Guide IV-043

Integrative movement therapy

Hilarion G. Petzold, Johanna Sieper, Amélie Berger1965Paris
Client cardCompare
[source: …] where a claim comes from[uncertain] not confirmed in a primary source[synthesis] the writer's reconstruction

1. Introduction

Version followed: Integrative Bewegungstherapie (IBT), later called Integrative Leib- und Bewegungstherapie, as set out by the Petzold/Sieper/Berger school (FPI/EAG, Germany). Phases, modalities, principles and touch forms follow the chapter 1 account in Waibel & Jakob-Krieger (2009). The exercise inventory follows the exercise titles in Hausmann & Neddermeyer's practice book Bewegt sein and the clinical modalities in Waibel (2023). The general Integrative Therapy framework (Tree of Science, Ko-respondenz model, diagnostics) is covered in guide 089 (Domain III).

What it is. IBT is the body- and movement-therapy method within Hilarion G. Petzold's Integrative Therapy (IT). It is a method family, not a single manualised protocol. Exercises, media (balls, ropes, sticks, cloths, natural objects, clay, colours), breath, voice, touch, running and landscape work are combined into "bundles of measures" (Bündel von Maßnahmen), chosen according to theory and indication. It is used in groups and individually, especially in inpatient and day-clinic psychiatry and psychosomatics, and in addiction, depression, anxiety and chronic-pain care. [source: Waibel & Jakob-Krieger 2009 ch. 1; Petzold & Berger 1977 abstract; Höhmann-Kost 2018 publisher page; Waibel 2023 TOC]

Origins. Waibel & Jakob-Krieger date it to the mid-1960s in Paris (Petzold and Johanna Sieper), built by comparing the active factors of psychotherapy, creative-therapy and body-therapy methods. The FPI abstract of Petzold & Berger (1977) says it was developed from the late 1960s by Petzold, Berger and Sieper, with later contributions from Heinl and Orth. [uncertain: the sources differ on the date; Amélie Berger's role is named only in the FPI source.] Influences named: phenomenological body philosophy (Marcel, Merleau-Ponty, Plessner, Buytendijk), the neuropsychology of Luria and Bernstein, psychoanalysis, psychodrama, Gestalt therapy and behaviour therapy. [source: Waibel & Jakob-Krieger 2009; Petzold & Berger 1977 abstract]

How change happens. The person is a body-subject (Leibsubjekt): body, soul and mind embedded in a social and ecological world. Experiences are stored in the body (Leibgedächtnis, the "informed body"). Change comes through four channels:

  • deepening the client's own felt bodily sense (eigenleibliches Spüren);
  • giving expression to what has been impressed ("Eindruck braucht Ausdruck", impression needs expression);
  • new, corrective experiences of moving, being touched and being met within a supportive relationship that the client can take inside (interiorisieren);
  • practising new patterns until they transfer to everyday life.

The twin aims are embodiment (sensitivity and expressivity) and embeddedness (orientation in one's social and natural world). [source: Waibel & Jakob-Krieger 2009 ch. 1; Petzold & Berger 1977 abstract; Petzold 2023 "informierte Leib" abstract; Petzold, Orth & Orth-Petzold 2023 abstract]

2. Framework

2.1 Modalities: choose the working mode first

IBT sorts its work into modalities. They differ in depth and aim, and the therapist chooses and combines them according to indication. [source: Waibel & Jakob-Krieger 2009 ch. 1; Petzold & Berger 1977 abstract; Waibel 2023 TOC]

ModalityAimTypical contentUse when
Conservative-supportive (konservativ-stützend)Stabilise and holdStructure, grounding, contact, supportAcute crisis, fragile structure. Named in Waibel 2023 and in the 2009 figure; content [uncertain]
Exercise-centred, functional (übungszentriert-funktional)Build new behaviour and capacities by repetition, then transfer themWalking, endurance and running therapy, relaxation and self-regulation, breath and movement training, practising saying "stop", budoDeficits in self-regulation, drive, boundaries; early phase; low tolerance for depth work
Experience-centred, activating (erlebniszentriert-agogisch / -aktivierend / -stimulierend)Lay down alternative experiences through multisensory stimulation, often without deep working-throughSensing, movement qualities, touch, breath, media, nature, resource workRigid or impoverished body experience, low vitality, resource building
Conflict-centred, uncovering (konfliktzentriert-aufdeckend)Work through conflicts and trauma "archived" in the body, with corrective experience through supportive presenceBody memories, symbol work, emotional differentiation, boundary and anger work, grief workSufficient stability and alliance; conflicts maintain the symptoms
Network-centred (netzwerkaktivierend)Rebuild social embeddingSociograms, network work, group belongingIsolation, loss of social network
Medication-supportedCombine with pharmacotherapy(outside this guide)Per medical indication

Naming varies across sources: "erlebniszentriert-agogisch" (FPI 1977 abstract), "-aktivierend" (Waibel & Jakob-Krieger 2009), "-stimulierend" (Hausmann & Neddermeyer). This guide treats them as one modality. [uncertain]

2.2 The tetradic system: phases within a session and across a treatment

  1. Initial phase (introduce, set goals, choose a theme). Goals: build the relationship and group cohesion, warm up, find the theme. Modalities: exercise- and experience-centred.
  2. Action phase (stimulate, explore, deepen). Goals: bodily experience and emotional resonance. Modalities: all three.
  3. Integration phase (work through, reflect, integrate). Goals: build the capacity to reflect, understand relationship patterns. Modalities: all three.
  4. Reorientation phase (try out, change). Goals: change behaviour and transfer it to everyday life. Mainly exercise-centred.

The process is not strictly linear: phases overlap and can loop back. The same four phases structure a single session, a series of sessions and a whole course. [source: Waibel & Jakob-Krieger 2009 ch. 1, fig. 1-3]

Related process models: the Heraclitean spiral, the hermeneutic spiral (perceive → grasp → understand → explain), the agogic spiral (explore → act → integrate → reorient) and the therapeutic spiral (remember → repeat → work through → change). [source: Waibel & Jakob-Krieger 2009]

2.3 Levels of depth (Tiefungsebenen)

Waibel & Jakob-Krieger describe levels of decreasing cognitive control. At each deeper level, images, feelings and body sensations from body memory come more into awareness. Petzold's usual naming has four levels: reflection; images and affects; involvement; autonomous bodily reaction. [uncertain: these names come from Petzold's wider writings.]

Practical use [synthesis]:

  • Exercise-centred work stays at the reflective level.
  • Experience-centred work reaches images and affects.
  • Only conflict-centred work, with a stable client, deliberately allows involvement.
  • An autonomous bodily reaction (shaking, sobbing, freezing) is a cue to slow down and ground, not to intensify.

