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Exeter: Working with the Breath in Psychotherapy

An experiential breathwork weekend

Exeter: Working with the Breath in Psychotherapy

May 9, 2020 @ 10:00 – May 10, 2020 @ 17:00
The Blackdown Healthy Living & Activity Centre
Hemyock, Cullompton, Devon
EX15 3SH
£230 (tbc)
Judy Shaw
+44 1404 831007

Experiential weekend for everybody interested in breathwork, including counsellors and psychotherapists from across all the approaches: Bank Holiday Saturday & Sunday: 9 & 10 May 2020 (Exeter)

Workshop postponed until 19 & 20 Sep. 2020 - join our 3-hour online Zoom meeting (9 May)

In place of the workshop, I am offering a Zoom Meeting instead on Saturday, 9 May between 10.00 and 13.00.

Please use the booking form to enrol for the Zoom meeting - the session is free, but we invite donations/contributions.

Download detailed leaflet


There are a multitude of techniques instructing us how to breathe 'correctly', derived from a multitude of traditions, Eastern and Western. Many of these instructions are contradictory, being either oriented towards calming us down and helping us centre (generally Eastern), or targeting emotional blocks by provoking primal regressive and cathartic experience (generally Western).
These experiential weekends are based on the assumption that ALL types of breathwork technique have some validity with some of the people some of the time, and can be helpfully and powerfully integrated into the psychotherapeutic process.
But all of them can also become counter-productive and can be used in counter-therapeutic ways. So whilst in principle we want to be familiar with ALL kinds of techniques and competent in using them, the most important question is HOW TO SELECT from within the contradictory multitude of approaches a way of working that fits a particular client’s process at a particular point in time.
What criteria can help us with that selection process?
That selection process cannot just be based on simplistic one-person psychology treatment considerations of theory and technique. A fundamental assumption of these weekends is that such considerations of theory and technique - and the selection of the ‘correct' technique - are always embedded in relational dynamics and should be guided by an understanding of these dynamics. Rather than using breathwork as an instructional technique, in psychotherapy we want to be able to use attention to the breath as an aspect of embodied relating between client and therapist which is always already present, whether we are aware of it or not.

The significance of the breath for any kind of psychotherapy which does not exclude the body

In recent attempts to include the body in psychotherapy, partly inspired by modern neuroscience, the importance of breathing and the breath as one main regulator of the intensity of feeling has been increasingly recognised. If we want to bring the two bodies constituting the therapeutic relationship fully into the consulting room, we need to not only understand, but learn to actively work with the breath, the client’s and our own, and the connection between them, as part of the emotional, psychological and intersubjective encounter.

In this learning, we can draw from a wide range of different – and quite contradictory - traditions, both Eastern and Western, many explicitly holistic, some psychological as well as a wide range of complementary therapies and practices, which have been exploring and using the breath, some of them for several decades, some of them for millennia.

Diverse traditions, contradictory principles, a multitude of techniques

One problem with the recent fashion of re-including the previously neglected body in the ‘talking therapies’ by drawing on body-oriented traditions and integrating them into psychotherapy, is that in our eagerness to validate somatic experience the inherent differences and contradictions between these traditions get ignored. We then end up with a smorgasbord of techniques which are all presumed to work towards a common goal, but are actually profoundly contradictory, and end up pulling the process into different directions. The client’s bodymind then feels uncontained, confused and fragmented, not sure whether it is coming or going. All the different traditions, of course, each have their wisdoms and gifts, but we cannot just arbitrarily mix and match them, even if it is for the valid purpose of supposedly including the body or achieving bodymind integration.

What are some of the key tensions and contradictory principles between the diverse traditions of different kinds of breath work?

Centering versus expression (charge/discharge)

Generally speaking, the Eastern traditions including yoga, meditation and the martial arts focus on belly breathing, and mindful centeredness in the ‘hara’ (the centre of the body, just below the navel) and are therefore oriented towards a calming, unifying, steadying effect. They were never designed to deal with the degree of disembodiment, traumatised dissociation, repressed feelings, and general neurosis of the modern psyche and its fragmentation and relational vicissitudes. But as holistic practices affecting not only our body, but also our state of mind, they can have profoundly beneficial and therefore therapeutic effects.

