Impaired Quotes

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When it comes to reflexes, I'm like a cat. I'm Catwoman. I'm invulnerable. The only reason he got a piece of me is because of the rain. Cats don't like water. It impairs us. It's our kryptonite.
Becca Fitzpatrick (Hush, Hush (Hush, Hush, #1))
He was like Superman, but with fangs and oddly impaired morals.
Patricia Briggs (River Marked (Mercy Thompson, #6))
Everything looks beautiful. The Book of Shhh says that deliria alters your perception, disables your ability to reason clearly, impairs you from making sound judgments. But it does not tell you this: that love will turn the whole world into something greater than itself.
Lauren Oliver (Delirium (Delirium, #1))
As a matter of fact it wouldn’t be safe to tell any man the truth about his wife! Funnily enough, I’d trust most women with the truth about their husbands. Women can accept the fact that a man is a rotter, a swindler, a drug taker, a confirmed liar, and a general swine, without batting an eyelash, and without its impairing their affection for the brute in the least. Women are wonderful realists.
Agatha Christie (Murder in Mesopotamia (Hercule Poirot, #14))
Interviewer: So. Tell me about your mother. Ezra: You're taping this, right? Interviewer: Audio only. Camera is faulty. Ezra: Okay, well for the benefit of the sight-impaired, I am now raising my… oh, dear… yes, it's my MIDDLE finger at Mr. Postgrad here. Interviewer: Mr. Mason... Ezra: Now I'm wiggling it. Interviewer: Terminating interview at 13:58 on 03/19/75. Ezra: Look at it wiggl- -audio ends-
Amie Kaufman (Illuminae (The Illuminae Files, #1))
Many abused children cling to the hope that growing up will bring escape and freedom. But the personality formed in the environment of coercive control is not well adapted to adult life. The survivor is left with fundamental problems in basic trust, autonomy, and initiative. She approaches the task of early adulthood――establishing independence and intimacy――burdened by major impairments in self-care, in cognition and in memory, in identity, and in the capacity to form stable relationships. She is still a prisoner of her childhood; attempting to create a new life, she reencounters the trauma.
Judith Lewis Herman (Trauma and Recovery: The Aftermath of Violence - From Domestic Abuse to Political Terror)
Real strength never impairs beauty or harmony, but it often bestows it, and in everything imposingly beautiful, strength has much to do with the magic.
Herman Melville
Whatever weakens your reason, impairs the tenderness of your conscience, obscures your sense of God, takes off your relish for spiritual things, whatever increases the authority of the body over the mind, that thing is sin to you, however innocent it may seem in itself.
Susanna Wesley
People who know other people’s secrets can’t afford to do things that impair their ability to control their mouths.
Patricia Briggs (Bone Crossed (Mercy Thompson, #4))
So, does this make you visibly challenged? (Nick) No, but if you don’t lay off me, I’m going to make you breathing impaired. (Acheron)
Sherrilyn Kenyon (Night Embrace (Dark-Hunter, #2))
What's bothering me is that you dare to stand there and tell me what I do and do not feel about last night. That kissing you and holding you meant nothing to me. Then, to top it all off, that you were only reactiong to me because you were impaired? That's rich. You know what those drugs did to you in the first dose, before the second one made you comatose? They killed the bug up your arse?" said Bones.
Jeaniene Frost (Halfway to the Grave (Night Huntress, #1))
The ignorance of one voter in a democracy impairs the security of all.
John F. Kennedy
Just as one spoils the stomach by overfeeding and thereby impairs the whole body, so can one overload and choke the mind by giving it too much nourishment. For the more one reads the fewer are the traces left of what one has read; the mind is like a tablet that has been written over and over. Hence it is impossible to reflect; and it is only by reflection that one can assimilate what one has read. If one reads straight ahead without pondering over it later, what has been read does not take root, but is for the most part lost.
Arthur Schopenhauer
As beauty is in the eye of the beholder, we must make sure to heal our impaired vision, filter our perception, and sharpen the focus of our attention because willful blindness can never empower inspiriting vibrations or awaken the twinkles of enlightenment. ("Absence of beauty was like hell")
Erik Pevernagie
normal person's weekly chore list: 1. clean kitchen. 2. clean bathroom. 3. clean entire rest of domicile. cleaning impaired person's weekly chore list: 1. don't get peanut butter on sheets.
Dave Barry
Hope is both the earliest and the most indispensable virtue inherent in the state of being alive. If life is to be sustained hope must remain, even where confidence is wounded, trust impaired.
Erik H. Erikson
Is your sister ... uh... hearing impaired?" "She's just reading.
Jay McLean (More Than Forever (More Than, #4))
The nation behaves well if it treats its natural resources as assets which it must turn over to the next generation increased, and not impaired, in value.
Theodore Roosevelt
Symptoms of Amor Deliria Nervosa PHASE ONE: -preoccupation; difficulty focusing -dry mouth -perspiration, sweaty palms -fits of dizziness and disorientation -reduced mental awareness; racing thoughts; impaired reasoning skills PHASE TWO: -periods of euphoria; hysterical laughter and heightened energy -periods of despair; lethargy -changes in appetite; rapid weight loss or weight gain -fixation; loss of other interests -compromised reasoning skills; distortion of reality -disruption of sleep patterns; insomnia or constant fatigue -obsessive thoughts and actions -paranoia; insecurity PHASE THREE (CRITICAL): -difficulty breathing -pain in the chest, throat or stomach -complete breakdown of rational faculties; erratic behavior; violent thoughts and fantasies; hallucinations and delusions PHASE FOUR (FATAL): -emotional or physical paralysis (partial or total) -death If you fear that you or someone you know may have contracted deliria, please call the emergency line toll-free at 1-800-PREVENT to discuss immediate intake and treatment.
Lauren Oliver (Delirium (Delirium, #1))
If our feelings clash with our perceptions and we cannot breathe anymore, below the leaden sky of a harsh reality, we have to kill the dormant virus of lassitude, punch the air and propel us on a new course, taking back a genuine interest in the world, and create an open space to overcome the impairment of emotional thinking. -( "No monsters hide at this point" )
Erik Pevernagie
People would be so much more at ease if they acted on impulse rather than reason. That’s why drugs are so effective in curing mental illness—because they impair our judgment. Don’t try to think too much.
Ottessa Moshfegh (My Year of Rest and Relaxation)
Shame is the deepest of the “negative emotions,” a feeling we will do almost anything to avoid. Unfortunately, our abiding fear of shame impairs our ability to see reality.
