Attachment Disorder Quotes

Mind control is built on lies and manipulation of attachment needs. Valerie Sinason, (Forward)

What cannot be communicated to the [m]other cannot be communicated to the self.

By developing a contaminated, stigmatized identity, the child victim takes the evil of the abuser into herself and thereby preserves her primary attachments to her parents. Because the inner sense of badness preserves a relationship, it is not readily given up even after the abuse has stopped; rather, it becomes a stable part of the child's personality structure.

Women could probably be trained quite easily to see men first as sexual things. If girls never experienced sexual violence; if a girl's only window on male sexuality were a stream of easily available, well-lit, cheap images of boys slightly older than herself, in their late teens, smiling encouragingly and revealing cuddly erect penises the color of roses or mocha, she might well look at, masturbate to, and, as an adult, "need" beauty pornography based on the bodies of men. And if those initiating penises were represented to the girl as pneumatically erectible, swerving neither left nor right, tasting of cinnamon or forest berries, innocent of random hairs, and ever ready; if they were presented alongside their measurements, length, and circumference to the quarter inch; if they seemed to be available to her with no troublesome personality attached; if her sweet pleasure seemed to be the only reason for them to exist--then a real young man would probably approach the young woman's bed with, to say the least, a failing heart.

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.

I have an obligation to help eliminate the stigma attached to mental illness. When I’m feeling despondent and someone asks in a sincere way how I am, I have a duty to tell the truth. It’s no different from saying I have a bad cold. By speaking candidly, I give others permission to acknowledge their own mental illness, talk about it, and seek help. I must break the silence instead of treating my depression like a shameful character flaw.

The primary driver to pathological dissociation is attachment disorganization in early life: when that is followed by severe and repeated trauma, then a major disorder of structural dissociation is created (Lyons-Ruth, Dutra, Schuder, & Bianchi, 2006).

The capacity for dissociation enables the young child to exercise their innate life-sustaining need for attachment in spite of the fact that principal attachment figures are also principal abusers.

when a child is ridiculed, shamed, hurt or ignored when she experiences and expresses a legitimate dependency need, she will later be inclined to attach those same affective tones to her dependency. Thus, she will experience her own (and perhaps others’) dependency as ridiculous, shameful, painful, or denied. - Dependency in the Treatment of complex PTSD and Dissociative Disorders 2001 Authors: Kathy Steele, Onno van der Hart, Ellert R. S. Nijenhuis

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?

I'm not the kind of person who likes to shout out my personal issues from the rooftops, but with my bipolar becoming public, I hope fellow sufferers will know it's completely controllable. I hope I can help remove any stigma attached to it, and that those who don't have it under control will seek help with all that is available to treat it.

Children with attachment disorders grow up to have difficulty in relationships, which they seek out of need and then destroy out of fear, resulting in a lack of self-worth and a sense of isolation.

Attachment. A secure attachment is the ability to bond; to develop a secure and safe base; an unbreakable or perceivable inability to shatter to bond between primary parental caregiver(s) and child; a quest for familiarity; an unspoken language and knowledge that a caregiver will be a permanent fixture.

If the abuser is a parent or caretaker, the abuse may be the most attention the child has had from that person. To the child, withholding attention can be a powerful form of coercion. Sexual molestation may be accompanied by physical expressions of affection that are sometimes the only affection the child receives.

Too many Americans are spurred to achieve, rather than to attach.

The attachment disorder made us unable to trust close relationships because the first thing we ever learned is that people leave you. Then it also made us panic at the prospect of being alone. It’s slow, difficult, excruciating work.

One day I would like to make up my own DSM-111 with a list of “disorders” I have seen in my practice. For example, I would want to include the diagnosis “psychological modernism,” an uncritical acceptance of the values of the modern world. It includes blind faith in technology, inordinate attachment to material gadgets and conveniences, uncritical acceptance of the march of scientific progress, devotion to the electronic media, and a life-style dictated by advertising.

How was it that we were all so blind?

More than one personality was created in the hope of being the daughter Nancy could consistently love. More than one new personality was created in response to Mother's unexpected fury.

Perhaps a past of bingeing, restricting, or purging comes back to haunt you from time to time. Maybe you have to fight hard battles against vanity, gluttony, and shame. But with God’s saving power, every new day is a gift, an opportunity to detach yourself from tormenting thoughts about food or how you look and to attach yourself to God. Remember, we all hunger for God, more than we hunger for a big bowl of ice cream or a perfect physique.

Despite our attachment to notions of free will, most us know that disorders of the brain can trump the best intentions of the mind.

In their effort to avoid conflicts, they have avoided intimacy. They can feel numb to a spouse’s needs. Messages become jumbled and can eventually almost stop being taken in by the AVP.

Diagnoses —such as ADHD, oppositional defiant disorder, bipolar disorder, depression, an autism spectrum disorder, reactive attachment disorder, the newly coined disruptive mood regulation disorder, or any other disorder—can be helpful in some ways. They “validate” that there’s something different about your kid, for example. But they can also be counterproductive in that they can cause caregivers to focus more on a child’s challenging behaviors rather than on the lagging skills and unsolved problems giving rise to those behaviors. Also, diagnoses suggest that the problem resides within the child and that it’s the child who needs to be fixed. The reality is that it takes two to tango. Let there be no doubt, there’s something different about your child. But you are part of the mix as well. How you understand and respond to the hand you’ve been dealt is essential to helping your child.

Sadly, psychiatric training still includes far too little on the very serious psychiatric sequelae of childhood trauma, especially CSA [child sexual abuse]. There is inadequate recognition within mental health services of the prevalence and importance of Dissociative Disorders, sufferers of which are frequently misdiagnosed as Borderline Personality Disorder (BPD), or, in the cases of DID, schizophrenia. This is to some extent understandable as some of the features of DID appear superficially to mimic those of schizophrenia and/or Borderline Personality Disorder.

Cptsd typically includes an attachment disorder that comes from the absence of a sympathetic caregiver in childhood. When the developing child lacks a supportive parental refuge, she never learns that other people can soothe loneliness and emotional pain. She never learns that real intimacy grows out of sharing all of her experience.

Please don't talk to me like I'm crazy. I've been accused of personality disorders enough this week, thanks. You know I've slept with girls before and didn't get attached.

Under stress in a relationship, thoughts and emotions increase. They gravitate to negative emotions of fear and grab onto a fear thought that quickly manifests itself.

I don't expect to have a fully verified story of how Jo's disorder developed, but I don't think that historical accuracy is as important as what I call "emotional truth." People attach different levels of significance to the same events. No two participants in any event remember it in exactly the same way. A single broken promise, for example, among thousands of promises kept, might not be remembered by a parent, but may never be forgotten by the child who was disappointed. (34)

Nita: I think I overdid the vulnerability stuff in this last letter. and that’s why I’m having an anxiety attack. Howard: With the vulnerability comes the possibility that you’ll be betrayed. Now that you’ve laid yourself wide open, I am the agent of this betrayal? It’s not my style. Nita: I’ve thought it wasn't other people’s style, too.

Privileged women continue the tradition of compensating for their authority to men through affectations of disablement – from dieting and other disorders to substance abuse, institutionalised detachment from their children, and so on.

They can be seen as givers in their inability to confront situations. This can have a benefit of appearing to be trying in a relationship, yet distancing themselves. This ultimately exhausts them and overwhelms them to the point of poor me.

The warmth and satisfaction of positive contact with the adult is often just as good as a psychostimulant in supplying the child’s prefrontal cortex with dopamine. Greater security means less anxiety and more focused attention. The unseen factor that remains constant in all situations is the child’s unconscious yearning for attachment, dating back to the first years of life.

When clients relinquish symptoms, succeed in achieving a personal goal, or make healthier choices for themselves, subsequently many will feel anxious, guilty, or depressed. That is, when clients make progress in treatment and get better, new therapists understandably are excited. But sometimes they will also be dismayed as they watch the client sabotage her success by gaining back unwanted weight or missing the next session after an important breakthrough and deep sharing with the therapist. Thus, loyalty and allegiance to symptoms—maladaptive behaviors originally developed to manage the “bad” or painfully frustrating aspects of parents—are not maladaptive to insecurely attached children. Such loyalty preserves “object ties,” or the connection to the “good” or loving aspects of the parent. Attachment fears of being left alone, helpless, or unwanted can be activated if clients disengage from the symptoms that represent these internalized “bad” objects (for example, if the client resolves an eating disorder or terminates a problematic relationship with a controlling/jealous partner). The goal of the interpersonal process approach is to help clients modify these early maladaptive schemas or internal working models by providing them with experiential or in vivo re-learning (that is, a “corrective emotional experience”). Through this real-life experience with the therapist, clients learn that, at least sometimes, some relationships can be different and do not have to follow the same familiar but problematic lines they have come to expect.

