TheTrauma Release Process

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    DAVI BERCELI, PHD

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    v

    Yu ugh m

    DV ERCEL, PHD

    BVaoe Caada

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    Copyg 2008 by Davd BrcFs g Second ig 9

    A righs rsrved.No at o this boo ay b rprodced o asted in y form or ay mans whou witepenssio fom pbs cp t case of ief qoons sd i book vws cal atcls

    Ahs Cana Catalogug n Pubcati

    Beeli, Dav, '5 voluoay tama ease rocess: ranscd you ogs ims / Davd Bec

    SBN 8187238-4- (p) ostramaic sress disodeeatmel wo sychc auma

    TreatmtPopla wos . i

    blhd by NAMAE UBLIHING IcPO Bo 6284Vacovr, BC Canada V6J A3wwwamaspbsgcomaase@tese

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    certD sWOl27C196fS(

    Disbt in Norh Ameca y AO O c/o Red Wheel Weser, wryo MACove g by Geyl Zol

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    Pgs 7 xceps o "He d Bac by Chs os 022/0 2008 e imePicaynebisig Co. Al rgs srd. Us wih psso o T TmescaynePrined d bod by ss rtg ad

    DISCLIMER: foaon psed is ook s slective rathe han hasv dca adpsycoogcal ifoatio is costaty volvg d e eade shod eecise artcla car i omg

    concsos bas soly o his oo.or hese reasons eiher avd Bece or te pbsh assum rponsl o al asng fomay rror o omso o fo te use of any foraion, i hs bo. I o vt sall RAPS amalese Pocss LLC Dvi Becli o Nmas lishing c be iabl for any drec indic putvnden, speca o coseqal dmges arig o o o y way conct w e ue o esexciss

    xrcises presened is ook no itene o c o hl ilnsss asciaed wt ram oyto as th cs of a i te sclaue d they shold ot be to a sste o apropate auma recovr pocdes o meica or psycologic a o spcc diagnosis, teatmn oouss o aco for ovey, te d should lwys cosut lcsd al heat poession

    who ca iscss prsonal sptoms a appopa ameTs ciss sod not sed by prgat w, nfants or cd. y shoul also no b sedy y dvd wo h erou mda ondtos ch as a het codtion gl bloo pssu oay ote mdc codon at reurs stct glaion, wio he ppova ad supeso o a mdc ocor ai o povde sch gidace

    Alogh tis ook otle a selasee m rcov pos specc ndvias wth fagile psycoogica efenses a cople iso of repeted or tip ramas or os wh escig pysical limitats o injuries sc as n back plvc oh s, o, or bo iies soud coslir ca possoal ror t pfong hese xecises

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    Dedicated to the many people wh have bessed me ith the

    ppunit to accopan them n their tama ecver pce.

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    Contents

    dm XFd by Rb a D

    AT I AKIN SNS OF STSS,

    ANXT AND TAA

    fe Is rauma Ray D ppa 4

    l Y Wa 6

    W T Up a ama dvda a 8

    ym 0

    La " Up ad Famy L

    Insg from urrane arna L W a Pa vaab 18

    Wd Op 8

    vi

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    Vll CONTEN

    "Help Me Heal Mself 20Cles from an Anent eope 2

    A Cr for Hep 22Desgned o Hande rama 23

    Beond "Tang It t 24

    en e Desn' Wrk O the

    Wa Its Sppsed 25

    Getng nse r Head 2ow te Bran roesses rama 2

    raa an Wre Yo Heat 28

    ow ness Ress rom ama 29

    Hw Or nsan-n Btn Gets Suk 32

    A rotete stem Gone Awr 33t n te ast 34

    Resrretng te ast 35

    Ben e ept Cu 37

    Te Wsdom o te Bod 39

    I aes More Tan radtona Conseng 4Brngng te Bod no te tre 4

    Getting at e Mses 42

    Hw the Bd Cpes with ama 44Tremblng wt Frgt 45

    Tremorng Is Good or Us 46IYo Tremle Are Yo o Contro 4

    Hodng t n 48

    Testng e Teo 50

    Al Tensed Up 52

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    oe

    8 What Yr Gt nstin s 54W bjtt mpad 55

    T Mt 56

    rwning in rama 59Hatwnng E 6

    aang Conqn 62

    Vao Tama63Wang Down 64

    Am Gng Craz? 65A Pona Expn 66

    Hom fom t atton 67

    C o amandd ao 67ang t n 68

    T Womn Momn pnd 70

    eslving Psramat Sress isrder 71wmng t 72

    M od Rang at 1000 RPM 72T pm naon 74

    A nTwo Pn 5

    W W omtm Up 76

    dntfng PotTamat t Dod 78

    "hings ike ha n' Happen t Us 79awd Ampton 80

    Tamatd Cildn om amatd Adt 81

    Rng Gnaton o Ngt 83

    A nq and o Pop 8

    A P W Can Aod 85

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    x CONN

    auma n he Wkpae 8rs s Essnal 8

    Encodd No o rs 88Sgns o rama n Worpac 91

    ndng Srand Rlaonsps 9

    osrng Corpora Long 9

    Heaing Ou Divisins 95

    Rconncng Anad Pas 9" Had Eron o Pon o Paanoa 9

    How W arn o Dscrmna 97

    Sropng s a Dns 98

    " Gd N nge Existed f Me 0

    A Sattrng Exprnc 0A Sprtal Awanng 0

    r Spra S 0

    Soda K o Rnnng rss 0Forgng L or s Fangs 08

    Forgnss a No Com Eas 09

    Was or rrd and Ang an Fam a Rsponsbl or Yor Wlbng 3

    ugh mes Can Make Yu Snge ang Sns o raac s

    or rsa Sns a g

    aa As r acr 8s n Goodnss o

    No Wa B Fowad 10

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    xi

    17 A Soldier Shows the Way 12

    "en Deat Was Better an snner Nmness 22

    Am l Ae 23

    eepwang rog Le 24

    8 The Body and the Present Moment 127

    remors ad e Bods stor 28prtat rog e Bod 28

    remors and te Bod 29

    remors and Consosess 32

    Tremors ad ss 3

    PRT II / THE TRUMA ELEASE OCESS (TRP) 35

    Appedx

    Appendx 2

    Appendx 3ndnots

    The Trauma eease Process

    ow e

    Yor enso s Ue to Yo

    A Word of Caon

    The xercises

    Personnel Worg n Trama nronments

    Te Larnt of egoaton and Medaton

    A Vratona Approa

    37

    0

    2

    3

    97

    200

    20206

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    Acknowledents

    o AVE WE so ma otes wt s age taated pop

    atos as ee oewelmg ot alegg ad eoagg

    was Wtot tese goal ma expeees od ot ae leaedas m as ae aot te olete stgge of at

    ae eeed a geat dea o sppot fom feds ad am w

    as t sstaed me Aog te ae m mote ad ate sstes

    Dese ad De otes Fa ad Mae ad m sstelaw Kat

    dea feds Rad ae ad Ke Rado Bo ad Jm Se

    Ae ad Roet ae awas sppoted e wt te log ae ad

    patee. Aga ad aga te ae sow me te wamt ad eo-

    aemet o te ad aed fedsp w s a mpotat pat o o

    a poteta. ese eatosps eped ssta me ad eoage

    me to ote m oe of ma expoato

    Speal tas go to Costae Keog Pesdet ad Pse at

    Naaste sg o seeg te ae o ts wo ad opeg te

    doo to tae t to ee oe of te wod as st also e ge

    to m edto Dad d Namaste Psgs Edtoa Deto wo

    teess gded me tog te poess o wtg a oeet ad

    meagfl mae.

    xii

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    Foreword

    D B sent mc s caee n wa nes ncdng

    ebann e Palestnan Wes Ban sae Uganda dan emen andEta

    t was n Leann tat e made a tencant bsean abt m

    se and s cwes wen dded aganst te wa n a bldng

    beng seed b mtas e nted tat n esnse t te cncssn

    an xng ma sel eac esn n te m stated and

    assmed a ste n wc te sldes and s cntacted twadeac te as te wee gng nt a bal He ntte ecgned ts

    as a nesal esnse t dange ad teee nstncta n al s.

    Wt s exetse as a teaetc bd we Dad eaed tat

    eette actatn f te msces tat ceate ts exn cd est n

    tensn bdng n tese mscles. He as smsed tat eeasng

    ts tensn cd ae man benecal eects. Wt cae anassDad detemned ta ne secc msce te sas laed a age le

    n ts cess

    e eslt s e gndbeang Tama Reease cess (TR)descbed n ts emaable b Acatn ese execses

    tgt te wd as awed cents t acee a sense eease

    xv

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    v OEWOD

    axato ad almn n motoa tat om od tama

    a mtgatd

    I mt Dad a a ago tog an ogaato dotd to otg and alt n tnng aq ta W Dad tod

    m abo o I mmdatl ogd t atona o t

    o x n ang tama ad on ba pan

    tog dagg tno m n tn a o-

    podd ad olaboatd on man pot dotd to t ag o

    tama ponal a d and tagt t Tama Ra oto d and patnt t ontnl maabl lt

    h Rvoon Tm R Po t t o Dad' ong

    on o dong ad ptng t no ad dl appab

    om o tama tap t a a maa o ang t

    x on o' o o t nq at o t x

    tat t a b land and patd a a tapt p la l d a a adjt to ot om o tama tap.

    Hpl a a tat t tama tm and gag

    oo o t mptom bod ad a tal pat

    o t alng po T boo o o to a t

    Robt a M D Ato o Th ody h dn: Trm,Doton nd D and h m Spm Hddn Wond

    nd Hmn Rny

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    PART I

    M

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    I

    L Is Traumaic

    A WNS E ADSand reaes erraa. Her enearodson s wa ae ong ome rom scoo

    In anoer oseod a sband arres oe nsal ear or

    spper He goes o s aoe car and slmps no n despar. He as

    js os s ob.

    sewere a seeneeneaod rows erse n e moers lap

    onessng beween sobs a se an e wo e borend woas s annoned s am s mong o anoer sae.

    rogo or es we onnall ae e possb o pan

    experenes Tog some o s ead easer less sress es an

    oers none o s escape dc mes enrel

    enden s o ess ese experenes wen e ome o s

    We don le l experences and we ceran don welome pan

    3

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    4 AN S O SE ANT AND AUA

    W natall o n om ts alngs alad a s

    n gp w gt m

    B sstng wat w don l w aall ompon o dsomo. B ng a wa w osls w ma osls anos and o

    das stss gts mo dl and w om n mo tns.

    f w nd osls n oo man dlt statons w ma gn to

    l o l s gong wongat w a somow mssd p

    As stss and ant nasng domnat o das w pa a p

    wlng s ompomsd W s oonal and mntal dsss w an sala nto angs Bfo long ts aks a toll

    o ng plmms and o psal alt toats

    How ts no vn tat as t amag to o a s

    ow w rpnd to m

    A R A L Y I F F R N A R A H

    Maama Gand Man L Kng J. Mot sa and lson

    Mandla a xals o nddals wo sd ndl stss

    a o t sd a gat dal n ls. Yt am og

    s anpoong sssl tms n s a wa as o ang t

    ls o mllons o popl ad on wondd wat mad s ndals dnt fom

    mos of s W t somow nq assng a ll o man

    ponal ta onl a w on plant a al o ass

    As og ao ls ald a wa t dalt wt

    og ms was dn fom t wa man of s andl

    s ms s pop aall plngd no most tng ps plong dps o wat ad a m lng pan

    o t saon n s mmns and yn wh dl m t

    w gong og nsad o nnng o t

    Maata Gand pnd mpsonmn and s adsp

    wl at sam tm ng ompll msndsood n popl

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    who oved h B ang een in wha he wa exeenng

    exong he pan i ogh h and gong deep ino wh a geadea o o eahng he ae o eae ha nonvioene wa he

    on anwe o he i h naon wa ang he e wa ha nda

    eame a ee on How dd h oond ngh oe o o h

    nene eng? How dd ionen pode a eage ha

    nved han o e o a new eve o onione?