Gabor Maté (When the Body Says No: The Cost of Hidden Stress)
She walks in beauty, like the night Of cloudless climes and starry skies; And all that’s best of dark and bright Meet in her aspect and her eyes: Thus mellow’d to that tender light Which heaven to gaudy day denies. One shade the more, one ray the less, Had half impaired the nameless grace Which waves in every raven tress, Or softly lightens o’er her face; Where thoughts serenely sweet express How pure, how dear their dwelling-place. And on that cheek, and o’er that brow, So soft, so calm, yet eloquent, The smiles that win, the tints that glow, But tell of days in goodness spent, A mind at peace with all A heart whose love is innocent!
Lord Byron (Selected Poems of Lord Byron)
Open-plan offices have been found to reduce productivity and impair memory. They’re associated with high staff turnover. They make people sick, hostile, unmotivated, and insecure.
Susan Cain (Quiet: The Power of Introverts in a World That Can't Stop Talking)
Is the beauty myth good to men? It hurts them by teaching them how to avoid loving women. It prevents men from actually seeing women. It does not, contrary to its own professed ideology, stimulate and gratify sexual longing. In suggesting a vision in place of a woman, it has a numbing effect, reducing all senses but the visual, and impairing even that.
Naomi Wolf
Are you really speechless or has the vodka finally impaired your ability to function like a normal human?
Heidi McLaughlin (Forever My Girl (Beaumont Series, #1))
A picture lives by companionship, expanding and quickening in the eyes of the sensitive observer. It dies by the same token. It is therefore risky to send it out into the world. How often it must be impaired by the eyes of the unfeeling and the cruelty of the impotent.
Mark Rothko
Being cut off from our own natural self-compassion is one of the greatest impairments we can suffer. Along with our ability to feel our own pain go our best hopes for healing, dignity and love. What seems nonadapative and self-harming in the present was, at some point in our lives, an adaptation to help us endure what we then had to go through. If people are addicted to self-soothing behaviours, it's only because in their formative years they did not receive the soothing they needed. Such understanding helps delete toxic self-judgment on the past and supports responsibility for the now. Hence the need for compassionate self-inquiry.
Gabor Maté (In the Realm of Hungry Ghosts: Close Encounters with Addiction)
Slavery is such an atrocious debasement of human nature, that its very extirpation, if not performed with solicitous care, may sometimes open a source of serious evils. The unhappy man who has been treated as a brute animal, too frequently sinks beneath the common standard of the human species. The galling chains, that bind his body, do also fetter his intellectual faculties, and impair the social affections of his heart… To instruct, to advise, to qualify those, who have been restored to freedom, for the exercise and enjoyment of civil liberty… and to procure for their children an education calculated for their future situation in life; these are the great outlines of the annexed plan, which we have adopted. [For the Pennsylvania Society for Promoting the Abolition of Slavery, 1789]
Benjamin Franklin (Writings: The Autobiography / Poor Richard’s Almanack / Bagatelles, Pamphlets, Essays & Letters)
There is a delight in the hardy life of the open. There are no words that can tell the hidden spirit of the wilderness, that can reveal its mystery, its melancholy and its charm. The nation behaves well if it treats the natural resources as assets which it must turn over to the next generation increased; and not impaired in value. Conservation means development as much as it does protection.
Theodore Roosevelt
How would you judge the lawfulness or unlawfulness of "pleasure?" Use this rule: Whatever weakens your reason, impairs the tenderness of your conscience, obscures your sight of God, takes from you your thirst for spiritual things or increases the authority of your body over your mind, then that thing to you is evil. By this test you may detect evil no matter how subtly or how plausibly temptation may be presented to you.
Susanna Wesley
Char chuckled. “If I didn’t know better, I might think you wanted my judgment to be impaired. I told you rum was my weakness in confidence.” “In my defense”—he leaned in closer, his voice for her alone—“I am a pirate.
Lisa Kessler (Pirate's Passion (Sentinels of Savannah, #2))
I know my vision is impaired and cannot be trusted with even the simplest tasks, much less dating. Not that I´ve come within talon distance of a man.
Suzanne Finnamore (Split: A Memoir of Divorce)
I'd say..." Petra crossed her legs, tucked a wayward strand of hair behind her ear. "I'd say, I am too fucking fabulous for one gender. Oh, and can we please get rid of the cheesy dance numbers? It's like torture step-ball-change." "I'd say I am not a race. I am an individual," Nicole said. Sosie moved her fingers gracefully, but no one understood. She waited for a moment. "I would say, learn to hear me in my own voice. I'm hearing impaired, not invisible.
Libba Bray (Beauty Queens)
I’m really not comfortable with you being naked,” I said, struggling for a normal tone and failing. His brow arched. “Why should it unsettle you, pet? After all, you just said I meant nothing to you beyond mere gratitude. And you’ve seen a man’s body before, so don’t pull that blushing act with me. What could be bothering you, then? I know what’s bothering me.” The smoothly bantering tone changed to a low, furious growl. “What’s bothering me is that you dare to stand there and tell me what I do and do not feel about last night. That kissing you and holding you meant nothing to me. Then, to top it all off, that you were only reacting to me because you were impaired! That’s rich. You know what those drugs did to you in the first dose, before the second one made you comatose? They killed the bug up your arse!
Jeaniene Frost (Halfway to the Grave (Night Huntress, #1))
Ten days of six hours of sleep a night was all it took to become as impaired in performance as going without sleep for twenty-four hours straight.
Matthew Walker (Why We Sleep: Unlocking the Power of Sleep and Dreams)
Think of your life as an hourglass. You know there are thousands of grains of sand in the top of the hourglass; and they all pass slowly and evenly through the narrow neck in the middle. Nothing you or I could do would make more than one grain of sand pass through this narrow neck without impairing the hourglass. You and I and everyone else are like this hourglass...if we do not take [tasks] one at a time and let them pass...slowly and evenly, then we are bound to break our own...structure.
Dale Carnegie (How to Stop Worrying and Start Living: Time-Tested Methods for Conquering Worry (Dale Carnegie Books))
There was a beauty in the trash of the alleys which I had never noticed before; my vision seemed sharpened, rather than impaired. As I walked along it seemed to me that the flattened beer cans and papers and weeds and junk mail had been arranged by the wind into patterns; these patterns, when I scrutinized them, lay distributed so as to comprise a visual language.
