{"id":7923,"date":"2026-06-11T09:57:20","date_gmt":"2026-06-11T09:57:20","guid":{"rendered":"https:\/\/paulettematkovic.com\/?p=7923"},"modified":"2026-07-09T10:38:58","modified_gmt":"2026-07-09T10:38:58","slug":"pourquoi-combiner-la-somatic-experiencing-et-le-narm-pour-resoudre-un-traumatisme-de-choc","status":"publish","type":"post","link":"https:\/\/paulettematkovic.com\/en\/why-combine-somatic-experiencing-and-narm-to-resolve-shock-trauma\/","title":{"rendered":"Why combine Somatic Experiencing and NARM to resolve shock trauma?"},"content":{"rendered":"<h2>Why combine Somatic Experiencing and NARM to resolve shock trauma?<\/h2>\n<p>When someone comes to see me after an accident, an assault or a fall, they often arrive with a simple question: <em>\"Why can't I get over it?\"<\/em><\/p>\n<p>The answer is physiological: after a shock, the nervous system can remain stuck in alert mode, unable to return to its resting balance. But another question often arises too: <em>\"How do my past experiences influence the way I remain marked by this shock?\"<\/em> This is precisely where the combination of Somatic Experiencing and NARM makes complete sense \u2014 because we have only one nervous system, and everything we have ever experienced is inscribed in it, layered, intertwined.<\/p>\n<h2 style=\"margin-top:2.2rem; margin-bottom:0.9rem;\">An accident never happens in a virgin nervous system<\/h2>\n<p>An accident never happens in a virgin nervous system. The ACE Study (Adverse Childhood Experiences), conducted with more than 17,000 participants, established a direct link between difficult childhood experiences and vulnerability to trauma in adult life. What we experienced as children conditions the way our body and nervous system respond to the shocks of adult life.<\/p>\n<p>Imagine two people involved in the same car accident. One recovers within a few weeks. The other develops symptoms for months \u2014 hypervigilance, unexplained pain, a sense of no longer being quite themselves.<\/p>\n<p>Why this difference?<\/p>\n<p>Separate research in neuroscience has also shown that prolonged exposure to stress hormones \u2014 particularly cortisol \u2014 can lead to structural and functional changes in the brain, particularly in the hippocampus, a key area for stress management and memory. These changes can persist into adulthood, leaving the nervous system more vulnerable to subsequent trauma.<\/p>\n<p>This is not weakness. It is biology.<\/p>\n<h2 style=\"margin-top:2.2rem; margin-bottom:0.9rem;\">SE: working from the body, in constant dialogue with meaning<\/h2>\n<p>Somatic Experiencing, developed by Peter Levine, starts from a fundamental observation: shock trauma is an incomplete physiological response. During a shock, the nervous system mobilises considerable energy to survive \u2014 to flee, to fight, or to freeze. If this energy cannot fully discharge, it remains trapped in the body.<\/p>\n<p>SE works with physical sensations \u2014 tensions, tremors, heat, constriction \u2014 to allow the nervous system to complete this interrupted movement, gently and at your pace. But contrary to a common misconception, SE is not limited to the body: Levine himself developed the SIBAM model (Sensation, Image, Behaviour, Affect, Meaning), which integrates the dimension of meaning into the therapeutic process. SE allows for constant back-and-forth between bodily sensation and the meaning we give to our experience \u2014 without ever requiring a detailed account of the event.<\/p>\n<h2 style=\"margin-top:2.2rem; margin-bottom:0.9rem;\">NARM: going further in identifying and releasing beliefs<\/h2>\n<p>NARM goes further in identifying and releasing the beliefs and survival strategies that block the complete resolution of a trauma. Developed by Dr. Laurence Heller \u2014 himself trained in SE \u2014 it builds on the same foundations while deepening them.<\/p>\n<p>Through the sessions, older patterns often surface. A deep sense of not being safe. A difficulty trusting. Beliefs such as <em>\"I must not feel anger\"<\/em> or <em>\"my needs don't matter\"<\/em> \u2014 which were once useful survival strategies, but now block the complete resolution of the trauma.