Traumatic Memories Quotes

Perhaps the greatest faculty our minds possess is the ability to cope with pain. Classic thinking teaches us of the four doors of the mind, which everyone moves through according to their need. First is the door of sleep. Sleep offers us a retreat from the world and all its pain. Sleep marks passing time, giving us distance from the things that have hurt us. When a person is wounded they will often fall unconscious. Similarly, someone who hears traumatic news will often swoon or faint. This is the mind's way of protecting itself from pain by stepping through the first door. Second is the door of forgetting. Some wounds are too deep to heal, or too deep to heal quickly. In addition, many memories are simply painful, and there is no healing to be done. The saying 'time heals all wounds' is false. Time heals most wounds. The rest are hidden behind this door. Third is the door of madness. There are times when the mind is dealt such a blow it hides itself in insanity. While this may not seem beneficial, it is. There are times when reality is nothing but pain, and to escape that pain the mind must leave reality behind. Last is the door of death. The final resort. Nothing can hurt us after we are dead, or so we have been told.

As long as you keep secrets and suppress information, you are fundamentally at war with yourself…The critical issue is allowing yourself to know what you know. That takes an enormous amount of courage.

No amount of me trying to explain myself was doing any good. I didn't even know what was going on inside of me, so how could I have explained it to them?

It was only high school after all, definitely one of the most bizarre periods in a person’s life. How anyone can come through that time well adjusted on any level is an absolute miracle.

There are edges around the black and every now and then a flash of color streaks out of the gray. But I can never really grasp any of the slivers of memories that emerge.

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.

Denial forces victims to retreat in lifeless existence, dieing in the shadows of buried trauma and painful memories.

Dissociation is the common response of children to repetitive, overwhelming trauma and holds the untenable knowledge out of awareness. The losses and the emotions engendered by the assaults on soul and body cannot, however be held indefinitely. In the absence of effective restorative experiences, the reactions to trauma will find expression. As the child gets older, he will turn the rage in upon himself or act it out on others, else it all will turn into madness.

Today I wore a pair of faded old jeans and a plain grey baggy shirt. I hadn't even taken a shower, and I did not put on an ounce of makeup. I grabbed a worn out black oversized jacket to cover myself with even though it is warm outside. I have made conscious decisions lately to look like less of what I felt a male would want to see. I want to disappear.

The ORDINARY RESPONSE TO ATROCITIES is to banish them from consciousness. Certain violations of the social compact are too terrible to utter aloud: this is the meaning of the word unspeakable. Atrocities, however, refuse to be buried. Equally as powerful as the desire to deny atrocities is the conviction that denial does not work. Folk wisdom is filled with ghosts who refuse to rest in their graves until their stories are told. Murder will out. Remembering and telling the truth about terrible events are prerequisites both for the restoration of the social order and for the healing of individual victims. The conflict between the will to deny horrible events and the will to proclaim them aloud is the central dialectic of psychological trauma. People who have survived atrocities often tell their stories in a highly emotional, contradictory, and fragmented manner that undermines their credibility and thereby serves the twin imperatives of truth-telling and secrecy. When the truth is finally recognized, survivors can begin their recovery. But far too often secrecy prevails, and the story of the traumatic event surfaces not as a verbal narrative but as a symptom. The psychological distress symptoms of traumatized people simultaneously call attention to the existence of an unspeakable secret and deflect attention from it. This is most apparent in the way traumatized people alternate between feeling numb and reliving the event. The dialectic of trauma gives rise to complicated, sometimes uncanny alterations of consciousness, which George Orwell, one of the committed truth-tellers of our century, called "doublethink," and which mental health professionals, searching for calm, precise language, call "dissociation." It results in protean, dramatic, and often bizarre symptoms of hysteria which Freud recognized a century ago as disguised communications about sexual abuse in childhood. . . .

The inability to get something out of your head is a signal that shouts, “Don’t forget to deal with this!” As long as you experience fear or pain with a memory or flashback, there is a lie attached that needs to be confronted. In each healing step, there is a truth to be gathered and a lie to discard.

Intimidated, old traumas triggered, and fearing for my safety, I did what I felt I needed to do.

She's terrified that all these sensations and images are coming out of her — but I think she's even more terrified to find out why." Carla's description was typical of survivors of chronic childhood abuse. Almost always, they deny or minimize the abusive memories. They have to: it's too painful to believe that their parents would do such a thing.

Some of your childhood traumas may be remembered with incredible clarity, while others are so frightening or incomprehensible that your conscious mind buries the memory in your unconscious.

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.

The damage and invisible scars of emotional abuse are very difficult to heal, because memories are imprinted on our minds and hearts and it takes time to be restored. Imprints of past traumas do not mean a person cannot change their future beliefs and behaviors. as people, we do not easily forget. However, as we heal, grieve, and let go, we become clear-minded and focused to live restore and emotionally healthy.

In response to threat and injury, animals, including humans, execute biologically based, non-conscious action patterns that prepare them to meet the threat and defend themselves. The very structure of trauma, including activation, dissociation and freezing are based on the evolution of survival behaviors. When threatened or injured, all animals draw from a "library" of possible responses. We orient, dodge, duck, stiffen, brace, retract, fight, flee, freeze, collapse, etc. All of these coordinated responses are somatically based- they are things that the body does to protect and defend itself. It is when these orienting and defending responses are overwhelmed that we see trauma. The bodies of traumatized people portray "snapshots" of their unsuccessful attempts to defend themselves in the face of threat and injury. Trauma is a highly activated incomplete biological response to threat, frozen in time. For example, when we prepare to fight or to flee, muscles throughout our entire body are tensed in specific patterns of high energy readiness. When we are unable to complete the appropriate actions, we fail to discharge the tremendous energy generated by our survival preparations. This energy becomes fixed in specific patterns of neuromuscular readiness. The person then stays in a state of acute and then chronic arousal and dysfunction in the central nervous system. Traumatized people are not suffering from a disease in the normal sense of the word- they have become stuck in an aroused state. It is difficult if not impossible to function normally under these circumstances.

SCORPIUS: "We send a memory — like a Pensieve — stand over him and send a message, hope he reaches for the memory at exactly the right moment. I mean, it’s unlikely, but . . . Stand over the baby — and just repeatedly shout HELP. HELP. HELP. I mean, it might traumatize the baby slightly." ALBUS: "Only slightly.

memory is linked to strong emotion, and that negative moments are like scribbling with permanent marker on the wall of the brain. But there’s a fine line between a negative moment and a traumatic one. Negative moments get remembered. Traumatic ones get forgotten, or so warped that they are unrecognizable,

People who have survived atrocities often tell their stories in a highly emotional, contradictory and fragmented manner.

Public truth telling is a form of recovery, especially when combined with social action. Sharing traumatic experiences with others enables victims to reconstruct repressed memory, mourn loss, and master helplessness, which is trauma's essential insult. And, by facilitating reconnection to ordinary life, the public testimony helps survivors restore basic trust in a just world and overcome feelings of isolation. But the talking cure is predicated on the existence of a community willing to bear witness. 'Recovery can take place only within the context of relationships,' write Judith Herman. 'It cannot occur in isolation.

Years later, the trauma of those experiences continued to haunt me. Most Japanese Americans from my parents' generation didn't like to talk about the internment with their children. As with many traumatic experiences, they were anguished by their memories and haunted by shame for something that wasn't their fault. Shame is a cruel thing. It should rest on the perpetrators but they don't carry it the way the victims do.

The traumatic moment becomes encoded in an abnormal form of memory, which breaks spontaneously into consciouness, both as flashbacks during waking states and as traumatic nightmares during sleep. Small, seemingly insignificant reminders can also evoke these memories, which often return with all the vividness and emotional force of the original event. Thus, even normally safe environments may come to feel dangerous, for the survivor can never be assured that she will not encounter some reminder of the trauma.

Coming to terms with incest is not easy. Learning to be a survivor, not a victim, gives new meaning to life

It is not a single crime when a child is photographed while sexually assaulted (raped.) It is a life time crime that should have life time punishments attached to it. If the surviving child is, more often than not, going to suffer for life for the crime(s) committed against them, shouldn't the pedophiles suffer just as long? If it often takes decades for survivors to come to terms with exactly how much damage was caused to them, why are there time limits for prosecution?

You’re not the same. You’re not supposed to be the same. You’re supposed to be different. This isn’t something you will ever forget.

One of the paradoxical and transformative aspects of implicit traumatic memory is that once it is accessed in a resourced way (through the felt sense), it, by its very nature, changes. Out of the shattered fragments of her deeply injured psyche, Jody discovered and nurtured a nascent, emergent self. From the ashes of the frantically activated, hypervigilant, frozen, traumatized girl of twenty-five years ago, Jody began to reorient to a new, less threatening world. Gradually she shaped into a more fluid, resilient, woman, coming to terms with the felt capacity to fiercely defend herself when necessary, and to surrender in quiet ecstasy.

Analysis helps patients put their unconscious procedural memories and actions into words and into context, so they can better understand them. In the process they plastically retranscribe these procedural memories, so that they become conscious explicit memories, sometimes for the first time, and patients no longer need to "relive" or "reenact" them, especially if they were traumatic.

To think of them and memories with - on days with mood dimmed by some traumatic spell of a haunting quite residual - is to have the brain become a cell and trapped inside there is only the music of the surly sullen bell.

Victims are members of society whose problems represent the memory of suffering, rage, and pain in a world that longs to forget.

That is the problem with repressed memory and dissociative identity disorder. Your mind represses certain traumas for reasons of pure survival. And then you learn that to survive as an adult, you must uncover the memories, find the parts, and relieve the traumas. The contradiction is almost too much for the mind to comprehend and for the heart and soul to endure.

Being in a state of denial is a universally human response to situations which threaten to overwhelm. People who were abused as children sometimes carry their denial like precious cargo without a port of destination. It enabled us to survive our childhood experiences, and often we still live in survival mode decades beyond the actual abuse. We protect ourselves to excess because we learned abruptly and painfully that no one else would.

Blame is a Defense Against Powerlessness Betrayal trauma changes you. You have endured a life-altering shock, and are likely living with PTSD symptoms— hypervigilance, flashbacks and bewilderment—with broken trust, with the inability to cope with many situations, and with the complete shut down of parts of your mind, including your ability to focus and regulate your emotions. Nevertheless, if you are unable to recognize the higher purpose in your pain, to forgive and forget and move on, you clearly have chosen to be addicted to your pain and must enjoy playing the victim. And the worst is, we are only too ready to agree with this assessment! Trauma victims commonly blame themselves. Blaming oneself for the shame of being a victim is recognized by trauma specialists as a defense against the extreme powerlessness we feel in the wake of a traumatic event. Self-blame continues the illusion of control shock destroys, but prevents us from the necessary working through of the traumatic feelings and memories to heal and recover.

Amnesia, which is a loss of memory, is a symptom of many different trauma and/or dissociative disorders, including PTSD, Dissociative Fugue, Dissociative Disorder Not Otherwise Specified and Dissociative Identity Disorder. Amnesia can affect both implicit and explicit memory.

Some of the experiences endured by human beings on this earth are virtually unbelievable.

There is a much greater skepticism toward the memories of those who claim abuse than toward the memories of those who deny it.

When people are unable to integrate their traumatic memories, they seem to lose their capacity to assimilate new experiences as well. It is as if their personality stops at a certain points and cannot enlarge any more by the addition or assimilation of new elements. Unless they become aware of the split off elements and integrate them into a story that had happened in the past but was now over, they would experience a slow decline in their personal and professional functioning.

A city reborn is a city traumatized. It remembers its past, every second that it took to get to this point. It sees the former version of itself and knows that it has changed, its boots no longer fitting, its hats no longer comfortable. The streets trace how they used to sprawl. No matter how it is paved over and reorganized, memories and echoes do not fade away that easily.

