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	<title>Laura Kerr, PhD, IMFT &#124; Trauma’s Labyrinth</title>
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	<link>http://www.laurakkerr.com</link>
	<description>Reflections on Psychological Healing, Trauma &#38; Mental Health Care in a Globalized World</description>
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		<title>Research on Traumatic Stress Supports Paradigm Shift in Mental Health Care</title>
		<link>http://www.laurakkerr.com/2012/02/16/traumatic-stress-supports-paradigm-shift/</link>
		<comments>http://www.laurakkerr.com/2012/02/16/traumatic-stress-supports-paradigm-shift/#comments</comments>
		<pubDate>Fri, 17 Feb 2012 05:43:40 +0000</pubDate>
		<dc:creator>Laura K Kerr</dc:creator>
				<category><![CDATA[Biomedical Psychiatry]]></category>
		<category><![CDATA[Healing Trauma]]></category>
		<category><![CDATA[Nature vs. Nurture]]></category>

		<guid isPermaLink="false">http://www.laurakkerr.com/?p=2048</guid>
		<description><![CDATA[<p style="text-align: justify;">In the mental health system, the biomedical model is the dominant paradigm. It depicts mental disorders as chronic diseases requiring lifelong treatment with medication (like diabetes or high blood pressure). This model of mental illness has been under attack in the US, where an estimated <a href="http://www.naturalnews.com/034278_psychiatric_drugs_adults.html" target="_blank">20 percent of the population regularly [...]]]></description>
			<content:encoded><![CDATA[<p style="text-align: justify;"><img class="alignleft size-medium wp-image-2075" title="Copyright © 2012 Laura K Kerr" src="http://www.laurakkerr.com/wp-content/uploads/2012/02/020_17A.JPG-300x213.jpg" alt="" width="300" height="213" />In the mental health system, the biomedical model is the dominant paradigm. It depicts mental disorders as chronic diseases requiring lifelong treatment with medication (like diabetes or high blood pressure). This model of mental illness has been under attack in the US, where an estimated <a href="http://www.naturalnews.com/034278_psychiatric_drugs_adults.html" target="_blank">20 percent of the population regularly takes psychiatric medications</a>.</p>
<p style="text-align: justify;">Arguments against the biomedical approach intensified during the past decade as consumer advocates became more vocal, and researchers and journalists challenged the veracity of the disease model of mental disorders. However, given the vast number of people suffering from psychological distress, reliance on medication continues. Furthermore, for persons suffering from mental disorders, the situation is often dire. Around the world, <a href="http://www.un.org/apps/news/story.asp?NewsID=32016&amp;Cr=mental+health&amp;Cr1" target="_blank">more people die from suicide than homicide</a>.</p>
<p style="text-align: justify;">Some of the most damaging criticisms of the biomedical approach came from researchers in the field. For example, an often-cited review article revealed <a href="http://www.nejm.org/doi/full/10.1056/NEJMsa065779" target="_blank">duplicity surrounded published accounts of the efficacy of selective serotonin reuptake inhibitors</a>, or SSRI antidepressants. The article concluded pharmaceutical companies and psychiatric researchers published studies that confirmed the effectiveness of SSRIs while excluding studies that had negative or questionable results, leading to an overstatement of the efficacy of these drugs by as much as 30 percent. A more recent study showed <a href="http://healthland.time.com/2012/01/18/new-research-on-the-antidepressant-versus-placebo-debate/" target="_blank">about a quarter of the people taking SSRIs are potentially made worse by them</a>.</p>
<p style="text-align: justify;">A deluge of lawsuits against pharmaceutical companies also fueled increased skepticism towards the practice of treating mental illness with medications. For example, the pharmaceutical company Eli Lilly came under attack for downplaying health risks caused by the novel antipsychotic Zyprexa, a medication used to treat schizophrenia and bipolar disorder. <a href="http://www.nytimes.com/2006/12/17/business/17drug.html?pagewanted=all" target="_blank">Eli Lilly was aware of the increased risk of obesity and diabetes occurring with Zyprexa</a>, but consistently denied such correlations existed with long-term use of the drug. Furthermore, <a href="http://www.americanbar.org/newsletter/publications/aba_health_esource_home/Volume5_07_Mann.html" target="_blank">Zyprexa use led to deaths in the elderly</a>. Meanwhile, the <a href="http://ssristories.com/" target="_blank">controversy linking SSRIs use with suicidal and homicidal acts</a> continues.</p>
