There are two main ways our system gathers information. The first way is through stimuli in the environment known as energy. Energy is received through our five-senses’ experience of our surroundings, and this information is then sent to the brain through receptors (Wede, 2020). This process is known as bottom-up. The second way is known as top-down, which sets us apart from other species through the use of our prefrontal cortex. We have the unique ability to assign meaning to things based on learning memory, logic, and reasoning skills. Therefore, we are capable of thinking abstractly, and forming knowledge through experience (Wede, 2020). When complex trauma (otherwise known as relational trauma) occurs, it is stored and then continually triggered by reminders from the bottom-up (Ogden et al, 2006).
As humans, we gather seemingly innocuous cues in the environment like body language, tone of voice, and even lack thereof. These covert messages are recorded in our memory procedurally as implicit memory (Ogden et al, 2006). For example, if we walk into the living room and our parent’s body language is relaxed and their voice is soft sounding, we gather this information unconsciously. Once it gets our brain, we implicitly feel it as “mom’s presence is safe”. The same thing goes for if the same parent was instead staring at you with a scowl and speaking in a harsh tone. The energy is absorbed from the bottom-up signaling that an important figure is behaving in a way that is threatening. From the bottom-up this information meets the amygdala, the brains alarm system, which cannot differentiate between threatening stimuli (Ogden et al, 2006). While this example may not be traumatic in and of itself, when relationships are chronically inhospitable then the normal reaction for a child is to adapt to living in those dangerous conditions. This is the essence of interpersonal trauma.
While adaptation is crucial for children to survive neglectful and outright abusive homes, the behaviors they learn are not helpful for a healthy thriving life (Lawson et al, 2013). Many individuals with complex trauma find themselves in treatments in adulthood for things like depression and anxiety, not knowing that they were wired from an early age to expect and respond to threat in all future environments (Ogden et al, 2006). This procedurally learned survival strategy is continuing on in their adult lives even though they are far away from the original harmful settings. Many therapies (Cognitive behavioral therapy etc.) focus on top-down strategies such as explicitly processing the narrative of what happened. This often backfires for complex trauma survivors as so much of the overwhelm is recorded bottom-up without a clear story attached to it (Ogden et al, 2006).
Our perception of life-threat and trauma is so often subjective. Due to the distinct way that we all interpret signals in the environment, there is rarely a one size fits all solution to healing complex trauma (Lawson et al, 2013). Where top-down processing is crucial is in the reassigning meaning to information gathered from the bottom-up. This happens when transduction meets conscious awareness of how energy in our environment is influencing our reactions in real-time. It’s important to note that bottom-up and top-down are both ways of fueling action potential (Wede, 2020). It just so happens in the instance of trauma that fragmented memory is stored implicitly first and foremost. Breakthrough therapies like sensorimotor psychotherapy, for example, focus somatically on the body (Ogden et al, 2006). The felt sense of safety is proven to be as important if not more important than top-down meaning making at the onset of therapy.
A major part of beginning to address this issue starts with learning about how energies in our environments remind us painful experiences. Only when we begin to bring conscious awareness to this are we able to access and release traumatic memory, truly becoming unstuck in our past.
References.
Lawson, D. M., Davis, D., & Brandon, S. (2013). Treating complex trauma: Critical interventions with adults who experienced ongoing trauma in childhood. Psychotherapy (Chicago, Ill.), 50(3), 331-335. https://doi.org/10.1037/a0032677
Ogden, P., Pain, C., & Fisher, J. (2006). A sensorimotor approach to the treatment of trauma and dissociation. The Psychiatric Clinics of North America, 29(1), 263-279. https://doi.org/10.1016/j.psc.2005.10.012
Wede, Josh. (2020) Psych 256, Modules: Lesson 03: Perception. Retrieved from https://psu.instructure.com/courses/2130474/modules/items/33027057