It is indeed the truth of the traumatic experience that forms the center of its psychopathology; it is not a pathology of falsehood or displacement of meaning, but of history itself” (p. 5)

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.

One of the leading techniques that is used in trauma integration involves a process where you consciously revisit traumatizing memories, rescue your childhood self out of each of those memories, and then bring those childhood versions of you to a safe space where you then reparent them.

I must stop remembering... The more I remember, the greater my agony. These thoughts stuttered in my mind... I must be more watchful, I told myself. I must shut them out. I couldn't always keep this up.

You must know the width of the knife and how it ruined you, name the organs it kissed.

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.

I am Frustration. I am Memory-Lost. Sometimes I read a line a dozen times before it sticks. My creative force has slipped. I type slower, speak slower, think at a snail’s pace. I’m Life shapeshifted by Post Traumatic Stress, bastardized by Fate.

Carla's description was typical of survivors of chronic childhood abuse. Almost always, they deny or minimize the abusive memories. They have to: it's too painful to believe that their parents would do such a thing. So they fragment the memories into hundreds of shards, leaving only acceptable traces in their conscious minds. Rationalizations like "my childhood was rough," "he only did it to me once or twice," and "it wasn't so bad" are common, masking the fact that the abuse was devastating and chronic. But while the knowledge, body sensations, and feelings are shattered, they are not forgotten. They intrude in unexpected ways: through panic attacks and insomnia, through dreams and artwork, through seemingly inexplicable compulsions, and through the shadowy dread of the abusive parent. They live just outside of consciousness like noisy neighbors who bang on the pipes and occasionally show up at the door.

Emotionally wounded addicts have an extremely difficult time with intimacy and with trusting themselves and others. They have a deep desire to trust, but their emotional scars and traumatic memories haunt them whenever an opportunity to trust another person arises. Naturally this can lead to a very lonely existence.

I danced in the flames and pranced on the shames of those whose names I could not reveal. I have been told, exhaustingly by a genus of psychiatry, that to forget allegedly means to heal but if only such a thought became real. To die when compared to living has, at times, seemed like the lesser evil.

Reunion with the mother is a siren call haunting our imagination. Once there was bliss, and now there is struggle. Dim memories of life before the traumatic separation of birth may be the source of Arcadian fantasies of a lost golden age.

The story of my birth that my mother told me went like this: "When you were coming out I wasn't ready yet and neither was the nurse. The nurse tried to push you back in, but I shit on the table and when you came out, you landed in my shit." If there ever was a way to sum things up, the story of my birth was it.

Every unpleasant worldly experience in life exposes our sensitive nervous systems to painful phenomena. Despite all the beer commercial advertisement slogans urging us to live with gusto, life is unavoidably painful. Life is a battering ram that inflicts trauma upon human beings. People blunt the traumatic force of enduring a lifetime of pain, fearfulness, and unremitted anguish and boredom with religion, sex, booze, drugs, fantasy, and other indulgent acts and forms acts of escapism.

You think your past defines you, and worse, you think that it is an unchangeable reality, when really, your perception of it changes as you do. Because experience is always multi-dimensional, there are a variety of memories, experiences, feelings, “gists” you can choose to recall…and what you choose is indicative of your present state of mind. So many people get caught up in allowing the past to define them or haunt them simply because they have not evolved to the place of seeing how the past did not prevent them from achieving the life they want, it facilitated it. This doesn’t mean to disregard or gloss over painful or traumatic events, but simply to be able to recall them with acceptance and to be able to place them in the storyline of your personal evolution.

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

John was still making comments regarding violent things that he shouldn't, but I hoped he was just being a big mouth. Nobody was going to listen to me anyway.

So, what role does memory play in the understanding and treatment of trauma? There is a form of implicit memory that is profoundly unconscious and forms the basis for the imprint trauma leaves on the body/mind. The type of memory utilized in learning most physical activities (walking, riding a bike, skiing, etc.) is a form of implicit memory called procedural memory. Procedural or "body memories" are learned sequences of coordinated "motor acts" chained together into meaningful actions. You may not remember explicitly how and when you learned them, but, at the appropriate moment, they are (implicitly) "recalled" and mobilized (acted out) simultaneously. These memories (action patterns) are formed and orchestrated largely by involuntary structures in the cerebellum and basal ganglia. When a person is exposed to overwhelming stress, threat or injury, they develop a procedural memory. Trauma occurs when these implicit procedures are not neutralized. The failure to restore homeostasis is at the basis for the maladaptive and debilitating symptoms of trauma.

During sexual abuse, children feel and incorporate the rage, pain, shame, and sense of perversion that the perpetrator is projecting. They take these feelings into the very core of themselves, and they are badly traumatized by the emotions surrounding the assault, as well as by the assault itself.

Many deeply hidden memories have come flooding back. The important message here though is that it is possible to heal and survive. Everyone has survived their own kind of emotional or mental trauma. We all have our inner fears and misreplaced feelings of guilt.

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.

Traumatic memories have a number of unusual qualities. They are not encoded like the ordinary memories of adults in a verbal, linear narrative that is assimilated into an ongoing life story….[R]ather, they are encoded in the form of vivid sensations and images. It

This is the difference between traumatic memory and ordinary memory. Traumatic memory stays vivid.

As with many traumatic experiences, they were anguished by their memories and haunted by shame for something that wasn’t their fault. Shame is a cruel thing. It should rest on the perpetrators but they don’t carry it the way victims do.

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.

He told me that if I hung up, he'd do it. He would commit suicide. He told me that if I called the cops he would kill every single one of them and I knew that he had the potential and the means to do it

Thinking about it now, i have to say, nothing terrible comes to mind. No blowup fights or traumatic episodes. that's usually what happens when i dig too deep into memories. The worst stuff pops up first.

Under normal conditions people react to a threat with a temporary increase in their stress hormones. As soon as the threat is over, the hormones dissipate and the body returns to normal. The stress hormones of traumatized people, in contrast, take much longer to return to baseline and spike quickly and disproportionately in response to mildly stressful stimuli. The insidious effects of constantly elevated stress hormones include memory and attention problems, irritability, and sleep disorders. They also contribute to many long-term health issues, depending on which body system is most vulnerable in a particular individual.

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.

memory is linked to strong emotion, and that negative moments are like scribbling with permanent marker on the wall of the brain. But there’s a fine line between a negative moment and a traumatic one. Negative moments get remembered. Traumatic ones get forgotten, or so warped that they are unrecognizable, or else they turn into the big, bleak, white nothing I get in my head when I try to focus on that night.

Storytelling is inherently dangerous. Consider a traumatic event in your life. Think about how you experienced it. Now think about how you told it to someone a year later. Now think about how you told it for the hundredth time. It's not the same thing. Most people think perspective is a good thing: you can figure out characters' arcs, you can apply a moral, you can tell it with understanding and context. But this perspective is a misrepresentation: it's a reconstruction with meaning, and as such bears little resemblance to the event.

It isn't fair the way memory twists up the things it shows you.

Because during trauma it is usually not safe or possible for individuals to consciously access their emotional reactions or experiences, awareness often emerges after trauma ceases." KNOWING AND NOT KNOWING ABOUT TRAUMA: IMPLICATIONS FOR THERAPY

If we feel inclined to focus on memories (even if they are basically accurate), it is important to understand that this choice will impair our ability to move out of our traumatic reactions. Transformation requires change. One of the things that must change is the relationship that we have with our “memories.

When experiences or emotions become too overwhlming, the mind clevely encapsulates the material and stores it for safe-keeping. Many people respond this way in the face of trauma, but the additional step that occurs in this process, in the case of DID, is the formation of distinct ego states that carry the experience.

These are the oldest memories on earth, the time codes carried in every chromosome and gene. Every step we’ve taken in our evolution is a milestone inscribed with organic memories. From the enzymes controlling the carbon-dioxide cycle, to the organization of the brachial plexus and the nerve pathways of the pyramid cells of the mid-brain. Each is a record of a thousand decisions taken in a chemical crisis. Just as psychoanalysis reconstructs the original traumatic situation in order to release the repressed material, so we are now being plunged back into the archaeopsychic past, uncovering the ancient taboos and drives that have been dormant for epochs.

Praise for More Happy Than Not “A beautiful debut novel [that] manages a delicate knitting of class politics through an ambitious narrative about sexual identity and connection that considers the heavy weight and constructive value of traumatic memory . . . Aaron’s

Ninety-six per cent of juvenile prostitutes are fugitives from abusive domestic situations; 66 per cent began working before they turned 16. (Prostitution is their only perceived means of survival.) Millions of children work as prostitutes around the world. A third are male. One study revealed that over 50 per cent of prostitutes are the children of alcoholics or substance abusers, and 90 per cent are deflowered through incest or rape. Ninety-one per cent of prostitutes do not speak of the abuse. (The truth of life is told through the language of behavior.) Abused children suffer Post-Traumatic Stress Disorder, guilt, self-destructive impulses, suspicion, fear. Seventy-five per cent of prostitutes attempt suicide. (Imagine their scrapbook of memories.)

observations suggest that the survivor as ANP typically engages in tasks of daily life such as reproduction, attachment, caretaking, and other social action tendencies, and avoidance of traumatic memories, which support a focus on daily life issues. In contrast, the survivor as EP primarily displays evolutionary defensive and emotional reactions to the (perceived) threat on which he or she seems to be fixated. Third, survivors should be very susceptible to classical conditioning, because, as we discuss below, EP and ANP strongly respond to unconditioned and conditioned threat cues.

He loves me so he hurts me To try and make me good. It doesn't work. I'm just too bad And don't do what I should. My memory has so many different sections and, like all survivors, there are so many compartments with so many triggers. I'll remember a smell which reminds me of a man which reminds me of a place which reminds me of another man who I think was with a woman who had a certain smell — and I'm back to square one. This is the case for most survivors, I believe. When we try to put together our pasts, the triggers are many and varied, the memories are disjointed — and why wouldn't they be? We were children. Even someone with an idyllic childhood who is only trying to remember the lovely things which happened to them will scratch their head and wonder who gave them that doll and was it for Christmas or their third birthday? Did they have a party when they were four or five? When did they go on a plane for the first time? You see, even happy memories are hard to piece together — so imagine how hard it is to collate all of the trauma, to pull together all of the things I've been trying to push away for so many years.

The worst thing about having been traumatized with the look in childhood is that we can erroneously transfer and project our memory of it onto other people when we are triggered. We are especially prone to doing this with authority figures or people that resemble our parents, even when they are not sporting the look. Internal

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.

He felt more crypts cracking open inside of him; the stench he smelled was not decayed bodies but decayed memories, and that was somehow worse.

It would cut into him at unpredictable moments, like a gutting knife made of colored light.

Memories, particularly the traumatic ones, are mercurial. The longer you live with them, the more fallible you realize them to be.

It is dangerous to use our own ability to access non-traumatic memories as a standard against which we judge a trauma victim’s response.

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.

A possessive part of me wants to hoard this story. I want to chipmunk or squirrel away the memory of this event, place it in a tree trunk with the memories of all the other rapes, attempted rapes, and gropes, memories that will never be released or consumed. When a man asks, "What did he do to you?" he's asking to eat one of these traumatic acorns. Girls never ask for these seeds. They know what it's like to be degraded and fucked by this world, to be made a big-time bottom by life. They don't need the details of my particular shame to construct empathy.

Several psychologists (L. Armstrong, 1994; Enns, McNeilly, Corkery, & Gilbert, 1995; Herman, 1992; McFarlane & van der Kolk, 1996; Pope & Brown, 1996) contend that the controversy of delayed recall for traumatic events is likely to be influenced by sexism. Kristiansen, Gareau, Mittleholt, DeCourville, and Hovdestad (1995) found that people who were more authoritarian and who had less favorable attitudes toward women were less likely to believe in the veracity of women’s recovered memories for sexual abuse. Those who challenged the truthfulness of recovered memories were more likely to endorse negative statements about women, including the idea that battered women enjoy being abused. McFarlane and van der Kolk (1996) have noted that delayed recall in male combat veterans reported by Myers (1940) and Kardiner (1941) did not generate controversy, whereas delayed recall in female survivors of intrafamilial child sexual abuse has provoked considerable debate.

