Traumatic Pain Quotes

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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 (The Kingkiller Chronicle, #1))
Often it isn’t the initiating trauma that creates seemingly insurmountable pain, but the lack of support after.
S. Kelley Harrell (Gift of the Dreamtime - Reader's Companion)
Pain is pain, babe. Just because one person's problem is less traumatic than another's doesn't mean they're required to hurt less.
J.A. Redmerski
When you have a persistent sense of heartbreak and gutwrench, the physical sensations become intolerable and we will do anything to make those feelings disappear. And that is really the origin of what happens in human pathology. People take drugs to make it disappear, and they cut themselves to make it disappear, and they starve themselves to make it disappear, and they have sex with anyone who comes along to make it disappear and once you have these horrible sensations in your body, you’ll do anything to make it go away.
Bessel van der Kolk
Denial forces victims to retreat in lifeless existence, dieing in the shadows of buried trauma and painful memories.
Trudy Metzger
What I’ve learned from talking to so many victims of traumatic events, abuse, or neglect is that after absorbing these painful experiences, the child begins to ache. A deep longing to feel needed, validated, and valued begins to take hold. As these children grow, they lack the ability to set a standard for what they deserve. And if that lack is not addressed, what often follows is a complicated, frustrating pattern of self-sabotage, violence, promiscuity, or addiction.
Bruce D. Perry (What Happened to You?: Conversations on Trauma, Resilience, and Healing)
Unspeakable feelings need to find expression in words. However... verbalization of very intense feelings may be a difficult task.
James A. Chu (Rebuilding Shattered Lives: Treating Complex PTSD and Dissociative Disorders)
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.
Christina Enevoldsen
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.
David L. Calof
If your body is screaming in pain, whether the pain is muscular contractions, anxiety, depression, asthma or arthritis, a first step in releasing the pain may be making the connection between your body pain and the cause. “Beliefs are physical. A thought held long enough and repeated enough becomes a belief. The belief then becomes biology.
Marilyn Van Derbur (Miss America By Day: Lessons Learned From Ultimate Betrayals And Unconditional Love)
Attitude Is Everything We live in a culture that is blind to betrayal and intolerant of emotional pain. In New Age crowds here on the West Coast, where your attitude is considered the sole determinant of the impact an event has on you, it gets even worse.In these New Thought circles, no matter what happens to you, it is assumed that you have created your own reality. Not only have you chosen the event, no matter how horrible, for your personal growth. You also chose how you interpret what happened—as if there are no interpersonal facts, only interpretations. The upshot of this perspective is that your suffering would vanish if only you adopted a more evolved perspective and stopped feeling aggrieved. I was often kindly reminded (and believed it myself), “there are no victims.” How can you be a victim when you are responsible for your circumstances? When you most need validation and support to get through the worst pain of your life, to be confronted with the well-meaning, but quasi-religious fervor of these insidious half-truths can be deeply demoralizing. This kind of advice feeds guilt and shame, inhibits grieving, encourages grandiosity and can drive you to be alone to shield your vulnerability.
Sandra Lee Dennis
Pain is pain...Just because one person's problem is less traumatic than another's doesn't mean they're required to hurt less.
J.A. Redmerski
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.
Dee Brown (Breaking Passive-Aggressive Cycles)
when traumatic events are of human design, those who bear witness are caught in the conflict between victim and perpetrator. All the perpetrator asks is that the bystander do nothing. He appeals to the universal desire to see, hear, and speak no evil. The victim, on the contrary, asks the bystander to share the burden of pain. The victim demands action, engagement and remembering.
Judith Lewis Herman (Trauma and Recovery: The Aftermath of Violence - From Domestic Abuse to Political Terror)
Dissociation can enable us to withstand pain and loss under which we would otherwise break. It enables us to survive and pull through. But, a habit of continual dissociation – especially after the trauma has passed – leads to the shut-in feeling I was experiencing. While I imagined I was being strong in the face of pain, in reality, I was merely hiding.
Sarah Hackley (Women Will Save the World)
The New Testament is a brutal destroyer of human illusions. If you follow Jesus and don't end up dead, it appears you have some explaining to do. The stark signifier of the human condition is one who spoke up for love and justice and was done to death for his pains. The traumatic truth of human history is a mutilated body.
Terry Eagleton (Reason, Faith, and Revolution: Reflections on the God Debate (The Terry Lectures Series))
I know good things have happened, don't mistake an expression of pain for a lack of thankfulness.
Ashley Nikole
I found myself in a pattern of being attracted to people who were somehow unavailable, and what I realized was that I was protecting myself because I equate the idea of connection and love with trauma and death.
Zachary Quinto
Victims are members of society whose problems represent the memory of suffering, rage, and pain in a world that longs to forget.
Bessel van der Kolk (Traumatic Stress: The Effects of Overwhelming Experience on Mind, Body, and Society)
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.
Sarah E. Olson (Becoming One: A Story of Triumph Over Dissociative Identity Disorder)
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.
Sandra Lee Dennis
Betrayal is a more subtle, twisted feeling than terror. It burns and eats, but terror stabs right through.
Wendy Hoffman (The Enslaved Queen: A Memoir About Electricity and Mind Control (The Karnac Library))
Forgiveness is giving up the hope that the past could have been any different, but we cannot move forward if we're still holding onto the pain of that past and wishing it was something else. All of us who have been broken and scarred by trauma have the chance to turn those experiences into what Dr Perry and I have been talking about: Post Traumatic Wisdom. Forgive yourself. Forgive them. Step out of your history and into the path of your future. My friend, the poet Mark Nepo says that the pain was necessary in order to know the truth. But we don't have to keep the pain alive in order to keep the truth alive. I made peace with my mother when I stopped comparing her to the mother I wished I had, when I stopped clinging to what should or could have been and turned to what was and what could be. Because what I know for sure, is that everything that has happened to you, was also happening for you, and all that time, in all of those moments, you were building strength. Strength times strength times strength equals power. What happened to you can be your power.
Oprah Winfrey (What Happened To You?: Conversations on Trauma, Resilience, and Healing)
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.
Sonali Deraniyagala (Wave)
Many call it the 1000 yard stare and can't realize the pain when PTSD takes us there
Stanley Victor Paskavich
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.
Brianna Wiest (101 Essays That Will Change The Way You Think)
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.
David L. Calof (The Couple Who Became Each Other: Stories of Healing and Transformation from a Leading Hypnotherapist)
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.