<\/p>\n<p>These are not necessarily beliefs born from the shock itself \u2014 they may long predate it. But they can stand in the way of healing, like a door that resists without knowing why. NARM allows them to be identified and gradually released, within the context of the therapeutic relationship, going further into this specific work on identity.<\/p>\n<h2 style=\"margin-top:2.2rem; margin-bottom:0.9rem;\">Why both together?<\/h2>\n<p>With SE, the body gradually moves out of the automatic defensive patterns frozen in past terror, while NARM explores the identity-level beliefs and patterns that can block healing. Both approaches share the same roots and articulate naturally with each other.<\/p>\n<p>Together, they allow for complete resolution \u2014 not just the disappearance of symptoms, but a true return to oneself, to one's resources, to the capacity to be fully present in one's life.<\/p>\n<p>This is the combination I offer in my consultations in Brussels, in person at Be-Here and online.<\/p>\n<p><em>Do you recognise yourself in what you have just read? <a href=\"https:\/\/paulettematkovic.com\/en\/shock-trauma\/\">Book a first consultation.<\/a><\/em><\/p>\n<h2 style=\"margin-top:2.2rem; margin-bottom:0.9rem;\">Sources<\/h2>\n<ol>\n<li>Felitti, V.J., Anda, R.F., Nordenberg, D., Williamson, D.F., Spitz, A.M., Edwards, V., Koss, M.P., &amp; Marks, J.S. (1998). <em>Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults: The Adverse Childhood Experiences (ACE) Study.<\/em> American Journal of Preventive Medicine, 14(4), 245-258. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/9635069\/\">Read the study<\/a><\/li>\n<li>Lim, L. et al. (2023). <em>Hypothalamus volume mediates the association between adverse childhood experience and PTSD development after adulthood trauma.<\/em> PubMed Central. <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC10403516\/\">Read the study<\/a><\/li>\n<li>Teicher, M.H. &amp; Samson, J.A. (2018). <em>Adverse Childhood Experiences and the Consequences on Neurobiological, Psychosocial, and Somatic Conditions Across the Lifespan.<\/em> PubMed Central. <a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC6131660\/\">Read the study<\/a><\/li>\n<li>Blankenship, S.L., Botdorf, M., Riggins, T., &amp; Dougherty, L.R. (2019). <em>Lasting effects of stress physiology on the brain: Cortisol reactivity during preschool predicts hippocampal functional connectivity at school age.<\/em> Developmental Cognitive Neuroscience, 40, 100736. <a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC6974891\/\">Read the study<\/a><\/li>\n<li>Levine, P.A. <em>Waking the Tiger: Healing Trauma.<\/em> North Atlantic Books, 1997.<\/li>\n<li>Heller, L. &amp; LaPierre, A. <em>Healing Developmental Trauma.<\/em> North Atlantic Books, 2012.<\/li>\n<li>ICD-11 \u2014 International Classification of Diseases, WHO. Complex PTSD (6B41). <a href=\"https:\/\/icd.who.int\/browse\/2024-01\/mms\/en#585833559\">Consult<\/a><\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"excerpt","protected":false},"author":3,"featured_media":5073,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"off","_et_pb_old_content":"<!-- wp:paragraph -->\n<p>Quand quelqu'un vient me consulter apr\u00e8s un accident, une agression ou une chute, il arrive souvent avec une question simple : <em>\"Pourquoi je ne m'en remets pas ?\"<\/em> La r\u00e9ponse, elle aussi, est simple \u2014 mais elle demande qu'on comprenne quelque chose d'essentiel : <strong>nous n'avons qu'un seul syst\u00e8me nerveux<\/strong>, et tout ce que nous avons v\u00e9cu s'y inscrit, se superpose, s'entrem\u00eale.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>C'est pr\u00e9cis\u00e9ment pourquoi je travaille avec deux approches compl\u00e9mentaires : la <strong>Somatic Experiencing (SE)<\/strong> et le <strong>NARM \u2014 Neuroaffective Relational Model<\/strong>. Non pas l'une ou l'autre, mais les deux ensemble, selon ce qui \u00e9merge au fil des s\u00e9ances.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:separator -->\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n<!