Luckily, I am writing a memoir and not a work of fiction, and therefore I do not have to account for my grandmother’s unpleasing character and look for the Oedipal fixation or the traumatic experience which would give her that clinical authenticity that is nowadays so desirable in portraiture.

On the other hand, EPs experience these traumatic memories far too intensely, as “too real” (Heim & Buhler, 2003; Janet, 1928a, 1932a; Van der Hart & Steele, 1997). This is certainly not normal memory.

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.

To take a specific example, a researcher in the Journal of Traumatic Stress interviewed 129 women with documented histories of child sexual abuse that occurred between the ages of 10 months and 12 years. Of those, 38 percent had forgotten the abuse. Of the remaining women who remembered, 16 percent reported that they had for a period of time forgotten but subsequently recovered their memories. [46] Thus, during that time a "false negative" recorded for those women. These are the sort of distinctions for which Elaine Showalter in Hystories: Hysterical Epidemics and Modern Media fails to account.

Further evidence for the pathogenic role of dissociation has come from a largescale clinical and community study of traumatized people conducted by a task force of the American Psychiatric Association. In this study, people who reported having dissociative symptoms were also quite likely to develop persistent somatic symptoms for which no physical cause could be found. They also frequently engaged in self-destructive attacks on their own bodies. The results of these investigations validate the century-old insight that traumatized people relive in their bodies the moments of terror that they can not describe in words. Dissociation appears to be the mechanism by which intense sensory and emotional experiences are disconnected from the social domain of language and memory, the internal mechanism by which terrorized people are silenced.

One reason that traumatic memories become dominant in PTSD is that it's so difficult to feel truly alive right now. When you can't be fully here, you go to the places where you did feel alive --- even if those places are filled with horror and misery.

Enhanced by our powerful brains, something as artificial and arbitrary as a deadline can easily be mistaken for a death-threat, triggering our traumatic memories of childhood helplessness, which in turn trigger the mindless reflex of the stress-response.

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. At this point in time there are people who question the validity of the DID diagnosis. The fact is that DID has its own category in the Diagnostic and Statistical Manual of Mental Disorders because, as with all psychiatric conditions, a portion of society experiences a cluster of recognizable symptoms that are not better accounted for by any other diagnosis.

At the same time, in my readings, I discovered some evidence that traditional talk therapy might not actually be particularly effective for C-PTSD. In The Body Keeps the Score, van der Kolk writes about how talk therapy can be useless for those whom “traumatic events are almost impossible to put into words.” Some people are too dissociated and distanced from these traumatic experiences for talk therapy to work well. They might not be able to access their feelings, let alone convey them. For others, they’re in such an activated state that they have a hard time reaching into difficult memories, and the very act of recalling them could be retraumatizing. One study showed that about 10 percent of people might experience worsening symptoms after being forced to talk about their trauma.

This vacillation between assertion and denial in discussions about organised abuse can be understood as functional, in that it serves to contain the traumatic kernel at the heart of allegations of organised abuse. In his influential ‘just world’ theory, Lerner (1980) argued that emotional wellbeing is predicated on the assumption that the world is an orderly, predictable and just place in which people get what they deserve. Whilst such assumptions are objectively false, Lerner argued that individuals have considerable investment in maintaining them since they are conducive to feelings of self—efficacy and trust in others. When they encounter evidence contradicting the view that the world is just, individuals are motivated to defend this belief either by helping the victim (and thus restoring a sense of justice) or by persuading themselves that no injustice has occurred. Lerner (1980) focused on the ways in which the ‘just world’ fallacy motivates victim-blaming, but there are other defences available to bystanders who seek to dispel troubling knowledge. Organised abuse highlights the severity of sexual violence in the lives of some children and the desire of some adults to inflict considerable, and sometimes irreversible, harm upon the powerless. Such knowledge is so toxic to common presumptions about the orderly nature of society, and the generally benevolent motivations of others, that it seems as though a defensive scaffold of disbelief, minimisation and scorn has been erected to inhibit a full understanding of organised abuse. Despite these efforts, there has been a recent resurgence of interest in organised abuse and particularly ritualistic abuse (eg Sachs and Galton 2008, Epstein et al. 2011, Miller 2012).

In bottom-up approaches [to processing trauma], the body's sensation and movement are the entry points and changes in sensorimotor experience are used to support self-regulation, memory processing, and success in daily life. Meaning and understanding emerge from new experiences rather than the other way around. Through bottom-up interventions, a shift in the somatic sense of self in turn affects the linguistic sense of self.

In contrast to ordinary memories both good and bad, which are mutable and dynamically changing over time, traumatic memories are fixed and static. They’re imprints, engrams from past overwhelming experiences. Deep impressions carved into the sufferer’s brain body and psyche. These harsh and frozen imprints do not yield to change, nor do they readily update with current information. The fixity of imprints prevents us from forming new strategies and extracting new meanings. There is no fresh ever-changing now, and no real flow in life. In this way, the past lives on in the present.

The more I remember, the more inconsolable I will be, I've told myself. But now increasingly I don't tussle with my memories. I want to remember. I want to know. Perhaps I can better tolerate being inconsolable now. Perhaps I suspect that remembering won't make me any more inconsolable. Or less.

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

The left and right sides of the brain also process the imprints of the past in dramatically different ways.2 The left brain remembers facts, statistics, and the vocabulary of events. We call on it to explain our experiences and put them in order. The right brain stores memories of sound, touch, smell, and the emotions they evoke. It reacts automatically to voices, facial features, and gestures and places experienced in the past. What it recalls feels like intuitive truth—the way things are. Even as we enumerate a loved one’s virtues to a friend, our feelings may be more deeply stirred by how her face recalls the aunt we loved at age four.3 Under ordinary circumstances the two sides of the brain work together more or less smoothly, even in people who might be said to favor one side over the other. However, having one side or the other shut down, even temporarily, or having one side cut off entirely (as sometimes happened in early brain surgery) is disabling. Deactivation of the left hemisphere has a direct impact on the capacity to organize experience into logical sequences and to translate our shifting feelings and perceptions into words. (Broca’s area, which blacks out during flashbacks, is on the left side.) Without sequencing we can’t identify cause and effect, grasp the long-term effects of our actions, or create coherent plans for the future. People who are very upset sometimes say they are “losing their minds.” In technical terms they are experiencing the loss of executive functioning. When something reminds traumatized people of the past, their right brain reacts as if the traumatic event were happening in the present. But because their left brain is not working very well, they may not be aware that they are reexperiencing and reenacting the past—they are just furious, terrified, enraged, ashamed, or frozen. After the emotional storm passes, they may look for something or somebody to blame for it. They behaved the way they did way because you were ten minutes late, or because you burned the potatoes, or because you “never listen to me.” Of course, most of us have done this from time to time, but when we cool down, we hopefully can admit our mistake. Trauma interferes with this kind of awareness, and, over time, our research demonstrated why.

When a personality is created out of a trauma situation, the personality can watch and learn by looking and hearing out of your eyes and ears. The personality doesn't have to be the one in charge of the body to know what is going on. If the personality is created while you are of a very young age that personality can remain at that age, even though you are growing and maturing. A personality can also be hidden within the memory that created them and they don't realize time has moved on.

Maybe PTSD really is triggered by a single incident, a stressor, as it's known in the psychiatric community, and maybe the attack at Al-Waleed was that stressor for me, but as I have learned in the intervening years, I was not damaged by that moment alone. In fact, while there are specific memories that resurface with some frequency, like the suicide bomber in Sinjar or the order riot at Al-Waleed, I find myself most traumatized by the overall experience of being in a combat zone like Iraq, where you are always surrounded by war but rarely aware of when or how violence will arrive. Like so many of my fellow veterans, I understand now how that it is the daily adrenaline rush of a war without front lines or uniforms, rather than the infrequent bursts of bloody violence, that ultimately damages the modern warrior's mind.

it was a traumatic time for him, but that’s as far as it goes. There is a blackout—emotional amnesia for any negative memory. It’s how he coped. The pain and the stress and the strain have been deleted. As if it didn’t occur. He remembers uncomplicated, joyful times; sunshine and white sand. The darkness of this memory is mine alone.

When I first started to remember specific memories of abuse, I felt like I had a storm cloud over me for about two or three days beforehand. When the memory finally surfaced, I felt like I was alone in a dark cave. I stayed in bed just thinking and crying and eating chocolate. I wrote in my healing journal and talked it out with a friend. I examined what I thought and how I felt and cried some more. It was agonizing. The more issues I faced, the stronger I got. It wasn’t a pleasant process, but I knew it would be over in a few days and I would feel alive again. With each memory, I recovered faster and I had longer and longer breaks in between them. Facing them made me stronger. I was able to see more and more of the truth without it overwhelming me. Even though the memories increased in intensity, it was easier to deal with them.

Both incest and the Holocaust have been subject to furious denial by perpetrators and other individuals and by highly organised groups such as the False Memory Syndrome Foundation and the Committee for Historical Review. Incest and the Holocaust are vulnerable to this kind of concerted denial because of their unfathomability, the unjustifiability, and the threat they pose to the politics of patriarchy and anti-Semitism respectively. Over and over, survivors of the Holocaust attest that they were warned of what was happening in Poland but could not believe it at the time, could not believe it later as it was happening to them, and still to this day cannot believe what they, at the same time, know to have occurred. For Holocaust deniers this is a felicitous twist, for their arguments denying the Holocaust and therefore the legitimacy of Israel as a Jewish state capitalize on the discrepancies of faded memory. In the case of incest, although post-traumatic stress disorder, amnesia, and dissociation represent some of the mind's strategies for comprehending the incomprehensible, incest deniers have taken advantage of inconsistencies to discredit survivor testimony.

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.

I was traumatizing her. I could only hope that at three she was too young to retain any of this in memory, that in the years to follow I could make up for any future need for therapy I was creating now. Could I? Or would she always have a deep insecurity, the kind that send people careening from one disastrous romance to the next? And why did I have to live my life obsessed with these kinds of concerns, this constant attempt to control the most uncertain of outcomes, my own effect on someone else's mind?

This is sacred space. Libation . . . instead of pouring water on the ground, I pour words on the page. I begin with this libation in honor of all of those unknown and known spirits who surround us. I acknowledge the origins of this land where I am seated while writing this introduction. This land was inhabited by Indigenous people, the very first people to inhabit this land, who lived here for thousands of years before the Europeans arrived and were unfortunately unable to cohabitate without dominating, enslaving, raping, terrorizing, stealing from, relocating, and murder- ing the millions of members of Indigenous nations throughout Turtle Island, which is now known as North America. I write libation to those millions of Indigenous women, men, and children; and those millions of kidnapped and enslaved African women, men, and children whose genocide, confiscated land, centuries of free labor, forced migration, traumatic memories of rape, and sweat, tears, and blood make up the very fiber and foundation of all of the Americas and the Caribbean.

The symptoms of intense grief—memory loss, attention deficit, emotional fragility, incapacitating fatigue—are surprisingly similar to those resulting from traumatic brain injury.

Because you don’t owe them your trauma. No one has a right to know who you are and if you don’t want them to.” -Dr. Hartfield

Desensitization to our own or to other people's pain tends to lead to an overall blunting of emotional sensitivity

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.

Getting in touch with our frozen grief can be a sacred act. Grief work is healing. Grieving allows us to make peace with the past and the present. Grieving helps us to come out of hiding and unravels our masks and false self. We grow stronger and wiser when we get in touch with our original pain. We are no longer chained to our traumatic buried feelings and memories—we are liberated.

