The ORDINARY RESPONSE TO ATROCITIES is to banish them from consciousness. Certain violations of the social compact are too terrible to utter aloud: this is the meaning of the word unspeakable.Atrocities, however, refuse to be buried. Equally as powerful as the desire to deny atrocities is the conviction that denial does not work. Folk wisdom is filled with ghosts who refuse to rest in their graves until their stories are told. Murder will out. Remembering and telling the truth about terrible events are prerequisites both for the restoration of the social order and for the healing of individual victims.The conflict between the will to deny horrible events and the will to proclaim them aloud is the central dialectic of psychological trauma. People who have survived atrocities often tell their stories in a highly emotional, contradictory, and fragmented manner that undermines their credibility and thereby serves the twin imperatives of truth-telling and secrecy. When the truth is finally recognized, survivors can begin their recovery. But far too often secrecy prevails, and the story of the traumatic event surfaces not as a verbal narrative but as a symptom.The psychological distress symptoms of traumatized people simultaneously call attention to the existence of an unspeakable secret and deflect attention from it. This is most apparent in the way traumatized people alternate between feeling numb and reliving the event. The dialectic of trauma gives rise to complicated, sometimes uncanny alterations of consciousness, which George Orwell, one of the committed truth-tellers of our century, called "doublethink," and which mental health professionals, searching for calm, precise language, call "dissociation." It results in protean, dramatic, and often bizarre symptoms of hysteria which Freud recognized a century ago as disguised communications about sexual abuse in childhood. . . .
Today I wore a pair of faded old jeans and a plain grey baggy shirt. I hadn't even taken a shower, and I did not put on an ounce of makeup. I grabbed a worn out black oversized jacket to cover myself with even though it is warm outside. I have made conscious decisions lately to look like less of what I felt a male would want to see. I want to disappear.
Whether it’s an Iraqi widow mourning her dead loved ones standing helplessly in the rubble of her former home or a dying soldier in an Iraqi city street asking, “Why, God? Why is this happening? Where are you?” I can’t help but wonder the same. You realize that there is no justice, no karmic retribution swift enough, and that happy endings are a terrible, terrible lie. We are all subject to the same blind boot stomp and our luck is merely where we happen to be standing when death inevitably comes roaring down upon us.
we are threatened with suffering from three directions: from our body, which is doomed to decay..., from the external world which may rage against us with overwhelming and merciless force of destruction, and finally from our relations with other men... This last source is perhaps more painful to use than any other. (p77)
This book is a memoir - not of specific life events, but of the processes of dissociation, and of re-enlivening emotions that are shameful to admit or even to feel. It is an account of the altered states that trauma induces, which make it possible to survive a life-threatening event but impair the capacity to feel fear, and worse still, impair the ability to love. (292)
BEFRIENDING THE BODY Trauma victims cannot recover until they become familiar with and befriend the sensations in their bodies. Being frightened means that you live in a body that is always on guard. Angry people live in angry bodies. The bodies of child-abuse victims are tense and defensive until they find a way to relax and feel safe. In order to change, people need to become aware of their sensations and the way that their bodies interact with the world around them. Physical self-awareness is the first step in releasing the tyranny of the past.In my practice I begin the process by helping my patients to first notice and then describe the feelings in their bodies—not emotions such as anger or anxiety or fear but the physical sensations beneath the emotions: pressure, heat, muscular tension, tingling, caving in, feeling hollow, and so on. I also work on identifying the sensations associated with relaxation or pleasure. I help them become aware of their breath, their gestures and movements.All too often, however, drugs such as Abilify, Zyprexa, and Seroquel, are prescribed instead of teaching people the skills to deal with such distressing physical reactions. Of course, medications only blunt sensations and do nothing to resolve them or transform them from toxic agents into allies. The mind needs to be reeducated to feel physical sensations, and the body needs to be helped to tolerate and enjoy the comforts of touch. Individuals who lack emotional awareness are able, with practice, to connect their physical sensations to psychological events. Then they can slowly reconnect with themselves.
By processing information from the environment through the senses, the nervous system continually evaluates risk. I have coined the term neuroception to describe how neural circuitsdistinguish whether situations or people are safe, dangerous, or life-threatening. Because of our heritage as a species, neuroception takes place in primitive parts of the brain, without our conscious awareness.
A child's (or an adult's) nervous system may detect danger or a threat to life when the child enters a new environment or meets a strange person. Cognitively, there is no reason for them to be frightened. But often, even if they understand this, their bodies betray them. Sometimes this betrayal is private; only they are aware that their hearts are beating fast and contracting with such force that they start to sway. For others, the responses are more overt. They may tremble. Their faces may flush, or perspiration may pour from their hands and forehead. Still others may become pale and dizzy and feel precipitously faint.
Even in times of trauma, we try to maintain a sense of normality until we no longer can. That, my friends, is called surviving. Not healing. We never become whole again ... we are survivors. If you are here today... you are a survivor. But those of us who have made it thru hell and are still standing? We bare a different name: warriors.
We are Craiglockhart's success stories. Look at us. We don't remember, we don't feel, we don't think - at least beyond the confines of what's needed to do the job. By any proper civilized standard (but what does that mean now?) we are objects of horror. But our nerves are completely steady. And we are still alive.
There are people who come home from war and want to talk about the pain, but no one wants to listen; there are others who want to keep silent and repress the memories, and all their family and friends want is to talk about it. I call this the war veteran reintegration paradox.
In movies, war only looks romantic. “Tell my gal I love her…” close-up shot, and fade out. It doesn’t work as beautifully and neat in real life. Flying chunks of human flesh and screaming orphans really put that Hollywood take into perspective and there is nothing clean or sterile about any of it. When people die, it’s fucking horrible.
Aside from clinically-diagnosed psychopaths, I have not met one person in war who thoroughly enjoyed killing. If someone ended up bragging over a kill, it was safe to assume that their story was mere fabrication or that they were one bad day away from an inpatient psychiatric ward. No matter how much someone may appear to deserve to be killed, something dies within us when we kill. It's contradictory, the antithesis of our species survival instinct.
Veterans being sent into unjust wars for corporate profit is a perversion of trust, at best. I found the emotional manipulation of both sides, the propaganda at play so incredibly revolting that I couldn't stand to idly wave a flag or flaunt yellow ribbons without asking serious questions regarding motive.
A woman in combat? Yes. Since when? Since Native American warrior Buffalo Calf Road Woman knocked that prick General George Custer off of his horse. Since Pantea Arteshbod propelled herself to become one of the greatest Persian commanders during the reign of Cyrus the Great. Since Hua Mulan disguised herself as a male to engage in combat and became one of China’s most respected heroines.
A siege is always a hospital - a hospital where mad thoughts abound and where mad things are done; where, under the stimulus of an unnatural excitement, new beings are evolved, beings who, while having the outward shape of their former selves, and, indeed, most of the old outward characteristics, are yet reborn in some subtle way and are no longer the same....The salt of life! Is it true, or is it merely a mistake, such as life-loving man naturally makes? For it can be nothing but the salt of death which has lain for a brief instant on the tongue of every soldier - a revolting salt which the soldier refuses to swallow and only is compelled to with strange cries and demon-like mutterings. Sometimes, poor mortal, all his struggles and his oaths are in vain. The dread salt is forced down his throat and he dies. The very fortunate have only an acrid taste which defines analysis left them. Of these more fortunate there are, however, many classes. Some, because they are neurotic or have some hereditary taint, the existence of which they have never suspected, in the end succumb; others do not entirely succumb but carry traces to their graves; yet others do not appear to mind at all. It is a very subtle poison, which may lie hidden in the blood for many months and years. I believe it is a terrible thing....And yet even this nobody understands or cares to speak of... Englishmen are proud, and want to know if you were inside the British Legation, their Legation, and when they have heard yes or no their interest ceases. They little know what the Legation stood for. The Americans march up to the Tartar Wall, talk about "Uncle Sam's boys," and exclaim that it requires no guessing to tell who saved the Legations. The French are the same, so are the Germans, so even the Italians. Only the Japanese and the Russians say nothing....I am, therefore, tired of it all, inexpressibly tired. I wish to escape from my hospital, to go away to some clean land where they understand so little of such things that their indifference will in the end, perhaps, convince me and make me forget.Yet can one ever forget?
I do not think the long-range bullets I fire provide the mark of a man; I am only dimly aware that they are dehumanising me.They are my opium tto see me through my time here. But with each hit they give, they only provide a feeling respite from the past I cannot escape from and thre present I have chosen to mire myself in. And, grounded as I am in the reality of this hill, I do not yet fully appreciate how this addiction is infecting my future with malediction.With this clinical, psychopathically detached behaviour considered as normal, proper and expected on this hall, I cannot yet stop to think - because I cannot allow myself to here - of how hese respites may be blackening my soul in all the time I will have left on my own back Home - should I even live through the remainder of my months here, in some other corner of this Hell of a country.
We thought we'd seen it all. The real horror of war is always waiting for you at home. It's waiting, I tell you. We were so damned happy when we got back. We'd made it. We survived. But it's always waiting. Waiting. You let down your guard. And there it is. You can't ever let up. Give up.
I knew that these people on their way to work or home or dinner had no idea what it was they were supporting. They did not have a clue as to what war was like. What it made people see, and what it made them do to each other. I felt as though I didn't deserve their support, or anyone's, for what I had done. No one should ever support the activities in which I had participated. No one should ever support the people who do such things. (...) They were uninformed but good people. The kind whose respect we would welcome if it was based upon something true. It was when we were around them that we had to hide the actual truth most consciously. It wasn't enough to not mention the war or being a veteran, because they'd bring it up. The civilians we were most anxious around, and therefore tended the most to avoid, were exactly those good citizens who thought they were helping us.
Trauma is personal. It does not disappear if it is not validated. When it is ignored or invalidated the silent screams continue internally heard only by the one held captive. When someone enters the pain and hears the screams healing can begin.
My wife is alone in our full bed too. Her husband, the father of her children, never came back from Iraq. When I deployed the first time she asked her grandmother for advice. Her grandfather served in Africa and Europe in World War II. Her grandmother would know what to do.“How do I live with him being gone? How do I help him when he comes home?” my wife asked. “He won’t come home,” her grandmother answered. “The war will kill him one way or the other. I hope for you that he dies while he is there. Otherwise the war will kill him at home. With you.” My wife’s grandfather died of a heart attack on the living-room floor, long before she was born. It took a decade or two for World War II to kill him. When would my war kill me?
But the shock wears off, more quickly for some, but eventually for most. Fast food and alcohol are seductive, and I didn’t fight too hard. Your old routine is easy to fall back into, preferences and tastes return. It’s not hard to be a fussy, overstuffed American. After a couple of months, home is no longer foreign, and you are free to resume your old life. I thought I did. Resume my old life, that is. I was wrong.
