Complex Trauma Quotes

Being healed isn’t about feeling nothing. Being healed is about feeling the appropriate emotions at the appropriate times and still being able to come back to yourself. That’s just life.

Beneath the surface of the protective parts of trauma survivors there exists an undamaged essence, a Self that is confident, curious, and calm, a Self that has been sheltered from destruction by the various protectors that have emerged in their efforts to ensure survival. Once those protectors trust that it is safe to separate, the Self will spontaneously emerge, and the parts can be enlisted in the healing process

Here’s a theory: Maybe I had not really been broken this whole time. Maybe I had been a human—flawed and still growing but full of light nonetheless

In situations of captivity the perpetrator becomes the most powerful person in the life of the victim, and the psychology of the victim is shaped by the actions and beliefs of the perpetrator.

Recovery can take place only within then context of relationships; it cannot occur in isolation.

...repeated trauma in childhood forms and deforms the personality. The child trapped in an abusive environment is faced with formidable tasks of adaptation. She must find a way to preserve a sense of trust in people who are untrustworthy, safety in a situation that is unsafe, control in a situation that is terrifyingly unpredictable, power in a situation of helplessness. Unable to care for or protect herself, she must compensate for the failures of adult care and protection with the only means at her disposal, an immature system of psychological defenses.

The happy family is a myth for many.

Over and over, the answer is the same, isn’t it? Love, love, love. The salve and the cure. In order to become a better person, I had to do something utterly unintuitive. I had to reject the idea that punishing myself would solve the problem. I had to find the love.

But the sadness of a lost childhood feels like yearning, impossible desire. It feels like a hollow, insatiable hunger.

It made perfect sense to me later in life when I discovered that the Chinese word for endurance is simply the word knife on top of the word heart. You walk around with a knife in your heart. You do it with stoicism. This is the apex of being.

The literature says this is normal for traumatized people. Experts say it’s all part of the three P’s: We think our sadness is personal, pervasive, and permanent. Personal, in that we have caused all the problems we face. Pervasive, in that our entire life is defined by our failings. And permanent, in that the sadness will last forever.

Recovery unfolds in three stages. The central task of the first stage is the establishment of safety. The central task of the second stage is remembrance and mourning. The central focus of the third stage is reconnection with ordinary life.

people with C-PTSD can often assume problems are about them—not out of selfishness or narcissism but because they want to have enough control to be able to solve the problem.

Forgiveness is this act of love where you say to someone, ‘You’re an imperfect being and I still love you.’ You want to have this energy of ‘We’re not giving up on each other; we’re in this for the long haul. You hurt me. And, yes, I hurt you. And I’m sorry, but you’re still mine.’ 

No matter what I do, no matter where I try to find joy, I instead find my trauma. And it whispers to me: “You will always be this way. It’s never going to change. I will follow you. I will make you miserable forever. And then I will kill you.

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.

Hatred, I learned quickly, was the antidote to sadness. It was the only safe feeling. Hatred does not make you cry at school. It isn’t vulnerable. Hatred is efficient. It does not grovel. It is pure power.

Self-destructiveness may be a primary form of communication for those who do not yet have ways to tame their excruciating inner conflicts and feelings and who cannot yet turn to others for support.

When the sky falls, use it as a blanket,

It is a rare person who can cut himself off from mediate and immediate relations with others for long spaces of time without undergoing a deterioration in personality.

because of its repetitive nature, complex trauma is fundamentally relational trauma. In other words, this is trauma caused by bad relationships with other people—people who were supposed to be caring and trustworthy and instead were hurtful. That meant future relationships with anybody would be harder for people with complex trauma because they were wired to believe that other people could not be trusted. The only way you could heal from relational trauma, he figured, was through practicing that relational dance with other people. Not just reading self-help books or meditating alone. We had to go out and practice maintaining relationships in order to reinforce our shattered belief that the world could be a safe place. “Relationships

Trauma isn’t just the sadness that comes from being beaten, or neglected, or insulted. That’s just one layer of it. Trauma also is mourning the childhood you could have had. The childhood other kids around you had. The fact that you could have had a mom who hugged and kissed you when you skinned your knee. Or a dad who stayed and brought you a bouquet of flowers at your graduation. Trauma is mourning the fact that, as an adult, you have to parent yourself. You have to stand in your kitchen, starving, near tears, next to a burnt chicken, and you can’t call your mom to tell her about it, to listen to her tell you that it’s okay, to ask if you can come over for some of her cooking. Instead, you have to pull up your bootstraps and solve the painful puzzle of your life by yourself. What other choice do you have? Nobody else is going to solve it for you.

Unspeakable feelings need to find expression in words. However... verbalization of very intense feelings may be a difficult task.

You don’t have to fix anything to deserve love. I love you for who you are. You can fuck up. You can do whatever you want and you’ll still deserve love.

The human need to be visible is countered by the need to be invisible to avoid further abuse, and the need for intimacy and the dread of abuse, all pose insoluble dichotomies which promote further withdrawal from human contact, which reinforces the sense of dehumanisation.

If Freud turns to literature to describe traumatic experience, it is because literature, like psychoanalysis, is interested in the complex relation between knowing and not knowing, and it is at this specific point at which knowing and not knowing intersect that the psychoanalytic theory of traumatic experience and the language of literature meet.

First, the physiological symptoms of post-traumatic stress disorder have been brought within manageable limits. Second, the person is able to bear the feelings associated with traumatic memories. Third, the person has authority over her memories; she can elect both to remember the trauma and to put memory aside. Fourth, the memory of the traumatic event is a coherent narrative, linked with feeling. Fifth, the person's damaged self-esteem has been restored. Sixth, the person's important relationships have been reestablished. Seventh and finally, the person has reconstructed a coherent system of meaning and belief that encompasses the story of trauma.

I learned two critical things that day. First: Just because the wound doesn’t hurt doesn’t mean it’s healed. If it looks good and it feels good, it should be all good, right? But over the years I’d smoothed perfect white layers of spackle over gaping structural holes. And the second thing I learned was: My parents didn’t love me.

I have met many, many severely distressed people whose daily lives are filled with the agony of both remembered and unremembered trauma, who try so hard to heal and yet who are constantly being pushed down both by their symptoms and the oppressive circumstances of post traumatic life around them.

For our physiology to calm down, heal, and grow we need a visceral feeling of safety. No doctor can write a prescription for friendship and love: These are complex and hard-earned capacities. You don't need a history of trauma to feel self-conscious and even panicked at a party with strangers – but trauma can turn the whole world into a gathering of aliens.

It takes an intellectual and physical effort to shove aside the comfortably worn neural pathways and go in a different direction.

But unfortunately, I do not have one foundational trauma. I have thousands. So my anxious freak-outs are not, as the books say, "temporal." They don't only occur when I see an angry face or someone pulls a driver out of their golf bag. My freak-outs are more or less constant, a fixed state of being. That infinite plethora of triggers makes complex PTSD more difficult to heal from than traditional PTSD. And the way the books seem to think about it, our fixed state of being also makes us more problematic.

The difference between regular PTSD and complex PTSD is that traditional PTSD is often associated with a moment of trauma. Sufferers of complex PTSD have undergone continual abuse—trauma that has occurred over a long period of time, over the course of years. Child abuse is a common cause of complex PTSD.

The essence of what trauma does to a person is it makes them feel like they don’t deserve love,” the voice in my headphones said. I was on the train, on my way to yet another doctor’s appointment, but this statement rang so true that I dug furiously through my bag and pulled out a notebook to write it down. I was about to put away my pen when I heard another especially good line, so I kept it out, writing furiously on my lap. My friend Jen, who often sends me little poems and links throughout the day, sent me this podcast—Road to Resilience,

Changes in Relationship with others: It is especially hard to trust other people if you have been repeatedly abused, abandoned or betrayed as a child. Mistrust makes it very difficult to make friends, and to be able to distinguish between good and bad intentions in other people. Some parts do not seem to trust anyone, while other parts may be so vulnerable and needy that they do not pay attention to clues that perhaps a person is not trustworthy. Some parts like to be close to others or feel a desperate need to be close and taken care of, while other parts fear being close or actively dislike people. Some parts are afraid of being in relationships while others are afraid of being rejected or criticized. This naturally sets up major internal as well as relational conflicts.

There's no hierarchy of abuse. Trauma is complex and very personal.

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.

Truth for anyone is a very complex thing. For a writer, what you leave out says as much as those things you include. What lies beyond the margin of the text? The photographer frames the shot; writers frame their world. Mrs Winterson objected to what I had put in, but it seemed to me that what I had left out was the story’s silent twin. There are so many things that we can’t say, because they are too painful. We hope that the things we can say will soothe the rest, or appease it in some way. Stories are compensatory. The world is unfair, unjust, unknowable, out of control. When we tell a story we exercise control, but in such a way as to leave a gap, an opening. It is a version, but never the final one. And perhaps we hope that the silences will be heard by someone else, and the story can continue, can be retold. When we write we offer the silence as much as the story. Words are the part of silence that can be spoken. Mrs Winterson would have preferred it if I had been silent. Do you remember the story of Philomel who is raped and then has her tongue ripped out by the rapist so that she can never tell? I believe in fiction and the power of stories because that way we speak in tongues. We are not silenced. All of us, when in deep trauma, find we hesitate, we stammer; there are long pauses in our speech. The thing is stuck. We get our language back through the language of others. We can turn to the poem. We can open the book. Somebody has been there for us and deep-dived the words. I needed words because unhappy families are conspiracies of silence. The one who breaks the silence is never forgiven. He or she has to learn to forgive him or herself.

Eighty two percent of the traumatized children seen in the National Child Traumatic Stress Network do not meet diagnostic criteria for PTSD.15 Because they often are shut down, suspicious, or aggressive they now receive pseudoscientific diagnoses such as “oppositional defiant disorder,” meaning “This kid hates my guts and won’t do anything I tell him to do,” or “disruptive mood dysregulation disorder,” meaning he has temper tantrums. Having as many problems as they do, these kids accumulate numerous diagnoses over time. Before they reach their twenties, many patients have been given four, five, six, or more of these impressive but meaningless labels. If they receive treatment at all, they get whatever is being promulgated as the method of management du jour: medications, behavioral modification, or exposure therapy. These rarely work and often cause more damage.

Again, women who experienced childhood trauma are 80 percent more likely to experience painful endometriosis.[4] They’re much more likely to develop premenstrual dysphoric disorder. More likely to develop fibroids.[5] It may affect fertility.[6] They’re at greater risk for postpartum depression[7] and depression in menopause.[8]

But how was I to begin letting it go when anger was the force that gave me momentum? My anger was my power. It was what protected me. Without it, wouldn’t I be sad and naked?

Recovery can take place only within then context of relationships; it cannot occur in isolation. In her renewed connection with other people, the survivor re-creates the psychological facilities that were damaged or deformed by the traumatic experience. These faculties include the basic operations of trust, autonomy, initiative, competence, identity, and intimacy. Just as these capabilities are formed in relationships with other people, they must be reformed in such relationships. The first principle of recovery is empowerment of the survivor. She must be the author and arbiter of her own recovery. Others may offer advice, support, assistance, affection, and care, but not cure. Many benevolent and well-intentioned attempts to assist the survivor founder because this basic principle of empowerment is not observed. No intervention that takes power away from the survivor can possibly foster her recovery, no matter how much it appears to be in her immediate best interest.