SELFHOOD AND DISSOCIATION The patient with DID or dissociative disorder not otherwise specified (DDNOS) has used their capacity to psychologically remove themselves from repetitive and inescapable traumas in order to survive that which could easily lead to suicide or psychosis, and in order to eke some growth in what is an unsafe, frequently contradictory and emotionally barren environment. For a child dependent on a caregiver who also abuses her, the only way to maintain the attachment is to block information about the abuse from the mental mechanisms that control attachment and attachment behaviour.10 Thus, childhood abuse is more likely to be forgotten or otherwise made inaccessible if the abuse is perpetuated by a parent or other trusted caregiver. In the dissociative individual, ‘there is no uniting self which can remember to forget’. Rather than use repression to avoid traumatizing memories, he/she resorts to alterations in the self ‘as a central and coherent organization of experience. . . DID involves not just an alteration in content but, crucially, a change in the very structure of consciousness and the self’ (p. 187).29 There may be multiple representations of the self and of others. Middleton, Warwick. "Owning the past, claiming the present: perspectives on the treatment of dissociative patients." Australasian Psychiatry 13.1 (2005): 40-49.

Simple being is a deep sigh of relief that comes from letting go of pretense. It is also the sigh that comes from releasing a heavy burden that results from creating and managing the false selves that are substitute centers for the truth of our being. It is the sigh of release as we exchange complexity for simplicity. It is the sigh of release as we let go of preoccupations, inordinate attachments, and disordered passions. Things in the depths of our beings get aligned when we let go of these things.

It is hardly surprising that many survivors of ritual abuse develop DID in order to preserve their own sanity.

Multiple personality usually develops in the presence of severe and repeated trauma, beginning at a very early age, when the personality is developing.

Despite our attachment to the notion of free will, most of us know that disorders of the brain can trump the best intentions of the mind.

I think the stigma attached to mental illness will disappear just like it did for cancer years ago.

No person can force conviction upon another.

Pleasing the Lord is an attainable hope and gives joy no matter what other hopes are thwarted.

Right.” Roic nodded. He glanced over Miles’s growing array of medical attachments. “By the way, m’lord. Had you happened to mention your seizure disorder to the surgeon yet?

Parent to glorify God, not to get your child to behave. God’s sovereignty is the foundation of parenting and His glory its highest purpose.

His maternal deprivation had caused what John Bowlby, a famous British psychiatrist, called an “attachment disorder.” Maternal attachment is more important than anything else to a baby—even more important than food. A baby will give up anything to have it. Without it, the child is anxious and unable to explore or deal with the world in any normal way. And attachment disorder doesn’t just affect the relationship with the mother; it affects all social, emotional, and cognitive development. If the child doesn’t experience attachment, that child can’t move forward to step two—trusting and emotionally attaching to others and, eventually, sexually attaching to others. In other words, you can’t grow emotionally if you didn’t have infant attachment.

But she thought that maybe she didn’t like all that many people. How many people are you supposed to like? she wondered. Below what number are you attachment-disordered? She liked colleagues in a drinks-after-work kind of way. But in general, they were net-unhelpful during the workday, and often annoying, with their egg salad sandwiches and their bike helmets perched on their monitors.

This means that the search for security and certainty is actually an attachment to the known. And what’s the known? The known is our past. The known is nothing other than the prison of past conditioning. There’s no evolution in that — absolutely none at all. And when there is no evolution, there is stagnation, entropy, disorder, and decay. Uncertainty, on the other hand, is the fertile ground of pure creativity and freedom

To the significant other, the confusion can become enormous. They “hear” the AVP say, I want it, but I don’t. I want it all, not just some. I’m too overwhelmed; I can’t get what I really want. Poor me. I can’t deal with this, and you, too. I’m tired. I’m bored. I don’t care about your situation. Calm down. We don’t need emotions here. Only controlled access is allowed. These statements may or may not be said, but they are acted out.

Environmental influences also affect dopamine. From animal studies, we know that social stimulation is necessary for the growth of the nerve endings that release dopamine and for the growth of receptors that dopamine needs to bind to in order to do its work. In four-month-old monkeys, major alterations of dopamine and other neurotransmitter systems were found after only six days of separation from their mothers. “In these experiments,” writes Steven Dubovsky, Professor of Psychiatry and Medicine at the University of Colorado, “loss of an important attachment appears to lead to less of an important neurotransmitter in the brain. Once these circuits stop functioning normally, it becomes more and more difficult to activate the mind.” A neuroscientific study published in 1998 showed that adult rats whose mothers had given them more licking, grooming and other physical-emotional contact during infancy had more efficient brain circuitry for reducing anxiety, as well as more receptors on nerve cells for the brain’s own natural tranquilizing chemicals. In other words, early interactions with the mother shaped the adult rat’s neurophysiological capacity to respond to stress. In another study, newborn animals reared in isolation had reduced dopamine activity in their prefrontal cortex — but not in other areas of the brain. That is, emotional stress particularly affects the chemistry of the prefrontal cortex, the center for selective attention, motivation and self-regulation. Given the relative complexity of human emotional interactions, the influence of the infant-parent relationship on human neurochemistry is bound to be even stronger. In the human infant, the growth of dopamine-rich nerve terminals and the development of dopamine receptors is stimulated by chemicals released in the brain during the experience of joy, the ecstatic joy that comes from the perfectly attuned mother-child mutual gaze interaction. Happy interactions between mother and infant generate motivation and arousal by activating cells in the midbrain that release endorphins, thereby inducing in the infant a joyful, exhilarated state. They also trigger the release of dopamine. Both endorphins and dopamine promote the development of new connections in the prefrontal cortex. Dopamine released from the midbrain also triggers the growth of nerve cells and blood vessels in the right prefrontal cortex and promotes the growth of dopamine receptors. A relative scarcity of such receptors and blood supply is thought to be one of the major physiological dimensions of ADD. The letters ADD may equally well stand for Attunement Deficit Disorder.

Rikki looked over at me. “Why now?" she asked, looking back at Arly. “Why is this happening now?" "Hard to say." Arly [therapist] replied. "DID usually gets diagnosed in adulthood. Something happens that triggers the alters to come out. When Cam's father died and he came in to help his brother run the family business he was in close contact with his mother again. Maybe it was seeing Kyle around the same age when some of the abuse happened. Cam was sick for a long time and finally got better. Maybe he wasn't strong enough until now to handle this. It's probably a combination of things. But it sure looks like some of the abuse Cam experienced involved his mother. And sexual abuse by the mother is considered to he one of the most traumatic forms of abuse. In some ways it's the ultimate betrayal.

Since we can’t openly stim or engage in other repetitive behaviors, some masked Autistic people reach for flawed coping strategies to help manage stress. We’re at an elevated risk of eating disorders,[32] alcoholism and drug addiction,[33] and insecure attachments to others.[34

A child, with parents who are unable or unwilling to provide safe enough attachment, has no one to whom she can bring her whole developing self. No one is there for reflection, validation and guidance. No one is safe enough to go to for comfort or help in times of trouble. There is no one to cry to, to protest unfairness to, and to seek compassion from for hurts, mistakes, accidents, and betrayals. No one is safe enough to shine with, to do “show and tell” with, and to be reflected as a subject of pride. There is no one to even practice the all-important intimacy-building skills of conversation. In the paraphrased words of more than one of my clients: “Talking to Mom was like giving ammunition to the enemy. Anything I said could and would be used against me. No wonder, people always tell me that I don’t seem to have much to say for myself.” Those with Cptsd-spawned attachment disorders never learn the communication skills that engender closeness and a sense of belonging. When it comes to relating, they are often plagued by debilitating social anxiety - and social phobia when they are at the severe end of the continuum of Cptsd.