Philip K. Dick (Radio Free Albemuth)
Today, with the abundance of books available, it is the mark of a truly educated man to know what not to read. … Feed only on the best. As John Wesley’s mother counseled him: ‘Avoid whatever weakens your reason, impairs the tenderness of your conscience, obscures your sense of God, takes off your relish for spiritual things, … increases the authority of the body over the mind.
Ezra Taft Benson
Real strength never impairs beauty or harmony, but it often bestows it; and in everything imposingly beautiful, strength has much to do with the magic.
Herman Melville (Moby-Dick or, The Whale)
Well, he was wearing those really bad pants ant that awful shirt. Clearly he did need some things explained to him bya teenager, but i didn't think it was the right time to mention his unforunate and obvious fashion impairment.
P.C. Cast
The physical and mental impairments caused by one night of bad sleep dwarf those caused by an equivalent absence of food or exercise.
Matthew Walker (Why We Sleep: The New Science of Sleep and Dreams)
This book is a memoir - not of specific life events, but of the processes of dissociation, and of re-enlivening emotions that are shameful to admit or even to feel. It is an account of the altered states that trauma induces, which make it possible to survive a life-threatening event but impair the capacity to feel fear, and worse still, impair the ability to love.
Jessica Stern (Denial: A Memoir of Terror)
New mutations don't create new species; they create offspring that are impaired.
Lynn Margulis
The good part about having a mental disorder is having a valid reason for all the stupid things we do because of a damaged prefrontal cortex. However, the best part is seeing someone completely sane do the exact same things, without a valid excuse. This is the great equalizer of God and his little gift for all us crazy people to enjoy.
Shannon L. Alder
Begin to assess your own parenting. Acknowledging the painful reality that it is impossible to be a child of a narcissist and not be somewhat impaired narcissistically. Anyone raised this way has probably acquired a few traits of narcissism.
Karyl McBride (Will I Ever Be Good Enough? Healing the Daughters of Narcissistic Mothers)
the seriousness of emotional deprivation: It is not difficult to understand how children who have suffered from malnutrition or starvation need food and plenty of care in their bodies are to recover so they can go on to lead normal lives. If, however, the starvation is severe enough, the damage will be permanent and they will suffer physical impairments for the rest of their lives. Likewise, children who are deprived of emotional nurturing require care and love if their sense of security and self-confidence is to be restored. However, if love is minimal and abuse high, the damage will be permanent and the children will suffer emotional impairments for the rest of their lives.
Mark Z. Danielewski
It is difficult for men in high office to avoid the malady of self-delusion. They are always surrounded by worshipers. They are constantly, and for the most part sincerely, assured of their greatness. They live in an artificial atmosphere of adulation and exaltation which sooner or later impairs their judgment. They are in grave danger of becoming careless and arrogant.
Calvin Coolidge
I read an article once that said that when women have a conversation, they're communicating on five levels. They follow the conversation that they're actually having, the conversation that is specifically being avoided, the tone being applied to the overt conversation, the buried conversation that is being covered only in subtext, and finally the other person's body language. That is, on many levels, astounding to me. I mean, that's like having a freaking superpower. When I, and most other people with a Y chromosome, have a conversation, we're having a conversation. Singular. We're paying attention to what is being said, considering that, and replying to it. All these other conversations that have apparently been booing on for the last several thousand years? I didn't even know that they existed until I read that stupid article, and I'm pretty sure I'm not the only one. ... So, ladies, if you ever have some conversation with your boyfriend or husband or brother or male friend, and you are telling him something perfectly obvious, and he comes away from it utterly clueless? I know it's tempting to thing to yourself, 'The man can't possibly be that stupid!' But yes. Yes, he can. Our innate strengths just aren't the same. We are the mighty hunters, who are good at focusing on one thing at a time. For crying out loud, we have to turn down the radio in the car if we suspect we're lost and need to figure out how to get where we're going. That's how impaired we are. I'm telling you, we have only the one conversation. Maybe some kind of relationship veteran like Michael Carpenter can do two, but that's pushing the envelope. Five simultaneous conversations? Five? Shah. That just isn't going to happen. At least, not for me.
Jim Butcher (Cold Days (The Dresden Files, #14))
In a sense the car has become a prosthetic, and though prosthetics are usually for injured or missing limbs, the auto-prosthetic is for a conceptually impaired body or a body impaired by the creation of a world that is no longer human in scale.
Rebecca Solnit (Wanderlust: A History of Walking)
No one seems to consider that even people who are thought to be intellectually impaired can change as they grow older.
Martin Pistorius (Ghost Boy: The Miraculous Escape of a Misdiagnosed Boy Trapped Inside His Own Body)
Too much brightness blinds the eyes. Too much sound deafens the ears. Too much flavour ruins the tongue. Chasing desires to excess turns your mind towards madness, and valuing precious things impairs good judgment.
Lao Tzu (Tao Te Ching)
I was very lighthearted. This often the way when the abandonment of personal responsibility is enforced: neither wronged innocence or just guilt can seriously impair the sensation of freedom one has.
Anthony Burgess (Earthly Powers)
It is a fact—I say this from experience—that being severely anxious is depressing. Anxiety can impede your relationships, impair your performance, constrict your life, and limit your possibilities.
Scott Stossel (My Age of Anxiety: Fear, Hope, Dread, and the Search for Peace of Mind)
I'm twenty-nine, happily single and getting it on a regular basis' I said, enjoying the way their thin lips hung open in an impressive O. 'Well I've never,' Jane gasped. 'Clearly. You should try it some time. I understand Mr Smith is so vision impaired you might have a shot there.' Their appalled shrieks were music to my ears and I quickly made my escape.
Robyn Peterman (Fashionably Dead (Hot Damned, #1))
The first time he met me, he called me trash.” “That bitch.” “Well, technically he thought I was Tina when he was yelling at me in front of an entire cafe full of strangers.” “That vision-impaired bitch.
Lucy Score (Things We Never Got Over (Knockemout, #1))
Linda's presentation of the 'facts' had been so gruesome that the children left Alconleigh howling dismally, their nerves permanently impaired, their future chances of a sane and happy sex life much reduced.
Nancy Mitford (The Pursuit of Love (Radlett & Montdore, #1))
After all, everyone knows that women are responsible for how men behave. If we’re not careful, they might decide to take what they want. They can’t help it. But somehow I’m the one with the psychological impairment.