The traumatic stress field has adopted the term “Complex Trauma” to describe the experience of multiple and/or chronic and prolonged, developmentally adverse traumatic events, most often of an interpersonal nature (e.g., sexual or physical abuse, war, community violence) and early-life onset. These exposures often occur within the child’s caregiving system and include physical, emotional, and educational neglect and child maltreatment beginning in early childhood - Developmental Trauma Disorder

The essence of what trauma does to a person is it makes them feel like they don’t deserve love,

Because expressing the kindness to yourself that you deserve often reminds you of the kindness you didn’t get.

The symptomatology of PTSD. In PTSD a traumatic event is not remembered and relegated to one's past in the same way as other life events. Trauma continues to intrude with visual, auditory, and/or other somatic reality on the lives of its victims. Again and again they relieve the life-threatening experiences they suffered, reacting in mind and body as though such events were still occurring. PTSD is a complex psychobiological condition.

no recovery from trauma is possible without attending to issues of safety, care for the self, reparative connections to other human beings, and a renewed faith in the universe. The therapist's job is not just to be a witness to this process but to teach the patient how.

If it is your fault that your mother is miserable, it becomes a potentially fixable affront. Taking blame means that at least the hope of love is still there-all you have to do is deserve it.

But grounding and gratitude were palliative care versus curative care. I was still treating the symptoms without treating the source, and I would never truly be healed unless I confronted it.

If a child’s emotional and intellectual freedom is restricted, their development and well-being suffer, which leads to complex problems in later life. Deprivation of thought and emotion results in an irrationality of cognition, feeling, and communication.

In this climate of profoundly disrupted relationships the child faces a formidable developmental task. She must find a way to form primary attachments to caretakers who are either dangerous or, from her perspective, negligent. She must find a way to develop a sense of basic trust and safely with caretakers who are untrustworthy and unsafe. She must develop a sense of self in relation to others who are helpless, uncaring or cruel. She must develop a capacity for bodily self-regulation in an environinent in which her body is at the disposal of others' needs as well as a capacity for self-soothing in an environment without solace. She must develop the capacity for initiative in an environment which demands that she bring her will into complete conformity with that of her abuser. And ultimately, she must develop a capacity for intimacy out of an environment where all intimate relationships are corrupt, and an identity out of an environment which defines her as a whore and a slave.

Complex PTSD consists of of six symptom clusters, which also have been described in terms of dissociation of personality. Of course, people who receive this diagnosis often also suffer from other problems as well, and as noted earlier, diagnostic categories may overlap significantly. The symptom clusters are as follows: Alterations in Regulation of Affect ( Emotion ) and Impulses Changes in Relationship with others Somatic Symptoms Changes in Meaning Changes in the perception of Self Changes in Attention and Consciousness

Those who were molested or beaten as children or teenagers might later be vulnerable to sexual abuse or violence, because their natural impulses to protect themselves and protest (physical and verbal) were extinguished. Expectation of hurtful treatment by others or one's own failed capabilities can stubbornly persist despite overwhelming evidence that such is no longer the case.

I look around and think: Good God, what kind of hell is this?

Psychiatry, as a subspecialty of medicine, aspires to define mental illness as precisely as, let’s say, cancer of the pancreas, or streptococcal infection of the lungs. However, given the complexity of mind, brain, and human attachment systems, we have not come even close to achieving that sort of precision. Understanding what is “wrong” with people currently is more a question of the mind-set of the practitioner (and of what insurance companies will pay for) than of verifiable, objective facts.

The symptoms of trauma can be stable, that is, ever-present. They can also be unstable, meaning that they can come and go and be triggered by stress. Or they can remain hidden for decades and suddenly surface. Usually, symptoms do not occur individually, but come in groups. They often grow increasingly complex over time, becoming less and less connected with the original trauma experience.

I have tried to communicate my ideas in a language that preserves connections, a language that is faithful both to the dispassionate, reasoned traditions of my profession and to the passionate claims of people who have been violated and outraged. I have tried to find a language that can withstand the imperatives of doublethink and allows all of us to come a little closer to facing the unspeakable.

Changes in Meaning: Finally, chronically traumatized people lose faith that good things can happen and people can be kind and trustworthy. They feel hopeless, often believing that the future will be as bad as the past, or that they will not live long enough to experience a good future. People who have a dissociative disorder may have different meanings in various dissociative parts. Some parts may be relatively balanced in their worldview, others may be despairing, believing the world to be a completely negative, dangerous place, while other parts might maintain an unrealistic optimistic outlook on life

So it felt significant—generous—for Auntie to sit here and tell me that the way my mother raised me was unfair. It was a permission of sorts to recognize—even among this generation that was so inured to pain—that the way I was brought up was not right. Not how it was supposed to be.

A few years ago I heard Jerome Kagan, a distinguished emeritus professor of child psychology at Harvard, say to the Dalai Lama that for every act of cruelty in this world there are hundreds of small acts of kindness and connection. His conclusion: "To be benevolent rather than malevolent is probably a true feature of our species." Being able to feel safe with other people is probably the single 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 seen by the people around us, feeling that we are held in someone else's mind and heart. For our physiology to calm down, heal, and grow we need a visceral feeling of safety. No doctor can write a prescription for friendship and love: These are complex and hard-earned capacities. You don't need a history of trauma to feel self-conscious and even panicked at a party with strangers - but trauma can turn the whole world into a gathering of aliens.

Another reason it's dangerous to acknowledge that you were unloved is that it implies the possibility that your mother may have been right-you are unlovable.

I could not believe it had taken me this long to realize that punishment is not love. In fact, it is the opposite of love. Forgiveness is love. Spaciousness is love.

If I took up all that space with my feelings, what space could I maintain for hers? Hers were more important. Because hers had greater stakes.

Another consequence of C-PTSD not being in the DSM: This psychologist hasn’t been trained in treating it.

So instead of trying to convince everyone I was normal, I leaned into my freakishness, doubled down on my fury. In his adult circles, my father wasn’t faring much better.

Most of the world expects trauma and suffering. Most people live through it. It’s not an exceptional, one-time experience.

One of the reasons a survivor finds it so difficult to see herself as a victim is that she has been blamed repeatedly for the abuse: "If you weren't such a whore, this wouldn't have to happen." Each time she is used and trashed, she becomes further convinced of her innate badness. She sees herself participating in forbidden sexual activity and may often get some sense of gratification from it even if she doesn't want to (it is, after all, a form of touch, and our bodies respond without the consent of our wills). This is seen as further proof that the abuse is her fault and well deserved. In her mind, she has become responsible for the actions of her abusers. She believes she is not a victim; she is a loathsome, despicable, worthless human being—if indeed she even qualifies as human. When the abuse has been sadistic in nature...these beliefs are futher entrenched.

If however, a person is also afflicted by ongoing family abuse or profound emotional abandonment, the trauma will manifest as a particularly severe emotional flashback because he already has Cptsd. This is particularly true when his parent is also a bully.

Modern neuroscience solidly supports Freud’s notion that many of our conscious thoughts are complex rationalizations for the flood of instincts, reflexes, motives, and deep-seated memories that emanate from the unconscious.

Grounding 101 tips: Open your eyes. Put your feet solidly on the floor. Look at your hands and feet. Recognize they are adult hands and feet. Name five things you can see and hear and smell.

The reason why you need emotional support is because it's important for survivors to be heard. To be understood. To be able to express yourself without fearing criticism or harsh judgement. To be validated for your pain, suffering, and loss. For others to be there for you to encourage you, especially if you're having a bad day or feeling triggered.

Isolation of catastrophic experiences. Dissociation may function to seal off overwhelming trauma into a compartmentalized area of conscious until the person is better able to integrate it into mainstream consciousness. The function of dissociation is particularly common in survivors of combat, political torture, or natural or transportation disasters.

these negative emotions are not simply something to endure and erase. They are purposeful. Beneficial. They tell us what we need. Anger inspires action. Sadness is necessary to process grief. Fear helps keep us safe. Completely eradicating these emotions is not just impossible—it’s unhealthy. These negative emotions only become toxic when they block out all the other emotions. When we feel so much sadness that we can’t let any joy in. When we feel so much anger that we cannot soften around others. True mental health looks like a balance of these good and bad feelings. As Lori Gottlieb says in her book Maybe You Should Talk to Someone, “Many people come to therapy seeking closure. Help me not to feel. What they eventually discover is that you can’t mute one emotion without muting the others. You want to mute the pain? You’ll also mute the joy.

Patients with complex trauma may at times develop extreme reactions to something the therapist has said or not said, done or not done. It is wise to anticipate this in advance, and perhaps to note this anticipation in initial communications with the patient. For example, one may say something like, "It is likely in our work together, there will be a time or times when you will feel angry with me, disappointed with me, or that I have failed you. We should except this and not be surprised if and when it happens, which it probably will." It is also vital to emphasize to the patient that despite the diagnosis and experience of dividedness, the whole person is responsible and will be held responsible for the acts of any part. p174

But I thought I fixed this problem, I muttered to myself all day long. I thought I became a nice girl. I picked and picked at my memories, trying to figure out how, despite my best efforts, the horrible, rotten core at the center of myself managed to get past my defenses and worm its way out.

Alterations in regulation of affect (emotion) and impulse: Almost all people who are seriously traumatized have problems in tolerating and regulating their emotions and surges or impulses. However, those with complex PTSD and dissociative disorders tend to have more difficulties than those with PTSD because disruptions in early development have inhibited their ability to regulate themselves. The fact that you have a dissociative organization of your personality makes you highly vulnerable to rapid and unexpected changes in emotions and sudden impulses. Various parts of the personality intrude on each other either through passive influence or switching when your under stress, resulting in dysregulation. Merely having an emotion, such as anger, may evoke other parts of you to feel fear or shame, and to engage in impulsive behaviors to stop avoid the feelings.

The books taught me that when we live through traumatic experiences, our brains take in the things around us that are causing the greatest threat, and they encode these things deep into our subconscious as sources of danger.

He didn’t answer. He’d stopped calling months ago, now that I’d helped resolve his relationships with his family. I waited and I waited. My phone stayed silent.

The objective is for the past to become a very tiny part of your very large, confident, capable, and free self.

I learned that you can make mistakes and still deserve love. You can fight and then repair. Through his love, I understood how to unconditionally love myself.

Well…the Western approach is ‘We’ve got to heal, we’ve got to take control.’ And I think that’s a privileged position.

I was appalled at how much pressure my clients were getting to just forgive and forget. Consequently, many of them were diving right back into denial, and minimizing all the trauma that they had endured. Their recovery processes then, screeched to a halt as their inner critics denigrated them for being so unforgiving.