Traumatic events destroy the sustaining bonds between individual and community. Those who have survived learn that their sense of self, of worth, of humanity, depends upon a feeling of connection with others. The solidarity of a group provides the strongest protection against terror and despair, and the strongest antidote to traumatic experience. Trauma isolates; the group re-creates a sense of belonging. Trauma shames and stigmatizes; the group bears witness and affirms. Trauma degrades the victim; the group exalts her. Trauma dehumanizes the victim; the group restores her humanity.Repeatedly in the testimony of survivors there comes a moment when a sense of connection is restored by another person’s unaffected display of generosity. Something in herself that the victim believes to be irretrievably destroyed---faith, decency, courage---is reawakened by an example of common altruism. Mirrored in the actions of others, the survivor recognizes and reclaims a lost part of herself. At that moment, the survivor begins to rejoin the human commonality...
When I'm triggered, I think, "This will last forever" or "What if this lasts forever?" I get thoughts about how I should give up, run away, hide, protect myself. These thoughts, I cannot change. What I can change is how I respond to them. Will I unconditionally believe these ideas, or will I accept them as side effects of the temporary experience of pain? Will I act on each thought that arises in the burning fire, or will I hold myself gently and say, "It'll be okay. I know it hurts. I love you"? My power lies in these choices.
Rose lived the same life I did, but she doesn’t have PTSD. No bad dreams, no missing memories. Sometimes I’m jealous that she seems to deal with everything better than I do. But then I’ll catch her with this hollow look in her eyes and think maybe she just disguises everything for my benefit.Maybe she’s broken on the inside too.
Their manipulation is psychological and emotionally devastating – and very dangerous, especially considering the brain circuitry for emotional and physical pain are one and the same (Kross, 2011). What a victim feels when they are punched in the stomach can be similar to the pain a victim feels when they are verbally and emotionally abused, and the effects of narcissistic abuse can be crippling and long-lasting, even resulting in symptoms of PTSD or Complex PTSD.
You’ve got to reach bedrock to become depressed enough before you are forced to accept the reality and enormity of the problem.
Intimidated, old traumas triggered, and fearing for my safety, I did what I felt I needed to do.
John was still making comments regarding violent things that he shouldn't, but I hoped he was just being a big mouth. Nobody was going to listen to me anyway.
He told me that if I hung up, he'd do it. He would commit suicide. He told me that if I called the cops he would kill every single one of them and I knew that he had the potential and the means to do it
No amount of me trying to explain myself was doing any good. I didn't even know what was going on inside of me, so how could I have explained it to them?
It is not a single crime when a child is photographed while sexually assaulted (raped.) It is a life time crime that should have life time punishments attached to it. If the surviving child is, more often than not, going to suffer for life for the crime(s) committed against them, shouldn't the pedophiles suffer just as long? If it often takes decades for survivors to come to terms with exactly how much damage was caused to them, why are there time limits for prosecution?
The story of my birth that my mother told me went like this: "When you were coming out I wasn't ready yet and neither was the nurse. The nurse tried to push you back in, but I shit on the table and when you came out, you landed in my shit."If there ever was a way to sum things up, the story of my birth was it.
The Bad-Moon Girls appear on days when Dad doesn't know what he is thinking, or even if he is thinking. Those days can weigh less than air or more than an ocean. He has blank thoughts without feelings, followed by heavy feelings without thoughts. Time means nothing. A minute ticks by in the same rhythm as an entire day. He can look at one thing for an hour without moving. He can see me or Victor without knowing we are in the room, peering at us as if we are underwater, moving in warped slow motion.After the nothingness, he wades through a stagnant lake with the moon reflected in it, waiting for the daylight to rinse it away. He almost drowns while time ticks on. The sky is filled with black milk. No stars. Two days can pass before he surfaces.Dad's brain-switch, the focusing thing the rest of us switch on to make things look better, is a bit buggered. Those are his words, not mine.The Bad-Moon Girls whisper evil in Dad's ear, the sort of women who would set their own mother on fire if there were no other way to light their cigarettes. The trouble is, they can follow. Just as we were setting off to Clacton last autumn, they hunted him down.
The inability to get something out of your head is a signal that shouts, “Don’t forget to deal with this!” As long as you experience fear or pain with a memory or flashback, there is a lie attached that needs to be confronted. In each healing step, there is a truth to be gathered and a lie to discard.
Peace surfaced here. Hard to imagine a person finding peace through war, but no one finds peace in war—peace finds you. It crawls into your sleeping bag and helps you fall asleep, nudges your arm, tells you to turn over, think about home.
In response to threat and injury, animals, including humans, execute biologically based, non-conscious action patterns that prepare them to meet the threat and defend themselves. The very structure of trauma, including activation, dissociation and freezing are based on the evolution of survival behaviors. When threatened or injured, all animals draw from a "library" of possible responses. We orient, dodge, duck, stiffen, brace, retract, fight, flee, freeze, collapse, etc. All of these coordinated responses are somatically based- they are things that the body does to protect and defend itself. It is when these orienting and defending responses are overwhelmed that we see trauma.The bodies of traumatized people portray "snapshots" of their unsuccessful attempts to defend themselves in the face of threat and injury. Trauma is a highly activated incomplete biological response to threat, frozen in time. For example, when we prepare to fight or to flee, muscles throughout our entire body are tensed in specific patterns of high energy readiness. When we are unable to complete the appropriate actions, we fail to discharge the tremendous energy generated by our survival preparations. This energy becomes fixed in specific patterns of neuromuscular readiness. The person then stays in a state of acute and then chronic arousal and dysfunction in the central nervous system. Traumatized people are not suffering from a disease in the normal sense of the word- they have become stuck in an aroused state. It is difficult if not impossible to function normally under these circumstances.
So, what role does memory play in the understanding and treatment of trauma? There is a form of implicit memory that is profoundly unconscious and forms the basis for the imprint trauma leaves on the body/mind. The type of memory utilized in learning most physical activities (walking, riding a bike, skiing, etc.) is a form of implicit memory called procedural memory. Procedural or "body memories" are learned sequences of coordinated "motor acts" chained together into meaningful actions. You may not remember explicitly how and when you learned them, but, at the appropriate moment, they are (implicitly) "recalled" and mobilized (acted out) simultaneously. These memories (action patterns) are formed and orchestrated largely by involuntary structures in the cerebellum and basal ganglia.When a person is exposed to overwhelming stress, threat or injury, they develop a procedural memory. Trauma occurs when these implicit procedures are not neutralized. The failure to restore homeostasis is at the basis for the maladaptive and debilitating symptoms of trauma.
One of the paradoxical and transformative aspects of implicit traumatic memory is that once it is accessed in a resourced way (through the felt sense), it, by its very nature, changes. Out of the shattered fragments of her deeply injured psyche, Jody discovered and nurtured a nascent, emergent self. From the ashes of the frantically activated, hypervigilant, frozen, traumatized girl of twenty-five years ago, Jody began to reorient to a new, less threatening world. Gradually she shaped into a more fluid, resilient, woman, coming to terms with the felt capacity to fiercely defend herself when necessary, and to surrender in quiet ecstasy.
What is…” She flipped through a few pages, looked up into his eyes. “Is this…?” “My journal,” he said, reaching out to glide a knuckle down her cheek. Her skin was so damn soft. She was a contradiction in terms to him, and one that he found endlessly fascinating: a woman with the inner strength to rival any Spec Ops member he’d ever known, yet she had such a kind, soft heart beneath that hard-won armor. Resilient. Independent yet willing to compromise. Formidable in her confidence and strength of will, yet gentle and loving. He loved her so hard it hurt. “I bought it the night after you stayed at my place,” he continued. “I knew if I was going to have a real shot with you going forward then I needed to get my shit together once and for all. You said the writing thing really helped you so I called my counselor and talked to her about it. She thought it would be good for me too. So I wrote in it every day since. I’ve been working hard at it.” Taya leafed through the pages until she came to the end and looked back up into his eyes. “It’s full.” “Yeah. Guess I had a lot to say.” The tenderness in her eyes slayed him. “Nathan, I’m so proud of you.” Her pride in him made him feel twenty feet tall. He let out a relieved breath. “I want to read it to you. That’s my next step, if you’re okay with it.” “Of course it’s okay. I’d love for you to read it to me, as long as you feel comfortable doing it.” “That’s the thing, I am. And I wouldn’t be with anyone else except you. You make me feel…whole.” He didn’t know how else to say it, how else to explain himself, except he needed her to know he was trying like hell to deal with his issues. “I know I’ve got a long way to go before I get to the same place you’re at, but I’m willing to put in the work to get there. I feel safe with you and I’m ready to move forward, let go of all the stuff that happened before. Like you said, I’m doing it for me. I’m sick of my past having any kind of hold over me. So I’m going to do whatever it takes to make peace with it.” Her answering smile lit up her whole face, made her gray eyes sparkle like gems. “Then I’ll gladly listen to whatever you want to say.” Warmth kindled in his chest. She did that; warmed him from the inside out, just by being her. “Good, because I love you.” She froze, her eyes widening slightly. He nodded, laughed at her shocked expression. “Yep, I love you. That’s what I came here to say. I love you and I’m a better man because of it, but not as good a man as I’ll be down the road if you stand by me.” Her eyes filled with tears and she flung her arms around him. “I love you too,” she blurted out against his neck. “So, so much. And of course I’ll stand by you.” Nate felt like his heart might burst. He hugged her hard. “Would you move to Virginia with me? When your dad’s strong enough. I know you need to be here for a while longer, but after that, I want you in my bed every night so I can wake up beside you each morning.” She gave a soggy laugh, her face still buried in his neck. “There you go again with the romance.” “Oh, baby, have I got plans for you.” He stroked a hand over her back, fascinated by the combination of softness and strength that was uniquely her. Then his stomach rumbled, making her smile. He was starving, hadn’t eaten since lunchtime. “Hey, you wouldn’t happen to have any bacon in the house, would you? Because I’d kill for a BLT right now.
When he first said my diagnosis, I couldn't believe it. There must be another PTSD than post-traumatic stress disorder, I thought. I have only heard of war veterans who have served on the front lines and seen the horrors of battle being diagnosed with PTSD. I am a Beverly Hills housewife, not a soldier. I can't have PTSD. Well, I was wrong. Housewives can get PTSD, too, and yours, truly did.
Admitting the need for help may also compound the survivor's sense of defeat. The therapists Inger Agger and Soren Jensen, who work with political refugees, describe the case of K, a torture survivor with severe post-traumatic symptoms who adamantly insisted that he had no psychological problems: "K...did not understand why he was to talk with a therapist. His problems were medical: the reason why he did not sleep at night was due to the pain in his legs and feet. He was asked by the therapist...about his political background, and K told him that he was a Marxist and that he had read about Freud and he did not believe in any of that stuff: how could his pain go away by talking to a therapist?
The traumatic stress field has adopted the term “Complex Trauma” to describe the experience of multiple and/or chronic and prolonged, developmentally adverse traumatic events, most often of an interpersonal nature (e.g., sexual or physical abuse, war, community violence) and early-life onset. These exposures often occur within the child’s caregiving system and include physical, emotional, and educational neglect and child maltreatment beginning in early childhood- Developmental Trauma Disorder
Years ago I had realized I was blaming myself for it. People and doctors would tell me it wasn't my fault, but I couldn't “BELIEVE” it! Then I was talking to my friend Kieran and he explained to me in a way that I could PERCEIVE that I was not at fault. No one else could ever do that before, though many tried. Many, many people had tried to tell me it wasn't my fault, but I was convinced it was my fault because I was trying to cheer up my dad.