2.4 The four ways of healing and promoting (Vier Wege der Heilung und Förderung)

The four ways are a planning aid for goals. Waibel 2023 also lists 17 active and healing factors (Wirk- und Heilfaktoren); the list itself is not drawn on here. [source: Waibel 2023 TOC]

WayAim
1. Awareness and meaning (Bewusstheit und Sinn)Understanding through body awareness and reflection
2. Developmental promotion (Entwicklungsförderung)Catching up on missed developmental experiences, e.g. early intercorporeality, being held and rocked
3. Resource strengthening (Ressourcenstärkung)Vitality, pleasure, support
4. Experience of solidarity (Solidaritätserfahrung)Group, network, belonging

2.5 Format, session count, criteria for moving on

  • Settings. Groups in inpatient or day-clinic settings are the most documented format. Individual body therapy (Leibtherapie in Einzeltherapie) is also used, and Waibel 2023 discusses its indications and the role of touch within a team. Waibel 2023 also names relative exclusion criteria for groups. [source: Waibel 2023 TOC]
  • Diagnostics. Process-oriented diagnostics run alongside the therapy. Waibel 2023 describes an Integrative Process Diagnostics (IPD) in five modules: psychosocial history and motivation; ICD classification; aetiology; personality and resource diagnostics; treatment planning with motivation and volition. [source: Waibel 2023 TOC]
  • Session count. No fixed number is given in the sources. [uncertain] [synthesis] Common clinical practice in such settings, for orientation only:
    • group sessions of 60–90 minutes, 2–4 per week during an inpatient stay;
    • individual sessions of 50–60 minutes, weekly, over months;
    • running and walking groups 2–3 times a week.
  • Criteria for moving between modalities and phases [synthesis, derived from the modality descriptions]:
    • Move from exercise-centred to experience-centred work when the client can notice and name body sensations without being overwhelmed, can use a stop signal, and the alliance holds.
    • Move to conflict-centred work only when the client can come back from images or affects to the here and now with help, everyday functioning is stable enough, the client agrees to it, and the setting can contain it (time, follow-up).
    • Move to reorientation when insights are stable and can be put into concrete everyday experiments.
    • Drop back to supportive or exercise-centred work after overwhelm, crisis or rupture.

3. Guiding principles

[source for each, unless marked otherwise: Waibel & Jakob-Krieger 2009 ch. 1]

  • The body as subject (Leib), not object (Körper). Ask about lived experience ("how do you experience your back?"), not only about mechanics.
  • Embodiment and embeddedness. Every plan has a body goal and a world goal: sensitivity and expressivity training plus orientation training. [source: Petzold & Berger 1977 abstract]
  • Intersubjective co-respondence and the otherness of the other (Levinas). Meet the client as a partner. Agree goals and exercises together; do not impose them.
  • Moving-with (Kommotilität). People attune through moving together, as infants do with caregivers. Use synchronised movement and mirroring deliberately as a way to build relationship.
  • Affiliation before confrontation. Belonging and closeness are basic needs, so build safety and group belonging first.
  • Meet reactance with persuasion, not pressure. Explain, invite, offer alternatives. Never force an exercise.
  • Transference, countertransference and resistance are part of the work. Read what happens in the body-to-body field (Zwischenleiblichkeit) and reflect on it in the integration phase. [also Waibel 2023 TOC]
  • Own felt bodily sense (eigenleibliches Spüren) is the central access. It is often reduced (numb) or over-reactive (hypersensitive). Calibrate the dose to which of the two the client shows.
  • "Eindruck braucht Ausdruck" (impression needs expression). What has been impressed needs a form of expression: movement, sound, image, words.
  • Five levels of the body (Leibebenen): perceptive, expressive, memorative, reflexive, prospective. Plan exercises that address more than perception alone, including remembering, reflecting and planning ahead.
  • The informed body (informierter Leib). Biography, culture and relationships are "written" into posture, gesture and face, so treat nonverbal and verbal communication as one system. [source: Petzold 2023 abstract]
  • The supportive relationship is a model to internalise. Your steady, warm presence is an active ingredient: clients take in new ways of relating. [source: Petzold & Berger 1977 abstract]
  • Work in bundles of measures, guided by theory. Combine exercise, experience, reflection and transfer, and justify each choice by indication. [source: Petzold & Berger 1977 abstract]
  • Graded touch. Move from no touch, to self-touch, to the therapist's touch only when indicated and agreed.
  • Transfer. Every exercise-centred gain needs an everyday version.
  • Human ecology. Nature, landscape and the outdoors are therapeutic space (running, green exercise, landscape therapy). [source: Petzold, Orth & Orth-Petzold 2023 abstract]
  • The process is spiral and non-linear. Expect loops and returns, and do not treat a setback as failure.

4. Intervention inventory

How to read this inventory.

  • What the sources gave. Concepts, modalities, phases, touch forms and the four access routes come from Waibel & Jakob-Krieger (2009) ch. 1. Exercise names come from the table of contents of Hausmann & Neddermeyer's Bewegt sein (cited as H&N with page numbers) and of Waibel (2023).
  • What is not covered. The authors' step-by-step instructions are not given here.
  • What that means for the steps. Unless a step is tagged with a source, the steps below are a reconstruction from the exercise title, the modality it belongs to and IBT principles. They are tagged [synthesis] and are not the authors' wording. Where a title does not reveal its content, the exercise is listed as "named, content not verified" instead of being invented.
  • Example language. All example language is illustrative.
  • Touch. Any technique involving touch requires specific training in body-psychotherapeutic touch, supervision, and a check of what your licence, professional code and jurisdiction allow.
  • Session closure [synthesis]. Close every exercise with:
    • a return to the here and now (eyes open, look around the room, feel the feet);
    • a short verbal sharing (what did you notice, what surprised you, what do you take with you?);
    • for intense material, a grounding exercise before the client leaves.

A. Structural procedures

A1. Initial-phase warm-up and theme finding

  • Purpose: Arrive, build contact and cohesion, find the session theme. [source: Waibel & Jakob-Krieger 2009, tetradic system]
  • Steps [synthesis]:
    1. Check-in round (verbal or a gesture: "show with your body how you are today").
    2. 5–10 minutes of loose walking through the room with changing tempo and direction, noticing the floor, breath and other people.
    3. Short partner or group contact, e.g. greeting with the eyes, then with the hands if wanted.
    4. Ask what came up and agree a theme with the group.
  • Example language (illustrative): "Walk through the room at your own pace. Notice your feet on the floor... now notice who else is here."
  • Watch for: Withdrawal, over-activity, dissociation already at the start. These set how much depth today's session can hold.

A2. Integration phase: debriefing and working through

  • Purpose: Turn bodily experience into understanding and link it to biography and relationship patterns (hermeneutic spiral: perceive → grasp → understand → explain). [source: Waibel & Jakob-Krieger 2009]
  • Steps [synthesis]:
    1. Ask the client to describe sensations first.
    2. Then feelings.
    3. Then images and memories.
    4. Then meaning: "where do you know this from?"
    5. Then the link to everyday life now.
    6. In groups, use sharing first (each person says what resonated in themselves), feedback second.
  • Example language (illustrative): "Before we look for meaning: what did your body notice?" · "Is this posture familiar from somewhere?"
  • Watch for: Premature interpretation by the therapist or the group. The client's own understanding comes first.