The Narcissist’s Prayer That didn’t happen. And if it did, it wasn’t that bad. And if it was, that’s not a big deal. And if it is, that’s not my fault. And if it was, I didn’t mean it. And if I did, you deserved it. ― Author Unknown

The only way to bear the overwhelming pain of oppression is by telling, in all its detail, in the presence of witnesses and in a context of resistance, how unbearable it is. If we attempt to craft resistance without understanding this task, we are collectively vulnerable to all the errors of judgement that unresolved trauma generates in individuals. It is part of our task as revolutionary people, people who want deep-rooted, radical change, to be as whole as it is possible for us to be. This can only be done if we face the reality of what oppression really means in our lives, not as abstract systems subject to analysis, but as an avalanche of traumas leaving a wake of devastation in the lives of real people who nevertheless remain human, unquenchable, complex and full of possibility.

Complexly traumatized children need to be helped to engage their attention in pursuits that do not remind them of trauma-related triggers and that give them a sense of pleasure and mastery. Safety, predictability, and "fun" are essential for the establishment of the capacity to observe what is going on, put it into a larger context, and initiate physiological and motoric self-regulation.

Changes in the Perception of Self: People who have been traumatized in childhood are often troubled by guilt, shame, and negative feelings about themselves, such as the belief they are unlikable, unlovable, stupid, inept, dirty, worthless, lazy, and so forth. In Complex Dissociative disorders there are typically particular parts that contain these negative feelings about the self while other parts may evaluate themselves quite differently. Alterations among parts thus may result in rather rapid and distinct changes in self perception.

It’s okay to have some things you never get over. In the span of half an hour, this man whom I had known for less than a season did what nobody in my life ever had: He took all of my sins and simply forgave them. He didn’t demand relentless improvement. There were no ultimatums. He asserted that I was enough, as is. The gravity of it stunned me into silence. Joey was the opposite of the dread.

And scientists have found that some people who suffer from depression, anxiety, or C-PTSD have overactive DMNs. Which makes sense. The DMN is the seat of responsibility and insecurity. It can be a punishing force when it over-ruminates and gets caught in a toxic loop of obsession and self-doubt. The DMN can be silenced significantly by antidepressants or hallucinogenic substances. But the most efficient cure for an overactive DMN is mindfulness.

Childhood trauma can range from having faces extreme violence and neglect to having confronted feelings of not belonging, being unwanted, or being chronically misunderstood. You may have grown up in an environment where your curiosity and enthusiasm were constantly devalued. Perhaps you were brought up in a family where your parents had unresolved traumas of their own, which impaired their ability to attend to your emotional needs. Or, you may have faced vicious sexual or physical attacks. In all such situations, you learn to compensate by developing defenses around your most vulnerabe parts.

Hyperarousal causes traumatized people to become easily distressed by unexpected stimuli. Their tendency to be triggered into reliving traumatic memories illustrates how their perceptions have become excessively focused on the involuntary search for the similarities between the present and their traumatic past. As a consequence, many neutral experiences become reinterpreted as being associated with the traumatic past.

Trauma isn’t just the sadness that comes from being beaten, or neglected, or insulted. That’s just one layer of it. Trauma also is mourning the childhood you could have had. The childhood other kids around you had.

As you may already know, post-traumatic stress disorder is extremely complex. Each client has a unique, perhaps virtually unbelievable, set of experiences, and an almost equally set of reactions to those experiences.

Pain is about feeling real, appropriate, and valid hurt when something bad happens. Suffering is when you add extra dollops to that pain. You’re feeling bad about feeling bad.” “Double punishment,” I clarify. “Yes. So getting rid of suffering means you’re not adding to the pain.

Therapists instead prefer to take on YAVIS—Young, Attractive, Verbal, Intelligent, and Successful clients.[3] They love an amenable type, someone who is curious about their internal workings and eager to plumb them, someone who’s already read articles in The New Yorker about psychology to familiarize them with the language of metacognition and congruence. Good luck if you’re a regular-ass Joe who’d rather watch It’s Always Sunny in Philadelphia.

Somatic Symptoms: People with Complex PTSD often have medical unexplained physical symptoms such as abdominal pains, headaches, joint and muscle pain, stomach problems, and elimination problems. These people are sometimes most unfortunately mislabeled as hypochondriacs or as exaggerating their physical problems. But these problems are real, even though they may not be related to a specific physical diagnosis. Some dissociative parts are stuck in the past experiences that involved pain may intrude such that a person experiences unexplained pain or other physical symptoms. And more generally, chronic stress affects the body in all kinds of ways, just as it does the mind. In fact, the mind and body cannot be separated. Unfortunately, the connection between current physical symptoms and past traumatizing events is not always so clear to either the individual or the physician, at least for a while. At the same time we know that people who have suffered from serious medical, problems. It is therefore very important that you have physical problems checked out, to make sure you do not have a problem from which you need medical help.

We have a tendency to become detached observers rather than participants. There might also be a sense of disassembling a complex, flowing process to focus on a small part of it. If we expand our focus to include emerging, one of the first changes we may notice is the bodily sense of being in the midst of something, of constant motion, lack of clarity (in the left-hemisphere sense), and unpredictability.

The results of the study were astoundingly clear: The more childhood trauma someone had suffered, the worse their health outcomes were in adulthood. And their risk for contracting diseases didn’t go up just a few percentage points. People with high ACE scores were about three times as likely to develop liver disease, twice as likely to develop cancer or heart disease, four times as likely to develop emphysema.[2] They were seven and a half times more likely to become alcoholics, four and a half times more likely to suffer from depression, and a whopping twelve times more likely to attempt suicide.[3] Scientists have learned that stress is literally toxic. Stress chemicals like cortisol and adrenaline surging through our bodies are healthy in moderation—you wouldn’t be able to get up in the morning without a good dose of cortisol. But in overwhelming quantities, they become toxic and can change the structure of our brains. Stress and depression wear our bodies out. And childhood trauma affects our telomeres. Telomeres are like little caps on the ends of our strands of DNA that keep them from unraveling. As we get older, those telomeres get shorter and shorter. When they’ve finally disappeared, our DNA itself begins to unravel, increasing our chances of getting cancer and making us especially susceptible to disease. Because of this tendency, telomeres are linked to human lifespan. And studies have shown that people who suffered from childhood trauma have significantly shortened telomeres.[4]

Removing my parents from my life protected me, but it did not fix me. The excision was not healing in and of itself. Instead, it cleared the way for me to rebuild.

heal. Still, the books also said that healing from PTSD isn’t truly possible while you are still in danger. You can’t convince yourself that you’re safe if you’re actually unsafe,

The problem with this premise, of course, is that whereas other children had programmers who fed their brains with love and kindness, my programmers were evil. My code is flawed.

The essence of what trauma does to a person is it makes them feel like they don’t deserve love,” the voice in my headphones said.

Learning to need a family—to rely on them and give myself to them—was a skill I had to learn in order to date Joey.

Dr. Ham was acknowledging his own vulnerability within the session. But his vulnerability didn’t make him seem less competent or trustworthy. It did the opposite. I trusted him more.

During EMDR, I was able to conjure two separate, simultaneous versions of myself—the child version and the present version. I was able to feel child Stephanie’s emotions and my own. I was able to comfort her with my present wisdom. I was able to simultaneously be the one giving love and the one receiving it.

In Eugenia Leigh’s poem “Gold,” she writes, “Tell me // I am not the thing / my children will have to survive. / Tell me // the mob I inherited will not touch / my son. Yes, the cavalcade / of all that’s tried to kill me // may forever raid my brain, but know / this: in my mother’s first language, / the word for fracture, for crack, / is the same as the word for gold.”[1

Your pain may never be adequately acknowledged by those who injured you. Profound feelings of grief might strike you as you work through unresolved feelings of resentment or disappointment.

Gratitude lifted my baseline mood up from being constantly seared by the pain of existence to living a largely satisfying life. Joy returned for the first time in a long time. I laughed easily, enjoyed the company of friends, hated myself less. I felt mostly like I had before my recent meltdown…effective, happyish.

Assault survivors respond differently. There's no right or wrong way to react after being sexually abused. The assault can be so overwhelming that we may respond in three ways - fight, flee, or freeze.

Origins Of Cptsd How do traumatically abused and/or abandoned children develop Cptsd? While the origin of Cptsd is most often associated with extended periods of physical and/or sexual abuse in childhood, my observations convince me that ongoing verbal and emotional abuse also causes it. Many dysfunctional parents react contemptuously to a baby or toddler’s plaintive call for connection and attachment. Contempt is extremely traumatizing to a child, and at best, extremely noxious to an adult. Contempt is a toxic cocktail of verbal and emotional abuse, a deadly amalgam of denigration, rage and disgust. Rage creates fear, and disgust creates shame in the child in a way that soon teaches her to refrain from crying out, from ever asking for attention. Before long, the child gives up on seeking any kind of help or connection at all. The child’s bid for bonding and acceptance is thwarted, and she is left to suffer in the frightened despair of abandonment. Particularly abusive parents deepen the abandonment trauma by linking corporal punishment with contempt. Slaveholders and prison guards typically use contempt and scorn to destroy their victims’ self-esteem. Slaves, prisoners, and children, who are made to feel worthless and powerless devolve into learned helplessness and can be controlled with far less energy and attention. Cult leaders also use contempt to shrink their followers into absolute submission after luring them in with brief phases of fake unconditional love.

Catherine was right. Estrangement is not freeing. It has not felt joyful. It has not been happy. It has only felt necessary, and even that is something I question all the time: Does this make me selfish? Does it make me cruel? Then I think of the Thao Nguyen lyric, You made a cruel kid. Come look what you did. The silence now is not so different from the lonely holidays I endured over the years, an extension of the months of silence we’d exchanged but more total. There is one major difference: I don’t have to work on earning his love anymore.

We cannot outrun our past trauma. We can’t bury it and think that we will be fine. We cannot skip the essential stage of processing, accepting, and doing the hard, yet necessary trauma recovery work. There’s a body-mind connection. Trauma can manifest itself into chronic physical pain, cancer, inflammation, auto-immune conditions, depression, anxiety, PTSD, Complex PTSD, addictions, and ongoing medical conditions.

To take such a complex creature, on who was meant for God and is destroyed by sin, and attempt to understand how the development of that creature can be affected by hideous trauma is to attempt the impossible.

If my child has any sense, I don’t have to yell at them. If he has no sense, even if I yell a million words, it won’t change anything. You can never spoil a good child. And you can’t teach a bad child any sense.

You have to be aware of how big a power difference there is between patient and therapist. And if you really want to work effectively with people, you have to keep surrendering your power. And that means being humble and making mistakes and fumbling and being comfortable with that.

People with Complex PTSD suffer from more severe and frequent dissociation symptoms, as well as memory and attention problems, than those with simple PTSD. In addition to amnesia due to the activity of various parts of the self, people may experience difficulties with concentration, attention, other memory problems and general spaciness. These symptoms often accompany dissociation of the personality, but they are also common in people who do not have dissociative disorders. For example everyone can be spacey, absorbed in an activity, or miss an exit on the highway. When various parts of the personality are active, by definition, a person experiences some kind of abrupt change in attention and consciousness.