The scientific study of suffering inevitably raises questions of causation, and with these, issues of blame and responsibility. Historically, doctors have highlighted predisposing vulnerability factors for developing PTSD, at the expense of recognizing the reality of their patients' experiences… This search for predisposing factors probably had its origins in the need to deny that all people can be stressed beyond endurance, rather than in solid scientific data; until recently such data were simply not available… When the issue of causation becomes a legitimate area of investigation, one is inevitably confronted with issues of man's inhumanity to man, with carelessness and callousness, with abrogation of responsibility, with manipulation and with failures to protect.
The second factor helping to bring the dissociative disorders back into the mainstream was the Vietnam War. For sociological reasons originating outside psychology and psychiatry, the Vietnam War and the posttraumatic stress disorder (PTSD) that arose from it were not forgotten when the veterans returned home, as had been the case in the two world wars and the Korean War. The realization that real, severe trauma could have serious long-term psychopathological consequences was forced on society as a whole by Vietnam. Once this principle was accepted, it as a short leap to the conclusion that severe childhood trauma might have serious sequelae lasting into adulthood.
Although psychoanalysts, including Freud, tended to acknowledge sexual trauma as tragic and harmful (Freud, 1905b, 1917), the subject seems to have been too awful to consider seriously in civilized company. One notable exception, Sandor Ferenczi, presented a paper entitled “Confusion of Tongues between the Adult and the Child: The Language of Tenderness and of Passion” (1955), to the Psychoanalytic Congress in 1932. In this presentation he talked about the helplessness of the child when confronted with an adult who uses the child’s vulnerability to gain sexual gratification. Ferenczi talked with more eloquence than any psychiatrist before him about the helplessness and terror experienced by children who were victims of interpersonal violence, and he introduced the critical concept that the predominant defense available to children so traumatized is “identification with aggressor.” The response of the psychoanalytic community seems to have been one of embarrassment, and the paper was not published in English until 1949, 17 years after Ferenczi’s death (Masson, 1984).
Early relational trauma results from the fact that we are often given more to experience in this life than we can bear to experience consciously. This problem has been around since the beginning of time, but it is especially acute in early childhood where, because of the immaturity of the psyche and/or brain, we are ill-equipped to metabolize our experience. An infant or young child who is abused, violated or seriously neglected by a caretaking adult is overwhelmed by intolerable affects that are impossible for it to metabolize, much less understand or even think about.
Secondary structural dissociation involves one ANP and more than one EP. Examples of secondary structural dissociation are complex PTSD, complex forms of acute stress disorder, complex dissociative amnesia, complex somatoform disorders, some forms of trauma-relayed personality disorders, such as borderline personality disorder, and dissociative disorder not otherwise specified (DDNOS).. Secondary structural dissociation is characterized by divideness of two or more defensive subsystems. For example, there may be different EPs that are devoted to flight, fight or freeze, total submission, and so on. (Van der Hart et al., 2004). Gail, a patient of mine, does not have a personality disorder, but describes herself as a "changed person." She survived a horrific car accident that killed several others, and in which she was the driver. Someone not knowing her history might see her as a relatively normal, somewhat anxious and stiff person (ANP). It would not occur to this observer that only a year before, Gail had been a different person: fun-loving, spontaneous, flexible, and untroubled by frightening nightmares and constant anxiety. Fortunately, Gail has been willing to pay attention to her EPs; she has been able to put the process of integration in motion; and she has been able to heal. p134
One thing is for sure. Nothing in life is easy or certain. You'll be fighting until the end. And when you've overcome all chaos has to offer, those who had it easy will struggle. By fighting through it, you are giving yourself a skill some just do not have. When the world, and the realm, erupt into chaos, you'll be the one standing with a sword still in your hand. Be proud of yourself. You're more of a warrior than you know.
Traumatic events, by definition, overwhelm our ability to cope. When the mind becomes flooded with emotion, a circuit breaker is thrown that allows us to survive the experience fairly intact, that is, without becoming psychotic or frying out one of the brain centers. The cost of this blown circuit is emotion frozen within the body. In other words, we often unconsciously stop feeling our trauma partway into it, like a movie that is still going after the sound has been turned off. We cannot heal until we move fully through that trauma, including all the feelings of the event.
Home? What is home? Home is where a house is that you come back to when the rainy season is about to begin, to wait until the next dry season comes around. Home is where your woman is, that you come back to in the intervals between a greater love - the only real love - the lust for riches buried in the earth, that are your own if you can find them.Perhaps you do not call it home, even to yourself. Perhaps you call them 'my house,' 'my woman,' What if there was another 'my house,' 'my woman,' before this one? It makes no difference. This woman is enough for now.Perhaps the guns sounded too loud at Anzio or at Omaha Beach, at Guadalcanal or at Okinawa. Perhaps when they stilled again some kind of strength had been blasted from you that other men still have. And then again perhaps it was some kind of weakness that other men still have. What is strength, what is weakness, what is loyalty, what is perfidy?The guns taught only one thing, but they taught it well: of what consequence is life? Of what consequence is a man? And, therefore, of what consequence if he tramples love in one place and goes to find it in the next? The little moment that he has, let him be at peace, far from the guns and all that remind him of them.So the man who once was Bill Taylor has come back to his house, in the dusk, in the mountains, in Anahuac. ("The Moon Of Montezuma")
The prediction of false rape-related beliefs (rape myth acceptance [RMA]) was examined using the Illinois Rape Myth Acceptance Scale (Payne, Lonsway, & Fitzgerald, 1999) among a nonclinical sample of 258 male and female college students. Predictor variables included measures of attitudes toward women, gender role identity (GRI), sexual trauma history, and posttraumatic stress disorder (PTSD) symptom severity. Using linear regression and testing interaction effects, negative attitudes toward women significantly predicted greater RMA for individuals without a sexual trauma history.However, neither attitudes toward women nor GRI were significant predictors of RMA for individuals with a sexual trauma history."Rape Myth Acceptance, Sexual Trauma History, and Posttraumatic Stress DisorderShannon N. Baugher, PhD,Jon D. Elhai, PhD,James R. Monroe, PhD, Ruth Dakota, Matt J. Gray, PhD
I’m not flailing now, as my muscles are rigid with the tension of holding myself together. The pain over my heart returns, and from it I imagine tiny fissures spreading out into my body. Through my torso, down my arms and legs, over my face, leaving it crisscrossed with cracks. One good jolt … and I could shatter into strange, razor-sharp shards.
I think the therapists around this place think that if you know yourself, then somehow you’ll be better and healthier and you’ll be able to leave this place and live out your days as a happy and loving human being. Happy. Loving. I hate those words. I’m supposed to like them. I’m supposed to want them. I don’t. Don’t like them, don’t want them. This is the way I see it: if you get to know yourself really well, you might discover that deep down inside you’re just a dirty, disgusting, and selfish piece of shit. What if my heart is all rotted out and corrupted? What about that? What am I supposed to do with that information? Just tell me that. Most of the time I get the feeling that I’m just an animal disguised as an eighteen-year-old guy. At least I’m hoping that maybe deep down inside I’m a coyote.
It fascinated me how depression and anxiety overlap with post-traumatic stress disorder. Had we been through some trauma we didn't know about? Was the noise and speed of modern life the trauma for our caveman brains? Was I that soft? Or was life a kind of war most people didn't see?
Physical symptoms such as muscle tension, back problems, stomach distress, constipation, diarrhea, headaches, obesity or maybe even hypertension can be caused by suppressing your emotions. Suppressed anger may also cause you to overreact to people and situations or to act inappropriately. Unexpressed anger can cause you to become irritable, irrational, and prone to emotional outbursts and episodes of depression.
The next significant incident would change Steven forever: an apartment building fire. Steven and another officer arrived to the sounds of the screams of parents desperately trying to find their children. They ran inside believing there were three children trapped; they scooped them up and ran outside with a feeling of elation and relief. They had saved the children from certain death. The feeling was short lived. A frantic mother approached them, “Where’s my daughter?”Steven and the other officer tried to reenter the building but the fire had become too intense. All they could do was watch in horror as a partial wall of the building collapsed, revealing the child’s location. They could see and hear her, but they couldn’t save her. Her screams were mixed with the screams of her mother. Eventually her screams were silenced and she was no longer visible. Her mother continued to wail in pain, others dropped to their knees and sobbed while the first responders choked back their own tears and finished their jobs, the emotion overwhelming. Every person on the scene was altered that day. A piece of every one of them became part of the ashes.
Imagine this garden; one you’ve planted from seed, cultivated with love. When the seeds break the ground, they seek sunshine, warmth, and nutrients. The seeds have no control over the weather.They are as dependent on it as we are on our minds. You may have control over the location of your garden, the frequency with which you tend to it, and the amount of care you give it, but you can’t control the weather.It may be sunny one day, rainy the next. You prop the vines in the hopes they will flourish once the rain passes. And they may, until the next rain comes. The weather changes, sometimes without warning. Sometimes you can see it coming, much like the triggers a depressed person avoids, and you try to protect the plants before the storm. The intensity of the labor can get frustrating, especially if there is no relief in sight.One day, a tornado or hurricane passes through. Even though you see it on the horizon, you can’t stop it and you may not be able to seek shelter soon enough. The plants are torn from their roots, the garden completely destroyed. You may have thought you could protect it yourself, that the storm wouldn’t be that bad, or you simply didn’t know how or were afraid to ask for help. Your neighbors and family couldn’t help or didn’t know you needed help. The garden is gone. This is the way of depression; if you don’t have it, it’s very difficult to understand this cycle.
...repeated trauma in childhood forms and deforms the personality. The child trapped in an abusive environment is faced with formidable tasks of adaptation. She must find a way to preserve a sense of trust in people who are untrustworthy, safety in a situation that is unsafe, control in a situation that is terrifyingly unpredictable, power in a situation of helplessness. Unable to care for or protect herself, she must compensate for the failures of adult care and protection with the only means at her disposal, an immature system of psychological defenses.
Some survivors can be wary of most people, yet blinded by compassion toward fellow survivors or others who suffer — or who pretend to suffer, or exaggerate their sufferings, in order to take advantage of the survivor. Some survivors overidentify with other survivors, not realizing that even if someone was traumatized or suffers in a similar way, it doesn’t necessarily mean that person is honest. Being either overly suspicious or overly trusting can create problems with a partner who is able to judge the sincerity of others more realistically.
Changes in Relationship with others:It is especially hard to trust other people if you have been repeatedly abused, abandoned or betrayed as a child. Mistrust makes it very difficult to make friends, and to be able to distinguish between good and bad intentions in other people. Some parts do not seem to trust anyone, while other parts may be so vulnerable and needy that they do not pay attention to clues that perhaps a person is not trustworthy. Some parts like to be close to others or feel a desperate need to be close and taken care of, while other parts fear being close or actively dislike people. Some parts are afraid of being in relationships while others are afraid of being rejected or criticized. This naturally sets up major internal as well as relational conflicts.