    Man he ng J ao exeened a gea dea o peona andoa eing Hi oowe waned o o and ovehow e goven

    en eae oeaed pejdie and dinaion Le andh he

    oo expoed he pan exeene a eened hemeve o hi

    He wen no h eng eahing h o and emeged wh a ea-

    aon ha v doedene wa he wa owad How dd hee wo

    e e owe wodwod ha wee o hange he ono-ne o a naonae o h eng?

    When Mohe eea wneed e deh o han degadaon a

    he waed he ee o Caa he ade a hoe o ve aong he

    ooe o he poo. h wod he eae h a d ee?

    wha ene wa h o he? ha dd he expe o eeve om

    h ae? A ohe eea eed hee n he eng onding he he egan o ee han dieen He e and he

    wod haenged hman o eae a hghe onione A a

    e he wa awaded he Noe eae Pie he hghe hono ha

    an e oneed on a han eng.

    And hen hee i Neon Mandea a an who wa oned

    weneven ea o eang o agan apahed He i hadwaned o e een a a han eing Ae a hoe ea n pon he

    od have oe o ie ang and even oe n oni wh he

    govenen o hi naon han when he wa naeaed Ae a

    he geae a o h e had een aken awa o h again h

    w Ye when he wa eeaed, he poaied a eage o eonia

    on He waned o ng he aed and he ae ogehe I wa

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    6 AKG S E NE , AN E, AN RA

    anng o ogh h o an nd di xn a

    h a vio wa on naing h ing o an o h o o

    Soh Aia ad ndd o hav ding n o hanah o h ga o o o who v w w vi n

    a a ha hangd o o o ha o oa o

    ovng and ia o han. h donad ha gong

    no o ogh i and gng anod on h oh d w

    v an aang gi o nw von

    In h nd h on dn I od d wn h o-anding individa and h aoi o ha o o on nd

    o n o di h h awa o nd h an ha-

    nng W wan o avod an and ng a a o B I hav

    o onvnd ha n o avodan dna and a w h awa

    h v xn ha o a h voion o o on

    on In a w dn ov h oon o o hon w an o and a a dind o o.

    A I G N Y O R S W H W H A I S

    Whn w do a wh wha haning n o v w n

    ng on ov and on ho aond . W daag ov

    and w daag o aionh.

    h ook oo ha a o ny a o o v on

    odv Fghing wha hanng o ad on o nad

    ng Rang h a nvi a dn aoah

    How an w o wh n a wa ha don av

    ing don n ino a ad and don daag o ha?

    Sin w anno vn h i h wi on o

    llo h o a h a.

    Ba han a a vng ogan on an k oh

    w a dgnd o xnc ndu, nd uviv od. No

    on an w viv h xn w an ao an o h and

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    adap n a mans ddn possess e a o earn rom sress

    experenes and adap or spees wod ae eome exn_ ea we are sl ere sggess we ae eared rom e sress endred

    or anesors and adaped wel

    Te rea s ere w neer e a me wen or le s ree o s-

    aons a rgger sress and prooe anxe ne we aep s we

    experene a s wn orseles We en reaze a nong s gong

    wrong drng ese mes n a we an earn ow o se or exper-enes or or ene

    WH H

    Sress and axe are no e same alog e are ose ompanons

    and oen gger ea oerSress omes rom e eelng a a eran se o rmsanes

    hod no b hnng

    Wen we eee someg n or e sodn' e e wa s we

    go no a mndse o ressane We ena oppose was appenng

    Ts s e eelng we den as r Someng as ome p and

    we wan o ge oer w ge pas ge o o e wa n oerwords w r n gh om h wy or rgh now

    Anxe sems rom e eeng a someng hou e appenng

    a learl sn

    Wen we eee someng og o e appenng we earn or

    ae or oen o e pon a or ongng epses or at o eno

    was presenl appenng n or es Longng or soeng a snappenng ases s o e dssased wt or le as s rg now

    e ee pon or mena weeng and or ea s e same as a

    o sress.

    n o sress and anxe or nner experene s a we wan o e

    somewere oer an were we are Were no app no ed w

    or e as s a s momen So og we are ored o endre e

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    AKG R A A RAA

    stuatio baus w an nd a way out w wish w ould fro it

    W ar hr but our id is swhr whh osttuts a splttig of

    our who sUsualy w gt ovr suh tis. Whn sohing w prv o b

    good happs w fogt what t s that shoudt b happng or

    ought to happig.

    h prob with rly gttng past a strssful or aious ti is

    that alhough lf appars to ov o nothing has atuay hangd.

    W ay hav l a partulary diult stuatio bhnd butw ra m n fat w hav spy riford our wakss n th fa of

    strss or anty lavg us vn or vurabl to th t sour

    of dstss tha os aong aus t was too ovwhng ad w

    dd't hav th skis w ould't alow h strssfu vnt to hav th

    trasforativ t it ould hav and onsqunty w ar as vun

    abl as v to subsqunt du ts ust how suh ts abo a g tansorng us s th sut of a at haptr

    Iitay w ay not b ab to do aythng but u away fo ifs

    stress and anxie because it s too utto face. utin de cous h

    uivrs w vt us to ontu porg ou stss ut w an da

    with it. t ss to hav a way of turing up th hat thats us rgh for

    us. A w stuao os aong ths t prdtaby o gatr sv-rty. As srss and an ou with nrasing svrty w vntuay

    nd oursvs n grat dstrss aus th stuaon strsss our

    vous syst byod its usua opig abty w prn a or

    srious spons whos ts dont av us so asiy

    AUMA S NDVDAL N NAUE

    n addton to strss ad any any of us pri rm t's not

    aways asy to spot whn a idvdua is n traua This s baus an

    psod that ay ovrwh o prso ay not b prnd as ovr-

    whng by aothr

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    f s u 9

    Wethe an exeence ove o e amaic o a arcar nd-

    vda deend on ch acor a he eon agehn o how mc

    more vneae a ma cid or an edey eone eveiy o he

    hrea the degree o hyica ham ha may e nicted e oiy

    o ecae how accomed to cong wh dcte t indvda

    and e cmave eec o revo rama

    Fo inance de o he individa' e hory one odier cod

    exerience a ate a ramang whe anoe g exerence aony mdy ding ne eron in a ca accden may e gteed

    o driving o year aewad we anoer eron in e ame car

    recove om i ear in a ew wee

    Feeng ramaed hod never e dged a a weane n an

    individa. hi i ecae o reacon o oenay ramaiing -

    aton nncta and heeoe no nde o concio conro Wedon mae a conco decon o ee ramaized' an oti

    reone.

    n ac we ha ee at trc reto poste reponse o

    egve t not a day o weane raher the ody aem to

    roec e e aic emegency ae yem o he hman organim

    acvated dring hee ime o omote rvvaraa can e exerenced hycay entay and emoionay.

    Whethe i aect or ody o mnd or or emoiono a o hee

    imaneoy ar and arce o he an exerience I

    moe o go thrg e who exeiencng ome degree o

    ama

    hog ama i an navodae aec oee re o theody corageo deene o eit nonehee an inene exeri-

    ence and ometng we wod rahe avoid ecae it ed no

    hoc. Ye i an negra aec of or hman exerence and o

    evotonary orney. No aer how mch we y to roec oeve

    rom amac exeence we can even hem rom haenng

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    AKG S ES O SR S S, A E, A RAA

    S H T H S S M

    Snce its not widey recognized that traua serves a purpose in our lives,its essential that we change the way we view trauatic eperiences

    Traua is coon to the huan species. Consider the fact that life

    begins traaticaly. We coe into the world trough the painful

    process of irthan eperience in which we are sqeezed out of shape,

    pushed and soeties even pued with hard, etallic instruents

    Its not a peasant welcoing at aursting into the light for the rst tie in our eistence our enty

    into the world is a shock to the huan organis. A oo led with cold

    air right lights and the noise of other huan bengs is a drastic change

    fro the dark soothing warth we have ecoe accustoed to in the

    wob. Making our deut in such a hostile atosphere its no wonder

    we begin fe by eowing our lungs out.As infants ying in our crib, we are assaulted y hunger pains colic

    skin rashes and a host of discoforts we dont understand and dont

    know how o espond o ohe than by rying hellessly and vocifeously

    In due course we discover the aiiy to ove aout or a tie we are

    unstale in our oveents which eans nevitable cosions and

    crashes into unyielding obects The shock of topplng over tie aertie as we attept to walk is in itself stressful

    As we struggle to nd our eet, we are guaranteed that life will be

    punctuaed with bups on the head cuts, and graesa of which are

    accopaned y tears either fro the phical pain we incur or fro a

    rused ego

    G " SK I

    The ourney toward independene isnt only physicaly trauatic, its

    also eotionay trauatic In fact, our culture presens us with consd

    erale psychoeotional trauate nd of traua caused priarily

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    o ondtonng Son heten o o e

    eeo he e o e nd negve dgen oe e

    to e n he e nne we wee eng teened

    e od ke oon o on nd wdw

    ng owd w e hed downe ee oe e

    wen heened

    Wen we e ve ong oen one even e

    o enoe o exeene Fo nne, one we egn o

    ong othe den, hee w oeone wo wn e o we e

    ng w Pe oon o n n o e nt, nd

    we e dgged w o e nd o o end d e

    gve hen eened eed nd eh even h ed

    wh nkng

    hen ee e eoton o eneng de o knde-

    gen n now ee wh en o egve oe we e

    dden e o e d ong tngen exeene ht nd

    n o dg nd wng o, dd, don' eve e"

    When we egn hoo we e ke to enone ng, wh

    h eeged oge o te hoo ng ednd o he oo

    ew o e hogh o edton e wto eng

    ed Reeed ng n e exteel tng o d

    A e n on. Wen n A Aen g ned eeven, e

    en deded o end he o own o no hg hoo n

    deen neghoood He exeene ht on d

    o nvoved dde An Aen nd Jnee Aen

    e So wen he w on o ttend hoo n n we,en neghoood, he wn eed o he e h he w

    ot o exeene.