I’d spent my life telling myself I didn’t need a mommy or a daddy. But now I was beginning to realize that this hunger isn’t childish—it is a universal, primal need. We all want to be taken care of, and that’s okay.

I sat with that a moment. I remembered how people with C-PTSD can often assume problems are about them—not out of selfishness or narcissism but because they want to have enough control to be able to solve the problem.

Trauma or no, I would have been trans no matter what body I'd been born with. Tell the doctors that we exist for the health of humanity, which needs to find wholeness and belief in complexity. Girl in boy's body or boy inside a girl; call it fate or biology, will, or spiritual choice. But I was not born in the wrong body. -Scott Turner Schofield, "The Wrong Body

You’ve interviewed sixty people who are estranged from their parents,” I stammered. “I don’t know if you have studies on it, but, um, in your experience—did the people who estranged themselves, did they feel free afterward?” “No,” Catherine said with certainty. I waited. There was nothing else.

As I discussed in the previous chapter, attachment researchers have shown that our earliest caregivers don't only feed us, dress us, and comfort us when we are upset; they shape the way our rapidly growing brain perceives reality. Our interactions with our caregivers convey what is safe and what is dangerous: whom we can count on and who will let us down; what we need to do to get our needs met. This information is embodied in the warp and woof of our brain circuitry and forms the template of how we think of ourselves and the world around us. These inner maps are remarkably stable across time. This doesn‘t mean, however, that our maps can‘t be modified by experience. A deep love relationship, particularly during adolescence, when the brain once again goes through a period of exponential change, truly can transform us. So can the birth of a child, as our babies often teach us how to love. Adults who were abused or neglected as children can still learn the beauty of intimacy and mutual trust or have a deep spiritual experience that opens them to a larger universe. In contrast, previously uncontaminated childhood maps can become so distorted by an adult rape or assault that all roads are rerouted into terror or despair. These responses are not reasonable and therefore cannot be changed simply by reframing irrational beliefs.

We went to an animal shelter, and became a happy little family: me, him, a mischievous cat. And, of course, the dread. Yes, it stayed, darkening my whole chest every day. Still, I thought, we could coexist, me and the dread.

A healthy heart doesn’t pump at the same rate all the time. That would actually be a really unhealthy heart. The healthiest hearts are adaptable, and the quicker they adapt, the better. When you start running, your heart should ideally speed up quickly. Then, when you rest, it should slow down quickly. It’s the same for your emotions. When something really tragic happens, it would be weird if you were still happy, right? Or if you just sat there with no reaction. When something tragic happens, you should be there with that pain, feeling that sadness. When something unjust happens, you should feel how aggravating it is. And then, after you’ve sat with those feelings for the appropriate amount of time—and it could be an hour, or a day, or months, depending on the severity of what happened—then, you can go back to a state of rest. Or joy. Or whatever. Being healed isn’t about feeling nothing. Being healed is about feeling the appropriate emotions at the appropriate times and still being able to come back to yourself. That’s just life.

My life only has two layers. On the top is thick joy, moving around like the sea, full of fish and slopping goofily at the edges: active and exuberant and amazed by everything. The bottom layer is the cold sea floor, where insects pick through dead things. I'm in the top layer, and then suddenly I'm tired and I'm back on the floor, my cheek against the whisper that says nothing matters. There's no space in between.

Many daughters live out their lives avoiding or abiding or arguing with their mothers-burying the long-ago injury or insult or childhood deprivation under a blanket of forgetfulness-and not confronting it head-on. It's humiliating to remember the ways in which one demeaned oneself in order to prevent being in a mother's bad graces, the willingness to do anything in order to not be rejected, when rejection felt like death.

Memory requires active engagement with the complexities of the past. It is not an unthinking or passive process, like breathing or (for most people) sleeping. I have found that good memory, like good history, requires disciplined and focused attention, an honest effort to overcome one's perceptual and cognitive biases, and sustained effort.

Many survivors of relational and other forms of early life trauma are deeply troubled and often struggle with feelings of anger, grief, alienation, distrust, confusion, low self-esteem, loneliness, shame, and self-loathing. They seem to be prisoners of their emotions, alternating between being flooded by intense emotional and physiological distress related to the trauma or its consequences and being detached and unable to express or feel any emotion at all - alternations that are the signature posttraumatic pattern. These occur alongside or in conjunction with other common reactions and symptoms (e.g., depression, anxiety, and low self-esteem) and their secondary manifestations. Those with complex trauma histories often have diffuse identity issues and feel like outsiders, different from other people, whom they somehow can't seem to get along with, fit in with, or get close to, even when they try. Moreover, they often feel a sense of personal contamination and that no one understands or can help them. Quite frequently and unfortunately, both they and other people (including the professionals they turn to for help) do misunderstand them, devalue their strengths, or view their survival adaptations through a lens of pathology (e.g., seeing them as "demanding", "overdependent and needy", "aggressive", or as having borderline personality). Yet, despite all, many individuals with these histories display a remarkable capacity for resilience, a sense of morality and empathy for others, spirituality, and perseverance that are highly admirable under the circumstances and that create a strong capacity for survival. Three broad categories of survivorship, with much overlap between them, can be discerned: 1. Those who have successfully overcome their past and whose lives are healthy and satisfying. Often, individuals in this group have had reparative experiences within relationships that helped them to cope successfully. 2. Those whose lives are interrupted by recurring posttraumatic reactions (often in response to life events and experiences) that periodically hijack them and their functioning for various periods of time. 3. Those whose lives are impaired on an ongoing basis and who live in a condition of posttraumatic decline, even to the point of death, due to compromised medical and mental health status or as victims of suicide of community violence, including homicide.

Addiction is a complex psychological, emotional, physiological, neurobiological, social, and spiritual process. It manifests through any behavior in which a person finds temporary relief or pleasure and therefore craves, but that in the long term causes them or others negative consequences, and yet the person refuses or is unable to give it up. Accordingly, the three main hallmarks of addiction are short-term relief or pleasure and therefore craving; long-term suffering for oneself or others; and an inability to stop.

Posttraumatic stress disorder (PTSD) also has dissociative symptoms as an essential feature. PTSD has been classically seen as a biphasic disorder, with persons alternately experiencing phases of intrusion and numbing... [T]he intrusive phase is associated with recurrent and distressing recollections in thoughts or dreams and reliving the events in flashbacks. The avoidant/numbing phase is associated with efforts to avoid thoughts or feelings associated with the trauma, emotional constriction, and social withdrawal. This biphasic pattern is the result of dissociation; traumatic events are distanced and dissociated from usual conscious awareness in the numbing phase, only to return in the intrusive phase.

I learned two critical things that day. First: Just because the wound doesn’t hurt doesn’t mean it’s healed. If it looks good and it feels good, it should be all good, right? But over the years I’d smoothed perfect white layers of spackle over gaping structural holes.

We tell stories to make them visible. Or we tell stories so that we don't have to look at them any longer.

Too often the survivor is seen by [himself or] herself and others as "nuts," "crazy," or "weird." Unless her responses are understood within the context of trauma. A traumatic stress reaction consists of *natural* emotions and behaviors in response to a catastrophe, its immediate aftermath, or memories of it. These reactions can occur anytime after the trauma, even decades later. The coping strategies that victims use can be understood only within the context of the abuse of a child. The importance of context was made very clear many years ago when I was visiting the home of a Holocaust survivor. The woman's home was within the city limits of a large metropolitan area. Every time a police or ambulance siren sounded, she became terrified and ran and hid in a closet or under the bed. To put yourself in a closet at the sound of a far-off siren is strange behavior indeed—outside of the context of possibly being sent to a death camp. Within that context, it makes perfect sense. Unless we as therapists have a good grasp of the context of trauma, we run the risk of misunderstanding the symptoms our clients present and, hence, responding inappropriately or in damaging ways.

And I won't want to stop feeling the way I do. I don't want to give up knowing, in this very visceral way, what I know about people and what they can do to you. About countries and what they can do to you. I don't want ever to be wholly relaxed, wholly at home, in a world of flowing fresh water built on the parched pain of others. The world itches, and so it should.

It is now recognised that dissociation is a way of forgetting, for a time. The mind siphons off the bad memories into a separate part, and reclaiming those hidden-away memories us a complex process. So, when the memories resurface it does not feel as though they belong to you, it feels alien, more as if someone had told them to you, or you had seen the images in a film.

The term dissociation is ordinarily used to describe the phenomenon of compartmentalization or fragmentation of mental contents. It does not ascribe any particular mechanism by which the dissociative process occurs. Does dissociation occur as a result of automatic, nonconscious processes, or are there other specific mechanisms by which it occurs? Especially in the context of describing amnesia, the term repression is widely used in connection with several different mechanisms. As it is commonly used, it often implies how individuals may block our memories of uncomfortable or conflictual experiences. If done consciously, the mechanism is more accurately called suppression, which results from actively trying not to think about negative experiences.

Their experiences led them to create assumptions about others and related beliefs about themselves such as "this is my lot in life" and "this is what I deserve". Some also learned that personal safety and happiness are of lower priority than survival and that it may be safer to give in than to actively fight off additional abuse and victimization. When abuse is perpetrated by intimates, it is additionally confounding in terms of attachment, betrayal, and trust. Victims may be unable to leave or to fight back due to strong, albeit insecure and disorganized, attachment and misplaced loyalty to abusers. They may have also experienced trauma bonding over the course of their victimization, that is, a bond of specialness with or dependence on the abuser.

Brain scans prove that patients who’ve sustained significant childhood trauma have brains that look different from people who haven’t. Traumatized brains tend to have an enlarged amygdala—a part of the brain that is generally associated with producing feelings of fear. Which makes sense. But it goes further than that: For survivors of emotional abuse, the part of their brain that is associated with self-awareness and self-evaluation is shrunken and thin. Women who’ve suffered childhood sexual abuse have smaller somatosensory cortices—the part of the brain that registers sensation in our bodies. Victims who were screamed at might have an altered response to sound. Traumatized brains can result in reductions in the parts of the brain that process semantics, emotion and memory retrieval, perceiving emotions in others, and attention and speech. Not getting enough sleep at night potentially affects developing brains’ plasticity and attention and increases the risk of emotional problems later in life. And the scariest factoid, for me anyway: Child abuse is often associated with reduced thickness in the prefrontal cortex, the part of the brain associated with moderation, decision-making, complex thought, and logical reasoning. Brains do have workarounds. There are people without amygdalae who don’t feel fear. There are people who have reduced prefrontal cortices who are very logical. And other parts of the brain can compensate, make up the lost parts in other ways. But overall, when I looked at the breadth of evidence, the results felt crushing. The fact that the brain’s cortical thickness is directly related to IQ was particularly threatening to me. Even if I wasn’t cool, or kind, or personable, I enjoyed the narrative that I was at least effective. Intelligent. What these papers seemed to tell me is that however smart I am, I’m not as smart as I could have been had this not happened to me. The questions arose again: Is this why my pitches didn’t go through? Is this why my boss never respected me? Is this why I was pushed to do grunt work in the back room?

