作者:
Bessel van der Kolk MD 出版社: Viking 副标题: Brain, Mind, and Body in the Healing of Trauma 出版年: 2014-9-25 页数: 464 定价: USD 27.95 装帧: Hardcover ISBN: 9780670785933
The founder and medical director of the Trauma Center in Brookline, Massachusetts, and director of the National Complex Trauma Treatment Network, Bessel van der Kolk, M.D. lives in Boston, Massachusetts.
目录
· · · · · ·
Lessons from Vietnam veterans
Revolutions in understanding mind and brain
Looking into the brain : the neuroscience revolution
Running for your life : the anatomy of survival
Body-brain connections
Losing your body, losing your self
· · · · · ·
(更多)
Lessons from Vietnam veterans
Revolutions in understanding mind and brain
Looking into the brain : the neuroscience revolution
Running for your life : the anatomy of survival
Body-brain connections
Losing your body, losing your self
Getting on the same wavelength : attachment and attunement
Trapped in relationships : the cost of abuse and neglect
What's love got to do with it?
Developmental trauma : the hidden epidemic
Uncovering secrets : the problem of traumatic memory
The unbearable heaviness of remembering
Healing from trauma : owning your self
Language : miracle and tyranny
Letting go of the past: EMDR
Learning to inhabit your body : yoga
Putting the pieces together : self-leadership
Filling in the holes : creating structures
Rewiring the brain : neurofeedback
Finding your voice : communal rhythms and theater -- Epilogue : trauma and society.
· · · · · · (收起)
Trauma robs you of the feeling that you are in charge of yourself, of what I will call self-leadership in the chapters to come. The challenge of recovery is to reestablish ownership of your body and your mind—of your self. This means feeling free to know what you know and to feel what you feel without becoming overwhelmed, enraged, ashamed, or collapsed. For most people this involves (1) findind a way to become calm and focused, (2) learning to maintain that calm in response to images, thoughts, sounds, or physical sensations that remind you of the past, (3) finding a way to be fully alive in the present and engaged with the people around you, (4) not having to keep secrets from yourself, including secrets about the ways that you have managed to survive. (查看原文)
“Imagination is absolutely critical to the quality of our lives. Our imagination enables us to leave our routine everyday existence by fantasizing about travel, food, sex, falling in love, or having the last word—all the things that make life interesting. Imagination gives us the opportunity to envision new possibilities—it is an essential launchpad for making our hopes come true. It fires our creativity, relieves our boredom, alleviates our pain, enhances our pleasure, and enriches our most intimate relationships.” (查看原文)
All about self-awareness, self-reconciliation, self-leadership and building relationships with the rest of world with this whole self. It’s this bittersweet journey that makes life meaningful and fulf...All about self-awareness, self-reconciliation, self-leadership and building relationships with the rest of world with this whole self. It’s this bittersweet journey that makes life meaningful and fulfilled ❤️(展开)
刚看到本书的中文已经出版,写一些我对这书的看法,算作书评,希望对感兴趣的读者有用。 ==================================================== 1. 本书(以下简称Body)的特别 首先介绍一下作者(Bessel van der Kolk):随着越战退伍老兵回国的契机,作者从七十年代开始做创...
(展开)
《身体从未忘记:心理创伤疗愈中的大脑、心智和身体》(英语名:The Body Keeps the Score:Brain,Mind,and Body in the Healing of Trauma)(作者:巴塞尔•范德考克 Bessel Van der Kolk)通过作者几十年的工作经验总结以丰富的案例讲述了人在面对创伤事件大脑是怎么样运作...
(展开)
Trauma robs you of the feeling that you are in charge of yourself, of what I will call self-leadership in the chapters to come. The challenge of recovery is to reestablish ownership of your body and your mind—of your self. This means feeling free to know what you know and to feel what you feel without becoming overwhelmed, enraged, ashamed, or collapsed. For most people this involves (1) findi...