In contrast, the more recent Western traditions of working with the breath, starting with Reich's vegeto-therapy in the 1930’s, were focused precisely on addressing disembodiment and repressive ‘character armour’ and primarily emphasised catharsis in order to counteract chronic tensions, inhibitions and restrictions of the breath. There has been a host of humanistic approaches descending from that origin (or at least pulling in the same direction, e.g. primal therapy, rebirthing, Grof’s holotropic breathing and many other cathartic techniques.)

The tensions between these two kinds of traditions continue, although these days of course many hybrid forms have developed. But this dichotomy (charging, ‘mind’-less expressive catharsis versus ‘mind’-ful, calming centering) is not the only contradiction.

Changing the breathing pattern through the mind versus attending to it as it is

When recognising somebody's restricted or flawed, incomplete, hypo– or hyperventilating or otherwise unwholesome breathing pattern (with some bodyworkers having no hesitation calling it ‘pathological’), different approaches have quite different assumptions, aims and corrective techniques. All of these approaches can have their valid purpose and application and can be used at different times. But in the context of psychotherapy, what are we trying to do?

Are we trying to educate the client to change their way of breathing towards a ‘healthier’ breathing pattern? There may be good arguments for that. In that case we would give specific instructions to the client which will require top-down mind-over-body deliberate application and discipline. Often, however, this leads to a forced and consciously controlled breathing pattern which adds further layers of contortion on what is already a tense and contorted situation.

Or are we trying to understand and bring awareness to how this breathing is part of their characterological bodymind habit and condition? In which case there is a rationale for attending mindfully to the ‘unhealthy’ breathing pattern without trying to change it, letting it be and continue as it habitually is.

One essential feature of the breath is that it mostly happens automatically or semi-consciously. But if we want to, we can be very deliberate with it and conscious of it. Can we use our minds and mindfulness to change our spontaneous breath pattern? Yes, in the present moment we can (and that can be profoundly helpful), but how does this impact on the breath the rest of the time when we do not make an effort to consciously attend to it?

The psychological limitations of a ‘one-size-fits-all’ approach to the breath

Many guidelines and systems advocating supposedly ‘correct breathing’, whether it is belly or chest or diaphragm, in- or outbreath, energetic or calming, fail to take into account individual psychology. Frequently, they advocate a ‘one-size-fits-all’ notion of healthy breathing which the client is then expected to consciously, deliberately make a disciplined effort to approximate. But will this transform the life-long roots of the breathing pattern and engender a sustained satisfying spontaneous breath?

Many clients have at some time in their lives been involved with activities or situations (quite apart from complementary therapies and breathwork techniques e.g. singing lessons, swimming or diving, illness, children learning to hold their breath) where they learnt or were explicitly taught how to breathe. These methods have become automatic or turned into injunctions or ‘rules’ in people’s minds, affecting the way they organise themselves when they start paying attention to their breath.

In practices such as Tai Chi or Yoga, this may be fine. But in psychotherapy, this often becomes another top-down ‘super ego’ imposition, usually exacerbating the contortions that are already present.

Calm, controlled breathing can be a very good idea when somebody is in an overwhelmed, traumatised state. It can also be a symptom of freezing and dissociation. It may exacerbate a depressed condition. At the other end of the scale, many people are scared of ‘hyperventilation’ which can indeed be a symptom of an entrenched habit of hyper-arousal, constantly leading to emotional overwhelm. On the other hand, it can be argued that most of the population systematically and chronically under-breathe – they are hypo-ventilating. So an experiment in deliberately breathing more deeply might be needed in order to balance this, or to just get an experience of the edge of their comfort zone or ‘window of tolerance’.

Sustained mindfulness of breath can constellate fears of regression

Changing from talking in chairs to lying on the mattress in order to breathe conjures up a host of associations. Experimenting with how the breath affects the intensity of one’s felt sense and experience can draw attention to implicit control mechanisms. If these mechanisms are challenged – not necessarily by the therapist, but more often by internal forces – regression can occur. This can have both damaging and transformative elements, and the history of psychotherapy provides ideas, theories and reference points for both.