... every therapist must develop enough personal maturity, clinical wisdom, and capacity for good judgment to effectively and safely conduct psychotherapy, an imperative that is especially important in the treatment of this population. The emotion dysregulation and insecure and disorganized attachment of complex trauma clients elicit strong emotional reactions from others, even those in their support network, including therapists. Reactions can range from sympathy, sorrow, fear, and guilt to frustration, impatience, anger/rage, hostility, and disgust or contempt.

The truth is not an easy thing to discern. If it were, the world would be a much more peaceful place. Instead, each of us is a delicate bundle of triggers, desires, emotions, and needs—and we all have our own ways of concealing those needs. And so, when our understanding of what people need fails to match up with what they want—therein lies conflict. In order to minimize conflict, the trick is to ascertain some version of that truth. To identify what is actually happening around us. Only, as in a quote often attributed to Anaïs Nin, “We don’t see things as they are. We see them as we are.

Can I ask how it impacts your relationships in a toxic way?” “I’m just noticing things. All the time. Bad behaviors. Like, I tend to categorize people as ‘safe’ or ‘unsafe.’ And when I don’t like somebody, I see them as unsafe and I can’t deal with them. And then whenever anybody’s upset, I’m not good with sitting with their discomfort. I’m always trying to help and fix. And some people have told me I have a tendency to make things about myself. And I’m negative and I’m always complaining about my life. And I always feel like I’m having a crisis because I’m still not good enough at self-soothing.

One day in the future, I will show my child her great-grandmother’s jade, the little gold rabbit with the ruby eyes. I will tell her that this will be hers. I will tell her all the stories about how our family survived, about the wars, and the gambling dens, and, yes, eventually even the golf club. I will tell her that when the sky falls, she should use it as a blanket. And then I will give her the shining thing, the thing that none of us got, the thing that only I, in all of my resilient power, can give. The thing that all this pain has given me. I will hold her tight and tell her that I love her more than anything in the world. That she can always come to me for anything at all, and I will fix it if it needs fixing or just listen if she needs to be listened to. And as long as I live, I will never leave.

Catherine was right. Estrangement is not freeing. It has not felt joyful. It has not been happy. It has only felt necessary, and even that is something I question all the time: Does this make me selfish? Does it make me cruel? Then I think of the Thao Nguyen lyric, You made a cruel kid. Come look what you did.

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 complete numerous important developmental 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.

am not always curious, of course. When I perceive someone being rude to me, I do not get it together to practice this dance of attunement every day. Not even most times. But more and more, I am curious enough to ask the magic question: “What do you need?” These four words open doors and break down walls. With the benefit of understanding, we are no longer two separate beings floating through these threads alone. We are giving and receiving. Two reciprocal atoms hugging each other through the turmoil around us. I hurt you. You hurt me. You’re mine.

I wanted to support my mother, despite the complex emotions I harbored toward her. Perhaps it was because I could empathize with the experience of holding resentment against one’s parents and grappling with unresolved childhood trauma. I instinctively understood that unaddressed pain often perpetuates cycles of hurt, passing from one generation to the next. I’d never thought about it before, that even those who present a flawless facade to the world, like my mother, might be struggling with deep-seated issues that remain hidden from view. How their polished exterior can serve as a mask, concealing the inner turmoil and unhealed wounds that continue to fester beneath the surface.

Trauma isn’t just the sadness that comes from being beaten, or neglected, or insulted. That’s just one layer of it. Trauma also is mourning the childhood you could have had. The childhood other kids around you had. The fact that you could have had a mom who hugged and kissed you when you skinned your knee. Or a dad who stayed and brought you a bouquet of flowers at your graduation. Trauma is mourning the fact that, as an adult, you have to parent yourself.

As connection to the therapist is established, the therapeutic relationship offers an opportunity for the client to experience a present attachment, but it also brings up transferential tendencies associated with past attach ment relationships (Sable, 2000). Informed by the experience of interperesonal trauma and betrayal, posttraumatic transferential relationships can be exceptionally potent and volatile. In response to the therapist, clients experience fear, anger, mistrust, and suspicion, as well as hope, vulnerability, and yearning, and they are acutely attuned to subtle signals of disinterest or interest, compassion or judgment, abandonment or consistency (Herman 1992; Pearlman & Saakvitne, 1995).

The point of this journal was to improve my writing skills, but it was also to preserve my well-curated childhood. She hoped that as an adult, I would flip through this notebook fondly, letting it fill me with sentimental memories. But as I read through it now, it appears her mission miscarried. I have no recollection of the Santa Cruz trip, or this lion dance, or that trip to the beach in Mendocino. The only thing I remember vividly is that clear plastic ruler on my palm.

While we avoid taking credit for success, women leap at the opportunity to take responsibility for failure. Men tend to externalize the reasons for their failure, putting it off on something or someone else. Not so women, who absorb blame as if they were born to be societys doormats. (Some women like to speak of their willingness to take blame as if it were a form of altruism. It isn't. Women take the blame because they find it scary to confront those who are actually culpable of wrongdoing.)

Obfuscation is my inheritance,” author C Pam Zhang writes in an essay in The New Yorker.[1] She says her parents “depicted their pre-America lives as mere prologue, quickly sketched…. It is far too easy…as the naturalized citizen of a country that tries to kick dirt over its bloody history…to see only the castle on the hill and not the thickets of bone we trod through to arrive at it.

If your mother lived your life as though it were her own-never allowing you a moment of stress or frustration, routinely sleeping in your bed when you had a bad dream, never setting limits or establishing boundaries, seldom or never letting you out of her sight, excusing and failing to provide consequences for your negative or hurtful behaviour, insisting on a daily chronicle of every detail of your life, all in the name of maternal love-then you never had to grow up and take responsibility for your actions. You remain a child.

Removing my parents from my life protected me, but it did not fix me. The excision was not healing in and of itself. Instead, it cleared the way for me to rebuild. Because now came the hard part: replacing them. Many believe that in order to heal from C-PTSD, we must receive kind and compassionate parenting. If we can’t receive that from our own parents, then we must find a new parent to do the job.

At the Emory University School of Medicine in 2013, researchers conducted an experiment with male mice. They exposed the mice to the smell of cherry blossoms, then gave them an electric shock. The mice came to associate the smell of cherry blossoms with danger. Eventually, the mice were able to identify the smell at trace concentrations. The smell receptors in their brain enlarged—they changed to identify the scent. Researchers even identified changes in the mice’s sperm. Then, after the mice had offspring, the researchers exposed this next generation of mice to the cherry blossom scent. Despite the fact that these mice had never smelled cherry blossoms before and had never been shocked, they still shuddered and jumped when it wafted into their cages. This generation of mice had inherited their parents’ trauma.

Barrett said that when we’re dehydrated, we don’t necessarily feel thirsty—we feel exhausted. When we have something odd happening in our stomach, our body doesn’t quite know if we have a menstrual cramp or a stomachache or if we need to poop. We might not even be aware for a long period of time that our stomach hurts. And this isn’t unique to people with PTSD. It’s normal, everyday bodily dissociation that we all suffer from. If we find ourselves in a shitty mood, we might not necessarily be mad about a certain trigger. We could just be running at a metabolic deficit. Our body might be screaming “I NEED FUNYUNS” while we project our hangriness onto, say, this poor sweaty schmuck who’s breathing too loud in the elevator. But Barrett said that PTSD does make these inclinations worse. It affects a variety of systems in the body, throwing them all out of whack. Our hearts might beat faster. Our lungs might pump harder. Our body budget can get tipped off-balance more easily. And when it does, our reactions to these deficits can feel outsized. “Make sure that you get enough sleep, make sure you exercise, make sure that you eat in a healthful way,” she told me when I asked her what I could do to be a better person. When I countered that that didn’t seem like enough, she kindly offered, “You know, all you can do is take as much responsibility as you can. And sometimes it’s the attempt that matters, you know, more than the success.” Then she chuckled at herself. “That’s a very Jewish mother response!” So, first step of hacking my brain: sustaining it with enough oxygen and nutrients

Having DID is, for many people, a very lonely thing. If this book reaches some people whose experiences resonate with mine and gives them a sense that they aren't alone, that there is hope, then I will have achieved one of my goals. A sad fact is that people with DID spend an average of almost seven years in the mental health system before being properly diagnosed and receiving the specific help they need. During that repeatedly misdiagnosed and incorrectly treated, simply because clinicians fail to recognize the symptoms. If this book provides practicing and future clinicians certain insight into DID, then I will have accomplished another goal. Clinicians, and all others whose lives are touched by DID, need to grasp the fundamentally illusive nature of memory, because memory, or the lack of it, is an integral component of this condition. Our minds are stock pots which are continuously fed ingredients from many cooks: parents, siblings, relatives, neighbors, teachers, schoolmates, strangers, acquaintances, radio, television, movies, and books. These are the fixings of learning and memory, which are stirred with a spoon that changes form over time as it is shaped by our experiences. In this incredibly amorphous neurological stew, it is impossible for all memories to be exact. But even as we accept the complex of impressionistic nature of memory, it is equally essential to recognize that people who experience persistent and intrusive memories that disrupt their sense of well-being and ability to function, have some real basis distress, regardless of the degree of clarity or feasibility of their recollections. We must understand that those who experience abuse as children, and particularly those who experience incest, almost invariably suffer from a profound sense of guilt and shame that is not meliorated merely by unearthing memories or focusing on the content of traumatic material. It is not enough to just remember. Nor is achieving a sense of wholeness and peace necessarily accomplished by either placing blame on others or by forgiving those we perceive as having wronged us. It is achieved through understanding, acceptance, and reinvention of the self.

THE RETURN OF THE REPRESSED: RELIVING DISSOCIATED EXPERIENCES The reexperiencing of previously dissociated traumatic events presents in a variety of complex ways. The central principle is that dissociated experiences often do not remain dormant. Freud's concept of the “repetition compulsion” is enormously helpful in understanding how dissociated events are later reexperienced. In his paper, "Beyond the Pleasure Principle," Freud (1920/ 1955) described how repressed (and dissociated) trauma and instinctual conflicts can become superimposed on current reality. He wrote: The patient cannot remember the whole of what is repressed in him, and what he cannot remember may be precisely the essential part of it. .. . He is obliged to repeat the repressed material as a contemporary experience instead of remembering it as something in the past. (p. 18) If one understands repression as the process in which overwhelming experiences are forgotten, distanced, and dissociated, Freud posited that these experiences are likely to recur in the mind and to be reexperienced. He theorized that this "compulsion to repeat" served a need to rework and achieve mastery over the experience and that it perhaps had an underlying biologic basis as well. The most perceptive tenet of Freud’s theory is that previously dissociated events are actually reexperienced as current reality rather than remembered as occurring in the past. Although Freud was discussing the trauma produced by intense intrapsychic conflict, clinical experience has shown that actual traumatic events that have been dissociated are often repeated and reexperienced.