<p style="text-align: justify;">Some of the most damning evidence against the biomedical paradigm came from investigative reporter <a href="http://www.robertwhitaker.org/robertwhitaker.org/Home.html" target="_blank">Robert Whitaker</a>. Combing through decades of psychiatric research, Whitaker reached the conclusion that the current practice of treating mental illness as chronic disorders is a “failed paradigm of care.” According to Whitaker, <a href="http://www.madnessradio.net/madness-radio-sane-medication-policy-robert-whitaker" target="_blank">psychopharmacology is actually creating chronic illness</a>. Since the debut of psychopharmacology over 50 years ago (initiated by the introduction of Thorazine and Haloperidol), patient outcomes have gotten worse, and more people have become disabled by mental illness. Persons treated continually with psychotropic medications suffer from more physical ailments and are more chronically ill; they are straddled with higher unemployment; and they die as much as 25 years earlier. Furthermore, evidence suggests the medications perturb otherwise normal functioning, including normal mental functioning.</p>
<p style="text-align: justify;">(<strong>Note</strong>: As the <a href="http://ssristories.com/" target="_blank">SSRI Stories Website</a> states, &#8220;Withdrawal can often be more dangerous than continuing on a medication. It is important to withdraw extremely slowly from these drugs, usually over a period of a year or more, under the supervision of a qualified specialist. Withdrawal is sometimes more severe than the original symptoms or problems.&#8221;)</p>
<p style="text-align: justify;">Given the extent of the evidence against the current biomedical approach, there has been a push for reform reminiscent of the anti-psychiatry movement of the 1960s and 1970s. Yet rather than questioning the entire enterprise, many believe the system plays a necessary role in US society, and the goal should not be its demise, but rather a more scientifically rigorous and humane mental healthcare system committed to patients’ needs and not the pharmaceutical industry&#8217;s profits or researchers&#8217; professional ambitions.</p>
<p style="text-align: justify;">Increasingly, scientific evidence points to the body&#8217;s natural response to stress as the likely culprit leading to mental disorders later in life. Whereas the body&#8217;s stress response is a natural defense, research now shows too much activation early in life leads to diseases and mental disorders later on. Recent studies revealed:</p>
<p style="text-align: justify;">• <a href="http://www.guardian.co.uk/science/2012/feb/13/childhood-abuse-growth-brain-emotions?newsfeed=true" rel="nofollow" target="_blank">Childhood maltreatment reduces the volume of the hippocampus</a>, a region of the brain responsible for creating long-term memories. Specifically, volume reduction in the subiculum region of the hippocampus, which relays information from the hippocampus to other parts of the brain, reduced signaling to the dopamine system the need to regulate the body&#8217;s response to stress. Researchers associate volume reduction in the subiculum with addictions, depression, and schizophrenia.</p>
<p style="text-align: justify;">• <a href="http://www.apa.org/monitor/2012/02/mental-illness.aspx" target="_blank">Traumatic stress impacts the immune system</a>, causing inflammatory responses in the brain that are linked to mood disorders, autism, and schizophrenia. Early life stressors contribute to an over-active immune system, as well as impacting initial brain development. (On a hopeful note, compassion-focused meditation may reduce inflammation. Conversely, research showed <a href="http://www.apa.org/monitor/2011/05/cells.aspx" target="_blank">loneliness activates the immune system&#8217;s inflammatory response</a>—one more indication that loving attachments contribute to good health.)</p>