In therapy, to meet the needs of traumatized survivors of war and torture, the patient is requested to repeatedly talk about the worst traumatic event in detail while re-experiencing all emotions associated with the event. Traumatic memory, they say, is cleared by narration of whole life; from early childhood up to the present date ... this book is my therapy. I am awash with living memories.

PHOENIX: As I was about to say… “Telekinesis” means “mind over matter.” U-Men: I’m not scared… I’ll match your natural powers with my electric blood transfusion. PHOENIX: No… No. I’m sorry, you won’t. All your minds… looking out through those little portholes… Naked insecurities crawling all over you like graffiti… So sad… You’ll be quiet and you’ll listen to someone else for just 5 minutes. Mind over matter? Think back to all that processed food you ate today to help calm your nerves. I’m thinking about it right now. I’m thinking of moving it up. U-Men: Aaautch! Bblaaauuurrr! PHOENIX: And moving it down. U-Men: Oh! Awwwww! PHOENIX: I don’t want you to get hurt but you have to understand… the more you annoy me the more I can’t help thinking about deconstructing you, molecule by molecule, memory by memory… until there’s nothing left but screaming, traumatized atoms. So don’t patronize me. Don’t threaten me. And don’t ever endanger any of my students again. Don’t even think about it. Or I’ll know.

Harvard Law School professor Jannie Suk writes about how hard it is to teach rape law in an era of trigger warnings. She explains how women's organizations now 'routinely advise students that they should not feel pressured to attend or participate in class sessions that focus on the law of sexual violence, and which might therefore be traumatic' as they might "trigger" traumatic memories'. She describes the way many students appear to equate 'the risk . . . of traumatic injury' incurred while discussing sexual misconduct as 'analogous to sexual assault itself'. As a consequence, more and more teachers of criminal law are not including rape law in their courses: 'it's not worth the risk of complaints of discomfort by students' and they fear being accused of inflicting 'emotional injuries' in classroom conversation.

Memory has ambushed her again, slamming down a wall between her and the present moment. Sometimes it comes in order, like a story, sometimes in flashes, like a series of snapshots. Sometimes it comes in a split second, cutting through the middle of another thought. It grabs her and won't let her pay attention to what is being said around her. Other times it just settles softly down on her like a pillow, cutting off air.

It's not that I'm being shy. It's just that -- well, for one, I don't even remember the event. It's a blank: a white slate, a black hole. I have vague images, half-impressions: of being, or having been -- or, more precisely, being about to be -- hit; blue light; railings; lights of other colours; being held above some kind of tray or bed. But who's to say that these are genuine memories? Who's to say my traumatized mind didn't just make them up, or pull them out from somewhere else, some other slot, and stick them there to plug the gap -- the crater -- that the accident had blown? Minds are versatile and wily things. Real chancers.

Strike was used to playing archaeologist among the ruins of people’s traumatized memories; he had made himself the confidant of thugs; he had bullied the terrified, baited the dangerous and laid traps for the cunning.

When clients are hyperaroused or overwhelmed emotionally, voluntarily narrowing their field of consciousness allows them to assimilate a limited amount of incoming information, thereby optimizing the chance for successful integration. For example, as one client began to report her traumatic experience, her arousal escalated: Her heart started to race, she felt afraid and restless, and had trouble thinking. She was asked to stop talking and thinking about the trauma, to inhibit the images, thoughts, and emotions that were coming up, and orient instead to her physical sensation until her arousal returned to the window of tolerance. With the help of her therapist, she focused on her body and described how her legs felt, the phyisical feeling of anxiety in her chest, and the beating of her heart. These physical experiences gradually subsided, and only then was she encouraged to return to the narrative.

Yolanda Gampel utilizes an expanded concept of the "uncanny" to outline the results of violence: Those who experience such traumas are faced with an unbelievable and unreal reality that is incompatible with anything they knew previously. As a result, they can no longer fully believe what they see with their own eyes; they have difficulty distinguishing between the unreal reality they have survived and the fears that spring from their own imagination.

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

Ritual abuse diagnosis research – excerpt from a chapter in: Lacter, E. & Lehman, K. (2008).Guidelines to Differential Diagnosis between Schizophrenia and Ritual Abuse/Mind Control Traumatic Stress. In J.R. Noblitt & P. Perskin(Eds.), Ritual Abuse in the Twenty-first Century: Psychological, Forensic, Social and Political Considerations, pp. 85-154. Bandon, Oregon: Robert D. Reed Publishers. quotes: A second study revealed that these results were unrelated to patients’ degree of media and hospital milieu exposure to the subject of Satanic ritual abuse. “In fact, less media exposure was associated with production of more Satanic content in patients reporting ritual abuse, evidence that reports of ritual abuse are not primarily the product of exposure contagion.” Responses are consistent with the devastating and pervasive abuse these victims have experienced, so often including immediate family members.

There are two types of memory frequently experienced by individuals who have had overwhelming trauma that has been suppressed psychologically or chemically. The first is general memory, experienced as an adult, in which there is a natural recall of early events. The other is the memory that is often associated with post traumatic stress syndrome (PTSS). The person suddenly smells, sees and feels as though he or she is actually living the event that took place months or years earlier. Many soldiers who survived horrifying combat experiences have PTSS. This has frequently been discussed in terms of Vietnam veterans who suddenly mentally find themselves in the jungle, hiding from the enemy or assaulting people they see as a threat. The fact that they have not been in Vietnam for decades and that they are experiencing the flashbacks in shopping malls, at home or at work does not change what they are mentally reliving. But PTSS has existed for centuries and has affected men, women and children in the midst of all wars, horrifying natural disasters and other traumatic experiences. This includes physical and sexual abuse when growing up. the PTSS Cheryl was experiencing more and more frequently, in which she found herself seeing, feeling and re-experiencing events from her childhood and adolescence had become overwhelming. She knew she needed to get help.

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?

Law professor Melanie Randall writes: “[The] limited appreciation of the nature of traumatic responses is, undoubtedly, an expression of a broader lack of understanding of, and information about, the complexities of human psychology and human behaviour within the legal system. This failure is particularly sharp in terms of legal responses to sexual assault, as it is entrenched within the many myths about sexual assault, including conceptions of authentic and credible (read ‘ideal’) victims.

Despite this documentation for both traumatic amnesia and essentially accurate delayed recall, memory science is often presented as if it supports the view that traumatic amnesia is very unlikely or perhaps impossible and that a great many, perhaps a majority, maybe even all, recovered memories of abuse are false…Yet no research supports such an implication and a great deal of research supports the premise that forgetting sexual abuse is fairly common. and that recovered memories are sometimes essentially true.

So long as I do not know his name perhaps I may still forget him, time will obliterate it, this picture. But his name, it is a nail that will be hammered into me and never come out again. It has the power to recall this forever, it will always come back and stand before me.

Empowerment is something that happens throughout your healing, as courage and success in facing your memories build your self-esteem. Some of the strengths you get from taking on your buried memories does not show up in your life until long after the resolution has been achieved.

Normal memory gradually fades into the past. Traumatic and repressed memories have a tendency to linger around. They are splintered into fragments during overwhelming events experienced as a child. Images, sensations, emotions, and beliefs are torn apart. These disconnected pieces can later erupt into consciousness as separate "memories." These fragments may surface in the form of explicit memories, which are frighteningly vivid snapshot or video-like images of traumatic experiences; or they may surface as implicit memories, which include physical sensations, emotions, or beliefs that were part of the original traumatic experiences. When implicit fragments emerge into the present without an accompanying visually explicit memory, it is very hard to discern that these feelings of anxiety, fear, shame, rage, numbness, and loneliness are related to prior trauma.

The wave changed everything. It had an effect of malice, as if he were suggesting I could never be completely on my own, that he would be around, that he would be back. I was suddenly afraid. The thing is, that feeling is just as real to me now as it was then. The visuals are just as real.

Some readers may find it a curious or even unscientific endeavour to craft a criminological model of organised abuse based on the testimony of survivors. One of the standard objections to qualitative research is that participants may lie or fantasise in interview, it has been suggested that adults who report severe child sexual abuse are particularly prone to such confabulation. Whilst all forms of research, whether qualitative or quantitative, may be impacted upon by memory error or false reporting. there is no evidence that qualitative research is particularly vulnerable to this, nor is there any evidence that a fantasy— or lie—prone individual would be particularly likely to volunteer for research into child sexual abuse. Research has consistently found that child abuse histories, including severe and sadistic abuse, are accurate and can be corroborated (Ross 2009, Otnow et al. 1997, Chu et al. 1999). Survivors of child abuse may struggle with amnesia and other forms of memory disturbance but the notion that they are particularly prone to suggestion and confabulation has yet to find a scientific basis. It is interesting to note that questions about the veracity of eyewitness evidence appear to be asked far more frequently in relation to sexual abuse and rape than in relation to other crimes. The research on which this book is based has been conducted with an ethical commitment to taking the lives and voices of survivors of organised abuse seriously.

The existential psychotherapy approach posits that the inner conflict bedeviling us issues not only from our struggle with suppressed instinctual strivings or internalized significant adults or shards of forgotten traumatic memories, but also from our confrontation with the “givens” of existence. And what are these “givens” of existence? If we permit our-selves to screen out or “bracket” the everyday concerns of life and reflect deeply upon our situation in the world, we inevitably arrive at the deep structures of existence (the “ultimate concerns,” to use theologian Paul Tillich’s term).

beautiful scenery that you would not see on a highway. Avoidance keeps the cycle of post-traumatic stress going. Avoidance robs you of the chance to learn that you are, for the most part, safe in the present. It also robs you of the opportunity to know that you can handle your memories, thoughts, and emotions.

The experience of psychological trauma, as is typically diagnosed (posttraumatic stress disorder [PTSD]), has at least some of the following symptoms: • Reliving the trauma: This can happen through nightmares, flashbacks, or reexperiencing as a result of being in the presence of stimuli reminiscent of the traumatic event. • Efforts to avoid thoughts or feelings that are associated with the trauma. • Efforts to avoid activities or situations that arouse memories of the trauma. • Inability to remember some important aspect of the trauma (psychogenic amnesia). • Marked reduced interest in important activities. • Feeling of a lack of interest or expulsion by others. • Limited affect; such as inability to cherish loving feelings. • A feeling of not having any future (foreshortened future); not expecting to have a career, get married, have children, or live a long life. • Hypervigilance (heightened sensitivity to possible traumatic stimuli).

One hundred twenty-nine women with documented histories of sexual victimization in childhood were interviewed and asked about abuse history. Seventeen years following the initial report of the abuse, 80 of the women recalled the victimization. One in 10 women (16% of those who recalled the abuse) reported that at some time in the past they had forgotten about the abuse. Those with a prior period of forgetting--the women with "recovered memories"--were younger at the time of abuse and were less likely to have received support from their mothers than the women who reported that they had always remembered their victimization. The women who had recovered memories and those who had always remembered had the same number of discrepancies when their accounts of the abuse were compared to the reports from the early 1970s. Recovered memories of abuse in women with documented child sexual victimization histories. Journal of Traumatic Stress. 1995 Oct;8(4):649-73.

I want to remember my past To see before my eyes The image of my parents The house in which I grew up The village in which my family lived for generations I don't want to remember my past I fear for what my memory Might bring before my eyes I wonder whether I can continue my life If I'll rescue from oblivion What I want to recall.

[In a] recent PubMed and PsychAbstracts search... as we could not find a single reference for recovered memory therapy apart from those writing about its dangers. Our experience suggests that an overwhelming majority of clinicians do not assume or suggest to clients that they must have buried traumas from their past. It is also our experience that most clinicians are careful not to assume the literal veracity of reported traumatic memories, whether newly remembered or not." Cameron, C., & Heber, A. (2006). Re: Troubles in Traumatology, and Debunking Myths about Trauma and Memory/Reply: Troubles in Traumatology and Debunking Myths about Trauma and Memory. Canadian journal of psychiatry, 51(6), 402.