    He t t exeene e wen ee e o w one

    o he t o o n ed oveowded hoo no one wned e

    o next o he Sne he w eeved h nd ned te

    ddn e o oo ove nd ow e o he he e Eh d, e

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    A N S EN S E SRE S S A N E, A N RAA

    s drvr ordrd on o sdns o mov ov and vn n

    ong gir ond s w on r ins o sa

    Ev da o n s s aand rs on dg o

    sa so s wodn a no as. Nx o r sa a rsn sdn

    wo ad dd amos no spa wo njod akng advanag o

    Aran Amrian sdn as s was mk id and non-

    onronaona

    nona, ids an o a or a ain ms n r

    vs. For on wo s ing snnd s a sss, anxiddn,rama xprn Mos das, s ong gr rd sn a w

    o soo

    A soo r as ddn rn o o as ad as gr ad

    magnd S ond s ad n oon w on o oa

    girs and a nds B s xposd oa gir o r own

    amai xpns. kids in r own ngoood gan wspng and agng as s wad Soon wr anng r

    ng s was a aio, ang a nams a sad

    ar

    Bng a nagr s a ao ring o in and ndng or n

    B wn o ni is osd o ox osras is p

    as onss soo idrn xpn a and vr das srss gowng p n o soos. Man o or kds xis n a

    sa o g anxi A an do s sk i p

    apar rom as or pop s growng p as s

    growng pains or insan w ma ov o pa a spo B vn wn

    w ar aving n o xin s rn ad ons

    ns o rog and m rom wi pan rss wisdanks, and vn rokn ons s

    n as a aso kd o n no pr w s

    srss rs o passagpan priods pps a arrass and

    inva rokn ar

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    L Tumc 13

    o ar weve ake aot ral hlre eag oray eveyay

    ves But aoer, more sister ace o eg a c s o e ma

    treatet may yougsers eperecea opc we wll ivestgate i a

    caper devoted to posttaumac stress isorer

    SESS AND FAMY LF

    As adus we ace ew stresses ad eret sources o aety O te

    job we u up agast a boss wo makes or ie cult A coworker

    betays s. Or e compay osources, the owsizes a we are

    et go

    At ome we ay star a amly. ow we eperece he raa o

    gowg up ro a dieet vatagethog o chlre. As parets

    we wat to protec or cre o pa b we we cat

    Juggg career a aiya raity or so may oayca be

    especiay aieyprovokg As oe mother recals, "Oce y rst cil

    was o al o my bees a epectatos o wat wae o acieve

    this le evapoated I y eart ad mi ever sce was a te gr

    I ha carred a ream o beg te rs woma CO o a maor cor

    porato a sudely my eam was goe I t cae abo aytig

    u my baby wated to rse m, rea to mhol him kiss m

    al ay log

    Or deepest esires oe clas wth arsh reaiy as ths oher is

    covere. Te worl o commerce presets may chaleges I the work

    evrome ot oy are we deprve o beg wt our clre we

    oe d orselves eag with iivuas who play ea gaes wh s People ca make te workpace a pace o miserya o so

    eac ay or llios

    The atioa Istte o Occpaoal aey a Heah epors

    tha 40% o workers d ter o o be sressul a ay cases

    eremely sressul A l qae o te abor oce etiy heir jo as

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    AKNG SNS F SRSS AN AN RAA

    e may souce o stess te le lmost as may ave se teas

    ove wolac stess ome 19% ave u a ob a 29% ave yele a

    elow woes ecause o sess. I fact 2% am ta yellig a veba abse ae commoace ei wo evioet It's o woe

    e J f Opt d Evrent Medie eos at

    ealt cae eetes ae almos 50% geate o woes wo ee-

    ece g eves of sess

    Toug o oe s mmue to tauma oce we ecogze at a tau

    matc eeiece ca seve a valuabe ose i ou livesa at weo ot ave to live i eetua tauma ae s wo s oewe o

    oge ceate fo ouselves te ae sueig at coes fom esst-

    ace to tauma.

    By accetg tauma as a eviae a of beg uma we alow

    t to ave its asfomaive eect o us

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    2

    Isigh om

    Hurrcae Karia

    A C N ENSE AAs epessin f te taa s severe eng an niva may n emseves in a vng e wt see

    ngy n way escape

    A case n pnt s ew Oreans e-yne cmnst rs Rse,

    w se t beieve epressn an axiey were "pey mc a a f

    ey n act Rse wes "I nev accre any creibty e iea

    tat sc cnitins wee eca in naeRse n nge ees tis way t sice I e wn te abit e

    yse e cnfesse in e wae jneying t te ege te pst-

    Katra abyss

    ays Rse I a cryng ags an eta pstnings an er

    epses One ay ast a whe te ciy was si msty abanne I

    passe t n e jb e ace s in a tree snappe y gasses n

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    MAKNG SENSE F SRESS ANE, AN RAMA

    ha gouge a hoe m orehea a a ucoscous o the se o

    the roa or a etire aeroo

    other tme Rose ha a meltow at a gas stato He ou hesmpcoult get out o hs car to the gas ta because o the pres-

    ece o oher peope at the pumps.

    Ths meltow came o the hees o hs icreasig wthrawal rom

    socia teractio. He ha stoppe gog to the grocer store wees

    earler a mae eer ecuse to ao hs oce He lost ee pous

    quit talig to hs we, stoppe waig hs og wout accept ieritatos ee thogh the were impotat to his westare to spce

    or hours o e, a let the gass a wees grow a grow.

    ll the whe housas o emals were comig to e

    yne respose to Roses coms about postKatra a ts

    ctmseach o them tte histories hat wou brea our heart he

    recals urig moths o rg throgh what ooe ie bombeout eighborhoos, whch were he grst or his ews colums he met

    egos o peope who appeare to be g rom saess a wrote

    about them. he ct o ew reas was tramate. Hs reaers res-

    oate with his wors

    But thigs wee ot getg bette or Rose. er sloggig through

    wter ad sprg he gro to a hat b summe. " was a ea ma walig he wrtes. "I ha eer bee so scare m le

    Whe ou hae bee traumatize the wa that happee o the

    peope o ew rleas its as t were a e setece This s what Rose

    ha begu to beiee He recollects m ot goig to get better

    thought Im too eep

    e ear aer Katra Rose ou rele whe he bega tag meicato The a curtai le He came to e aga

    To tae mecatio ra agast Roses lelog phlosoph o sele

    termiato, but he all realze he ha a chemca mbaace.

    eicao became a ecessar step to restore his alt o uctio

    brai was literal shortig out he writes The cels were ot proper

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    ght fro Hurrae Ktr

    communicaing. Chemisty mbaances lkely caused by increased stess

    homones were doggng he work of my neurotansmters my eecr

    ca wring A eal and ue physologcal deterioation had begun

    S T C

    Heres a story of one of Roses readers caught in he emoona ae

    math of Hurrcane Katina ts a cassic eample of how even in he

    worlds wealthies naon wh the greaes numer of heah profes-

    sonals, an indivdua can egin o eieve hey wl wys sue the

    eecs of tauma wthou hope of relief

    In his eades case proved dcut to get sustenance into hs

    stomach as he wached hmself shed pound aer pound His entire sys

    tem was in a state o acute acdossso much so that he el as though

    hs stomach and esophagus wee on e most of the day

    As the months went by e man found hmse endung coninua

    anxety and dead. Medcation made him fee wose even sucda. He

    began to beleve he was marked for lfethat some revocabe change

    had occured in hs body chemisty

    At a wokshop one day the ndividuas feas wee conrmed by a

    therapist who expaned hat wha he was experiencng was neihe

    unque to him no conned to a smal numbe of the populaton. The

    condtion was rampan n New Oleans and along the Gulf Coast Suicde

    rates were skyhigh depesson rfe can teach you techniques to

    manage you distess but you wil lkey neve be ee of i the wok

    shop eader opned. As part of comng to tems wth this dsaster youneedto accep hat what has occured wi rob you o at least en years of

    you ie.

    The theraps went on o explan f only we had been able to ge you

    help n the rst coupe of weeks you mgh have been spaed he per

    manen eecs of this trauma The words fet ike a death sentence. The

    indivdual began to reconcile himsel to he dea tha he would simpy

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    AKN SE NSE SRESS, ANE AN RAA

    ve to ende te onzn stew of dstn eotons e ws

    epeencn wtot ope of te ssdn

    W A P R O F S S I O A L I S AVALAB

    Mn wo ve been rmzed ve sot ep tro edcne.

    t dr treten s epensve cn ve seos onterm sde eecs

    nd snt red ve n prs of te wod

    As wt edcton tk tep sn't possb o eveoneee. Mn cnnot ord sc r. t so eqres settn te

    sde ec week to vst prtcr ocon o tretent oen ove n

    etended peod Even n Western ntons et one te d Word

    ts s pctc for nespec for tose wo wok or ve

    tte cden wo e dependent on te. t cn e dc f not

    mpossbe for sc ndvds to free teseves to ene n onter terp

    k e eomes even oe p nd osse

    wen rece dsstes sc s tsnm ondo or etqke

    ttze tosnds of peope wtn specc eon n mte of

    oments.

    Wen we cn nd nete te te nor te one to see tepso ep snt ve becse of were we ve wt e we to do

    A W O W O P S

    One enoon n e reote town of Dedoo, top took brek

    fro e woksop I ws vn nd vsted Coc crc cross testreet

    Sn n ts d snct, t on b few rs o sn tt n-

    ed to ceep tro te doo nd wndows tenton ws dwn to

    n od n wo entered te cc wked pst e nd knet on te

    dt oo ew ows n front of e. e cotton srt e ws wen ws

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    nsght fro Hurrane Katrna

    wo so h you cod see igh hough o his ski s he ke he

    oos of hs ae fee wee exosed Because of he ed cay of he ad

    ad he di ighig I could see whee his fee eded ad he clay

    ega Iedaey he iage of God akg has ou of he cay of

    he eah cae o id

    s I coied o wach his hue a pay cod help u

    eiee ha f aa ca occ o eey ha eg he a ang

    prss st b aaab t ryn t Fo hee was o way a a lke

    hs could ee aod pofessioa couselig o edicao.

    This expeece coed wih my exosue o he oo edcaed

    ad despeae wa eugees o who I was gig he woksho foced

    e o ueso whehe adoa heapy ad oge edicaio

    ae uy he oly way fowad fo a aa ici

    Is ealy he case ha he eecs of aua ca ee e cued u

    ca oy e aaged wih he he of ofessioa couseg ad

    dugs Is he depesso iggeed y aa ieay a life seece

    s hee a oious aa soluioaalae o ayoe aywhee

    he woldha we hae oeooked ha ca ope he doo ha has

    ocked us o ow solao?