<p style="text-align: justify;">Abuse, neglect and other traumatic childhood experiences are so prevalent in the US that trauma specialist and psychiatrist <a href="http://www.traumacenter.org/about/about_bessel.php" target="_blank">Bessel van der Kolk</a> claimed the most important health problem facing Americans is childhood traumatic stress. Referred to collectively as “<a href="http://acestoohigh.ning.com/" target="_blank">adverse childhood experiences</a>,” these traumatic stressors include recurrent physical abuse; recurrent emotional abuse; sexual abuse; an alcohol and/or drug abuser in the household; an incarcerated household member; living with someone who is chronically depressed, mentally ill, institutionalized, or suicidal; domestic violence; one or no parents in the household; and emotional and physical neglect. Based on self-reports of over 17,000 adults in America, <a href="http://www.cdc.gov/ace/index.htm" target="_blank">a study conducted by Kaiser Permanente and the Center for Disease Control and Prevention (CDC-P)</a> concluded that more than two-thirds of the participants in the study had at least one adverse childhood experience when growing up, while over two-fifths have a history of at least two of these experiences. When extrapolated to the general population, this study suggests a majority of US citizens have histories of childhood traumatic stress, a conclusion other studies support.</p>
<p style="text-align: justify;">In his book, <em><a href="http://www.amazon.com/Truth-About-Mental-Illness-Choices/dp/075730107X" target="_blank">The Truth About Mental Illness</a>,</em> psychiatrist Charles Whitfield gives exhaustive lists of studies that found a relationship between childhood traumatic stress and the later development of mental disorders. He makes this point not only for post traumatic stress disorder—the classic diagnosis given to the trauma survivor—but for many disorders in the <em>Diagnostic and Statistical Manual of Mental Disorders,</em> including anxiety disorders, mood disorders, alcohol and other drug problems, eating disorders, personality disorders, ADHD, schizophrenia, as well as various physical illnesses. Furthermore, persons exposed to multiple adverse childhood experiences are at increased risk for suicide.</p>
<p style="text-align: justify;">Despite mounting scientific evidence, the trauma model faces an uphill battle. Trauma-focused studies tend to underscore the US&#8217;s failure to protect its most vulnerable members as well as challenge deeply held beliefs about the family. Furthermore, according to anthropologist <a href="http://www.amazon.com/Evolution-Racism-Human-Differences-Science/dp/0674008626/ref=sr_1_1?ie=UTF8&amp;qid=1329435064&amp;sr=8-1" target="_blank">Pat Shipman</a>, the genetic essentialism underlying the biomedical model is an attitude that often becomes entrenched when governments are reluctant to support large social programs, which traumatic stress studies imply the US desperately needs.</p>
<p style="text-align: justify;">If the trauma model becomes the dominant paradigm, some of the conditions that allow the US to compete economically should come into question. For example, as the US adapts to a more competitive global marketplace, limited access to health care (including mental health care) has insidiously become the norm for many US workers. However, we have reached a point in our society&#8217;s evolution when we must ask ourselves if our well-being is better served by increased competitiveness or by more compassion. I hope we make the right choice.</p>
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		<title>Film Recommendation: ‘Til Death Do Us Part’</title>
		<link>http://www.laurakkerr.com/2012/02/07/film-recommendation-til-death-do-us-part/</link>
		<comments>http://www.laurakkerr.com/2012/02/07/film-recommendation-til-death-do-us-part/#comments</comments>
		<pubDate>Tue, 07 Feb 2012 19:35:57 +0000</pubDate>
		<dc:creator>Laura K Kerr</dc:creator>
				<category><![CDATA[Healing Trauma]]></category>

		<guid isPermaLink="false">http://www.laurakkerr.com/?p=1925</guid>
