A Clinical
Narrative Synthesizing Heller, Lowen, and Dopaminergic Physiology
In patients
with early relational trauma—especially those with perinatal rupture, adoption,
or spiritualized abuse—we frequently observe the emergence of schizoid
character structure as defined by Alexander Lowen: a core split between the
physical body and the organizing self. When paired with early threat to
attachment and survival, this structural split often lays the foundation for a lifelong
pursuit of safety through abstraction.
Heller’s
developmental trauma framework identifies that rupture in the earliest stages
(birth to three months) tends not to produce emotional dysregulation in the
classic sense, but rather a failure to develop embodied contact with
existence itself. In these cases, the infant may form a basic impression: “It
is not safe to be here,” or even more primally, “I do not belong in a
body.”