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    3

    "Help Me Heal Myse

    WE E LIVI I N N E that holds the possibil of far ore ass

    traua tha we ae so far expereced huma hstor due to eproiferato of terrors ad uresoled poiica crses i ma

    atoso to eo clmate chage wich s causig creased oss

    o e ad habtat e wae of more seros doughts res oods

    ad urrcaes

    Tragic expereces see to be escaaig eerwere so uch so that

    trauma s eg caed he Isible pidecro Hurricae Katria o the tsuai i the Idia Ocea d

    fro geocde Afrca o sucde omgs i raq the dead for

    assstace wit traua recoer s oewelmg Added to tis sice

    Word War thee hae ee 250 wars resutg i he deahs of llo peope e perce o tem cilas Wtess he wars i Ira

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    Help Me Heal Myse

    and Afghanstan together wth the voence n asan Bua the

    Mdde ast and other regons of the world. ow do we as ndvduas

    as natons and as a global county hope to care fo and esolve

    the trauatc experences of such large popuatons

    Mansrea health care provders are ndng they ae unprepared

    for uch of the traua occurrng on the panet ackng the reqred

    knowledge and tranng hey are oen l equpped o dea adequaey

    wh ths argescae crss here are sply not enough counselors her

    apsts and edca racttoners to aend to the overwheng suerngat ths te n hstoy

    Gven the enst of the crss we are n need of a new aproach

    that can addess taua on both the ndvdual and coectve eves

    and n ulcutura settngs But what ght such an approach be

    U E S R A N A N I E N T P E P E

    Whle wong n thopa dscovered ts a coon custo n the

    vlages vsted for several faes who ve cose to each other to have

    coee together each ornng he rtual takes about wo hours hey

    begn by roastng the beans grndng te then nally bong the toae a fresh pot o coee. Durng ese two hours they pocess wha

    happened n ther ves he day beore

    Because the Ethopan people vsted wee vng n a war one t

    was usa for the to dscuss the tragedes they had personally exper

    enced or heard about fro others. As they shared the pan wth each

    oher they also receved encourageenthe pont of reatng ths experence snt how eectve these peope

    were n processng ther traua as f they had found the best way of

    deang wth wha they were experencng. ndeed we shal see hat tak

    therapy aone often sn't enoughespealy once traua s etched

    deeply nto the body he ont s hese thopans were akng personal

    resonsblty for ther state of beng he people of ths atorn land

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    AKG T, ATY AD TAA

    had developed a natra om o deang wh the trauma the were epe

    rencng copng wth t among themeve each dayas t orred.

    hee people ddn need ndvdua eon o pvae therapy wtha led pacone ecaue he help hey reured wa emedded n ther

    culura radon. t want neceay or them o undertand Wetern

    pyhologca prncpe n order to proce ther eperence hey mply

    kew aou pan ueng and eng alongde eah other to proe what

    the wee eperencg a hey went through traumatc ime

    n our more ndvdualed cuture n whch ame have ecomenuclear and where coe communty conecton ha lagey roken

    down we no longer hare etended perod o tme ogehe on a day

    a. or th reao we eel a need to eek out proeona to help u

    reove ou pan ut coud t e we have omethng to earn rom the

    many cuture that have developed ther ow graroot communa

    healng tratege Htorcay th how human have dealt wthpanul crcumtancey takng peronal reponlty.

    A C RY F O R E L P

    Whatever auma we may have epeienced even proeonal help mot

    eecve when empower u to take our recovery nto or on ndroeona counelng hould away have a goal o enalng nd

    vdua to heal themeve Aong wth gvng them the l to recover

    rom her trauma t mut hep ndvdual prepare or uture tme o

    trauma h not ony prevent therapy om ecomng a orm o

    dependency the elempowerment eup u wh the neceay

    ntegrty to reolve our pan oelveo the degree that t vale and ae tauma recovery mut e taken

    out o the poeona therapeutc doman and rought rght nto the

    houehold he treatmen need to e capae o eng elappled have

    rapd reult and e eay to ue y large populaton wthout the gud

    ance o a terapt

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    el Me eal Myse

    Its so ovous this s needed As cen once told e out o des

    peton "Fo two hous wee I hve you suppot dung y heling

    pocess. o the eining 66 hous in week, I hve to hel yself.Pese give e somethng tht I cn do to help ysef when you e not

    ound

    D S I D O A D R A U A

    As I hve tveed he wold I hve coe to undesnd tht we huns

    possess n ognic estotive cpcty wthn ou own body. u

    doesnt hve to k us fo lfe. In fct we a eve mpete

    hough my expeence of woking wth tuized thiopns

    tens udnese Aeicns Iseis Pestnns, nd othesn

    situtons of w fmine nd ntul disstes hve lened th

    no mte wht ou cutue, nguge egion o psychosocl bck-

    gound s tumtized ndviduls we hve ccess o nul pocess

    geneticly encoded wihn he body t enles us to he fo tu.

    he humn ody is cple of heing itself fom even e most debii-

    ttng expeiences. Bu t tkes moe thn just time. I kes being

    we of the bodys estove iity nd ctvely encougng t to do ts

    wok.

    ecuse of he odys nnte cpciy o estoe isef I ve coe o

    beeve tht he eling of u cn occu nywheen the dst of

    este socie o mong whoe populions in e most emote nd des-

    tute egons of he wold Not ony is t possle to ecove fom

    teible events tht shock us los o deth bu though he pocess of

    ecoveing fo tu we hve the potenti of becoming moe

    eticl nd cng people thn we wee cpble of eng pio to the

    tumtic event If the ecovey pocess is tken up in seous nne

    we wil nevitbly ive moe poducive nd fuling lifen most cses

    wthou the cost of expensve pesciption edcines nd often wthou

    pofesson elp

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    AKG O R A AD TRAUA

    B E Y O D KG O UT

    As lng ganss r bdes kw we are apable f endng andeeng fr een the st seere tagedes T est and ele

    we ae deelped an nstntal mehas that enabes s t et g f

    e pas and begn seng new n at, we are ompld phslg

    all t rd rseles anthng that bsrts sal Ths wa

    we an pee ne phase fe and begn te ne

    O fear f eplng e eets f traa s a ressane naaeltna pse Ths essane nstrans fe fre and

    nhbts r abt t grw neall ansr seles and nprate

    past eperenes nt presen le Uness we let g f s resstane

    we ann eplae he shatteed sre f r sense f sef wt a heath

    ne

    Fredrh Nezshe saw hs n Utm Mdtato e sas wepssess "te pwer grw nqe r whn t tansr and

    npate the pas and the nknwn hea wnds t epae what

    s s and t dplae shatered strtres wthn,2

    Ths ealzatn that we ae desgned t earn r and e end

    tama led e std he han bd an desgn a methd raa

    reer ha anne n e wd an llw The apprah t aa re-e epaned s bk s t epwer s t ake ee etnalpan nt wn hands F s apls hs ts neessa t rs

    ndersta wha happens n r d when taa befas s

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    4

    hen Doesn' Work Ou

    he ay I's Supposed To

    E SDDE ND OUVE n eotona disess and we dontunderstand whats gong on. It ight een see as our e s sn

    ning ou o conto. Nothng s woring the way we hnk is suosed

    t, and yet hee s nohng ieheaening going on around us

    hat's haenng s that somehng in the resent has tggeed

    unrocessed tauma om he as and his s now eerging as dstress

    Consder the case o a woan n he hirties who was n bed onengh with a an she was geing to know and tus Usuay the coe

    enjoyed ntmacy n reduced ightng. u his aicuar nigh the roo

    was itch back As they oved oward intimacy he woan sddeny

    ea o o ed ran om he oom and sent he nex coue o hous

    on the hone wth her sste.

    25

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    AKING SNS SRS S, AN I A D RAUA

    Whe she reted to ed the wom epled wht hd hppeed

    to he. She hdt ee i ptclly pssiote me o mid s

    the retired th ight bt she eertheless llowed hersel to respod

    to he oes dces Sddel ig thee i the dk with he he

    ot rely i wht she ws bot to do she epereced oerhelm

    ig sese o pic

    his yog wom hd eer dscssed her sd retioship with

    he ther wh yoe Bt tht ight o he phoe with he sister she

    cormed wht she hd log sspectedht her the hd epetedy

    come o he bed whe she ws yog gr Eqlly disessig her

    mothe ws wre tht he dghter ws beig sely bsed d did

    othig bot i.

    the dkess with ths m she ws becomg od o the yog

    wom hd sered id shbck to the times he ther oced him-

    sel o he which se o ll her emotiol lrms. She ws gret

    distress.

    G E G S I E O U R H EA

    Fom the momet we were bo we he bee receig phsic

    stimli rom he world rod s. Some o this hs bee pest d

    some o t pest Bt ll o it ects the qlty o o lie

    hose prts o or bi tht recee ipt om or physic seses

    process milos o bits o dt rom the eterl wold ech d eey

    dy Whe this iormtio is wecome d ot i y wy distessig

    or bri seds t o those es ssocited with memoies d eeigs

    which coect t to similr epereces om o ps t ths o

    mtio is the pssed to othe e o the bi whee its tred io

    stor bot or eperece his s how we mke sese o the thigs

    tht hppe o s

    Cosde wht sly occrs whe we meet soeoe or the rst me

    We shke hds. oes the pesos hdshke ee se o he smie

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    Whe L fe Doet Wor Out te Way Suppoed o

    and make ee contact? f o i te ie autentic and doe te eon

    tu connect toug te ee Ou oatoeno bain (te wod oma

    mean od) i taking a o ti inte enation o te andake

    te mie te ee contact

    Wen te inomaon i aneed to te aocation aea o te bain

    it get ataced to eoie o imia encounte ext, te gnotic aea

    o e bain put togete a to o a o ti data and te aociation

    it awaken. t begin to om a ice wic a a at te individ

    ua we jut encounteed i a nice eon o we ae at eae about ou

    meeting.

    H O W H B R A P R O S S E S RA U A

    aumatic expeience ae oceed dieent o peaant ena tion Becaue tee exeience ae intuive and eut in an ove

    weming aoua o ou te te ae taen in a agment ate

    tan a a woe expeience.

    Wen data i taken n a agent it' toed in te eno a

    o te ban wee it emain comatmentaized. e toue i, ti

    aea o te bain now a iion o bit o data tat need to be aoci ated wit eeing, eoie and emotion ten ent to te gnotic

    aea to be tod a a to. ong a tee bit o data ae taped in te

    eno at o te ainte eain caotic and uneaed

    ea ate wen ie eent u wit cue tat coe matc te

    unoceed tiui o a tauatic event it tend to tigge tee

    unintegated eoiebinging te back to ind a i te event weeoccing in te peent Tee toed and unpoceed enation ae

    wat caue aack and nigtae t' a i te taua wee ap

    ening a ove again

    o exame, i we ae in a ca accident and tee i a tong odo o

    eakig ga we ma not be awae o te odo duing te accident becaue

    ou abiit to dicen eveing tat apening at uc a oment i

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    8 AN SNS F SE S S AN A N D AU A

    u o oerload u he ex ime we u io a a ao we

    hae a aback o he accide riei a meare o fear, ad e

    ha caui u o remeee houh we ae imly umi a.he odo of a i bei e fom he eory area of he bai o he

    aociaio aea.

    Whe ch a ahback occu i ca e helfu if we ell omeoe

    cloe o u aou he icide A we fee heir uor while we alow

    ouele o exeriece ou emoio he emoio coeced wh he

    icde ca be eaed if we are eriou abou heal ad o im

    ly wallowi i elli ou oy I hi way we are ae o heal he

    raumaic memory ju a he eoe i he war oe ied i hioia

    were abe o do oer heir ori coee he exeriece doe

    become loded i o yche o bod

    T R AU A C A W R C K Y O U R E A T

    addiio o caui u emoioal die ureoled rama lie a

    he roo of uch chroic ai for which a cae ha eer bee dee-

    mied ' alo eoibe fo a ho of commo hyical iee

    hakly, we ow hae direc eidee ha we he aumaied

    e of a ididua i coeced hyica ymom ed o ee co

    ideaby may cae hey ca o io emio or ee daear

    for ood Wha faciiae hee ama chae i he body

    he auoomic eou yem he edoce yem, ad he

    immue yem which fucio harmoy are all died by

    auma. I oder o uderad rauma eec o he body i heul

    o udead how hee yem are diued

    Huma hae diere kid of memoy ioi diere aec

    of he bai he majoi o wha we lea i he form of fac oehe

    wih mo of he ee we exeriece ad he coeraio we hae

    wih eole ed o be foroe rahe eaiy The ye of memoy a

    eai uch ifomaio i o oly raile u alo uec o dorio

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    When L fe Doen't Work ut the Wa t' Suoed o