Complex PTSD consists of of six symptom clusters, which also have been described in terms of dissociation of personality. Of course, people who receive this diagnosis often also suffer from other problems as well, and as noted earlier, diagnostic categories may overlap significantly. The symptom clusters are as follows:Alterations in Regulation of Affect ( Emotion ) and ImpulsesChanges in Relationship with othersSomatic SymptomsChanges in MeaningChanges in the perception of SelfChanges in Attention and Consciousness
I did exactly what you told me to do, Nick. Didn't you tell me to just write the stupid book already? And that even doing the worst thing on the planet had to count for something? Well I can't think of anything worse than what I'm about to do, which is why I think you deserve an explanation. And maybe after you read it you'll realize why I don't have the hope that you have. The truth is this: We begin and end alone.
Oh God, what do we do?""Do?" Levi said, looking oddly triumphant, like his plans for the night had finally materialized, Like he had been hoping for some disaster like this to happen so he didn't have to be bored anymore. Like even a dying girl in his bathtub was better than calling his mother to confirm that his grandfather actually was dead, and that what he had heard on the answering machine wasn't a mere auditory hallucination. "We save her, of course.
Recovery unfolds in three stages. The central task of the first stage is the establishment of safety. The central task of the second stage is remembrance and mourning. The central focus of the third stage is reconnection with ordinary life.
Don't ever believe that Narcissists don't understand they have hurt you. They know exactly what they did and why they did it. The reason they can't stop their abuse is because the narcissistic supply is their addiction. Unlike, drug addicts that need their fix to feel normal, narcissists need to feel significant. This is their addiction. Even if it takes destructive ways to have this emotional balance they will pursue it. Your feelings don't count only the supply does. The greater the supply the greater the drama in your life as they pursue it. So, get over believing they don't understand. They do understand. You just found out and got in the way of their easy access to greater supply than you.
The traumatic moment becomes encoded in an abnormal form of memory, which breaks spontaneously into consciouness, both as flashbacks during waking states and as traumatic nightmares during sleep. Small, seemingly insignificant reminders can also evoke these memories, which often return with all the vividness and emotional force of the original event. Thus, even normally safe environments may come to feel dangerous, for the survivor can never be assured that she will not encounter some reminder of the trauma.
Alterations in regulation of affect (emotion) and impulse:Almost all people who are seriously traumatized have problems in tolerating and regulating their emotions and surges or impulses. However, those with complex PTSD and dissociative disorders tend to have more difficulties than those with PTSD because disruptions in early development have inhibited their ability to regulate themselves.The fact that you have a dissociative organization of your personality makes you highly vulnerable to rapid and unexpected changes in emotions and sudden impulses. Various parts of the personality intrude on each other either through passive influence or switching when your under stress, resulting in dysregulation. Merely having an emotion, such as anger, may evoke other parts of you to feel fear or shame, and to engage in impulsive behaviors to stop avoid the feelings.
Changes in Meaning:Finally, chronically traumatized people lose faith that good things can happen and people can be kind and trustworthy. They feel hopeless, often believing that the future will be as bad as the past, or that they will not live long enough to experience a good future. People who have a dissociative disorder may have different meanings in various dissociative parts. Some parts may be relatively balanced in their worldview, others may be despairing, believing the world to be a completely negative, dangerous place, while other parts might maintain an unrealistic optimistic outlook on life
Changes in the Perception of Self:People who have been traumatized in childhood are often troubled by guilt, shame, and negative feelings about themselves, such as the belief they are unlikable, unlovable, stupid, inept, dirty, worthless, lazy, and so forth. In Complex Dissociative disorders there are typically particular parts that contain these negative feelings about the self while other parts may evaluate themselves quite differently. Alterations among parts thus may result in rather rapid and distinct changes in self perception.
People with Complex PTSD suffer from more severe and frequent dissociation symptoms, as well as memory and attention problems, than those with simple PTSD. In addition to amnesia due to the activity of various parts of the self, people may experience difficulties with concentration, attention, other memory problems and general spaciness. These symptoms often accompany dissociation of the personality, but they are also common in people who do not have dissociative disorders. For example everyone can be spacey, absorbed in an activity, or miss an exit on the highway. When various parts of the personality are active, by definition, a person experiences some kind of abrupt change in attention and consciousness.
There are two types of memory frequently experienced by individuals who have had overwhelming trauma that has been suppressed psychologically or chemically. The first is general memory, experienced as an adult, in which there is a natural recall of early events. The other is the memory that is often associated with post traumatic stress syndrome (PTSS). The person suddenly smells, sees and feels as though he or she is actually living the event that took place months or years earlier.Many soldiers who survived horrifying combat experiences have PTSS. This has frequently been discussed in terms of Vietnam veterans who suddenly mentally find themselves in the jungle, hiding from the enemy or assaulting people they see as a threat. The fact that they have not been in Vietnam for decades and that they are experiencing the flashbacks in shopping malls, at home or at work does not change what they are mentally reliving. But PTSS has existed for centuries and has affected men, women and children in the midst of all wars, horrifying natural disasters and other traumatic experiences. This includes physical and sexual abuse when growing up.the PTSS Cheryl was experiencing more and more frequently, in which she found herself seeing, feeling and re-experiencing events from her childhood and adolescence had become overwhelming. She knew she needed to get help.
Dissociation is the common response of children to repetitive, overwhelming trauma and holds the untenable knowledge out of awareness. The losses and the emotions engendered by the assaults on soul and body cannot, however be held indefinitely. In the absence of effective restorative experiences, the reactions to trauma will find expression. As the child gets older, he will turn the rage in upon himself or act it out on others, else it all will turn into madness.
Our inner experience is that which we think, feel, remember, perceive, sense, decide, plan and predict. These experiences are actually mental actions, or mental activity (Van der Hart et al., 2006). Mental activity, in which we engage all the time, may or may not be accompanied by behavioral actions. It is essential that you become aware of, learn to tolerate and regulate, and even change major mental actions that affect your current life, such as negative beliefs, and feelings or reactions to the past the interfere with the present. However, it is impossible to change inner experiences if you are avoiding them because you are afraid, ashamed or disgusted by them. Serious avoidance of you inner experiences is called experiential avoidance (Hayes, Wilson, Gifford, & Follettte, 1996), or the phobia of inner experience (Steele, Van der Hart, & Nijenhuis, 2005; Van der Hart et al., 2006).
Attitude Is EverythingWe live in a culture that is blind to betrayal and intolerant of emotional pain. In New Age crowds here on the West Coast, where your attitude is considered the sole determinant of the impact an event has on you, it gets even worse.In these New Thought circles, no matter what happens to you, it is assumed that you have created your own reality. Not only have you chosen the event, no matter how horrible, for your personal growth. You also chose how you interpret what happened—as if there are no interpersonal facts, only interpretations.The upshot of this perspective is that your suffering would vanish if only you adopted a more evolved perspective and stopped feeling aggrieved. I was often kindly reminded (and believed it myself), “there are no victims.” How can you be a victim when you are responsible for your circumstances?When you most need validation and support to get through the worst pain of your life, to be confronted with the well-meaning, but quasi-religious fervor of these insidious half-truths can be deeply demoralizing. This kind of advice feeds guilt and shame, inhibits grieving, encourages grandiosity and can drive you to be alone to shield your vulnerability.
I know you're in a world of pain, but that pain will lessen. At the beginning you can't see that. You can only see your pain and you think it will never go away.But the nature of pain is that it changes— it changes like a sunset. At first, it's this intense red-orange in the sky, and then it starts getting softer and soften. The texture of pain changes as you work through it. And then one day, you wake up and realize that life isn't just about working through your incest; it's about living, too.- survivor of child sexual abuse
As modern neurobiologists point out, the repetition of the traumatic experience in the flashbacks can be itself re-traumatizing; if not life-threatening, it is at least threatening to the chemical structure of the brain and can ultimately lead to deterioration. And this would also seem to explain the high suicide rate of survivor, for example, survivors of Vietnam.
It seems like it might go on for a while, so Tausolo takes a seat and looks around the sergeant's cubicle. There's not much to see, since the guy just arrived at the WTB, only a blank form tacked to a wall that looks like every other army form in the world."Hurt Feelings Report," it is titled. "Whiner's name," it says under that. "Which ear were the words of hurtfulness spoken into?" it says under that. "Is there permanent feeling damage?" "Did you require a 'tissue' for tears?" "Has this resulted in a traumatic brain injury?""Reason for filing this report," it says under that. "Mark all that apply." "I am a wimp." "I am a crybaby." "I want my mommy." "I was told that I am not a hero." "Narrative," it says under that. "Tell us in your own sissy words how your feelings were hurt." Finally at the bottom of the form:We, as the Army, take hurt feelings seriously. If you don't have someone who can give you a hug and make things all better, please let us know and we will promptly dispatch a "hugger" to you ASAP. In the event we are unable to find a "hugger" we will notify the fire department and request that they send fire personnel to your location. If you are in need of supplemental support, upon written request, we will make every reasonable effort to provide you with a "blankey," a "binky" and/or a bottle if you so desire.
First, the physiological symptoms of post-traumatic stress disorder have been brought within manageable limits. Second, the person is able to bear the feelings associated with traumatic memories. Third, the person has authority over her memories; she can elect both to remember the trauma and to put memory aside. Fourth, the memory of the traumatic event is a coherent narrative, linked with feeling. Fifth, the person's damaged self-esteem has been restored. Sixth, the person's important relationships have been reestablished. Seventh and finally, the person has reconstructed a coherent system of meaning and belief that encompasses the story of trauma.
In situations of captivity the perpetrator becomes the most powerful person in the life of the victim, and the psychology of the victim is shaped by the actions and beliefs of the perpetrator.
...some patients resist the diagnosis of a post-traumatic disorder. They may feel stigmatized by any psychiatric diagnosis or wish to deny their condition out of a sense of pride. Some people feel that acknowledging psychological harm grants a moral victory to the perpetrator, in a way that acknowledging physical harm does not.
Recovery can take place only within then context of relationships; it cannot occur in isolation. In her renewed connection with other people, the survivor re-creates the psychological facilities that were damaged or deformed by the traumatic experience. These faculties include the basic operations of trust, autonomy, initiative, competence, identity, and intimacy.Just as these capabilities are formed in relationships with other people, they must be reformed in such relationships.The first principle of recovery is empowerment of the survivor. She must be the author and arbiter of her own recovery. Others may offer advice, support, assistance, affection, and care, but not cure.Many benevolent and well-intentioned attempts to assist the survivor founder because this basic principle of empowerment is not observed. No intervention that takes power away from the survivor can possibly foster her recovery, no matter how much it appears to be in her immediate best interest.
