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Being able to feel safe with other people is probably the most important aspect of mental health; safe connections are fundamental to meaningful and satisfying lives. Numerous studies of disaster response around the globe have shown that social support is the most powerful protection against becoming overwhelmed by stress and trauma. Social support is not the same as merely being in the presence of others. The critical issue is reciprocity: being truly heard and seek by the people around us, feeling that we are held in someone else's mind and heart.
Bessel van der Kolk
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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.
Bessel van der Kolk
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On YouTube you can still watch the documentary Let There Be Light, by the great Hollywood director John Huston, which shows men undergoing hypnosis to treat “war neurosis.
Bessel van der Kolk
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When you don’t feel real nothing matters, which makes it impossible to protect yourself from danger.
Bessel van der Kolk
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As the ACE study has shown, child abuse and neglect is the single most preventable cause of mental illness, the single most common cause of drug and alcohol abuse, and a significant contributor to leading causes of death such as diabetes, heart disease, cancer, stroke, and suicide.
Bessel van der Kolk
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Exploring physical sensations and discovering the location and shape of the imprints of past trauma on the body.
Bessel van der Kolk
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The way a mother holds her child underlies “the ability to feel the body as the place where the psyche lives.
Bessel van der Kolk
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Antipsychotic drugs were a major factor in reducing the number of people living in mental hospitals in the United States, from over 500,000 in 1955 to fewer than 100,000 in 1996.
Bessel van der Kolk
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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.
Bessel van der Kolk
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This suggested that for many traumatized people, reexposure to stress might provide a similar relief from anxiety.
Bessel van der Kolk
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The trauma may be over, but it keeps being replayed in continually recycling memories and in a reorganized nervous system.
Bessel van der Kolk
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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.
Bessel van der Kolk
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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.
Bessel van der Kolk
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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.
Bessel van der Kolk
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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.
Bessel van der Kolk
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What can not be spoken to the mother cannot be told to the self.
Bessel van der Kolk
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Every life is a piece of art, put together with all means available.
Bessel van der Kolk
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Great detail will help people to leave it behind. That is also a basic premise of cognitive behavioral therapy (CBT), which today is taught in graduate psychology courses around the world.
Bessel van der Kolk
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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.
Bessel van der Kolk
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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.
Bessel van der Kolk
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Primordial feelings provide a direct experience of one’s own living body, wordless, unadorned, and connected to nothing but sheer existence. These primordial feelings reflect the current state of the body along varied dimensions, . . . along the scale that ranges from pleasure to pain, and they originate at the level of the brain stem rather than the cerebral cortex. All feelings of emotion are complex musical variations on primordial feelings.
Bessel van der Kolk
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Hypersensitized to her memories of the past and that the best treatment would be some form of desensitization.
Bessel van der Kolk
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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.
Bessel van der Kolk
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Agency is the technical term for the feeling of being in charge of your life: knowing where you stand, knowing that you have.
Bessel van der Kolk