In the middle of the night, he woke up and realized to his surprise that he had been having one erotic dream after the other. The only one he could recall with any clarity was the last: an enormous naked woman, at least five times his size, floating on her back in a pool, her belly from crotch to navel covered with thick hair. Looking at her from the side of the pool, he was greatly excited. How could he have been excited when his body was debilitated by a gastric disorder? And how could he be excited by the sight of a woman who would have repelled him had he seen her while conscious? He thought: In the clockwork of the head, two cogwheels turn opposite each other. On the one, images; on the other, the body's reactions. The cog carrying the image of a naked woman meshes with the corresponding erection-command cog. But when, for one reason or another, the wheels go out of phase and the excitement cog meshes with a cog bearing the image of a swallow in flight, the penis rises at the sight of a swallow. Moreover, a study by one of Tomas's colleagues, a specialist in human sleep, claimed that during any kind of dream men have erections, which means that the link between erections and naked women is only one of a thousand ways the Creator can set the clockwork moving in a man's head. And what has love in common with all this? Nothing. If a cogwheel in Tomas's head goes out of phase and he is excited by seeing a swallow, it has absolutely no effect on his love for Tereza. If excitement is a mechanism our Creator uses for His own amusement, love is something that belongs to us alone and enables us to flee the Creator. Love is our freedom. Love lies beyond Es muss sein! Though that is not entirely true. Even if love is something other than a clockwork of sex that the Creator uses for His own amusement, it is still attached to it. It is attached to it like a tender naked woman to the pendulum of an enormous clock. Thomas thought: Attaching love to sex is one of the most bizarre ideas the Creator ever had. He also thought: One way of saving love from the stupidity of sex would be to set the clockwork in our head in such a way as to excite us at the sight of a swallow. And with that sweet thought he started dozing off. But on the very threshold of sleep, in the no-man's-land of muddled concepts, he was suddenly certain he had just discovered the solution to all riddles, the key to all mysteries, a new utopia, a paradise: a world where man is excited by seeing a swallow and Tomas can love Tereza without being disturbed by the aggressive stupidity of sex.

What you describe is parasitism, not love. When you require another individual for your survival, you are a parasite on that individual. There is no choice, no freedom involved in your relationship. It is a matter of necessity rather than love. Love is the free exercise of choice. Two people love each other only when they are quite capable of living without each other but choose to live with each other. We all-each and every one of us-even if we try to pretend to others and to ourselves that we don't have dependency needs and feelings, all of us have desires to be babied, to be nurtured without effort on our parts, to be cared for by persons stronger than us who have our interests truly at heart. No matter how strong we are, no matter how caring and responsible and adult, if we look clearly into ourselves we will find the wish to be taken care of for a change. Each one of us, no matter how old and mature, looks for and would like to have in his or her life a satisfying mother figure and father figure. But for most of us these desires or feelings do not rule our lives; they are not the predominant theme of our existence. When they do rule our lives and dictate the quality of our existence, then we have something more than just dependency needs or feelings; we are dependent. Specifically, one whose life is ruled and dictated by dependency needs suffers from a psychiatric disorder to which we ascribe the diagnostic name "passive dependent personality disorder." It is perhaps the most common of all psychiatric disorders. People with this disorder, passive dependent people, are so busy seeking to be loved that they have no energy left to love…..This rapid changeability is characteristic of passive dependent individuals. It is as if it does not matter whom they are dependent upon as long as there is just someone. It does not matter what their identity is as long as there is someone to give it to them. Consequently their relationships, although seemingly dramatic in their intensity, are actually extremely shallow. Because of the strength of their sense of inner emptiness and the hunger to fill it, passive dependent people will brook no delay in gratifying their need for others. If being loved is your goal, you will fail to achieve it. The only way to be assured of being loved is to be a person worthy of love, and you cannot be a person worthy of love when your primary goal in life is to passively be loved. Passive dependency has its genesis in lack of love. The inner feeling of emptiness from which passive dependent people suffer is the direct result of their parents' failure to fulfill their needs for affection, attention and care during their childhood. It was mentioned in the first section that children who are loved and cared for with relative consistency throughout childhood enter adulthood with a deep seated feeling that they are lovable and valuable and therefore will be loved and cared for as long as they remain true to themselves. Children growing up in an atmosphere in which love and care are lacking or given with gross inconsistency enter adulthood with no such sense of inner security. Rather, they have an inner sense of insecurity, a feeling of "I don't have enough" and a sense that the world is unpredictable and ungiving, as well as a sense of themselves as being questionably lovable and valuable. It is no wonder, then, that they feel the need to scramble for love, care and attention wherever they can find it, and once having found it, cling to it with a desperation that leads them to unloving, manipulative, Machiavellian behavior that destroys the very relationships they seek to preserve. In summary, dependency may appear to be love because it is a force that causes people to fiercely attach themselves to one another. But in actuality it is not love; it is a form of antilove. Ultimately it destroys rather than builds relationships, and it destroys rather than builds people.

This means that emotional hoarding is occurring. How to balance the needs of others is difficult for them. Therefore, more AVPs need psychological treatment to assist on an ongoing basis. Add to this the fact that the spouse of the AVP recognizes the AVP has times of clarity. This just increases anxiety and defensiveness for both when the needed clarity is gone.

The AVP often has intestinal issues. The intestines are indeed a second brain and need a significant amount of support. It may be interesting to note the polyvagal theory of Steven Porges (2011), who wrote about the tenth cranial nerve, which runs from the brain to the gut. Negative responses in the gut can occur when flight/fight/freeze responses are automatically activated.

LEVELS OF EMOTIONAL FUNCTIONING IN BORDERLINE PERSONALITY 1. Depressed, bored, and lonely 2. Angry, controlling, paranoid, and manipulative behaviors in response to anticipated loss of attachment 3. Nihilistic dissociation and raging fights, often fueled by the disinhibiting effects of alcohol or substance abuse —JOHN GUNDERSON, Borderline Personality Disorder: A Clinical Guide

The three conditions without which healthy growth does not take place can be taken for granted in the matrix of the womb: nutrition, a physically secure environment and the unbroken relationship with a safe, ever-present maternal organism. The word matrix is derived from the Latin for “womb,” itself derived from the word for “mother.” The womb is mother, and in many respects the mother remains the womb, even following birth. In the womb environment, no action or reaction on the developing infant’s part is required for the provision of any of his needs. Life in the womb is surely the prototype of life in the Garden of Eden where nothing can possibly be lacking, nothing has to be worked for. If there is no consciousness — we have not yet eaten of the Tree of Knowledge — there is also no deprivation or anxiety. Except in conditions of extreme poverty unusual in the industrialized world, although not unknown, the nutritional needs and shelter requirements of infants are more or less satisfied. The third prime requirement, a secure, safe and not overly stressed emotional atmosphere, is the one most likely to be disrupted in Western societies. The human infant lacks the capacity to follow or cling to the parent soon after being born, and is neurologically and biochemically underdeveloped in many other ways. The first nine months or so of extrauterine life seem to have been intended by nature as the second part of gestation. The anthropologist Ashley Montagu has called this phase exterogestation, gestation outside the maternal body. During this period, the security of the womb must be provided by the parenting environment. To allow for the maturation of the brain and nervous system that in other species occurs in the uterus, the attachment that was until birth directly physical now needs to be continued on both physical and emotional levels. Physically and psychologically, the parenting environment must contain and hold the infant as securely as she was held in the womb. For the second nine months of gestation, nature does provide a near-substitute for the direct umbilical connection: breast-feeding. Apart from its irreplaceable nutritional value and the immune protection it gives the infant, breast-feeding serves as a transitional stage from unbroken physical attachment to complete separation from the mother’s body. Now outside the matrix of the womb, the infant is nevertheless held close to the warmth of the maternal body from which nourishment continues to flow. Breast-feeding also deepens the mother’s feeling of connectedness to the baby, enhancing the emotionally symbiotic bonding relationship. No doubt the decline of breast-feeding, particularly accelerated in North America, has contributed to the emotional insecurities so prevalent in industrialized countries. Even more than breast-feeding, healthy brain development requires emotional security and warmth in the infant’s environment. This security is more than the love and best possible intentions of the parents. It depends also on a less controllable variable: their freedom from stresses that can undermine their psychological equilibrium. A calm and consistent emotional milieu throughout infancy is an essential requirement for the wiring of the neurophysiological circuits of self-regulation. When interfered with, as it often is in our society, brain development is adversely affected.

Complex structural dissociation involves an extensive range of phobias that exacerbate and maintain dissociation and impede functional adaptation. They include the phobia of (1) mental actions (i.e., an individual's inner experience of emotions, thoughts body sensations, needs, wishes); (2) dissociative parts of the personality; (3) attachment and attachment loss; (4) traumatic memory; and (5) change and healthy risk taking (van der Hart et al., 2006).

I have come to believe with fervent passion that the focus on multiple personalities is missing the point. dissociative identity disorder is not rare; it is not unique; it is not special. It is just a logical set of symptoms to some terrible trauma. It is a normal way to react to very abnormal childhood treatment. In fact, I only have it because I am normal. If I had not reacted normally to chronic trauma and disrupted attachment, I would not have developed it.

