
Survivor, Consultant, Coach
Master's Clinical Psychology - Harvard University
Dissociated Pain Release (DPR) is a self-help technique that allows users to release emotional pain from trauma without re-experiencing it. It is based on the idea that emotional pain is stored in the mind, body, and nervous system and that the stored pain causes distress and discomfort in the present, whether the trauma was a recent event or something that happened many years ago.
There is no need for a DPR user to know where any emotional pain came from. All a user needs to know is that they are currently experiencing unwanted emotional pain and that they would like to release that pain and feel better -- quickly.
Most importantly, in DPR, emotional pains are released while the user is dissociated from them -- allowing the user to process any trauma or distress without being forced to relive the original traumatic experience.
Examples of emotional pain that can be released from the body and nervous system through DPR include rage, anger, shame, sadness, guilt, grief, loneliness, abandonment, anxiety, and fear.
Likewise, DRP allows users to release any stored sensations associated with physical pain or forms of bodily discomfort that happened in the past. DPR users can release sensations of nausea, dizziness, cold, being drugged, etc. Again, all these sensations are released without the DRP user re-experiencing the original potency of any traumatic event. Often DPR users release pain without even knowing what the original traumatic event may have been.
DPR has three cyclical steps: (A) identify pain to release, (B) dissociate from the pain, and (C) release the pain. Once understood, DPR is a simple, repetitive process that applies in many self-help situations. Any user employing DPR expects to complete its A-B-C cycle several times in any one self-help session. It is understood that there may be several painful emotions, different forms of physical pain and other negative bodily sensations that require release, making time and repetition necessary.


Survivor, Consultant, Coach, Educator
Master's Clinical Psychology, Harvard Univerisity
Like many others, I grew up in a household that didn't offer me the basic protections all children need. I experienced extreme trauma as a very young child and, unfortunately, that trauma continued into my adolescence and adulthood.
I survived adolescence emotionally by focusing on studying contemporary dance, helping me process my emotions and increase my body awareness. As a young adult in my twenties, I was exposed to relaxation and meditation techniques and the idea that healing that comes naturally when we move our eyes as we dream.
In my mid-twenties, memories of traumatic events that had happened during my early childhood began to return to my consciousness. I knew about EMDR (Eye-Movement Desensitization and Reprocessing) therapy for trauma, but wasn't in a situation that allowed me consistent access to a trauma therapist.
So, I began working through my traumatic memories on my own, combining what I'd learned about the emotions I felt in my body through dancing with relaxation and visualization techniques. I added what I decided to call REM Simulation -- or Rapid Eye Movement Simulation. REM sleep is the deep dreaming sleep in which humans naturally process emotions.
The result was a self-help technique that made it possible for me to work through the terrible emotions associated with traumatic events that had occurred in my past and regain the sense of emotional stability I needed -- all without having an opportunity to get the therapeutic support I needed.
I dubbed my self-help technique DPR, or Dissociated Pain Release, and decided that I didn't want it to ever become something that anyone with an advanced degree and a lot of privilege could tell people they weren't qualified to perform at home on their own.
Therapy is wonderful and everyone who has access to a therapist should take advantage of that privilege. But recovery strategies should be available to anyone anywhere. That's what DPR is about for me.
From my perspective, DPR is nothing more than a collection of practical ideas put together in one package to help all of us get through the difficult emotions humans feel. It's valuable because it works and it uses human's natural REM (Rapid Eye Movement) sleep processing methods.


Series VI, Article 3: Generativity Across Both Pathways
The question that generativity asks is different from all the questions that came before it. Trust asked whether the world could be relied on. Autonomy and initiative asked whether the self was allowed to act from itself. Identity asked who the self actually was. Intimacy asked who could genuinely know it and be known by it in return. Generativity turns in a different direction entirely: what does the self offer to what comes after it? (Erikson, 1963; Erikson & Erikson, 1997).