Renee Fredrickson (Repressed Memories: A Journey to Recovery from Sexual Abuse (Fireside Parkside Books))
One in four girls will experience sexual abuse by the time she is sixteen, and 48 percent of all rapes involve a young woman under the age of eighteen. It’s not surprising then, that in a society where sexual abuse of young women is rampant, many women never share their stories. They remain hidden and invisible.
Patti Feuereisen (Invisible Girls: The Truth About Sexual Abuse--A Book for Teen Girls, Young Women, and Everyone Who Cares About Them)
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.
Kilroy J. Oldster (Dead Toad Scrolls)
Assembling a coherent portrait of Muhammad’s life required piecing together scattered fragments and structuring them in an organized manner. What emerged from the reconstruction was the realization that Muhammad had endured terrible setbacks and traumatic suffering, only to turn his brokenness into an asset, unlocking latent abilities to improve the world around him. Moved by his own experience in overcoming challenges, Muhammad dedicated himself to inspiring others to see their imperfections as the very source of their potential. Despite all the pain, Muhammad refused to see himself as a victim. His nickname al- Badr Laylat At-Tamam (the fullest moon) referred to illumination of the darkness by his bright shining face.
Mohamad Jebara (Muhammad, the World-Changer: An Intimate Portrait)
What I’ve learned from talking to so many victims of traumatic events, abuse, or neglect is that after absorbing these painful experiences, the child begins to ache. A deep longing to feel needed, validated, and valued begins to take hold. As these children grow, they lack the ability to set a standard for what they deserve. And if that lack is not addressed, what often follows is a complicated, frustrating pattern of self-sabotage, violence, promiscuity, or addiction.
Oprah Winfrey (What Happened to You?: Conversations on Trauma, Resilience, and Healing)
Depression. some traumatic event has occured in your life, causing you to go through Immense, Long term, Unbearable agony, sadness, and Pain.
~Wise words from Nani
…is methodical abuse, often using indoctrination, aimed at breaking the will of another human being. In a 1989 report, the Ritual Abuse Task Force of the L.A. County Commission for Women defined ritual abuse as: “Ritual Abuse usually involves repeated abuse over an extended period of time. The physical abuse is severe, sometimes including torture and killing. The sexual abuse is usually painful,humiliating, intended as a means of gaining dominance over the victim.The psychological abuse is devastating and involves the use of ritual indoctrination. It includes mind control techniques which convey to the victim a profound terror of the cult members …most victims are in a state of terror, mind control and dissociation” (Pg. 35-36)
Chrystine Oksana (Safe Passage to Healing: A Guide for Survivors of Ritual Abuse)
Y’know, I've always hated that expression: Others have it worse than you do; I guess if you want to look at it in a competitive way, sure, give me welfare over blindness any day, but it’s not a fucking competition. Right?” Is he asking me because he wants to know how I feel, or was that his way of telling me how it is and hoping I get it? I just nod. “Pain is pain, babe.” Every time he calls me ‘babe’ I notice it more than anything else he says. “Just because one person’s problem is less traumatic than another’s doesn't mean they’re required to hurt less.
J.A. Redmerski (The Edge of Never (The Edge of Never, #1))
I’m such a negative person, and always have been. Was I born that way? I don’t know. I am constantly disgusted by reality, horrified and afraid. I cling desperately to the few things that give me some solace, that make me feel good. I hate most of humanity. Though I might be very fond of particular individuals, humanity in general fills me with contempt and despair. I hate most of what passes for civilization. I hate the modern world. For one thing there are just too Goddamn many people. I hate the hordes, the crowds in their vast cities, with all their hateful vehicles, their noise and their constant meaningless comings and goings. I hate cars. I hate modern architecture. Every building built after 1955 should be torn down! I despise modern music. Words cannot express how much it gets on my nerves – the false, pretentious, smug assertiveness of it. I hate business, having to deal with money. Money is one of the most hateful inventions of the human race. I hate the commodity culture, in which everything is bought and sold. No stone is left unturned. I hate the mass media, and how passively people suck up to it. I hate having to get up in the morning and face another day of this insanity. I hate having to eat, shit, maintain the body – I hate my body. The thought of my internal functions, the organs, digestion, the brain, the nervous system, horrify me. Nature is horrible. It’s not cute and loveable. It’s kill or be killed. It’s very dangerous out there. The natural world is filled with scary, murderous creatures and forces. I hate the whole way that nature functions. Sex is especially hateful and horrifying, the male penetrating the female, his dick goes into her hole, she’s impregnated, another being grows inside her, and then she must go through a painful ordeal as the new being pushes out of her, only to repeat the whole process in time. Reproduction – what could be more existentially repulsive? How I hate the courting ritual. I was always repelled by my own sex drive, which in my youth never left me alone. I was constantly driven by frustrated desires to do bizarre and unacceptable things with and to women. My soul was in constant conflict about it. I never was able to resolve it. Old age is the only relief. I hate the way the human psyche works, the way we are traumatized and stupidly imprinted in early childhood and have to spend the rest of our lives trying to overcome these infantile mental fixations. And we never ever fully succeed in this endeavor. I hate organized religions. I hate governments. It’s all a lot of power games played out by ambition-driven people, and foisted on the weak, the poor, and on children. Most humans are bullies. Adults pick on children. Older children pick on younger children. Men bully women. The rich bully the poor. People love to dominate. I hate the way humans worship power – one of the most disgusting of all human traits. I hate the human tendency towards revenge and vindictiveness. I hate the way humans are constantly trying to trick and deceive one another, to swindle, to cheat, and take unfair advantage of the innocent, the naïve and the ignorant. I hate the vacuous, false, banal conversation that goes on among people. Sometimes I feel suffocated; I want to flee from it. For me, to be human is, for the most part, to hate what I am. When I suddenly realize that I am one of them, I want to scream in horror.
Robert Crumb
There are few experiences in life as painful and brutal as the failure of a small business. For a small business conceived and nurtured by its owner is like a living, breathing child. Its loss is no less traumatic than losing a loved one.
William Manchee (Go Broke, Die Rich: Turning Around the Troubled Small Business)
We think of ourselves as creatures marked by a particular intelligence. But one of our finest features is the inability of our expectation to truly simulate the experience we are expecting. Our anticipation of joy is never the same as joy. Our anticipation of pain is never the same as pain. Our anticipation of challenge is in no way the same experience as the challenge itself. If we could feel the things we fear ahead of time, we would be traumatized. So instead we venture out thinking we know how things will feel, but knowing nothing of how things will really feel.