In our culture - dominated as it is by metaphors of development which emphasise progress, growth and ascent – any hint of regression constellates primitive and for many people catastrophic fears. The client’s defensive ego scans vitality affects and the energetic ‘weather’ in the bodymind for signs that threaten intensity, regression and potential overwhelm. It anticipates, counterbalances, manages and controls – in some sort of approximation of self-regulation – regressive tendencies as they arise. In order to do that, the ego needs to monitor the charge in the system, and therefore the breath as the main regulator of intensity – this usually happens automatically and outside awareness. Bringing awareness to the breath can reveal the presence of this monitoring and control process in action. It is only when the smooth operation of this pre-conscious mechanism is attended to, that the underlying body-mind split – in whatever idiosyncratic way it manifests in the client’s system – becomes more apparent. This split or battle between mind and body, reflection versus spontaneity tends to be experienced as an either-or, all-or-nothing battle around control. Within the split, surrender to the somatic processes and letting go into the body is equated with loss of control and regression (which mythologically corresponds to a descent into the underworld). Inbreath and outbreath are intimately linked to these movements of consciousness and the habitual conflicts which are structured into the client’s bodymind system.

How to recognise and engage with the complex matrix of the client’s bodymind via attention to the breath and the relational dilemmas which then arise for the therapist, especially when fears of regression are evoked, will constitute some of key questions throughout the weekend. For each participant, these fears and reactions need to be attended to and processed in the context of their own history of control versus regression.

Depth of intra-psychic bodymind focus at the expense of interpersonal awareness

Generally speaking, the profound potential of breath work in terms of spontaneous and regressive experience was traditionally achieved by focussing on the client’s intra-psychic and bodymind dynamic. This focus on the client’s internal experience – their body awareness including sensations, internal movements and impulses, their emotions and stream-of-consciousness - can move into the foreground of the interaction at the expense of attention to the inter-personal relational dynamic between client and therapist.

Traditionally, body-oriented therapists working with the breath paid no attention at all to transferential dynamics. This is ironic, as our theory tells us that during states of regression early experience tends to come to the fore to the extent that it then outweighs or overwhelms ego consciousness, thus intensifying transferential projections, often reaching back into pre-verbal and primitive states. The consequent conclusion from the theory is that when we invite regressive experience, we should be more alert than ever to unconscious processes and transferential and enactment dynamics.

Therefore, providing a relational container for regressive states, primarily by the therapist recognising and attending to transferential pressures and countertransferential reactions and responses whilst engaged in the breath work, is one of the key integrations which are generally lacking and which we want to develop.

Traditional concepts and models of transference and countertransference tend to be limited in their helpfulness in the immediacy of breathwork because of their implicit paradigm bias towards the mind and mental representations, privileging reflection over spontaneity. The spontaneity of breathwork inherently relies on an embodied two-person psychology, and a holistic – or non-dualistic – framework not only philosophically, but with the therapist ‘walking their talk’ as an embodied intersubjective presence.

Following in Reich’s footsteps, we can consider transference and countertransference not just as having somatic aspects or being reflected in right-brain-to-right-brain interactions, but engage in them as intersubjective bodymind processes. The way the two subjects organise themselves in relation to each other as two bodymind systems is the matrix of conscious versus unconscious processes. In this perspective, envisaged by Reich, psychology and biology become inseparable polarities - differentiated, but mutually related: body, emotion, psyche and mind as fractal parts of a dynamic, integral whole in relationship.

During the CPD weekend, we will aim to work in such a way that these abstract notions remain alive and experience-near, through attending to the detail of the charged bodymind dynamics occurring in the therapeutic relationship and how these are reflected holographically between the various sub-systems, levels, parts and the whole via parallel process.

In the highly charged, potentially regressive context of lying down on the mattress, spontaneous and reflective, somatic and mental, habitual and emergent processes become tangibly constellated, and open into a way of working that can range across all the bodymind levels of (inter-)subjective experience. This places high demands on the therapist’s own capacity to be present between such intimate and existential extremes as wholeness and fragmentation, integration and conflict, merger and separateness, authority and woundedness and a unified sense of self versus multiplicity. This weekend aims to deepen, widen and enhance therapists’ perception, understanding and creativity in these areas of intersubjective intensity and vicissitudes.

An integrative, broad-spectrum approach to the breath

The issues described above are just some brief examples to illustrate that this whole area is a minefield that we cannot afford to ignore or sidestep, but we want to approach it with an understanding of the contradictions, tensions and the opposing as well as complementary principles, theories and practices which exist across the field, both of psychotherapy and of Eastern practices which many of our clients are involved with.