Erikson placed this question in middle adulthood, though like all his stages it is not rigidly age-bound. Its concern is contribution: the investment of the self's knowledge, care, creativity, and attention into people, ideas, and structures that will continue after the self is gone. Its virtue is care in the developmental sense, not simply the feeling of caring but the active, sustained investment of the self in something beyond itself. And its failure state, stagnation, is the condition in which that investment does not occur: the self remaining organized around its own concerns, its energy circling inward rather than offered outward (Erikson, 1963; McAdams & de St. Aubin, 1992).
What generativity looks like, and what stagnation looks like, differs meaningfully across the two developmental pathways. The channels through which contribution flows are shaped by the same pathways that have shaped everything else in this series. Understanding generativity across both requires understanding not only what each pathway offers, but what conditions allow that offering to find its way out into the world.
Generativity Along the Spiral Pathway
For people on the non-autistic pathway, generativity tends to flow through the relational channels the spiral has been building all along. The social oscillation continues to run as it always has, with the person's care and attention directed through it toward the next generation, toward the community, toward the people and relationships and institutions that will continue when this particular life is over (Erikson & Erikson, 1997; McAdams & de St. Aubin, 1992).
The forms this takes are varied: parenting and the deliberate shaping of the conditions a child grows up in, mentoring and the transmission of knowledge and experience to people earlier in their developmental journey, community involvement and the investment of care in the shared life of the people around them, creative and professional contribution and the leaving behind of something that will be of use to others (McAdams & de St. Aubin, 1992). What these forms have in common is the relational architecture the spiral produces: the continuous, socially-embedded orientation toward others that the non-autistic pathway has been developing since the trust stage first established whether the world was safe to reach toward.
The virtue of care, in this context, is the developmental achievement of turning that relational orientation outward in a way that genuinely serves what comes next rather than simply managing the immediate relational field. The person who has navigated the spiral's developmental arc and arrived at generativity with a stable identity, genuine intimacy, and a well-calibrated oscillation brings to this stage a particular readiness: they know who they are, they know how to be genuinely known, and they have enough relational surplus to direct care toward what comes after rather than requiring all of it for the management of the present (Erikson, 1963; Erikson & Erikson, 1997).
For the high body empathetic in MacMillan's theoretical framework, the generativity stage presents a specific challenge that the series on boundaries and identity has traced from different angles. The nervous system that organizes itself so readily around others' experience, that offers care continuously and often without reserve, may find that by the time generativity's question arrives, much of the care that was meant to flow outward has been consumed by accommodation: organized around the needs of a specific close relationship rather than offered more broadly into the world. The transition from that kind of care, care as absorption in another person's experience, to generativity's care, the outward investment in what comes next, is a specific developmental movement that the high body empathetic's nervous system does not make automatically. It requires the same assimilative work the identity and intimacy series described: staying in one's own experience clearly enough to know what one actually has to offer, and then offering it outward rather than inward.
Generativity Along the Staircase Pathway
For autistic people, the generative impulse takes many forms: parenting, teaching, mentoring, specialized professional contribution, advocacy, creative work, community building. What the staircase pathway brings to those forms is often distinctive in character, and it also opens generative channels that the conventional developmental template has not yet adequately named (Kapp, 2020; Kapp et al., 2013).
The staircase builds deep, specialized, sequential understanding of whatever it concentrates its attention on. That understanding becomes genuinely available to others when it is offered explicitly and directly, in the form the staircase naturally produces, rather than translated into the ambient social language the non-autistic pathway uses by default (Baron-Cohen, 2009; Happé & Frith, 2006). It brings honesty to communication that cuts through the layers of social indirection, and carries, for many autistic people, a particular orientation toward justice: the recognition of systemic wrong, the drive to correct it, the commitment to building conditions that are better for the people who come after (Kapp, 2020; Kapp et al., 2013).
These capacities are generative in Erikson's fullest sense. The autistic parent who raises a child with explicit attentiveness to that child's developmental needs, naming what they observe and building what the child requires rather than relying on ambient attunement to carry the work; the autistic teacher or mentor who transmits what they know with a precision and directness that reaches people the conventional mode would miss; the autistic person who contributes specialized knowledge to a field or community, who advocates for the structural changes that would make environments more hospitable to autistic development, who builds the community resources that earlier autistic generations did not have: all of these are generativity (Erikson, 1963; Kapp, 2020; McAdams & de St. Aubin, 1992). The concern for what comes after the self, the investment in conditions and people and structures that will outlast the self, is precisely what Erikson described. The channels through which it flows are the channels each person has found.