    b o eoto Th i wh two people eebe eet o what wa

    aid dieet

    I ontat thee ae eoe that beoe hadwied to the

    ba. When oethng gge tong eoto h a the pae

    ahng to the Tw Towe the eet i ganed in We ee

    be eatl whee we wee at the tie ad what we wee doing

    Anothe fo of eo know a poeda eo ao

    iole hadwig he bai We e th tpe of eo to ea habt

    ad ki when we ae nfan o ntae i how we lean to wak

    de a bile pa a ite o ga poien in a aee kil

    addition o eang habt ad ki poeda eo the

    apet of o eor tat a be ondtoed to epond to pe e

    of the kid te ong woan in bed epeieed, o that a peon gt

    epeee a a ga tation olowg an atoobe aident Th pat

    of o eor wok i the ae wa a dog an be tained to alate at

    the ond of a be Th i beae poedal eo toe the e

    aoiated wt te eenthe el feel tate and age

    O W S S R S U S R O T R A U A

    Taa tha we do poe loe to the te of t oene ae

    a aiet of eonda poble ot o the podtio o gowth

    hoone epodte hoone and digetio dpted t o

    eotio ae ot poeed we eithe eae o ogntie apait i

    eded olonged te alo ae exhato of the adenal glad,

    whh ha a pofod inhbto eet on o e teThee now edene that een exeie te le aone eee

    taa a fato n a aie of ilee Thee nlde anet do-

    de depeion high bood pee adoala deae gaton-

    tetial toble, oe ae ad peate agig Se ao ee

    to ieae the feqe ad eei o igaine headahe epiode

    of atha and tatio of loo ga in dabei Addiional, hee

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    AKNG SNS SR S S . A A N RAA

    s evdee hat peope epeeg sgat pshooga sess e

    more proe to develop olds ad othe ietios tha hose who ae ess

    sessed hs is beause stress redues the eie o ou mmuesstem whh would omal ght o eo

    addto o these dvese helh eets we have the b o splt

    o from omal osousess those regos of the od tough whh

    traum eers ou lves We dissoae ourselves from suh a bod par

    literal shut i dow restig uto his prt of te bod. We

    do ths beause he messages omig from ths ae of he od ae peeived as hre

    muse deprived of blood goes to spasm whih is eremel

    piful With ues the smpom ous ag us s i he tuma itsef

    wee hppeig l over aga Muses tht eame ehed i at

    of selfdefese durg the orga tuma repte his ehg

    fat s m as half of l smptoms o whh peope see dotors stem

    fom ths d of lehig

    s a empe we a see how ths wos i erms of womas ejo-

    me of se. The pirormis musle he uok oets he hghboes

    o he pevis ad foms up he posteror part of the pevis djaet

    o the vagi Whe ths muse s tese esus paiful iteouse.

    This s espeal pevle whe thee has bee seua trauma suh s

    rape est or sodom. The pi s beig ggered b poedu memo

    whh uses oe o the Kege muses to leh t of sefdefese

    duig a seal ssult eourse "ues he br to remembe he ogi-

    trauma his a lso be oe use of sit

    boh males d femes pai so develop a etemt that

    is oveused over a period of tme espeial i the domat had ad

    hee s peve i peope who use a eboard d mouse ouousl.

    f perso ives stte of aous s a resu of pevous taum repet

    ive oto of a aead otted musle a use he

    musle o beome med Ths produe a vriet of smptoms suh

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    Whe e Dest Wk Out he Way s Sused

    s rp unne syndoe ipngeen syndroe in he shoder

    ervia ds disease in he nek TMJ nd gine

    Ts gh or based on od rui evens h were never

    resoved. No whou eson do we a he nevos s. Oher

    hi spass igh inude sqining eye and hoerng

    A se of diseses y be ssoiaed wih he way peope ofen

    freeze n he fe of dnger Gu and hesreed sypos inde

    irrbe owe syndoe onspaion raps nd dihea nd gasro-

    esophge rex. There is soe evdene o sgges h oyag

    nd honi fge syndoe y so e onneed wih he freeze

    response s we s phno m pin foowng n pon.

    Muipe heia sensvy an ofen be iggeed y a se sh

    s new pe igee soke or perfe. he person has eoe

    progressivey sensve n he sighes ea gges onoi dysreg-uaon Ahogh igraines n e genei hey n so o s res

    of he daing nd onsion of bood vesses Asha oo ess fo

    onsrion in he ngs ha ay be onneed wih . A sue

    peensr syndome nd pospa psyhoss an e exerbaed

    by u. Aenon de hyperivi dsoder nd seep apnea an

    aso be eed o raaThogh ses pehora of phys sypos ny of

    hese ae when we reae a psyhophys ae haaw the bd

    t hea te ow we n reae suh e wi eoe er one we

    hve a hoogh ndesandng of how a s expeened n he

    ody

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    5

    How Our Isa-o Buo

    es Suck

    CH NA CD n he eg and unniu a e

    ure f axe and re whh mean ae and re were nd

    ered a prdu f ia ndinng On e her hand neurlg hae

    fwed a rai ha ead he nerain f eran par f he brain

    a he ure f emn whie phygi fued n he re f he

    neru yem in re and anxet. Ye anher grup f reearher

    pyhbilgued n he neurpepide and her hemal

    generaed in he bran and ranmed hrughu he bdy a a majr

    nribur re and anxe.

    ' been aid ha al rad lead Rme. mlarly beming

    nreaingly ear ha hee deren rue f reearh in hw we

    experene re anxiet and rauma are eadng u he regniin

    ha bdy and mnd are nraey linked. he rean we hae rauma

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    How tao Bo Get Sk

    resus rom an exquisie mutua interdependene betwee te bodys

    dierent systes wi work ogeter oward te snge obetive o

    ensuring our surviva.

    Mediay speaking te pysioogia reaions we experiene in

    response to stress are quite dstint from te psyologia sate known

    as aey Yet ts troug te iniate interaon of tese dierent systems

    ta anxiety is generaed. Wen ese psyobioogianeurologia

    anges our ey trigger an inease n bot our ea rate and our bood

    pressure. is resuts e unomfortabe sensaton we desribe as aey.is pysioogia ange now aets us psyoogialy as we regiser

    te disomfot aused by tese stress anges. We ten give a psyo

    logia interpretation o wat we are feeling pysiay Anxiey is tere

    fore bot pysioogia and psyoogia.

    A T T V A

    Huans ave an insanton button tat protets us by ausing us eter

    to gt, ee or reeze wen a treat to our surviva ooms.

    e ypotalauspituitaryadrena axis (known as HPA) is a sys

    tem tat inks te imbi system o te brain wit e adrena gands.e imbi system o te brain is te ontrol enter or most of te bodys

    ormona untions. e ypotaamus and piuitary gands, as wel as

    te aygdaa, reside ere. irety onneted to te adrena gands tat

    are loated on top of te kdneys, te ypotaaus and pituitary gands

    produe orones in response to any type of pysial or psyologial

    stress Beause tis is an aspet o te rain ta umans and a otermammas ave in ommon wit repties its soeties referred to as

    te reptian brain

    In ties o tauma te ypoaamuspituitaryadrena axis s ati

    vated and produes neurotransitters. Tese are ormones tat fun

    tion as ema messengers, e ikes of dopamine norepineprine

    and epineprine (more ommony known as adrenaline). Wen we

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    4 A R A Y A D RAA

    detect a ptential theatenng siuat the bd pduces these chem

    icas t ence u abil defend useles.

    Smultaneus unde mal cicumstances the smpathetc neus sstem and the paasmpatetic neus sstem hch gethe

    mae up the autmc eus sstem ae pimed. he t hep

    us suie b maintaining a stead sate thugut u man cmpex

    dil sstems hich uld these g haie in he face f tauma

    The sstems tha tae chage duing an emegenc suspend all

    unnecessa bdil functins and actiate n hse essenta f suia Wh the ghght espse e can expeence a ae f sen

    satns such as ausal anxie panic phbas bacing u muscles,

    tems hgh bd pessue apd heateat and tachcada Ou

    mut can becme d u hands cld Althugh u gth hmnes

    epductie hmes and digestn ae essential in ma eeda

    e e fuctining can be suspeded in an emegenc

    The tube is a ptectie espnse stess at sees us f a st

    time ca cause seius lngtem ham f the stess s unabated

    I N

    In the nal cuse f eents the hpthaamusptuitaadenal axis

    s deactiated ae a stessfu ccuence has passed he paasmpa

    etc neus sstem then ecmes dminant again and the indidua

    euns elaxed state.

    The diemma f the human species is hat althugh thughts can

    easil tigge anxe b actiang the hptalamusputaadena

    axs e'e t as eecte at tuning t Ou instantn bun can e

    cme suc s that e cant eadi xnguish anxe ae a taumatic

    eent

    Once e ae n a stuc mde the eects f tauma becme ng last

    ing Ou inabii t extnguish the actit f u hpthalamus

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    o Our nanon Buon Ge Suk 3

    iuirden xis is wh we ontnue feeng nxious ers e

    stessfu even s over ven when we o emin lm the unon

    sous runnng of he imbi sstem uses us to feel nxous

    Anxe is unresoved fe s feelng of disuiet mrked b dred

    nd foeboding. Polonged nxiet n mnfes disorders suh s n

    tks soil hobis nd ostumti stess disorde A of these

    onditions ee snge undeng esonse of the lmbi sstem. ut

    wheres sress usul esolves itself er he stressful event hs ssed

    in he se of olonged xiet the smoms ess.

    R S U R R C I H P AS

    doesn mtte how ong go trum oured he bod lws seeks

    to fee us of its ees t hs ntu tenden towrd heing tht we

    n len o work wih one we e we of t

    ven when es lter n event iggers in from our st tis in

    is not wthou uose Though we eleve tht ime hes wounds nd

    ht we siml get beond inu esodes his isnt neessi so

    Trum when unheled wi soone o le surfe nto our we

    ness gnsomething oung moher disoveed ers fe her hil-dren wee grown "As wrte his she onded, "ters re streming

    down m fe nd m hrot is knoted u s relive s f i were es

    terd, the emoionl tum suered duing h time bb ws in

    dre nd ws working Mbe this hd something o do with the

    gi his birth gve me Aer bou hree onths rehed the deths of

    m suering ws sitng m desk one d wth wht seemed ike neen before would see m bb sing to mself nt ke this

    nmoe! I nt snd o be w fom hm like his! Anohe womn

    hods m swee tte nge moe thn do! hve to work but I n do

    this n longe Plese God ese e me! I hd no ide ths wound

    ws sl so wide oen

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    AKG O T AY, AD AUA

    Thi othe hd ipl tued he feeig deep ide he ecue

    he lcked he kowledge of how to poce the tu he w goig

    houghOe of the icle of i fuctioig i tht we p hough

    the viou tge of tutiodolecece idlfe d ou le

    wido eou i utotic tie to d tef of ueoved

    eor eoie At ppopite oet poteoul ed

    thee eoe to he octio e.

    Thi ohe i ike o peope who ppochg idlife dheeve eebeig utic chdhood expeieceprcu

    exul ue. ht uch iue hould ie eeigl out o owhee

    c e fighteig. But othig goig wog. O the cor, b

    gig ueolved iue to ou tetio t thi te i ou life the

    i i eig u wel t' tteptig to id iel of uece bg

    gge o it c pepe fo the ew tiuli it will expeiece t extge of develope.