2018-07-19 20:292人喜欢
Trauma robs you of the feeling that you are in charge of yourself, of what I will call self-leadership in the chapters to come. The challenge of recovery is to reestablish ownership of your body and your mind—of your self. This means feeling free to know what you know and to feel what you feel without becoming overwhelmed, enraged, ashamed, or collapsed. For most people this involves (1) findind a way to become calm and focused, (2) learning to maintain that calm in response to images, thoughts, sounds, or physical sensations that remind you of the past, (3) finding a way to be fully alive in the present and engaged with the people around you, (4) not having to keep secrets from yourself, including secrets about the ways that you have managed to survive. 引自 Chapter 13 Healing from Trauma: Owning Your Self
不久我在在童年虐待受害者身上看到[...]他们因自己为了生存曾作出的行为以及与虐待他们的人保持联系而遭受令人十分痛苦的耻辱感;尤其是当虐待者是跟孩童亲近的人、孩童所依靠的人——这也是最常见的情景。这造成当事人的混乱:我到底是受害者还是自愿的参与者?从而分不清楚爱和恐怖、痛与欢愉的区别。 “In later years I encountered a similar phenomenon in victims of child abuse: Most of them suffer from agonizing s...
“In later years I encountered a similar phenomenon in victims of child abuse: Most of them suffer from agonizing shame about the actions they took to survive and maintain a connection with the person who abused them. This was particularly true if the abuser was someone close to the child, someone the child depended on, as is so often the case. The result can be confusion about whether one was a victim or a willing participant, which in turn leads to bewilderment about the difference between love and terror; pain and pleasure. We will return to this dilemma throughout this book.”
原作:《身体从未忘记:心理创伤疗愈中的大脑、心智和身体》“The Body Keeps the Score: Brain, Mind, and Body in the Healing of Trauma.”
“Imagination is absolutely critical to the quality of our lives. Our imagination enables us to leave our routine everyday existence by fantasizing about travel, food, sex, falling in love, or having the last word—all the things that make life interesting. Imagination gives us the opportunity to envision new possibilities—it is an essential launchpad for making our hopes come true. It fires o...
2019-02-17 21:531人喜欢
“Imagination is absolutely critical to the quality of our lives. Our imagination enables us to leave our routine everyday existence by fantasizing about travel, food, sex, falling in love, or having the last word—all the things that make life interesting. Imagination gives us the opportunity to envision new possibilities—it is an essential launchpad for making our hopes come true. It fires our creativity, relieves our boredom, alleviates our pain, enhances our pleasure, and enriches our most intimate relationships.”引自 Lessons from Vietnam Veterans
这段话让我想起了人类简史认知革命,讨论不存在事物的能力是人类语言的独特性。
“It’s relatively easy to agree that only Homo sapiens can speak about things that don’t really exist, and believe six impossible things before breakfast. You could never convince a monkey to give you a banana by promising him limitless bananas after death in monkey heaven. But why is it important? After all, fiction can be dangerously misleading or distracting. People who go to the forest looking for fairies and unicorns would seem to have less chance of survival than people who go looking for mushrooms and deer. And if you spend hours praying to non-existing guardian spirits, aren’t you wasting precious time, time better spent foraging, fighting and fornicating?
But fiction has enabled us not merely to imagine things, but to do so collectively. We can weave common myths such as the biblical creation story, the Dreamtime myths of Aboriginal Australians, and the nationalist myths of modern states. Such myths give Sapiens the unprecedented ability to cooperate flexibly in large numbers. Ants and bees can also work together in huge numbers, but they do so in a very rigid manner and only with close relatives. Wolves and chimpanzees cooperate far more flexibly than ants, but they can do so only with small numbers of other individuals that they know intimately. Sapiens can cooperate in extremely flexible ways with countless numbers of strangers. That’s why Sapiens rule the world."
Our culture teaches us to focus on personal uniqueness, but at a deeper level we barely exist as individual organisms. Our brains are built to help us function as members of a tribe. We are part of that tribe even when we are by ourselves, whether listening to music (that other people created), watching a basketball game on television (our own muscles tensing as the players run and jump), or pr...
2015-03-10 06:321人喜欢
Our culture teaches us to focus on personal uniqueness, but at a deeper
level we barely exist as individual organisms. Our brains are built to help us
function as members of a tribe. We are part of that tribe even when we are by
ourselves, whether listening to music (that other people created), watching a
basketball game on television (our own muscles tensing as the players run and
jump), or preparing a spreadsheet for a sales meeting (anticipating the boss’s
reactions). Most of our energy is devoted to connecting with others.