I had built such a wall between my experiences and how I felt about those experiences that I was incapable of reliving both simultaneously. I could talk about my traumas, even walk through them, but I couldn’t feel them. When I tried to bring it all together, when I tried to remember how I had felt, I disappeared in my own head. My to-do list took on grave importance. The book I read the night before filled my thoughts. Yesterday’s article suddenly called out to be rewritten. I couldn’t get inside myself.
She's terrified that all these sensations and images are coming out of her — but I think she's even more terrified to find out why." Carla's description was typical of survivors of chronic childhood abuse. Almost always, they deny or minimize the abusive memories. They have to: it's too painful to believe that their parents would do such a thing.
Carla's description was typical of survivors of chronic childhood abuse. Almost always, they deny or minimize the abusive memories. They have to: it's too painful to believe that their parents would do such a thing. So they fragment the memories into hundreds of shards, leaving only acceptable traces in their conscious minds. Rationalizations like "my childhood was rough," "he only did it to me once or twice," and "it wasn't so bad" are common, masking the fact that the abuse was devastating and chronic. But while the knowledge, body sensations, and feelings are shattered, they are not forgotten. They intrude in unexpected ways: through panic attacks and insomnia, through dreams and artwork, through seemingly inexplicable compulsions, and through the shadowy dread of the abusive parent. They live just outside of consciousness like noisy neighbors who bang on the pipes and occasionally show up at the door.
I'm not crazy, I was abused. I'm not shy, I'm protecting myself. I'm not bitter, I'm speaking the truth. I'm not hanging onto the past, I've been damaged. I'm not delusional, I lived a nightmare. I'm not weak, I was trusting. I'm not giving up, I'm healing. I'm not incapable of love, I'm giving. I'm not alone. I see you all here. I'm fighting this.
The observer self, a part of who we really are, is that part of us that is watching both our false self and our True Self. We might say that it even watches us when we watch. It is our Consciousness, it is the core experience of our Child Within. It thus cannot be watched—at least by anything or any being that we know of on this earth. It transcends our five senses, our co-dependent self and all other lower, though necessary parts, of us. Adult children may confuse their observer self with a kind of defense they may have used to avoid their Real Self and all of its feelings. One might call this defense “false observer self” since its awareness is clouded. It is unfocused as it “spaces” or “numbs out.” It denies and distorts our Child Within, and is often judgmental.
...in the lower self, love is neediness, “chemistry” or infatuation, possession, strong admiration, or even worship—in short, traditional romantic love. Many people who grew up in troubled homes and who experienced a stifling of their Child Within become stuck at these lower levels or ways of experiencing love.
Being Scared-off by EvilLastly, we deny the presence of evil because we are terrified by the horrendously hurtful, cruel, and bloody kinds of evil people tell us about—if we are willing to listen. This was poignantly brought home during an interdisciplinary case conference involving a resident who was counseling for the first time a woman who had been sexually abused. As we worked with him, it became clear that he was resisting entering what he called the 'psychic cave" of her sealed—off experience from which she was shouting for assistance. Because of his resistance, he was not providing her the support and guidance she so desperately needed, and he was not facilitating her working through the abuse and hurt that were continuing to impact her life. As he was confronted about this at one point in the conference, he stated tearfully: "I'm afraid if I help her move into her memories. I will have to go with her, and if I go with her, my view of the world as a basically good and safe place will be shattered. I'm not sure I can handle that for myself, or be able to think about the fact that my wife and kids may be more vulnerable living in this world than I can be comfortable believing" (Means 1995, 299).
Many veterans feel guilty because they lived while others died. Some feel ashamed because they didn’t bring all their men home and wonder what they could have done differently to save them. When they get home they wonder if there’s something wrong with them because they find war repugnant but also thrilling. They hate it and miss it.Many of their self-judgments go to extremes. A comrade died because he stepped on an improvised explosive device and his commander feels unrelenting guilt because he didn’t go down a different street. Insurgents used women and children as shields, and soldiers and Marines feel a totalistic black stain on themselves because of an innocent child’s face, killed in the firefight. The self-condemnation can be crippling.The Moral Injury, New York Times. Feb 17, 2015
The power we discover inside ourselves as we survive a life-threatening experience can be utilized equally well outside of crisis, too. I am, in every moment, capable of mustering the strength to survive again—or of tapping that strength in other good, productive, healthy ways.
If you carry around a lot of suppressed or repressed anger (anger you have unconsciously buried) you may lash out at people, blaming or punishing them for something someone else did a long time ago. Because you were unwilling or unable to express how you felt in the past, you may overreact in the present, damaging a relationship.
As I feel less overwhelmed, my fear softens and begins to subside. I feel a flicker of hope, then a rolling wave of fiery rage. My body continues to shake and tremble. It is alternately icy cold and feverishly hot. A burning red fury erupts from deep within my belly: How could that stupid kid hit me in a crosswalk? Wasn’t she paying attention? Damn her!A blast of shrill sirens and flashing red lights block out everything.My belly tightens, and my eyes again reach to find the woman’s kind gaze. We squeeze hands, and the knot in my gut loosens. I hear my shirt ripping. I am startled and again jump to the vantageof an observer hovering above my sprawling body. I watch uniformedstrangers methodically attach electrodes to my chest. The Good Samaritanparamedic reports to someone that my pulse was 170. I hear my shirt ripping even more. I see the emergency team slip a collar onto my neck and then cautiously slide me onto a board. While they strap me down, I hear some garbled radio communication. The paramedics arerequesting a full trauma team. Alarm jolts me. I ask to be taken to thenearest hospital only a mile away, but they tell me that my injuries mayrequire the major trauma center in La Jolla, some thirty miles farther.My heart sinks.
The victims of PTSD often feel morally tainted by their experiences, unable to recover confidence in their own goodness, trapped in a sort of spiritual solitary confinement, looking back at the rest of the world from beyond the barrier of what happened. They find themselves unable to communicate their condition to those who remained at home, resenting civilians for their blind innocence.The Moral Injury, New York Times. Feb 17, 2015
People generally don’t suffer high rates of PTSD after natural disasters. Instead, people suffer from PTSD after moral atrocities. Soldiers who’ve endured the depraved world of combat experience their own symptoms. Trauma is an expulsive cataclysm of the soul.The Moral Injury, New York Times. Feb 17, 2015
Blame is a Defense Against PowerlessnessBetrayal trauma changes you. You have endured a life-altering shock, and are likely living with PTSD symptoms— hypervigilance, flashbacks and bewilderment—with broken trust, with the inability to cope with many situations, and with the complete shut down of parts of your mind, including your ability to focus and regulate your emotions.Nevertheless, if you are unable to recognize the higher purpose in your pain, to forgive and forget and move on, you clearly have chosen to be addicted to your pain and must enjoy playing the victim.And the worst is, we are only too ready to agree with this assessment! Trauma victims commonly blame themselves. Blaming oneself for the shame of being a victim is recognized by trauma specialists as a defense against the extreme powerlessness we feel in the wake of a traumatic event. Self-blame continues the illusion of control shock destroys, but prevents us from the necessary working through of the traumatic feelings and memories to heal and recover.
When you have a persistent sense of heartbreak and gutwrench, the physical sensations become intolerable and we will do anything to make those feelings disappear. And that is really the origin of what happens in human pathology. People take drugs to make it disappear, and they cut themselves to make it disappear, and they starve themselves to make it disappear, and they have sex with anyone who comes along to make it disappear and once you have these horrible sensations in your body, you’ll do anything to make it go away.
Some dissociative parts of the personality, living in trauma time, may experience the same emotion no matter the situation, such as fear, rage, shame, sadness, yearning and even some positive ones just as joy.* Other parts have a broader range of feeling. Because emotions are often held in certain parts of the personality, different parts can have highly contradictory perceptions, emotions, and reactions to the same situation.”*This explains many feelings, emotions, and doubts about the unknown haunting us at times.*Awareness and discovering the inner world may help, tremendously.
Some dissociative parts of the personality, living in trauma time, may experience the same emotion no matter the situation, such as fear, rage, shame, sadness, yearning and even some positive ones just as joy.
What do I want now? I want to be treated with the respect I deserve in the current VA system and not be retraumatized. I want the men who did this to me to be punished and if that isn't possible, I want reassurance what happened to me will never ever happen to another woman in the Armed services. I want some restitution of the damage I have.
Too afraid to touch anything, I found sitting in the custom made indow cubby the safest place for me to be as I played games with raindrops. Rainy days made the time pass more quickly as I pretended I was the tiniest raindrop on its descent down the glass. My goal would be to not make it to the bottom. I counted on morphing with the other, bigger raindrops and kept count of the times I won and the times I lost. The heaviness of the storm would dictate my luck. The heavier the storm, the more likely gravity would ruin my chances at survival. When I started losing more than I was winning, I rested my forehead on the cold hard glass and asked them if disintegrating on impact was really all that bad. It was time for a new distraction.
I expected to be happy, but let me tell you something. Anticipating happiness and being happy are two entirely different things. I told myself that all I wanted to do was go to the mall. I wanted to look at the pretty girls, ogle the Victoria's Secret billboards, and hit on girls at the Sam Goody record store. I wanted to sit in the food court and gorge on junk food. I wanted to go to Bath and Body Works, stand in the middle of the store, and breathe. I wanted to stand there with my eyes closed and just smell, man. I wanted to lose myself in the total capitalism and consumerism of it all, the pure greediness, the pure indulgence, the pure American-ness of it all. I never made it that far. I didn't even make it out of the airport in Baltimore with all its Cinnabons, Starbucks, Brooks Brothers, and Brookstones before realizing that after where we'd been, after what we'd seen, home would never be home again.
...a freeze response (dissociation, collapse, numbing, paralysis, deadness) during the incident that threatened your life or limb. Sometimes it's difficult for people to understand that this is really survival response...
Dissociation can enable us to withstand pain and loss under which we would otherwise break. It enables us to survive and pull through. But, a habit of continual dissociation – especially after the trauma has passed – leads to the shut-in feeling I was experiencing. While I imagined I was being strong in the face of pain, in reality, I was merely hiding.
Fear and anxiety affect decision making in the direction of more caution and risk aversion... Traumatized individuals pay more attention to cues of threat than other experiences, and they interpret ambiguous stimuli and situations as threatening (Eyesenck, 1992), leading to more fear-driven decisions. In people with a dissociative disorder, certain parts are compelled to focus on the perception of danger. Living in trauma-time, these dissociative parts immediately perceive the present as being "just like" the past and "emergency" emotions such as fear, rage, or terror are immediately evoked, which compel impulsive decisions to engage in defensive behaviors (freeze, flight, fight, or collapse). When parts of you are triggered, more rational and grounded parts may be overwhelmed and unable to make effective decisions.
It was a myth you couldn't function on opiates: shooting up was one thing but for someone like me-jumping at pigeons beating from the sidewalk, afflicted with Post Traumatic Stress Disorder practically to the point of spasticity and cerebral palsy-pills were the key to being not only competent, but high-functioning.
