sugarwookiee's review against another edition

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challenging dark emotional informative reflective sad slow-paced

4.0

If you're looking for a self-help book that will tell you how to overcome trauma, this is not it. If, like me, you were more interested in the ways that trauma manifests in the body and mind from a more clinical perspective, as well as the various treatments and their efficacy, it's great. There are plenty of books that accomplish the former and that's not what I was looking for here, so overall I enjoyed this. 

It is quite slow paced and the author is a bit pretentious at times. There is a significant amount of detail involving some of his patients' trauma (more than I feel is necessary in my opinion) but this is coming from someone who suffers from CPTSD; those reading from a clinical perspective without that may feel differently.

I found the first half of the book to be the most interesting because it showed me the ways in which I was holding onto trauma that I hadn't realized. The way that trauma can and does seep into every part of your existence and things that you may not realize were related were in fact a direct result. If that seems interesting to you and you're able to deal with some intense descriptions, it's a worthwhile read. If you're looking for self-help and a less medical, more talk-therapy type of book, this isn't it.

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egcam's review against another edition

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informative reflective slow-paced

4.0


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lj_sophia's review against another edition

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I didn't enjoy how filled up this book is with the author's inflated ego. He also picks and chooses who to provide sympathy to and it's usually the men he treated. It comes off as unfeeling and sometimes predatory. 

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emilybeingbookish's review against another edition

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challenging emotional informative tense medium-paced

4.5


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emsemaroo's review against another edition

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challenging dark emotional informative slow-paced

4.0


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charley0796's review against another edition

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emotional informative medium-paced

4.5

TLTR: An accessible text book about ptsd, designed for clinicians and not suitable for people experiencing ptsd. Some parts are out of date (I.e. criticisms of Cbt). 

As others have said, this is much more of an accessibly written textbook about ptsd, aimed towards clinicians NOT patients. 
The first half covers evidence about ptsd and brain scans, which was hard to grasp at times but helpful.
The second half introduced traditional ptsd treatments and recently researched non-traditional treatments (like neurofeedback and drama therapy). This was really interesting and gave me some ideas for how best to support clients to reclaim their life when working on this in the second half of trauma treatment (I.e. encouraging engagement in hobbies that connect them to their emotions and body, like martial arts or yoga). 

Unfortunately, this book is now 9 years old and it has aged a little. The author describes standard CBT and assumes that this is unhelpful for treating PTSD, before he goes on to explain the amazing successes he has had with EMDR. However, when he then went on to describe the reliving aspect of EMDR, what he was describing was what Trauma Focused CBT involved partly (I.e. reliving and being asked what you notice, if there’s any new knowledge you’ve become aware of etc) which is then followed up with updating the memory and reliving work. 
The author completely dismisses CBT for ptsd, when the research suggests that TF CBT is actually equally effective, if not more effective than EMDR according to meta-analyses conducted in 2020 and 2023. 

Overall, this is a good intro to working with ptsd and thinking of how to support patients. But you will of course need further training and readings to understand how to complete therapies for ptsd. It goes deep into traumas so do not read this if you are experiencing difficulty relating to this 

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amessina3399's review against another edition

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emotional hopeful informative inspiring reflective medium-paced

5.0


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kitty_golden's review against another edition

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challenging dark informative medium-paced

3.75


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l1brarygirl's review against another edition

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challenging dark emotional informative reflective sad tense slow-paced

4.5

This was such a difficult book to read - all the trigger warnings for various traumas, please be forewarned. It was so very insightful though. There were many different types of therapies included and discussed and it was impactful to see what coping techniques traumatized people exhibit to survive (and may not realize). The power of the pharmaceutical companies and our [American] health care system that wants to prioritize over-medicating and treating symptoms instead of curing what ails us was also discussed.  There's no money to made when you can sell someone a pill  ...

My actual rating: 4.5 stars - I'm rounding up because I think this book is going to stay with me for a long time. I would recommend it to anyone that wants a deeper understanding of trauma and how it effects your physical body as well as the mind.  

I also recently read [book:Breath: The New Science of a Lost Art|48890486], which may be a very good companion read.

Impactful quotes:
“Many of our patients are barely aware of their breath, so learning to focus on the in and out breath, to notice whether the breath was fast or slow, and to count breaths in some poses can be a significant accomplishment.”

“We have learned that trauma is not just an event that took place sometime in the past; it is also the imprint left by that experience on mind, brain, and body. This imprint has ongoing consequences for how the human organism manages to survive in the present. 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.”

“The greatest sources of our suffering are the lies we tell ourselves.”

“Over the years our research team has repeatedly found that chronic emotional abuse and neglect can be just as devastating as physical abuse and sexual molestation.”

“Talking about painful events doesn’t necessarily establish community – often quite the contrary. Families and organizations may reject members who air the dirty laundry; friends and family can lost patience with people who get stuck in their grief or hurt. This is one reason why trauma victims often withdraw and why their stories become rote narratives, edited into a form least likely to provoke rejection.”

“I wish I could separate trauma from politics, but as long as we continue to live in denial and treat only trauma while ignoring its origins, we are bound to fail. In today’s world your ZIP code, even more than your genetic code, determines whether you will lead a safe and healthy life. People’s income, family structure, housing, employment, and educational opportunities affect not only their risk of developing traumatic stress but also their access to effective help to address it. Poverty, unemployment, inferior schools, social isolation, widespread availability of guns, and substandard housing all are breeding grounds for trauma. Trauma breeds further trauma; hurt people hurt other people.”

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wreathedinviolets's review against another edition

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While I found parts of this interesting, particularly about the history of modern psychiatry and mental health diagnoses, there are so many parts that are triggering. It’s probably best left to health care professionals and not the actual patients. I also found myself growing increasingly off put by the author. 

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