Victoria Helen Stone (Jane Doe (Jane Doe, #1))
We need to see people other than ourselves in order to empathize. If we don't live around others we do ourselves and our society damage because our ability to relate becomes impaired. It's easy to demonize, or simply dismiss, people you don't know or see...It's nearly impossible to commiserate with the unseen and unknown.
Charles M. Blow
One noteworthy study suggests that people who suppress negative emotions tend to leak those emotions later in unexpected ways. The psychologist Judith Grob asked people to hide their emotions when she showed them disgusting images. She even had them hold pens in their mouths to prevent them from frowning. She found that this group reported feeling less disgusted by the pictures than did those who'd been allowed to react naturally. Later, however, the people who hid their emotions suffered side effects. Their memory was impaired, and the negative emotions they'd suppressed seemed to color their outlook. When Grob had them fill in the missing letter to the word "gr_ss", for example, they were more likely than others to offer "gross" rather than "grass". "People who tend to [suppress their negative emotions] regularly," concludes Grob, "might start to see their world in a more negative light." p. 223
Susan Cain (Quiet: The Power of Introverts in a World That Can't Stop Talking)
Is it still a secret if nobody cares if having the knowledge in no way impairs
Maggie Stiefvater (Linger (The Wolves of Mercy Falls, #2))
Psychopaths, rather than having an impairment in recognizing the emotions of others, indeed have a talent for it. And that the problem lies not in emotional recognition per se, but in the dissociation between its sensory and affective components: in the disconnect between knowing what an emotion is and feeling what it's like.
Kevin Dutton (The Wisdom of Psychopaths: What Saints, Spies, and Serial Killers Can Teach Us About Success)
I’d read enough to know that one of the symptoms of grief was a deep anger at the loved one who’d died, anger that impaired your judgement, made you want to scream and curse because they’d left you. But Nick hadn’t died, and I didn’t realize that I was suffering the symptoms of grief.
Katherine Allred (The Sweet Gum Tree)
Just because a guy wears glasses and smiles at you doesn't mean he's nice." Lisa dug around in her purse for a tube of lip-gloss. "Maybe he's a visually impaired cannibal. Did you ever think of that? Like one of those serial killers you love so much." "I don't love serial killers," Katie argued, defensive. "Not romantically, at least.
Cecily White (Prophecy Girl (Angel Academy, #1))
In past ages, a war, almost by definition, was something that sooner or later came to an end, usually in unmistakable victory or defeat. In the past, also, war was one of the main instruments by which human societies were kept in touch with physical reality. All rulers in all ages have tried to impose a false view of the world upon their followers, but they could not afford to encourage any illusion that tended to impair military efficiency. So long as defeat meant the loss of independence, or some other result generally held to be undesirable, the precautions against defeat had to be serious. Physical facts could not be ignored. In philosophy, or religion, or ethics, or politics, two and two might make five, but when one was designing a gun or an aeroplane they had to make four. Inefficient nations were always conquered sooner or later, and the struggle for efficiency was inimical to illusions. Moreover, to be efficient it was necessary to be able to learn from the past, which meant having a fairly accurate idea of what had happened in the past. Newspapers and history books were, of course, always coloured and biased, but falsification of the kind that is practiced today would have been impossible. War was a sure safeguard of sanity, and so far as the ruling classes were concerned it was probably the most important of all safeguards. While wars could be won or lost, no ruling class could be completely irresponsible.
George Orwell (1984)
The range of your vision is impaired by the location of your head.
Steve Harvey
Nobel Prize-winning neuroscientist Eric Kandel says we are who we are because of what we learn and what we remember. Who am I, then, if my memory is impaired?
Mira Bartok (The Memory Palace)
Insecurity cuts deeper and extends more widely than bare unemployment. Fear of loss of work, dread of the oncoming of old age, create anxiety and eat into self-respect in a way that impairs personal dignity.
John Dewey (Individualism Old and New (Great Books in Philosophy))
To express want is to own the desire, to stand in your own reality. The easier alternative is the language of impairment: “I can’t come because I’m run down, overworked, under the gun, tired, sick, or not up to it.” The underlying message is, “I cannot attend because I am impaired,” rather than the more honest and self-respecting response: “I choose to not attend because I prefer the other option.
Laurie A. Helgoe (Introvert Power: Why Your Inner Life Is Your Hidden Strength)
Depression affects not only mood but the nature and content of thought as well. Thinking processes almost always slow down, and decisiveness is replaced by indecision and rumination. The ability to concentrate is usually greatly impaired and willful action and thought become difficult if not impossible.
Kay Redfield Jamison (Touched with Fire)
I want to be back to work next week. 'Let’s get you home first. I need to evaluate the extent of your mental impairment.' She tried to flash me the peace sign, but in her weakend condition, she only managed to raise her middle finger.
Nelson DeMille (The Lion (John Corey, #5))
Neurology’s favourite word is ‘deficit’, denoting an impairment or incapacity of neurological function: loss of speech, loss of language, loss of memory, loss of vision, loss of dexterity, loss of identity and myriad other lacks and losses of specific functions (or faculties).
Oliver Sacks (The Man Who Mistook His Wife For A Hat: And Other Clinical Tales)
When life's got you down, keep your head up... you can't see the ground anyway
Nicole Rae
Published in this month's Harper's, from a conversation held in Beijing in February 1973: Chairman Mao Zedong: Do you want our Chinese women? We can give you ten million. U.S. National Security Adviser Henry Kissinger: The chairman is improving his offer. Mao: We can let them flood your country with disaster and therefore impair your interests. In our country we have too many women, and they have a way of doing things. They give birth to children, and our children are too many.
Mao Zedong
He impaired his vision by holding the object too close. He might see, perhaps, one or two points with unusual clearness, but in so doing he, necessarily, lost sight of the matter as a whole. Thus there is such a thing as being too profound. Truth is not always in a well. In fact, as regards the more important knowledge, I do believe that she is invariably superficial. The depth lies in the valleys where we seek her, and not upon the mountain-tops where she is found.
Edgar Allan Poe (The Murders in the Rue Morgue (C. Auguste Dupin, #1))
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.
Arielle Schwartz (The Complex PTSD Workbook: A Mind-Body Approach to Regaining Emotional Control and Becoming Whole)
What ever happened to mental hygiene?” he asked rhetorically. “It doesn’t exist—and never did. When you went through high school, you were never taught how to deal with stress, how to deal with trauma, how to deal with tension and anxiety—with the whole list of mood impairments. There’s no preventive maintenance. We know how to prevent cavities. But we don’t teach children how to be resilient, how to cope with stress on a daily basis.