Prison left me with some strange little tics.' She has taken all the door off their hinges in all the apartments she has lived in since. It's not that she has anxiety attacks about small spaces, she says, it's just that she starts to sweat and go cold. 'This apartment is perfect for me,' she says, looking around the open space.'How about elevators?' I ask, recalling the schlepp up the stairs. 'Exactly,' she replies, 'I don't like them much either.'One day, years later, her husband Charlie was fooling around at home, playing the guitar. Miriam said something provocative and he stood up suddenly, lifting his arm to take off the guitar strap. He was probably just going to say 'That's outrageous', or tickle her or tackle her. But she was gone. She was already down in the courtyard of the building. She does not remember getting down the stairs-it was an automatic flight reaction.
A few days later, Tuesday quietly crossed our apartment as I read a book and, after a nudge against my arm, put his head on my lap. As always, I immediately checked my mental state, trying to assess what was wrong. I knew a change in my biorhythms had brought Tuesday over, because he was always monitoring me, but I couldn't figure out what it was. Breathing? Okay. Pulse? Normal. Was I glazed or distracted? Was I lost in Iraq? Was a dark period descending? I didn't think so, but I knew something must be wrong, and I was starting to worry...until I looked into Tuesday's eyes. They were staring at me softly from under those big eyebrows, and there was nothing in them but love.
Throughout the years I learned the good times must come to an end, all the bad times will get worse, and most recently I learned I have PTSD. Ileft a part of myself in that river, in that battlefield, in every tragedy. A couple thousand years of this and there is not much left. I never escaped that river. I am drowning in a sea of tragedy.A woman was standing in front of me. She smiled. “The psychiatrist is ready to see you.
If there is a dark and hostile power, laying its treacherous toils within us, by which it holds us fast and draws us along the path of peril and destruction, which we should not otherwise have trod; if, I say there is such a power, it must form itself inside us and out of ourselves, indeed; it must become identical with ourselves. For it is only in this condition that we can believe in it, and grant it the room which it requires to accomplish its secret work. Now, if we have a mind which is sufficiently firm, sufficiently strengthened by the joy of life, always to recognize this strange enemy as such, and calmly to follow the path of our own inclination and calling, then the dark power will fail in its attempt to gain a form that shall be a reflection of ourselves.
I wanted to share the risks the digger in Afghanistan took every day. Whenever I could I joined patrols ‘outside the wire’, walking the same dusty tracks and fields as the ordinary soldiers. I did everything in my power to keep them alive, I failed. In that year I lost ten soldiers under my command, killed in action. I personally identified the remains of each of them, sending them home to their families. More than sixty of my soldiers were wounded, some horribly.
The Air Force was confused about what it wanted me to be when I grew up. I applied for an ROTC scholarship out of high school because I wanted to be an astronaut. None of my teachers had ever broken the news to me that I couldn’t fly into space, so the third-grade dream remained.
I want to give a name to my would-be killer. What should I call him? Something that will ease his presence in my mind, make him look foolish, like he is of no threat and never was, which is in fact the truth. I don't want his real name, which is meaningless to me, but instead something I control, something I own, some way to own that piano-idiot who attacked me.
As his boots walked towards the old station, he felt as though he were hallucinating. Scary apprehension increased the beat of his heart and the sweat upon his forehead was cold. The reality of where he stood created a sinking feeling inside of him. An old man everyone called Uncle Tucker once owned this place. His sole existence behind the counter all of the time, day and night. He could have been a creature out of a fairy tale, with his long white beard and equally long white hair. Merlin. The overalls and the ball cap perched upon his head, along with the half-smoked cigar with an endless burning orb positioned in his mouth. It made him a fixture in time. He wondered if Tucker would still be alive. Tucker with his endless stories of the 1960s, the Vietnam War, and flower children. A man that never left a country thousands of miles away where bicycles filled the capital. A man who never left those fields where killing occurred.
Treating Abuse Today (Tat), 3(4), pp. 26-33Freyd: I see what you're saying but people in psychology don't have a uniform agreement on this issue of the depth of -- I guess the term that was used at the conference was -- "robust repression."TAT: Well, Pamela, there's a whole lot of evidence that people dissociate traumatic things. What's interesting to me is how the concept of "dissociation" is side-stepped in favor of "repression." I don't think it's as much about repression as it is about traumatic amnesia and dissociation. That has been documented in a variety of trauma survivors. Army psychiatrists in the Second World War, for instance, documented that following battles, many soldiers had amnesia for the battles. Often, the memories wouldn't break through until much later when they were in psychotherapy.Freyd: But I think I mentioned Dr. Loren Pankratz. He is a psychologist who was studying veterans for post-traumatic stress in a Veterans Administration Hospital in Portland. They found some people who were admitted to Veteran's hospitals for postrraumatic stress in Vietnam who didn't serve in Vietnam. They found at least one patient who was being treated who wasn't even a veteran. Without external validation, we just can't know --TAT: -- Well, we have external validation in some of our cases.Freyd: In this field you're going to find people who have all levels of belief, understanding, experience with the area of repression. As I said before it's not an area in which there's any kind of uniform agreement in the field. The full notion of repression has a meaning within a psychoanalytic framework and it's got a meaning to people in everyday use and everyday language. What there is evidence for is that any kind of memory is reconstructed and reinterpreted. It has not been shown to be anything else. Memories are reconstructed and reinterpreted from fragments. Some memories are true and some memories are confabulated and some are downright false.TAT: It is certainly possible for in offender to dissociate a memory. It's possible that some of the people who call you could have done or witnessed some of the things they've been accused of -- maybe in an alcoholic black-out or in a dissociative state -- and truly not remember. I think that's very possible.Freyd: I would say that virtually anything is possible. But when the stories include murdering babies and breeding babies and some of the rather bizarre things that come up, it's mighty puzzling.TAT: I've treated adults with dissociative disorders who were both victimized and victimizers. I've seen previously repressed memories of my clients' earlier sexual offenses coming back to them in therapy. You guys seem to be saying, be skeptical if the person claims to have forgotten previously, especially if it is about something horrible. Should we be equally skeptical if someone says "I'm remembering that I perpetrated and I didn't remember before. It's been repressed for years and now it's surfacing because of therapy." I ask you, should we have the same degree of skepticism for this type of delayed-memory that you have for the other kind?Freyd: Does that happen?TAT: Oh, yes. A lot.
This book appears at a time when public discussion of the common atrocities of sexual and domestic life has been made possible by the women’s movement, and when public discussion of the common atrocities of political life has been made possible by the movement for human rights. I expect the book to be controversial—first, because it is written from a feminist perspective; second, because it challenges established diagnostic concepts; but third and perhaps most importantly, because it speaks about horrible things, things that no one really wants to hear about.
Psychological trauma is an affliction of the powerless. At the moment of trauma, the victim is rendered helpless by overwhelming force. When the force is that of nature, we speak of disasters. When the force is that of other human beings, we speak of atrocities. Traumatic events overwhelm the ordinary systems of care that give people a sense of control, connection, and meaning.… Traumatic events are extraordinary, not because they occur rarely, but rather because they overwhelm the ordinary human adaptations to life.… They confront human beings with the extremities of helplessness and terror, and evoke the responses of catastrophe.
To hold traumatic reality in consciousness requires a social context that affirms and protects the victim and that joins the victim and witness in a common alliance. For the individual victim, this social context is created by relationships with friends, lovers, and family. For the larger society, the social context is created by political movements that give voice to the disempowered.
Survivors are damaged to different degrees by their experiences. This does not depend on what happened physically. A Survivor who has been raped will not necessarily be more damaged than a Survivor who has been touched. The degree of damage depend on the degree of traumatic sexualization, stigmatization, betrayal and powerlessness, the child has experienced. This in turn depends on a number of factors such as:* who the abuser was;* how many abusers were involved;* if the abuser was same-sex or opposite sex;* what took place;* what was said;* how long the abuse went on for;* How the child felt and how she interpreted what was happening;* if the child was otherwise happy and supported;* how other people reacted to the disclosure or discovery of the abuse;* how old the child was
For anyone who wonders what it's like to have a tragedy shatter your existence, this is what I would tell them: it's like going through the motions of everyday life in a zombified state. It's having outbursts of anger for what seems like no apparent reason, for even the smallest of offenses. It's forgetting how to be your once cheerful, perky self, and having to relearn basic social skills when mingling with new people (especially if those people are ignorant, or just plain terrible at showing sympathy). It takes a while to re-learn all those basic skills. Maybe...it's possible. Maybe you have to want your life back first, before it can start repairing itself But then you also have to accept that the mending process may take the rest of your life. I don't think there's a set time limit for it.
Part of the problem was that I couldn't seem to get past the fact that I hadn't tried to escape from Kas. Even in France, when he'd left me on my own for several days, I'd carried on working [as a prostitute] and doing all the things he'd told me to d. And although I knew that it was because of the fear he'd so carefully and deliberately instilled in me, I still felt as though I'd somehow colluded in what had happened to me - despite knowing, deep down, that nothing could have been further from the truth.
The SCID-D may be used to assess the nature and severity of dissociative symptoms in a variety of Axis I and II psychiatric disorders, including the Anxiety Disorders (such as Posttraumatic Stress Disorder [PTSD] and Acute Stress Disorder), Affective Disorders, Psychotic Disorders, Eating Disorders, and Personality Disorders.The SCID-D was developed to reduce variability in clinical diagnostic procedures and was designed for use with psychiatric patients as well as with nonpatients (community subjects or research subjects in primary care).
I thought the doctor's diagnosis was the first step to mending her. I know now that a diagnosis is taken in like an orphaned dog. We brought it home, unsure how to care for it, to live with it. It raised its hackles, snarled, hid in the farthest corner of the room; but it was ours, her diagnosis. The diagnosis was timid and confused, and genetically wired to strike out.
There is clear evidence from internal investigations in the past that some raters actually see themselves as adversaries to veterans. If a claim can be minimized, then the government has saved money, regardless of the need of the veteran. Just recently, the press exposed an official e-mail from a high-level staff person who stated in essence that PTSD diagnosis was becoming too prevalent and offered ways to delay and deflect ratings in order to save the government money.
Trauma destroys the fabric of time. In normal time you move from one moment to the next, sunrise to sunset, birth to death. After trauma, you may move in circles, find yourself being sucked backwards into an eddy or bouncing like a rubber ball from now to then to back again. ... In the traumatic universe the basic laws of matter are suspended: ceiling fans can be helicopters, car exhaust can be mustard gas.
According to Hoge and colleagues (2007), the key to reducing stigma is to present mental health care as a routine aspect of health care, similar to getting a check up or an X-ray. Soldiers need to understand that stress reactions-difficulty sleeping, reliving incidents in your mind, and emotional detachment-are common and expected after combat... The soldier should be told that wherever they go, they should remember that what they're feeling is "normal and it's nothing to be ashamed of.
There were times when he felt as if he were being literally torn in two. Times when he raged at the injustice of what was happening to him, times when he was overwhelmed with guilt. There was no right and wrong anymore, which had been one of clear-cut lines for so long, was now so blurred that he was careening around like a compass struggling to find true north.