If we look beyond the list of specific symptoms that entail formal psychiatric
diagnoses, we find that almost all mental suffering involves either
trouble in creating workable and satisfying relationships or difficulties in
regulating arousal (as in the case of habitually becoming enraged, shut down,
overexcited, or disorganized). Usually it’s a combination of both. The standard
medical focus on trying to discover the right drug to treat a particular
“disorder” tends to distract us from grappling with how our problems interfere
with our functioning as members of our tribe.
Social support is not the same as merely being in the presence of others.
The critical issue is reciprocity: being truly heard and seen by the people
around us, feeling that we are held in someone else’s mind and heart. For our
physiology to calm down, heal, and grow we need a visceral feeling of safety.
No doctor can write a prescription for friendship and love: These are complex
and hard- earned capacities. You don’t need a history of trauma to feel selfconscious
and even panicked at a party with strangers— but trauma can turn
the whole world into a gathering of aliens.
Many traumatized people find themselves chronically out of sync with
the people around them. Some find comfort in groups where they can replay
their combat experiences, rape, or torture with others who have similar
backgrounds or experiences. Focusing on a shared history of trauma and
victimization alleviates their searing sense of isolation, but usually at the
price of having to deny their individual differences: Members can belong only
if they conform to the common code.
Isolating oneself into a narrowly defined victim group promotes a view
of others as irrelevant at best and dangerous at worst, which eventually only
leads to further alienation. Gangs, extremist political parties, and religious
cults may provide solace, but they rarely foster the mental flexibility needed
to be fully open to what life has to offer and as such cannot liberate their
members from their traumas. Well- functioning people are able to accept
individual differences and acknowledge the humanity of others.
引自第78页
问题:受害者支持团体真的“支持”吗?还是强化了异化作用?
In the past two decades it has become widely recognized that when adults
or children are too skittish or shut down to derive comfort from human
beings, relationships with other mammals can help. Dogs and horses and
even dolphins offer less complicated companionship while providing the
necessary sense of safety. Dogs and horses, in particular, are now extensively
used to treat some groups of trauma patients.10引自第78页
Semrad taught us that most human suffering is related to love and loss and the the job of therapist is to help people 'acknowledge, experience, and bear' the reality of life -- with all its pleasures and heartbreaks. 'The greatest sources of our suffering are the lies we tell ourselves.'
2018-12-06 20:11
Semrad taught us that most human suffering is related to love and loss and the the job of therapist is to help people 'acknowledge, experience, and bear' the reality of life -- with all its pleasures and heartbreaks. 'The greatest sources of our suffering are the lies we tell ourselves.'引自 2. Revolutions in understanding mind and brain
“Imagination is absolutely critical to the quality of our lives. Our imagination enables us to leave our routine everyday existence by fantasizing about travel, food, sex, falling in love, or having the last word—all the things that make life interesting. Imagination gives us the opportunity to envision new possibilities—it is an essential launchpad for making our hopes come true. It fires o...
2019-02-17 21:531人喜欢
“Imagination is absolutely critical to the quality of our lives. Our imagination enables us to leave our routine everyday existence by fantasizing about travel, food, sex, falling in love, or having the last word—all the things that make life interesting. Imagination gives us the opportunity to envision new possibilities—it is an essential launchpad for making our hopes come true. It fires our creativity, relieves our boredom, alleviates our pain, enhances our pleasure, and enriches our most intimate relationships.”引自 Lessons from Vietnam Veterans
这段话让我想起了人类简史认知革命,讨论不存在事物的能力是人类语言的独特性。
“It’s relatively easy to agree that only Homo sapiens can speak about things that don’t really exist, and believe six impossible things before breakfast. You could never convince a monkey to give you a banana by promising him limitless bananas after death in monkey heaven. But why is it important? After all, fiction can be dangerously misleading or distracting. People who go to the forest looking for fairies and unicorns would seem to have less chance of survival than people who go looking for mushrooms and deer. And if you spend hours praying to non-existing guardian spirits, aren’t you wasting precious time, time better spent foraging, fighting and fornicating?
But fiction has enabled us not merely to imagine things, but to do so collectively. We can weave common myths such as the biblical creation story, the Dreamtime myths of Aboriginal Australians, and the nationalist myths of modern states. Such myths give Sapiens the unprecedented ability to cooperate flexibly in large numbers. Ants and bees can also work together in huge numbers, but they do so in a very rigid manner and only with close relatives. Wolves and chimpanzees cooperate far more flexibly than ants, but they can do so only with small numbers of other individuals that they know intimately. Sapiens can cooperate in extremely flexible ways with countless numbers of strangers. That’s why Sapiens rule the world."
