“Collective trauma is a hidden wound that shapes our worldview, often without us even knowing it exists,” writes Thomas Hübl in Healing Collective Trauma: A Process for Integrating Our Intergenerational and Cultural Wounds. His observation underscores how collective trauma not only affects individuals, but reverberates through entire communities, shaping behaviors and relationships across generations.
“While massage intervention focuses on individual healing, we also know that individual healing is a foundation needed to strengthen communities.” — Dr. Jennifer Esala
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“Collective trauma is a hidden wound that shapes our worldview, often without us even knowing it exists,” writes Thomas Hübl in Healing Collective Trauma: A Process for Integrating Our Intergenerational and Cultural Wounds. His observation underscores how collective trauma not only affects individuals, but reverberates through entire communities, shaping behaviors and relationships across generations.
Understanding Collective and Intergenerational Trauma
Collective trauma refers to the shared psychological impact experienced by groups exposed to distressing events such as systemic racism, displacement, war, pandemics or natural disasters. Hübl highlights how this trauma creates a "field" of unresolved emotions that persist over time.
Intergenerational trauma, on the other hand, involves the transmission of trauma from one generation to the next through familial behaviors, coping mechanisms and unresolved emotional wounds. This cycle perpetuates distress and dysfunction across generations, affecting mental and physical health.
Both collective trauma and intergenerational trauma involve the transmission of emotional pain and stress across groups and generations, shaping behaviors and relationships long after the original traumatic event has occurred. The impact of trauma often manifests in the body as chronic pain or tension. Somatic practices like massage therapy can address these physical symptoms, fostering deeper healing by reconnecting clients with their bodies in a safe, intentional way.
Massage Therapy’s Role in Trauma Recovery
Dr. Jennifer Esala, a medical sociologist, is the principal investigator of a groundbreaking study at the Center for Victims of Torture (CVT) in St. Paul, Minnesota. This study focuses on trauma-informed and culturally responsive approaches to massage therapy. According to Dr. Esala, trauma-informed massage offers several unique benefits for survivors of severe trauma, such as:
- Pain Reduction and Management: Trauma-related pain is often complex and deeply embedded in the body. Massage therapy provides significant relief, which is essential for holistic recovery.
- Improved Body Awareness: CVT’s approach includes teaching clients body awareness techniques that help them recognize early signs of stress and anxiety. This empowers them to manage their symptoms before they escalate.
- Enhanced Sleep Quality: Massage therapy, combined with education on breathing exercises and self-massage, has been shown to improve sleep quality and duration. Sleep plays a foundational role in trauma recovery and symptom management.
In addition to these physical benefits, trauma-informed massage can help regulate emotions, reduce anxiety, and build resilience, which is crucial for trauma survivors navigating daily life.
“While massage intervention focuses on individual healing, we also know that individual healing is a foundation needed to strengthen communities.” — Dr. Jennifer Esala
Related: The Basics of Trauma-Informed Bodywork
Beyond the Individual: Fostering Collective Healing
While trauma-informed massage supports individual healing, its ripple effects can strengthen communities. Emotional regulation, fostered by massage, enhances interpersonal relationships. Improved physical function and mobility also enable survivors to participate more fully in community life. Most importantly, trauma-informed massage therapy helps rebuild trust — a cornerstone of collective recovery.
Trauma-Informed Massage Therapy in Practice
Unlike conventional massage therapy, trauma-informed approaches prioritize safety, choice and autonomy. Dr. Esala emphasizes several key differences:
- Consistent Therapist-Client Relationships: CVT’s model involves a ten-week series with the same therapist, building trust and rapport over time.
- Integrated Pain Education: Sessions incorporate tools from Mindful Awareness in Body-Oriented Therapy (MABT), developed by Dr. Cynthia Price. MABT emphasizes breathing, self-compassion, and self-massage to enhance body awareness and emotional regulation.
- Somatic Touch Skills: Kathy L. Kain’s Somatic Touch Skills involve gentle, intentional touch that supports nervous system regulation and trauma recovery. This approach emphasizes mindful, attuned touch to create a sense of safety and empowerment for clients.