-- \/wp:separator -->\n\n<!-- wp:paragraph -->\n<p><strong>Un accident n'arrive jamais dans un syst\u00e8me nerveux vierge<\/strong><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Imaginez deux personnes impliqu\u00e9es dans le m\u00eame accident de voiture. L'une s'en remettra en quelques semaines. L'autre d\u00e9veloppera des sympt\u00f4mes pendant des mois \u2014 hypervigilance, douleurs inexpliqu\u00e9es, sensation de ne plus \u00eatre tout \u00e0 fait la m\u00eame.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Pourquoi cette diff\u00e9rence ?<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>L'\u00e9tude ACE (Adverse Childhood Experiences), men\u00e9e entre 1995 et 1997 aupr\u00e8s de plus de 17 000 personnes, a mis en \u00e9vidence un lien direct entre les traumatismes v\u00e9cus dans l'enfance et les probl\u00e8mes de sant\u00e9 physique et mentale \u00e0 l'\u00e2ge adulte. En d'autres termes : ce que nous avons v\u00e9cu enfant conditionne la fa\u00e7on dont notre corps et notre syst\u00e8me nerveux r\u00e9pondent aux chocs de la vie adulte.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Quand le cerveau d'un enfant est expos\u00e9 \u00e0 un stress toxique, il lib\u00e8re des hormones qui modifient la structure m\u00eame du cerveau \u2014 notamment l'hippocampe, zone cl\u00e9 de la gestion du stress et du traitement des \u00e9motions. Ces modifications ne disparaissent pas \u00e0 l'\u00e2ge adulte. Elles restent inscrites dans le syst\u00e8me nerveux, comme une sensibilit\u00e9 accrue aux situations de danger \u2014 r\u00e9el ou per\u00e7u. <\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Des recherches en neurobiologie montrent que les traumatismes de l'enfance pr\u00e9disposent certaines r\u00e9gions du syst\u00e8me nerveux \u2014 notamment celles li\u00e9es au stress et au syst\u00e8me limbique \u2014 \u00e0 se d\u00e9velopper d'une fa\u00e7on qui augmente la vuln\u00e9rabilit\u00e9 aux traumatismes ult\u00e9rieurs. <\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Ce n'est pas une faiblesse. C'est de la biologie.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:separator -->\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n<!-- \/wp:separator -->\n\n<!-- wp:paragraph -->\n<p><strong>La SE : travailler avec le corps d'abord<\/strong><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>La Somatic Experiencing, d\u00e9velopp\u00e9e par Peter Levine, part d'un constat fondamental : le traumatisme de choc n'est pas un \u00e9v\u00e9nement psychologique, c'est une <strong>r\u00e9ponse physiologique inachev\u00e9e<\/strong>. Lors d'un choc, le syst\u00e8me nerveux mobilise une \u00e9nergie consid\u00e9rable pour survivre \u2014 fuir, se battre, ou se figer. Si cette \u00e9nergie ne peut pas se d\u00e9charger compl\u00e8tement, elle reste bloqu\u00e9e dans le corps.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>La SE travaille pr\u00e9cis\u00e9ment avec ces sensations physiques \u2014 tensions, tremblements, chaleur, constriction \u2014 pour permettre au syst\u00e8me nerveux de compl\u00e9ter ce mouvement interrompu, en douceur et \u00e0 votre rythme. Sans avoir besoin de raconter l'\u00e9v\u00e9nement. Sans le revivre.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:separator -->\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n<!-- \/wp:separator -->\n\n<!-- wp:paragraph -->\n<p><strong>Le NARM : quand le choc r\u00e9veille quelque chose de plus ancien<\/strong><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Dans la pratique, quelque chose d'inattendu se produit souvent au fil des s\u00e9ances. En travaillant sur un accident survenu l'ann\u00e9e derni\u00e8re, des sensations ou des \u00e9motions beaucoup plus anciennes font surface. Un sentiment profond de ne pas \u00eatre en s\u00e9curit\u00e9. Une difficult\u00e9 \u00e0 faire confiance. Une fa\u00e7on de se couper de ses \u00e9motions qui existait bien avant le choc.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>C'est l\u00e0 qu'intervient le NARM.