DPR

Dissociated Pain Release

A self-help technique developed by a trauma survivor

Anne MacMillan, MLA

Survivor, Consultant, Coach

Master's Clinical Psychology - Harvard University

Dissociated Pain Release

Self-Help Trauma Support

Dissociated Pain Release

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.

IMPORTANT

* DPR is not trauma therapy.

Anne is not a therapist and does not support individuals through trauma therapy. Anne teaches a self-help technique that individuals can apply to many situations in their everyday lives and that they have a right to use to manage any experiences they choose, traumatic or not. It is always recommended that trauma survivors hire a licensed trauma therapists whenever possible. Call 911 in any emergency.

Feeling Suicidal?
Find a Helpline

Anne MacMillan, MLA

Survivor, Consultant, Coach, Educator

Master's Clinical Psychology, Harvard Univerisity

IMPORTANT


* DPR is not trauma therapy.

Anne is not a therapist and does not support individuals through trauma therapy. Anne teaches a self-help technique that individuals can apply to many situations in their everyday lives and that they have a right to use to manage any experiences they choose, traumatic or not.

It is always recommended that trauma survivors hire a licensed trauma therapists whenever possible. Call 911 in any emergency.

Feeling Suicidal?
Find a Helpline:
https://findahelpline.com/

About Me

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.

Dissociated Pain Release

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.

My Newest Blog Posts

Multi-level architectural atrium seen from above, with ramps, stairs, passages, and repaired walls forming a coherent whole, suggesting life review and recognition.

Integrity Across Both Pathways

July 21, 202612 min read

Series VI, Article 4: Integrity Across Both Pathways

Integrity is the final question Erikson's arc asks, and it is the only one that requires the whole life as its subject (Erikson, 1963; Erikson & Erikson, 1997). Every previous stage worked with a portion of the life: the trust stage worked with early relational experience, the identity stage worked with the emerging self, the intimacy stage worked with the encounter between two selves. Integrity looks at everything. It asks whether the life that was actually lived, with all its particular choices and circumstances and failures and survivals, can be recognized as meaningful, coherent, and genuinely one's own.

The virtue that emerges when this question is answered well is wisdom: not wisdom in the sense of having accumulated many facts or lived long enough to offer opinions, but wisdom in the sense Erikson described, a kind of detached concern for life as a whole, the capacity to hold the full arc of one's experience, including its painful passages and genuine losses, with something approaching acceptance (Erikson & Erikson, 1997). Not the absence of regret. Erikson was clear that integrity and despair exist in tension in the person who has navigated this stage well, not that integrity eliminates regret. The goal is not a life without difficulty to look back on. It is a self that can look back on the difficulty it actually faced and find that life, with all of it, genuinely worth having lived.

Research consistently finds that generativity, the stage that precedes integrity, is one of the strongest developmental predictors of whether integrity becomes available (McAdams & de St. Aubin, 1992; Westerhof et al., 2017). The person who has invested their capacities in something beyond themselves, who has contributed and cared and left something behind, has built into the life the raw material that integrity's life review can work with: evidence that the self was not only lived for itself. This is one more reason why the reworking of earlier stages matters. Each stage reworked creates better conditions for the stages that follow, and the conditions of integrity depend on what generativity produced, which depends on what intimacy produced, which depends on what identity produced, all the way back to whether trust was adequately formed (Erikson, 1963; Erikson & Erikson, 1997).


Integrity Along the Spiral Pathway

For people on the non-autistic pathway, the life review that integrity requires tends to work through narrative coherence: the organization of the life's experiences into a story that holds together, that can be recognized as continuous despite the changes and roles and relationships it has moved through, and that can be claimed as genuinely the reviewer's own (Butler, 1963; McAdams, 2001; McAdams & McLean, 2013).

The spiral has been building this narrative all along. The continuous oscillation between going out and curving back, between assimilation and accommodation, between confidence and self-doubt, produces over a lifetime a layered self-concept that is simultaneously continuous and always changing (McAdams, 2001; McAdams & McLean, 2013). Integrity asks whether that self-concept, looked at from the vantage point of its whole arc, coheres into something recognizable. Whether the person who went out and came back, over and over again across decades of development, can recognize themselves as the same person throughout.

When the spiral's narrative coherence is available, integrity can do its developmental work. The story that has been built, even when it includes painful chapters and choices the person genuinely regrets, can be held together by the same integrative capacity the oscillation has always provided (McAdams, 2001; McAdams & McLean, 2013). The life does not need to have been perfect. It needs to be recognizable as one's own.

For the high body empathetic in MacMillan's theoretical framework, integrity presents a specific challenge that the boundary, identity, and intimacy series each traced from different angles. Looking back on a life organized significantly around others' needs, perspectives, and experiences raises a particular question: whose story is this? The person whose oscillation has been calibrated more by others' perspectives than by their own ground may find, at the integrity stage, that the narrative they are holding is not entirely theirs. The life review may require not only accepting the arc but locating the self within it: distinguishing the care that was genuinely offered from the care that was absorbed by accommodation, finding the authentic contribution that was present even when it was misdirected, and recognizing the self that was there even when it was difficult to locate beneath the relational organization of the life around others. This is specific integrity work, and it is work the high body empathetic's developmental history has both created the need for and, through the genuine care and connection it also produced, provided genuine material for.