- Clothing and Position Options: Clients remain clothed and can choose between a massage table or chair, fostering control and accommodating physical needs.
- Holistic Collaboration: Massage therapists collaborate with psychotherapists, social workers, and medical staff, ensuring comprehensive care.
Dr. Esala stresses the importance of a slower, communicative process in trauma-informed care, advising therapists to prioritize a client’s sense of safety, even if it feels unfamiliar.
A Case Study: Embodied Life in Toronto, Ontario
Embodied Life, a boutique wellness space in Toronto, exemplifies trauma-informed care by offering somatic therapy, trauma-informed massage therapy and community grief rituals. Their philosophy centers on reconnection — both to oneself and others — fostering deep healing through community.
Founder Rachel Pfau, a somatic trauma therapist, brings a unique lens to her work. Her approach incorporates anti-oppression, anti-racism, and decolonization frameworks, informed by teachings from Ancestral Healing with Thomas Hübl and Before We Were White: Ancestral Recovery for Collective Liberation by White Awake. These frameworks allow clients to explore not only personal trauma, but also ancestral and systemic patterns that contribute to collective healing.
Embodied Life’s community-driven model aligns with Hübl’s assertion that collective healing requires addressing both individual trauma and unresolved communal pain. Their services include somatic therapy, restorative yoga, meditation, and group exercises that break isolation and nurture genuine connection.
Implementing Community Healing Initiatives
Massage therapists and spa professionals can adopt trauma-informed practices by:
- Organizing Community Healing Events: Group massage sessions can foster both individual recovery and community cohesion. Yomassage, for example, combines restorative stretching, mindfulness meditation, and massage therapy in small groups, creating shared healing experiences and allowing the opportunity to come together in community.
- Offering Sliding Scale and Pro Bono Services: Making massage therapy accessible to marginalized communities reduces barriers to wellness. The Chicago Women’s Health Center (CWHC) offers bodywork on a sliding scale, with payment recommendations based on income and household size. This model supports equitable access to health services, fostering inclusion and ensuring affordability without compromising quality.
- Providing Culturally Responsive Care: Cultural sensitivity is essential in trauma-informed care. Shenandoah Chefalo, a nationally recognized trauma-informed speaker and educator, emphasizes that true trauma-informed care must include cultural awareness. “You cannot be trauma-informed if you are not culturally, ethnically, and racially sensitive and aware,” she asserts. Addressing historical trauma and systemic inequities like racism and sexism enhances holistic care and fosters inclusion.
Expanding the Role of Education
Education is critical for creating a trauma-informed environment. Training programs for massage therapists should include modules on recognizing trauma symptoms, understanding trauma responses, and developing communication strategies that prioritize client consent and autonomy. Collaborative workshops with mental health professionals can further equip therapists with tools to offer holistic care.
Dr. Esala encourages massage therapists to view trauma-informed care as a transformative journey. “Be prepared for your practice to look and feel different,” she advises. By embodying empathy, patience, and flexibility, therapists can create spaces where clients feel safe and supported.
Moving Forward Together
Massage therapy holds immense potential to address both individual and collective trauma. By fostering trust, emotional regulation, and physical healing, trauma-informed practices help communities process generational wounds. As Dr. Diane Poole Heller, founder of Trauma Solutions, reminds us, “When we heal ourselves first, we heal our families, our communities, and the world as a whole.” By integrating trauma-informed approaches into massage therapy, practitioners can contribute to a broader vision of healing for individuals, families and communities.
Irene Macabante, Founder & CEO of Citrine Consulting Collective, brings 25+ years of branding, marketing, graphic design and tech expertise to the spa and wellness worlds. A devoted wellness advocate, her 22 years in Southern California deepened her passion for inclusive, transformative spa spaces. Now based in Ontario, Canada, Irene delivers workshops, training, and articles that blend DEIB insights with practical, trauma-aware strategies.