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    Beyod he erapis's Couch

    H MA PA W CARRY wth s s st r he s lsethe ses

    Whe I ws l Le r er seere h

    I etey f yself set the ty lle y wrr

    fs ht reete y s fm es sh ee e et sh l fr see weeks the

    seet hs wth see he pepleOr ly es f ws r tk rer wh kew

    we were tppe he l Eh y whe he trle he srees

    he sehe t e sres m whh t her spes el

    e the s hs k t the e the y

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    AG T, AXT A AUA

    e ay thee was patiay itese hi with tas a

    mta shes e bate aste the ete day ad he eht s wh

    wee aht i hs bi spet the ay i the basemet siti

    the wth bas aais the wa a ees bet a semi

    eta pst. D the shei may mtas ht the theesty

    se. Eah tme a she aed, the etie ede shddeed as thes f he expsi bmeaed hh he bi.

    N mae hw astmed we beame the expss eah sh

    wae titvey aued u t jek the feta pti hee was

    th ss ab this eat. It was a amat espse t

    e tesy f the d expss

    Di e mta hit, I happeed be wah my tapped -eaes, ta t them as they sa hepessy aast the wa. As he

    she expe, I was ste by what I bsee. ey s e s

    was sated the isaty tate a etia way. It was asth I wee wathi a weehease piee heaphy

    Athh we ha bee di ths a day, it was y w that I

    eazed hw pese espse was. m the mmet f be sta

    ted, t mi t a tht fea psiti memets wee peety

    date.

    I ew I ha stmbed t smethi that was mpeey

    biss bis hat ha pad aet t t ti w Eah fs ha bee eati a pate f beha that was eithe adeta

    am.

    t why the bdy mae this pata memet? Why t

    sme the id meme, a aey ieet memets? My

    sy was awaeed Hw d a f s w t mae the exat same

    memets i s a wth sh peis?

    he eht s wee m s deet ties s this meat that

    memes wee ay etemie hey ha t spi m

    a se that was eepe a me pmtie withi a hmas

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    Beyod he hert' Couh 3

    TH E T H E

    The icidet i the schoo bsemet s the st time eized the

    bod hs eetcll ecoded espose thts desed o potect us It's

    piml espose oud i l hums peomed spoteousl he

    eve e e edeed

    As msse thepst I s iteested eploi hich specc

    set o musces s used to ccomplish this movemet Ho e the d bod oized to cilitte hs ptcu ehvo

    Whe I depted om ebo moths e I studied the tom

    o the bod to deteme hch muscles eeted hs movemet Wth

    the help o euolost I leed ht hums ke othe mmms

    hve stictu memo o ht e eed to do he e e ed

    eed The i uhesitti ties bod movemets to ceseou chces o suvvl he e e t s o bod hm

    Iitl the i peceves somethi s thete heeupo

    it stucts cei os to poduce the chemcls equed to suvive

    the de These chemics e the pumped ito the musces o the

    bod to povde the ecess potectio

    The espose o muscles eposed to sessu evets s to cotctui umtc epeiece the bod peoms hs pocess b co

    tct the eo musces octed he teio o the bod Whe

    tese cotct the hibit the eteso muscles octed the poseio

    o the bod hs cetes ht s ko s eo ihd

    The combto o eo cocio d eteso eto llos

    the bod o bi ou eemite oethe ceti etie ecosuetht cuses us to eel se b potecti ou vulebe so psou

    etls vit os, d the hed ith its ees es ose d mouth3

    To o he pim eo musces th cotct to potect the ude

    be o he hum ml e the psos musces These pimitve

    muscles sd ud ie setiels potect the cete o vit o the

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    AKG EE TRE A ET, A TRA A

    huma body, oaed ust frot of he hrd vertebrae of he sacrum

    The psoas musces coec he back wth te pelvs ad the egs hey

    are the ol usces hat do ths hey aso coec wth all ve lumba

    verebrae

    The proecve procedure stoed deep n he ran automacay

    sprgs o acon to contrac these muscles whe we are hreatened,

    spoaeosl takg us though the steps we need to go hrough to con-

    ract he bod or our sae

    Whe he psoas muscles corac and pull he body oward hey

    cause secodary musce conracos as te ody res to compensate o

    hs owad pu. A he same tme the erector spnae musces pul te

    ody backwards a atemp to keep t upgh hese two opposg

    tesons pul he lower vertebrae ogether creatg a spnal compres-

    so. Ths can be damagng he compresso s prolonged Ideed

    he teson s continued long enough wl evetually cause shoulde

    ad neck pa as wel. o hea fro rauma conacos ths deep se o

    muscles us e go o the teso and relax.

    ts generally accepted tha aer a patculal tense sressg or

    auatc experece we can smpy get a massage take a ho bah do

    some exercse and ts wl resore our bod o a heathy sate. Bu

    whe comes o trauatc tenson he psoas uscles ths s he

    case Cotracted or damaged psoas musces ca cause severe ad per

    sse lower back pan. s s especay commo among sexual ause

    survvors.

    Because the reaco o he hma body durg rauma alters the

    toe o our skeeta usces ad her abty o function f these chagesn our musces go ureleased he w develop no patens of chronc

    tenson ha wl eveually creae addtoa od dysfuco. Uess

    he are retured to a reaxed sae aer he sressu event s over hey

    are parcuarly vuerable o coued smulao causg us o eac

    o eve mnor stress wth anxety

    s val to be abe to urn o ths muscular respose to stress

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    Beod the herapt Couh

    T T A K E S O R E T H A N T R A T O N A L C O U N S E N

    he e o psychology has mae a conseable conon o onesanng o he psyhe Howeve as sene has avace we have

    eaze ha psychoogcal appoahes o ama eovey ogh hep

    ae lme n wha hey a aomplsh hs s becase psychology

    eals wh he onen o he m

    Neology on he ohe han eas wh he way he ban poesses

    hs conen o sccess ama ecovey 's eessay o eal whhe coen o he an he manne n whch he ban pocesses he

    conen an he physca an spa chages he peson epeences

    n he ecovey pocess

    In sho ecovey om ama eqes aenon o he boy mn

    an sp a een sages o e ecovey pocess None o hese men

    sons of he hman peson can be ovelooke n he ecovey pocess

    New eseach s begnnng o ecogne ha he boy s moe

    nvolve n he amac epeence an pevosly nesoo hs

    physcal echnqes ae begnnng o sace ha can poce an bal

    ane by shg own he amygala an allowng he amac ces

    appe n he ban o cke o he sace ke bbbles escapng om

    a bole o caboae wae.

    hese new boy echqes help he ba o sh no a sae o

    empowemen wheeby s o longe e by pas ces b ons

    n he pesen momen. An empowee peson oesn eel hepess. We

    no loge lve wh amac ces nepng o ay an makg o

    lves npleasan.

    B R T H E B O Y N TO T H E P I CT U R E

    A vaey o sess econ echnqes aemp o nep he con

    g avy o he hypohaamsparyaea as. One o he mos

    pomsg s physal eecse.

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    AKING N O R . AN AN RA A

    Resech on eercise o te rovement o entl het s not

    new n ct, consdeble resech hs been condcted on the eects o

    eecise on vet o comon n eeriences. s eslt wenow tt eecise owes stress leves s well s edces net It s

    lso een shown to be benecl or eveting om enhncng se

    estee to povng see. ndeed, its se to e reeve stress nie

    nd even deessionwie enhncng mood, selestee, nd bod

    ges long histor.

    Deesson cn be debttng. Bt s el s 905, reserc sggested eercse hs ostve eect on ths conditon Since tt te

    mo stdies o te eect o eecse on depresson hve sown o-

    sng eslts. ecse s n ntdepessnt eect on te bod becse

    t cetes te stlnts noenepne, dopne, nd serotonn

    wich e ntl ntderessnts e benets o eecse be

    detected s erl s the st sesson nd genell contne beond teend o the eercse rogrm.

    erobc eecses ocs on endrnce intensit nd esstnce.

    lthough eoic eercise hs sown ostive coretion to edced

    stess ne nd depression t snt been cler weter tere s n

    eecse otne thts ticl se o ddessing eoton

    tu

    G E TT N AT T E U S C L E S

    longside the nd o therp n wch we t bot or isses wole

    o teies nown s scosotc theres recognze tht he

    pn we see to epress b tlng s ctl tpped n o psclmep

    schosomtic ppoches to conselng rose drng the 20th cen-

    u becuse o the ttons o t therp nd vet o theies

    now comine both pscotep nd bod tep n the se session

    n ct, thee is now long sto o teres tt epo drect

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    eond the era' ouh 4

    pcal am la apd g. cd rg Trap

    dvd b Wllm c 1940 Bgc Aal dv-

    pd b Aladr Lw 95 gc dvld b J Prrak 970 Hlc Bawrk dvld b Salav

    Gf a 1970 Tg d a dvlpd b gr J.

    allaa 980, ad Mvm za ad -

    cg dvlpd b ac Scapr 980.

    fac cmm all c a rcgz

    em a a p f a vracv pac v mPpl hake w ar amazd Hwvr pr ad

    pa rac va f akg a b adqua prd

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    7

    How e Body

    Copes wi Trauma

    I W V V f ws g he mdde

    o seee ghg Ths p o hd ee w o m esd he ge exeeed eqe e omgs e eoo,

    he me o he ge wee sg od g whe he es

    d dogs eg g o wd Ths eed s h e ws

    heded owds s Wheee poed ws e s o he

    ds o ghe s hde s osse d wh hem o he

    om shees.Oe he om shees whh wee qe sm d me,

    he ds seed hemsees o ehes d hed he hde o e

    ees g hs omg hd wo hde m e

    e od wo es of ge s oms s e god fe s

    hogh he eh sef ws sddeg The ose he omg e o

    44

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    ow he Body Cope wth raua 45

    e sele e srnge e seng bece. I ws eyng

    expeence.

    A ne pn eze e clren n y p wee sng l

    vemc e g n nesr r pesn experencng

    exee c. O cse I el s sng n prevs ccsns

    b s ws e s me I qesne w ppse ese by es

    seve. Wy wee ese clren rembng

    Resec sggess es ssce w sme seses my

    n be syp s mc s ey e selnce by e by n n

    ep exy se g ncese ebs n lypc

    ccn. w b ems pce n mes ?

    T R B L I W TH F R H

    Anmls ve n er nl bs en encner r Once

    e nl g g eeze ecn s ver w ey prcess s

    I gzelle s ce by ln b nges escpe s ene by

    wll sve wle. s ebng s wy sng e excess

    crge. Ae e enn s been eese e gzelle ens e

    er nng wer e pn s g nng ppene

    w wewl n e ge n n ecn ve ery ey

    sw p lwng e encner ppng e wngs vgsy

    se e eecs

    We cn s bseve emblng n wn pes ens wen

    ey re ne n lgenng ce w genng even

    le s ey genee e enegy neee r ee g g B

    becse ey e n n e wl n cn ce clse s n eel

    essng pesence ey n nee s enegy n e by es

    spe

    As w ny ls erng crs nlly n ns

    wen we re ee sen p nevs. nsnce pepe en

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    A G O R A AD RAA

    ror noola sang afr a a ai or som or bs

    wi dag If w f nos o aw may qr an or a

    A assi xam s ging a sp wi for many s o oflifsmos nmdag ns A s a m w may d or s

    nog En on ay oasios l a wddg a brd or groom an

    bom so ros a y n ands rmig milay f

    boss alls s on ap o s may q o w may o

    ss sang all or n fa w ofn say soo a la om

    of s aso b w b igs ad si o a oli l goo bi s And a yo r fl so ag a yo aly s

    wi ag

    mors ar fod may s Alog a o pis

    smas of i dn ad pal y a so ommon a

    y a ognd as a diagnos fa of ani aas soial po-

    bas aniy sod, an posama sss isodr ss a or dng rama n animas om o a a is

    im rory ross o i b a mans wo a aso

    mammas aso mo ar amai ns a a ris m ad for a

    si ason?