But Dr. Ham told me, these negative emotions are not simply something to endure and erase. They are purposeful. Beneficial. They tell us what we need. Anger inspired action. Sadness is necessary to process grief. Fear helps keep us safe. Completely eradicating these emotions is not just impossible—it’s unhealthy. These negative emotions only become toxic when they block out all the other emotions. When we feel so much sadness that we can’t let any joy in. When we feel so much anger that we cannot soften around others. True mental health looks like a balance of these good and bad feelings.

In Gretchen Schmelzer’s excellent, gentle book, Journey Through Trauma, she insists on the fifth page: “Some of you may choose a therapist: a psychiatrist, psychologist, social worker, counselor, or member of the clergy. Some of you may choose some form of group therapy. But I am telling you up front, at the beginning: in order to heal, you will need to get help. I know you will try to look for the loophole in this argument—try to find a way that you can do this on your own—but you need to trust me on this. If there were a way to do it on your own I would have found it. No one looked harder for that loophole than I did.”[1]

Trust of others is in short supply for many adult survivors, as complex trauma generally involves major relational betrayal. It is, therefore, expectable (although paradoxical) that clients with these histories are predisposed to be mistrustful at the outset of therapy, precisely because of (and in proportion to) the actual trustworthiness of the therapist. When past experiences have thought hard lessons, namely, that one can least afford to trust the people who should be most trustworthy, it stands to reason that confusion about trust results. The therapist must understand and not take offense either personally or professionally and not react judgmentally or defensively. Practically speaking, this involves the therapist being prepared to patiently and empathically respond to active or passive tests or challenges to trustworthiness as legitimate and meaningful communication that deserves a respectful reply in action as well as in words.

Grounding refers to using your ability to sense your body and feel your feet on the earth in order to calm your nervous system. Grounding is a key resource for trauma and emotional overwhelm. Your senses (hearing, seeing, smelling, tasting, touching) are the only necessary tools for anchoring yourself in the present moment. One simple practice involves naming five things you see, four things you hear, three things you can touch, two things you can smell, and taking one deep slow breath.

I think there’s something wrong with me. I’m jaded. Like…super jaded. I kind of wish I could feel again. I wish I could be genuinely happy, like I used to be. I don’t feel that anymore. I even wish that I could be depressed, scream-at-the-world-stab-myself-in-the-chest angry, like I used to be. But I can’t feel that either. When all of these terrible things keep happening, everything should have fallen apart, but it didn’t. It was like I was watching it all through a glass. It was a movie.

If you really loved someone, it would emanate from you, sincere and overflowing, generous and unconditional. But for me, my father’s love had always been conditional. Here again was just another condition: In order for me to love you, I need you to write out a list. Why should I have to teach my father how to love me? And, I’m ashamed to admit, I didn’t make the list because I was afraid. Afraid that even if I wrote out everything I needed, and he gave me all of it, spent all of his time, money, and energy trying to make things right, I would still be too afraid to love him back. I wouldn’t be able to forgive. And then it wouldn’t be him who was the real asshole. Not anymore. Then it would be me.

Dr. Ham admitted he’d approached the story about my aunt with “asshole energy” and had perhaps been overly critical too quickly. But, he said, “In my mind, the most helpful thing for you is to be reconnected with another person. Self-regulation is a very insular thing. That’s just survival. Like, ‘I’m not going to actually learn how to be connected to you, but at least I’m going to be able to regulate how upset I get from you.’ And I don’t want you to just be self-regulating in a corner by yourself. Shame makes you want to hide and tuck away. But what if instead you were in this state where you could ask, ‘Who are you? What do you need from me right now? And what do I need from you?’ ” What would I have said to my aunt if I hadn’t been triggered? If I’d had the time and mental ability to ask all of those questions? Maybe I would have said something like: “I understand that having difficult in-laws was part of your experience, and for that I’m sorry. But I love my in-laws, and in America, they are my only family. So you saying they aren’t my real family—it’s hurtful.

Symptomatically, men with PTSD are more likely to exhibit anger, paranoia, and an exaggerated startle response. Women are more likely to be avoidant and have mood and anxiety disorders. Women generally focus on regulating their emotions, while men focus on solving problems. Women often deal with stressful situations using a tend-and-befriend response, rather than men’s fight-or-flight response. Women generally seek more social support than men do, and they benefit more from psychotherapy. They also tend to lean more heavily on self-blame.[3

This was Dr. Ham’s whole theory: that because of its repetitive nature, complex trauma is fundamentally relationship trauma. In other words, this is trauma caused by bad relationships with other people—people who were supposed to be caring and trustworthy and instead were hurtful. That meant future relationships with anybody would be harder for people with complex trauma because they were wired to believe that other people could not be trusted. The only way you could heal from relational trauma, he figured, was through practicing that relational dance with other people. Not just reading self-help books or meditating alone. We had to go out and practice maintaining relationships in order to reinforce our shattered belief that the world could be a safe place. “Relationships are like sports. It’s muscle memory, it’s all the action of doing. You can’t just read about tennis and know how to play tennis. There’s a lot of duelling involved. Interpersonal duelling!” As he saw it, his office was a safe place to practice duelling. Learning how to listen, how to talk, how to ask for what I needed.

Some alters are what Dr Ross describes in Multiple Personality Disorder as 'fragments', which are 'relatively limited psychic states that express only one feeling, hold one memory or carry out a limited task in the person's life. A fragment might be a frightened child who holds the memory of one particular abuse incident.' In complex multiples, Dr Ross continues, the `personalities are relatively full-bodied, complete states capable of a rang of emotions and behaviours.' The alters will have `executive control some substantial amount of time over the person life'. He stresses, and I repeat his emphasis, 'Complex MPD with over 15 alter personalities and complicated amnesic barriers are associated with 100 percent frequency of childhood physical, sexual and emotional abuse.

If we ignore our abuse and trauma, it will continue to reveal itself to us. It may be subtle or it may be intense. Trauma can show up in our sleep. We may battle insomnia and nightmares. We can experience physical pain and emotional distress. We may struggle with anxiety and depression. Or we may suffer hypervigilance, dissociation, and Complex PTSD/PTSD. We may have flashbacks. We may battle triggers. Or we can suddenly be slammed with fight, flight, freeze, or fawn mode. Each of these signs are a normal trauma response. Even if we are unaware that it’s linked to our emotional trauma.

Judith Herman, the woman who coined the term complex PTSD, wrote: “The abused child…must find a way to preserve hope and meaning. The alternative is utter despair, something no child can bear. To preserve her faith in her parents, she must reject the first and most obvious conclusion that something is terribly wrong with them. She will go to any lengths to construct an explanation for her fate that absolves her parents of all blame and responsibility…. The abuse is either walled off from conscious awareness and memory…or minimized, rationalized, and excused, so that whatever did happen was not really abuse.”[1]

did the people who estranged themselves, did they feel free afterward?” “No,” Catherine said with certainty. I waited. There was nothing else. “No…?” I asked, my heart sinking. “Well, if not freer…were they…happier?” Catherine munched on her cracker and shrugged. “Meh,” she said. She must have seen my unhappy expression. “Look,” she explained, “I don’t think it brought anyone joy. It didn’t make people happy to have to do it. It was just necessary. I think you just have to figure out if it’s necessary for you. I can’t tell you if you should do it or shouldn’t. All I can say is that if you do do it, you’re not alone.

Few words in world literature equal the impact of this saying. All man’s alibis are unacceptable: no gods are responsible for his condition; no original sin; no heredity and no environment; no race, no caste, no father, and no mother; no wrong-headed education, no governess, no teacher; not even an impulse or a disposition, a complex or a childhood trauma. Man is free; but his freedom does not look like the glorious liberty of the Enlightenment; it is no longer the gift of God. Once again, man stands alone in the universe, responsible for his condition, likely to remain in a lowly state, but free to reach above the stars.

The act of consciously and purposefully paying attention to symptoms and their antecedents and consequences makes the symptoms more an objective target for thoughtful observation than an intolerable source of subjective anxiety, dysphoria, and frustration. In ACT, the act of accepting the symptoms as an expectable feature of a disorder or illness, has been shown to be associated with relief rather than increased distress (Hayes et al., 2006). From a traumatic stress perspective, any symptom can be reframed as an understandable, albeit unpleasant and difficult to cope with, reaction or survival skill (Ford, 2009b, 2009c). In this way, monitoring symptoms and their environmental or experiential/body state "triggers" can enhance client's willingness and ability to reflectively observe them without feeling overwhelmed, terrified, or powerless. This is not only beneficial for personal and life stabilization but is also essential to the successful processing of traumatic events and reactions that occur in the next phase of therapy (Ford & Russo, 2006).

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.

diagnosis of C-PTSD includes the symptoms of PTSD, but also has three additional categories of symptoms: difficulties with emotion regulation, an impaired sense of self-worth, and interpersonal problems. C-PTSD is associated with intrusive flashbacks, feelings of panic, overwhelming feelings of rage, debilitating feelings of hopelessness, chronic feelings of shame, a harsh and unrelenting “inner critic,” and a lack of trust in other people.

I’ve spent decades unpacking and analyzing my trauma. And I’ve spent decades helping others do the same. Yet the remnants of my past experiences remain. The thing about trauma is, it doesn’t just stop. There is no cure; it continues to live within us. It remains within our bodies, often below the level of our consciousness. Like a lingering shadow, it can slip into our present experiences, subtly (or not so subtly) influencing our thoughts, feelings, and actions, even if we’re not explicitly thinking about the traumatic events. It’s an ongoing process and working through it can be complex and time-consuming, but it is an essential part of healing and moving forward.

... the silent client may be experienced as withholding, oppositional, and sulking or as holding the therapist "hostage" in ways that elicit resentment and other negative responses. Because it is not unusual that relational and other forms of traumatization began when the client was preverbal, he or she may not have words. The lack of access to emotions or to words to describe them is known as alexithymia and is a common response to trauma. What the client is likely to have instead is somatosensory, behavioral, dissociative, and relational manifestations that therapists must seek to understand and translate into words, a process that involves hard work and intense focus.

(...) performance anxiety [in the worplace] is connected to other, more general fears which have to do with feeling inadequate and defenseless in the world: the fear of retaliation from someone with whom one disagrees; the fear of being critisized for doing something wrong; the fear of saying "no"; the fear of stating one's needs clearly and directly, without manipulating. These are the kinds of fears that affect women in particular, because we were brought up to believe that taking care of ourselves, asserting ourselves, is unfeminine. We wish (...) to feel attractive to men: non-threatening, sweet, "feminine". This wish crimps the joy and productiveness with which women could be leading their lives.

There is a ton of literature now—including TED Talks and Michael Pollan’s book How to Change Your Mind—about psilocybin and MDMA being highly effective medications for PTSD. Anecdotal stories abound of suffering veterans emerging from one meaningful trip completely cured, with a new vigor for life. Shrooms in particular have proved to be a great salve for people with terminal illnesses. The oncoming specter of death can be terrifying, but after these suffering patients emerge from their hallucinogenic experiences, many are at peace with their lives and deaths, content to be absorbed back into the fabric of the universe. Shrooms have also been shown to suppress your DMN and dissolve your ego, allowing you to look at your life with a childlike, brand-new perspective. They can draw connections between disparate parts of the brain, building creative solutions to our life’s struggles and strengthening areas we don’t use frequently enough.