William J. Broad (The Science of Yoga: The Risks and the Rewards)
It may well be that the chemist or physiologist is right when he decides that he will become a better chemist or physiologist if he concentrates on his subject at the expense of his general education. But in the study of society exclusive concentration on a speciality has a peculiarly baneful effect: it will not merely prevent us from being attractive company or good citizens but may impair our competence in our proper field—or at least for some of the most important tasks we have to perform. The physicist who is only a physicist can still be a first class physicist and a most valuable member of society. But nobody can be a great economist who is only an economist—and I am even tempted to add that the economist who is only an economist is likely to become a nuisance if not a positive danger.
Friedrich A. Hayek (Studies in Philosophy, Politics and Economics)
Those who are repetitively traumatized in childhood often learn to survive by over-using one or two of the 4F Reponses. Fixation in any one 4F response not only limits our ability to access all the others, but also severely impairs our ability to relax into an undefended state. Additionally, it strands us in a narrow, impoverished experience of life.
Pete Walker (Complex PTSD: From Surviving to Thriving)
The consumption of drugs has the effect of reducing men's freedom by circumscribing the range of their interests. It impairs their ability to pursue more important human aims, such as raising a family and fulfilling civic obligations. Very often it impairs their ability to pursue gainful employment and promotes parasitism. Moreover, far from being expanders of consciousness, most drugs severely limit it. One of the most striking characteristics of drug-takers is their intense and tedious self-absorption.
Theodore Dalrymple (Our Culture, What's Left of It: The Mandarins and the Masses)
It’s a subtle thing, freedom. It takes effort; it takes attention and focus to not act something like an automaton. Although we do have freedom, we exercise it only when we strive for awareness, when we are conscious not just of the content of the mind but also of the mind itself as a process.’ We may say, then, that in the world of the psyche, freedom is a relative concept: the power to choose exists only when our automatic mechanisms are subject to those brain systems that are able to maintain conscious awareness. A person experiences greater or less freedom from one situation to the next, from one interaction to the next, from one moment to the next. Anyone whose automatic brain mechanisms habitually run in overdrive has diminished capacity for free decision making, especially if the parts of the brain that facilitate conscious choice are impaired or underdeveloped.
Gabor Maté (In the Realm of Hungry Ghosts: Close Encounters with Addiction)
What, exactly, she had been protesting was subject to interpretation. To the poorest, her self-immolation was a response to enervating poverty. To the disabled, it reflected the lack of respect accorded the physically impaired. To the unhappily married, who were legion, it was a brave indictment of oppressive unions. Almost no one spoke of envy, a stone slab, a poorly made wall, or rubble that had fallen into rice.
Katherine Boo (Behind the Beautiful Forevers: Life, Death, and Hope in a Mumbai Undercity)
Political rights do not originate in parliaments; they are, rather, forced upon parliaments from without. And even their enactment into law has for a long time been no guarantee of their security. Just as the employers always try to nullify every concession they had made to labor as soon as opportunity offered, as soon as any signs of weakness were observable in the workers’ organizations, so governments also are always inclined to restrict or to abrogate completely rights and freedoms that have been achieved if they imagine that the people will put up no resistance. Even in those countries where such things as freedom of the press, right of assembly, right of combination, and the like have long existed, governments are constantly trying to restrict those rights or to reinterpret them by juridical hair-splitting. Political rights do not exist because they have been legally set down on a piece of paper, but only when they have become the ingrown habit of a people, and when any attempt to impair them will meet with the violent resistance of the populace. Where this is not the case, there is no help in any parliamentary Opposition or any Platonic appeals to the constitution.
Rudolf Rocker (Anarcho-Syndicalism: Theory and Practice (Working Classics))
The soul is like the bowl of water, with the soul's impressions like the rays of light that strike the water. Now, if the water is disturbed, the light appears to be disturbed together with it — though of course it is not. So when someone loses consciousness, it is not the person's knowledge and virtues that are impaired, it is the breath that contains them. Once the breath returns to normal, knowledge and the virtues are restored to normal also.
Epictetus (Discourses and Selected Writings)
Ecologically considered, it is not primarily our verbal statements that are "true" or "false," but rather the kind of relations that we sustain with the rest of nature. A human community that lives in a mutually beneficial relation with the surrounding earth is a community, we might say, that lives in truth. The ways of speaking common to that community—the claims and beliefs that enable such reciprocity to perpetuate itself—are, in this important sense, true. They are in accord with a right relation between these people and their world. Statements and beliefs, meanwhile, that foster violence toward the land, ways of speaking that enable the impairment or ruination of the surrounding field of beings, can be described as false ways of speaking—ways that encourage an unsustainable relation with the encompassing earth. A civilization that relentlessly destroys the living land it inhabits is not well acquainted with truth, regardless of how many supported facts it has amassed regarding the calculable properties of its world.