Integrity Along the Staircase Pathway

For autistic people, the life review that integrity requires may work through narrative, as it does along the non-autistic pathway, or it may work through something the staircase's characteristic structure is better suited to produce: pattern and sequence mapping (Baron-Cohen, 2009; Happé & Frith, 2006).

Pattern and sequence mapping is not a lesser form of life review. It is a different form, one that achieves the same developmental function through different means. Where narrative organizes experience through causal and temporal connection, finding the story in which one event led to another and the whole arc held together as a through-line, pattern and sequence mapping organizes experience through structural recognition: seeing the recurring patterns that have run through the life, recognizing the sequences that have reliably produced particular outcomes, understanding why things kept happening in the particular ways they did (Baron-Cohen, 2009; Happé & Frith, 2006). That recognition, when it arrives, produces a form of coherence as sustaining as narrative coherence for the person whose processing is organized around pattern and structure rather than story.

For many autistic people, particularly those identified late, the arrival of integrity is inseparable from the retrospective reorganization that identification makes possible (Kapp et al., 2013; Leedham et al., 2020). The life that was, for decades, experienced as a sequence of inexplicable failures, social mismatches, and adaptations that cost more than they should have, suddenly becomes legible through the autistic framework. The patterns were always there: the specific ways correction environments shaped the self, the sequences through which masking developed and what it cost, the recurring experiences of reaching toward connection in forms that did not translate (Hull et al., 2017; Milton, 2012). Before identification, those patterns could not be seen clearly because the framework that would have made them visible was absent. After identification, they resolve into something that can be mapped, understood, and finally accepted as the life of someone whose nervous system was navigating conditions that consistently misread it.

This retrospective reorganization may carry considerable grief: for the years lived without accurate understanding, for the developmental work that could not be done because the conditions were not present, for the relationships and opportunities that the mismatch cost (Leedham et al., 2020). But it is integrity in the developmental sense nonetheless, because it produces the essential achievement integrity requires: the life recognized as genuinely one's own, understood through a framework accurate enough to make it coherent, and claimed rather than rejected (Erikson & Erikson, 1997; Kapp et al., 2013).

Some autistic people will find narrative the primary vehicle for this recognition. Others will find pattern and sequence mapping more natural. Many will use both. What matters is not the mechanism but the achievement: the life made legible, held, and ultimately accepted as the life that was actually lived by this particular person on this particular pathway (Butler, 1963; Erikson & Erikson, 1997).

When Despair Takes Hold

Despair, the failure state of integrity, looks different across the two pathways and carries different specific weights (Erikson, 1963; Erikson & Erikson, 1997; Westerhof et al., 2017).

For people on the non-autistic pathway, despair in the Eriksonian sense is the inability to accept the life as having been worth having lived: the bitter accounting in which regrets dominate, in which the sense of having made wrong choices or having missed essential possibilities cannot be integrated into a story that coheres (Erikson & Erikson, 1997; Ryff & Heincke, 1983). For the high body empathetic, despair may take the specific form of looking back on a life given significantly to others and finding the self unclear within it: the accumulated grief of care that was offered but not always genuinely chosen, and the uncertainty about whether the life that was lived was genuinely one's own.

For autistic people, despair at the integrity stage often carries a specific weight that has nothing to do with the choices that were made and everything to do with what was never understood. The autistic person who reaches the integrity stage without the retrospective reorganization that identification makes possible faces a life review in which the patterns cannot be made sense of, in which the recurring experiences of mismatch and correction and social failure appear as evidence of something wrong with the self rather than as evidence of a self navigating inadequate conditions (Hull et al., 2017; Leedham et al., 2020; Milton, 2012). That is a particular form of despair: not the despair of having made wrong choices, but the despair of having been unable to understand the life that was happening, and of arriving at its retrospective accounting without the framework that would make it legible.

This is why identification matters at every age, and why this series has framed it as a developmental event rather than simply a clinical one (Kapp et al., 2013; Leedham et al., 2020). The retrospective reorganization it enables is not only identity work. It is the precondition for integrity work. The autistic person who can look back at their life through an accurate lens can find in it what integrity requires. The autistic person who cannot may find only the inexplicable, and despair in the face of what cannot be explained.

The Life Looked Back Upon

What integrity achieves, when it does achieve, is not resolution in the sense of all difficulties resolved or all regrets eliminated. It is something more specific and more sustaining: the life held in the self's own hands, recognized as having been genuinely and entirely the self's own, accepted as something that was real and that mattered and that, in its particular shape, could not have been substituted for anything else (Butler, 1963; Erikson & Erikson, 1997).