David Levithan (Two Boys Kissing)
the essence of a therapeutic relationship: finding words where words were absent before and, as a result, being able to share your deepest pain and deepest feelings with another human being. This is one of the most profound experiences we can have, and such resonance, in which hitherto unspoken words can be discovered, uttered, and received, is fundamental to healing the isolation of trauma—especially if other people in our lives have ignored or silenced us. Communicating fully is the opposite of being traumatized.
Bessel van der Kolk (The Body Keeps the Score: Brain, Mind, and Body in the Healing of Trauma)
Almost no abuser is mean or frightening all the time. At least occasionally, he is loving, gentle, and humorous and perhaps even capable of compassion and empathy. This intermittent, and usually unpredictable, kindness is critical to forming traumatic attachments. When a person, male or female, has suffered harsh, painful treatment over an extended period of time, he or she naturally feels a flood of love and gratitude toward anyone who brings relief, like the surge of affection one might feel for the hand that offers a glass of water on a scorching day. But in situations of abuse, the rescuer and the tormentor are the very same person.
Lundy Bancroft (Why Does He Do That? Inside the Minds of Angry and Controlling Men)
The non-disclosure of emotional pain can be deeply traumatic. It leads to depression. In such situations of vulnerability, one must choose to speak to a person you trust. Someone who could care for you and heal you.
Avijeet Das
Somatic Symptoms: People with Complex PTSD often have medical unexplained physical symptoms such as abdominal pains, headaches, joint and muscle pain, stomach problems, and elimination problems. These people are sometimes most unfortunately mislabeled as hypochondriacs or as exaggerating their physical problems. But these problems are real, even though they may not be related to a specific physical diagnosis. Some dissociative parts are stuck in the past experiences that involved pain may intrude such that a person experiences unexplained pain or other physical symptoms. And more generally, chronic stress affects the body in all kinds of ways, just as it does the mind. In fact, the mind and body cannot be separated. Unfortunately, the connection between current physical symptoms and past traumatizing events is not always so clear to either the individual or the physician, at least for a while. At the same time we know that people who have suffered from serious medical, problems. It is therefore very important that you have physical problems checked out, to make sure you do not have a problem from which you need medical help.
Suzette Boon (Coping with Trauma-Related Dissociation: Skills Training for Patients and Therapists)
Their suffering essentially relates to a terrifying and painful past that haunts them.
Onno van der Hart (The Haunted Self: Structural Dissociation and the Treatment of Chronic Traumatization (Norton Series on Interpersonal Neurobiology))
My eyes have seen pain, and they never stopped staring.
Simone Z. Walter (2058: Crimes of the Cooked Detective)
Desensitization to our own or to other people's pain tends to lead to an overall blunting of emotional sensitivity
Bessel van der Kolk (The Body Keeps the Score: Brain, Mind, and Body in the Healing of Trauma)
The number seven is magical, they say. Seven years ’til our cells completely regenerate. Seven years ’til Jacob possesses Rachel, no, Leah, and seven more for Rachel. Seven days in a week. Post traumatic stress often resolves itself in toto only after seven full years have passed. Such is the case for some brain trauma patients too. Seven. It’s a number worth remembering.
Chila Woychik (On Being a Rat and Other Observations)
We don’t really want to know what soldiers go through in combat. We do not really want to know how many children are being molested and abused in our own society or how many couples—almost a third, as it turns out—engage in violence at some point during their relationship. We want to think of families as safe havens in a heartless world and of our own country as populated by enlightened, civilized people. We prefer to believe that cruelty occurs only in faraway places like Darfur or the Congo. It is hard enough for observers to bear witness to pain. Is it any wonder, then, that the traumatized individuals themselves cannot tolerate remembering it and that they often resort to using drugs, alcohol, or self-mutilation to block out their unbearable knowledge?
Bessel van der Kolk (The Body Keeps the Score: Brain, Mind, and Body in the Healing of Trauma)
A refusal on the part of psychiatrists and therapists to validate the horrors of their patients' tortured past implies a refusal to take seriously the unconscious psychological mechanisms that individuals need to use to protect themselves from the unspeakable. Such a denial is, however, no longer ethical, for it is in the human capacity to dissociate that lies part of the secret of both childhood abuse and the horrors of the Nazi genocide, both forms of human violence so often carried out by 'respectable' men and women.
Felicity De Zulueta (From Pain to Violence: The Traumatic Roots of Destructiveness)
When you're traumatized, your sense of self, your individuality, is beaten up. Your skin color, your background, your pain, your hope, your gender, your faith, it's all defiled. Those essential pieces of yourself are stolen. You, as a person, are emptied and flattened, and that violence, that theft, keeps you from embodying a life that feels like your own. To continue to exist, as a whole person, you need to re-create, for yourself, an identity untouched by everything that's been used against you. You need to imagine and build a self out of elements that are not tainted. You need to remake yourself on your own terms.
Clemantine Wamariya (The Girl Who Smiled Beads: A Story of War and What Comes After)
The non-disclosure of emotional pain can be deeply traumatic. It leads to depression. In such situations of vulnerability, you must choose to speak to a person you trust. Someone who could care for you and heal you.
Avijeet Das
Highly traumatized and chronically neglected or abused individuals are dominated by the immobilization/shutdown system. On the other hand, acutely traumatized people (often by a single recent event and without a history of repeated trauma, neglect or abuse) are generally dominated by the sympathetic fight/flight system. They tend to suffer from flashbacks and racing hearts, while the chronically traumatized individuals generally show no change or even a decrease in heart rate. These sufferers tend to be plagued with dissociative symptoms, including frequent spacyness, unreality, depersonalization, and various somatic and health complaints. Somatic symptoms include gastrointestinal problems, migraines, some forms of asthma, persistent pain, chronic fatigue, and general disengagement from life.
Peter A. Levine (In an Unspoken Voice: How the Body Releases Trauma and Restores Goodness)
People with depression can't just snap out of it or "turn that frown upside down." Depression can be a painful and overwhelming state that makes one unable to function, to think clearly or reasonably, or to want to simply face another day. Many people suffer alone and in silence because they are scared or ashamed. They feel weak…or pitiful. How can a person be incapable of having joy? “Why can’t I just have a good time? Why can’t I get on with it?