David Abram (The Spell of the Sensuous: Perception and Language in a More-Than-Human World)
[excerpt] The usual I say. Essence. Spirit. Medicine. A taste. I say top shelf. Straight up. A shot. A sip. A nip. I say another round. I say brace yourself. Lift a few. Hoist a few. Work the elbow. Bottoms up. Belly up. Set ‘em up. What’ll it be. Name your poison. I say same again. I say all around. I say my good man. I say my drinking buddy. I say git that in ya. Then a quick one. Then a nightcap. Then throw one back. Then knock one down. Fast & furious I say. Could savage a drink I say. Chug. Chug-a-lug. Gulp. Sauce. Mother’s milk. Everclear. Moonshine. White lightning. Firewater. Hootch. Relief. Now you’re talking I say. Live a little I say. Drain it I say. Kill it I say. Feeling it I say. Wobbly. Breakfast of champions I say. I say candy is dandy but liquor is quicker. I say Houston, we have a drinking problem. I say the cause of, and solution to, all of life’s problems. I say god only knows what I’d be without you. I say thirsty. I say parched. I say wet my whistle. Dying of thirst. Lap it up. Hook me up. Watering hole. Knock a few back. Pound a few down. My office. Out with the boys I say. Unwind I say. Nurse one I say. Apply myself I say. Toasted. Glow. A cold one a tall one a frosty I say. One for the road I say. Two-fisted I say. Never trust a man who doesn’t drink I say. Drink any man under the table I say. Then a binge then a spree then a jag then a bout. Coming home on all fours. Could use a drink I say. A shot of confidence I say. Steady my nerves I say. Drown my sorrows. I say kill for a drink. I say keep ‘em comin’. I say a stiff one. Drink deep drink hard hit the bottle. Two sheets to the wind then. Knackered then. Under the influence then. Half in the bag then. Out of my skull I say. Liquored up. Rip-roaring. Slammed. Fucking jacked. The booze talking. The room spinning. Feeling no pain. Buzzed. Giddy. Silly. Impaired. Intoxicated. Stewed. Juiced. Plotzed. Inebriated. Laminated. Swimming. Elated. Exalted. Debauched. Rock on. Drunk on. Bring it on. Pissed. Then bleary. Then bloodshot. Glassy-eyed. Red-nosed. Dizzy then. Groggy. On a bender I say. On a spree. I say off the wagon. I say on a slip. I say the drink. I say the bottle. I say drinkie-poo. A drink a drunk a drunkard. Swill. Swig. Shitfaced. Fucked up. Stupefied. Incapacitated. Raging. Seeing double. Shitty. Take the edge off I say. That’s better I say. Loaded I say. Wasted. Off my ass. Befuddled. Reeling. Tanked. Punch-drunk. Mean drunk. Maintenance drunk. Sloppy drunk happy drunk weepy drunk blind drunk dead drunk. Serious drinker. Hard drinker. Lush. Drink like a fish. Boozer. Booze hound. Alkie. Sponge. Then muddled. Then woozy. Then clouded. What day is it? Do you know me? Have you seen me? When did I start? Did I ever stop? Slurring. Reeling. Staggering. Overserved they say. Drunk as a skunk they say. Falling down drunk. Crawling down drunk. Drunk & disorderly. I say high tolerance. I say high capacity. They say protective custody. Blitzed. Shattered. Zonked. Annihilated. Blotto. Smashed. Soaked. Screwed. Pickled. Bombed. Stiff. Frazzled. Blasted. Plastered. Hammered. Tore up. Ripped up. Destroyed. Whittled. Plowed. Overcome. Overtaken. Comatose. Dead to the world. The old K.O. The horrors I say. The heebie-jeebies I say. The beast I say. The dt’s. B’jesus & pink elephants. A mindbender. Hittin’ it kinda hard they say. Go easy they say. Last call they say. Quitting time they say. They say shut off. They say dry out. Pass out. Lights out. Blackout. The bottom. The walking wounded. Cross-eyed & painless. Gone to the world. Gone. Gonzo. Wrecked. Sleep it off. Wake up on the floor. End up in the gutter. Off the stuff. Dry. Dry heaves. Gag. White knuckle. Lightweight I say. Hair of the dog I say. Eye-opener I say. A drop I say. A slug. A taste. A swallow. Down the hatch I say. I wouldn’t say no I say. I say whatever he’s having. I say next one’s on me. I say bottoms up. Put it on my tab. I say one more. I say same again
Nick Flynn (Another Bullshit Night in Suck City)
We are medians because we will never have enough," Callum said hoarsely. "We aren't normal; we are gods born with pain built in. We are incendiary beings and we are flawed, except the weaknesses we pretend to have are not our true weaknesses at all. We are not soft, we do not suffer impairment or frailty—we imitate it. We tell ourselves we have it. But our only real weakness is that we know we are bigger, stronger, as close to omnipotence as we can be, and we are hungry, we are aching for it. Other people can see their limits, Tristan, but we have none. We want to find our impossible edges, to close our fingers around constraints that don't exist, and that," Callum exhaled. "That is what will drive us to madness.
Olivie Blake (The Atlas Six (The Atlas, #1))
We have been focusing on the role that psychiatry and its medications may be playing in this epidemic, and the evidence is quite clear. First, by greatly expanding diagnostic boundaries, psychiatry is inviting and ever-greater number of children and adults into the mental illness camp. Second, those so diagnosed are then treated with psychiatric medications that increase the likelihood they will become chronically ill. Many treated with psychotropics end up with new and more severe psychiatric symptoms, physically unwell, and cognitively impaired. This is the tragic story writ large in five decades of scientific literature.
Robert Whitaker (Anatomy of an Epidemic: Magic Bullets, Psychiatric Drugs, and the Astonishing Rise of Mental Illness in America)
Dissociative identity disorder is conceptualized as a childhood onset, posttraumatic developmental disorder in which the child is unable to consolidate a unified sense of self. Detachment from emotional and physical pain during trauma can result in alterations in memory encoding and storage. In turn, this leads to fragmentation and compartmentalization of memory and impairments in retrieving memory.2,4,19 Exposure to early, usually repeated trauma results in the creation of discrete behavioral states that can persist and, over later development, become elaborated, ultimately developing into the alternate identities of dissociative identity disorder.
Bethany L. Brand
To the Congress: Unhappy events abroad have retaught us two simple truths about the liberty of a democratic people. The first truth is that the liberty of a democracy is not safe if the people tolerate the growth of private power to a point where it becomes stronger than their democratic state itself. That, in its essence, is Fascism—ownership of Government by an individual, by a group, or by any other controlling private power. The second truth is that the liberty of a democracy is not safe if its business system does not provide employment and produce and distribute goods in such a way as to sustain an acceptable standard of living. Both lessons hit home. Among us today a concentration of private power without equal in history is growing. This concentration is seriously impairing the economic effectiveness of private enterprise as a way of providing employment for labor and capital and as a way of assuring a more equitable distribution of income and earnings among the people of the nation as a whole.
Franklin D. Roosevelt
Rationality or consciousness is itself a ratio or proportion among the sensuous components of experience, and is not something added to such sense experience. Subrational beings have no means of achieving such a ratio or proportion in their sense lives but are wired for fixed wave lengths, as it were, having infallibility in their own area of experience. Consciousness, complex and subtle, can be impaired or ended by a mere stepping-up or dimming-down of any one sense intensity, which is the procedure in hypnosis. And the intensification of one sense by a new medium can hypnotize an entire community.