The wisdom Erikson named as the virtue of this stage is the capacity to hold that recognition, to stay with it rather than turning away from it, and to find in the life that was actually lived, rather than in some imagined alternative, what it was always reaching toward (Erikson & Erikson, 1997). For autistic people, wisdom may include the specific recognition that the pathway they have been on was a pathway worth being on, that the contributions they made through the channels available to them were genuine contributions, and that the self they have arrived at, however long it took to locate and however much the journey cost, is a self worth having arrived at. For non-autistic people, wisdom may include the recognition that the care they offered across a life, even when it was misdirected or absorbed rather than genuinely given, was genuine care, and that the oscillation that has carried them through the full arc of development has arrived somewhere worth arriving.

Both pathways arrive here, carrying the full weight of what the arc before has produced and what integrity now asks of it.

And what the whole inquiry has been building toward, from the first question of whether the world could be trusted to the last question of whether the life was worth having lived, is the destination the final post describes.

Next in this series: The Destination, the full arc of the MacMillan Spiral and Staircase Model™ brought together across the entire span of psychosocial development, and what it means, for both pathways, to arrive.


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

Baron-Cohen, S. (2009). Autism: The empathizing-systemizing (E-S) theory. Annals of the New York Academy of Sciences, 1156(1), 68–80. https://doi.org/10.1111/j.1749-6632.2009.04467.x

Butler, R. N. (1963). The life review: An interpretation of reminiscence in the aged. Psychiatry, 26(1), 65–76. https://doi.org/10.1080/00332747.1963.11023339

Erikson, E. H. (1963). Childhood and society (2nd ed.). W. W. Norton.

Erikson, E. H., & Erikson, J. M. (1997). The life cycle completed: Extended version. W. W. Norton.

Happé, F., & Frith, U. (2006). The weak coherence account: Detail-focused cognitive style in autism spectrum disorders. Journal of Autism and Developmental Disorders, 36(1), 5–25. https://doi.org/10.1007/s10803-005-0039-0

Hull, L., Petrides, K. V., Allison, C., Smith, P., Baron-Cohen, S., Lai, M.-C., & Mandy, W. (2017). “Putting on my best normal”: Social camouflaging in adults with autism spectrum conditions. Journal of Autism and Developmental Disorders, 47(8), 2519–2534. https://doi.org/10.1007/s10803-017-3166-5

Kapp, S. K., Gillespie-Lynch, K., Sherman, L. E., & Hutman, T. (2013). Deficit, difference, or both? Autism and neurodiversity. Developmental Psychology, 49(1), 59–71. https://doi.org/10.1037/a0028353

Leedham, A., Thompson, A. R., Smith, R., & Freeth, M. (2020). “I was exhausted trying to figure it out”: The experiences of females receiving an autism diagnosis in middle to late adulthood. Autism, 24(1), 135–146. https://doi.org/10.1177/1362361319853442

McAdams, D. P. (2001). The psychology of life stories. Review of General Psychology, 5(2), 100–122. https://doi.org/10.1037/1089-2680.5.2.100

McAdams, D. P., & de St. Aubin, E. (1992). A theory of generativity and its assessment through self-report, behavioral acts, and narrative themes in autobiography. Journal of Personality and Social Psychology, 62(6), 1003–1015. https://doi.org/10.1037/0022-3514.62.6.1003

McAdams, D. P., & McLean, K. C. (2013). Narrative identity. Current Directions in Psychological Science, 22(3), 233–238. https://doi.org/10.1177/0963721413475622

Milton, D. E. M. (2012). On the ontological status of autism: The “double empathy problem.” Disability & Society, 27(6), 883–887. https://doi.org/10.1080/09687599.2012.710008

Ryff, C. D., & Heincke, S. G. (1983). Subjective organization of personality in adulthood and aging. Journal of Personality and Social Psychology, 44(4), 807–816. https://doi.org/10.1037/0022-3514.44.4.807

Westerhof, G. J., Bohlmeijer, E. T., & McAdams, D. P. (2017). The relation of ego integrity and despair to personality traits and mental health. The Journals of Gerontology: Series B, 72(3), 400–407. https://doi.org/10.1093/geronb/gbv062

integrity autismErikson integrityintegrity versus despairautistic life reviewpattern and sequence mappingnarrative coherenceautism and life reviewlate-diagnosed autismautistic identity developmentautistic integritypsychosocial development autismdevelopmental pathwaysnon-autistic integrityhigh body empathylife story coherenceautistic self-understandingretrospective reorganizationautistic adulthoodMacMillan Spiral and Staircase ModelREAL Neurodiverse
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Anne MacMillan, MLA

Anne MacMillan, MLA is the founder of R.E.A.L. Neurodiverse 10-Step Family Systems Approach, designed to support Level 1 autistic adults and their neurodivergent and neurotypical family members as they come to understand what makes them different, work to improve their relationships, and take action to improve their lives. MacMillan has over 50 years of personal life experience with neurodiverse family systems, over 20 years of personal life experience in a neurodiverse intimate life partnership, and has been professionally supporting autistics and non-autistic adults in neurodiverse close family relationships since 2017. She has a master's in psychology from Harvard University where she did some of the world's first quantitative research on autism and intimate life partnerships. She self-identifies as a high body empathetic, or a non-autistic neurodivergent with a high level of body empathy.

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