Sahar Abdulaziz (But You LOOK Just Fine: Unmasking Depression, Anxiety, Post-Traumatic Stress Disorder, Obsessive-Compulsive Disorder, Panic Disorder and Seasonal Affective Disorder)
To feel understood is the one pain medicine that soothes the deepest wounds. Sitting eye to eye, heart to heart, with someone who gets your pain is worth one thousand hours of therapy. We need at least one person to understand us.
Shauna L. Hoey
Each of our lives’ is a separate and precious journey. No matter how happy, sad, painful, tragic or confusing it may by, it is unique and beautiful. No matter if we hurt others or if we ourselves were hurt, it happened and it is part of our story. If we think we can have complete control over this journey, our journey will wake us up… usually with a very unpleasant surprise. More than genetics, money or education, it is our journey who defines who we are. It defines what kind of person you are. Not the experiences you encountered nor the happy or traumatic events you may have endured. But rather how we dealt with those events and how we continue to deal with those events; when we evaluate ourselves and how we treat others. Your journey is part of your story. But it is not the complete story of who and how you are. You are a soul, a spirit, who has traveled through this life and along the way; you learned and gathered bits and pieces from here and there. And you, yourself, have woven together a soul, a spirit. And that is who you are today. You define… you. Oh, and just in case you thought your journey, your story was over… surprise, its not. So keep weaving. You are not finished yet. It is never to late to define who you are.
José N. Harris
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.
Laurie Matthew (Groomed)
Dissociative identity disorder is conceptualized as a childhood onset, posttraumatic developmental disorder in which the child is unable to consolidate a unified sense of self. Detachment from emotional and physical pain during trauma can result in alterations in memory encoding and storage. In turn, this leads to fragmentation and compartmentalization of memory and impairments in retrieving memory.2,4,19 Exposure to early, usually repeated trauma results in the creation of discrete behavioral states that can persist and, over later development, become elaborated, ultimately developing into the alternate identities of dissociative identity disorder.
Bethany L. Brand
But I think it is so important to not rush the process of grief- & I do not mean moping & wallowing. There's a difference, & often the three get mixed into the same cake & presented as- SELFISH (& often times self-inflicted) AGONY. Not the same thing.
Ashley Nikole
Pain shared is pain divided, and you are only as sick as your secrets. In a debriefing, you have the opportunity to share those secrets and to share your pain as you come together to help each other through a traumatic event. Those who say that they do not
Dave Grossman (On Combat: The Psychology and Physiology of Deadly Conflict in War and Peace)
Whether the trauma had occurred ten years in the past or more than forty, my patients could not bridge the gap between their wartime experiences and their current lives. Somehow the very event that caused them so much pain had also become their sole source of meaning. They felt fully alive only when they were revisiting their traumatic past.
Bessel van der Kolk (The Body Keeps the Score: Brain, Mind, and Body in the Healing of Trauma)
It is lonely behind these boundaries. Some people-particularly those whom psychiatrists call schizoid-because of unpleasant, traumatizing experiences in childhood, perceive the world outside of themselves as unredeemably dangerous, hostile, confusing and unnurturing. Such people feel their boundaries to be protecting and comforting and find a sense of safety in their loneliness. But most of us feel our loneliness to be painful and yearn to escape from behind the walls of our individual identities to a condition in which we can be more unified with the world outside of ourselves. The experience of falling in love allows us this escapetemporarily. The essence of the phenomenon of falling in love is a sudden collapse of a section of an individual's ego boundaries, permitting one to merge his or her identity with that of another person. The sudden release of oneself from oneself, the explosive pouring out of oneself into the beloved, and the dramatic surcease of loneliness accompanying this collapse of ego boundaries is experienced by most of us as ecstatic. We and our beloved are one! Loneliness is no more! In some respects (but certainly not in all) the act of falling in love is an act of regression. The experience of merging with the loved one has in it echoes from the time when we were merged with our mothers in infancy. Along with the merging we also reexperience the sense of omnipotence which we had to give up in our journey out of childhood. All things seem possible! United with our beloved we feel we can conquer all obstacles. We believe that the strength of our love will cause the forces of opposition to bow down in submission and melt away into the darkness. All problems will be overcome. The future will be all light. The unreality of these feelings when we have fallen in love is essentially the same as the unreality of the two-year-old who feels itself to be king of the family and the world with power unlimited. Just as reality intrudes upon the two-year-old's fantasy of omnipotence so does reality intrude upon the fantastic unity of the couple who have fallen in love. Sooner or later, in response to the problems of daily living, individual will reasserts itself. He wants to have sex; she doesn't. She wants to go to the movies; he doesn't. He wants to put money in the bank; she wants a dishwasher. She wants to talk about her job; he wants to talk about his. She doesn't like his friends; he doesn't like hers. So both of them, in the privacy of their hearts, begin to come to the sickening realization that they are not one with the beloved, that the beloved has and will continue to have his or her own desires, tastes, prejudices and timing different from the other's. One by one, gradually or suddenly, the ego boundaries snap back into place; gradually or suddenly, they fall out of love. Once again they are two separate individuals. At this point they begin either to dissolve the ties of their relationship or to initiate the work of real loving.
M. Scott Peck (The Road Less Traveled: A New Psychology of Love, Traditional Values and Spiritual Growth)
Somatic symptoms for which no clear physical basis can be found are ubiquitous in traumatized children and adults. They can include chronic back and neck pain, fibromyalgia, migraines, digestive problems, spastic colon/irritable bowel syndrome, chronic fatigue, and some forms of asthma.16 Traumatized children have fifty times the rate of asthma as their nontraumatized peers.17 Studies have shown that many children and adults with fatal asthma attacks were not aware of having breathing problems before the attacks.
Bessel van der Kolk (The Body Keeps the Score: Brain, Mind, and Body in the Healing of Trauma)
I’ve learned to lick my own foul wounds and prize the taste of ache.
Chila Woychik (On Being a Rat and Other Observations)
What more is there to say than it was traumatic, a moment that breaks your life in half? That you never heal from it, and it blankets your life in sadness and fear forever?
John Hodgman (Vacationland: True Stories from Painful Beaches)
until it is taken out of your mind, it is never lost and it is never gone
Ernest Agyemang Yeboah
Trauma manifests and affects everyone on its path. In order to move forward you must own it, process it, heal, reflect, and accept that what is no matter how painful it might be.
Germany Kent
A disability that is not apparent in the person’s appearance is no less intrusive, no less painful, no less disturbing than one that can be spotted across the room. And, yet, many people fail to respect the tremendous impact that the invisible disability has on the human enduring it.