Content of the weekend

This weekend is the first in a series which aims to work towards a comprehensive understanding and practice of breathwork, drawing from the diverse traditions and trying to integrate them on the basis of a holistic bodymind psychological understanding. Specifically, it will include to some extent mindfulness, meditative and yoga breathing, but focus on the lesser known approaches like Grof's holotropic breathing, rebirthing, vegeto therapy, and an integrative relational form of breathwork developed at the Chiron Centre focussing on bodymind and relational ‘charge’.

We will work with and without touch, with and without focus on the breath, experimenting with various styles and stances from allowing (biodynamic ‘impinging from within’) to challenge (bioenergetic or vegetotherapy).

Format of the weekend

As all of these techniques depend upon the moment-to-moment engagement with the body’s spontaneous and involuntary processes and subliminal communications, role-play and simulations (which are usually a regular feature of experiential CPD learning) are of limited usefulness in this context. Therefore, an important part of the learning will be live sessions which participants will have with each other, in pairs or triads, or in the middle of the group. For the duration of the course, we will together build the safety and relational container necessary for such work to become possible in an authentic way.

Several assistants to support the group

As traditional breathwork tends to ignore and neglect the intersubjective aspects and unconscious processes occurring between client and therapist, in order to maximise relational awareness, we will invite a significant number of assistants to support the group and learning process at every level. We are expecting a group of about 20 to 25 participants and between 5 and 10 assistants.

About the Tutor:

Michael Soth is an integral-relational Body Psychotherapist, trainer and supervisor (UKCP), living in Oxford, UK. Over the last 32 years he has been teaching on a variety of counselling and therapy training courses, alongside working as Training Director at the Chiron Centre for Body Psychotherapy.

Inheriting concepts, values and ways of working from both psychoanalytic and humanistic traditions, he is interested in the therapeutic relationship as a bodymind process between two people who are both wounded and whole.

In his work and teaching, he integrates an unusually wide range of psychotherapeutic approaches, working towards a full-spectrum integration of all therapeutic modalities and approaches, each with their gifts, wisdoms and expertise as well as their shadow aspects, fallacies and areas of obliviousness. He has written numerous articles and is a frequent presenter at conferences. Extracts from his published writing as well as hand-outs, blogs and summaries of presentations are available through his website for INTEGRA CPD:, or find him on Facebook and Twitter (INTEGRA_CPD). He is co-editor of the Handbook of Body Psychotherapy and Somatic Psychology, published in 2015.

A broad-spectrum integration of a wide variety of therapeutic approaches:

Here is a list of approaches I draw from and include, vaguely in sequence of my own training and exposure to them over the last 30 years:

  • drawing on all the schools of the Body Psychotherapy tradition (Reichian, vegeto, bioenergetics, biosynthesis, biodynamic, somatic psychology, somatic trauma therapy, etc)
  • wide range of humanistic-integrative approaches, incl. Gestalt, Process-Oriented Psychology, breathwork & rebirthing, Transactional Analysis, Psychodrama, and others; also existential perspectives
  • psychoanalytic: object relations, self psychology, intersubjectivity & relational perspectives
  • systemic: both in terms of Bert Hellinger's family constellations and the systemic approach, as well as systems theory, complexity theory and integral and fractal perspectives
  • transpersonal: Jungian and archetypal psychology, psychosynthesis, Wilber, mindfulness
  • constructivist, including NLP (Neurolinguistic Programming) and hypnotherapy (Erickson)
  • cognitive-behavioural models and techniques
  • somatic trauma therapies, including Rothschild, Levine (Somatic Experiencing), Ogden (sensori-motor) and EMDR

Many of the above are being combined these days into new hybrid forms, so I aim to keep updated with these ongoing developments.


The Blackdown Healthy Living & Activity Centre

Riverside, Hemyock, Cullompton, Devon, EX15 3SH

Dates & Times

Bank Holiday Saturday & Sunday: 9 & 10 May 2020

10.00 – 17.00

Course content enquiries - Judy Shaw:

e: T: 01404 831007


Administration enquiries - Clare Brook:

For booking, accommodation information and all other practicalities


By |2020-04-30T22:38:44+00:00August 22nd, 2015|Comments Off on Exeter: Working with the Breath in Psychotherapy