Honest question: If I am a good Christian, and have faith and stuff, will God protect my children? Honest answer: He might. Or He might not. Honest follow-up question: So what good is He? I think the answer is that He’s still good. But our safety, and the safety of our kids, isn’t part of the deal. This is incredibly hard to accept on the American evangelical church scene, because we love families, and we love loving families, and we nearly associate godliness itself with cherishing family beyond any other earthly thing. That someone would challenge this bond, the primacy of the family bond, is offensive. And yet . . . Jesus did it. And it was even more offensive, then, in a culture that wasn’t nearly so individualistic as ours. Everything was based on family: your reputation, your status—everything. And yet He challenges the idea that our attachment to family is so important, so noble, that it is synonymous with our love for Him. Which leads to some other spare thoughts, like this: we can make idols out of our families. Again, in a “Focus on the Family” subculture, it’s hard to imagine how this could be. Families are good. But idols aren’t made of bad things. They used to be fashioned out of trees or stone, and those aren’t bad, either. Idols aren’t bad things; they’re good things, made Ultimate. We make things Ultimate when we see the true God as a route to these things, or a guarantor of them. It sounds like heresy, but it’s not: the very safety of our family can become an idol. God wants us to want Him for Him, not merely for what He can provide. Here’s another thought: As wonderful as “mother love” is, we have to make sure it doesn’t become twisted. And it can. It can become a be-all, end-all, and the very focus of a woman’s existence. C. S. Lewis writes that it’s especially dangerous because it seems so very, very righteous. Who can possibly challenge a mother’s love? God can, and does, when it becomes an Ultimate. And it’s more likely to become a disordered Ultimate than many other things, simply because it does seem so very righteous. Lewis says this happens with patriotism too.

A study from New York's Mount Sinai Hospital found that genetic changes stemming from the trauma suffered by Holocaust survivors were capable of being passed on to their children. Our genes change all the time when chemical tags attach themselves to the DNA and turn genes on or off. The study found that some of these tags--found in the genes of those survivors -- were also found in their children. The changes led to an increased incidence of stress disorders. This passing down of environmentally altered genes is called *epigenetic inheritance.*

Empathy is difficult for the AVP. They do care about others and can be very aware of emotional content. AVPs are capable of expressing empathetic thought, though it is usually short lived. Their thoughts are often racing and difficult to find. They vacillate between what is fair or not. You might see an AVP give more empathy to a distant relative at an event than the significant other. They do care, but the feeling of that care response can be problematic. They are still hiding, balancing, and are fearful of rejection. Interactions rarely are confronted or dealt with.

Getting into fights with people makes my heart race. Not getting into fights with people makes my heart race. Even sleeping makes my heart race! I'm lying in bed when the thumping arrives, like a foreign invader. It's a horrible dark mass, like the monolith in 2001, self-organized but completely unknowable, and it enters my body and releases adrenaline. Like a black hole, it sucks in any benign thoughts that might be scrolling across my brain and attaches visceral panic to them. For instance, during the day I might have mused, Hey, I should pack more fresh fruit in Bee's lunch. That night, with the arrival of The Thumper, it becomes, I'VE GOT TO PACK MORE FRESH FRUIT IN BEE'S LUNCH!!! I can feel the irrationality and anxiety draining my store of energy like a battery-operated racecar grinding away in the corner. This is energy I will need to get through the next day. But I just lie in bed and watch it burn, and with it any hope for a productive tomorrow. There go the dishes, there goes the grocery store, there goes exercise, there goes bringing in the garbage cans. There goes basic human kindness. I wake up in a sweat so through I sleep with a pitcher of water by the bed or I might die of dehydration.

The flat tire that threw Julio into a temporary panic and the divorce that almost killed Jim don’t act directly as physical causes producing a physical effect—as, for instance, one billiard ball hitting another and making it carom in a predictable direction. The outside event appears in consciousness purely as information, without necessarily having a positive or negative value attached to it. It is the self that interprets that raw information in the context of its own interests, and determines whether it is harmful or not. For instance, if Julio had had more money or some credit, his problem would have been perfectly innocuous. If in the past he had invested more psychic energy in making friends on the job, the flat tire would not have created panic, because he could have always asked one of his co-workers to give him a ride for a few days. And if he had had a stronger sense of self-confidence, the temporary setback would not have affected him as much because he would have trusted his ability to overcome it eventually. Similarly, if Jim had been more independent, the divorce would not have affected him as deeply. But at his age his goals must have still been bound up too closely with those of his mother and father, so that the split between them also split his sense of self. Had he had closer friends or a longer record of goals successfully achieved, his self would have had the strength to maintain its integrity. He was lucky that after the breakdown his parents realized the predicament and sought help for themselves and their son, reestablishing a stable enough relationship with Jim to allow him to go on with the task of building a sturdy self. Every piece of information we process gets evaluated for its bearing on the self. Does it threaten our goals, does it support them, or is it neutral? News of the fall of the stock market will upset the banker, but it might reinforce the sense of self of the political activist. A new piece of information will either create disorder in consciousness, by getting us all worked up to face the threat, or it will reinforce our goals, thereby freeing up psychic energy.

I now reckon upon a speedy dissolution. I have suffered very little pain from my disorder; and what is more strange have, notwithstanding the great decline of my person, never suffered a moment's abatement of spirits; insomuch that were I to name the period of my life which I should most choose to pass over again, I might be tempted to point to this later period. I possess the same ardour as ever in study, and the same gaiety in company; I consider, besides, that a man of sixty-five, by dying, cuts off only a few years of infirmities; and though I see many symptoms of my literary reputation's breaking out at last with additional lustre, I know that I could have but few years to enjoy it. It is difficult to be more detached from life than I am at present. "To conclude historically with my own character, I am, or rather was (for that is the style I must now use in speaking of myself); I was, I say, a man of mild dispositions, of command of temper, of an open, social, and cheerful humour, capable of attachment, but little susceptible of enmity, and of great moderation in all my passions. Even my love of literary fame, my ruling passion, never soured my temper, notwithstanding my frequent disappointments. My company was not unacceptable to the young and careless, as well as to the studious and literary; and as I took a particular pleasure in the company of modest women, I had no reason to be displeased with the reception I met with from them. In a word, though most men any wise eminent, have found reason to complain of calumny, I never was touched or even attacked by her baleful tooth; and though I wantonly exposed myself to the rage of both civil and religious factions, they seemed to be disarmed in my behalf of their wonted fury. My friends never had occasion to vindicate any one circumstance of my character and conduct; not but that the zealots, we may well suppose, would have been glad to invent and propagate any story to my disadvantage, but they could never find any which they thought would wear the face of probability. I cannot say there is no vanity in making this funeral oration of myself, but I hope it is not a misplaced one; and this is a matter of fact which is easily cleared and ascertained.

love is the capacity to acknowledge the other’s real self in a warm, affectionate way, with no strings attached, and to enjoy the sexual passion that energizes the relationship in such a way that the welfare of the partner, in every sense of that term, becomes as important as one’s own welfare. In fact, we could say that true love is a union of two people, each for the good of the other, where the other’s best interests become at least equal to one’s own. In light of what we have been saying throughout this book, to love is to like, approve of, and support another’s real self and to encourage the other to activate, express, and nurture that real self. This investment in the other enlarges, enriches, and completes the experience of the self.

Nonschizoid people often conclude that, because schizoid individuals resolve their closeness/distance conflicts in the direction of distance and seem to thrive on being alone, they are not particularly attached and therefore are not reactive to separation. Yet, internally, schizoid people may have powerful attachments. In fact, their attachments may be more intensely invested with emotion than are the attachments of people with much more obviously ’anaclitic’ psychologies. Because schizoid individuals tend to feel safe with comparatively few others, any threat to or loss of their connection with these people can be devastating. If there are only three individuals by whom one feels truly known, and one of these is lost, then one third of one’s support system has vanished.

The human infant lacks the capacity to follow or cling to the parent soon after being born, and is neurologically and biochemically underdeveloped in many other ways. The first nine months or so of extrauterine life seem to have been intended by nature as the second part of gestation. The anthropologist Ashley Montagu has called this phase exterogestation, gestation outside the maternal body.5 During this period, the security of the womb must be provided by the parenting environment. To allow for the maturation of the brain and nervous system that in other species occurs in the uterus, the attachment that was until birth directly physical now needs to be continued on both physical and emotional levels. Physically and psychologically, the parenting environment must contain and hold the infant as securely as she was held in the womb.