Sahar Abdulaziz (But You LOOK Just Fine: Unmasking Depression, Anxiety, Post-Traumatic Stress Disorder, Obsessive-Compulsive Disorder, Panic Disorder and Seasonal Affective Disorder)
When we hold onto fear and pain after something traumatic has passed, we do it as a sort of safety net. We falsely believe that if we constantly remind ourselves of all the terrible things that we didn’t see coming, we can avoid them. Not only does this not work, but it also makes you less efficient at responding to them if they do. Because most of the time, you’re so busy worrying about monsters in the closet, you forget to address the actual things that will erode you over time: your health, your relationships, your long-term vision, your finances, your thoughts.
Brianna Wiest (The Mountain Is You: Transforming Self-Sabotage Into Self-Mastery)
A life of hardship and personal suffering is unavoidable. A person must endure many humiliations of the mind and body, and expect persons whom they trusted to someday betray them. People inevitably witness the death of their loved ones. We also witness acts of depravity committed by criminals that lurk in every society and rouge acts of scandal committed by government officials in charge of the public welfare. A person must nonetheless resist personal discouragement, sadness, dejection, and despondency. I must reach an accord with pain, suffering, and anguish, or forevermore be tortured by reality while constantly seeking to escape from the inescapable agony of being.
Kilroy J. Oldster (Dead Toad Scrolls)
Pavlov was fascinated with the “ideas of the opposite”. Call it a cluster of cells, somewhere on the cortex of the brain. Helping to disintiguish pleasure from pain, light from dark, dominance from submission….but when somehow – starve them, traumatize, castrate them send them over into one of the transmarginal phases, past borders of their waking selves, past equivalent and paradoxical phases – you weaken this idea of the opposite, and here all at once is the paranoid patient, who would be master, yet now feels himself a slave…..who would be loved, but suffers his world’s indifference, and “I think”, Pavlov writing to Janet, “it is precisely the ultraparadoxical phase which is the base of the weakening of the idea of the opposite in our patients. Our madmen, , our paranoid, maniac, schizoid, morally imbecilic. Spectro shakes his head. “You are putting response before stimulus. Not at all. Think about it. He is out there, he can feel them coming, days in advance, but it is a reflex. A reflex to something that is in the air right now, something were too coarsely put together to sense, but Slothrop can.
Thomas Pynchon
I will fear no man that bleeds the same blood as I who carries the same scars, fresh wounds, or healed over marks. Cause despite being through the pain I'm alive, I'm present and nothing they do can hurt me more than I can myself.
adya agni
A dispassionate conceptual development of the typology of violence must by definition ignore its traumatic impact. Yet there is a sense in which a cold analysis of violence somehow reproduces and participates in its horror. A distinction needs to be made, as well, between (factual) truth and truthfulness: what renders a report of a raped woman (or any other narrative of a trauma) truthful is its very factual unreliability, its confusion, its inconsistency. If the victim were able to report on her painful and humiliating experience in a clear manner, with all the data arranged in a consistent order, this very quality would make us suspicious of its truth.
Slavoj Žižek (Violence: Six Sideways Reflections)
Some scientists were conducting an experiment, he said, trying to gauge the impact of abuse on children. Ducks, like people, develop bonds between mother and young. They call it imprinting. So the scientists set out to test how that imprint bond would be affected by abuse. The control group was a real mother duck and her ducklings. For the experimental group, the scientist used a mechanical duck they had created - feathers, sound, and all - which would, at timed intervals, peck the ducklings with its mechanical beak. A painful peck, one a real duck would not give. They varied these groups. Each group was pecked with a different level of frequency. And then they watched the ducklings grow and imprint bond with their mother. Over time, he went on, the ducklings in the control group would waddle along behind their mother. But as they grew, there would be more distance between them. They'd wander and explore. The ducklings with the pecking mechanical mother, though, followed much more closely. Even the scientists were stunned to discover that the group that bonded and followed most closely was the one that had been pecked repeatedly with the greatest frequency. The more the ducklings were pecked and abused, the more closely they followed. The scientist repeated the experiment and got the same results.
Rachel Reiland (Get Me Out of Here: My Recovery from Borderline Personality Disorder)
To make sense of the pain of their lives, they often become spiritual seekers trying to convince themselves that someone loves them; if people do not, then God must. These individuals are often extremely sensitive in both positive and negative ways. Having never embodied, they have access to energetic levels of information to which less traumatized people are not as sensitive; they can be quite psychic and energetically attuned to people, animals, and the environment and can feel confluent and invaded by other people’s emotions.
Laurence Heller (Healing Developmental Trauma: How Early Trauma Affects Self-Regulation, Self-Image, and the Capacity for Relationship)
In the wake of trauma, the hardest thing to understand is that nothing and no one can take away the pain. And yet that’s exactly what we desperately want to do-because we are social creatures, subject to emotional contagion, and when we’re around people who are hurting, we hurt too. We don’t want to hurt. It is hard to sit in the midst of ruined lives and not feel the misery. It helps us regulate to try to undo or negate-to look away from others’ pain. So we make our arbitrary assumptions about people’s innate resilience. We make our sweeping declarations that allow us to marginalize traumatized children. We take our focus off the tragedy, move on with our lives, telling ourselves that “they” will be okay. But as we continue to see in our discussions, the impact of trauma doesn’t simply fade away. We can help each other heal, but often assumptions about resilience and grit blind us to the healing that leads us down the painful path to wisdom.
Bruce D. Perry (What Happened To You?: Conversations on Trauma, Resilience, and Healing)
We concluded that Beecher's speculation that "strong emotions can block pain" was the result of the release of morphinelike substances manufactured in the brain. This suggested that for many traumatized people, reexposure to stress might provide a similar relief from anxiety.
Bessel van der Kolk (The Body Keeps the Score: Brain, Mind, and Body in the Healing of Trauma)
The psyche will do anything to avoid pain, and when faced with something traumatic, like having to pay, its instinct is to put it off - what Freud called 'Nachträglichkeit' or delayed effect. Credit card and psyche conspire to soften the blow of paying by staggering it over time.