    O N G G O O O

    M sam as insna mos n animas, mos in

    mans ar nara spons of a sod o isrd os sys

    m amping o sor body ad mn o a sa of baan

    mors ar abl o ai oy bas y don' as s o

    xp and rby omon ama On oary yxings rama by lping s n o o g, g, or fr

    mansm y aso dsarg xss ngy fom a abo

    g or ig sos

    mos alow a ogasm o "aw o from yrarosa

    sa y ar way body rass sf from rama y wo

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    Ho the Body Cope wh raua 47

    by ueg he hypohalaupiuaryadeal axi hua ju a

    hey do i oher aal. he body evoke he eor o copee

    he dchage o ou gh gh, o eeze epoeuch eo are eered o a uge eo hey are a pr-

    odia body expeece ogag he pocee ohe ba po-

    cedura eoy A uch hey ae a aual apec o he geec

    copoo o he hua oga

    A ipoa apec o a ucceu ecovey ro aua i o ac-

    vae he oga aual eleae echa ha ga he body oeu o a ae o e ad ecupeaio

    D ee eve aiculaed o oly he eoy bedreo bu ao a poce o evoke hee eor he coex o cou-

    eg Dr evie prooe ha he key o eorg baace hua

    oowg a rauaic expeece ie ou ab o iro he ud

    adapaio o wld aa a hey hake ou ad pa hrough he

    obi repoe ad becoe uly oe ad cioa aga

    e call he poce he deved o accoplh h oac xpeiec-

    g6 oac Experecg acheve exco o he aboed dchage

    F Y O U T R E B E A R E Y O U O U T O F C O R O L

    have decrbed how, duig a ar rad o a Aica vage caugh

    he coe o a wa I a holdig wo chdre. A he ad coiued

    uck e ha he chlde wee ebig hy wee he adu

    o hakg oo?

    ha aeoo he ealzao cae o e ha I wa eig ye

    agat y aua iic o ebe acualy e a hough y body

    waed o expeece he reor he chide wee expeiecig bu I

    eher woud o could' le dd kow which I ju kew ha

    I le ye go woud hake a over.

    he he bobg wa over I caualy eoed o he adu pre-

    e ha had oced how he chde al eed ad ha oo had

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    AKIG SESE F SRESS AIE AD RAA

    l l I wand o ac condd a y aso wand o

    l, u y sisd caus y ddn ws cldn o now y

    w aadis spons was so conssn on pa o adus, ss

    o wa nuologss wo av studid ts pnonon concluda

    w av n alzed ut fou ai o dscag sss y ling.

    nl cildn and aals n wld wv suppssd is na

    ua ong xpnc caus w nd i aassing.

    Gving ino lng as us l a w a ou o conol so s dd socaly unaccpal and o avoidd n w s so-

    on ng, i as us uncooal caus w don now wa

    o do aou .

    Ea I cid cas of a woan wo ad n padly sxualy

    ausd y fa. nc s conncd a o sx in da w

    wa appnd o a ands o fa, vn oug a nw lov ig "xpc o av sx d . S found

    s unconolay and u vony sainga pnonon a so

    gnd ov, aonsp ndd. cous ad no da

    a s ginds ody was usng sang as a oo fo ang Fo

    i sang l s an was soing sously psyco

    ogicay wong w psonIs wl accpd n dica au a ody os a ps

    n n a nu o psycoogcal illnsss Howv o ad is a

    u, on could agin a ony ason ody os is caus

    an ndvdual as a ducd aiy o cop wi sssul saons

    l aion is pad o fac a oing occus fa o wdly

    an in psycologca nsss and s n ac a naual pnonon

    H O N T I N

    s a socy w don nd accpa o donsa signs o un

    ay uvng voic, saing lgs ns and ands a inpd

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    H B p Tru 49

    as weakness in u utue Teefe instead f ging int u natua

    innatn t tebe we en anestetze u pain wth medine a

    the sedating substanes.

    eape a gup f ae fends wee sittng aund the ei

    es ust the higway when a a tat was speeding by t ante a,

    ipped e and ame aeenng twads te gup, wh satteed t

    sae e ies As the a ame t a stp upsde dwn te men an

    twads t and anaged t pu ut he upants and pide st ad

    unt meda pfessnas aed he sene was bdy and hat

    Aewads I spke wt ea f the men abut the deent ea

    tins A f tem epted sakng wh they fund bth unmft

    abe and embaassing. T dea with ts, ne went a a ba and

    dwned seea dnks numbng s bdy t am hs nees Anthe

    went me and gt n bed wtut tang abut the indentthugh

    w days ate wen he was ane in te use he began t shake unn

    taby. w thes wee shang s bady at te sene that the e

    eed de em hme, whee they ntnued t shake seea

    hus

    Tauma and tagedy en nd the way int u es despte u

    best atepts at teting usees As ng ganiss u bdiesknwwe ae aabe f epeening, endung and eeing fm

    een the mst seee tauma ts u egte mage we ay in u

    eadf w we aethat tes t ad and deny u neaby and

    tis paes bdy and ind n nit. Ou bdy wants t shake t dis

    hage the eess enegy but u mnd efuses t e it d s Ou mind

    usuay wns, and u bdy ten must nd anthe way f deang wttis hyeaused hage

    As a esut f the peaiing beef that tems indate setng is

    wng us he pupse and ptena eapeu aue hese ems

    as eeied tte attentin Thanfuy tis eeasng meanism s st

    ey u aie in u bdes smy watng f us t eatate it f

    u eang.

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    MA G S E S E O STSS, AXEY A TAA

    I ime for o reognie ha haing a healhy fnion ha

    a a phyiologa aher han a pyoogal ogn e aivaon and

    deaivaion of he hypohaampuiayaena axi in a a or oial penomenon, u a naural phyia proe y renforng

    and aeng ee pmod and nna emo nead of rea

    ng em a f hey wee pahologa we ae ae o reolve he odily

    manifeaon of he overaive ae o ou ympahe nervo y

    em eoring a ae of aane

    Aer an nden of auma i ove o nevo yem hold narlydeaivae ielf y hang ou any edual enonaung hemal

    emainng om e rama epiode. hi hang end a gnal o e

    rain infoming ha he dange ha ded and i hold o

    i aler au

    f e nervo yem doen deavae ef he ody onne

    o remain n a nd of hoied loop wh or ain oninng oelieve l n danger and heefore ommanding he ody o man

    an a ae of eadine. Coneeny or mle hod ono he exe

    age. If hey don' ge an oppony o reeae h hage hey

    reae a ron enion paen whin he ody.

    When he exo mule don reun o a reaxed ae aer he

    ef even i ove hey ao emain vlneale o onnued m-laion fom even minor amon of re eing up a vo ye of

    unending anxey

    wondred wha wold happn were I o deeraey elax h

    pe e of me ha ae e movemen owad he fea poi-

    on. e ou o nd a way o aue hee deep ore mue o relax

    E S G H E H E O RY

    A den life n a eay a i oen made o o e peod of

    one fe ha eoned o fo learnng epeiay a e hghy om

    peive olege leve an e exemey re.

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    How he Bdy Cope wh rauma

    st ot ow that mata th 40 parts xpt of

    sas a o trg hr o ar of og M phlosoph pro

    fsso has s hgh saas t fs k t's possbl to gt A.

    f ot ak a 3 o that papr ot kow how l t m a.O a qt rt amps a graat stt sghs ts ak o

    bak s h trs hhor xamato tht wl hs a.

    swh a og woma who s sbttg h otoa thss

    wth ts th st of mts opas tat t rsarh rqr

    ts wr so xatg shs ha to go o to

    ah smst, t paps pl p qk ssso strssg

    stts to bakg pot. A sap fom th st gr vtb

    s to rgt. How o o ggl th mas of asss st work

    g a ob slf wh o lso t for th soalzg of

    ollg ars hat lps o kp o sat

    Sts show that ollg stts r xprg asg strss

    O top of av oa of asss a wok th s from fa of val

    to b sprors agg latosps wt ft mbs,

    matg goo pr aosps As slt of t asg vls

    of stss s popto os sch prots fo stss c-

    to hv b cot aog stts vs st o tst th phsl a psholog ts of a

    q xs rot to r strss og ths olg popto

    T xs ot ost volv t tratoal aob opots

    of a st o sst. sta t foss o tg bo

    trors.

    Th tros ar grat th xor sls b prforg asrs of xrss tat stth th lg pv ss. Th Tama

    Rs Pross sb th so pat of ths book voks or

    atral abt to sha osvs bk to stat of taqt.

    Hr s t stto btw arob xrs for srss -

    to a xrss tha tvt tros. Aob xs s h

    t oto of th ortxt part of th b that gvs s th

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    AKNG SNS OF SRSS, AX A RAA

    ai o coscous coo od So wh w po aoc x

    cis, w ca o do so o h x ha ou d allows. Aso w ca

    ol x o h dg a ou d alowsWil h a ogis i h as who ca slow ha a ad

    low hi lood pssu coscious, os o us hs a o h

    a s ud ou coscous cooa is, o ad ucd

    h ca cox, whch s sa o wl

    hs s wh os av h advaag Bcus h a g

    ad o whi lic ss o h a a o ud oucoscous coo I o wods xciss a poduc os yass

    h hg a gvg us dc accss o h ucoscous piia

    ai hs as us o ig aou chags ha w coud ows

    accopish B upig hpoalauspuiaada axs

    os pduc phsica laxaio, ducig ou sss wihou d

    o ou coscious cool o v awass o h lasig pocss.

    A E N E D P

    /, hd co pp o o pop a h

    spodspaicula poc psol ad gc d

    ica asw s xpicig spos o osauac sssdisod s aisd hslvs i di was w d

    pop. h xac spos hav a lo o do wih a psos disposiio

    h aou o haig suppo h civ h cosss o hi a

    oship o os who w ld ad h ow chdhood ad adul

    xpcs

    was vd o Nw Yo a goup o hass wo had wog wi posauac sss disod aog gs who

    w a Goud Zo phsca coplais icludd ow ac

    pai c pa, shoud pai ad gasoisial pols. Havig

    wod wh h psoas uscls o as ow ha al o hs sp

    os ca h sul o coc coaco o h psoas

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    How the Body Cpe wth raua 5

    I hd h w Yok rghs do h rm Rs rocss o

    wo dys. h rs y, xn h osrs hir odis ssmd

    nd h movmns hy wn hogh dring hr sc ors. hs

    ncd nng orwr ng, cwng nd bing hnchd down.

    h sos msc conrcs ghy drng hs hysc xrincs.

    hs osiions r so moony chging snc hy ccom

    nid y r o h Consny h nr rns sbsh

    o hod h mscs n his igh osion so chrgd wih io-

    h nnsy.

    Th Tm Rs rocss hd hs mn n womn o

    x h conrc sos msc r ony wo sssons. Th rson

    hs xcss r so s cing s h h rmors rs h chonc

    nson rom h nsi o h msc rh hn om h osi s

    in xny d chnis sch s mssg.

    r ws n mzng xrinc o wch hs rghs s dchonic nsion smy y cving hr rmoing mchnism his

    mchnsm dd xcy wh i's sign o orso h oy o is

    nr s r rmic vn

    Snc hy conn o hmsvs n h o ng iy mny

    rghs do hs xrciss ody s rgr o hir oin

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    8

    h Your Gu Isic s

    DR RMA CRCUMSACS o ran a n noraon

    po hrogh oon of h m y, an n o noox o logal anay an a aonal rpon

    Howvr, po ang ng a aa vn T n-

    va a ly w n o a an nnvy. In

    or o o an o prv pa ran

    m an y T an ma aon who

    aoo an ponally ango po o on rqr fo a

    ogal pon.