The resulting visceral sensations (ranging from mild queasiness to the grip of panic in your chest) will interfere with whatever your mind is currently focused on and get you moving — physically and mentally — in a different direction. Even at their most subtle, these sensations have a huge influence on the small and large decisions we make throughout our lives: what we choose to eat, where ...
2018-12-09 13:54
The resulting visceral sensations (ranging from mild queasiness to the grip of panic in your chest) will interfere with whatever your mind is currently focused on and get you moving — physically and mentally — in a different direction. Even at their most subtle, these sensations have a huge influence on the small and large decisions we make throughout our lives: what we choose to eat, where we like to sleep and with whom, what music we prefer, whether we like to garden or sing in the choir, and whom we befriend and whom we detest.
Behaviors to avoid or escape from danger have clearly evolved to render each organism competitive in terms of survival. But inappropriately prolonged escape or avoidance behavior would put the animal at a disadvantage in that successful species preservation demands reproduction which, in turn, depends upon feeding, shelter and mating activities all of which are reciprocals of avoidance and esca...(1回应)
2015-03-10 02:48
Behaviors to avoid or escape from danger have clearly evolved to render
each organism competitive in terms of survival. But inappropriately
prolonged escape or avoidance behavior would put the animal at a disadvantage
in that successful species preservation demands reproduction
which, in turn, depends upon feeding, shelter and mating activities all of
which are reciprocals of avoidance and escape.3引自第75页
原文注解是C. Darwin, The Expression of the Emotions in Man and Animals (London: Oxford University Press, 1998). 第71页。
无法寻得原文出处。存疑。
我开始怀疑作者的认真程度。
类似的,还有这个。作者使用双引号包括以下这段话的,说明这是一段原文引用:
Heart, guts, and brain communicate intimately via the ‘pneumogastric’ nerve,
the critical nerve involved in the expression and management of emotions in
both humans and animals. When the mind is strongly excited, it instantly affects
the state of the viscera; so that under excitement there will be much mutual
action and reaction between these, the two most important organs of the body.引自第75页
... Claude Bernard also repeatedly insists, and this deserves especial notice, that when the heart is affected it reacts on the brain; and the the state of the brain again reacts through pneumo-gastric nerve on the heart; so that under any excitement there will be much mutual action and reaction between these, the two most important organs of the body. 引自第75页
达尔文根本就没有用到gut这个词,他在The Expression of the Emotions in Man and Animals中用alimentary canal and glands指消化道的一切。他确实有讲消化系统和腺体会受到情感的影响。但达尔文似乎没有在第三章讲到情绪影响下哺乳类动物会忽视其他生存至关重要的行为(也许他在后面有讲)。没有虽然大概意思没错,但作者你堂堂一个医生这样子改别人的原文真的好吗?
正因为作者的引用有这么大的问题,他下面的这些推论在我看来一点都不科学。全都从经验推论的,是民科好吗。
The first time I encountered this passage, I reread it with growing excitement.
Of course we experience our most devastating emotions as gut- wrenching
feelings and heartbreak. As long as we register emotions primarily in our heads,
we can remain pretty much in control, but feeling as if our chest is caving in or
we’ve been punched in the gut is unbearable. We’ll do anything to make these
awful visceral sensations go away, whether it is clinging desperately to another
human being, rendering ourselves insensible with drugs or alcohol, or taking a
knife to the skin to replace overwhelming emotions with definable sensations.
How many mental health problems, from drug addiction to self- injurious
behavior, start as attempts to cope with the unbearable physical pain of our
emotions? If Darwin was right, the solution requires finding ways to help people
alter the inner sensory landscape of their bodies.引自第75页
不久我在在童年虐待受害者身上看到[...]他们因自己为了生存曾作出的行为以及与虐待他们的人保持联系而遭受令人十分痛苦的耻辱感;尤其是当虐待者是跟孩童亲近的人、孩童所依靠的人——这也是最常见的情景。这造成当事人的混乱:我到底是受害者还是自愿的参与者?从而分不清楚爱和恐怖、痛与欢愉的区别。 “In later years I encountered a similar phenomenon in victims of child abuse: Most of them suffer from agonizing s...