		<description><![CDATA[<p style="text-align: justify;"> In her documentary film, <a href="http://www.tildeathuspart.com/">‘Til Death Do Us Part</a> (2008), Vita Lusty brings fresh insight to the plight of women languishing in prison for killing their abusive domestic partners. Rather than tackling the perhaps unanswerable question of whether or not killing is ever justified—even in the face of chronic, life-threatening violence—Lusty artfully [...]]]></description>
			<content:encoded><![CDATA[<p style="text-align: justify;"> In her documentary film, <a href="http://www.tildeathuspart.com/"><em>‘Til Death Do Us Part</em></a> (2008), Vita Lusty brings fresh insight to the plight of women languishing in prison for killing their abusive domestic partners. Rather than tackling the perhaps unanswerable question of whether or not killing is ever justified—even in the face of chronic, life-threatening violence—Lusty artfully reveals how justice is never served for many women given life sentences for murdering in self-defense.</p>
<p style="text-align: justify;">Prior to 1992, evidence of physical abuse was inadmissible in criminal trials, and a history of spousal abuse was not allowed as a defense in most murder trials. By ignoring the conditions that led to murder, the justice system avoided addressing whether these women’s actions were done in self-defense.</p>
<p style="text-align: justify;"><em>‘Til Death Do Us Part</em> shares the life stories of twelve women incarcerated in California before <a href="http://en.wikipedia.org/wiki/Battered_woman_defence">battered women syndrome</a> became an acceptable explanation for why a woman might murder her domestic partner. Today, with this informed understanding of the conditions that lead women to stay with abusive partners, a woman is more likely to receive a lesser sentence, such as voluntary manslaughter, and not first degree murder and a life sentence for killing a violent spouse.</p>
<p style="text-align: justify;">Lusty’s documentary chronicles how the justice system fails women tried before 1992, often keeping these women locked up despite lacking reasonable evidence that they pose any threat to society (many are elderly). All the women in the documentary have served over a decade behind bars and fulfill sentencing requirements for the lesser manslaughter charge. Yes, justice is served, but not for these women still victimized by antiquated laws and lingering misconceptions about the nature of violence in intimate relationships.</p>
<p style="text-align: justify;"><em>‘Til Death Do Us Part</em> stays true to Lusty’s commitment to give voice to women who have been unjustly silenced. Lusty respectfully weaves in expert testimony with the women’s stories of domestic violence and their later victimization by the judicial system. We learn just enough from experts to understand factors contributing to domestic violence and how the judicial system fails battered women.</p>
<p style="text-align: justify;"><em>‘Til Death Do Us Part</em> shows the justice system has much further to go in serving justice to battered women. The film highlights the efforts of the <a href="http://www.habeasproject.org/">California Habeas Project</a>—a group working for the release of women tried for murder of an abusive partner prior to 1992—but as the film illustrates, what should be a straightforward process is bogged down by false impressions, politics, and inattention.</p>
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		<title>Never Underestimate Human Potential</title>
		<link>http://www.laurakkerr.com/2012/02/05/never-underestimate-human-potential/</link>
		<comments>http://www.laurakkerr.com/2012/02/05/never-underestimate-human-potential/#comments</comments>
		<pubDate>Sun, 05 Feb 2012 17:38:54 +0000</pubDate>
		<dc:creator>Laura K Kerr</dc:creator>
				<category><![CDATA[Creativity]]></category>
		<category><![CDATA[Evolution]]></category>

		<guid isPermaLink="false">http://www.laurakkerr.com/?p=1905</guid>
		<description><![CDATA[<p style="text-align: justify;">&#8220;With extreme rains, seeds of plants that have been dormant for centuries can sprout.They can somehow keep themselves alive for all that time. That same potential is always alive inside people.&#8221;</p> &#8211;<a href="http://imaginaction.org/about-us/hector-aristizabal" target="_blank">Hector Aristizabal</a>]]></description>