The traumatic event, although real, took place outside the parameters of “normal” reality, such as causality, sequence, place, and time. The trauma is thus an event that has no beginning, no ending, no before, no during and no after. This absence of categories that define it lends it to a quality of “otherness”, a salience, a timelessness and a ubiquity that puts it outside the range of associatively linked experiences, outside the range of comprehension, of recounting and of mastery. Trauma survivors live not with memories of the past, but with an event that could not and did not proceed through to its completion, has no ending, attained no closure, and therefore, as far as its survivors are concerned, continues into the present and is current in every respect.

No one should have to . . . you shouldn’t have to . . . there are some things that are better left forgotten.” His words soothed me. Somehow he saw past the novelty of what I could do, and comprehended the anguish that could be associated with perfect recall—remembering every embarrassment, harsh word, traumatic experience. “You don’t always have to act so tough all the time. I’m here.

Memory implies that there is some static time and place you can go back to, whereas if you relive it by trying to put yourself back in that context, its more nuanced, less black and white. More traumatic, but also more exciting. When I knew I had to write about things that would be painful, I put off doing it for ages. But then eventually the fear of not doing it becomes greater than the fear of doing it.

With our collective shock, what we saw seemed to be frozen into a state of suspended animation. Indelibly etched into our memories in terror, forever! My life was in slow motion, it was as if I was no longer in my body and this was a rather bad dream! It is almost impossible to describe with words what I saw, but I will try. This very experience is the one that has continued to shake me awake during the dense night of my lifetime.

Intrusive memories of the trauma and distressing thoughts and feelings fuel arousal and reactivity. This vicious cycle is maintained by the fourth symptom—avoidance. Your life becomes more and more limited as you avoid people, places, and situations that remind you of the trauma or that you are afraid will remind you of the trauma. You avoid these situations because they may trigger upsetting thoughts, emotions, and/or physical reactions.

Treating Abuse Today 3(4) pp. 26-33 The national discussion regarding the veridical truth of memories of childhood abuse will have a beneficial effect. Therapists will be reminded that dire consequences can ensue from poor practice, careless technique, and unchecked countertransference and parallel process. Hopefully, it will also stimulate legitimate research into the nature of traumatic memory. Unfortunately, the polemic often has been hysterical, scapegoating, accusatory, speculative, rumor driven, biased and antiempirical. Since many members of the FMSF, Inc. Scientific Advisory Board are frequent professional witnesses for the defense in cases of alleged sexual abuse, we questioned whether the organization was acting more as an advocate for a previously determined position or whether it was truly taking a scientific approach to determining the veridical truth of recollections of child abuse.

Suppose a major traumatic stressor occurs, of a sufficient magnitude to disrupt hippocampal function while enhancing amygdaloid function. At some later point, in a similar setting, you have an anxious, autonomic state, agitated and fearful, and you haven’t a clue why—this is because you never consolidated memories of the event via your hippocampus while your amygdala-mediated autonomic pathways sure as hell remember. This is a version of free-floating anxiety.

When I first met concussion specialist Dr. Michael Collins, after three and a half years of suffering from post-concussive syndrome, he said, “If you remember only one thing from this meeting, remember this: run towards the danger.” In order for my brain to recover from a traumatic injury, I had to retrain it to strength by charging towards the very activities that triggered my symptoms. This was a paradigm shift for me—to greet and welcome the things I had previously avoided.

You care, you really care for me!” “Of course,” Eric said. “How could you doubt it?” But it was not easy to believe that anyone cared for me; I sometimes failed to realize, I think, how much my parents cared for me. It is only now, reading the letters they wrote to me when I came to America fifty years ago, that I see how deeply they did care. And perhaps how deeply many others have cared for me—was the imagined lack of caring by others a projection of something deficient or inhibited in myself? I once heard a radio program devoted to the memories and thoughts of those who, like me, had been evacuated during the Second World War, separated from their families during their earliest years. The interviewer commented on how well these people had adjusted to the painful, traumatic years of their childhood. “Yes,” said one man. “But I still have trouble with the three Bs: bonding, belonging, and believing.” I think this is also true, to some extent, for me.

Multiple blows to the head, whether in football, soccer, boxing, hockey, or other activity, can sometimes cause permanent brain damage accompanied by changes in personality, memory, and thinking. Chronic traumatic encephalopathy, or CTE, is the medical term for the damage caused by these repeated concussions. Standard MRIs cannot detect it, so a diagnosis of CTE usually cannot be made with certainty until after a person has died. Only on autopsy can a pathologist see the damaged brain tissue.

In the fall of 2000 I started getting calls and emails from people asking me to erase their memories. Karim Nader, Glenn Schafe, and I had recently published a paper in the journal Nature with a rather technical title, “Fear Memories Require Protein Synthesis in the Lateral Amygdala for Reconsolidation after Retrieval.”3 In this study we conditioned rats with a tone and shock and then later presented them with the tone alone after a drug that blocks protein synthesis had been infused in the lateral amygdala (LA), a key area of the amygdala where the tone-shock association is stored. When tested the following day, or at any time afterward, the rats behaved as though they had never been conditioned. The procedure, in other words, seemed to erase the memory that the tone was a signal of danger. Toward the end of the short piece, we proposed that it might be possible to use a technique like this (but without having to inject a drug directly into the amygdala) to dampen traumatic memory in people with PTSD.

Remembering and telling the truth about terrible events are prerequisites both for the restoration of the social order and for the healing of individual victims. The conflict between the will to deny horrible events and the will to proclaim them aloud is the central dialectic of psychological trauma. People who have survived atrocities often tell their stories in a highly emotional, contradictory, and fragmented manner which undermines their credibility and thereby serves the twin imperatives of truth-telling and secrecy.

In a study involving the offspring of stressed male mice conducted at Emory University School of Medicine in 2013, researchers discovered that traumatic memories could be passed down to subsequent generations through epigenetic changes that occur in DNA. Mice in one generation were trained to fear a cherry blossom–like scent called acetophenone. Each time they were exposed to the smell, they simultaneously received an electric shock. After a while, the shocked mice had a greater amount of smell receptors associated with that particular scent, enabling them to detect it at lower concentrations. They also had enlarged brain areas devoted to those receptors. Researchers were also able to identify changes in the mice’s sperm. The most intriguing aspect of the study is what occurred in the next two generations. Both the pups and grandpups, when exposed to the blossom odor, became jumpy and avoided it, despite never having experienced it before. They also exhibited the same brain changes. The mice appeared to inherit not only the sensitivity to the scent, but also the fear response associated with it.64

Classic thinking teaches us of the four doors of the mind, which everyone moves through according to their need. First is the door of sleep. Sleep offers us a retreat from the world and all its pain. Sleep marks passing time, giving us distance from the things that have hurt us. When a person is wounded they will often fall unconscious. Similarly, someone who hears traumatic news will often swoon or faint. This is the mind’s way of protecting itself from pain by stepping through the first door. Second is the door of forgetting. Some wounds are too deep to heal, or too deep to heal quickly. In addition, many memories are simply painful, and there is no healing to be done. The saying “time heals all wounds” is false. Time heals most wounds. The rest are hidden behind this door. Third is the door of madness. There are times when the mind is dealt such a blow it hides itself in insanity. While this may not seem beneficial, it is. There are times when reality is nothing but pain, and to escape that pain the mind must leave reality behind. Last is the door of death. The final resort. Nothing can hurt us after we are dead, or so we have been told.

adequate integrative capacity and the mental skills to fully realize their horrific experiences and memories. But they must go on with a daily life that sometimes continues to include the very people who abused and neglected them. Their most expedient option is to mentally avoid their unresolved and painful past and present, and as much as possible maintain a façade of normality. Yet their apparent normality, their life at the surface of consciousness (Appelfeld, 1994), is fragile. Dreaded memories that are awakened by strong reminders haunt survivors, especially when they have exhausted their emotional and physical resources.

Perhaps the greatest faculty our minds possess is the ability to cope with pain. Classic thinking teaches us of the four doors of the mind, which everyone moves through according to their need. First is the door of sleep. Sleep offers us a retreat from the world and all its pain. Sleep marks passing time, giving us distance from the things that have hurt us. When a person is wounded they will often fall unconscious. Similarly, someone who hears traumatic news will often swoon or faint. This is the mind's way of protecting itself from pain by stepping through the first door. Second is the door of forgetting. Some wounds are too deep to heal, or too deep to heal quickly. In addition, many memories are simply painful, and there is no healing to be done. The saying 'time heals all wounds' is false. Time heals most wounds. The rest are hidden behind this door. Third is the door of madness. There are times when the mind is dealt such a blow it hides itself in insanity. While this may not seem beneficial, it is. There are times when reality is nothing but pain, and to escape that pain the mind must leave reality behind. Last is the door of death. The final resort. Nothing can hurt us after we are dead, or so we have been told.” ― Patrick Rothfuss, The Name of the Wind

While some accused and convicted child molesters have inappropriately influenced the media, the public, and many in the clinical and legal professions by claiming that traumatic amnesia does not occur in child sexual abuse, workers in the field of trauma psychology have accumulated solid empirical evidence over the past 100 years that it does occur and is common. Its existence and natural history are documented throughout the clinical literature. from: Traumatic amnesia: The evolution of our understanding from a clinical and legal perspective, Sexual Addiction & Compulsivity: The Journal of Treatment & Prevention, Volume 4, Issue 2, 1997

Like many doctors, I was frankly traumatized by some of the experiences I had early on in my career. When you lean over a patient in an emergency room, trying to bring a dead body back to life, you are entirely focused on the job at hand. On the other side of a thin curtain, you can hear that person’s husband or wife howling and wailing, knowing that the person they loved and lived with for fifty years is dying, begging the staff to do all they can, phoning their children, struggling to speak through tears to form the words and communicate the horror, telling them to come, quickly. I have memories from cubicles that I will never be able to deal with, and they upset me even now.

Original Statement by Hunger Strikers to Psychiatric Association, National Alliance for the Mentally Ill and the U.S. Office of the Surgeon General 1. A Hunger Strike to Challenge International Domination by Biopsychiatry. This fast is about human rights in mental health. The psychiatric pharmaceutical complex is heedless of its oath to “first do no harm.” Psychiatrists are able with impunity to: Incarcerate citizens who have committed crimes against neither persons nor property. Impose diagnostic labels on people that stigmatize and defame them. Induce proven neurological damage by force and coercion with powerful psychotropic drugs. Stimulate violence and suicide with drugs promoted as able to control these activities. Destroy brain cells and memories with an increasing use of electroshock (also known as electro-convulsive therapy). Employ restraint and solitary confinement—which frequently cause severe emotional trauma, humiliation, physical harm, and even death—in preference to patience and understanding. Humiliate individuals already damaged by traumatizing assaults to their self-esteem. These human rights violations and crimes against human decency must end. While the history of psychiatry offers little hope that change will arrive quickly, initial steps can and must be taken. At the very least, the public has the right to know IMMEDIATELY the evidence upon which psychiatry bases its spurious claims and treatments, and upon which it has gained and betrayed the trust and confidence of the courts, the media, and the public.21

To what extent are such laboratory results generalizable to real traumatic experiences? Pezdek, Finger, and Hodge (1997) demonstrated the importance of event plausibility. Researchers were able to implant false memories of plausible events, such as being lost in a shopping mall, but were unsuccessful at causing participants to form false memories of implausible events, such as receiving an enema or participating in a religious ceremony from a tradition other than their own (Pezdek, Finger, & Hodge, 1997; Pezdek & Hodge, 1999). Besides failing to address event plausibility, laboratory experiments may also fail to capture emotions such as fear, shame, and betrayal that are often linked to interpersonal trauma." KNOWING AND NOT KNOWING ABOUT TRAUMA: IMPLICATIONS FOR THERAPY

Why does the nature of the traumatic event exert so much influence over whether what happened will be remembered in words? It appears that sudden, fast events completely overcome any defenses that a small child can muster. Long-standing events, on the other hand, stimulate defensive operations—denial, splitting, self-anesthesia, and dissociation. These defenses interfere with memory formation, storage, and retrieval. When the defenses are completely overrun by one sudden, unanticipated terror, brilliant, overly clear verbal memories are the result. On the other hand, when the defenses are set up in advance in order to deal with the terrors the child knows to be coming, blurry, partial, or absent verbal memories are retained. The child may even develop blanket amnesia for certain years in the past.