“In later years I encountered a similar phenomenon in victims of child abuse: Most of them suffer from agonizing shame about the actions they took to survive and maintain a connection with the person who abused them. This was particularly true if the abuser was someone close to the child, someone the child depended on, as is so often the case. The result can be confusion about whether one was a victim or a willing participant, which in turn leads to bewilderment about the difference between love and terror; pain and pleasure. We will return to this dilemma throughout this book.”
原作:《身体从未忘记:心理创伤疗愈中的大脑、心智和身体》“The Body Keeps the Score: Brain, Mind, and Body in the Healing of Trauma.”
0 有用 BOBOan 2018-02-19
很棒。作为resource book,会反复阅读的。
0 有用 光与影 2015-04-27
迄今为止读过的最好的创伤书
1 有用 Fiona 2019-04-28
“在自己身上克服这个时代”
9 有用 小北 2016-05-01
I swear I will protect my family and my children if I could have them in the future.
15 有用 折腾 2016-06-15
深度广度俱佳,希望即将出版的中文版在国内得到关注。近几年美国心理治疗界全国推广trauma-based的视角,相当一部分归功于作者及其团队所做的工作。本书出众于同类书籍之处在于:1)后半本儿书和末尾的推荐书目为咨询师临床提供了全面的索引;2)为大众有深度地科普了不同创伤对人不同程度的影响,Amazon排在Psychiatry分类下销量第二(第一是DSM5...);3)点出的未来创伤领域可能的热点,... 深度广度俱佳,希望即将出版的中文版在国内得到关注。近几年美国心理治疗界全国推广trauma-based的视角,相当一部分归功于作者及其团队所做的工作。本书出众于同类书籍之处在于:1)后半本儿书和末尾的推荐书目为咨询师临床提供了全面的索引;2)为大众有深度地科普了不同创伤对人不同程度的影响,Amazon排在Psychiatry分类下销量第二(第一是DSM5...);3)点出的未来创伤领域可能的热点,基本都是作者团队经过实验对比验证的。作者是原来的实习单位的顾问,后半本儿书提到所有疗法(除了最后一章戏剧治疗)被实习单位全部应用。作为实习生,我幸运地直接间接参与了书中提到的一些略新疗法:EMDR,Neurofeedback, Somatic Experiencing和PBSP,效果确应得到更多关注 (展开)
0 有用 yvetterowe 2019-11-17
All about self-awareness, self-reconciliation, self-leadership and building relationships with the rest of world with this whole self. It’s this bittersweet journey that makes life meaningful and fulf... All about self-awareness, self-reconciliation, self-leadership and building relationships with the rest of world with this whole self. It’s this bittersweet journey that makes life meaningful and fulfilled ❤️ (展开)
0 有用 HoiHoiHoi 2019-11-09
强力推荐!科学性极强,但同时又饱含人文关怀,谈创伤治疗,却又深入浅出讲药学,神经科学,甚至社会学。即使普通人也能从中获益无穷:一方面让我们看到完好健康的心理状态是何等幸运,天灾人祸,童年经历都可能造成创伤;另一方面人又有强韧生命力,很多反常行为都是个体的应急自适应努力,比如瘾症,超重,自残,麻木或过激,乃至激素水平失常等;因而,如果忽视身体信号,那么极端状况将是感知力和自身调节的丧失。书中很多观点... 强力推荐!科学性极强,但同时又饱含人文关怀,谈创伤治疗,却又深入浅出讲药学,神经科学,甚至社会学。即使普通人也能从中获益无穷:一方面让我们看到完好健康的心理状态是何等幸运,天灾人祸,童年经历都可能造成创伤;另一方面人又有强韧生命力,很多反常行为都是个体的应急自适应努力,比如瘾症,超重,自残,麻木或过激,乃至激素水平失常等;因而,如果忽视身体信号,那么极端状况将是感知力和自身调节的丧失。书中很多观点都来源于扎实的临床试验和观察,非常有收获,很值得一读。 (展开)
0 有用 杨羊羊多啦 2019-11-01
‘I suspected a few tears, possibly even in myself.’ Meaningful knowledge and certainly a tough read. Dan’s 2nd book recommendation.
0 有用 Square 2019-09-25
很有趣的书,虽然有些部分真的也太学术有点看不下去,但大部分可读性还是很强的。记忆、创伤…种种皆成就今日之我…
0 有用 // 2019-12-06
这个书…让人无语凝噎。行动起来!