			<content:encoded><![CDATA[<p style="text-align: justify;"><img class="alignleft  wp-image-1906" title="Copyright © 2012 Laura K Kerr" src="http://www.laurakkerr.com/wp-content/uploads/2012/02/P1030371-768x1024.jpg" alt="" width="334" height="445" />&#8220;With extreme rains, seeds of plants that have been dormant for centuries can sprout.They can somehow keep themselves alive for all that time. That same potential is always alive inside people.&#8221;</p>
<address>&#8211;<a href="http://imaginaction.org/about-us/hector-aristizabal" target="_blank">Hector Aristizabal</a></address>
]]></content:encoded>
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		<title>Social Trauma</title>
		<link>http://www.laurakkerr.com/2012/02/02/social-trauma/</link>
		<comments>http://www.laurakkerr.com/2012/02/02/social-trauma/#comments</comments>
		<pubDate>Thu, 02 Feb 2012 21:16:15 +0000</pubDate>
		<dc:creator>Laura K Kerr</dc:creator>
				<category><![CDATA[Creating Community]]></category>
		<category><![CDATA[Evolution]]></category>
		<category><![CDATA[Healing Trauma]]></category>

		<guid isPermaLink="false">http://www.laurakkerr.com/?p=1879</guid>
		<description><![CDATA[<p style="text-align: justify;"><a href="http://somaticperspectives.com/" target="_blank">Somatic Perspectives on Psychotherapy</a> interviews clinician’s and thinkers who take a somatic approach, such as using emerging ideas in neuroscience or evolutionary psychology to understand the nature of traumatic stress. This month’s interview with <a href="http://www.shiftingculture.com/" target="_blank">Eric Wolterstorff</a> focuses on social trauma, which is defined as “the impacts of threats, disasters, [...]]]></description>
			<content:encoded><![CDATA[<p style="text-align: justify;"><a href="http://somaticperspectives.com/" target="_blank"><em>Somatic Perspectives on Psychotherapy</em></a> interviews clinician’s and thinkers who take a <em>somatic approach</em>, such as using emerging ideas in neuroscience or evolutionary psychology to understand the nature of traumatic stress. This month’s interview with <a href="http://www.shiftingculture.com/" target="_blank">Eric Wolterstorff</a> focuses on <em>social trauma</em>, which is defined as “the impacts of threats, disasters, deprivation and violent conflict on the capacity of societies to adapt to the world, regulate and nourish themselves, and develop” (SomaticPerspectives.com). Wolterstorff combines neuropsychology, traumatology, and family systems theory to understand how groups and societies deal with overwhelming events.</p>
<p style="text-align: justify;">In the interview, Wolterstorff describes how various roles (Perpetrator, Victim, Savior) are both taken and projected in traumatic reenactments, including in psychotherapy. He also gives an interesting explanation of how the roles we identify with as individuals contribute to feeling overwhelmed, and shows how a similar phenomenon on a societal level contributes to splitting into disconnected, opposing groups. Very thought-provoking ideas, which Wolterstorff backs up with community involvement.</p>
<p style="text-align: justify;">You can <a href="http://somaticperspectives.com/2012/02/wolterstorff/" target="_blank">listen to the interview with Wolterstorff on social trauma</a> or download a PDF transcript.</p>
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		<title>Cautionary Thoughts About Research on Trauma Survivors</title>
		<link>http://www.laurakkerr.com/2012/01/30/cautionary-thoughts-about-research-on-trauma-survivors/</link>
		<comments>http://www.laurakkerr.com/2012/01/30/cautionary-thoughts-about-research-on-trauma-survivors/#comments</comments>
		<pubDate>Tue, 31 Jan 2012 05:24:53 +0000</pubDate>
		<dc:creator>Laura K Kerr</dc:creator>
				<category><![CDATA[Healing Trauma]]></category>

		<guid isPermaLink="false">http://www.laurakkerr.com/?p=1865</guid>