Another patient, Janet, was repeatedly abused by a grandfather who forced her cousin to sexually molest her and put sticks into her vagina. The patient dissociated at the time into a child alter personality, Susie, who remembered the abuse. Susie decided if she had no body, her cousin would not hurt her. Susie imagined she had no body but only her head. The fantasy she had no body to hurt, led to a dissociation of all perceptions of her body and the belief that she avoided pain and her cousin could not hurt her. This mechanism shows the interplay of reality and fantasy in a dissociative defense. Through fantasy, Susie has no body and no pain. Simultaneously, the reality of her torture was recognized as the source of this adaptation. Dissociative defenses adopted her wishful fantasy to solve a brutal experience and its memory.

The depressed person shared that she could remember, all too clearly, how at her third boarding school, she had once watched her roommate talk to some boy on their room's telephone as she (i.e., the roommate) made faces and gestures of entrapped repulsion and boredom with the call, this popular, attractive, and self-assured roommate finally directing at the depressed person an exaggerated pantomime of someone knocking on a door until the depressed person understood that she was to open their room's door and step outside and knock loudly on it so as to give the roommate an excuse to end the call. The depressed person had shared this traumatic memory with members of her Support System and had tried to articulate how bottomlessly horrible she had felt it would have been to have been that nameless pathetic boy on the phone and how now, as a legacy of that experience, she dreaded, more than almost anything, the thought of ever being someone you had to appeal silently to someone nearby to help you contrive an excuse to get off the phone with. The depressed person would implore each supportive friend to tell her the very moment she (i.e., the friend) was getting bored or frustrated or repelled or felt she (i.e., the friend) had other more urgent or interesting things to attend to, to please for God's sake be utterly candid and frank and not spend one moment longer on the phone than she was absolutely glad to spend. The depressed person knew perfectly well, of course, she assured the therapist;' how such a request could all too possibly be heard not as an invitation to get off the telephone at will but actually as a needy, manipulative plea not to get off-never to get off-the telephone.

For many years there have been rumours of mind control experiments. in the United States. In the early 1970s, the first of the declassified information was obtained by author John Marks for his pioneering work, The Search For the Manchurian Candidate. Over time retired or disillusioned CIA agents and contract employees have broken the oath of secrecy to reveal small portions of their clandestine work. In addition, some research work subcontracted to university researchers has been found to have been underwritten and directed by the CIA. There were 'terminal experiments' in Canada's McGill University and less dramatic but equally wayward programmes at the University of California at Los Angeles, the University of Rochester, the University of Michigan and numerous other institutions. Many times the money went through foundations that were fronts or the CIA. In most instances, only the lead researcher was aware who his or her real benefactor was, though the individual was not always told the ultimate use for the information being gleaned. In 1991, when the United States finally signed the 1964 Helsinki Accords that forbids such practices, any of the programmes overseen by the intelligence community involving children were to come to an end. However, a source recently conveyed to us that such programmes continue today under the auspices of the CIA's Office of Research and Development. The children in the original experiments are now adults. Some have been able to go to college or technical schools, get jobs. get married, start families and become part of mainstream America. Some have never healed. The original men and women who devised the early experimental programmes are, at this point, usually retired or deceased. The laboratory assistants, often graduate and postdoctoral students, have gone on to other programmes, other research. Undoubtedly many of them never knew the breadth of the work of which they had been part. They also probably did not know of the controlled violence utilised in some tests and preparations. Many of the 'handlers' assigned to reinforce the separation of ego states have gone into other pursuits. But some have remained or have keen replaced. Some of the 'lab rats' whom they kept in in a climate of readiness, responding to the psychological triggers that would assure their continued involvement in whatever project the leaders desired, no longer have this constant reinforcement. Some of the minds have gradually stopped suppression of their past experiences. So it is with Cheryl, and now her sister Lynn.

In 2011, actor Johnny Depp told the November issue of Vanity Fair that he felt participating in a photoshoot was akin to rape. "Well, you just feel like you're being raped somehow. Raped . . . It feels like a kind of weird - just weird, man. But whenever you have a photo shoot or something like that, it's like - you just feel dumb. It's just so stupid," he said. Likening instances of being flustered or uneasy to the often life-shattering experience of rape has become a far too common comparison in modern lexicon. The phrase "Facebook rape" is perhaps the most widely used, which implies one person has posted on another person's Facebook account - usually something intended to embarrass the person. But the casual, flippant use of the term "rape" in instances that do not involve sexual violence is highly problematic in that it trivialises one of the most despicable invasions of a human being. Desensitising the masses to the term "rape" is just another way the conversation surrounding sexual assault is derailed or diluted in society. Rape is, and should be considered universally, as a serious societal sickness that occurs within the "toxic silence" that surrounds sexual assault as Tara Moss put so elegantly in her recent Q&A appearance. Further to that, the use of the term can be a trigger for rape survivors in that it may jolt terrifying memories of their own experience. According to the Australian Institute of Family Studies, up to 57 per cent of rape survivors suffer post-traumatic stress disorder in their lifetime, with "triggers" including inflammatory words like rape causing deeply traumatic recollections. Beware desensitising the term "rape", Newcastle Herald, June 6, 2014

But it was not easy to believe that anyone cared for me; I sometimes failed to realize, I think, how much my parents cared for me. It is only now, reading the letters they wrote to me when I came to America fifty years ago, that I see how deeply they did care. And perhaps how deeply many others have cared for me—was the imagined lack of caring by others a projection of something deficient or inhibited in myself? I once heard a radio program devoted to the memories and thoughts of those who, like me, had been evacuated during the Second World War, separated from their families during their earliest years. The interviewer commented on how well these people had adjusted to the painful, traumatic years of their childhood. “Yes,” said one man. “But I still have trouble with the three Bs: bonding, belonging, and believing.” I think this is also true, to some extent, for me.

The psychological impact of trauma in both the military and civilian arenas has been documented for well over 100 years [1], but the validity of the traumatic neuroses and their key symptoms have been continuously questioned. This is particularly true for posttraumatic amnesia and therapeutically recovered traumatic memories. Freud’s [2] abandonment of his seduction theory was followed by decades of denial of sexual trauma in the psychoanalytic and broader sociocultural realms [3]. Concomitant negation of posttraumatic symptomatology was noted in regard to the war neuroses, emanating equally from military, medical and social spheres [4]. Thus, Karon and Widener [5] drew attention to professional abandonment of the literature on posttraumatic amnesia in World War II combatants. They considered this to be due to a collective forgetting, comparable to the repression of soldiers, but instead occurring on account of social prejudices. He further noted that the validity of memories was never challenged at the time since there was ample corroborating evidence. Recent research confirms the findings of earlier investigators such as Janet [6], validating posttraumatic amnesia of both civilian and military origin. Van der Hart and Nijenhuis [7] cited clinical studies reporting total amnesia for combat trauma, experiences in Nazi concentration camps, torture and robbery. There is also increasing evidence for the existence of amnesia for child sexual abuse. Thus, Scheflen and Brown [8] concluded from their analysis of 25 empirical studies that such amnesia is a robust finding. Since then, new studies, for example those of Elliott [9], have appeared supporting their conclusion. This paper examines posttraumatic amnesia in World War I (WWI) combatants. The findings are offered as an historical cross-validation of posttraumatic amnesia in all populations, including those subjected to childhood sexual abuse.

Everybody needs a place where they feel protected, secure, and welcome. Everybody yearns for a place where they can relax and be fully themselves. Ideally, the childhood home was one such place. For those of us who felt accepted and loved by our parents, our home provided this warmth. It was a heartwarming place—the very thing that everybody yearns for. And we internalize this feeling from childhood—that of being accepted and welcome—as a fundamental, positive attitude toward life that accompanies us through adulthood: we feel secure in the world and in our own life. We’re self-confident and trusting of others. There’s the notion of basic trust, which is like a home within ourselves, providing us with internal support and protection. Many people, however, associate their childhood with largely negative experiences, some even traumatic. Others had an unhappy childhood, but have repressed those memories. They can barely recall what happened. Then there are those who believe their childhood was “normal” or even “happy,” only to discover, upon closer examination, that they have been deluding themselves. And though people may attempt to repress or, as an adult, downplay childhood experiences of insecurity or rejection, there are moments in everyday life that will reveal how underdeveloped their basic trust remains. They have self-esteem issues and frequently doubt that they are welcome and that their coworkers, romantic partner, boss, or new friend truly likes them. They don’t really like themselves all that much, they have a range of insecurities, and they often struggle in relationships. Unable to develop basic trust, they therefore lack a sense of internal support. Instead, they hope that others will provide them with these feelings of security, protection, stability, and home. They search for home with their partner, their colleagues, in their softball league, or online, only to be disappointed: other people can provide this feeling of home sporadically at best. Those who lack a home on the inside will never find one on the outside. They can’t tell that they’re caught in a trap.

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.

PERHAPS THE GREATEST FACULTY our minds possess is the ability to cope with pain. Classic thinking teaches us of the four doors of the mind, which everyone moves through according to their need. First is the door of sleep. Sleep offers us a retreat from the world and all its pain. Sleep marks passing time, giving us distance from the things that have hurt us. When a person is wounded they will often fall unconscious. Similarly, someone who hears traumatic news will often swoon or faint. This is the mind’s way of protecting itself from pain by stepping through the first door. Second is the door of forgetting. Some wounds are too deep to heal, or too deep to heal quickly. In addition, many memories are simply painful, and there is no healing to be done. The saying “time heals all wounds” is false. Time heals most wounds. The rest are hidden behind this door. Third is the door of madness. There are times when the mind is dealt such a blow it hides itself in insanity. While this may not seem beneficial, it is. There are times when reality is nothing but pain, and to escape that pain the mind must leave reality behind. Last is the door of death. The final resort. Nothing can hurt us after we are dead, or so we have been told.

Not only could he share the memories, and control them, he could keep the link intact as their thoughts moved through time from the past to the present. The men of his clan enjoyed a richer, fuller ceremonial interrelationship than any other clan. But with the trained minds of the mog-urs, he could make the telepathic link from the beginning. Through him, all the mog-urs shared a union far closer and more satisfying than any physical one—it was a touching of spirits. The white liquid from Iza’s bowl that had heightened the perceptions and opened the minds of the magicians to The Mog-ur, had allowed his special ability to create a symbiosis with Ayla’s mind as well. The traumatic birth that damaged the brain of the disfigured man had impaired only a portion of his physical abilities, not the sensitive psychic overdevelopment that enabled his great power. But the crippled man was the ultimate end-product of his kind. Only in him had nature taken the course set for the Clan to its fullest extreme. There could be no further development without radical change, and their characteristics were no longer adaptable. Like the huge creature they venerated, and many others that shared their environment, they were incapable of surviving radical change. The race of men with social conscience enough to care for their weak and wounded, with spiritual awareness enough to bury their dead and venerate their great totem, the race of men with great brains but no frontal lobes, who made no great strides forward, who made almost no progress in nearly a hundred thousand years, was doomed to go the way of the woolly mammoth and the great cave bear. They didn’t know it, but their days on earth were numbered, they were doomed to extinction. In Creb, they had reached the end of their line. Ayla felt a sensation akin to the deep pulsing of a foreign bloodstream superimposed on her own. The powerful mind of the great magician was exploring her alien convolutions, trying to find a way to mesh. The fit was imperfect, but he found channels of similarity, and where none existed, he groped for alternatives and made connections where there were only tendencies. With startling clarity, she suddenly comprehended that it was he who had brought her out of the void; but more, he was keeping the other mog-urs, also linked with him, from knowing she was there. She could just barely sense his connection with them, but she could not sense them at all. They, too, knew he had made a connection with someone—or something—else, but never dreamed it was Ayla.