Despite our attachment to the notion of free will, most of us know that disorders of the brain can trump the best intentions of the mind. This shift in understanding represents progress toward a deeper, more consistent, and more compassionate view of our common humanity—and we should note that this is progress away from religious metaphysics. Few concepts have offered greater scope for human cruelty than the idea of an immortal soul that stands independent of all material influences, ranging from genes to economic systems. Within a religious framework, a belief in free will supports the notion of sin—which seems to justify not only harsh punishment in this life but eternal punishment in the next. And yet, ironically, one of the fears attending our progress in science is that a more complete understanding of ourselves will dehumanize us.

Despite our attachment to the notion of free will, most of us know that disorders of the brain can trump the best intentions of the mind. This shift in understanding represents progress toward a deeper, more consistent, and more compassionate view of our common humanity—and we should note that this is progress away from religious metaphysics. Few concepts have offered greater scope for human cruelty than the idea of an immortal soul that stands independent of all material influences, ranging from genes to economic systems. Within a religious framework, a belief in free will supports the notion of sin—which seems to justify not only harsh punishment in this life but eternal punishment in the next. And yet, ironically, one of the fears attending our progress in science is that a more complete understanding of ourselves will dehumanize us.

In attunement, it is the infant who leads and the mother who follows. “Where their roles differ is in the timing of their responses,” writes John Bowlby, one of the century’s great psychiatric researchers. The infant initiates the interaction or withdraws from it according to his own rhythms, Bowlby found, while the “mother regulates her behaviour so that it meshes with his... Thus she lets him call the tune and by a skillful interweaving of her own responses with his creates a dialogue.” The tense or depressed mothering adult will not be able to accompany the infant into relaxed, happy spaces. He may also not fully pick up signs of the infant’s emotional distress, or may not be able to respond to them as effectively as he would wish. The ADD child’s difficulty reading social cues likely originates from her relationship cues not being read by the nurturing adult, who was distracted by stress. In the attunement interaction, not only does the mother follow the child, but she also permits the child to temporarily interrupt contact. When the interaction reaches a certain stage of intensity for the infant, he will look away to avoid an uncomfortably high level of arousal. Another interaction will then begin. A mother who is anxious may react with alarm when the infant breaks off contact, may try to stimulate him, to draw him back into the interaction. Then the infant’s nervous system is not allowed to “cool down,” and the attunement relationship is hampered. Infants whose caregivers were too stressed, for whatever reason, to give them the necessary attunement contact will grow up with a chronic tendency to feel alone with their emotions, to have a sense — rightly or wrongly — that no one can share how they feel, that no one can “understand.” Attunement is the quintessential component of a larger process, called attachment. Attachment is simply our need to be close to somebody. It represents the absolute need of the utterly and helplessly vulnerable human infant for secure closeness with at least one nourishing, protective and constantly available parenting figure. Essential for survival, the drive for attachment is part of the very nature of warm-blooded animals in infancy, especially. of mammals. In human beings, attachment is a driving force of behavior for longer than in any other animal. For most of us it is present throughout our lives, although we may transfer our attachment need from one person — our parent — to another — say, a spouse or even a child. We may also attempt to satisfy the lack of the human contact we crave by various other means, such as addictions, for example, or perhaps fanatical religiosity or the virtual reality of the Internet. Much of popular culture, from novels to movies to rock or country music, expresses nothing but the joys or the sorrows flowing from satisfactions or disappointments in our attachment relationships. Most parents extend to their children some mixture of loving and hurtful behavior, of wise parenting and unskillful, clumsy parenting. The proportions vary from family to family, from parent to parent. Those ADD children whose needs for warm parental contact are most frustrated grow up to be adults with the most severe cases of ADD. Already at only a few months of age, an infant will register by facial expression his dejection at the mother’s unconscious emotional withdrawal, despite the mother’s continued physical presence. “(The infant) takes delight in Mommy’s attention,” writes Stanley Greenspan, “and knows when that source of delight is missing. If Mom becomes preoccupied or distracted while playing with the baby, sadness or dismay settles in on the little face.

Being crazy was the conclusion of the joke Humboldt tried to make out of his great disappointment. He was so intensely disappointed. All a man of that sort really asks for is a chance to work his heart out at some high work. People like Humboldt – they express a sense of life, they declare the feelings of their times or they discover meanings or find out the truths of nature, using the opportunities their time offers. When those opportunities are great, then there’s love and friendship between all who are in the same enterprise. As you can see in Haydn’s praise for Mozart. When the opportunities are smaller, there’s spite and rage, insanity. I’ve been attached to Humboldt for nearly forty years. It’s been an ecstatic connection. The hope of having poetry – the joy of knowing the kind of man that created poetry. You know? There’s the most extraordinary, unheard-of poetry buried in America, but none of the conventional means known to culture can even begin to extract it. But now this is true of the world as a whole. The agony is too deep, the disorder too big for art enterprises undertaken in the old way.

Unchopping a Tree. Start with the leaves, the small twigs, and the nests that have been shaken, ripped, or broken off by the fall; these must be gathered and attached once again to their respective places. It is not arduous work, unless major limbs have been smashed or mutilated. If the fall was carefully and correctly planned, the chances of anything of the kind happening will have been reduced. Again, much depends upon the size, age, shape, and species of the tree. Still, you will be lucky if you can get through this stages without having to use machinery. Even in the best of circumstances it is a labor that will make you wish often that you had won the favor of the universe of ants, the empire of mice, or at least a local tribe of squirrels, and could enlist their labors and their talents. But no, they leave you to it. They have learned, with time. This is men's work. It goes without saying that if the tree was hollow in whole or in part, and contained old nests of bird or mammal or insect, or hoards of nuts or such structures as wasps or bees build for their survival, the contents will have to repaired where necessary, and reassembled, insofar as possible, in their original order, including the shells of nuts already opened. With spider's webs you must simply do the best you can. We do not have the spider's weaving equipment, nor any substitute for the leaf's living bond with its point of attachment and nourishment. It is even harder to simulate the latter when the leaves have once become dry — as they are bound to do, for this is not the labor of a moment. Also it hardly needs saying that this the time fro repairing any neighboring trees or bushes or other growth that might have been damaged by the fall. The same rules apply. Where neighboring trees were of the same species it is difficult not to waste time conveying a detached leaf back to the wrong tree. Practice, practice. Put your hope in that. Now the tackle must be put into place, or the scaffolding, depending on the surroundings and the dimension of the tree. It is ticklish work. Almost always it involves, in itself, further damage to the area, which will have to be corrected later. But, as you've heard, it can't be helped. And care now is likely to save you considerable trouble later. Be careful to grind nothing into the ground. At last the time comes for the erecting of the trunk. By now it will scarcely be necessary to remind you of the delicacy of this huge skeleton. Every motion of the tackle, every slightly upward heave of the trunk, the branches, their elaborately reassembled panoply of leaves (now dead) will draw from you an involuntary gasp. You will watch for a lead or a twig to be snapped off yet again. You will listen for the nuts to shift in the hollow limb and you will hear whether they are indeed falling into place or are spilling in disorder — in which case, or in the event of anything else of the kind — operations will have to cease, of course, while you correct the matter. The raising itself is no small enterprise, from the moment when the chains tighten around the old bandages until the boles hands vertical above the stump, splinter above splinter. How the final straightening of the splinters themselves can take place (the preliminary work is best done while the wood is still green and soft, but at times when the splinters are not badly twisted most of the straightening is left until now, when the torn ends are face to face with each other). When the splinters are perfectly complementary the appropriate fixative is applied. Again we have no duplicate of the original substance. Ours is extremely strong, but it is rigid. It is limited to surfaces, and there is no play in it. However the core is not the part of the trunk that conducted life from the roots up to the branches and back again. It was relatively inert. The fixative for this part is not the same as the one for the outer layers and the bark, and if either of these is involved

The attachment voids experienced by immigrant children are profound. The hardworking parents are focused on supporting their families economically and, unfamiliar with the language and customs of their new society, they are not able to orient their children with authority or confidence. Peers are often the only people available for such children to latch on to. Thrust into a peer-oriented culture, immigrant families may quickly disintegrate. The gulf between child and parent can widen to the point that becomes unbridgeable. Parents of these children lose their dignity, their power, and their lead. Peers ultimately replace parents and gangs increasingly replace families. Again, immigration or the necessary relocation of people displaced by war or economic misery is not the problem. Transplanted to peer-driven North American society, traditional cultures succumb. We fail our immigrants because of our own societal failure to preserve the child-parent relationship. In some parts of the country one still sees families, often from Asia, join together in multigenerational groups for outings. Parents, grandparents, and even frail great-grandparents mingle, laugh, and socialize with their children and their children's offspring. Sadly, one sees this only among relatively recent immigrants. As youth become incorporated into North American society, their connections with their elders fade. They distance themselves from their families. Their icons become the artificially created and hypersexualized figures mass-marketed by Hollywood and the U.S. music industry. They rapidly become alienated from the cultures that have sustained their ancestors for generation after generation. As we observe the rapid dissolution of immigrant families under the influence of the peer-oriented society, we witness, as if on fast-forward video, the cultural meltdown we ourselves have suffered in the past half century. It would be encouraging to believe that other parts of the world will successfully resist the trend toward peer orientation. The opposite is likely to be the case as the global economy exerts its corrosive influences on traditional cultures on other continents. Problems of teenage alienation are now widely encountered in countries that have most closely followed upon the American model — Britain, Australia, and Japan. We may predict similar patterns elsewhere to result from economic changes and massive population shifts. For example, stress-related disorders are proliferating among Russian children. According to a report in the New York Times, since the collapse of the Soviet Union a little over a decade ago, nearly a third of Russia's estimated 143 million people — about 45 million — have changed residences. Peer orientation threatens to become one of the least welcome of all American cultural exports.