My first instinct was to just delete the bug. Remove my terrible code from the system entirely. Briefly, ancient plans resurfaced: carbon monoxide and sleeping pills. But that would have its ramifications, too. My previous efforts to heal might not have fixed me, but they had woven me into this world, sewing me emotionally and professionally into a network of lives. I had friends who cared dearly about me, mentees who looked up to me. And Joey, of course. If I cut myself out of the web, I would leave a gaping hole that would hurt all those around me. And the whole point of this endeavor was to stop hurting people. I guess I had to embrace the impossible. Goddamn it, what a task: I had to fight against fate itself.

But I'd begun, slowly, to understand that complex post-traumatic stress disorder, or cPTSD, was different. It was particularly difficult to treat, because - like a flat landscape - it didn't offer a significant landmark, an event, that you could focus on and work with. Complex post-traumatic stress, according to the psychiatrist Judith Lewis Herman, is the result of 'prolonged, repeated trauma,' rather than individual traumatic events. It's what happens when you're born into a world, shaped by a world, where there's no safety, ever. When the people who should take care of you are, instead, scary and unreliable, and when you live years and years without the belief that escape is possible. When you come from a world like this, when all your muscles are trained to tension and suspicion, normal life feels unbearable. It doesn't make sense, getting up, going to class, eating lunch, returning home, sleeping. You don't trust it. It doesn't feel real. And unreality can hurt more than pain.

This isn't an inspirational story. This isn't a story about keeping the flame of hope alive through adversity, and burning through to the other side, where what is wished for can at last be had. This is a story, I think, about what happens when in a very real sense that flame of hope is put out entirely. When forever after you can't find the muscle strength, deep in you, to rise to the moment when something wished-for might actually be attained, or even when something might be wished for in the first place.

Fear (...) that has no relation to capabilities or even to reality is epidemic among women today. Fear of being independent (that could mean we'd end up alone and uncared for); fear of being dependent (that could mean we'd be swallowed by some dominating "other"); fear of being competent and good at what we do (that could mean we'd have to keep on being good at what we do); fear of being incompetent (that could mean we'd have to keep on feeling shlumpy, depressed, and second class). (...) Phobia has so thoroughly infiltrated the feminine experience it is like a secret plague. It has been built up over long years by social conditioning and is all the more insidious for being so thoroughly acculturated we do not even recognize what has happened to us. Women will not become free until they stop being afraid. We will not begin to experience real change in our lives, real emancipation, until we begin the process - almost a de-brainwashing - of working through the anxieties that prevent us from feeling competent and whole.

Secondary structural dissociation involves one ANP and more than one EP. Examples of secondary structural dissociation are complex PTSD, complex forms of acute stress disorder, complex dissociative amnesia, complex somatoform disorders, some forms of trauma-relayed personality disorders, such as borderline personality disorder, and dissociative disorder not otherwise specified (DDNOS).. Secondary structural dissociation is characterized by divideness of two or more defensive subsystems. For example, there may be different EPs that are devoted to flight, fight or freeze, total submission, and so on. (Van der Hart et al., 2004). Gail, a patient of mine, does not have a personality disorder, but describes herself as a "changed person." She survived a horrific car accident that killed several others, and in which she was the driver. Someone not knowing her history might see her as a relatively normal, somewhat anxious and stiff person (ANP). It would not occur to this observer that only a year before, Gail had been a different person: fun-loving, spontaneous, flexible, and untroubled by frightening nightmares and constant anxiety. Fortunately, Gail has been willing to pay attention to her EPs; she has been able to put the process of integration in motion; and she has been able to heal. p134

During one of our infrequent dinners, he had a revelation. After an awkward pause, he stammered, “I’m afraid I ruined your life.” It was the closest he ever got to admitting fault. He looked so small underneath his too-big white polo shirt. He had always been fragile, but now he looked it. “You’re very lucky,” I said. “I turned out fine.” But still, he must have had the sense that there were amends to be made. Because months later, he asked me, “What can I do to be closer to you?” “I don’t know,” I said. “Make a list,” he replied. “Make me a list of what you want, and give it to me, and I’ll do it.” I never made the list. I didn’t make the list because I was confused about what to put on it. What would fix things? Was there really anything that could make up for what had happened?

I argue against purism not because I want a devastated world, the Mordor of industrial capitalism emerging as from a closely aligned alternate universe through our floating islands of plastic gradually breaking down into microbeads consumed by the scant marine life left alive after generations of overfishing, bottom scraping, and coral reef–killing ocean acidification; our human-caused, place-devastating elevated sea levels; our earth-shaking, water poisoning fracking; our toxic lakes made of the externalities of rare-earth mineral production for so-called advanced electronics; our soul-and-life destroying prisons; our oil spills; our children playing with bits of dirty bombs; our white phosphorus; our generations of trauma held in the body; our cancers; and I could go on. I argue against purism because it is one bad but common approach to devastation in all its forms. It is a common approach for anyone who attempts to meet and control a complex situation that is fundamentally outside our control. It is a bad approach because it shuts down precisely the field of possibility that might allow us to take better collective action against the destruction of the world in all its strange, delightful, impure frolic. Purism is a de-collectivizing, de-mobilizing, paradoxical politics of despair. This world deserves better.

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.

I call it your source-fracture wound, the original break in your heart from long ago. It may have happened in an instant--a little rejection, a shocking abandonment, or a slight misattunement that suddenly made you realize how alone you were in this world. Or perhaps it was a bit-bu-bit splintering as over the years you met with an intermittent meanness, an unpredictable but repetitive abuse, or a neglect that stole your childhood inches at a time. Wherever, however, or whenever it happened, one thing we can assume is that no adult helped you make accurate meaning of your confusing and painful experience. No grown up sat you down and lovingly said, "No, honey, it's not that you're stupid. It's that your big brother is scared and insecure." "It's not that you don't matter, angel. It's that Daddy has a drinking problem and needs help." "It's not that you're not enough. It's that Mommy has clinical depression, dear, and it's neither your fault nor yours to fix." Without this mature presence to help explain to you what was happening to your little world, you probably came to some pretty strong and wrong conclusions about who you were and what was possible for you to have in life. And those conclusions became a habit of consciousness, a filter through which you interpret and then respond to the events of your life, making your grief all the more complex.

Culture alone cannot explain the phenomena of such high rates of eating disorders. Eating disorders are complex, but what they all seem to have in common is the ability to distract women from the memories, sensations, and experience of the sexual abuse through starving, bingeing, purging, or exercising. They keep the focus on food, body image, weight, fat, calories, diets, miles, and other factors that women focus on during the course of an eating disorder. These disorders also have the ability to numb a woman from the overwhelming emotions resulting from the sexual abuse — especially loss of control, terror, and shame about her body. Women often have a combination of eating disorders in in their history. Some women are anorexic during one period of their life, bulimic during another, and compulsive eaters at yet another stage.

According to Dr. Ham, complex PTSD further clouds our perception of basic sensorial instincts. We are jumpy creatures, expectant of danger and conflict, and so that’s what we see. We’re often blind to what is actually happening. So Dr. Ham advocates for what the Dalai Lama calls “emotional disarmament—to see things realistically and clearly without the confusion of fear or rage.” For every narrow, fear-based C-PTSD reading, Dr. Ham said, there is a wider truth—layers and layers of truths. Of course it isn’t possible to always know that entire truth, because the people we love might not even be aware of that truth themselves. What is important is to approach all of these interactions with curiosity for what that truth is, not fear. He said I should approach difficult conversations with an attitude of “What is hurting you?” instead of “Have I hurt you?

As of February 2022, it has been four years since my diagnosis. And I wouldn’t describe myself as healed from complex PTSD. I wouldn’t even say I am in remission. I’ve learned that the beast of C-PTSD is a wily shape-shifter. Just when I believe I can see the ghoul for exactly what it is, it dissipates like a puff of smoke, then slithers into another crevice in the back of my mind. I know now it will emerge again in another form in a month or a week or two hours from now. Because loss is the one guaranteed constant in life, and since my trauma reliably resurfaces with grief, C-PTSD will be constant, too. Rage will always coat the tip of my tongue. I will always walk with a steel plate around my heart. My smile will always waver among strangers and my feet will always be ready to run. In the past few years, my joints have continued to rust and swell. I cannot transfuse the violence out of my blood.

(...) psychiatrists today recognize the contortionist's act that was required of women in an age when they were expected to stifle their own healthiest impulses. (...) "To be able to renounce your own achievements without feeling that you were sacrificing requires constant effort. To be lovely and unaggressive, a woman spends a lifetime keeping hostile or resentful impulses down. Even healthy self-assertion is often sacrificed since it may be mistaken by hostility. Therefore, [women] often repress their initiative, give up their aspirations, and unfortunately end up excessively dependent with a deep sense of insecurity and uncertainty about their abilities and their worth.

One of the hardest things to grasp about implicit bias and racism is that your beliefs and values do not always drive your behavior. These beliefs and values are stored in the highest, most complex part of your brain—the cortex. But other parts of your brain can make associations—distorted, inaccurate, racist associations. The same person can have very sincere anti-racist beliefs but still have implicit biases that result in racist comments or actions. Understanding sequential processing in the brain is essential to grasping this, as is appreciating the power of developmental experiences to load the lower parts of our brain with all kinds of associations that create our worldview.

Asexuality isn't a complex. It's not a sickness. It's not an automatic sign of trauma. It's not a behaviour. It's not the result of a decision. It's not a chastity vow or an expression that we are 'saving ourselves'. We aren't by definition religious. We aren't calling ourselves asexual as a statement of purity or moral superiority. We're not amoebas or plants. We aren't automatically gender confused, anti-gay, anti-straight, anti-any-sexual orientation, anti-woman, anti-man, anti-any-gender or anti sex. We aren't automatically going through a phase, following a trend, or trying to rebel. We aren't defined by prudishness. We aren't calling ourselves asexual because we failed to find a suitable partner. We aren't necessarily afraid of intimacy. And we aren't asking for anyone to 'fix' us.

Brain scans prove that patients who’ve sustained significant childhood trauma have brains that look different from those of people who haven’t.[8] Traumatized brains tend to have an enlarged amygdala—a part of the brain that is generally associated with producing feelings of fear. Which makes sense. But it goes further than that: For survivors of emotional abuse, the part of their brain that is associated with self-awareness and self-evaluation is shrunken and thin. Women who’ve suffered childhood sexual abuse have smaller somatosensory cortices—the part of the brain that registers sensation in our bodies. Victims who were screamed at might have an altered response to sound. Trauma can result in reductions in the parts of the brain that process semantics, emotion and memory retrieval, perceiving emotions in others, and attention and speech. Not getting enough sleep at night potentially affects developing brains’ plasticity and attention and increases the risk of emotional problems later in life. And the scariest factoid, for me anyway: Child abuse is often associated with reduced thickness in the prefrontal cortex, the part of the brain associated with moderation, decision-making, complex thought, and logical reasoning.

