The book , ‘The Body Keeps The Score’ by
Bessel Van Der Kolk, M.D. is about trauma and its healing.(Penguin Books
;2015;445 pages).Psychological trauma can befall any one. Traumatic experiences
leave traces on our minds and emotions , on our capacity for
joy and intimacy , and even on our biology and immune systems. Long after a traumatic experience is over , it may be
reactivated at the slightest hint
of danger , mobilize disturbed brain
circuits and secrete massive amounts of stress hormones. This precipitates unpleasant emotions , intense physical
sensations , and impulsive and aggressive actions. The inner disconnections keep us
trapped in the past and
cascade into ruptures in social relationships and disastrous effects on relationships and friendships. We now know that the behaviours of traumatized persons
are not the result of moral feelings or
signs of lack of will power or bad
characters --- they are caused by the
actual damages in the brain.
The body keeps the score. The memory of trauma
is encoded in the viscera , emotions
,autoimmune disorders, skeltel or muscular problems and this
demands a radical shift in our
therapeutic assumptions. Ignoring the
body’s messages is being unable
to detect what is truly dangerous or harmful to
us. Migraine , headaches, asthma attacks , back and neck pain, chronic
fatigue , digestive problems , irritable bowel
syndrome are some of body’s messages. Self regulation depends on having a
friendly relationship with our body.
After
trauma, the world becomes sharply divided between those who know and those who don’t. People
who have not shared the traumatic
experience cannot be trusted , because
they can’t understand it. Trauma results
in a fundamental reorganization of the way mind and brain manage perceptions.
It changes not only how we think and what we think about, but also our very
capacity to think. Helping victims of trauma
to describe what has happened to them
is quite meaningful , but usually
it is not enough .For real change to take place , the body needs to learn that the danger has passed and to live in the reality of the present.
There are three ways to help the trauma survivors.
1. By talking , connecting with others
and allowing ourselves to know and
understand what is going on with us ,
while processing the memories of the
trauma.
2. By taking medicines
3. By allowing the body to have experiences that deeply contradict the helplessness, rage , or collapse that result from trauma. Using a combination
of traditional therapy techniques and
alternative treatments such as yoga, neuro-feedback, EMDR and theatre , patients can regain control of their bodies and revive their brains so that they can rebuild
their lives .
Psychiatric medications have a
serious downside, as they may deflect attention from dealing with underlying issues. Restoring
relationships and community and
connecting with others is central to restoring well-being. Being able to feel
safe with other people , is probably
the single most important aspect
of mental health ;safe connections are
fundamental to meaningful and
satisfying lives. Social support is the
most powerful protection against becoming overwhelmed by stress and trauma. Isolating oneself
into a narrowly defined victim group promotes a view of others as irrelevant
at best and dangerous at worst ,
which eventually leads to further
alienation. While there is a need to be able to stand up for oneself ,
it is also an equally important need
to recognize that other people have their own agendas. Trauma can make all that
hazy. Adults who were abused or
neglected as children can still learn
the beauty of intimacy and mutual trust and have a deep spiritual experience that opens them to a large universe. Study after study shows that having a good support network constitutes the single most powerful
protection against becoming traumatized.
Recovery from trauma involves
reconnecting with our fellow human
beings.
Communicating
fully is opposite of being
traumatized . The object of writing is
to write to yourself , to let
yourself know what you have been trying
to avoid.
A central
task for recovery from
trauma is to learn to live with the memories of the past without being overwhelmed by them in the present. The challenge of trauma treatment is not only dealing with past ( by not desensitizing the past) but also enhancing the quality of day to day experience .This means living
fully and securely in the present , having satisfaction in ordinary everyday things like taking a walk , cooking or playing . Exiles
hold the memories , sensations , beliefs and emotions associated with trauma. It is hazardous to
release them. Exiles must not be locked up. Usually , these are our most sensitive, creative, intimacy-loving ,
lively playful and innocent parts. By
exiling them when they get hurt , the
insult of our rejection is added to
their original injury. Keeping exiles hidden
and despised condemns us to a life without intimacy or genuine joy. Chronic emotional abuse and neglect can be just as devastating as physical abuse and sexual molestation. The painful work of facing the demons of the past has to be done.
Mindful practice which strengthens the MPFC is a
cornerstone of recovery from trauma.
Ten weeks of yoga practice
markedly reduce the PTSD symptoms
of patients who had failed to respond to any medication or any other treatment.
Trauma robs
us of the feeling that we are in
charge of ourselves, of what is called
self- leadership. Neuroscience
research shows that the only way we can change the way we feel is by becoming aware of our
inner experience and learning to
befriend what is going in inside
ourselves. Cultivation of mindful self-leadership is the foundation for healing from trauma .Mindfulness
increases our control over the emotional brain.
This book ‘The Body Keeps The Score’ by
Bessel Van Der Kolk , M.D.
fundamentally changes the way we look at the world. It tells us how
to face the reality of trauma,
take charge of the healing process ,
gain a sense of safety and find way out of suffering, and as a
society , use every means we have to prevent it. I strongly recommend you to
read it.