacted and taking over the student's own muscular effort. For example, Feldenkrais might lift and support a pupil's hunched shoulders or tightened lumbar arch. Once, while working under Feldenkrais's supervision, I was attempting to release a muscle spasm in an elderly woman's pelvic muscles. He came over to me, put his hands on mine. and I felt his and my hands merge with the woman until the three of us were moving as on "ensemble". As her spasm released and her pelvis began to softly move, Feldenkrais rhythmically intoned, "Don't contradict her nervous system. It is very intelligent. It has been making life feasible for this woman for 76 years. Help it to do its job" (personal communication, April, 1979). For Feldenkrais, muscular tensions are intelligent, useful behaviors that serve some purpose to the person.

Utilization means cooperating with these unconscious patterns and adjusting to the individual so that "we can all do our own learning in our own way" (Zeig, 1980, p. 224). Thus it may be helpful to lengthen further the side of the body which is longer, or twist the student in the habitual direction of musculoskeletal torque; this establishes rapport with, and enables reorganization of those individual-specific patterns which are often called "symptomatic". Paradoxically, when a person is pushed sufficiently in his or her own extreme, it begins to feel right for the person to spontaneously correct his or her posture. For example, if a man habitually carries his head to the right, by gently increasing his natural "bent", his own "biofeedback" will redirect him toward more symmetrical functioning. However, if the man were corrected directly, he would perceive it in his self-image as an unnatural movement to the left and his unconscious bias might undermine the correction. In another instance, Feldenkrais taught a student to open an eye which could not open properly by exaggerating the eye's closure, thus rendering the movement of opening, however slight, more perceptible. Even as a young man, Feldenkrais only played football with him until one day the boy insisted. on his own, that they do some math homework together. In this case, utilization of the boy's rebellious feelings toward his father and his positive feeling for sports were the means to carry him beyond his learning block Note 3).

Indirect and Paradoxical Techniques


Erickson was well-known for employing indirect and often paradoxical techniques in hypnosis and psychotherapy. As in some of the examples already discussed, Feldenkrais, too, avoids direct and obvious approaches and believes that an indirect solution is often the most effective and elegant one. For example, in Functional Integration® Feldenkrais often works only with the "good" side and not the injured or restricted side of the body. A person with an injured leg depends heavily upon the "good" leg which, therefore, often becomes strained from doing the work of two legs. Working on the "good" leg helps the person to move easier and gives the "bad" leg a chance to rest and heal. In addition, passively lengthening and shortening the "good" leg effects an isomorphic, reciprocal movement on the opposite side of the pelvis and spine; thus, the "bad" leg undergoes the same movement but indirectly. Indirect movements can bypass protective reactions which may be considerable in cases of pain and trauma and help teach the person how to move in a healthful manner.

Feldenkrais's " artificial floor" technique illustrates how he can elicit the learning of whole functions through partial cues conveyed through any part or parts of the body (Feldenkrais, 1981a, pp. 139-142). With a pupil lying supine on the work table, Feldenkrais applies subtle pressures to the sole of the foot with a flat board or book in order to "simulate walking on even ground" through proprioceptive cues. While on the table, the person probably has no conscious inkling of what is being learned; he or she is simply absorbed in pleasant kinesthetic sensations. However, upon getting up and walking, the pupil will appreciate that his or her nervous system has undergone a substantial reorganization in its "image" of walking. In this manner Feldenkrais teaches "sensory-motor excellence to normal individuals and to individuals with problems such as cerebral palsy.

Feldenkrais's indirect techniques are made possible by what neurophysiologist Karl Pribram (1971) has called the "hologramic" nature of the nervous system whereby each part expresses an image of the whole. This idea also helps explain Erickson's ability to "mind read" from minimal cues. Feldenkrais's and Erickson's techniques represent a refinement of what we all observe in nonverbal communication: the signaling of intentions through partial and initiatory actions. We follow a person's attention through eye movements and posture; the readiness to speak-or even its content- is conveyed by changes in a person's mouth or breathing; and so forth. By extension we can conceive how, by delicately moving a cellist's scapula, one could not only "relax" the musician, but much more precisely, convey the means to bow the instrument in a new way. Every motor skill is inscribed in a global pattern of organization in the person's body and nervous system. Erickson pointed out, for example, that writing is an action of the entire body (Zeig, 1980, p. 319). Accordingly, our wealth of lifelong motoric learning has created a kinesthetic matrix of associations as individualized as "our own linguistic patterns, our own personal understandings" (Zeig, 1980, p. 78). The efficacy of these indirect learning techniques is therefore dependent on a Feldenkrais practitioner's ability to "speak"" with the hands in a way that the individual student kinesthetically understands.