A3. Reorientation and transfer tasks

  • Purpose: Practise the new pattern in daily life. [source: Waibel & Jakob-Krieger 2009, reorientation phase and transfer]
  • Steps [synthesis]:
    1. Agree one small, concrete behaviour (e.g. three conscious breaths at the desk; saying "stop" once in a conversation).
    2. Define when, where and how often.
    3. Check it in the next initial phase.
  • Watch for: Tasks that are too big. Shrink them rather than abandon them.

A4. Process diagnostics and treatment planning

  • Purpose: Choose modality, depth and goals. IPD has five modules: psychosocial history and motivation; ICD-10/11 classification; aetiology; personality and resource diagnostics; planning with motivation and volition. [source: Waibel 2023 TOC] The general Integrative Therapy diagnostics are in guide 089.
  • Steps [synthesis]:
    1. Take the history, including physical health and contraindications for intensive body work (see section 5).
    2. Assess felt bodily sense: reduced or over-reactive. [Waibel & Jakob-Krieger 2009]
    3. Map resources (see C11 Resource panorama).
    4. Agree goals using the four ways (2.4).
    5. Re-assess as you go.
  • Watch for: Physical complaints that need medical clarification before body work.

B. The four routes to deepening felt bodily sense

[source: Waibel & Jakob-Krieger 2009 ch. 1; the English names are the authors' own]

B1. Movement Produced Information (MPI), bottom-up

  • Purpose: Go from movement to feeling ("from muscle to mind"). Movement generates sensations, which open up emotions and memories. Use it with clients who are cognitively over-controlled or numb.
  • Steps [synthesis]:
    1. Choose a simple movement: swinging the arms, rocking on the feet, slow stretching.
    2. Repeat it 1–3 minutes.
    3. Stop and sense the after-effect for 30–60 seconds.
    4. Ask about sensations, then feelings.
  • Example language (illustrative): "Let the arms swing... and now stop. What is there now in your arms, your chest?"
  • Watch for: A strong affect rising quickly. If so, slow the movement down and come back to the feet.

B2. Mentally Imagined Motor-actions (MIM), top-down

  • Purpose: Go from imagination to the body ("from mind to muscle"): imagined movement evokes bodily responses. Use it when real movement is limited (pain, immobility) or as preparation.
  • Steps [synthesis]:
    1. Sitting or lying, the client imagines a movement or scene in detail (see C1 imaginations).
    2. Notice the body's response.
    3. Optionally carry out the movement afterwards and compare.
  • Watch for: Intrusive imagery in trauma clients. Keep eyes open and keep the imagery concrete and positive.

B3. Interactional Movement Coordination (IMC)

  • Purpose: Synchronised interaction such as imitation and mirroring, which builds attunement and relationship (Kommotilität).
  • Steps: See D5 Mirroring and D1 Circle with rhythmic music. [synthesis]
  • Watch for: Shame about being looked at. Start side by side rather than face to face [synthesis].

B4. Evoked Internalized Personalities (EIP)

  • Purpose: Call up inner helpers and resource persons, i.e. supportive figures the client has internalised.
  • Steps [synthesis]:
    1. Ask for a person (or animal or figure) who was good for the client.
    2. Ask where in the body the client feels them, what posture they would take, how they would move.
    3. The client takes that posture or movement.
    4. Anchor it with a gesture.
  • Example language (illustrative): "Who has stood by you? If they were here, where would they stand... and how does your back feel with them there?"
  • Watch for: No figure available. Use imagined or ideal figures, or nature.

C0. Touch: the three forms and the touch variations

The three forms of touch [source: Waibel & Jakob-Krieger 2009 ch. 1]

  1. Non-touching: contact through gaze, voice, gesture, posture, space and language. This is the default.
  2. Self-touching: the client touches and explores their own body, e.g. tapping, stroking, hands on the belly or sternum.
  3. Touching: the therapist touches the client deliberately, to support, to direct attention or to confront.

Touch variations listed in H&N's excursus on touch (pp. 258–260):

  • free exploration of one's own touch;
  • functional exploration on another person;
  • touch dialogue;
  • imagining positive touch;
  • multiple stimulation;
  • "the way to independence".

Their content is not drawn on here [uncertain].

Consent steps [synthesis: the sources give no consent protocol]. Before any therapist or partner touch:

  1. Explain what touch, where, why and for how long.
  2. Ask explicitly, accept "no" without discussion, and always offer a no-touch alternative (self-touch, imagined touch, an object such as a ball or cloth).
  3. Agree a stop signal (word and gesture) and check it is understood.
  4. Touch only neutral, non-intimate areas (hands, forearms, shoulders, upper back, feet). Never touch breasts, genitals, buttocks or inner thighs. Never use sexual touch of any kind.
  5. Check in during the touch ("is this still OK?") and afterwards.
  6. Document consent.

In groups, partner touch needs the same steps, with pairs chosen by the participants, not assigned. Sensitive groups include trauma survivors, eating disorders and psychosis.

Training note: Touch requires specific training, supervision and a check of what your licence and jurisdiction allow. Waibel 2023 discusses touch as a team issue in clinics (p. 287).

E. Exercise-centred, functional modality

E1. Practising "stop"

  • Purpose: Build the capacity to set boundaries by repeating it. This is the example the sources give for the exercise-centred modality, done in groups. [source: Waibel & Jakob-Krieger 2009]
  • Steps [synthesis]:
    1. The client stands with feet hip-width apart, knees soft.
    2. A partner, or the therapist, walks slowly towards them from 4–5 metres.
    3. The client says "stop" and raises a hand when they want the other to stop. The partner stops immediately.
    4. Repeat 3–5 times, varying voice volume, posture and distance.
    5. Talk it through: where in the body is the "stop"? What makes it easier?
    6. Transfer: one real-life "stop" this week.
  • Example language (illustrative): "Let the stop come from your feet, not only your throat."
  • Watch for: Freezing or collapse, which are trauma cues. Increase the distance, let the client control the approach speed, or practise with an object (the partner holding a cushion). It is working when the stop comes earlier, sounds firmer and the posture stays upright.

E2. Walking (Das Gehen)

  • Purpose: The basic exercise-centred medium, for activation, grounding and orientation. [source: Waibel 2023 TOC p. 170; H&N "Gehen im Raum" p. 75]
  • Steps [synthesis]:
    1. Walk normally for 2–3 minutes.
    2. Shift attention in turn to the soles, knees, pelvis, arm swing and gaze.
    3. Vary tempo (slow, normal, brisk), step length and direction.
    4. End by standing still and sensing.
    5. Indoors, use the whole room; outdoors, use varied ground.
  • Example language (illustrative): "Which tempo is yours today?"
  • Watch for: Pain patterns or avoidance of looking up. It is working when gait becomes freer and the client can name a tempo that suits them.

