This was a helpful book and I can see why there’s a queue of people at the library who want to read it even though it’s been out since 2014. Great stories of actual patients dealing with trauma and the techniques used by Van Der Kolk to treat them.
The book covers the full spectrum, from brain layout and chemistry to yoga and EMDR. I inadvertently learned more about the brain than in a book that was solely about that organ. The reptilian brain develops in the womb and organizes the functions you require for basic life (breathing, eating, sleeping). It’s always alert for threats, throughout your life. The “limbic” brain evolves in the next 6 years to create a map of relation between you and your surroundings. On top of that, the prefrontal cortex develops. All of these parts are vulnerable to trauma.
One of the coping mechanisms when dealing with trauma is freezing up, numbing oneself, blanking your mind. To treat this, tapping acupressure points, rhythmic interactions like tossing a ball back and forth, drumming, dancing, to change your relationship to bodily sensations.
EMDR is a fascinating technique I’d not heard of: eye movement desensitization and reprocessing; this as a way to access memories more obliquely than head-on, and somewhat related to REM cycle/dreaming. It “loosens” something in the mind that gives people access to memories/images from the past, putting the traumatic experience into context/perspective. It also is a way to deal with trauma without speaking about it, and is a way that can help even if the patient/therapist do not have a trusting relationship.
One of the chapter epitaphs was a tremendous William James quote that stings me as I try to meditate more:
The faculty of voluntarily bringing back a wandering attention, over and over again, is the very root of the judgment, character, and will.