Pattern Interruptions

"Differentiated" and "nonhabitual" movements form a group of Feldenkrais techniques which can be understood as analogous to Erickson's pattern interruptions. Just as Erickson often prescribed out of the ordinary behaviors and even engineered situations in order to shake people our of their patterns, Feldenkrais often creates sufficiently novel and unfamiliar learning situations to do the same. "Differentiated" movements may refer to moving the eyes, head, shoulders, and pelvis in separate directions; "nonhabitual" movements may consist in simply reversing one's habitual way of interlacing the fingers or being asked to perform unfamiliar and familiar movements in novel positions. The situation of learning something radically new produces a major shift in the brain and often induces a trancelike state reminiscent of Erickson's "confusion technique". Feldenkrais's differentiated and nonhabitual movements are modeled on the organic, experimental learning of children. Normal motor development follows a rhythmical course of increasing differentiation and synergistic integration. For example, discrete movements of the extremities are differentiated from global actions involving the entire; discrete finger movements are differentiated from undifferentiated hand movements such as grasping, with each succeeding differentiation supported by integrated activity of the whole body. In cases of abnormal development such as cerebral palsy, Feldenkrais may initially go with, and pace a person's spastic, undifferentiated functioning that displays the action of "higher" neurological inhibition. In cases of stroke or even stress-related muscular tension, people regress to less differentiated functional states; and differentiation must be reacquired. Again, Feldenkrais's approach is to "pace and lead", shifting between undifferentiated and increasingly differentiated patterns.

Nonhabitual and highly differentiated movements displace a person from his or her customary mind and body "set". The person who, for example, has back trouble or is depressed is transported to a novel situation where he or she has not already learned how to have this problem (Baniel, personal communication, July, 1983). The new way of acting is therefore not tainted with recollections of inability and discomfort. When learning, we disengage from customary patterns and awaken to discover ourselves capable of doing things formerly believed impossible.

Hypnotic Communication

Functional Integration® as described by Feldenkrais certainly evokes the image of trance experience:
Functional Integration® turns to the oldest elements of our sensory system- touch, the feelings of pull and pressure, the warmth of the hand, its caressing stroke. The person becomes absorbed in sensing the diminishing muscular tonus, the deepening and the regularity of breathing, abdominal ease, and improved circulation in the expanding skin. The person senses his most primitive, consciously forgotten patterns and recalls the well-being of a growing young child. (1981a, p. 121)

Similarly, the Awareness Through Movement® extract at the beginning of the chapter calls to mind many Ericksonian patterns of hypnotic communication, including embedded and indirect suggestions. And, the effect of the lesson is certainly "hypnotic".

Yet, interestingly, Feldenkrais does not refer to "hypnosis" or "trance" either in practice or theory, His language is situated in the context of human movement learning, and it is sensory-based. "States of consciousness" are invoked primarily insofar as they are embodied in sensible qualities of activity. In actual practice this is not as restriction as it may sound since movement is an expression of the self. Feldenkrais's parallel "hypnotic" approaches may be summarized as follows: (a) the induction of a positive, subjective state which is conducive to learning, including feelings of ease, comfort, reduced muscular tonus; (b) the sensitivity to an validation of self-experience; (c) the training of somatopsychic skills including imagery, memory, attention, physiological and neuromuscular control; (d) the utilization of life-experiential and species-experiential knowledge; (e) indirect approaches; (f) pattern interrupting techniques; and (g) emphasis upon mutual respect, codependent interaction and communication where practitioner and student reciprocally learn from each other.

An Illustration

Once Feldenkrais worked with a middle-aged man who had been in a wheelchair for 16 years after an automobile accident and subsequent spinal operation. His legs were spastic and he sat quite stooped with a depressed look on his face. Feldenkrais began by seemingly attempting to straighten the back directly, gently pushing with his hands into the middle of the kyphotic curve. As long as Feldenkrais supported him, the man sat erectly; but as soon as he took his hands away, he slouched into his original position. Clearly, the man's nervous system would reject any willful attempt, on his own part or anyone else's, to straighten his back.