The approach adopted by Daniel Stern and the followers of John Bowlby still appears to gain only peripheral attention in psychoanalytic circles, perhaps because by his theory of initial attachment Bowlby exploded a taboo. By linking the causes of antisocial behavior with the absence of a resilient attachment to the mother, he was flying in the face of Freud’s drive theory. But my conviction is that we have to go a step further than Bowlby went. We are dealing here not just with antisocial behavior and so-called narcissistic disorders but with the inescapable realization that denying and repressing our childhood traumas means reducing our capacity to think and conspiring to erect barriers in our minds. Brain research has succeeded in uncovering the biological foundations of the denial phenomenon. But the consequences, the impact on our mentality, have not yet been adequately contemplated. No one appears to be interested in examining how insensitivity to the suffering of children–a phenomenon found the world over–is bound up with a form of mental paralysis that has its roots in childhood. As children, we learn to suppress and deny natural feelings and to believe sincerely that the cuffs and blows we receive are for our own good and do us no lasting injury. Our brains, furnished with this false information, then instruct us to raise our own children by the same methods, telling them that it is good for them just as it was good for us.

Despite our attachment to the notion of free will, most of us know that disorders of the brain can trump the best intentions of the mind. This shift in understanding represents progress toward a deeper, more consistent, and more compassionate view of our common humanity—and we should note that this is progress away from religious metaphysics. Few concepts have offered greater scope for human cruelty than the idea of an immortal soul that stands independent of all material influences, ranging from genes to economic systems. Within a religious framework, a belief in free will supports the notion of sin—which seems to justify not only harsh punishment in this life but eternal punishment in the next. And yet, ironically, one of the fears attending our progress in science is that a more complete understanding of ourselves will dehumanize us. Viewing human beings as natural phenomena need not damage our system of criminal justice. If we could incarcerate earthquakes and hurricanes for their crimes, we would build prisons for them as well. We fight emerging epidemics—and even the occasional wild animal—without attributing free will to them. Clearly, we can respond intelligently to the threat posed by dangerous people without lying to ourselves about the ultimate origins of human behavior. We will still need a criminal justice system that attempts to accurately assess guilt and innocence along with the future risks that the guilty pose to society. But the logic of punishing people will come undone—unless we find that punishment is an essential component of deterrence or rehabilitation.

Healing childhood trauma is more difficult and complex because the child’s brain is not yet developed. And most children don’t have an adult nearby who is wise and supportive enough to help. On their own, a child will try to think his way out of the trauma, and that’s a task no child is up to. His mind can end up resembling a piece of twine that’s become hopelessly knotted and tangled. The child, and later the adult, will make twisted assumptions about himself, about the world, about life. He will blame himself for the events that caused the trauma. Ultimately, he will disconnect from himself and suffer from depression, dissociation, anxiety, insomnia, negative self-talk, and low self-esteem. Trauma specialists now believe that the experience doesn’t need to be a dramatic, life-endangering accident to cause post-traumatic stress disorder or PTSD. Growing up in a dysfunctional family can cause relational or attachment trauma and lead to complex PTSD symptoms. In a dysfunctional family marked by emotional abuse or neglect, as I have come to view my family, a child is often scapegoated. The family, overtly and covertly, blames a child for their problems as a means of deflecting attention from the real problems. Instead of a single traumatic event, a child in this role might experience a continual barrage of subtle attacks on his worthiness, sense of belonging, and even his very identity. These attacks might come in the form of gaslighting, verbal abuse, and other obvious forms of manipulation. But they also can come in the form of thousands upon thousands of subtle negative facial expressions and sarcastic put-downs over years or decades.

Basically, attention follows attachment. The stronger the attachment, the easier it is to secure the child's attention. When attachment is weak, the attention of the child will be correspondingly difficult to engage. One of the telltale signs of a child who isn't paying attention is a parent having continually to raise his voice or repeat things. Some of our most persistent demands as parents have to do with their attention: “Listen to me,” “Look at me when I'm talking,” “Now look here,” “What did I just say?” or most simply, “Pay attention.” When children become peer-oriented, their attention instinctively turns toward peers. It goes against the natural instincts of a peer-oriented child to attend to parents or teachers. The sounds emanating from adults are regarded by the child's attention mechanisms as so much noise and interference, lacking in meaning and relevance to the attachment needs that dominate his emotional life. Peer orientation creates deficits in the child's attention to adults because adults are not top priority in the attention hierarchy of peer-oriented children. It is no accident that attention deficit disorder was initially considered a school problem, a child's failing to pay attention to the teacher. It is also no accident that the explosion in the number of diagnosed cases of attention deficit disorder has paralleled the evolution of peer orientation in our society and is worse where peer orientation is most predominant — urban centers and inner-city schools. This is not to suggest that all problems in paying attention stem from this source and that there are no other factors involved in ADD. On the other hand, not to recognize the fundamental role of attachment in governing attention is to ignore the reality of many children diagnosed with ADD. Deficits in attachments to adults contribute significantly to deficits in attention to adults. If attachment is disordered, attention will also be disordered.

Suggestions to Develop Self-Help Skills Self-help skills improve along with sensory processing. The following suggestions may make your child’s life easier—and yours, too! DRESSING • Buy or make a “dressing board” with a variety of snaps, zippers, buttons and buttonholes, hooks and eyes, buckles and shoelaces. • Provide things that are not her own clothes for the child to zip, button, and fasten, such as sleeping bags, backpacks, handbags, coin purses, lunch boxes, doll clothes, suitcases, and cosmetic cases. • Provide alluring dress-up clothes with zippers, buttons, buckles, and snaps. Oversized clothes are easiest to put on and take off. • Eliminate unnecessary choices in your child’s bureau and closet. Clothes that are inappropriate for the season and that jam the drawers are sources of frustration. • Put large hooks inside closet doors at the child’s eye level so he can hang up his own coat and pajamas. (Attach loops to coats and pajamas on the outside so they won’t irritate the skin.) • Supply cellophane bags for the child to slip her feet into before pulling on boots. The cellophane prevents shoes from getting stuck and makes the job much easier. • Let your child choose what to wear. If she gets overheated easily, let her go outdoors wearing several loose layers rather than a coat. If he complains that new clothes are stiff or scratchy, let him wear soft, worn clothes, even if they’re unfashionable. • Comfort is what matters. • Set out tomorrow’s clothes the night before. Encourage the child to dress himself. Allow for extra time, and be available to help. If necessary, help him into clothes but let him do the finishing touch: Start the coat zipper but let him zip it up, or button all but one of his buttons. Keep a stool handy so the child can see herself in the bathroom mirror. On the sink, keep a kid-sized hairbrush and toothbrush within arm’s reach. Even if she resists brushing teeth and hair, be firm. Some things in life are nonnegotiable.