    Fo xampl, olr ar ng aron ang whn nly a

    oa o y vyon jp p Som v fo ovr wl

    o r. on o h ol ma a ono on ao

    wa hy n p ong. I prly an nnv pon Awa

    54

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    What Yur Gu nnt 55

    they my even riiize one nother o joe o heir repone B l

    o hem wil y don know why ree h wy, d hedden he of deth e he n o epond ordn to ep

    tln intnt It imply et.

    h poe proe dng me of dne Howeve f we ve

    n epeed or prolone eperene of ner we einfoe h e-

    ve pennd he moe we e hi pte, the moe o in wll

    deflt o even when we e no longe in dner In oher wo, the

    more thi neoloi nework i tive he moe hi empoy

    e will deveop ino pemnen i

    W N O B J E C V I PA I E

    n epeted or ontinl eperene of rm, i' ey to eome

    eeniied o the ne we re in. When hi hppen o welein

    i t ik Sometime i n even o or fe

    A e n pon ome fom when I w worng lonem oneln enter. A miiony who w ein fom depeon ne n

    eeme il me o work wih me. She w pt of monry rop

    ofwomen who h een wokin in n Afin on fo yer, nd eir

    preene mon he ol poplion w epeed. Bt ley the poi

    il mophere hd eome ined nd etrem op wee pn

    in p everywhere. mero otrt ofviolene ored, nldin

    dnppn omin n hooo mon the vio fion.

    My lent w oe frien of he Speio for h op ofwomen

    he Speor hd ome fom Erope o e e eveiy of e ion. Shorly fer he iv he reonzed he dnger h thee

    women wee livin n Voin her onern o he women, he w

    re y them ht hey were fe nd wne o onine heir work

    Aint he inn he Speo eed o le em y long hey

    knew they mt leve f the on woened. The Speior hen

    erne o Erope

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    6 AKNG N O R, AXI AND RAUA

    To ks at a o o nsnts rok nto ons

    o asd t o in ss and illd vy ast on o t

    T dsss arond ts inidnt as ovrn T rioad rsl o ts dats

    Tis s an xa o o t nroloia ts o taa an

    as iaid jdnt siay n t taa s nntn

    T aini sod naly s t lo o t nootx to

    ak rspons disionsos jakd y t l sys

    Consqnty t aks rational, otional disons n is as ton ad n n a taati nvronnt so on ta tir naa

    apai o otvt ardn ti on saty ad o osrd.

    y atally ndd xtrna o ak a sonsil dision

    radn say

    T pror ddnt aiz at osvatons o t danr ts

    on r vin n or aat tan t ons on loi ad n ard ad t o ralzd o traa ats

    nra ntionn s old av xpand t ins tn

    t assssn o t staton and rs possy an ision

    o t op

    A or oon xap o ts is soon o s n a ar ai-

    dnt Ato not njd t ndivdal is too sakn to driv o.

    vn to ty ay ty to ass s tat ty ar ysally okay

    ty ay tr natra apat or ojtvi rardin t

    on sa and al as o osd and ty nd xtnal int-

    vntion in t dsonakn.

    R E E K E E R

    W av dsssd t o o t soas sls n raa T

    dapra s aso ads to t tnson n ts aa As on rsar

    pontd ot "T attants o t psoas s ovra tos o t

    ias and diapa Lik t t sktrs s sls a on

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    Wha ou Gu ti 7

    fo al a o oe. 7 Togehe tese uscles o a uscua cha.

    Ths cha s the ucto o he lagest etok o sypathetc eves

    the oythe soa peus ofte cale the aboa ba. The

    aboapevc a s a bule o eves locate the owe

    aboe a pelvs These eve bules cota oe sypahec ees

    (ghtoght) tha ay othe pat o the boy. Ths s whee ou gut

    eegs ogate.

    Dug taua the oy places a poty o the aboalpelvic

    ba ove the caal a. Ths s why peope oe beg to tut

    age po o kowg that age eay oes est The gu sgas to

    the caal ba to be o alet. ecause we pace such a hgh poty o

    the ogc of the caal ba thee s o evece to suppot the

    utve sesato of he gut the caa ba wl ovee ts sesa

    tos hs physologca pocess s what pouces the e oubt a

    esog ha we epeece whe hee s o ogca easo o ou

    eelgs yet we ae clealy epeecg sesaos o age.

    Ou socey shes ths sesoy epeece eveyay oay

    e ye soes ug a e of wa ae ecouage to e alet o ay

    sesaos o age they epeece eve thee s o ata to co

    the age.

    As a eape o how the gut woks a woa was walkg ow a

    ak steet a sese tha soethg was't ue ght Thee wee o

    obvious sgs to co he tuto. act eveythg seee ute

    oal. Nevetheess a e aogue bega to take pace betee he

    gut whch s actvate by sesato a he caa ba whch s act

    vate by obvous sgs Despte the fact that ou cute has scouage

    woe o elyg o he tuto a eve shes the o

    og so he ea stuggle ese

    he woa ol hese akg t up Thee's othg wog

    A yet she fet usafe.

    Just he, she saw a shaow o a gue cog out o a aey

    State se sceae otuatey, hs chase the woube attacke

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    A I N G N F R ANX A N RAA

    away Aer te woan arrved oe se contned to deate wn

    esel abou wy se ddn' lsen to e ntuton er eelngs were so

    song wy dn se espect eow any rs responders s ave et danger n ter g as tey

    enteed te wn owers and ye went aead anyway o o a sense o

    ty and edcatononly to ose er ves

    ltray we are taug o dsegard or gut nstnct B s a

    crcal eleent o o aty o ace an cope wt aatc statons

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    9

    Drowig i Trauma

    ARH HAS A VR-CRAS FAM o srvvos. We re

    ost we o u ong peope wo re exposed to dens o

    ntrl dssters s s eqkes tsns rnes torndoes

    dougs, oods nd e We re so we o ru ong vs

    o w nd poltl volene Neter n we oge te ny os o

    soet tu s s ony volene ggved ssu

    ttepted dnppng nd sposl nd d bse

    ndvduls, etn ountes, entre es su s Nve Ae

    ns nd ndeed woe nons ve tes been "oteed nd on

    seqenly experened dsproporone ount ot As result

    o beng gnzed dsenrnsed nd onsdered ess vble

    9

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    6 AING N F R ANXI , AN RA A

    b ir nni i r dnl tt y r r

    prty, rl drmnin rrpn nd n

    D y d knwldg tt rm tr lr, n ny pk t td wr n t nd Englnd.Hwr, t r ikly r t dgr rm xprnd

    in tr i.

    r idnt r mr r in r

    Ari. r m ty qnt r trm nd r

    ml nd mt rqnt. n ny gn yr bt ppldi n r in Cnd nd r 43 in Untd St rr mr tn w nd l mlln dnt rld nr

    in t U . S .

    Vint k in t n wr nr rg, nd t

    lng. n ntn y n Und St mr n tird gr

    nd by g tn tn rprd bng n n r x , ggrd tmpd kdppng Ad r

    n lnl t nty ln W rd h pr

    nd mi nt mt w w t r r rim.

    t ht in knw n bndr n Gr Brn m-

    br lrgy bn did t rm tir l r

    xpt wn n i dty n rdr rd tir k bngkd. n t ir r kd mr rqnty n dr nd

    n prbtn . On dy nd t 2% lrgy d rd

    m r in wl n ndn nry rprd

    bng tkd in pri wl mn.

    rrr rnty md t rn mdi tntin

    g t rmtzng t bn rnd r dd. rrrm dnd in gnt pb t r

    t prp ntimdn r rn Gin dnitn t' dnt

    ny nn d plitl rrrm t ntr tr zn

    Wlty ntn d n trrrm gnt dpng

    ntn wi pw ntn d milty trr gn

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    Donng n Tauma 6

    weaker nans an aca grps f man fas have se eigs

    eism f minan

    c eris accs have hreaene enre scieies n f hese

    eis avies makes a ife npredable an nsafe whic en cases

    a sense f helplessness an pelessness. In te face f sc vewhem-

    ng fea an inmian pepe egn esn er namena view

    f e wr. mew lfe esn seem as meanngfl fa an safe

    E A W E N C N G E E C

    Te ama creae b naal an man cases is me fareacing

    than he mmeiae deas r inies nsance te ven vrex f

    war has a evasaing eec n eve eve f r manr b

    mn an spri

    T isae I a te ppni ive in eeem n he Wes

    ank fr hree ears. Dng a ime en avele back an frh

    fm ehlehem ersaem. n ne sch rp wen he er was

    cse alesnians I happene arve a a ceckpin a e same

    ime as a ng aesinan wman he was caryng a newbn he

    rs cil rng ake e spal in esaem.

    Te ng mer appeare be an nneeen eas l ab

    e same age as e sier wh me e a e checkpn. He attemps

    cnvnce m alw he css he brer wen fm akng

    peang crying.

    eeng e wmans grwng espeain he slie was bvis

    mve I was cea se was sincee n he atemp ake e chi the

    spa. s he cnversan grew me inense I nce a bh he

    ng me an he eal ng se began cr gee was

    sa wac as e slier cl nl en her enry in Jesalem

    even hg i was cmpleel agains hs wshes. was sck b e

    pan an angish ha b f ese ng peple enre becase f

    piica manaes

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    62 AIN N O F R, ANX AN RAUMA

    n hr s von a huany surs. Ho sad havn y

    land hs sp uh ha has bn ryng o val sl o us or

    gnaons.

    A R R AC H I N G C O S Q U N C S

    n addon o hos ho a dly xposd o raua lons mo

    xrn an ndr pa.

    Consdr ho h nr old nssd h nv vauaono h y o N rans h sonss o h rsu opaon, and

    ak o soa srvs n h arah o Huan Karna n h Und

    Sas. all our sho hn arnd o h sop o h suna a

    bard Souhas Asa Add o hs h any aua vns la

    aou n h ours o a sngl yarassv oodng n Bangladsh an

    aa sz o Bgu undar n sou Mo dvasang oodsn Chna, hol ons oby oods ngland aruks n Pasanand Pu pan ashs n vaous pas o h old Suh vns hav

    an pa on lons o pop No oy hos ho su ouh suh

    xrns bu ounass, provdrs ohuanaan srvs, and vn

    h lvson audn a rauazd

    Sad a onsan ho a ro Houson o or n h rovyo n ans, "h os supsng hng o m as ha hn

    n ho ar h s svra onhs as ovrhld h sad

    nss agh oally y suprs! only xrnd h ama

    o Karna and o ous, y fay and ho nv ouhd

    A aong h Gu Coas hav sn ho a sas o hs magn

    ud nus onsda oss o pops aa and nana sous As a rsu, any smlan o an ody l s svrly dsubd

    hs an pla an ovrhng sran on oona ng o h

    ndvduals nvolvd. No ony an ak yas o rov onomay

    an b a long bo pop sply sa agan.

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    Dnng i Tuma

    V C A I O T A M A

    ave yo eve watched hoo move t you caed yoel If we

    wach horor o elevo log eogh we ca traumaze oeve to

    the po o