E3. Endurance and running therapy (Lauf-/Ausdauertherapie)

  • Purpose: An exercise-centred treatment for depression and addiction, improving drive, mood and self-efficacy. In the later human-ecological framing it is done outdoors. [source: Waibel & Jakob-Krieger 2009 ch. 6 (title only); Petzold, Orth & Orth-Petzold 2023 abstract; EAG offers a separate training in running and endurance therapy]
  • Steps [synthesis]:
    1. Get medical clearance first.
    2. Run as a group, 2–3 times a week.
    3. Begin with alternating walking and easy running, at a pace at which participants can still talk.
    4. Build duration gradually, by the client's own perceived exertion. Set no targets for weight or performance.
    5. Include a short arrival round, a mindful start (feet, breath), running with attention on rhythm and breath, and a cool-down walk.
    6. Close with a sharing about body state and mood.
  • Example language (illustrative): "Run at a pace where you could still chat."
  • Watch for:
    • cardiovascular symptoms (chest pain, dizziness, unusual breathlessness), which mean stopping and a medical check;
    • compulsive over-exercise, especially in eating disorders, which means switching to walking and mindful movement;
    • shame about the body in public. It is working when mood after the run improves, attendance is steady and the client runs independently.

E4. Stress, self-regulation and relaxation

  • Purpose: Teach self-regulation skills. [source: Waibel 2023 TOC p. 186; Waibel & Jakob-Krieger 2009 lists "self-regulation techniques"]
  • Steps [synthesis]:
    1. Explain the stress response briefly.
    2. Practise a down-regulating sequence: longer exhalation, feeling the seat, slow stretching, then rest.
    3. Practise an up-regulating sequence for low arousal: tapping, brisk walking, upright posture.
    4. Let the client choose one of each for daily use.
  • Watch for: Relaxation-induced anxiety. Keep eyes open, keep it short and movement-based.

E5. Breath training (Atemschulung) and breath with movement

  • Purpose: Regulate breath and connect breath with movement. [source: Petzold & Berger 1977 abstract; H&N "Atem und Bewegung" p. 109, "Lungenflügel – Flügelschlag" p. 110]
  • Steps [synthesis]:
    1. Sitting or standing, the client observes the breath without changing it for 1–2 minutes.
    2. Then lets the arms rise on the inhale and sink on the exhale.
    3. For "lung wings – wing beat": slow wing-like arm movements that follow the breath, sensing the sides of the ribcage.
    4. 5–10 cycles, then rest and share.
  • Example language (illustrative): "Let the movement follow the breath, not the other way round."
  • Watch for: Over-breathing (tingling, dizziness), which means returning to normal breathing and lengthening the exhale. Intensified breathing is not part of the IBT sources. Do not use it with pregnancy, cardiovascular or respiratory illness, epilepsy, panic disorder or psychosis. [synthesis]

E6. Movement training (Bewegungsschulung)

  • Purpose: Widen the movement repertoire (qualities: fast/slow, strong/light, angular/round, large/small). [source: Petzold & Berger 1977 abstract; Waibel & Jakob-Krieger 2009 names "movements in different qualities" and posture changes]
  • Steps [synthesis]:
    1. Show one movement quality and let the client explore it for 1–2 minutes.
    2. Then explore its opposite.
    3. Then find the client's own middle way.
    4. Talk about which quality is familiar and which is foreign.
  • Watch for: The foreign quality often carries the theme, e.g. strength in a client who is always gentle.

E7. Budo and martial-arts-based therapy

  • Purpose: Work with aggression regulation, boundaries and self-confidence through martial arts. Used in addiction treatment and with aggressive impulses. [source: Waibel & Jakob-Krieger 2009 ch. 18 (title only); Höhmann-Kost 2018 publisher page] Contents not drawn on here [uncertain].
  • Steps [synthesis]:
    1. A ritual opening and bow.
    2. Stance and centring.
    3. Controlled technique practice with clear rules: no contact, or padded targets only.
    4. A ritual close and reflection on control versus loss of control. Only clinicians trained in both the martial art and therapy should deliver it.
  • Watch for: Escalation. Stop at once if rules are broken.

E8. Stress traffic light (Stressampel)

  • Named in Waibel 2023 (p. 259) under the conflict-centred modality. Content not drawn on here [uncertain].
  • A common use of a "traffic light" is self-rating of arousal (green/amber/red) with an agreed response for each level [synthesis].

C. Experience-centred, activating modality

C1. Imagination and sensation exercises

The exercises: imagining a lemon; balloon and stone; a hike; walking "over grass and stone"; evoking a landscape. [source: H&N pp. 59–63, titles]

  • Purpose: The top-down route (MIM, B2). Show that imagination changes the body, and open access to sensory memory and resources.
  • Steps [synthesis]:
    1. Sitting with eyes open or closed as preferred.
    2. Guide the image slowly with sensory detail, e.g. holding and cutting a lemon (and noticing saliva), the body as light as a balloon or heavy as a stone, walking barefoot over grass and then stones.
    3. Pause 1–2 minutes to sense.
    4. Return: eyes open, feet on the floor.
    5. Share.
    6. "Over grass and stone" can also be walked: imagine the ground while walking in the room.
  • Example language (illustrative): "Imagine the stone under your foot... what does your foot do?"
  • Watch for: Dissociation, or images turning negative. Stop, open the eyes, name five things in the room.

C2. Points of contact (Auflagepunkte)

  • Purpose: Self-experience at rest: grounding and sensing support. [source: H&N p. 71, title]
  • Steps [synthesis]:
    1. Lying on a mat, or sitting.
    2. The client notices, one by one, where the body touches the ground (heels, calves, pelvis, shoulder blades, back of the head) and how much weight each place gives.
    3. 5–8 minutes.
    4. Compare left and right, and compare before and after.
  • Watch for: Lying down can trigger helplessness in trauma clients. Offer sitting or standing instead.

C3. Centre – periphery (Mitte – Peripherie)

  • Purpose: Sense the body's centre and its extremities, and the connection between them. [source: H&N p. 71, title]
  • Steps [synthesis]:
    1. Attention to the belly or centre.
    2. Then outwards to the fingers, toes and head.
    3. Then small movements starting from the centre that travel outwards.
  • Watch for: Clients who cannot find a "centre". Use a hand on the belly (self-touch).

C4. Boundary – inner spaces – organs (Grenze – Innenräume – Organe)

  • Purpose: Sense the skin as a boundary and the inner volume of the body. [source: H&N p. 72, title]
  • Steps [synthesis]:
    1. Attention to the skin surface.
    2. Then to the inner space of the chest, belly and pelvis, and to the breath moving inside it.
    3. Only gentle attention. Do not dwell on organs with health-anxious clients.
  • Watch for: Somatic anxiety. Shift back to the outer boundary.

C5. Flow of perception (Wahrnehmungsfluss)

  • Purpose: Practise awareness of whatever arises, moment to moment. [source: H&N p. 73, title; Petzold & Berger 1977 "awareness training"]
  • Steps [synthesis]:
    1. For 3–5 minutes the client names aloud, or silently, what they perceive ("now I feel... now I notice...") without judging.
  • Watch for: Getting stuck on pain. Widen attention to neutral areas.

