Our Spiral Grows
From 2009 to 2011, through our clinical work and video reflection, we discovered ways these new tools for effective somatic regulation also promoted fully embodied trauma processing. As we consulted to adolescent therapists in other treatment sites, and viewed many clinical video recordings, this dance between somatic regulation and trauma processing took form in the SMART Spiral. The demand for SMART training and consultation connected us with even more therapists. With further clinical evidence for the viability of this “bottom-up” approach, we wrote the first SMART Manual for dissemination.
By 2014, many therapists in the US and abroad had asked how we incorporated caregivers into treatment, so we focused our video review of SMART sessions on attachment processes. We observed children and adults creating new rhythms of engagement through use of the equipment, fully embodied games, and dramatic play. In our revised manual in 2014, we described the power of SMART for attachment-building and added the final thread of the treatment Spiral.