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Le NARM s'int\u00e9resse \u00e0 la fa\u00e7on dont les <strong>traumatismes de d\u00e9veloppement<\/strong> \u2014 ces blessures li\u00e9es \u00e0 un environnement familial ins\u00e9curisant, une absence de soin ou une rupture de lien \u2014 ont fa\u00e7onn\u00e9 notre rapport \u00e0 nous-m\u00eame et aux autres. Le PTSD complexe, aujourd'hui reconnu par la classification internationale ICD-11, comprend non seulement les sympt\u00f4mes classiques de reviviscence et d'hypervigilance, mais aussi des difficult\u00e9s \u00e0 r\u00e9guler les \u00e9motions, une image de soi n\u00e9gative persistante et des troubles relationnels. Ce sont pr\u00e9cis\u00e9ment ces couches-l\u00e0 que le NARM aide \u00e0 d\u00e9m\u00ealer. <\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:separator -->\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n<!-- \/wp:separator -->\n\n<!-- wp:paragraph -->\n<p><strong>Pourquoi les deux ensemble ?<\/strong><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Parce que nous ne sommes pas faits de compartiments \u00e9tanches. Un traumatisme de choc survenu \u00e0 40 ans ne peut pas toujours se r\u00e9soudre compl\u00e8tement sans toucher \u00e0 ce qui s'est construit bien avant \u2014 dans l'enfance, dans les relations, dans le corps.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>La SE offre la s\u00e9curit\u00e9 du travail corporel, pas-\u00e0-pas, sans forcer. Le NARM offre la profondeur relationnelle, la reconnexion \u00e0 ses ressources internes et \u00e0 son identit\u00e9. Ensemble, ils permettent une r\u00e9solution <strong>compl\u00e8te<\/strong> \u2014 pas seulement la disparition des sympt\u00f4mes, mais un vrai retour \u00e0 soi.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>C'est cette combinaison que je propose dans mes consultations \u00e0 Bruxelles, en pr\u00e9sentiel au Be-Here et en ligne.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:separator -->\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n<!-- \/wp:separator -->\n\n<!-- wp:paragraph -->\n<p><em>Vous vous reconnaissez dans ce que vous venez de lire ? <a href=\"https:\/\/paulettematkovic.com\/traumatisme-de-choc\/\">Prenez rendez-vous pour une premi\u00e8re consultation.<\/a><\/em><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading -->\n<h2 class=\"wp-block-heading\"><strong>Sources<\/strong><\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:list {\"ordered\":true} -->\n<ol class=\"wp-block-list\"><!-- wp:list-item -->\n<li>Felitti, V.J. &amp; Anda, R.F. (1998). <em>\u00c9tude ACE \u2014 Adverse Childhood Experiences.<\/em> Centers for Disease Control and Prevention &amp; Kaiser Permanente. <a href=\"https:\/\/fr.wikipedia.org\/wiki\/%C3%89tude_ACE_(Adverse_Childhood_Experiences)\">En savoir plus<\/a><\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Lim, L. et al. (2023). <em>Hypothalamus volume mediates the association between adverse childhood experience and PTSD development after adulthood trauma.<\/em> PubMed Central. <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC10403516\/\">Lire l'\u00e9tude<\/a><\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Teicher, M.H. &amp; Samson, J.A. (2018). <em>Adverse Childhood Experiences and the Consequences on Neurobiological, Psychosocial, and Somatic Conditions Across the Lifespan.<\/em> PubMed Central. <a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC6131660\/\">Lire l'\u00e9tude<\/a><\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Levine, P.A. <em>Waking the Tiger: Healing Trauma.<\/em> North Atlantic Books, 1997. <em>(Fondements de la Somatic Experiencing)<\/em><\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>Heller, L. &amp; LaPierre, A. <em>Healing Developmental Trauma.<\/em> North Atlantic Books, 2012. <em>(Fondements du NARM)<\/em><\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li>ICD-11 \u2014 Classification internationale des maladies, OMS. <em>Complex PTSD (6B41).<\/em> <a href=\"https:\/\/icd.who.int\/browse\/2024-01\/mce\/en\/1683919430\">Consulter<\/a><\/li>\n<!-- \/wp:list-item --><\/ol>\n<!-- \/wp:list 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