The Swedish town of Överkalix has the most comprehensive and oldest birth, death, and crop records in the world. Their records go back generations—a remarkably rich data set. And in analyzing this data set, scientists found some fascinating correlations. There were good and bad years for the crops in Överkalix and some particularly bad years where families were forced to go hungry. But scientists discovered that when children suffered starvation between the ages of nine and twelve, their grandchildren would on average live thirty years longer. Their descendants had far lower rates of diabetes and heart disease. On the other hand, when children were well-fed during those ages, their descendants were at four times the risk for heart attacks and their life expectancy dropped. In some strange way, the trauma of starvation changed descendants’ genes to be more resilient. Healthier. More likely to survive.[5] — Clearly, it wasn’t just my ruthless nurture that had shaped me into who I was, though who knows what kind of rampant methylation savaged my epigenome during my beatings and assaults. Beyond that, every cell in my body is filled with the code of generations of trauma, of death, of birth, of migration, of history that I cannot understand. Just piecemeal moments I collected from Auntie over the years. My family tried to erase this history. But my body remembers. My work ethic. My fear of cockroaches. My hatred for the taste of dirt. These are not random attributes, a spin of the wheel. They were gifted to me with purpose, with necessity. I want to have words for what my bones know. I want to use those gifts when they serve me and understand and forgive them when they do not.

Men as Victims: Challenging Cultural Myths Judith Herman’s recent treatise on “complex PTSD" (Herman, 1992) is an extremely articulate and compelling analysis of some of the failings of the current PTSD diagnosis, and of some of the psychological legacies of prolonged, repeated trauma. However, there was one aspect of the article which concerned me and which I wish to address. Throughout the article, "Complex PTSD: A Syndrome in Survivors of Prolonged and Repeated Trauma," whenever reference is made by pronoun to perpetrators or "captors," the pronoun "he" or "him' is used. There are four such references. Whenever reference is made by pronoun to victims or survivors, the pronoun "her" or "she" is used. There are 11 such references. This is not simply an issue of the use of sexist language, which it is. By uniformly linking perpetration with males and victimhood with females, a misconception is perpetuated, one that is shared by the public and by mental health professionals. While there is evidence that most perpetrators of sexual abuse are male, and that there are more female victims of sexual abuse than male victims, it is not true that all perpetrators are male and all victims are female. In fact, in the article, some of the traumas from which Dr. Herman was deriving her argument—political torture, concentration camp survivors, for example—affect as many males as females. Even in the case of sexual abuse, there is increasing evidence that the sexual abuse of males is far more prevalent than has heretofore been believed. Research on male sexual victimization lags more than a decade behind that of female victimization, but several recent studies have reported prevalence rates near or above 20% (Finkelhor et at, 1990; Urquiza, 1988, cited in Urquiza and Keating, 1990; Lisak and Luster, 1992).

Given our socialization into dependency, women are also poor risk takers. (...) We avoid new situations, job changes, moves to different parts of the country. Women are afraid that if they should make a mistake, or do "the wrong thing", they'll be punished. Women are less confident than men in their ability to make judgments, and in relationships will often hand over the decision-making duties to their mates, a situation which only ensures that they will become less confident in their powers of judgment as time goes by. Most shockingly of all, women are less likely than men to fulfill their intellectual potential. (...) In fact, as women proceed into adulthood, they get lower and lower scores on "total intelligence", owing to the fact that they tend to use their intelligence less and less the longer they're away from school. Other studies show that the intellect's ability to function may actually be impaired by dependent personality traits. (...) Confidence and self-esteem are primary issues in women's difficulties with achievement. Lack of confidence leads us into the dark waters of envy. (...) envy must be recognized, seen, and fully comprehended; it can too easily be used as a cover-up for something that is far mroe crucial to women's independence - our own inner feelings of incompetence. These must be dealt with - directly - if we are ever to achieve confidence and strength.

The goal of all principled people is to recognize truth. Simple or complex thoughts and feelings standing alone rarely express any universal truths. Thoughts and feelings combine to create profound truths and compose extravagant falsities. Truth making exposes certain falsehoods, and lies shed light upon irrefutable truths. Art reveals the pageantry of nature along with the unmitigated grotesqueness that accompanies an earthly life. The search for truth begins with an intellectual journey into darkness whereas the search for beauty requires an imaginative act trussed with the classical beauty of Apollonian lightness. Aesthetic appreciation represents the perfect reconciliation of the sensual and rational parts of humankind’s animalistic nature. Similar to aesthetic experience – contemplation of beauty without imposition of a worldly agenda – love depends upon human sensory-emotional values, a judgement of values and sentiments.

In the following pages I shall apply the term "poisonous pedagogy" to this very complex endeavor. It will be clear from the context in question which of its many facets I am emphasizing at the moment. The specific facets can be derived directly from the preceding quotations from child-rearing manuals. These passages teach us that: 1. Adults are the masters (not the servants!) of the dependent child. 2. They determine in godlike fashion what is right and what is wrong. 3. The child is held responsible for their anger. 4. The parents must always be shielded. 5. The child's life affirming feelings pose a threat to the autocratic adult. 6. The child's will must be "broken" as soon as possible. 7. All this must happen at a very early age, so the child "won't notice" and will therefore not be able to expose the adults. The methods that can be used to suppress vital spontaneity in the child are: laying traps, lying, duplicity, subterfuge, manipulation, "scare" tactics, withdrawal of love, isolation, distrust, humiliating and disgracing the child, scorn, ridicule, and coercion even to the point of torture.

Sacrifice is a notoriously hard concept to understand. Indeed, it is not a univocal concept, but is a name used for a variety of actions that attempt communication between the human and the divine or transcendent spheres.7 Contemplation of the abyss reveals the enormity and complexity of the evil that has been perpetrated upon a society. What would it take to overcome it? The images of cross and blood figure prominently in the Pauline language of reconciliation (cf. Rom 5:9; Col 1:20; Eph 2:13-16). Both cross and blood have paradoxical meanings that allow them to bridge the distance between the divine and human worlds, between life and death. The cross was the ultimate sign of Roman power over a conquered and colonized people. To be crucified was the most dishonorable and humiliating of ways to die. The cross stood as a sign of reassertion of Roman power and the capacity to reject and exclude utterly. Yet it was through the crucified Christ that God chose to reconcile the world. The apparent triumph of worldly power is turned against itself and becomes “Christ the power of God and the wisdom of God” (1 Cor 1:24). For John, the cross is at once instrument of humiliation and Christ's throne of glory (Jn 12:32). Similarly, blood is a sign of the divine life that God has breathed into every living being, and its shedding is a sign of death. The blood of the cross (Col 1:20) becomes the means of reconciling all things to God. In its being shed, the symbol of violence and death becomes the symbol of reconciliation and peace. To understand sacrifice, one must be prepared to inhabit the space within these paradoxes. Sacrifice understood in this way is not about the abuse of power, but about a transformation of power. A spirituality of reconciliation can be deepened by a meditation on the stories of the women and the tomb. These stories invite us to place inside them our experience of marginalization, of being incapable of imagining a way out of a traumatic past, of dealing with the kinds of absence that traumas create. They invite us to let the light of the resurrection—a light that even the abyss cannot extinguish—penetrate those absences.

Silence. Ah (...) Isn't that something? Did you know this is how other families are? They're quiet. Ask one of these people sitting here. They'll tell you. They've got famillies. This is how some families are all the time. And some people like to call these families repressed, or emotionally stunted or whatever, but do you know what I say? (...) I say, lucky fuckers. Lucky, lucky fuckers. (...) What a peaceful existence. What a joy their lives must be. They open a door and all they've got behind it is a bathroom or a lounge. Just neutral spaces. And not this endless maze of present rooms and past rooms and the things said in them years ago and everybody's old historical shit all over the place. They're not constantly making the same old mistakes. They're not always hearing the same old shit. They don't do public performances of angst on public transport. Really, these people exist. I'm telling you. The biggest traumas of their lives are things like recarpeting. Bill-paying. Gate-fixing. They don't mind what their kids do in life as long as they're reasonably, you know, healthy. Happy. And every single fucking day is not this huge battle between who they are and who they should be, what they were and what they will be. Go on, ask them. And they'll tell you. No mosque. Maybe a little church. Hardly any sin. Plenty of forgiveness. No attics. No shit in attics. No skeletons in cupboards. No great-grandfathers. I will put twenty quid down now that Samad is the only person in here who knows the inside bloody leg measurement of his great-grandfather. And you know why they don't know? Because it doesn't fucking matter. As far as they're concerned, it's the past. This is what it's like in other families. They're not self-indulgent. They don't run around, relishing, relishing the fact that they are utterly dysfunctional. They don't spend their time trying to find ways to make their lives more complex. They just get on with it. Lucky bastards. Lucky motherfuckers.

EAGLE The East direction is represented by eagle and condor, who bring vision, clarity, and foresight. Eagle perceives the entire panorama of life without becoming bogged down in its details. The energies of eagle assist us in finding the guiding vision of our lives. The eyes of condor see into the past and the future, helping to know where we come from, and who we are becoming. When I work with a client who is stuck in the traumas of the past, I help her to connect with the spirit of eagle or condor. As this energy infuses the healing space, my client is often able to attain new clarity and insight into her life. This is not an intellectual insight, but rather a call, faint at first, hardly consciously heard. Her possibilities beckon to her and propel her out of her grief and into her destiny. I believe that while everyone has a future, only certain people have a destiny. Having a destiny means living to your fullest human potential. You don’t need to become a famous politician or poet, but your destiny has to be endowed with meaning and purpose. You could be a street sweeper and be living a destiny. You could be the president of a large corporation and be living a life bereft of meaning. One can make oneself available to destiny, but it requires a great deal of courage to do so. Otherwise our destiny bypasses us, leaving us deprived of a fulfillment known by those who choose to take the road less traveled. Eagle allows us to rise above the mundane battles that occupy our lives and consume our energy and attention. Eagle gives us wings to soar above trivial day-to-day struggles into the high peaks close to Heaven. Eagle and condor represent the self-transcending principle in nature. Biologists have identified the self-transcending principle as one of the prime agendas of evolution. Living molecules seek to transcend their selfhood to become cells, then simple organisms, which then form tissues, then organs, and then evolve into complex beings such as humans and whales. Every transcending jump is inclusive of all of the levels beneath it. Cells are inclusive of molecules, yet transcend them; organs are inclusive of cells, yet go far beyond them; whales are inclusive of organs yet cannot be described by them, as the whole transcends the sum of its parts. The transcending principle represented by eagle states that problems at a certain level are best solved by going up one step. The problems of cells are best resolved by organs, while the needs of organs are best addressed by an organism such as a butterfly or a human. The same principle operates in our lives. Think of nested Russian dolls. Material needs are the tiny doll in the center. The larger emotional doll encompasses them, and both are contained within the outermost spiritual doll. In this way, we cannot satisfy emotional needs with material things, but we can satisfy them spiritually. When we go one step up, our emotional needs are addressed in the solution. We rise above our life dilemmas on the wings of eagle and see our lives in perspective.