Celeste committed the cardinal sin of leaning across Jack's arm. "You will excuse me, Madam, but I have something most particular to say to Monsieur Trestain.""That was rude," jack said, though he was smiling."No doubt you thought her very beautiful.""No doubt that is what you think I thought.
But the pain, the tearing blackness, the white heat of his uncontrollable fury, the terror that made him run from himself, the sweats and the shakes, and the dull ache in his head, they were all too real. ~~~~She kissed him to stop the words babbling out. She was in love. “Jack,” she said, because it was all she could trust herself to say. “Jack.” She loved him. She kissed his eyelids. She loved him.
Dissociative parts of the personality are not actually separate identities or personalities in one body, but rather parts of a single individual that are not yet functioning together in a smooth, coordinated, flexible way. P14
Sam heard someone bellow in the distance, but the sound of freight trains running in his ears dampened the sound, making it impossible for him to locate the source of the cry. When he heard it sound again, closer, the voice sounded familiar somehow. He strained to listen past the thundering racket in his ears, only to be rewarded by another holler from the voice. This time, he recognized the voice as his own.
However, if you do not believe your clients, they may sense your doubt and never fully trust you. As Bruce Goderez (1986), director of a PTSD inpatient unit says, "It is important for the clinician and counselor to be willing to be made a fool." In other words, it is better that you believe a client who is lying or distorting the truth than to disbelieve a hurting trauma survivor who may never seek help again if your attitude is one of disbelief or disdain. Even if that client were to continue in therapy, they would never fully trust you.
It's not unreal to me yet, though it might get that way soon. It still feels very real. And not even horrible -- the dead are just the dead. I am convinced that the living people they once were would have been proud of their protective bodies hoodwinking their murderers to save someone else. [..] But it's not civilized. There is something indecent about it -- really foully indecent. The civilized Rose-person in me, who still seems to exist beneath the layers of filth, knows this. [..] I have become so indifferent about the dead.
Too often the survivor is seen by [himself or] herself and others as "nuts," "crazy," or "weird." Unless her responses are understood within the context of trauma. A traumatic stress reaction consists of *natural* emotions and behaviors in response to a catastrophe, its immediate aftermath, or memories of it. These reactions can occur anytime after the trauma, even decades later. The coping strategies that victims use can be understood only within the context of the abuse of a child. The importance of context was made very clear many years ago when I was visiting the home of a Holocaust survivor. The woman's home was within the city limits of a large metropolitan area. Every time a police or ambulance siren sounded, she became terrified and ran and hid in a closet or under the bed. To put yourself in a closet at the sound of a far-off siren is strange behavior indeed—outside of the context of possibly being sent to a death camp. Within that context, it makes perfect sense. Unless we as therapists have a good grasp of the context of trauma, we run the risk of misunderstanding the symptoms our clients present and, hence, responding inappropriately or in damaging ways.
Without trauma-informed treatment, traumatized clients may not respond optimally and they may even be re-traumatized by the mental health system if they are labeled as “treatment resistant” because the treatment does not address the core issue of trauma; some may be misunderstood as fabricating or exaggerating their trauma history or symptoms.
In the culture people talk about trauma as an event that happened a long time ago. But what trauma is, is the imprints that event has left on your mind and in your sensations... the discomfort you feel and the agitation you feel and the rage and the helplessness you feel right now.
Much, much later. when I am back home and being treated for Post Traumatic Stress Disorder (PTSD). I will be enabled to see what was going on in my mind immediately after 11 August.I am still capable of operating mechanically as a soldier in these following days. But operating mechanically as a soldier is now all I am capable of.Martin says he is worried about me. He says I have the thousand-yard stare'.Of course, I cannot see this stare. But by now we both have more than an idea what it means.So, among all the soldiers here, this is nothing to be ashamed of. But as it really does just go with the territory we find ourselves in. it is just as equally not a badge of h
The lessons learned, then, in Robinson's case: "Additional training is required to inform soldiers of the dangers of self-medicating along with the associated risk of overdosing" is the first. "Encourage the use of a battle buddy among warriors" is the second. "Increase suicide prevention classes" is the third. "Increase communication to twice a day with high-risk soldiers" is the fourth. "Continue improvements in leader communication" is the fifth. And that's that. Eight months. Five minutes. The army moves on to the next suicide. Case forever closed.
He remembered the old-timers from his navy days. Grizzled lifers who could soundly sleep while two meters away their shipmates played a raucous game of poker or watched the vids with the volume all the way up. Back then he'd assumed it was just learned behavior, the body adapting so it could get enough rest in an environment that never really had downtime. Now he wondered if those vets found the constant noise preferable. A way to keep their lost shipmates away. They probably went home after their twenty and never slept again.
I guess I was always looking for something. What it was, I didn’t know. I wanted help from the VA, but didn’t want to go back, didn’t want to be subjected to that second-rate treatment any longer. I wanted to find peace within myself, but didn’t know how or where to locate it. I wanted to be a sergeant again, a writer, less angry, a better husband, and to ward off the constant bombardment of war-related thoughts. Most of all, I didn’t want any more Americans coming home from Iraq in boxes or with jingle-jangled minds.
Everyone acted like they knew so much about the war. But none of them really knew anything besides what they had learned through Internet searches or shady half-truths political pundits spouted from the comfort of their news desks. Nothing could ever be flushed out because nobody bothered to ask the troops or look at both sides of the story.
Conviction rates in the military are pathetic, with most offenders going free AND THERE IS NO RECOURSE FOR APPEAL! The military believes the Emperor has his clothes on, even when they are down around his ankles and he is coming in the woman's window with a knife! Military juries give low sentences or clear offender's altogether. Women can be heard to say “it's not just me” over and over. Men may get an Article 15, which is just a slap on the wrist, and doesn't even follow them in their career. This is hardly a deterrent. The perpetrator frequently stays in place to continue to intimidate their female victims, who are then treated like mental cases, who need to be discharged. Women find the tables turned, letters in their files, trumped up Women find the tables turned, letters in their files, trumped up charges; isolation and transfer are common, as are court ordered psychiatric referrals that label the women as lying or incompatible with military service because they are “Borderline Personality Disorders” or mentally unbalanced. I attended many of these women, after they were discharged, or were wives of abusers, from xxx Air Force Base, when I was a psychotherapist working in the private sector. That was always their diagnosis, yet retesting tended to show something different after stabilization, like PTSD.
There are two things a combat deployment offers which all of us strongly desire. The first, being purpose. Every morning we woke up and knew why we were there. It is immediate and unavoidable. Although, it is extreme and unpleasant, there is a comfort in that purpose. The second, is simplicity. We have one goal. There are relatively simple rules on how to accomplish it, and we understand that just about everything will go wrong. Pretty simple.
Combat and rape, the public and private forms of organized social violence, are primarily experiences of adolescent and early adult life. The United States Army enlists young men at seventeen; the average age of the Vietnam combat soldier was nineteen. In many other countries boys are conscripted for military service while barely in their teens. Similarly, the period of highest risk for rape is in late adolescence. Half of all victims are aged twenty or younger at the time they are raped; three-quarters are between the ages of thirteen and twenty-six. The period of greatest psychological vulnerability is also in reality the period of greatest traumatic exposure, for both young men and young women. Rape and combat might thus be considered complementary social rites of initiation into the coercive violence at the foundation of adult society. They are the paradigmatic forms of trauma for women and men.
“So how’d you do it? How did you get to where you aren’t scared all the freaking time?”Erin’s smile drooped a little, tired with the effort. “You’re making an assumption,” she said. “Just hang in there. It’ll get easier.” “But not better,” Alexander said. “But not better.
When experiences or emotions become too overwhlming, the mind clevely encapsulates the material and stores it for safe-keeping. Many people respond this way in the face of trauma, but the additional step that occurs in this process, in the case of DID, is the formation of distinct ego states that carry the experience.
One of Coin's men lays a hand on my arm. Its not an aggressive move, really, but after the arena's I react defensively to any unfamiliar touch. I jerk my arm free and take off running down the halls. My mind does a quick inventory of my odd little hiding places and i wind up in the supply closet, curled up against a crate of chalk.
We don’t really want to know what soldiers go through in combat. We do not really want to know how many children are being molested and abused in our own society or how many couples—almost a third, as it turns out—engage in violence at some point during their relationship. We want to think of families as safe havens in a heartless world and of our own country as populated by enlightened, civilized people. We prefer to believe that cruelty occurs only in faraway places like Darfur or the Congo. It is hard enough for observers to bear witness to pain. Is it any wonder, then, that the traumatized individuals themselves cannot tolerate remembering it and that they often resort to using drugs, alcohol, or self-mutilation to block out their unbearable knowledge?
EMDR is a bizarre and wondrous treatment and anybody who first hears about it, myself included, thinks this is pretty hokey and strange. It's something invented by Francine Shapiro who found that, if you move your eyes from side to side as you think about distressing memories, that the memories lose their power.And because of some experiences, both with myself, but even more with the patients of mine who told me about their experiences, I took a training in it. It turned out to be incredibly helpful. Then I did what's probably the largest NIH-funded study on EMDR. And we found that, of people with adult-onset traumas, a one-time trauma as an adult, that it had the best outcome of any treatment that has been published.What's intriguing about EMDR is both how well it works and the question is how it works and that got me into this dream stuff that I talked about earlier, and how it does not work through figuring things out and understanding things. But it activates some natural processes in the brain that's helped you to integrate these past memories.
July 15, 1991Nita: My mother was a paragon of our neighborhood, People always come up to us with hugs, saying "You have the most wonderful mother." l'd think. “Don't you see what's going on in this house?” To this day, if somehow even in jest raises their hand to me, I will do this (raises hands to protect face and cowers) I cringe. Then they look at me like, what's your probem? You don't get that from a great childhood.
over and over victims are blamed for their assaults. and when we imply that victims bring on their own fates - whether to make ourselves feel more efficacious or to make the world seem just - we prevent ourselves from taking the necessary precautions to protect ourselves. Why take precautions? We deny the trauma could easily have happened to us. And we also hurt the people already traumatized. Victims are often already full of self-doubt, and we make recovery harder by laying inspectors blame on them.
Instead of showing visibly distinct alternate identities, the typical DID patient presents a polysymptomatic mixture of dissociative and posttraumatic stressdisorder (PTSD) symptoms that are embedded in a matrix of ostensibly non-trauma-related symptoms (e.g., depression, panic attacks, substance abuse,somatoform symptoms, eating-disordered symptoms). The prominence of these latter, highly familiar symptoms often leads clinicians to diagnose only these comorbid conditions. When this happens, the undiagnosed DID patient may undergo a long and frequently unsuccessful treatment for these other conditions.- Guidelines for Treating Dissociative Identity Disorder in Adults, Third Revision, p5
Somatic Symptoms:People with Complex PTSD often have medical unexplained physical symptoms such as abdominal pains, headaches, joint and muscle pain, stomach problems, and elimination problems. These people are sometimes most unfortunately mislabeled as hypochondriacs or as exaggerating their physical problems. But these problems are real, even though they may not be related to a specific physical diagnosis. Some dissociative parts are stuck in the past experiences that involved pain may intrude such that a person experiences unexplained pain or other physical symptoms. And more generally, chronic stress affects the body in all kinds of ways, just as it does the mind. In fact, the mind and body cannot be separated. Unfortunately, the connection between current physical symptoms and past traumatizing events is not always so clear to either the individual or the physician, at least for a while. At the same time we know that people who have suffered from serious medical, problems. It is therefore very important that you have physical problems checked out, to make sure you do not have a problem from which you need medical help.