Robert Rowland Smith (Breakfast with Socrates: An Extraordinary (Philosophical) Journey Through Your Ordinary Day)
While in principle groups for survivors are a good idea, in practice it soon becomes apparent that to organize a successful group is no simple matter. Groups that start out with hope and promise can dissolve acrimoniously, causing pain and disappointment to all involved. The destructive potential of groups is equal to their therapeutic promise. The role of the group leader carries with it a risk of the irresponsible exercise of authority. Conflicts that erupt among group members can all too easily re-create the dynamics of the traumatic event, with group members assuming the roles of perpetrator, accomplice, bystander, victim, and rescuer. Such conflicts can be hurtful to individual participants and can lead to the group’s demise. In order to be successful, a group must have a clear and focused understanding of its therapeutic task and a structure that protects all participants adequately against the dangers of traumatic reenactment. Though groups may vary widely in composition and structure, these basic conditions must be fulfilled without exception. Commonality with other people carries with it all the meanings of the word common. It means belonging to a society, having a public role, being part of that which is universal. It means having a feeling of familiarity, of being known, of communion. It means taking part in the customary, the commonplace, the ordinary, and the everyday. It also carries with it a feeling of smallness, or insignificance, a sense that one’s own troubles are ‘as a drop of rain in the sea.’ The survivor who has achieved commonality with others can rest from her labors. Her recovery is accomplished; all that remains before her is her life.
Judith Lewis Herman (Trauma and Recovery: The Aftermath of Violence - From Domestic Abuse to Political Terror)
I’m not flailing now, as my muscles are rigid with the tension of holding myself together. The pain over my heart returns, and from it I imagine tiny fissures spreading out into my body. Through my torso, down my arms and legs, over my face, leaving it crisscrossed with cracks. One good jolt … and I could shatter into strange, razor-sharp shards.
Suzanne Collins (Mockingjay (The Hunger Games, #3))
Many years later, my friend Cecilie Surasky, then one of the leaders of Jewish Voice for Peace, observed of these kinds of educational methods: “It’s re-traumatization, not remembering. There is a difference.” When she said it, I knew it was true. Remembering puts the shattered pieces of our selves back together again (re-member-ing); it is a quest for wholeness. At its best, it allows us to be changed and transmuted by grief and loss. But re-traumatization is about freezing us in a shattered state; it’s a regime of ritualistic reenactments designed to keep the losses as fresh and painful as possible. Our education did not ask us to probe the parts of ourselves that might be capable of inflicting great harm on others, and to figure out how to resist them. It asked us to be as outraged and indignant at what happened to our ancestors as if it had happened to us—and to stay in that state.
Naomi Klein (Doppelganger: a Trip into the Mirror World)
The unrelenting grip of Soldier’s Syndrome slips finger by slow finger. The marrow’s been affected—emotional leukemia at the deepest level. Transplants of love and friendship aid healing, yet time is still key, and the clock never ticks fast enough. Eternity gains perspective when seconds feel like years. How long have I been gone? Six eternities and counting.
Chila Woychik (On Being a Rat and Other Observations)
We think of ourselves as creatures marked by a particular intelligence. But one of our finest features is the inability of our expectation to truly simulate the experience we are expecting. Our anticipation of joy is never the same as joy. Our anticipation of pain is never the same as pain. Our anticipation of challenge is in no way the same experience as the challenge itself. If we could feel the things we fear ahead of time, we would be traumatized. So instead we venture out thinking we know how things will feel, but knowing nothing of how things will really feel.
David Levithan (Two Boys Kissing)
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.
Oliver Sacks (On the Move: A Life)
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.
Christopher Dines (Super Self Care: How to Find Lasting Freedom from Addiction, Toxic Relationships and Dysfunctional Lifestyles)
No matter who you were in sixteenth-century Europe, you could be sure of two things: you would be lucky to reach fifty years of age, and you could expect a life of discomfort and pain. Old age tires the body by thirty-five, Erasmus lamented, but half the population did not live beyond the age of twenty. There were doctors and there was medicine, but there does not seem to have been a great deal of healing. Anyone who could afford to seek a doctor's aid did so eagerly, but the doctor was as likely to maim or kill as to cure. His potions were usually noxious and sometimes fatal—but they could not have been as terrible and traumatic as the contemporary surgical methods. The surgeon and the Inquisitor differed only in their motivation: otherwise, their batteries of knives, saws, and tongs for slicing, piercing, burning, and amputating were barely distinguishable. Without any anesthetic other than strong liquor, an operation was as bad as the torments of hell.
Philip Ball (The Devil's Doctor: Paracelsus and the World of Renaissance Magic and Science)
Because the waters of Maine are made of hate and want to kill you. The ocean in Maine is traumatically cold. If you make the mistake of going into it, every cell in your body will begin shouting the first half of the word “hypothermia” into your brain; the second half will simply be frozen tears. And the beaches of Maine offer no relief as you launch yourself back onto shore, because the beaches of Maine are made out of jagged stones shaped like knives. Wherever the shoreline is merely slopes of smooth, unpunishing granite, Maine compensates by encrusting it with sharp barnacles and sea snails. No matter how careful you are, you cannot avoid crushing some of them under your feet. You become death when you walk on a beach in Maine, and every step is a sea snail genocide.
John Hodgman (Vacationland: True Stories from Painful Beaches)
I was diagnosed with ADHD in my mid fifties and I was given Ritalin and Dexedrine. These are stimulant medications. They elevate the level of a chemical called dopamine in the brain. And dopamine is the motivation chemical, so when you are more motivated you pay attention. Your mind won't be all over the place. So we elevate dopamine levels with stimulant drugs like Ritalin, Aderall, Dexedrine and so on. But what else elevates Dopamine levels? Well, all other stimulants do. What other stimulants? Cocaine, crystal meth, caffeine, nicotine, which is to say that a significant minority of people that use stimulants, illicit stimulants, you know what they are actually doing? They're self-medicating their ADHD or their depression or their anxiety. So on one level (and we have to go deeper that that), but on one level addictions are about self-medications. If you look at alcoholics in one study, 40% of male adult alcoholics met the diagnostic criteria for ADHD? Why? Because alcohol soothes the hyperactive brain. Cannabis does the same thing. And in studies of stimulant addicts, about 30% had ADHD prior to their drug use. What else do people self-medicate? Someone mentioned depression. So, if you have been treated for depression, as I have been, and you were given a SSRI medication, these medications elevate the level of another brain chemical called serotonin, which is implicated in mood regulation. What else elevates serotonin levels temporarily in the brain? Cocaine does. People use cocaine to self-medicate depression. People use alcohol, cannabis and opiates to self-medicate anxiety. Incidentally people also use gambling or shopping to self-medicate because these activities also elevate dopamine levels in the brain. There is no difference between one addiction and the other. They're just different targets, but the brain systems that are involved and the target chemicals are the same, no matter what the addiction. So people self-medicate anxiety, depression. People self-medicate bipolar disorder with alcohol. People self-medicate Post-Traumatic-Stress-Disorder. So, one way to understand addictions is that they're self-medicating. And that's important to understand because if you are working with people who are addicted it is really important to know what's going on in their lives and why are they doing this. So apart from the level of comfort and pain relief, there's usually something diagnosible that's there at the same time. And you have to pay attention to that. At least you have to talk about it.