In Luke’s own experience with loss, he didn’t turn to God for comfort. Although a believer as a child, he had become an atheist by his mid-twenties. And it was then, just as his atheism was overshadowing his theism, that his beloved father unexpectedly died the day after Christmas. “So that was really a test of my atheism, when my dad died. I mean, I was like, ‘If this is true that there isn’t a God, then I’ll never see my dad again. He’s not in heaven. There is no afterlife.’ I really had to seriously think about the implications of that. And I did—very deeply and very seriously. And I knew that I just couldn’t believe any of it. My dad was gone, and that was that. But it was actually not as traumatic as you might expect, because I found that I didn’t need to believe all that religious stuff from my childhood in order to feel better. I still had the memory of my father, and that was good enough. The things that I valued about my dad were still there, inside of me. He lives on in me, and in my brothers. Why did I need to think he was in heaven looking down at me? Why did I need to think I would someday meet him again? In all honesty, I think those things seem kind of weird to me now.” But how did he cope, exactly, when his dad died? “Friends and family. Friends and family. That’s it.

With regard to complex trauma survivors, self-determination and autonomy require that the therapist treat each client as the "authority" in determining the meaning and interpretation of his or her personal life history, including (but not limited to) traumatic experiences (Harvey, 1996). Therapists can inadvertently misappropriate the client's authority over the meaning and significance of her or his memories (and associated symptoms, such as intrusive reexperiencing or dissociative flashbacks) by suggesting specific "expert" interpretations of the memories or symptoms. Clients who feel profoundly abandoned by key caregivers may appear deeply grateful for such interpretations and pronouncements by their therapists, because they can fulfill a deep longing for a substitute parent who makes sense of the world or takes care of them. However, this delegation of authority to the therapist can backfire if the client cannot, or does not, take ownership of her or his own memories or life story by determining their personal meaning.Moreover, the client can be trapped in a stance of avoidance because trauma memories are never experienced, processed, and put to rest. Helping a client to develop a core sense of relational security and the capacity to regulate (and recover from) extreme hyper- or hypoarousal is essential if the client is to achieve a self-determined and autonomous approach to defining the meaning and impact of trauma memories, a crucial goal of posttraumatic therapy.

The classic host personality, which usually (over 50% of the time) presents for treatment, nearly always bears the legal name and is depressed, anxious, somewhat neurasthenic, compulsively good, masochistic, conscience-stricken, constricted hedonically, and suffers both psychophysioiogical symptoms and time loss and/or time distortion. While no personality types are invariably present, many are encountered quite frequently: childlike personalities (fearful. recalling traumata, or love-seeking), protectors, helpers-advisors, inner self-helpers (serene, rational, and objective helpers and advisors first described by Allison in 1974), personalities with distinct affective states, guardians of memories and secrets (and of family boundaries), memory traces (holding continuity of memory), inner persecutors (often based on identification with the aggressor), anesthetic personalities (created to block out pain), expressers of forbidden impulses (pleasurable and otherwise, such as defiant, aggressive, or antisocial), avengers (which express anger over abuses endured and may wish to redress their grievances), defenders or apologists for the abusers, those based on lost love objects and other introjections and identifications, specialized encapsulators of traumatic experiences and powerful affects, very specialized personalities, and those (often youthful) that preserve the idealized potential for happiness, growth, and the healthy expression of feelings (distorted by traumata) in others (Kluft, 1984b).

Treating Abuse Today (Tat), 3(4), pp. 26-33 Freyd: I see what you're saying but people in psychology don't have a uniform agreement on this issue of the depth of -- I guess the term that was used at the conference was -- "robust repression." TAT: Well, Pamela, there's a whole lot of evidence that people dissociate traumatic things. What's interesting to me is how the concept of "dissociation" is side-stepped in favor of "repression." I don't think it's as much about repression as it is about traumatic amnesia and dissociation. That has been documented in a variety of trauma survivors. Army psychiatrists in the Second World War, for instance, documented that following battles, many soldiers had amnesia for the battles. Often, the memories wouldn't break through until much later when they were in psychotherapy. Freyd: But I think I mentioned Dr. Loren Pankratz. He is a psychologist who was studying veterans for post-traumatic stress in a Veterans Administration Hospital in Portland. They found some people who were admitted to Veteran's hospitals for postrraumatic stress in Vietnam who didn't serve in Vietnam. They found at least one patient who was being treated who wasn't even a veteran. Without external validation, we just can't know -- TAT: -- Well, we have external validation in some of our cases. Freyd: In this field you're going to find people who have all levels of belief, understanding, experience with the area of repression. As I said before it's not an area in which there's any kind of uniform agreement in the field. The full notion of repression has a meaning within a psychoanalytic framework and it's got a meaning to people in everyday use and everyday language. What there is evidence for is that any kind of memory is reconstructed and reinterpreted. It has not been shown to be anything else. Memories are reconstructed and reinterpreted from fragments. Some memories are true and some memories are confabulated and some are downright false. TAT: It is certainly possible for in offender to dissociate a memory. It's possible that some of the people who call you could have done or witnessed some of the things they've been accused of -- maybe in an alcoholic black-out or in a dissociative state -- and truly not remember. I think that's very possible. Freyd: I would say that virtually anything is possible. But when the stories include murdering babies and breeding babies and some of the rather bizarre things that come up, it's mighty puzzling. TAT: I've treated adults with dissociative disorders who were both victimized and victimizers. I've seen previously repressed memories of my clients' earlier sexual offenses coming back to them in therapy. You guys seem to be saying, be skeptical if the person claims to have forgotten previously, especially if it is about something horrible. Should we be equally skeptical if someone says "I'm remembering that I perpetrated and I didn't remember before. It's been repressed for years and now it's surfacing because of therapy." I ask you, should we have the same degree of skepticism for this type of delayed-memory that you have for the other kind? Freyd: Does that happen? TAT: Oh, yes. A lot.

My identity as Jewish cannot be reduced to a religious affiliation. Professor Said quoted Gramsci, an author that I’m familiar with, that, and I quote, ‘to know thyself is to understand that we are a product of the historical process to date which has deposited an infinity of traces, without leaving an inventory’. Let’s apply this pithy observation to Jewish identity. While it is tempting to equate Judaism with Jewishness, I submit to you that my identity as someone who is Jewish is far more complex than my religious affiliation. The collective inventory of the Jewish people rests on my shoulders. This inventory shapes and defines my understanding of what it means to be Jewish. The narrative of my people is a story of extraordinary achievement as well as unimaginable horror. For millennia, the Jewish people have left their fate in the hands of others. Our history is filled with extraordinary achievements as well as unimaginable violence. Our centuries-long Diaspora defined our existential identity in ways that cannot be reduced to simple labels. It was the portability of our religion that bound us together as a people, but it was our struggle to fit in; to be accepted that identified us as unique. Despite the fact that we excelled academically, professionally, industrially, we were never looked upon as anything other than Jewish. Professor Said in his book, Orientalism, examined how Europe looked upon the Orient as a dehumanized sea of amorphous otherness. If we accept this point of view, then my question is: How do you explain Western attitudes towards the Jews? We have always been a convenient object of hatred and violent retribution whenever it became convenient. If Europe reduced the Orient to an essentialist other, to borrow Professor Said’s eloquent language, then how do we explain the dehumanizing treatment of Jews who lived in the heart of Europe? We did not live in a distant, exotic land where the West had discursive power over us. We thought of ourselves as assimilated. We studied Western philosophy, literature, music, and internalized the same culture as our dominant Christian brethren. Despite our contribution to every conceivable field of human endeavor, we were never fully accepted as equals. On the contrary, we were always the first to be blamed for the ills of Western Europe. Two hundred thousand Jews were forcibly removed from Spain in 1492 and thousands more were forcibly converted to Christianity in Portugal four years later. By the time we get to the Holocaust, our worst fears were realized. Jewish history and consciousness will be dominated by the traumatic memories of this unspeakable event. No people in history have undergone an experience of such violence and depth. Israel’s obsession with physical security; the sharp Jewish reaction to movements of discrimination and prejudice; an intoxicated awareness of life, not as something to be taken for granted but as a treasure to be fostered and nourished with eager vitality, a residual distrust of what lies beyond the Jewish wall, a mystical belief in the undying forces of Jewish history, which ensure survival when all appears lost; all these, together with the intimacy of more personal pains and agonies, are the legacy which the Holocaust transmits to the generation of Jews who have grown up under its shadow. -Fictional debate between Edward Said and Abba Eban.

A note of caution: epigenetics is also on the verge of transforming into a dangerous idea. Epigenetic modifications of genes can potentially superpose historical and environmental information on cells and genomes—but this capacity is speculative, limited, idiosyncratic, and unpredictable: a parent with an experience of starvation produces children with obesity and overnourishment, while a father with the experience of tuberculosis, say, does not produce a child with an altered response to tuberculosis. Most epigenetic “memories” are the consequence of ancient evolutionary pathways, and cannot be confused with our longing to affix desirable legacies on our children. As with genetics in the early twentieth century, epigenetics is now being used to justify junk science and enforce stifling definitions of normalcy. Diets, exposures, memories, and therapies that purport to alter heredity are eerily reminiscent of Lysenko’s attempt to “reeducate” wheat using shock therapy. Mothers are being asked to minimize anxiety during their pregnancy—lest they taint all their children, and their children, with traumatized mitochondria. Lamarck is being rehabilitated into the new Mendel. These glib notions about epigenetics should invite skepticism. Environmental information can certainly be etched on the genome. But most of these imprints are recorded as “genetic memories” in the cells and genomes of individual organisms—not carried forward across generations. A man who loses a leg in an accident bears the imprint of that accident in his cells, wounds, and scars—but does not bear children with shortened legs. Nor has the uprooted life of my family seem to have burdened me, or my children, with any wrenching sense of estrangement. Despite Menelaus’s admonitions, the blood of our fathers is lost in us—and so, fortunately, are their foibles and sins. It is an arrangement that we should celebrate more than rue. Genomes and epigenomes exist to record and transmit likeness, legacy, memory, and history across cells and generations. Mutations, the reassortment of genes, and the erasure of memories counterbalance these forces, enabling unlikeness, variation, monstrosity, genius, and reinvention—and the refulgent possibility of new beginnings, generation upon generation.

The key point is that these patterns, while mostly stable, are not permanent: certain environmental experiences can add or subtract methyls and acetyls, changing those patterns. In effect this etches a memory of what the organism was doing or experiencing into its cells—a crucial first step for any Lamarck-like inheritance. Unfortunately, bad experiences can be etched into cells as easily as good experiences. Intense emotional pain can sometimes flood the mammal brain with neurochemicals that tack methyl groups where they shouldn’t be. Mice that are (however contradictory this sounds) bullied by other mice when they’re pups often have these funny methyl patterns in their brains. As do baby mice (both foster and biological) raised by neglectful mothers, mothers who refuse to lick and cuddle and nurse. These neglected mice fall apart in stressful situations as adults, and their meltdowns can’t be the result of poor genes, since biological and foster children end up equally histrionic. Instead the aberrant methyl patterns were imprinted early on, and as neurons kept dividing and the brain kept growing, these patterns perpetuated themselves. The events of September 11, 2001, might have scarred the brains of unborn humans in similar ways. Some pregnant women in Manhattan developed post-traumatic stress disorder, which can epigenetically activate and deactivate at least a dozen genes, including brain genes. These women, especially the ones affected during the third trimester, ended up having children who felt more anxiety and acute distress than other children when confronted with strange stimuli. Notice that these DNA changes aren’t genetic, because the A-C-G-T string remains the same throughout. But epigenetic changes are de facto mutations; genes might as well not function. And just like mutations, epigenetic changes live on in cells and their descendants. Indeed, each of us accumulates more and more unique epigenetic changes as we age. This explains why the personalities and even physiognomies of identical twins, despite identical DNA, grow more distinct each year. It also means that that detective-story trope of one twin committing a murder and both getting away with it—because DNA tests can’t tell them apart—might not hold up forever. Their epigenomes could condemn them. Of course, all this evidence proves only that body cells can record environmental cues and pass them on to other body cells, a limited form of inheritance. Normally when sperm and egg unite, embryos erase this epigenetic information—allowing you to become you, unencumbered by what your parents did. But other evidence suggests that some epigenetic changes, through mistakes or subterfuge, sometimes get smuggled along to new generations of pups, cubs, chicks, or children—close enough to bona fide Lamarckism to make Cuvier and Darwin grind their molars.