Then Feldenkrais asked him to stick out his tongue and do the movement animals do to lap water (which involves a wavelike movement of thrusting the head forward). He was asked to repeat the movement slowly, reducing his effort, and making each movement more comfortable than the last. After resting, he was asked to repeat the movement with his face turned to the right, then to the left, and finally while moving his head slowly from one side to the other. As his movements gradually involved more of his spine and entire self, minute by minute he sat more erectly in his chair; and after about 15 minutes, he sat with his head held high and an alert, pleasant look on his face. Feldenkrais then pointed out that his legs were relaxed and no longer spastic. Next, Feldenkrais had the man lie down on the table on his back; and in the process his legs became spastic once again. Feldenkrais asked the man to think of what he had been doing with his tongue. As the man imagined the movement of lapping water, his legs again relaxed. After working nonverbally with the man for about 15 minutes, Feldenkrais had him move back to his wheelchair. But as he started the effort of lifting himself, his legs again became spastic. After Feldenkrais reminded him of the tongue movement, he was then able to manage himself much more easily without his legs becoming stiff. In order to understand the movement of lapping water, experience the movement yourself and observe what your head and neck do. You will discover that if you perform the movement slowly, gently, and repeatedly, your entire body will become involved in the act. Notice that although the active, intentional, and conscious movement is to thrust the head forward as the tongue reaches for "water", the relatively passive, unintentional, and unconscious phase requires straightening the cervical arch and taking the head into its most erect position. Thus, in light of what has been said, we can see that this movement is an indirect technique of learning improved posture and spinal organization; a utilization of the man's forward stoop in a pleasant-feeling movement; a pattern interruption of his usual manner of seeing himself and holding himself; a " naturalistic trance induction" involving repetitious movements and sensory-based suggestions for increasing ease, comfort, and satisfaction; and a utilization of latent phylogenetic and ontogenetic neuromotor patterns involving movements of the mouth and jaw in organic relation to the first cervical vertebra, the tongue, swallowing, breathing, and locomotion. Finally, we can see how the new movement quality can be used as a kinesthetic reminder- and a form of "posthypnotic suggestion"-for the possibility of increased ease and lightness of movement.

THE ARTISTRY OF FELDENKRAIS AND ERICKSON

Feldenkrais and Erickson are artists as well as therapists and teachers. As artist-scientists, they continually go beyond themselves and never abandon an experimental attitude. With their students they consistently attempt to provoke creativity, individuality, and originality of thinking. For example, when Erickson said that the practice of psychotherapy should be "charming and interesting", he was going beyond a solely practical, therapeutic frame of reference. He was challenging himself as an artist to be inventive as well as effective. Analogously, Feldenkrais directly compared his lessons to "procedures...in learning to paint, to play an instrument, or to solve a mathematical problem...Pianists of genius when practicing...always...discover an alternative to the habitual" (1981, p. 95). Thus, over the years Feldenkrais developed literally thousands of different Awareness Through Movement® and Functional Integration® lessons, and Erickson displayed a similar virtuosity of styles and techniques. A Teaching Seminar demonstrates how Erickson was able to find unexpected ways to humor and stimulate his students to "think in all directions" (Zeig, 1980, p. 128); and Feldenkrais, like Erickson, tells stories to teach flexible thinking as well as moving. He relates that he once was seated opposite a man on a train who was reading from a book held upside down. After a few moments of bewilderment, wondering if the man were crazy, joking, or only pretending to be literate, Feldenkrais asked him why his book was upside down. "Upside down?" the man replied. "How can a book be upside down?" The man had gone to a school in a small Yemenite village where there was only one book to a class. The children sat each day in a small circle reading their book from "all directions" (personal communication, March, 1979).

REFERENCE NOTES


1. For information concerning Feldenkrais's work and trained practitioners, contact the Feldenkrais Guild Office, P.O. Box 11145, San Francisco, California 94101 2. Feldenkrais, M. Professional Training Program, June, 1975. 3. Feldenkrais, M. Unpublished autobiography, undated.

REFERENCES

Bandler, R. & Grinder, J. (1975). Patterns of the hypnotic techniques of Milton H Erickson, M.D. (Vol. 1). Cupertino, CA: Meta Publications.

Blechschmidt, E. (1977). The beginnings of human life. New York: Springer-Verlag.

Erickson, M. & Rossi, E. (1979). Hypnotherapy. New York: Irvington.

Feldenkrais, M. (1949). Body and mature behavior. New York; International Universities Press.

Feldenkrais, M. (1967). The case of Nora. New York: Harper & Row. (Out of print, but available from the Feldenkrais Guild Office.)

Feldenkrais, M. (1972) Awareness Through Movement®. New York: Harper & Row.

Feldenkrais, M. (1981a). The Elusive Obvious. Cupertino, CA: Meta Publications.

Feldenkrais, M. (1981b, May). San Francisco "Quest" Workshop. Washington, DC: ATM Recordings.

Haley, J. (1967). Advanced techniques of hypnosis and therapy. New York: Grune & Stratton.

Pribram, K. (1971). Languages of the brain. Englewood Cliffs, NJ: Prentice-Hall.

Zeig, J. K. (Ed. ). (1980). A teaching seminar with Milton H. Erickson, M.D. New York: Brunner/Mazel.

Zeig, J. K. (1982). Ericksonian approaches to hypnosis and phychotherapy. New York: Brunner/ Mazel.

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