		<description><![CDATA[<p style="text-align: justify;">The World Health Organization (WHO) has developed an international version of the Adverse Childhood Experience Questionnaire, the <a href="http://www.who.int/violence_injury_prevention/violence/activities/adverse_childhood_experiences/en/index.html" target="_blank">ACE-IQ</a>. I think this is a wonderful development. The already substantial evidence linking diseases and mental disorders with adverse childhood experiences suggests the connection is a global phenomenon. Yet the questions are very specific [...]]]></description>
			<content:encoded><![CDATA[<p style="text-align: justify;">The World Health Organization (WHO) has developed an international version of the Adverse Childhood Experience Questionnaire, the <a href="http://www.who.int/violence_injury_prevention/violence/activities/adverse_childhood_experiences/en/index.html" target="_blank">ACE-IQ</a>. I think this is a wonderful development. The already substantial evidence linking diseases and mental disorders with adverse childhood experiences suggests the connection is a global phenomenon. Yet the questions are very specific about potentially traumatic experiences. I suspect for many, just answering the questions can be triggering. For example, question 4.7 asks “Did you see or hear a parent or household member in your home being slapped, kicked, punched or beaten up?” The participant grades such memories as “many times,” “a few times,” “once,” or “never.” Such a question—and the need to quantify the experience—could be profoundly overwhelming for a person who habitually dissociates memories of family violence.</p>
<p style="text-align: justify;">The WHO gives guidelines for administering the test that emphasize respect and tact towards participants. Even so, when collecting data from trauma survivors, I think there is a responsibility to avoid activating traumatic defenses.</p>
<p style="text-align: justify;">In our efforts to generate evidence for a trauma-informed health care system, we must balance getting supportive data with the possibility of re-traumatizing people. This won’t be an easy task and may require trained health care workers being present to support those who feel overwhelmed by recalling childhood traumas.</p>
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		<title>What Can Nightmares Teach Us?</title>
		<link>http://www.laurakkerr.com/2012/01/26/what-can-nightmares-teach-us/</link>
		<comments>http://www.laurakkerr.com/2012/01/26/what-can-nightmares-teach-us/#comments</comments>
		<pubDate>Thu, 26 Jan 2012 19:35:06 +0000</pubDate>
		<dc:creator>Laura K Kerr</dc:creator>
				<category><![CDATA[Evolution]]></category>
		<category><![CDATA[Healing Trauma]]></category>

		<guid isPermaLink="false">http://www.laurakkerr.com/?p=1701</guid>
		<description><![CDATA[<p style="text-align: justify;">Few of us make it through childhood without getting the wits scared out of us by a nightmare. <a href="http://en.wikipedia.org/wiki/Michel_Jouvet" target="_blank">Michel Jouvet</a>, professor of experimental medicine and author of <a href="http://mitpress.mit.edu/catalog/item/default.asp?ttype=2&#38;tid=4268" target="_blank">The Paradox of Sleep</a>, theorizes such dreams may be behavioral rehearsals for survival, connecting emotions with corresponding actions. The dragon chasing you [...]]]></description>
			<content:encoded><![CDATA[<p style="text-align: justify;">Few of us make it through childhood without getting the wits scared out of us by a nightmare. <a href="http://en.wikipedia.org/wiki/Michel_Jouvet" target="_blank">Michel Jouvet</a>, professor of experimental medicine and author of <a href="http://mitpress.mit.edu/catalog/item/default.asp?ttype=2&amp;tid=4268" target="_blank"><em><span style="text-decoration: underline;">The Paradox of Sleep</span></em></a>, theorizes such dreams may be behavioral rehearsals for survival, connecting emotions with corresponding actions. The dragon chasing you in your childhood dream is Nature’s version of virtual reality, a zero-consequence environment teaching the emotion <em>blood-curdling fear</em> naturally accompanies the behavior <em>run like hell</em>. The jolt that jerks you out of sleep makes sure you’ll remember the connection. Screaming for Mom reinforces using your attachments (and tribe) as a secure base.</p>
<p>You’ve got to hand it to Nature&#8211;nightmares are an ingenious way of cultivating survival.</p>
