Bessel van der Kolk Quotes
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Pendulation—gently moving in and out of accessing internal sensations.
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In a series of elegant studies Stickgold and his colleagues showed that the sleeping brain can even make sense out of information whose relevance is unclear while we are awake and integrate it into the larger memory system.
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Trauma interferes with the proper functioning of brain areas that manage and interpret experience.
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Whose memories were merely blunted, not integrated as an event that happened in the past, and still caused considerable anxiety—those who received EMDR no longer experienced the distinct imprints of the trauma: It had become a story of a terrible event that had happened a long time ago.
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The opening line of the grant rejection read: “It has never been shown that PTSD is relevant to the mission of the Veterans Administration.
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Many of my patients have survived trauma through tremendous courage and persistence, only to get into the same kinds of trouble over and over again. Trauma has shut down their inner compass and robbed them of the imagination they need to create something better.
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This suggested that for many traumatized people, reexposure to stress might provide a similar relief from anxiety.
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It is one thing to process memories of trauma, but it is an entirely different matter to confront the inner void—the holes in the soul that result from not having been wanted, not having been seen, and not having been allowed to speak the truth.
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As my friend Ed Tronick taught me a long time ago, the brain is a cultural organ—experience shapes the brain.
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Three responses to threat. 1. The social engagement system: an alarmed monkey signals danger and calls for help. VVC. 2. Fight or flight: Teeth bared, the face of rage and terror. SNS. 3. Collapse: The body signals defeat and withdraws. DVC.
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I like to believe that once our society truly focuses on the needs of children, all form of social support for families - a policy that remains so controversial in this country - will gradually come to seem not only desirable but also doable. ... if we feel abandoned, worthless, or invisible, nothing seems to matter. Fear destroys curiosity and playfulness. In order to have a healthy society, we must raise children who can safely play and learn. Currently, more than 50 percent of children served by Head Start have had three or more adverse childhood experience like those included in the ACR study: incarcerated family members, depression, violence, abuse, or drug use in the home and periods of homelessness... Trauma is now our most urgent public health issue, and we have the knowledge necessary to respond effectively. The choice is ours to act on what we know.
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Left my CBT therapist to work with a psychodynamic psychiatrist and I joined a Pilates class.
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When people are compulsively and constantly pulled back into the past, to the last time they felt intense involvement and deep emotions, they suffer from a failure of imagination, a loss of the mental flexibility. Without imagination there is no hope, no chance to envision a better future, no place to go, no goal to reach.
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Exploring physical sensations and discovering the location and shape of the imprints of past trauma on the body.
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For real change to take place, the body needs to learn that the danger has passed and to live in the reality of the present.
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Children whose parents are reliable sources of comfort and strength have a lifetime advantage—a kind of buffer against the worst that fate can hand them.
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Every life is a piece of art, put together with all means available.
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One study, based on Medicaid data in thirteen states, found that 12.4 percent of children in foster care received antipsychotics, compared with 1.4 percent of Medicaid-eligible children in general.
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In April 2013, a few weeks before DSM-V was formally released, NIMH director Thomas Insel announced that his agency could no longer support DSM’s “symptom-based diagnosis.”32 Instead the institute would focus its funding on what are called Research Domain Criteria (RDoC)33 to create a framework for studies that would cut across current diagnostic categories.
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It is not possible to manage life and maintain homeostatic balance without data on the current state of the organism’s body. Damasio calls these housekeeping areas of the brain the “proto-self,” because they create the “wordless knowledge” that underlies our conscious sense of self.
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They learned to shut down their once overwhelming emotions, and, as a result, they no longer recognized what they were feeling. Few of them had any interest in therapy.
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Many traumatized individuals are too hypervigilant to enjoy the ordinary pleasures that life has to offer, while other are too numb to absorb new experiences – or to be alert to signs of real danger. When the smoke detectors of the brain malfunction, people no longer run when they should be trying to escape or fight back when they should be defending themselves.
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The most important predictor of how well his subjects coped with life’s inevitable disappointments was the level of security with their primary caregiver during the first two years of life. Resilience could be predicted by how lovable mothers rated their kids at age two.
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Being able to move and do something to protect oneself is a critical factor in determining whether or not a horrible experience will leave long-lasting scars.