By listening to the “unspoken voice” of my body and allowing it to do what it needed to do; by not stopping the shaking, by “tracking” my inner sensations, while also allowing the completion of the defensive and orienting responses; and by feeling the “survival emotions” of rage and terrorwithout becoming overwhelmed, I came through mercifully unscathed, both physically and emotionally. I was not only thankful; I was humbled and grateful to find that I could use my method for my own salvation.While some people are able to recover from such trauma on their own, many individuals do not. Tens of thousands of soldiers are experiencing the extreme stress and horror of war. Then too, there are the devastating occurrences of rape, sexual abuse and assault. Many of us, however, have been overwhelmed by much more “ordinary” events suchas surgeries or invasive medical procedures. Orthopedic patients in arecent study, for example, showed a 52% occurrence of being diagnosed with full-on PTSD following surgery.Other traumas include falls, serious illnesses, abandonment, receivingshocking or tragic news, witnessing violence and getting into anauto accident; all can lead to PTSD. These and many other fairly commonexperiences are all potentially traumatizing. The inability to reboundfrom such events, or to be helped adequately to recover by professionals,can subject us to PTSD—along with a myriad of physical and emotionalsymptoms.
The door suddenly jerks open. A wideeyedteenager bursts out. She stares at me in dazed horror. In a strangeway, I both know and don’t know what has just happened. As the fragmentsbegin to converge, they convey a horrible reality: I must havebeen hit by this car as I entered the crosswalk. In confused disbelief, I sinkback into a hazy twilight. I find that I am unable to think clearly or towill myself awake from this nightmare.A man rushes to my side and drops to his knees. He announces himselfas an off-duty paramedic. When I try to see where the voice is comingfrom, he sternly orders, “Don’t move your head.” The contradictionbetween his sharp command and what my body naturally wants—toturn toward his voice—frightens and stuns me into a sort of paralysis.My awareness strangely splits, and I experience an uncanny “dislocation.”It’s as if I’m floating above my body, looking down on the unfoldingscene.I am snapped back when he roughly grabs my wrist and takes mypulse. He then shifts his position, directly above me. Awkwardly, hegrasps my head with both of his hands, trapping it and keeping it frommoving. His abrupt actions and the stinging ring of his command panicme; they immobilize me further. Dread seeps into my dazed, foggy consciousness:Maybe I have a broken neck, I think. I have a compellingimpulse to find someone else to focus on. Simply, I need to have someone’scomforting gaze, a lifeline to hold onto. But I’m too terrified tomove and feel helplessly frozen.
Unlike simple stress, trauma changes your view of your life and yourself. It shatters your most basic assumptions about yourself and your world — “Life is good,” “I’m safe,” “People are kind,” “I can trust others,” “The future is likely to be good” — and replaces them with feelings like “The world is dangerous,” “I can’t win,” “I can’t trust other people,” or “There’s no hope.
TRAUMA STEALS YOUR VOICE People get so tired of asking you what's wrong and you've run out of nothings to tell them. You've tried and they've tried, but the words just turn to ashes every time they try to leave your mouth. They start as fire in the pit of your stomach, but come out in a puff of smoke. You are not you anymore. And you don't know how to fix this. The worst part is...you don't even know how to try.
A lot of people don’t heal, and it manifests in a lot of different ways throughout their lives,” she said once. “Because when trauma doesn’t get to work itself through your system, your system idles at a heightened state, and so getting more really intense input calms your system down.” Which is why, Meredith said, “A lot of folks who’ve survived trauma end up being really calm in crisis and freaking out in everyday life.
I could have lived like that. For a long time. People do it. Like a piece of cardboard, walking around tall and flat in the world, without nerve endings, sinews stiff enough to keep any weakness they’re holding safely twined up. It keeps the good things from getting in, too. But you barely register emptiness when you only have two dimensions. People do it, keep their constriction mostly intact; except for the moments when they don't.
Our work calls on us to confront, with our patients and within ourselves, extraordinary human experiences. This confrontation is profoundly humbling in that at all times these experiences challenge the limits of our humanity and our view of the world...
The symptomatology of PTSD.In PTSD a traumatic event is not remembered and relegated to one's past in the same way as other life events. Trauma continues to intrude with visual, auditory, and/or other somatic reality on the lives of its victims. Again and again they relieve the life-threatening experiences they suffered, reacting in mind and body as though such events were still occurring. PTSD is a complex psychobiological condition.
Lewis's mental map of reality had difficulty accommodating the trauma of the Great War. Like so many, he found the settled way of looking at the world, taken for granted by many in the Edwardian age, to have been shattered by the most brutal and devastating war yet known." (51) Part (McGrath suggests) of Lewis's well-documented search for truth and meaning, that search that ultimately led him to Christianity, emerges from the desire to make sense of his traumatic experience in ways that satisfied him spiritually, emotionally, and intellectually.
The blade sings to me. Faintly, so soft against my ears, its voice calms my worries and tells me that one touch will take it all away. It tells me that I just need to slide a long horizontal cut, and make a clean slice. It tells me the words that I have been begging to hear: this will make it ok.
Both incest and the Holocaust have been subject to furious denial by perpetrators and other individuals and by highly organised groups such as the False Memory Syndrome Foundation and the Committee for Historical Review. Incest and the Holocaust are vulnerable to this kind of concerted denial because of their unfathomability, the unjustifiability, and the threat they pose to the politics of patriarchy and anti-Semitism respectively. Over and over, survivors of the Holocaust attest that they were warned of what was happening in Poland but could not believe it at the time, could not believe it later as it was happening to them, and still to this day cannot believe what they, at the same time, know to have occurred. For Holocaust deniers this is a felicitous twist, for their arguments denying the Holocaust and therefore the legitimacy of Israel as a Jewish state capitalize on the discrepancies of faded memory. In the case of incest, although post-traumatic stress disorder, amnesia, and dissociation represent some of the mind's strategies for comprehending the incomprehensible, incest deniers have taken advantage of inconsistencies to discredit survivor testimony.
In his recent guest editorial, Richard McNally voices skepticism about the National Vietnam Veteran’s Readjustment Study (NVVRS) data reporting that over one-half of those who served in the Vietnam War have posttraumatic stress disorder (PTSD) or subclinical PTSD. Dr McNally is particularly skeptical because only 15% of soldiers served in combat units (1). He writes, “the mystery behind the discrepancy in numbers of those with the disease and of those in combat remains unsolved today” (4, p 815). He talks about bizarre facts and implies many, if not most, cases of PTSD are malingered or iatrogenic. Dr McNally ignores the obvious reality that when people are deployed to a war zone, exposure to trauma is not limited to members of combat units (2,3). At the Operational Trauma and Stress Support Centre of the Canadian Forces in Ottawa, we have assessed over 100 Canadian soldiers, many of whom have never been in combat units, who have experienced a range of horrific traumas and threats in places like Rwanda, Somalia, Bosnia, and Afghanistan. We must inform Dr McNally that, in real world practice, even cooks and clerks are affected when faced with death, genocide, ethnic cleansing, bombs, landmines, snipers, and suicide bombers ...One theory suggests that there is a conscious decision on the part of some individuals to deny trauma and its impact. Another suggests that some individuals may use dissociation or repression to block from consciousness what is quite obvious to those who listen to real-life patients." Cameron, C., & Heber, A. (2006). Re: Troubles in Traumatology, and Debunking Myths about Trauma and Memory/Reply: Troubles in Traumatology and Debunking Myths about Trauma and Memory. Canadian journal of psychiatry, 51(6), 402.
In 2006, there is no army of recovered memory therapists, and Dr McNally’s assumptions about patients with PTSD and those working in this field are troubling. Owing to past debates, those working in the PTSD field are perhaps more knowledgeable than others about malingered, factitious, and iatrogenic variants.Why, then, does Dr McNally attack PTSD as a valid diagnosis, demean those working in the field, and suggest that sufferers are mostly malingered or iatrogenic, while giving little or no consideration is given to such variants of other psychiatric conditions? Perhaps the trauma field has been “so often embroiled in serious controversy” (4, p 816) for the same reason Dr McNally and others have trouble imagining the traumatization of a Vietnam War cook or clerk. One theory suggests that there is a conscious decision on the part of some individuals to deny trauma and its impact. Another suggests that some individuals may use dissociation or repression to block from consciousness what is quite obvious to those who listen to real-life patients."Cameron, C., & Heber, A. (2006). Re: Troubles in Traumatology, and Debunking Myths about Trauma and Memory/Reply: Troubles in Traumatology and Debunking Myths about Trauma and Memory. Canadian journal of psychiatry, 51(6), 402.
Yolanda Gampel utilizes an expanded concept of the "uncanny" to outline the results of violence: Those who experience such traumas are faced with an unbelievable and unreal reality that is incompatible with anything they knew previously. As a result, they can no longer fully believe what they see with their own eyes; they have difficulty distinguishing between the unreal reality they have survived and the fears that spring from their own imagination.
A refusal on the part of psychiatrists and therapists to validate the horrors of their patients' tortured past implies a refusal to take seriously the unconscious psychological mechanisms that individuals need to use to protect themselves from the unspeakable. Such a denial is, however, no longer ethical, for it is in the human capacity to dissociate that lies part of the secret of both childhood abuse and the horrors of the Nazi genocide, both forms of human violence so often carried out by 'respectable' men and women.
Reporters go through four stages in a war zone. In the first stage, you’re Superman, invincible. In the second, you’re aware that things are dangerous and you need to be careful. In the third, you conclude that math and probability are working against you. In the fourth, you know you’re going to die because you’ve played the game too long. I was drifting into stage three.
Eighty two percent of the traumatized children seen in the National Child Traumatic Stress Network do not meet diagnostic criteria for PTSD.15 Because they often are shut down, suspicious, or aggressive they now receive pseudoscientific diagnoses such as “oppositional defiant disorder,” meaning “This kid hates my guts and won’t do anything I tell him to do,” or “disruptive mood dysregulation disorder,” meaning he has temper tantrums. Having as many problems as they do, these kids accumulate numerous diagnoses over time. Before they reach their twenties, many patients have been given four, five, six, or more of these impressive but meaningless labels. If they receive treatment at all, they get whatever is being promulgated as the method of management du jour: medications, behavioral modification, or exposure therapy. These rarely work and often cause more damage.
The Persian rug served as their country. The brawnier toilet paper people opted to live in its jade green jungles while the more sensitive and reflective toilet paper people preferred hiding in its opal cream sky. They were so light. No one would ever be able to tell that they had lived there.