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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.
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Porges coined the word “neuroception” to describe the capacity to evaluate relative danger and safety in one’s environment.
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Because traumatized people often have trouble sensing what is going on in their bodies, they lack a nuanced response to frustration. They either react to stress by becoming “spaced out” or with excessive anger. Whatever their response, they often can’t tell what is upsetting them. This failure to be in touch with their bodies contributes to their well-documented lack of self-protection and high rates of revictimization23 and also to their remarkable difficulties feeling pleasure, sensuality, and having a sense of meaning. People with alexithymia can get better only by learning to recognize the relationship between their physical sensations and their emotions, much as colorblind people can only enter the world of color by learning to distinguish and appreciate shades of gray.
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Danger is a normal part of life, and the brain is in charge of detecting it and organizing our.
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It takes tremendous energy to keep functioning while carrying the memory of terror, and the shame of utter weakness and vulnerability.
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The greater the doubt, the greater the awakening; the smaller the doubt, the smaller the awakening. No doubt, no awakening.
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The different sensations that entered the brain at the time of the trauma are not properly assembled into a story, a piece of autobiography.
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It is not that something different is seen, but that one sees differently. It is as though the spatial act of seeing were changed by a new dimension.
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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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Is it possible to help the minds and brains of brutalized children to redraw their inner maps and incorporate a sense of trust and confidence in the future?
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Generally the rational brain can override the emotional brain, as long as our fears don’t hijack us. (For example, your fear at being flagged down by the police can turn instantly to gratitude when the cop warns you that there’s an accident ahead.) But the moment we feel trapped, enraged, or rejected, we are vulnerable to activating old maps and to follow their directions. Change begins when we learn to "own" our emotional brains. That means learning to observe and tolerate the heartbreaking and gut-wrenching sensations that register misery and humiliation. Only after learning to bear what is going on inside can we start to befriend, rather than obliterate, the emotions that keep our maps fixed and immutable.
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It is amazing how many psychological problems involve difficulties with sleep, appetite, touch, digestion, and arousal. Any effective treatment for trauma has to address these basic housekeeping functions of the body.
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Some of them had hardly developed a sense of self—they couldn’t even recognize themselves in a mirror.
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Trauma victims cannot recover until they become familiar with and befriend the sensations in their bodies.
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The organism itself also has a problem knowing how to feel safe. The past is impressed not only on their minds, and in misinterpretations of innocuous events (as when Marilyn attacked Michael because he accidentally touched her in her sleep), but also on the very core of their beings: in the safety of their bodies.
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In a statement released in June 2011, the British Psychological Society complained to the APA that the sources of psychological suffering in the DSM.
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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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There is something very empowering about having the experience of changing your brain’s activity with your mind.
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Our sense of Self depends on being able to organize our memories into a coherent whole.
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Trauma increases the risk of misinterpreting whether a particular situation is dangerous or safe. You can get along with other people only if you can accurately gauge whether their intentions are benign or dangerous. Even a slight misreading can lead to painful misunderstandings in relationships at home and at work. Functioning effectively in a complex work environment or a household filled with rambunctious kids requires the ability to quickly assess how people are feeling and continuously adjusting your behavior accordingly. Faulty alarm systems lead to blowups or shutdowns in response to innocuous comments or facial expressions.
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Living: Using the Wisdom of Your Body and Mind to Face Stress, Pain, and Illness, revised edition.
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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.”9 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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The structures along the midline of the brain are devoted to your inner experience of yourself, those on the side are more concerned with your relationship with your surroundings.
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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.