nicmargan's review against another edition

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challenging dark informative slow-paced

3.5

 I took a detour from natural-disaster books to learn about trauma this month.

At the start of the book, we meet a soldier who won’t take his pills because he feels he must remain a living memorial to the friends he lost, so their deaths won’t have been in vain. This introduces the idea that some part of traumatised people remains stuck in the past.

This idea is borne out in studies presented later, in which it is shown that the bodies of some people after a traumatic event will continue to secrete stress hormones long after any threat has passed. This emotional information can make rationalising difficult, so that a small problem can be blown out of proportion because of the inability to self-regulate.

One of the main features of what makes an event potentially traumatic is if the event endangers the person’s sense of safety around other people. This could be from experiencing the horror of what people are capable of in war, or the horror of being sent to war by a government you trusted, or abuse or neglect by a carer or loved one. One study showed that the security of children’s attachments to their mothers consistently predicted the amount of morphine children in a burns unit needed to control their pain.

Trauma can also affect memory. The details of events become repressed or are experienced unlike other memories (in a sequence or narrative), but in sharply exposed, jumbled and incomplete sensations. Historically, trauma has been deemed made-up or the fault of the victim. When soldiers after World War II were treated for PTSD, doctors ‘almost invariably found the root cause in pre-war experience: the sick men were not first-grade fighting material… The military proposition is [that it is] not war which make men sick, but that sick men can not fight wars.’

Most of the second half of the book looks at treatment options and I appreciated that so much space was given to solutions.

Though I struggled at times with the long, technical and heavy nature of this book, it achieved the admirable task of identifying a set of social problems that are so pervasive they are often regarded as normal, and giving a roadmap as to how they don’t have to be. 

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dreamingpages's review against another edition

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informative reflective medium-paced

4.5

Extremely informative and insightful. I like that the book includes information on the shortcomings of psychiatric drugs and government policies. My only small complaint is that I was taken aback by some the really extreme examples of trauma. I think I would have liked a warning for some of them. 

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danilippert's review against another edition

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challenging emotional informative inspiring slow-paced

4.0


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bethboo's review against another edition

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emotional informative inspiring reflective sad slow-paced

4.5

This book has so much information. It's a lot longer and in depth than a quick personal growth read. This is a book I definitely wouldn't have gotten so much out of had I not been reading it in tandem with the information given to me by my therapist. It is so much more than a simple book on trauma and therapy techniques. It's the history of diagnoses, therapies, techniques, studies, training, patients, doctors, and experiences surrounding trauma. The author must be fucking immortal because he had first hand experience from ages ago and gave stories and examples and information for every single one he spoke of. I got a lot personally from the EMDR section and the structured Family Therapy or whatever and the beginning sections describing the brain and trauma and how it's all connected. 

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lafreier's review against another edition

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dark hopeful informative slow-paced

4.5


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beklovesbooks's review against another edition

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challenging dark emotional informative inspiring reflective sad tense slow-paced

5.0

An excellent textbook on trauma and the science-backed approaches to healing from it. Also an interesting journey through the author’s professional experiences that led to his outstanding knowledge on the subject. 

Read the trigger warnings and take them seriously. He often gives details about horrific abuse and sensitive information about patients, later illustrating their growth, but I would imagine it would be too much for many people with backgrounds touched by abuse, neglect, suicide etc.

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indiana_sorell's review against another edition

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challenging dark emotional hopeful informative inspiring sad slow-paced

4.5


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evalunny's review against another edition

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challenging emotional hopeful informative inspiring reflective sad medium-paced

4.0


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random_tuga's review against another edition

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dark emotional informative reflective slow-paced

4.0

Very interesting and informative. I learn a lot with this one although i felt that the last couple of chapters were a bit repetitive. It mentions a lot of studies conducted either by the author or other scientists and very heavy, graphic descriptions of what the peopl he helped went through. Read the tags for this one, seriously. Don't go into this one expecting a sort of self help book, it very much focus on science snd investigation 



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susannadkm's review against another edition

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informative sad medium-paced

3.5

“Social support is not the same as merely being in the presence of others. The critical issue is reciprocity: being truly heard and seen by the people around us, feeling that we are held in someone else’s mind and heart. For our physiology to calm down, heal, and grow we need a visceral feeling of safety. No doctor can write a prescription for friendship and love…” (Chapter 5) 

3.5 stars. This is an absorbing book for anyone curious about trauma therapy and how it’s evolved in recent decades. I like how it’s full of stories, and van der Kolk isn’t afraid to admit when he realized he was wrong (like about eye movement desensitization and reintegration).

I’m not sure it’s the best book to read for those looking for the best treatment methods (so many of the stories are anecdotal) or coming to grips with sexual trauma (so many stories are graphic), though.

I listened to the audiobook.

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