Beauty Junkies is the title of a recent book by New York Times writer Alex Kuczynski, “a self-confessed recovering addict of cosmetic surgery.” And, withour technological prowess, we succeed in creating fresh addictions. Some psychologists now describe a new clinical pathology — Internet sex addiction disorder. Physicians and psychologists may not be all that effective in treating addictions, but we’re expert at coming up with fresh names and categories. A recent study at Stanford University School of Medicine found that about 5.5 per cent of men and 6 per cent of women appear to be addicted shoppers. The lead researcher, Dr. Lorrin Koran, suggested that compulsive buying be recognized as a unique illness listed under its own heading in the Diagnostic and Statistical Manual of Mental Disorders, the official psychiatric catalogue. Sufferers of this “new” disorder are afflicted by “an irresistible, intrusive and senseless impulse” to purchase objects they do not need. I don’t scoff at the harm done by shopping addiction — I’m in no position to do that — and I agree that Dr. Koran accurately describes the potential consequences of compulsive buying: “serious psychological, financial and family problems, including depression, overwhelming debt and the breakup of relationships.” But it’s clearly not a distinct entity — only another manifestation of addiction tendencies that run through our culture, and of the fundamental addiction process that varies only in its targets, not its basic characteristics. In his 2006 State of the Union address, President George W. Bush identified another item of addiction. “Here we have a serious problem,” he said. “America is addicted to oil.” Coming from a man who throughout his financial and political career has had the closest possible ties to the oil industry. The long-term ill effects of our society’s addiction, if not to oil then to the amenities and luxuries that oil makes possible, are obvious. They range from environmental destruction, climate change and the toxic effects of pollution on human health to the many wars that the need for oil, or the attachment to oil wealth, has triggered. Consider how much greater a price has been exacted by this socially sanctioned addiction than by the drug addiction for which Ralph and his peers have been declared outcasts. And oil is only one example among many: consider soul-, body-or Nature-destroying addictions to consumer goods, fast food, sugar cereals, television programs and glossy publications devoted to celebrity gossip—only a few examples of what American writer Kevin Baker calls “the growth industries that have grown out of gambling and hedonism.

Thus polyvictimization or complex trauma are "developmentally adverse interpersonal traumas" (Ford, 2005) because they place the victim at risk not only for recurrent stress and psychophysiological arousal (e.g., PTSD, other anxiety disorders, depression) but also for interruptions and breakdowns in healthy psychobiological, psychological, and social development. Complex trauma not only involves shock, fear, terror, or powerlessness (either short or long term) but also, more fundamentally, constitutes a violation of the immature self and the challenge to the development of a positive and secure self, as major psychic energy is directed toward survival and defense rather than toward learning and personal development (Ford, 2009b, 2009c). Moreover, it may influence the brain's very development, structure, and functioning in both the short and long term (Lanius et al., 2010; Schore, 2009). Complex trauma often forces the child victim to substitute automatic survival tactics for adaptive self-regulation, starting at the most basic level of physical reactions (e.g., intense states of hyperarousal/agitation or hypoarousal/immobility) and behavioral (e.g., aggressive or passive/avoidant responses) that can become so automatic and habitual that the child's emotional and cognitive development are derailed or distorted. What is more, self-integrity is profoundly shaken, as the child victim incorporates the "lessons of abuse" into a view of him or herself as bad, inadequate, disgusting, contaminated and deserving of mistreatment and neglect. Such misattributions and related schema about self and others are some of the most common and robust cognitive and assumptive consequences of chronic childhood abuse (as well as other forms of interpersonal trauma) and are especially debilitating to healthy development and relationships (Cole & Putnam, 1992; McCann & Pearlman, 1992). Because the violation occurs in an interpersonal context that carries profound significance for personal development, relationships become suspect and a source of threat and fear rather than of safety and nurturance. In vulnerable children, complex trauma causes compromised attachment security, self-integrity and ultimately self-regulation. Thus it constitutes a threat not only to physical but also to psychological survival - to the development of the self and the capacity to regulate emotions (Arnold & Fisch, 2011). For example, emotional abuse by an adult caregiver that involves systematic disparagement, blame and shame of a child ("You worthless piece of s-t"; "You shouldn't have been born"; "You are the source of all of my problems"; "I should have aborted you"; "If you don't like what I tell you, you can go hang yourself") but does not involve sexual or physical violation or life threat is nevertheless psychologically damaging. Such bullying and antipathy on the part of a primary caregiver or other family members, in addition to maltreatment and role reversals that are found in many dysfunctional families, lead to severe psychobiological dysregulation and reactivity (Teicher, Samson, Polcari, & McGreenery, 2006).

• No matter how open we as a society are about formerly private matters, the stigma around our emotional struggles remains formidable. We will talk about almost anyone about our physical health, even our sex lives, but bring depression, anxiety or grief , and the expression on the other person would probably be "get me out of this conversation" • We can distract our feelings with too much wine, food or surfing the internet, • Therapy is far from one-sided; it happens in a parallel process. Everyday patients are opening up questions that we have to think about for ourselves, • "The only way out is through" the only way to get out of the tunnel is to go through, not around it • Study after study shows that the most important factor in the success of your treatment is your relationship with the therapist, your experience of "feeling felt" • Attachment styles are formed early in childhood based on our interactions with our caregivers. Attachment styles are significant because they play out in peoples relationships too, influencing the kind of partners they pick, (stable or less stable), how they behave in a relationship (needy, distant, or volatile) and how the relationship tend to end (wistfully, amiably, or with an explosion) • The presenting problem, the issue somebody comes with, is often just one aspect of a larger problem, if not a red herring entirely. • "Help me understand more about the relationship" Here, here's trying to establish what’s known as a therapeutic alliance, trust that has to develop before any work can get done. • In early sessions is always more important for patients to feel understood than it is for them to gain any insight or make changes. • We can complain for free with a friend or family member, People make faulty narratives to make themselves feel better or look better in the moment, even thought it makes them feel worse over time, and that sometimes they need somebody else to read between the lines. • Here-and-now, it is when we work on what’s happening in the room, rather than focusing on patient's stories. • She didn't call him on his bullshit, which this makes patients feel unsafe, like children's whose parent's don’t hold them accountable • What is this going to feel like to the person I’m speaking to? • Neuroscientists discovered that humans have brain cells called mirror neurons, that cause them to mimic others, and when people are in a heightened state of emotion, a soothing voice can calm their nervous system and help them stay present • Don’t judge your feelings; notice them. Use them as your map. Don’t be afraid of the truth. • The things we protest against the most are often the very things we need to look at • How easy it is, I thought, to break someone’s heart, even when you take great care not to. • The purpose on inquiring about people's parent s is not to join them in blaming, judging or criticizing their parents. In fact it is not about their parents at all. It is solely about understanding how their early experiences informed who they are as adults so that they can separate the past from the present (and not wear psychological clothing that no longer fits) • But personality disorders lie on a spectrum. People with borderline personality disorder are terrified of abandonment, but for some that might mean feeling anxious when their partners don’t respond to texts right away; for others that may mean choosing to stay in volatile, dysfunctional relationships rather than being alone. • In therapy we aim for self compassion (am I a human?) versus self esteem (Am I good or bad: a judgment) • The techniques we use are a bit like the type of brain surgery in which the patient remains awake throughout the procedure, as the surgeons operate, they keep checking in with the patient: can you feel this? can you say this words? They are constantly calibrating how close they are to sensitive regions of the brain, and if they hit one, they back up so as not to damage it.

BILATERAL COORDINATION Ball Catch—Toss a large beach ball gently to the child from a short distance. As he becomes more competent, use a smaller ball and step farther away. Ball Whack—Have the child hold a baseball bat, rolling pin, broomstick, book, cardboard tube, or ruler in both hands. Remind her to keep her feet still. Toss her a big ball. As she swings, her body will rotate, as her arms cross the midline. Two-Handed Tetherball—Suspend a sponge ball at the child’s eye level from a string attached to a wide doorframe. Let your child choose different “bats.” Have her count how many hits she makes without missing. Try four-handed tetherball, in which you play, too. Balloon Fun—Using both hands together, the child bounces or tosses up a balloon and catches it. He can keep it afloat by whacking it with open hands or batting it repeatedly with hands clasped together in one large “fist.” Rolling-Pin Fun—Provide the child with a cylindrical block or a rolling pin without handles, so he presses down with his opened hands. Have him roll real dough, playdough, crackers, clay—or mud! Body Rhythms—While you chant or sing, clap, and tap different body parts and have your child imitate your motions. Tip your head from side to side, wave your arms overhead, shake icky sticky glue off your hands, pound your chest, slap your hips, bend from side to side, hunch and relax your shoulders, stamp your feet, and hop from foot to foot. Use both hands together or alternately.

Eggbeater Fun—Give your child an eggbeater to whip up soapsuds or mix up a bowl of birdseed, or of uncooked beans and rice. Marble Painting—Line a tray or cookie sheet with paper. Put a few dabs of finger paint in the center of the paper. Provide a marble to roll through the paint to make a design. Great wrapping paper! Ribbon Dancing—Attach ribbons, streamers, or scarves to the ends of a dowel. Holding the dowel with both hands, the child swirls the ribbons overhead, from side to side, and up and down. (No dowel? Give him a ribbon for each hand.) This activity also improves visual-motor coordination. Two-Sided Activities—Encourage the child to jump rope, swim, bike, hike, row, paddle, and do morning calisthenics.