C6. Tapping and stroking off (Abklopfen, abstreichen)

  • Purpose: Self-touch for activating, waking up and outlining the body. [source: H&N p. 73, title; self-touching form, Waibel & Jakob-Krieger 2009]
  • Steps [synthesis]:
    1. Standing.
    2. The client taps the arms, shoulders, chest, legs and back of the legs with loose hands, then strokes downwards from the head to the feet.
    3. 2–3 minutes.
    4. Sense the after-effect.
  • Watch for: Avoided body areas. Respect them and do not push.

C7. Stretching and extending (Dehnen, strecken)

  • Purpose: Wake the body and take up space. [source: H&N p. 74, title]
  • Steps [synthesis]:
    1. Stretch freely, as when waking up, with sound (yawning) if it comes.
    2. 2–3 minutes.
  • Watch for: Pain. Keep it within a comfortable range.

C8. Self-experience in movement

The exercises: walking in the room; standing as movement; body regions in contact with each other. [source: H&N pp. 75–77, titles]

  • Purpose: Experience posture and movement as alive. Standing is micro-movement, not stillness.
  • Steps [synthesis]:
    1. Walking in the room as in E2.
    2. Standing: feel the small swaying; let weight shift front/back and left/right, then find the middle.
    3. Body regions in contact: let two body parts "meet" (hand and knee, elbow and hip) and move together.
  • Watch for: Rigid holding. Invite small swaying.

C9. Objects and touch

The exercises: lying on the rope; rolling with the ball; perceiving with a stone; touching the face with natural objects; being touched by a partner's hands; one's own hands touching and meeting each other. [source: H&N pp. 78–83, titles; media as intermediary and transitional objects, Waibel & Jakob-Krieger 2009]

  • Purpose: Sensory stimulation through media, which act as mediators so that touch does not have to be direct.
  • Steps [synthesis]:
    1. Rope: lie with a rope placed lengthwise under the spine, or across, for 2–3 minutes, then remove it and compare.
    2. Ball: roll a soft ball under the feet, then (lying or against a wall) under the back, at the client's own pressure.
    3. Stone: hold a stone, explore its weight, temperature and texture.
    4. Natural objects: stroke the face with a feather, leaf or similar, by the client's own hand.
    5. Own hands: the hands explore and then "meet" each other like two persons.
    6. A partner's hands: only after the consent steps in C0. The partner rests their hands on the shoulders or upper back; the receiver tells them what is pleasant; switch roles.
  • Watch for: Ticklishness, irritation, flashbacks. It is working when the client can say what is pleasant and what is not.

C10. Expressions of the body: yawning, sighing and groaning, trembling

[source: H&N pp. 85–87, titles]

  • Purpose: Allow spontaneous body expressions that release tension ("Eindruck braucht Ausdruck").
  • Steps [synthesis]:
    1. Invite a yawn or a sigh on the exhale, and let it happen 3–5 times.
    2. Trembling: if shaking appears spontaneously (e.g. in the legs after standing), let it run gently while the feet stay grounded and the eyes stay open, then rest.
    3. Never force trembling.
  • Watch for: Trembling can belong to trauma activation. If the client loses contact or panics, stop: feet, eyes, name the room. Do not use trembling with unstabilised trauma, severe dissociation or psychosis. [synthesis]

C11. Resource panorama (Ressourcenpanorama)

  • Purpose: Map and embody resources across the lifespan. [source: Waibel 2023 TOC p. 206]
  • Steps [synthesis, modelled on the IT panorama technique]:
    1. On a large sheet, the client draws a lifeline and marks the people, places, activities and abilities that helped.
    2. They choose one resource and find a posture or movement for it.
    3. Embody it for 1–2 minutes.
    4. Share.
  • Example language (illustrative): "Where in your body do you feel that your grandmother's kitchen was a good place?"
  • Watch for: Resource-poor biographies. Include small or imagined resources.

C12. Five pillars of support (Fünf Säulen des Supports)

  • Named in Waibel 2023 (p. 210). Content not drawn on here [uncertain].
  • Integrative Therapy's "five pillars of identity" (body; social network; work and achievement; material security; values) are probably the template. [uncertain: see guide 089.]
  • A body version [synthesis]: the client places five objects for the five areas, stands among them, senses which carry weight and which are weak, and moves towards the one to strengthen.

C13. Space exercises

The exercises: sensing oneself as a body in space; exploring the room in movement; taking a place in the room with a blanket; landscape as living space. [source: H&N pp. 94–102, titles]

  • Purpose: Experience one's own space, distance and place.
  • Steps [synthesis]:
    1. Explore the room (corners, centre, walls) and notice preferred places.
    2. Take a blanket and claim a place. Arrange it, sit on it, define its edges.
    3. Share what it takes to claim space.
  • Watch for: Clients who cannot take space. Allow a small place first.

C14. Time and rhythm exercises

The exercises: tempo; given and self-generated rhythm; personal rhythm. [source: H&N pp. 106–111, titles]

  • Purpose: Find one's own tempo and rhythm, and contrast it with external rhythm.
  • Steps [synthesis]:
    1. Move to a given rhythm (drum, music), then without music in one's own rhythm.
    2. Compare.
    3. Find the personal rhythm and transfer it to daily routines.
  • Watch for: Over-adaptation to external tempo, often linked to burnout and depression.

C15. Centre exercises: circling from the centre, sounding centre

[source: H&N pp. 210, 213, titles]

  • Purpose: Centring and stability.
  • Steps [synthesis]:
    1. Standing with soft knees, circle the pelvis slowly. The movement starts in the belly and gradually involves the whole body. 1–2 minutes each direction.
    2. Sounding centre: hum or sound a vowel on the exhale and feel the vibration in the belly or chest.
  • Watch for: Shame about sound. Begin with humming.

C16. Resonance movement (Resonanzbewegung)

  • Purpose: Let an impression (a word, a piece of music, someone else's movement, an image) resonate and answer it in movement. [source: H&N p. 165, title]
  • Steps [synthesis]:
    1. Give an impression.
    2. The client lets the body answer spontaneously, small at first.
    3. Share what moved.

C17. Green exercise, landscape and nature therapy

  • Purpose: The experience-centred human-ecological modality: movement and perception in nature, including for trauma. [source: Petzold, Orth & Orth-Petzold 2023 abstract; Höhmann-Kost 2018 publisher page; H&N "Landschaft als Lebensraum" p. 102, "Dialog mit Tier, Baum, Wind" p. 130]
  • Steps [synthesis]:
    1. A walk in a park or forest with phases of silent perception: one sense at a time, for a few minutes each.
    2. Choose a place that "speaks" to you and stay there.
    3. Movement or posture in response to the landscape.
    4. Collect an object.
    5. Close with a sharing.
  • Watch for: Weather, mobility and safety; triggers such as woods or isolation in some trauma survivors.