Marshall McLuhan (Understanding Media: The Extensions of Man)
Genetics, accidents of birth or events in early childhood have left criminals' brains and bodies with measurable flaws predisposing them to committing assault, murder and other antisocial acts. .... Many offenders also have impairments in their autonomic nervous system, the system responsible for the edgy, nervous feeling that can come with emotional arousal. This leads to a fearless, risk-taking personality, perhaps to compensate for chronic under-arousal. Many convicted criminals, like the Unabomber, have slow heartbeats. It also gives them lower heart rates, which explains why heart rate is such a good predictor of criminal tendencies. The Unabomber, Ted Kaczynski, for example, had a resting heart rate of just 54 beats per minute, which put him in the bottom 3 per cent of the population.
Adrian Raine
Too often, poverty and deprivation get covered as events. That is, when some disaster strikes, when people die. Yet, poverty is about much more than starvation deaths or near famine conditions. It is the sum total of a multiplicity of factors. The weightage of some of these varies from region to region, society to society, culture to culture. But at the core is a fairly compact number of factors. They include not just income and calorie intake. Land, health, education, literacy, infant mortality rates and life expectancy are also some of them. Debt, assets, irrigation, drinking water, sanitation and jobs count too. You can have the mandatory 2,400 or 2,100 calories a day and yet be very poor. India’s problems differ from those of a Somalia or Ethiopia in crisis. Hunger—again just one aspect of poverty—is far more complex here. It is more low level, less visible and does not make for the dramatic television footage that a Somalia and Ethiopia do. That makes covering the process more challenging—and more important. Many who do not starve receive very inadequate nutrition. Children getting less food than they need can look quite normal. Yet poor nutrition can impair both mental and physical growth and they can suffer its debilitating impact all their lives. A person lacking minimal access to health at critical moments can face destruction almost as surely as one in hunger.
Palagummi Sainath (Everybody loves a good drought)
Society never advances. It recedes as fast on one side as it gains on the other. It undergoes continual changes; it is barbarous, it is civilized, it is christianized, it is rich, it is scientific; but this change is not amelioration. For every thing that is given, something is taken. Society acquires new arts, and loses old instincts. What a contrast between the well-clad, reading, writing, thinking American, with a watch, a pencil, and a bill of exchange in his pocket, and the naked New Zealander, whose property is a club, a spear, a mat, and an undivided twentieth of a shed to sleep under! But compare the health of the two men, and you shall see that the white man has lost his aboriginal strength. If the traveller tell us truly, strike the savage with a broad axe, and in a day or two the flesh shall unite and heal as if you struck the blow into soft pitch, and the same blow shall send the white to his grave. The civilized man has built a coach, but has lost the use of his feet. He is supported on crutches, but lacks so much support of muscle. He has a fine Geneva watch, but he fails of the skill to tell the hour by the sun. A Greenwich nautical almanac he has, and so being sure of the information when he wants it, the man in the street does not know a star in the sky. The solstice he does not observe; the equinox he knows as little; and the whole bright calendar of the year is without a dial in his mind. His note-books impair his memory; his libraries overload his wit; the insurance-office increases the number of accidents; and it may be a question whether machinery does not encumber; whether we have not lost by refinement some energy, by a Christianity entrenched in establishments and forms, some vigor of wild virtue. For every Stoic was a Stoic; but in Christendom where is the Christian?
Ralph Waldo Emerson
So here we are, in the family planning aisle with a cart full of sports drinks and our hands full of . . . “Trojans, Ramses, Magnum . . . Jeez, these are worse than names for muscle cars,” Jase observes, sliding his finger along the display. “They do sound sorta, well, forceful.” I flip over the box I’m holding to read the instructions. Jase glances up to smile at me. “Don’t worry, Sam. It’s just us.” “I don’t get what half these descriptions mean . . . What’s a vibrating ring?” “Sounds like the part that breaks on the washing machine. What’s extra-sensitive? That sounds like how we describe George.” I’m giggling. “Okay, would that be better or worse than ‘ultimate feeling’—and look—there’s ‘shared pleasure’ condoms and ‘her pleasure’ condoms. But there’s no ‘his pleasure.’” “I’m pretty sure that comes with the territory,” Jase says dryly. “Put down those Technicolor ones. No freaking way.” “But blue’s my favorite color,” I say, batting my eyelashes at him. “Put them down. The glow-in-the-dark ones too. Jesus. Why do they even make those?” “For the visually impaired?” I ask, reshelving the boxes. We move to the checkout line. “Enjoy the rest of your evening,” the clerk calls as we leave. “Do you think he knew?” I ask. “You’re blushing again,” Jase mutters absently. “Did who know what?” “The sales guy. Why we were buying these?” A smile pulls at the corners of his mouth. “Of course not. I’m sure it never occurred to him that we were actually buying birth control for ourselves. I bet he thought it was a . . . a . . . housewarming gift.” Okay, I’m ridiculous. “Or party favors,” I laugh. “Or”—he scrutinized the receipt—“supplies for a really expensive water balloon fight.” “Visual aids for health class?” I slip my hand into the back pocket of Jase’s jeans. “Or little raincoats for . . .” He pauses, stumped. “Barbie dolls,” I suggest. “G.I. Joes,” he corrects, and slips his free hand into the back pocket of my jeans, bumping his hip against mine as we head back to the car.
Huntley Fitzpatrick (My Life Next Door)
Boys who grow up seeing themselves everywhere as powerful and central just by virtue of being boys, often white, are critically impaired in many ways. It’s a rude shock to many when things don’t turn out the way they were told they should. It seems reasonable to suggest media misrepresentations like these contribute, in boys, to a heightened inability to empathize with others, a greater propensity to peg ambition to intrinsic qualities instead of effort and a failure to understand why rules apply or why accountability is a thing. It should mean something to parents that the teenagers with the highest likelihood of sexually assaulting a peer and feel no responsibility for their actions are young white boys from higher-income families. The real boy crisis we should be talking about is entitlement and outdated notions of masculinity, both of which are persistently responsible for leaving boys confused and unprepared for contemporary adulthood.
Soraya Chemaly
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.