<p style="text-align: justify;">Nightmares arising from trauma may also be opportunities to learn life lessons. Yet it&#8217;s hard to imagine looking for the meaning of a nightmare when it is about <a href="http://today.msnbc.msn.com/id/46116972/ns/today-entertainment/" target="_blank">the most horrific moments of one&#8217;s past</a>. What lesson could be learned from such terror and suffering?</p>
<p style="text-align: justify;">Psychology researcher Matthew Walker and Dr. Murray Raskind suggest using the drug prazosin to end nightmares associated with PTSD. <a href="http://en.wikipedia.org/wiki/Prazosin" target="_blank">Prazosin</a>, a drug originally marketed to treat blood pressure, also makes people less sensitive to the stress hormone noradrenaline. In our more benign dreams, when noradrenaline drops off, emotional intensity also diminishes. And emotional intensity is what makes nightmares feel real and frightening.</p>
<p style="text-align: justify;">While recognizing the importance of emotions, Walker believes repetitive nightmares are a sign that traumatic stress has lasted too long. From an interview with <a href="http://www.npr.org/blogs/health/2012/01/16/144672190/ending-nightmares-caused-by-ptsd" target="_blank">Amy Standen of NPR</a>:</p>
<blockquote>
<p style="text-align: justify;"> “But I don’t think it’s adaptive to hold onto that emotional blanket around those memories forever,” he says. “They’ve done their job at the time of learning, then it’s time to hold on to the information of that memory, but let go of the emotion.”</p>
</blockquote>
<p style="text-align: justify;">I agree with Walker in principle. It’s best to learn life’s lessons and get on with the business of living. Yet I also have faith in <a href="http://www.questia.com/PM.qst?a=o&amp;d=23120045" target="_blank">two million years of human evolution</a>. And I believe medicating the symptoms of distress can interfere with natural and evolved capacities for overcoming trauma.</p>
<p style="text-align: justify;"><a href="http://www.johnbriere.com/" target="_blank">John Briere</a>, a psychologist at USC, looks to “ethnocultural” beliefs to augment the Western understanding of trauma. An ethnocultural lens examines both <em>how</em> cultures address trauma and <em>what</em> is perceived as traumatic experiences. According to Briere, many non-Western cultures equate <em>soul loss</em> with what the West calls PTSD. Similarly, <a href="http://www.amazon.com/Waking-Tiger-Transform-Overwhelming-Experiences/dp/155643233X" target="_blank">Peter Levine</a> wrote about a culture that described trauma as <em>rape of the soul</em>. Universally, trauma can lead to isolation, and isolation leads to soul loss. We need meaningful connections to keep soul alive.</p>
<p style="text-align: justify;">S<em>oul loss</em> also occurs in the West, even though the word <em>soul</em> is avoided, especially in medicine. Yet you know you are at risk of losing your soul if after a traumatic event (or series of events) you spend a great deal of time hypervigilant, looking for signs the traumatic event might recur. Over time, the unrelenting fear and anxiety become too much, and solace is sought, often in addictions. Behavior is also inhibited to avoid being triggered. Without intervention, the habit of avoiding reminders of the original trauma leads to an isolated existence. For some, this may mean literally shutting out the world. For others, not letting people get to know them becomes the primary defense. For many, addictions create a wall against humanity.</p>
<p style="text-align: justify;">For millions of years humans lived in close-knit groups in which everyone played a vital role in the clan’s survival. It wasn&#8217;t an option to have someone cooped up in the house, isolated, watching TV, drowning distress in alcohol—or whatever a traumatized caveperson might have done to avoid reminders of trauma. That would never happen, and not because there weren’t TVs or houses. Survival was too precarious for our hunter-gatherer ancestors to feed and shelter a traumatized person unable to contribute to daily needs. (In US history, <a href="http://books.google.com/books/about/The_mad_among_us.html?id=VQF1IAbZFuYC" target="_blank">one of the original appeals of mental institutions</a> was the opportunity to house family members who couldn’t work and thus drained family resources.)</p>