C18. Embodiment and vital evidence experience (vitales Evidenzerleben)

  • Named in Waibel 2023 (pp. 224, 232). In IT, "vital evidence" means an experience in which bodily experience, emotional involvement, rational insight and social meaning come together. [uncertain: definition]
  • These are aims of the experience-centred modality rather than single exercises.

D. Relational, group and network work

D1. Circle with rhythmic music (Kreis und rhythmische Musik)

  • Purpose: Group cohesion and moving together (IMC, Kommotilität). Work on early body-to-body experience and belonging. [source: H&N p. 224, title]
  • Steps [synthesis]:
    1. The group stands in a circle.
    2. Simple rhythmic steps or swaying to music, side by side; holding hands only if everyone agrees.
    3. Then individuals may lead a movement that the group takes up.
    4. 5–10 minutes.
    5. Share how belonging felt.
  • Watch for: Those on the edge of the group. Invite, don't pull.

D2. "You are welcome" („Du bist willkommen“)

  • Purpose: A corrective experience of being welcomed, i.e. early intercorporeality and developmental promotion. [source: H&N p. 229, title]
  • Steps [synthesis]:
    1. One person enters the circle or the room.
    2. The group (or the therapist) greets them with gaze, gestures and words of welcome.
    3. The person takes in the welcome.
    4. Share.
  • Watch for: Strong grief or rejection reactions. This is not a failure: it shows the theme. Slow down and process it.

D3. Being rocked and rocking (Gewiegt werden und wiegen)

  • Purpose: Developmental promotion: the experience of being held and rocked, and of rocking another. [source: H&N p. 232, title; touch exercise]
  • Steps [synthesis]:
    1. Go through the consent steps in C0.
    2. Start self-rocking first (sitting, swaying).
    3. Then optionally with a partner or the group, with the person sitting or lying on a blanket that others gently sway.
    4. Always offer the self-rocking version.
    5. Agree a stop signal.
    6. Close slowly and share.
  • Watch for: Regression and strong longing or grief. Keep it short and keep eye contact. Not suitable for clients with severe dissociation, or where being held triggers abuse memories. Requires training. [synthesis]

D4. Seal island (Robbeninsel)

  • Named in H&N (p. 227) among the early-intercorporeality exercises. Content not drawn on here [uncertain]. No steps given, to avoid inventing it.

D5. Mirroring facial expression, gesture and gait (Spiegelung von Mimik, Gestik, Gang)

  • Purpose: IMC: attunement, empathy, seeing oneself through another. [source: H&N p. 251, title; Waibel & Jakob-Krieger 2009 names mirroring and imitation]
  • Steps [synthesis]:
    1. In pairs, A moves slowly and B mirrors as exactly as possible for 2–3 minutes.
    2. Switch.
    3. Then gait mirroring: B walks behind A and imitates their gait, then shows it to A.
    4. Share what was learned about one's own style.
  • Example language (illustrative): "Move so slowly that your partner can follow you."
  • Watch for: Mocking or shame. Set the frame: mirroring is respectful.

D6. Dialogue of two faces (Dialog zweier Gesichter)

  • Purpose: Nonverbal dialogue through facial expression. [source: H&N p. 252, title]
  • Steps [synthesis]:
    1. Partners sit facing each other.
    2. One shows an expression; the other answers with an expression.
    3. A wordless "conversation" for 2–3 minutes.
    4. Share.
  • Watch for: Eye contact can be overwhelming. Allow looking down or sitting at an angle.

D7. Rope team (Seilschaft)

  • Purpose: Trust, leading and following, connection. [source: H&N p. 304, title]
  • Steps [synthesis]:
    1. Pairs or a small group are connected by a rope.
    2. They move through the room or over obstacles without talking.
    3. Leading changes.
    4. Share who led, who followed and how tension in the rope was handled.
  • Watch for: Pulling or domination. Name it in the debrief.

D8. Marionette (Marionette)

  • Purpose: The experience of being moved and of moving another: control, surrender, autonomy. [source: H&N p. 314, title]
  • Steps [synthesis]:
    1. A "pulls imaginary strings" at a distance (no touch).
    2. B moves accordingly.
    3. Switch.
    4. Share which role was familiar.
  • Watch for: Abuse or control histories. Offer the observer role.

D9. Sculptor (Bildhauer)

  • Purpose: Shape a posture or relationship image, and experience being shaped. Also used for sculpting relationships. [source: H&N p. 315, title; Waibel & Jakob-Krieger 2009 names sculpting (Skulpturierung)]
  • Steps [synthesis]:
    1. The sculptor shapes the partner into a posture, preferably by demonstrating it for the partner to copy. Touch only after the consent steps in C0, and only on the hands and arms.
    2. The "sculpture" senses the posture for 1 minute and names feelings.
    3. Switch.
    4. For relationship sculptures, the client places group members as family or network members.
  • Watch for: Strong affect in family sculptures. Move to integration work and do not leave people "in role": de-role them explicitly.

D10. Name circle (Namenskreis)

  • Purpose: Being seen and named in the group. [source: H&N p. 342, title]
  • Steps [synthesis]:
    1. Each person says their name with a gesture.
    2. The group repeats name and gesture.
  • Watch for: Shame. Allow small gestures.

D11. Sociogram, "my village", network work

[source: H&N pp. 336, 348, titles; network-centred modality in Waibel & Jakob-Krieger 2009 and Waibel 2023 p. 271]

  • Purpose: Make the social network visible and embodied, then activate it.
  • Steps [synthesis]:
    1. The client places objects or people in the room for their important relationships, closer or further away.
    2. They stand in the middle and sense each one.
    3. They move towards or away from them, and name a desired change.
    4. In "my village", the client builds a small world of the people and places of their life.
    5. Transfer: one contact to activate this week.
  • Watch for: Facing isolation can bring grief. Hold it and plan a realistic step.

D12. Participation; Metamorphosis (Teilhabe; Metamorphose)

  • Named in H&N (pp. 353, 355), under "the human being in the cosmos". Content not drawn on here [uncertain].

F. Conflict-centred, uncovering modality

Use these only with sufficient stability, alliance and consent, inside a container: agreed time, grounding, and follow-up (section 2.5). [synthesis]

F1. Breath observation (Atembeobachtung) as access to history

  • Purpose: Read the breath pattern as "incorporated history". [source: H&N p. 121, title]
  • Steps [synthesis]:
    1. The client observes where the breath moves and where it is held.
    2. Explore with curiosity: "since when do you breathe like this?"
    3. Do not try to correct it.
  • Watch for: Rising panic. Stop and lengthen the exhale.

F2. Face work: my now-face, my child face, my old-age face

  • Purpose: Explore facial expression as biography and imagine past and future selves (the memorative and prospective body levels). [source: H&N pp. 123–124, titles]
  • Steps [synthesis]:
    1. Look in a mirror, or feel one's own face from the inside.
    2. Then the client lets the face become the child face (with posture to match).
    3. Then the face in old age.
    4. Draw or name each.
    5. Share the differences.
  • Watch for: Childhood trauma surfacing. Return to the now-face and to grounding.

