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The Body Bears the Burden : Trauma, Dissociation, and Disease - Robert Scaer

The Body Bears the Burden

Trauma, Dissociation, and Disease


Published: 8th August 2001
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RRP $49.95

Measure the neurophysiological changes associated with PTSD and whiplash!Using the clinical model of the whiplash syndrome, this groundbreaking book describes the alterations in brain chemistry and function induced in individuals by what is known as traumatic stress or traumatization--experiencing a life-threatening event while in a state of helplessness. The Body Bears the Burden: Trauma, Dissociation, and Disease presents evidence of the resulting and relatively permanent alteration in neurophysiology, neurochemistry, and neuronal organization. This book convincingly demonstrates that these changes create lasting effects on the emotional and physical well-being of the victim--changes correlated with many of the most common, yet poorly understood, physical complaints and diseases, including whiplash, migraines, fibromyalgia, irritable bowel syndrome, and other painful, difficult-to-treat conditions. Further, the causes and effects of retraumatization are explored, clarifying the reasons some patients suffer fresh trauma over relatively minor incidents while others handle major traumas more easily. This groundbreaking volume backs up its new theory of PTSD neurophysiology with cogent theory and persuasive evidence, including:

  • case studies correlating clinical features of trauma and dissociation with compelling physiological rationales for the symptoms
  • solid documentation drawing from the medical and psychiatric literature of PTSD, whiplash, brain injury, epidemiology of trauma, and a variety of disease processes linked to trauma
  • in-depth discussions of medical traumatization of patients, including the results of pediatric procedures and ineffective anesthesia
  • demonstrations that somatization and conversion are not imagined symptoms but result from measurable autonomic physiological alteration of the affected organ
  • a well-documented exploration of the effect of prenatal and neonatal trauma on later emotional development, response to traumatic life events, and disease and mortality
This impressive empirical evidence that body, brain, and mind are a continuum offers a powerful new paradigm to medical and mental health professionals, as well as new hope to sufferers from trauma. With a foreword by Bessel van der Kolk and helpful figures, The Body Bears the Burden: Trauma, Dissociation, and Disease is an essential resource for the in-the-trenches professionals who confront the effects of trauma and resulting somatic consequences. It will be of compelling interest and usefulness to family practice physicians, nurses and nurse practitioners, speech and physical therapists, counselors and psychotherapists, and any medical or mental health professional who treats physical or emotional trauma.

Forewordp. xi
Prefacep. xvii
Acknowledgmentsp. xxv
Concepts of Traumatization: The Role of Boundariesp. 1
The Concept of Boundariesp. 3
The Role of Boundaries in Traumap. 4
Boundaries and Childhoodp. 5
Conclusionp. 6
Trauma, Instinct, and the Brain: The Fight/Flight/Freeze Responsep. 9
Brain Responses to Stressp. 13
Fighting, Fleeing, or Freezingp. 15
Conclusionp. 21
The Whiplash Syndrome I: Symptoms in Search of a Meaningp. 23
The History of Whiplashp. 23
The Clinical Syndromep. 24
Physical Forces and Structural Injuryp. 24
The Pathophysiology of Whiplashp. 26
Conclusionp. 32
The Whiplash Syndrome II: A Model for Traumatizationp. 35
Memory Mechanisms in Traumap. 35
Somatic Responses to Stressp. 38
The Meaning of Speedp. 40
The Physiology of Traumatizationp. 43
Conclusionp. 53
Trauma and Brain Plasticityp. 57
The History of Post-Traumatic Stress Disorder in Psychiatryp. 58
The Developing Brainp. 61
The Development of Characterp. 62
Brain Plasticity in Traumap. 63
Objective Measures of Brain Change in Traumap. 64
The Permanence of Post-Traumatic Stress Disorderp. 66
Conclusionp. 67
Diseases of Traumatic Stressp. 69
The Pathophysiology of Stressp. 70
Stress versus Traumap. 71
The Hypothalamic/Pituitary/Adrenal Axisp. 72
Stress, Post-Traumatic Stress Disorder, and Immune Functionp. 73
The Diseases of Traumap. 74
Morbidity and Mortalityp. 81
Conclusionp. 83
Trauma Reenactmentp. 85
Introductionp. 85
The Roots of Reenactmentp. 86
Clinical Featuresp. 88
Gender Differencesp. 89
The Anniversary Syndromep. 92
Reenactment Through Risk Takingp. 93
Conclusionp. 95
Somatic Dissociationp. 97
Examples of Dissociationp. 98
Memory in Dissociationp. 100
Cognitive and Emotional Featuresp. 102
Dissociative Physical Symptomsp. 104
Conversion and Dissociationp. 107
The Autonomic Nervous System in Post-Traumatic Stress Disorderp. 111
The Concept of Boundariesp. 117
Somatic Dissociation and Diseasep. 120
Conclusionp. 124
Sources of Traumap. 127
The Definition of Traumatic Stressp. 131
Exposure to Combatp. 132
Child Abusep. 135
Societal Traumap. 138
Medical Traumap. 142
The Role of Past Traumap. 147
Awareness During Anesthesiap. 148
Pediatric Medical Traumap. 151
Childhood Medical Traumap. 154
Conclusionp. 155
Trauma Therapy: Future Directionsp. 157
Counseling and Verbal/Cognitive Therapyp. 158
Exposure and Desensitization Techniquesp. 161
Somatically Based Therapiesp. 164
Eye Movement Desensitization and Reprocessingp. 166
Somatic Experiencingp. 169
The "Power Therapies"p. 171
Pharmacotherapy of Post-Traumatic Stress Disorderp. 177
Conclusionp. 182
Case Histories: The Somatic Spectrum of Traumap. 185
A State of Vulnerabilityp. 185
Somatic Representations of Prior Traumap. 187
Medical and Forensic Retraumatizationp. 189
Multiple Chemical Sensitivitiesp. 191
The Mysterious Piriformisp. 193
Disorders of Speech in Traumap. 195
Spasmodic Torticollis: An Aberration of the Orienting Reflexp. 197
Dissociation and Reflex Sympathetic Dystrophyp. 200
Commentsp. 201
Postscriptp. 205
Notesp. 209
Indexp. 239
Table of Contents provided by Syndetics. All Rights Reserved.

ISBN: 9780789012463
ISBN-10: 0789012464
Series: Behavioral Science Book Club Main Selection! Ser.
Audience: Professional
Format: Paperback
Language: English
Number Of Pages: 250
Published: 8th August 2001
Publisher: Taylor & Francis Inc
Country of Publication: US
Dimensions (cm): 20.3 x 14.6  x 1.9
Weight (kg): 0.41