ESTABLISH STABLE ANCHORS OF ATTENTION Mindfulness meditation typically involves something known as an anchor of attention—a neutral reference point that helps support mental stability. An anchor might be the sensation of our breath coming in and out of the nostrils, or the rising and falling of our abdomen. When we become lost in thought during practice, we can return to our anchor, fixing our attention on the stimuli we’ve chosen. But anchors can also intensify trauma. The breath, for instance, is far from neutral for many survivors. It’s an area of the body that can hold tension related to a trauma and connect to overwhelming, life-threatening events. When Dylan paid attention to the rising and falling of his abdomen, he would be swamped with memories of mocking faces while walking down the hallway. Other times, feeling a constriction of his breath in the chest echoed a feeling of immobility, which was a traumatic reminder. For Dylan, the breath simply wasn’t a neutral anchor. As a remedy, we can encourage survivors to establish stabilizing anchors of attention. This means finding a focus of attention that supports one’s window of tolerance—creating stability in the nervous system as opposed to dysregulation. Each person’s anchor will vary: for some, it could be the sensations of their hands resting on their thighs, or their buttocks on the cushion. Other stabilizing anchors might include another sense altogether, such as hearing or sight. When Dylan and I worked together, it took a while until he could find a part of his body that didn’t make him more agitated. He eventually found that the sense of hearing was a neutral anchor of attention. At my office, he’d listen for the sound of the birds or the traffic outside, which he found to be stabilizing. “It’s subtle,” he said to me, opening his eyes and rubbing the back of his neck with his hand. “But it is a lot less charged. I’m not getting riled up the same way, which is a huge relief.” In sessions together, Dylan’s anchor was a spot he’d rest his attention on at the beginning of a session or a place to return to if he felt overwhelmed. If he practiced meditation at home—I’d recommended short periods if he could stay in his window of tolerance—he used hearing as an anchor, or “home base” as he called it. “I finally feel like I can access a kind of refuge,” he said quietly, placing his hand on his belly. “My body hasn’t felt safe in so long. It’s a relief to finally feel like I’m learning how to be in here.” Anchors of attention you can offer students and clients practicing mindfulness—besides the sensation of the breath in the abdomen or nostrils—include different physical sensations (feet, buttocks, back, hands) and other senses (seeing, smelling, hearing). One client of mine had a soft blanket that she would touch slowly as an anchor. Another used a candle. For some, walking meditation is a great way to develop more stable anchors of attention, such as the feeling of one’s feet on the ground—whatever supports stability and one’s window of tolerance. Experimentation is key. Using subtler anchors does come with benefits and drawbacks. One advantage to working with the breath is that it is dynamic and tends to hold our attention more easily. When we work with a sense that’s less tactile—hearing, for instance—we may be more prone to drifting off into distraction. The more tangible the anchor, the easier it is to return to it when attention wanders.

Every insult hit slightly closer to home than the last... and it really hurt. He'd never show it, Izuku had more pride than that, but it hit at quite a few - for he had many - of his insecurities and dredged up a fair few traumatic memories while he was at it.

I've never heard of ghosts driving ghost trucks.” “Says the girl who recently jumped onboard a ghost train.” “That was a psychokinetic visual and tactile apparition pooling energy and traumatic memories from several entities—” “Uh-huh. Ghost train,

A relative named Isaac comes for Thanksgiving and I am fighting off memories of that night each time someone calls his name. My partner says she is taking a nap; there he is again, hands cuffed behind his back, an angry scowl on his face, pulling me into that deep, traumatic memory. It lives at the core of who I am, bubbling in my guts, squishing my lungs, choking me. The association can come so fast at times—rap, cap, nap, Knapper, father, murder, death. I run fast and furiously away; it will not get me, cannot get me, but it is always nipping at my heels ready to swallow me whole if only I stop. I do not stop.

evocative cues”—basically any sensory input, like a sight, sound, smell, taste, or touch—can activate a traumatic memory.

At the same time, in my reading, I discovered some evidence that traditional talk therapy might not actually be particularly effective for C-PTSD. In The Body Keeps the Score, Bessel van der Kolk writes about how talk therapy can be useless for those for whom “traumatic events are almost impossible to put into words.” Some people are too dissociated and distanced from these traumatic experiences for talk therapy to work well. They might not be able to access their feelings, let alone convey them. For others, they’re in such an activated state that they have a hard time reaching into difficult memories, and the very act of recalling them could be retraumatizing. One study showed that about 10 percent of people might experience worsening symptoms after being forced to talk about their trauma. Between 40 percent and 60 percent of people drop out of therapy at some point. Most drop out within the first two sessions. And plenty of statistics show that even pointed, skills-based talk therapy is ineffective for PTSD. Cognitive behavioral therapy (CBT), a form of talk therapy where patients unlearn negative patterns of behavior and try to practice strategically positive patterns, is widely accepted as a treatment for PTSD. But it has abysmal statistics. In one study of seventy-four patients, eight got better with CBT, compared with four who received no therapy at all.

Cats may endure terrible suffering, and their lives may be brutally cut short. Mèo’s life contained many horrors and when traumatic memories were triggered, they would return to him. Gattino suffered at the start and very likely the end of his life. Both cats knew much pain, neither of them anything of tragedy. Despite suffering, they lived with fearless joy. Can humans live like this? Or is humankind too frail for such a life?

Being able to play these memories forward with circus music and backward with silly music allows the feelings to become separated from the images and the memories will no longer haunt you. The purpose of memories is to learn from them or to enjoy them or to use them as guides for your behavior, and it doesn’t help to relive trauma. Over the years, I’ve helped many, many people whose lives had been crippled by traumatic experiences to get away from the memories.

PTSD patients relive their traumatic event; they replay it every time something triggers the memory. The same event over and over in their heads. Anything can trigger it, a face, a tone of voice, a sound. It’s called hyperarousal and it’s one of the key symptoms of PTSD.

Memories, particularly the traumatic ones, are mercurial. The longer you live with them, the more fallible you realize them to be

One reason that traumatic memories become dominant in PTSD is that it’s so difficult to feel truly alive right now. When you can’t be fully here, you go to the places where you did feel alive—even if those places are filled with horror and misery.

Moments when reconciliation occurs are moments of surprise, like the experience of encountering the risen Lord in the appearance stories. As was noted in the last chapter, reconciliation always takes us to a new place. It does not simply transport us back to where we had been before the trauma occurred. Those who have experienced reconciliation or work with those seeking it know how difficult it is to imagine an alternative, to be prepared for a surprise. Before they happen, alternatives and surprises seem not to honor the terror and the pain of the experience of violence. Yet what keeps people trapped in the memories of violence is precisely the dilemma of integrating the traumatic experience into their identity, on the one hand, and escaping its grasp, on the other. This is something to which we will return in later chapters.

I find the fact of the past, the reality of time's passage, incredibly difficult. My house is full of books I can't read and records to which I can't listen and photos at which I can't look because they are too strongly associated with the past. When I see friends from college, I try not to talk about college too much because I was so happy then--not necessarily happier than I am now, but with a happiness that was particular and specific in its moods and that will never come again. Those days of young splendour eat at me. I hit walls of past pleasure all the time, and for me past pleasure is much harder to process than past pain. To think of a terrible time that has gone: well, I know that post-traumatic stress is an acute affliction, but for me the traumas of the past are mercifully far away. The pleasures of the past, however, are tough. The memory of the good times with people who are no longer alive, or who are no longer the people they were: that is where I find the worst current pain. Don't make me remember, I say to the detritus of past pleasures. Depression can as easily be the consequence of too much that was joyful as of too much that was horrible. There is such a thing as post-joy stress too. The worst of depression lies in a present moment that cannot escape the past it idealizes or deplores.

I wish everyone some healing, including myself. We experience so much trauma in this world.

EMDR loosens up something in the mind/brain that gives people rapid access to loosely associated memories and images from their past. This seems to help them put the traumatic experience into a larger context or perspective.

EMDR is a powerful treatment for stuck traumatic memories, but it doesn’t necessarily resolve the effects of the betrayal and abandonment that accompany physical or sexual abuse in childhood. Eight weeks of therapy of any kind is rarely sufficient to resolve the legacy of long-standing trauma.

Just as psychoanalysis reconstructs the original traumatic situation in order to release the repressed material, so we are now being plunged back into the archaeopsychic past, uncovering the ancient taboos and drives that have been dormant for epochs. The brief span of an individual life is misleading. Each one of us is as old as the entire biological kingdom, and our bloodstreams are tributaries of the great sea of its total memory.

Psychiatrists and other social scientists have some interesting theories about the origins of this universal myth pattern. Freudians believe that its basis is in our memories of early infancy, when we were given everything that we wanted (as soon as we cried for it) and no conflict had yet risen to frighten or frustrate us. Otto Rank, another psychoanalyst, suggested more imaginatively that Eden is our distorted memory of the womb, and the “fall of Man” is our traumatic recall of the shock of birth. Some Marxists and women’s liberationists believe that there was a Golden Age of brotherhood, sisterhood and socialism between the agricultural revolution of 12,000 BC and the urbanization of 4000 BC.

The existential psychotherapy approach posits that the inner conflict bedeviling us issues not only from our struggle with suppressed instinctual strivings or internalized significant adults or shards of forgotten traumatic memories, but also from our confrontation with the "givens" of existence. And what are these "givens" of existence? [...] Four ultimate concerns, to my view, are highly salient to psychotherapy: death, isolation, meaning in life, and freedom.

The effects of these symptoms on daily life can range from mild to disabling. The four groups of PTS symptoms will probably sound familiar: intrusive memories, changes in thinking and feeling, changes in arousal and reactivity, and avoidance (American Psychiatric Association 2013). However, you may not have noticed the link between all of the symptoms and the traumatic event that you experienced.

After trauma, your ideas about yourself, others, or the world in general can become inflexible and quite extreme. Here are examples of changes in thinking: you believe that you are a failure because you did not prevent what happened, that the world is now a totally unsafe place, or that no one can be trusted. An example of a change in feelings is that you may feel more irritable, short-tempered, and angry after the trauma than you did before. Trauma memories can cause painful feelings that can be overwhelming. You can become so overwhelmed that you may quickly zone out or go numb. When unpleasant feelings are repeatedly numbed, it also becomes difficult to feel pleasant feelings, such as happiness and love.

The recognition of God’s presence in each traumatic memory makes it no longer traumatic, but healing and hopeful.

The Level 2 of the brain’s control system is the amygdala, and it provides a basic evaluation of each experience. The amygdala evaluates whether we want to move closer or disconnect. All experiences are rated as good, bad or scary. If an experience is too scary, bad and overwhelming for us to handle, we disconnect or dissociate from that emotional experience. This means that painful experiences can get stuck in our Level 2 brain and remain hidden as traumatic memory. Instead of automatically disconnecting, what if we learned how to stay engaged with God? He has the capacity to be with us in times of fear and actively share each moment.