F3. Dialogue with animal, tree, wind

  • Purpose: Projective dialogue with nature figures, for resources and conflict themes. [source: H&N p. 130, title]
  • Steps [synthesis]:
    1. The client chooses an animal, tree or wind.
    2. Embodies it in movement.
    3. Then speaks with it, or as it.
  • Watch for: The figure becoming threatening. Change figure.

F4. Rope figure as symbol (Seilfigur als Symbol)

  • Purpose: A symbolic representation of a theme, life situation or relationship. [source: H&N p. 132, title]
  • Steps [synthesis]:
    1. The client lays a rope on the floor as a shape: a life path, or a boundary around oneself.
    2. Walks or stands in it.
    3. Changes it into a desired shape.
    4. Share.

F5. Body as image: body chart

  • Purpose: Diagnostic and therapeutic drawing of the body as experienced. [source: H&N p. 133, title]
  • Steps [synthesis]:
    1. The client draws a body outline (on a large sheet, possibly traced by lying on it, with consent).
    2. Colours in sensations, pain, tension, strength and feeling with colours and symbols.
    3. Talks about it.
    4. Repeat later to compare.
  • Watch for: Body-image disturbance. Use an abstract outline rather than tracing.

F6. Clay sculpture (Tonskulptur)

  • Purpose: Give form to an impression. [source: H&N p. 134, title]
  • Steps [synthesis]:
    1. With eyes open or closed, the client shapes clay to a theme or feeling for 10–15 minutes.
    2. Then takes on the sculpture's posture in their own body.
    3. Share.

F7. Life panorama (Lebenspanorama)

  • Purpose: Biographical overview of strengths, burdens and deficits across the lifespan; a core IT technique. [source: H&N p. 140, title; see guide 089 for the IT version]
  • Steps [synthesis]:
    1. The client draws the lifeline in colours and symbols on a large sheet, marking periods, events and people.
    2. In IBT, they also walk the lifeline laid out in the room with a rope, and pause at stations to sense the body.
    3. Share.
  • Watch for: Re-traumatisation at stations of trauma. Name those stations only, do not enter them; stay at the resources.

F8. Time journey: projection into the past (Zeitreise: Vergangenheitsprojektion)

  • Purpose: Revisit a past situation in imagination and body. [source: H&N p. 140, title]
  • Steps [synthesis]:
    1. Agree the situation and a safe anchor in the present (object, place).
    2. Guided imaginative return, briefly, with eyes open if needed.
    3. Notice body posture.
    4. Bring in what was missing then (support, a word, a movement).
    5. Return to the present through the anchor.
    6. Integration talk.
  • Watch for: Overwhelm. Abort to the anchor. Not for unstabilised PTSD; use stabilisation first. [synthesis]

F9. Mask – movement – text

  • Purpose: Expression through a mask-figure, its movement and its words. [source: H&N p. 146, title]
  • Steps [synthesis]:
    1. Make or choose a mask.
    2. Find its movement.
    3. Let it speak a short text.
    4. Take the mask off.
    5. Share (de-roling).

F10. Clarifying impressions; symptoms as expression of what was impressed

  • Purpose: Explore symptoms (e.g. tension, pain) as bodily expression of what was "impressed" (Eingedrücktes), following "Eindruck braucht Ausdruck". [source: H&N pp. 166–167, titles; Waibel & Jakob-Krieger 2009]
  • Steps [synthesis]:
    1. The client attends to the symptom.
    2. Gives it a posture or exaggerates it slightly (Verstärkung, amplification, is named among IBT techniques in Waibel & Jakob-Krieger 2009).
    3. Lets it "speak".
    4. Asks what it is answering to.
  • Watch for: Medical causes. The symptom must have been medically clarified, and work on it should not imply it is "only psychological". In chronic pain, avoid amplifying pain; work with the tension around it. [synthesis; see Waibel 2023 on chronic pain]

F11. Emotional differentiation work (Emotionale Differenzierungsarbeit)

  • Purpose: Distinguish and name emotions through their bodily signatures. [source: Waibel 2023 TOC p. 239]
  • Steps [synthesis]:
    1. Evoke or recall an emotion briefly.
    2. Map where it is felt and what posture belongs to it.
    3. Contrast it with a related emotion (e.g. anger vs disappointment).
    4. Practise naming.

F12. Boundary experiences: anger and aggressive impulses (Grenzerfahrungen)

  • Purpose: Work with anger and aggressive impulses so that they are felt, expressed in a controlled way and used to set boundaries. [source: Waibel 2023 TOC p. 246; Höhmann-Kost 2018 publisher page ("handling aggressive impulses")]
  • Steps [synthesis]:
    1. Grounded stance.
    2. Pushing against the therapist's raised palms (with consent), against a wall or against a large ball; gradually increase strength while keeping the breath flowing.
    3. Add a word ("no", "stop") and voice.
    4. Stop at a clear signal.
    5. Rest and share.
    6. Transfer to assertiveness. Unrestrained hitting, kicking or screaming is not described in the IBT sources.
  • Watch for: Loss of control. Use clear rules (stop signal, no hitting people) and keep the client's eyes open and contact maintained. Contraindications [synthesis]: cardiovascular illness, recent injury or surgery, pregnancy, psychosis, impulse-control or violence history without an established frame, unstabilised trauma, active suicidality.

F13. Grief and consolation work (Trauer- und Trostarbeit)

  • Purpose: Allow grief and offer, or teach self-, consolation. [source: Waibel 2023 TOC p. 262]
  • Steps [synthesis]:
    1. Give the loss a symbol (object, rope figure).
    2. Let the body find its grief posture.
    3. Offer comfort: self-touch (hand on chest), a blanket, a supportive presence nearby.
    4. Look for a resource figure (B4).
    5. Closing ritual.

F14. Role work (Rollenarbeit)

  • Purpose: Enact relationships and inner parts, drawing on psychodrama and Gestalt methods. [source: Waibel & Jakob-Krieger 2009 technique list]
  • Steps [synthesis]:
    1. The client embodies a role (a person, or a part of self).
    2. Switches roles or positions.
    3. Integration talk with explicit de-roling. See guide 089 for IT's general role and Gestalt techniques.

F15. Bird flight; corona staff (Vogelflug; Corona-Stab)

  • Named in H&N (p. 136) and Waibel 2023 (p. 256). Content not drawn on here [uncertain]. No steps given.

F16. Improvisation, dance and voice work

  • Purpose: Free expression and new movement possibilities. [source: Waibel & Jakob-Krieger 2009 technique list: improvisation, dance, voice work, sound and language experiences]
  • Steps [synthesis]:
    1. A short structured warm-up.
    2. Free movement or sound improvisation to a theme or music, 3–10 minutes.
    3. Optionally performed for a witness.
    4. Share.
  • Watch for: Performance anxiety. Let the group move simultaneously first.