Christine A. Courtois (Treatment of Complex Trauma: A Sequenced, Relationship-Based Approach)
For my number-one favorite kill, I almost went with Johnny Depp being eaten alive and then regurgitated by his own bed in A Nightmare on Elm Street, but the winner, by a finger blade’s width, has to be the death of that feisty Tina (Amanda Wyss), who put up such a fight while I thrashed her about on the ceiling of her bedroom. Freddy loves a worthy adversary, especially if it’s a nubile teenaged girl. A close second goes to my hearing-impaired victim Carlos (Ricky Dean Logan) in Nightmare 6. In these uber-politically-correct times, it’s refreshing to remember what an equal opportunity killer Freddy always was. Not only does he pump up the volume on the hearing aid from hell, but he also adds a nice Latino kid to his body count. Today they probably wouldn’t even let Freddy force-feed a fat kid junk food. Dream death number three is found in a sequence from Nightmare 3. Freddy plays puppet master with victim Phillip (Bradley Gregg), converting his arm and leg tendons into marionette strings, then cutting them in a Freddy meets Verigo moment. The kiss of death Profressor Freddy gives Sheila (Toy Newkirk) is great, but not as good as Al Pacino’s in The Godfather, so my fourth pick is Freddy turning Debbie (Brooke Theiss) into her worst nightmare, a cockroach, and crushing her in a Roach Motel. A classic Kafka/Krueger kill. For my final fave, you will have to check out Freddy vs. Jason playing at a Hell’s Octoplex near you. Here’s a hint: the hockey-puck guy and I double team a member of Destiny’s Child. Yummy! Now where’s that Beyonce…
Robert Englund (Hollywood Monster: A Walk Down Elm Street with the Man of Your Dreams)
All ancient philosophers, poets, and moralists agree that love is a striving, an aspiration of the “lower” toward the “higher,” the “unformed” toward the “formed,” ... “appearance” towards “essence,” “ignorance” towards “knowledge,” a “mean between fullness and privation,” as Plato says in the Symposium. ... The universe is a great chain of dynamic spiritual entities, of forms of being ranging from the “prima materia” up to man—a chain in which the lower always strives for and is attracted by the higher, which never turns back but aspires upward in its turn. This process continues up to the deity, which itself does not love, but represents the eternally unmoving and unifying goal of all these aspirations of love. Too little attention has been given to the peculiar relation between this idea of love and the principle of the “agon,” the ambitious contest for the goal, which dominated Greek life in all its aspects—from the Gymnasium and the games to dialectics and the political life of the Greek city states. Even the objects try to surpass each other in a race for victory, in a cosmic “agon” for the deity. Here the prize that will crown the victor is extreme: it is a participation in the essence, knowledge, and abundance of “being.” Love is only the dynamic principle, immanent in the universe, which sets in motion this great “agon” of all things for the deity. Let us compare this with the Christian conception. In that conception there takes place what might be called a reversal in the movement of love. The Christian view boldly denies the Greek axiom that love is an aspiration of the lower towards the higher. On the contrary, now the criterion of love is that the nobler stoops to the vulgar, the healthy to the sick, the rich to the poor, the handsome to the ugly, the good and saintly to the bad and common, the Messiah to the sinners and publicans. The Christian is not afraid, like the ancient, that he might lose something by doing so, that he might impair his own nobility. He acts in the peculiarly pious conviction that through this “condescension,” through this self-abasement and “self-renunciation” he gains the highest good and becomes equal to God. ... There is no longer any “highest good” independent of and beyond the act and movement of love! Love itself is the highest of all goods! The summum bonum is no longer the value of a thing, but of an act, the value of love itself as love—not for its results and achievements. ... Thus the picture has shifted immensely. This is no longer a band of men and things that surpass each other in striving up to the deity. It is a band in which every member looks back toward those who are further removed from God and comes to resemble the deity by helping and serving them.
Max Scheler
CONSENSUS PROPOSED CRITERIA FOR DEVELOPMENTAL TRAUMA DISORDER A. Exposure. The child or adolescent has experienced or witnessed multiple or prolonged adverse events over a period of at least one year beginning in childhood or early adolescence, including: A. 1. Direct experience or witnessing of repeated and severe episodes of interpersonal violence; and A. 2. Significant disruptions of protective caregiving as the result of repeated changes in primary caregiver; repeated separation from the primary caregiver; or exposure to severe and persistent emotional abuse B. Affective and Physiological Dysregulation. The child exhibits impaired normative developmental competencies related to arousal regulation, including at least two of the following: B. 1. Inability to modulate, tolerate, or recover from extreme affect states (e.g., fear, anger, shame), including prolonged and extreme tantrums, or immobilization B. 2. Disturbances in regulation in bodily functions (e.g. persistent disturbances in sleeping, eating, and elimination; over-reactivity or under-reactivity to touch and sounds; disorganization during routine transitions) B. 3. Diminished awareness/dissociation of sensations, emotions and bodily states B. 4. Impaired capacity to describe emotions or bodily states C. Attentional and Behavioral Dysregulation: The child exhibits impaired normative developmental competencies related to sustained attention, learning, or coping with stress, including at least three of the following: C. 1. Preoccupation with threat, or impaired capacity to perceive threat, including misreading of safety and danger cues C. 2. Impaired capacity for self-protection, including extreme risk-taking or thrill-seeking C. 3. Maladaptive attempts at self-soothing (e.g., rocking and other rhythmical movements, compulsive masturbation) C. 4. Habitual (intentional or automatic) or reactive self-harm C. 5. Inability to initiate or sustain goal-directed behavior D. Self and Relational Dysregulation. The child exhibits impaired normative developmental competencies in their sense of personal identity and involvement in relationships, including at least three of the following: D. 1. Intense preoccupation with safety of the caregiver or other loved ones (including precocious caregiving) or difficulty tolerating reunion with them after separation D. 2. Persistent negative sense of self, including self-loathing, helplessness, worthlessness, ineffectiveness, or defectiveness D. 3. Extreme and persistent distrust, defiance or lack of reciprocal behavior in close relationships with adults or peers D. 4. Reactive physical or verbal aggression toward peers, caregivers, or other adults D. 5. Inappropriate (excessive or promiscuous) attempts to get intimate contact (including but not limited to sexual or physical intimacy) or excessive reliance on peers or adults for safety and reassurance D. 6. Impaired capacity to regulate empathic arousal as evidenced by lack of empathy for, or intolerance of, expressions of distress of others, or excessive responsiveness to the distress of others E. Posttraumatic Spectrum Symptoms. The child exhibits at least one symptom in at least two of the three PTSD symptom clusters B, C, & D. F. Duration of disturbance (symptoms in DTD Criteria B, C, D, and E) at least 6 months. G. Functional Impairment. The disturbance causes clinically significant distress or impairment in at least two of the following areas of functioning: Scholastic Familial Peer Group Legal Health Vocational (for youth involved in, seeking or referred for employment, volunteer work or job training)
Bessel van der Kolk (The Body Keeps the Score: Brain, Mind, and Body in the Healing of Trauma)