Gabor Maté
The only nineties performer I see worthy of wearing the Bee Gees mantle of grandiose love hurried on by an eternal wind is Seal. Seal informs the lady that she is "the light on the dark side of me." He goes on: "And did you know that when it snows my eyes become enlarged and the light that you shine can't be seen?" Well, no, I didn't know that. As with the Bee Gees, I'm not sure what Seal is trying to say, but it sounds so traumatic and interesting that I immediately imagine the song is about me. "You remain my power, my pleasure, my pain," Seal is telling me. I like to be talked to like that! I can't wait for his next album to come out so I can find out what else I am.
Lisa Crystal Carver
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).
Alan Downs (The Velvet Rage: Overcoming the Pain of Growing Up Gay in a Straight Man's World)
The stains of so many years of misery make the chair look like it’s a bleeding, rotting corpse all its own. The spot that stands out the most is where his head was when he ate lead the first time. I take another hit from the cigarette, wiping at my eyes. A laugh bubbles out. I thought stains were supposed to fade with age, just like the bad stuff that happens to you, but they don’t. Fifteen years isn’t enough to make blood blend into brown carpets with every other mess? Bullshit.
Ian Kirkpatrick (Plead More, Bodymore (Bodymore #2))
We also have the word 'feeling'. Its present tense suggests the active present, that the feeling is directly in contact with reality. But it might be useful to introduce the word 'felt', to say there are feelings and 'felts'. That is, 'felts' are feelings which have been recorded. You may remember pleasure that you once had, and then you get a sense of pleasure. If you remember pain you had you may get a sense of pain. A traumatic experience in the past can make you feel very uncomfortable when remembered. Nostalgic feelings are also from the past. A lot of the feelings that come up are really from the past, they're 'felts'. By failing to make this distinction we often give too much importance to some feelings which actually don't have that much significance
David Bohm (Thought as a System: Second edition (Key Ideas Book 4))
This reorienting is not an attempt to avoid or discount clients' pain and ongoing suffering. Rather, it is a means to help them observe, firsthand, how their chronic orienting tendencies toward reminders of the past recreate the trauma-related experience of danger and powerlessness, whereas choosing to orient to a good feeling can result in an experience of safety and mastery. As clients become able to do so the new objects of orientation often become more defined and & Goodman 1951). Rather than attention being drawn repeatedly to physical pain or traumatic activation, the good feeling becomes more prominent in the client's awareness. This exercise of reorienting toward a positive stimulus can surprise and reassure clients that they are not imprisoned indefinitely in an inner world of chronic traumatic reexperiencing, and that they have more possibilities and control than they had imagined. These orienting exercises need to be practiced again and again for mastery.
Pat Ogden (Trauma and the Body: A Sensorimotor Approach to Psychotherapy (Norton Series on Interpersonal Neurobiology))
Painful or frightening affect becomes traumatic when the attunement that the child needs to assist in its tolerance, containment, and integration is profoundly absent,”8 writes Robert Stolorow, a philosopher, psychologist, and clinical professor of psychiatry at UCLA, in his book about trauma. “One consequence of developmental trauma, relationally conceived, is that affect states take on enduring, crushing meanings. From recurring experiences of malattunement, the child acquires the unconscious conviction that unmet developmental yearnings and reactive painful feeling states are manifestations of a loathsome defect or of an inherent inner badness.
Mark Epstein (The Trauma of Everyday Life)
The redirection of orientation and attention can be as simple as asking clients to become aware of a "good" or "safe" feeling in the body instead of focusing on their physical pain or elevated heart rate. Or the therapist can ask clients to experiment with focusing attention away from the traumatic activation in their body and toward thoughts or images related to their positive experiences and competencies, such as success in their job. This shift is often difficult for clients who have habituated to feeling pulled back repetitively into the most negative somatic reminders of their traumatic experiences. However, if the therapist guides them to practice deeply immersing themselves in a positive somatic experience (i.e., noting the changes in posture, breath, and muscular tone that emerge as they remember their competence), clients will gain the ability to reorient toward their competencies. They experience their ability to choose to what they pay attention and discover that it really is possible to resist the somatic claims of the past.
Pat Ogden (Trauma and the Body: A Sensorimotor Approach to Psychotherapy (Norton Series on Interpersonal Neurobiology))
The evidence showing that patients of color, black patients especially, are undertreated for pain in the United States is particularly robust. A 2012 meta-analysis of twenty years of published research found that, across all the studies, black patients were 22 percent less likely than whites to get any pain medication and 29 percent less likely to be treated with opioids. Latino patients were also 22 percent less likely to receive opioids. As is the case with gender disparities, racial/ethnic disparities were most pronounced 'when a cause of pain could not be readily verified.' But black patients were less likely to get opioids after traumatic injuries or surgery too. and the authors warned that the gap 'does not appear to be closing with time or existing policy initiatives.
Maya Dusenbery (Doing Harm: The Truth About How Bad Medicine and Lazy Science Leave Women Dismissed, Misdiagnosed, and Sick)
But I'd begun, slowly, to understand that complex post-traumatic stress disorder, or cPTSD, was different. It was particularly difficult to treat, because - like a flat landscape - it didn't offer a significant landmark, an event, that you could focus on and work with. Complex post-traumatic stress, according to the psychiatrist Judith Lewis Herman, is the result of 'prolonged, repeated trauma,' rather than individual traumatic events. It's what happens when you're born into a world, shaped by a world, where there's no safety, ever. When the people who should take care of you are, instead, scary and unreliable, and when you live years and years without the belief that escape is possible. When you come from a world like this, when all your muscles are trained to tension and suspicion, normal life feels unbearable. It doesn't make sense, getting up, going to class, eating lunch, returning home, sleeping. You don't trust it. It doesn't feel real. And unreality can hurt more than pain.