5. Handling problems

What the sources contain:

  • Waibel & Jakob-Krieger 2009 name the relevant concepts: affiliation, transference, countertransference, resistance, and reactance met with persuasion rather than pressure; felt bodily sense that is either reduced or over-reactive.
  • Waibel 2023 has sections that were seen only as table-of-contents headings, not read: relative exclusion criteria for groups (p. 147), "what should one absolutely avoid?" (p. 149), ways forward in difficult terrain (p. 150), reactance (p. 135), and working with barriers (p. 221).

Everything below beyond those named concepts is [synthesis].

Screening and contraindications before intensive body work

[synthesis, except where tagged]

  • Ask about:
    • cardiovascular and respiratory illness, epilepsy, pregnancy;
    • recent injury or surgery, chronic pain conditions;
    • psychosis, severe dissociation, active suicidality;
    • recent trauma without stabilisation;
    • eating disorders (risk of over-exercise), substance withdrawal.
  • Running and endurance therapy need medical clearance. [source: running is used in psychiatric and addiction settings per Waibel & Jakob-Krieger 2009; clearance is synthesis]
  • Restrict for the affected groups: no breath intensification, trembling induction, regressive holding or rocking (D3), anger work (F12) or past-projection (F8). Use exercise-centred and supportive modalities instead.
  • Psychiatric patients. IBT was adapted for psychiatric inpatients from the 1970s (Petzold & Berger 1977; abstract only). With psychotic patients, keep work concrete, structured and oriented to reality: walking, rhythm, objects, orientation training. Avoid deep imagination and regression. [synthesis]
  • Physical illness. No body method here treats physical disease. Body work in chronic pain (Waibel 2023) supports coping and self-regulation alongside medical care.

Stuck client: "I feel nothing"

  • Reduced felt bodily sense is expected, not failure. [source: Waibel & Jakob-Krieger 2009]
  • Switch to the bottom-up route (MPI, B1): stronger, more concrete stimuli such as tapping (C6), balls (C9), brisk walking (E2), rhythm (C14).
  • Lower the goal from "feel" to "notice differences" (left vs right, before vs after).
  • Use media and nature as mediators.

Resistance and reactance

  • Treat reactance as protection. Explain the rationale, offer choice and alternatives, invite rather than persuade with pressure. [source: Waibel & Jakob-Krieger 2009]
  • Allow the observer role in groups.
  • Explore the "no" in the body: "how does your body say no to this exercise?" The no can itself be the theme, e.g. boundary work (E1).

Overwhelm, flooding, dissociation

  1. Stop the exercise.
  2. Eyes open.
  3. Feet on the floor, press the feet down.
  4. Name objects in the room.
  5. Use orienting movements (turning the head, looking around).
  6. Hold something with a clear texture (a stone, a ball).
  7. Speak calmly and in short sentences.

Afterwards:

  • Go back from conflict-centred to exercise-centred or supportive work.
  • Reduce depth (2.3): stay at the reflective level.
  • Debrief, and check safety before the client leaves.
  • If suicidal thoughts surface, carry out a standard suicide risk assessment and safety planning according to your service protocol.

Non-adherence to transfer tasks or running groups

  • Shrink the task.
  • Link it to existing routines.
  • Use the group for mutual support (way 4: solidarity).
  • Explore barriers in the body: fatigue, shame, pain.
  • Exercise-centred work depends on repetition, so plan check-ins.

Ruptures in the relationship

  • Name what happened in the body-to-body field (e.g. "after I touched your shoulder you went quiet").
  • Take responsibility for your part.
  • Return to non-touching and more distance.
  • Ask what the client needs.
  • Reflect on countertransference in supervision. [concepts from Waibel & Jakob-Krieger 2009]

Problems specific to the modality

  • Touch misunderstood or experienced as intrusive. Stop, acknowledge, return to no-touch, document. Discuss in supervision and with the team (Waibel 2023 treats touch as a team issue).
  • Group pressure to join exercises. State at every session that opting out is legitimate and give observer tasks.
  • Shame about the body, weight or appearance. Choose exercises with no mirror, side-by-side positions and clothing that allows movement. Avoid comments on body shape. Never set weight or performance targets.
  • Strong regressive longings (e.g. after rocking or "you are welcome"). Contain them, link them to the present, plan the follow-up. Do not foster dependency on the therapist's touch: move towards self-support, as in H&N's touch variation "the way to independence".
  • Aggression escalating in group exercises. Pre-agreed rules, stop signal and a co-therapist. End the exercise if rules are broken.
  • Pain flares after movement. Reduce intensity, prefer the imagined route (MIM, B2) and gentle self-touch. Coordinate with the medical team.
  • Clients who intellectualise. More doing and less talking in the action phase; save interpretation for integration.

Sources

Sources:

Books and papers cited:

  • Waibel, M. J. & Jakob-Krieger, C. (eds.) (2009). Integrative Bewegungstherapie: Störungsspezifische und ressourcenorientierte Praxis. Stuttgart: Schattauer. [uncertain: exact subtitle; ch. 1; other chapters by title only]
  • Waibel, M. J. (2023). Körperpsychotherapie bei chronischen Schmerzen: Integrative Leib- und Bewegungstherapie (IBT). Stuttgart: Schattauer/Klett-Cotta. [table of contents and foreword]
  • Hausmann, B. & Neddermeyer, R. Bewegt sein: Integrative Bewegungs- und Leibtherapie in der Praxis. Paderborn: Junfermann (1st ed. 1996); later edition Wiesbaden: Reichert. [uncertain: the table-of-contents sample did not show the title; the attribution is inferred; exercise titles only]
  • Höhmann-Kost, A. (ed.) (2018). Integrative Leib- und Bewegungstherapie (IBT): Theorie und Praxis (3rd ed.). Bern: Hogrefe. [publisher page only]
  • Petzold, H. G. & Berger, A. (1977). Integrative Bewegungstherapie in der Arbeit mit psychiatrischen Patienten. [abstract only]
  • Petzold, H. G., Orth, I. & Orth-Petzold, S. (2023). Integrative Leib- und Bewegungstherapie – ein humanökologischer Ansatz. POLYLOGE 8/2023. [abstract only]
  • Petzold, H. G. (2023). Der „informierte Leib im Polylog“. POLYLOGE 11/2023. [abstract only]
  • Petzold, H. G. (2003). Integrative Therapie: Modelle, Theorien und Methoden einer schulenübergreifenden Psychotherapie (3 vols., revised ed.). Paderborn: Junfermann. [publisher information only]

Further reading (not drawn on):

  • Petzold, H. G. (1988). Integrative Bewegungs- und Leibtherapie. Paderborn: Junfermann.
  • Petzold & Berger (1974), Integrative Bewegungserziehung (FPI "Grüne Texte").
  • The full text of Petzold, Orth & Orth-Petzold 2009 on IBT as human ecology (FPI POLYLOGE 02/2009): the PDF could not be read.
  • The EAG training page on running and endurance therapy.