Trauma & Science · 14 min read

The body keeps the score. The brain keeps predicting it. Both are true.

By Carrie Davidson

A paper landed in April that has the trauma community talking, and not always carefully. It is called The Body Does Not Keep the Score: Trauma, Predictive Coding, and the Restoration of Metastability, by Steven Kotler, Michael Mannino, Glenn Fox, and Karl Friston. It was published in Frontiers in Systems Neuroscience. It is a serious paper by serious researchers and it argues, in essence, that Bessel van der Kolk's central metaphor is mechanistically inaccurate.

The body does not store trauma, the paper says. The brain does. More precisely, what trauma damages is the brain's capacity for metastability — the fluid switching between semi-stable network states that allows a healthy mind to update, adapt, and reinterpret experience. Trauma locks the brain into a narrow set of threat predictions. Healing is not about releasing what is stored. It is about restoring the brain's ability to predict differently.

Within a few hours of the paper's release, the internet did what the internet does. Headlines went up. Screenshots flew. Posts started declaring that science had "debunked" The Body Keeps the Score. Some people felt liberated. Others felt erased. A decade of somatic work was being dismissed in a tweet.

I want to say something carefully here, because I have been on every side of this conversation.

I am a registered nurse. I have CPTSD. I have written a memoir about it. I have spent eight years moving through every modality the trauma field offers — Internal Family Systems, EMDR, somatic experiencing, ketamine-assisted therapy, twelve-step recovery, DBT, and yes, the slow ordinary work of learning to notice what my body was telling me. I read both van der Kolk and Pete Walker the way some people read sacred texts, with relief and recognition. I also read the new paper carefully, twice, before I formed an opinion.

Here is what I want to tell other survivors who are watching this debate unfold and wondering if everything they have learned about their own healing is now in question.

It is not.

The new paper does not say what the headlines say it says.

It is not telling you that your somatic work was a waste. It is not telling you that your nervous system is not involved in your trauma. It is not telling you that the years you spent learning to read your body were misguided. The authors of the paper explicitly acknowledge that trauma profoundly affects bodily experience. They acknowledge van der Kolk's contribution. They are not dismantling somatic healing. They are pushing back on a specific claim that often gets made in social media wellness culture, which is that trauma is physically stored somewhere in tissue independent of the brain and nervous system.

That claim, in its most literal form, is biologically inaccurate. The paper is right about that.

But here is the part most of the headlines miss. Van der Kolk never said it that literally either.

When you read The Body Keeps the Score carefully, what he actually argues is that trauma alters the autonomic nervous system. That it rewires the way the survival brain takes over from the thinking brain when triggered. That the body becomes a register of nervous system patterns laid down long ago. That is not a claim about trauma being inscribed in muscle fiber or fascia. It is a claim about the nervous system, which is part of the body, and which is part of the brain, and which cannot be cleanly separated from either.

This is the part I want to sit with for a moment, because I think it is where the entire debate dissolves if we are willing to let it.

The mind is not separate from the body.

This is not a poetic statement. It is a neuroanatomical one. The nervous system runs through every organ. The vagus nerve threads from brainstem to gut. The fascia is innervated. The immune system communicates with the brain through chemical signaling that does not respect the imaginary boundary between "thinking" and "feeling" or between "mental" and "physical." You cannot have a brain prediction without a body to feel it in. You cannot have a body sensation without a brain to interpret it. The loop is the unit. The loop is the thing that gets disrupted in trauma, and the loop is the thing that heals.

When Kotler and his coauthors talk about restoring metastability, they are describing the loop becoming flexible again. When van der Kolk talks about the body keeping the score, he is describing the loop becoming rigid. Both are describing the same phenomenon from different vantage points. One is looking at the brain side of the loop. One is looking at the body side. Both sides are real, because the loop is real, and the loop is one thing.

Here is what I know from my own healing.

The work I did in twelve-step rooms — learning to name my activation out loud, to take thirty minutes before responding, to choose action over reaction — changed my brain's prediction systems. The work I did in IFS sessions — meeting the fifteen-year-old firefighter inside me, asking her what she was protecting — changed my brain's prediction systems too. The work I did in ketamine therapy — letting the exile underneath the firefighter come up to be seen — was, by every measure I can find, a brain-based intervention. And every single one of those interventions only worked because my body was in the room. Because my breath slowed. Because my jaw unclenched. Because my chest opened. Because the body I had been treating as the enemy of my recovery turned out to be its primary instrument.

If you took the brain out of those sessions, no healing would have happened. If you took the body out of those sessions, no healing would have happened either.

The dichotomy is the problem. Not van der Kolk. Not Kotler. The dichotomy is what social media has done to the conversation, and the dichotomy is what survivors keep getting trapped inside.

I want to say one more thing to the survivors reading this.

If the headlines from the past few weeks have made you feel like your healing path was wrong, please hear this. The work you have done was not based on a literal anatomical claim. It was based on your nervous system slowly learning that it could be safe. It does not matter, for your healing, whether we eventually settle on calling that "body memory" or "predictive coding" or something else entirely. Your nervous system learned what it learned because you taught it. Your nervous system is teachable because both your brain and your body were part of the teaching.

The new paper is, in some ways, more hopeful than the old framing was. If trauma were literally stored in tissue, healing might feel like permanent excavation. If trauma is the brain locked into a narrow set of predictions, then healing is the brain learning to predict differently — and the brain is plastic, and the predictions can update. That is what survivors have been doing in every modality that works, regardless of which framework was used to describe the doing.

The body keeps the score. The brain keeps predicting it. Both are true. The healing happens in the loop between them, because there is no part of you where the loop is not.

You are not your brain. You are not your body. You are the thing that is both at once, the one continuous instrument that has been learning, slowly and at great cost, how to come back to itself.

Keep going.

The science is catching up to what your body has been telling you all along.

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