SOCIAL AND EMOTIONAL FUNCTIONING Another coexisting regulatory problem may be how the child feels about himself and relates to other people. • Poor adaptability: The child may resist meeting new people, trying new games or toys or tasting different foods. He may have difficulty making transitions from one situation to another. The child may seem stubborn and uncooperative when it is time to leave the house, come for dinner, get into or out of the bathtub, or change from a reading to a math activity. Minor changes in routine will readily upset this child who does not “go with the flow.” • Attachment problem: The child may have separation anxiety and be clingy and fearful when apart from one or two “significant olders.” Or, she may physically avoid her parents, teachers, and others in her circle. • Frustration: Struggling to accomplish tasks that peers do easily, the child may give up quickly. He may be a perfectionist and become upset when art projects, dramatic play, or homework assignments are not going as well as he expects. • Difficulty with friendships: The child may be hard to get along with and have problems making and keeping friends. Insisting on dictating all the rules and being the winner, the best, or the first, he may be a poor game-player. He may need to control his surrounding territory, be in the “driver’s seat,” and have trouble sharing toys. • Poor communication: The child may have difficulty verbally in the way she articulates her speech, “gets the words out,” and writes. She may have difficulty expressing her thoughts, feelings, and needs, not only through words but also nonverbally through gestures, body language, and facial expressions. • Other emotional problems: He may be inflexible, irrational, and overly sensitive to change, stress, and hurt feelings. Demanding and needy, he may seek attention in negative ways. He may be angry or panicky for no obvious reason. He may be unhappy, believing and saying that he is dumb, crazy, no good, a loser, and a failure. Low self-esteem is one of the most telling symptoms of Sensory Processing Disorder. • Academic problems: The child may have difficulty learning new skills and concepts. Although bright, the child may be perceived as an underachiever.

attachment promotes attention, anxiety undermines it. When

Many traumatologists see attachment disorder as one of the key symptoms of Complex PTSD.

Legend of the Universe The Cherokee have many different legends. One of them is the story of the universe. This legend has been handed down from generation to generation. Today’s elders continue to pass this story down to the children. The Cherokee used to believe that the world was made up of three separate worlds. There was the Upper World, the Lower World, and This World. This World was a round island resting on the surface of the water. Four cords from each of the directions of the compass attached it to the sky. Each direction had its own color that represented something from the Lower World or the Upper World. The Upper World had perfect order and stability. The Lower World was full of disorder. East was the color red, because it was the color of the sun. Red was also the color of fire and represented life. North was the direction of cold, so its color was blue. It represented trouble and defeat. South was the direction of warmth, and its color was white. It was associated with peace and happiness. The moon was in the west. It gave no warmth and unlike the Sun, it was not a giver of life. Black was the color that represented the west. The west stood for death and the souls of the dead. The Cherokee believed that it was their role to find a halfway spot between the Upper World and the Lower World. This spot should be found while living in This World.

I have stated elsewhere (Sinason 1994) that the number of children and adults tortured in the name of mainstream religious and racial orthodoxy outweighs any others. Wiccans, witches, warlocks, pagans and Satanists who are not abusive and practice a legally accepted belief system are increasingly concerned at the way criminal groups closely related to the drug and pornographic industries abuse their rituals.

The obvious alternative to blaming the parent is to conclude that there is something amiss or lacking in the child. If we are not given to doubt our parenting, we assume the source of our trouble must be the child. We take refuge in the child-blaming thought that we have not failed, but our children have failed to live up to the expected standards. Our attitude is expressed in questions or demands such as Why don't you pay attention? Stop being so difficult! Or, Why can't you do as you're told? Difficulty in parenting often leads to a hunt to find out what is wrong with the child. We may witness today a frantic search for labels to explain our children's problems. Parents seek the formal diagnoses of a professional or grasp at informal labels — there are, for examples, books on raising the “difficult” or the “spirited” child. The more frustrating parenting becomes, the more likely children will be perceived as difficult and the more labels will be sought for verification. It is no coincidence that the preoccupation with diagnoses has paralleled the rise in peer orientation in our society. Increasingly, children's behavioral problems are ascribed to various medical syndromes such as oppositional defiant disorder or attention deficit disorder. These diagnoses at least have the benefit of absolving the child and of removing the onus of blame from the parents, but they camouflage the reversible dynamics that cause children to misbehave in the first place. Medical explanations help by removing guilt but they hinder by reducing the issues to oversimplified concepts. They assume that the complex behavior problems of many children can be explained by genetics or by miswired brain circuits. They ignore scientific evidence that the human brain is shaped by the environment from birth throughout the lifetime and that attachment relationships are the most important aspect of the child's environment. They also dictate narrow solutions, such as medications, without regard to the child's relationships with peers and with the adult world. In practice, they serve to further disempower parents.

There are three categories of criteria that an individual must meet in order to be diagnosed with ASD. The categories are listed below along with the typical traits, which may indicate whether the individual needs further assessment: 1.Persistent deficits in social communication and social interaction across contexts, not accounted for by general developmental delays: lack of friends and social life friends often much older or younger mumbling and not completing sentences issues with social rules (such as staring at other people) inability to understand jokes and the benefit of ‘small talk’ introverted (shy) and socially awkward inability to understand other people’s thoughts and feelings uncomfortable in large crowds and noisy places detached and emotionally inexpressive. 2.Restricted, repetitive patterns of behaviour, interests or activities: obsession with ‘special interests’ collecting objects (such as stamps and coins) attachment to routines and rituals ability to focus on a single task for long periods eccentric or unorthodox behaviour non-conformist and distrusting of authority difficulty following illogical conventions attracted to foreign cultures affinity with nature and animals support for victims of injustice, underdogs and scapegoats. 3.Restricted, repetitive patterns of behaviour, interests or activities: inappropriate emotional responses victimised or bullied at school, work and home overthinking and constant logical analysis spending much time alone strange laugh or cackle inability to make direct eye contact when talking highly sensitive to light, sound, taste, smell and touch uncoordinated and clumsy with poor posture difficulty coping with change adept at abstract thinking ability to process data sets logically and notice patterns or trends truthful, naïve and often gullible slow mental processing and vulnerable to mental exhaustion intellectual and ungrounded rather than intuitive and instinctive problems with anxiety and sleeping visual memory.

MAY 8 IN THE TIBETAN medical system disorders of the flesh are related to ignorance, disorders of the bones to anger, and disorders of the blood to attachment.

These crises (in addition to trauma endured during the war) led to identity issues, anger, depression, anxiety, physical illness, sleep and dream disturbance, neurological disorders, post- traumatic stress disorder (PTSD), addictive behaviors, eating disorders, attachment issues in personal and familial relationships, developmental delay, phobias, aggression, fear, gender dysphoria, self-harm, learning difficulties and disabilities, psychosomatic disorders, psychosis, and resentment for everything that they endured.

When you win the child wins, when you lose you both lose.

The child will not learn to trust someone weaker than himself or herself. If they can control and manipulate the adult, they are stronger. The adult MUST be strong enough to be in charge in a loving way for the child to learn to trust and bond.

Four months later, I got my diagnosis. And now that my past was spilling over, exploding, a volcano spewing hot toxic waste all over my present life, it was all I could think about. I sent my father an email with the subject line FINALLY GOT AN OFFICIAL DIAGNOSIS. In the body of the email, I attached a link to the Wikipedia page for complex PTSD. At the time, the Wikipedia page read, “Complex post-traumatic stress disorder (C-PTSD; also known as complex trauma disorder) is a psychological disorder that can develop in response to prolonged, repeated experience of interpersonal trauma in a context in which the individual has little or no chance of escape.” And then, a paragraph down: “C-PTSD is a learned set of responses, and a failure to compete numerous important development tasks. It is environmentally, not genetically, caused. Unlike most of the diagnoses it is confused with, it is neither inborn nor characterological, not DNA based, it is a disorder caused by lack of nurture.” A lack of nurture. I didn’t write a hello in the body of the email. I didn’t include a sign-off. All I included in the vast expanse of white space was the link. What I didn’t write, but what was implied, what I hoped to convey: You ruined my life. You ruined my life. You ruined my life.

Many traumatologists see attachment disorder as one of the key symptoms of Complex PTSD. In the psychoeducational phases of working with traumatized clients, I typically describe attachment disorder as the result of growing up with primary caretakers who were regularly experienced as dangerous. They were dangerous by contemptuous voice or heavy hand, or more insidiously, dangerous by remoteness and indifference.

A child raised in an unorganized and chaotic home will have difficulty learning and forming attachments

Parental rejection is defined as the failure or inability of a parent to act in a way that sustains or respects a child’s attachment bond.

When we are freed from disordered love and attachment, we can love everyone, including ourselves, due to love of God.