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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.
Cherry Tigris
The Persian rug served as their country with people living injade green jungles and others living in an opal cream sky.They were so light. No one would ever be able to tell thatthey had lived there.
Cherry Tigris
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.
Bessel A. van der Kolk
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.
Richard Engel
Yes, she fears the cuffs, the cross and the whip, but she will get past this. Such problems, even with time, do not go away on their own. They must be addressed.André Chevalier
Nikki Sex
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.
Janet Walker
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.
Colin Cameron
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.
Colin Cameron
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.
Nicole Waller
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.
Felicity De Zulueta
I’m a stranger behind the same set of eyes that the girl in the photo holds.
Amanda Steele
There, alone in the sterile room, sitting on a pink vinyl chair that boasts many cracks in its once nice upholster, you wait. You think to yourself , who would have thought I would be ringing in the New Year by urinating into a cup to see if I have chlamydia?
Amanda Steele
Alone with thoughts of what should have long been forgotten, I let myself be carried away into the silent screams of delirium.
Amanda Steele
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.
Amanda Steele
Here, from her ashes you lay. A broken girl so lost in despondency that you know that even if she does find her way out of this labyrinth in hell, that she will never see, feel, taste, or touch life the same again.
Amanda Steele
Amnesia was a soldier's best friend, and luckily, it could be taught. Missing limbs still ache, but missing memories never do.
Alex London
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.
Peter A. Levine
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.
Peter A. Levine
Miriam is upset. Her voice is stretched and I can't look at her. Perhaps they beat something out of her she didn't get back.
Anna Funder
Phrases such as "I'm beside myself," "I was frightened to pieces," "I feel lost," "I feel like part of me is missing," originated from a sense of soul loss.
S. Kelley Harrell
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.
C. S. Lewis: A Life: Eccentric Genius
Understanding trauma and that we each respond to it differently will help us be supportive and nonjudgmental toward each other.
Stephanie S. Covington
The initial trauma of a young child may go underground but it will return to haunt us.
James Garbarino
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.
Anna C. Salter
Traumas produce their disintegrating effects in proportion to their intensity, duration and repetition. (1909)
Pierre Janet
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...
John P. Wilson
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
James A. Chu
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.
Suzette Boon
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.
Babette Rothschild
Triggers are like little psychic explosions that crash through avoidance and bring the dissociated, avoided trauma suddenly, unexpectedly, back into consciousness.
Carolyn Spring
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.
Bessel A. van der Kolk
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.
Sarah E. Olson
Trauma is any stressor that occurs in a sudden and forceful way and is experienced as overwhelming.
Stephanie S. Covington
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.
Deborah Bray Haddock
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.
Suzanne Collins
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?
Bessel A. van der Kolk
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.
Mac McClelland
Dissociation is adaptive: it allows relatively normal functioning for the duration of the traumatic event and then leaves a large part of the personality unaffected by the trauma.
Bessel A. van der Kolk
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.
Mac McClelland
People who have survived atrocities often tell their stories in a highly emotional, contradictory and fragmented manner.
Judith Lewis Herman
Traumatic events challenge an individual's view of the world as a just, safe and predictable place. Traumas that are caused by human behavior. . . commonly have more psychological impact than those caused by nature.
American Psychological Association
And I knew then that there would be no telling me what he saw. I understand somehow that certain images, certain sounds, could not be shared and could not be lost.
Kate Morton
I think I broke Kerri,” she said. “Go fix her,” Al commanded, unfazed. “We’ve got enough broken parts.
Edgar Cantero
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.
nikitta gill
“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.
Daniel Abraham
We don't go back to wallow, we go back to undo the lies that are back there that are holding its captive from living a wondrous and full life.
Darlene Ouimet
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.
Judith Lewis Herman
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.
Mark Goulston
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.
Diane Chamberlain
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.
Adam Fenner
When we deployed, in our heads, the towel we left hanging next to the shower to dry, would still be hanging there when we got back. Well, it won’t be. If it is, some important questions need to be asked.
Adam Fenner
I’ll give you one chance to run,but may your shoulder always whisper in your ear…“It’s best to watch out for men, like me.
Ryan Goodrich
Who supports the troops? The troops support the troops.
Clint Van Winkle
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.
James S.A. Corey
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.
Clint Van Winkle
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.
Clint Van Winkle
Congratulations for conquering PTSD. And now you're fucked.
David Finkel
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
Jake Wood
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.
David Finkel
Boundaries are, in simple terms, the recognition of personal space.
Asa Don Brown
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