There is something specifically powerful about autistic generativity directed toward other autistic people. The knowledge that comes from having navigated the autistic developmental pathway, from having experienced the correction environments and the masking and the identity confusion and the intimacy mismatch and the process of reworking earlier stages with accurate information, is knowledge that cannot be provided by anyone who has not been on that pathway (Hull et al., 2017; Kapp, 2020; Kapp et al., 2013). The autistic adult who supports a younger autistic person through the moratorium that identification initiates, or who builds into a professional or creative context the explicit accommodations the staircase needs in order to contribute fully, or who adds their voice to the literature that makes autistic lives more accurately described: that person is offering something that generativity in the traditional template has not quite named but that is unmistakably what generativity points toward.
When the Channels Are Blocked
Stagnation, the failure state of generativity, looks different across the two pathways and requires two different accounts (Erikson, 1963; Erikson & Erikson, 1997).
For people on the non-autistic pathway, stagnation in the Eriksonian sense is the failure of care to turn outward: the self remaining organized around its own concerns when it has the capacity and the resources to invest in what comes next (Erikson, 1963; McAdams & de St. Aubin, 1992). For the high body empathetic, stagnation may take a particular form: care that has been so thoroughly organized around another person's needs, in the over-accommodating relational patterns the series on boundaries and identity traced, that the outward turn of genuine generativity has never been made. The care is present but pointed inward, toward the management of the immediate relational field, rather than outward toward what comes after.
For autistic people, stagnation requires a different account entirely. The Eriksonian concept implies a self that has turned inward by choice or failure of development, a self-absorption that has prevented the outward investment of care. That account does not fit many autistic people's experience of what prevents generative contribution. For many autistic people, the capacity and the desire to contribute are genuinely present. What is absent is not the will to give but the channels through which giving is possible (Kapp, 2020; Milton, 2012).
Employment barriers, social exclusion, the absence of environments that can recognize and receive autistic contributions, and the accumulated depletion of autistic burnout: these are not stagnation in the developmental sense but obstruction in the environmental one (Hedley et al., 2017; Hirvikoski & Blomqvist, 2015; Raymaker et al., 2020). The person whose specialized knowledge and pattern recognition and systematic care have never found a channel through which they could be received and used is not failing at generativity. They are being failed by environments that have not built the channels generativity requires. That distinction matters for how we understand what autistic adults need at this stage: not encouragement to stop being self-absorbed, but access to the conditions and communities and structures through which their genuine contribution can actually flow.
What Generativity Looks Like When It Flows
When the conditions are right and the channels are available, what generativity produces across both pathways is recognizable as the same thing despite looking different in each: the sense that the self's work in the world is not only about the self. That there is something being built, or transmitted, or protected, or made possible that will continue when the builder is gone. That the developmental work of all the previous stages has accumulated into something that can now be genuinely offered beyond the self (Erikson & Erikson, 1997; McAdams & de St. Aubin, 1992).
The virtue of care, expressed through whatever forms of contribution each person has found, is not a feeling but a practice: the ongoing, sustained investment of what the self has developed into what comes next (Erikson, 1963; McAdams & de St. Aubin, 1992). And what it makes possible, in turn, is the final question that Erikson's arc asks: whether the life that has been lived, with all its difficulties and its particular shape, can be looked back on as genuinely and irreversibly one's own.
That is where the next post turns.
Next in this series: Integrity Across Both Pathways, what looking back on the life and finding it one's own requires along the spiral and staircase pathways, the different forms the life review takes, and what both pathways are reaching toward when they ask, at the end of the arc, whether the life was worth having lived.
THE SERIES
Article 1: The Arc That Does Not End
Article 2: Returning to Earlier Ground
Article 3: Generativity Across Both Pathways
Article 4: Integrity Across Both Pathways
Article 5: The Destination
References
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Erikson, E. H. (1963). Childhood and society (2nd ed.). W. W. Norton.
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