Noreen Masud (A Flat Place: Moving Through Empty Landscapes, Naming Complex Trauma)
But a child who was merely pushed aside and disciplined, who never experienced soothing caresses, is not aware that anything like nonexploitative caresses can exist. She has no choice but to accept any closeness she is offered rather than be destroyed. Under certain circumstances she will even accept sexual abuse for the sake of finding at least some affection rather than freezing up entirely. When, as an adult woman, she comes to realize that she was cheated out of love, she may be ashamed of her former need and hence feel guilty. She will blame herself because she dare not blame her mother, who failed to satisfy the child’s need or perhaps even condemned it. Psychoanalysts protect the father and embroider the sexual abuse of the child with the Oedipus, or Electra, complex, while some feminist therapists idealize the mother, thus hindering access to the child’s first traumatic experiences with the mother. Both approaches can lead to a dead end, since the dissolving of pain and fear is not possible until the full truth of the facts can be seen and accepted.
Alice Miller (Banished Knowledge: Facing Childhood Injuries)
While some of our deepest wounds come from feeling abandoned by others, it is surprising to see how often we abandon ourselves through the way we view life. It’s natural to perceive through a lens of blame at the moment of emotional impact, but each stage of surrender offers us time and space to regroup and open our viewpoints for our highest evolutionary benefit. It’s okay to feel wronged by people or traumatized by circumstances. This reveals anger as a faithful guardian reminding us how overwhelmed we are by the outcomes at hand. While we will inevitably use each trauma as a catalyst for our deepest growth, such anger informs us when the highest importance is being attentive to our own experiences like a faithful companion. As waves of emotion begin to settle, we may ask ourselves, “Although I feel wronged, what am I going to do about it?” Will we allow experiences of disappointment or even cruelty to inspire our most courageous decisions and willingness to evolve? When viewing others as characters who have wronged us, a moment of personal abandonment occurs. Instead of remaining present to the sheer devastation we feel, a need to align with ego can occur through the blaming of others. While it seems nearly instinctive to see life as the comings and goings of how people treat us, when focused on cultivating our most Divine qualities, pain often confirms how quickly we are shifting from ego to soul. From the soul’s perspective, pain represents the initial steps out of the identity and reference points of an old reality as we make our way into a brand new paradigm of being. The more this process is attempted to be rushed, the more insufferable it becomes. To end the agony of personal abandonment, we enter the first stage of surrender by asking the following question: Am I seeing this moment in a way that helps or hurts me? From the standpoint of ego, life is a play of me versus you or us versus them. But from the soul’s perspective, characters are like instruments that help develop and uncover the melody of our highest vibration. Even when the friction of conflict seems to divide people, as souls we are working together to play out the exact roles to clear, activate, and awaken our true radiance. The more aligned in Source energy we become, the easier each moment of transformation tends to feel. This doesn’t mean we are immune to disappointment, heartbreak, or devastation. Instead, we are keenly aware of how often life is giving us the chance to grow and expand. A willingness to be stretched and re-created into a more refined form is a testament to the fiercely liberated nature of our soul. To the ego, the soul’s willingness to grow under the threat of any circumstance seems foolish, shortsighted, and insane. This is because the ego can only interpret that reality as worry, anticipation, and regret.
Matt Kahn (Everything Is Here to Help You: A Loving Guide to Your Soul's Evolution)
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.
Anonymous
Colby arrived the next day, with stitches down one lean cheek and a new prosthesis. He held it up as Cecily came out to the car to greet him. He held it up as Cecily came out to the car to greet him. “Nice, huh? Doesn’t it look more realistic than the last one?” “What happened to the last one?” she asked. “Got blown off. Don’t ask where,” he added darkly. “I know nothing,” she assured him. “Come on in. Leta made sandwiches.” Leta had only seen Colby once, on a visit with Tate. She was polite, but a little remote, and it showed. “She doesn’t like me,” Colby told Cecily when they were sitting on the steps later that evening. “She thinks I’m sleeping with you,” she said simply.” So does Tate.” “Why?” “Because I let him think I was,” she said bluntly. He gave her a hard look. “Bad move, Cecily.” “I won’t let him think I’m waiting around for him to notice me,” she said icily. “He’s already convinced that I’m in love with him, and that’s bad enough. I can’t have him know that I’m…well, what I am. I do have a little pride.” “I’m perfectly willing, if you’re serious,” he said matter-of-factly. His face broke into a grin, belying the solemnity of the words. “Or are you worried that I might not be able to handle it with one arm?” She burst out laughing and pressed affectionately against his side. “I adore you, I really do. But I had a bad experience in my teens. I’ve had therapy and all, but it’s still sort of traumatic for me to think about real intimacy.” “Even with Tate?” he probed gently. She wasn’t touching that line with a pole. “Tate doesn’t want me.” “You keep saying that, and he keeps making a liar of you.” “I don’t understand.” “He came to see me last night. Just after I spoke to you.” He ran his fingers down his damaged cheek. She caught her breath. “I thought you got that overseas!” “Tate wears a big silver turquoise ring on his middle right finger,” he reminded her. “It does a bit of damage when he hits people with it.” “He hit you? Why?” she exclaimed. “Because you told him we were sleeping together,” he said simply. “Honest to God, Cecily, I wish you’d tell me first when you plan to play games. I was caught off guard.” “What did he do after he hit you?” “I hit him, and one thing led to another. I don’t have a coffee table anymore. We won’t even discuss what he did to my best ashtry.” “I’m so sorry!” “Tate and I are pretty much matched in a fight,” he said. “Not that we’ve ever been in many. He hits harder than Pierce Hutton does in a temper.” He scowled down at her. “Are you sure Tate doesn’t want you? I can’t think of another reason he’d try to hammer my floor with my head.” “Big brother Tate, to the rescue,” she said miserably. She laughed bitterly. “He thinks you’re a bad risk.” “I am,” he said easily. “I like having you as my friend.” He smiled. “Me, too. There aren’t many people who stuck by me over the years, you know. When Maureen left me, I went crazy. I couldn’t live with the pain, so I found ways to numb it.” He shook his head. “I don’t think I came to my senses until you sent me to that psychologist over in Baltimore.” He glanced down at her. “Did you know she keeps snakes?” he added. “We all have our little quirks.
Diana Palmer (Paper Rose (Hutton & Co. #2))
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.
R.F. Georgy (Absolution: A Palestinian Israeli Love Story)