<p style="text-align: justify;">In a society that listens for the meaning of dreams, nightmares might alert the group to the presence of threats too big for one person to handle. Traumatic stress is by nature communicable. In psychotherapy we have a term for the contagious quality of trauma: <em>vicarious traumatization</em>. I have come to believe the infective quality of trauma is part of its so-called symptomatolgy. Traumatic stress may have evolved to be somewhat “contagious” since any experience that is traumatic to one of us is potentially a threat to us all.</p>
<p style="text-align: justify;">Perhaps in our isolated and medicalized society, prescribing drugs for nightmares is the most humane response. When traumatic stress results in a life lived in isolation, it can be daunting to get back in the world, amidst all the potential triggers. Having a drug to dampen traumatic defenses is not an unreasonable initial form of support. Yet ultimately, we need opportunities for collective responses to trauma that keep the traumatized person from becoming isolated in the first place.</p>
<p style="text-align: justify;"><a href="http://books.google.com/books/about/Traumatic_stress.html?id=Me5GN4LxBmQC" target="_blank">Research</a> shows that when people find meaning in traumatic experiences they can recover (and often without professional help). Survivors of Pearl Harbor who interpreted their nightmares as reasonable responses to the bombings were able to get on with their lives. Yet knowing that responses are reasonable often requires talking to others about our experiences.</p>
<p style="text-align: justify;">If isolation is the downward spiral of trauma, then perhaps nightmares are the <a href="http://en.wikipedia.org/wiki/Phoenix_%28mythology%29" target="_blank">phoenix’s call from the ashes</a>. Even in trauma, nightmares have a lesson to teach. Yet deciphering their meaning may need the entire tribe’s attention. In the case of returning Veterans, nightmares of war may be a call for Americans to collectively address war&#8217;s scourge on the souls of young soldiers, along with the intergenerational impact of war, which as a nation we have a long history of ignoring.</p>
<p style="text-align: justify;">If you would like to support Veterans who could benefit from someone listening to their stories, visit <a href="http://whenjohnnyandjanecomemarching.weebly.com/" target="_blank">When Johnny and Jane Come Marching Home</a>.</p>
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		<title>&#8220;A Healing Exhibition&#8221;</title>
		<link>http://www.laurakkerr.com/2012/01/23/more-art-that-heals/</link>
		<comments>http://www.laurakkerr.com/2012/01/23/more-art-that-heals/#comments</comments>
		<pubDate>Tue, 24 Jan 2012 03:00:30 +0000</pubDate>
		<dc:creator>Laura K Kerr</dc:creator>
				<category><![CDATA[Creativity]]></category>
		<category><![CDATA[Healing Trauma]]></category>

		<guid isPermaLink="false">http://www.laurakkerr.com/?p=1643</guid>
		<description><![CDATA[<p style="text-align: justify;">I spent a good part of my youth in San Antonio, Texas, where <a href="http://www.bihlhausarts.org/" target="_blank">Bihl Haus Arts</a> exhibits the work of artist <a href="http://www.kuetzpal.com/" target="_blank">Debora Kuetzpal Vasquez</a>. My grandfather owned a couple of Mexican curio shops on the River Walk. As a child I was given piñatas on birthdays and sugar skulls on the Day of [...]]]></description>
			<content:encoded><![CDATA[<p style="text-align: justify;">I spent a good part of my youth in San Antonio, Texas, where <a href="http://www.bihlhausarts.org/" target="_blank">Bihl Haus Arts</a> exhibits the work of artist <a href="http://www.kuetzpal.com/" target="_blank">Debora Kuetzpal Vasquez</a>. My grandfather owned a couple of Mexican curio shops on the River Walk. As a child I was given piñatas on birthdays and sugar skulls on the Day of the Dead.  Like many, I am drawn to the bold colors and whimsical nature of Mexican folk art. Kuetzpal Vasquez&#8217;s exhibit translates the vitality of this tradition into a message about healing domestic violence. In an article for <a href="http://www.mysanantonio.com/default/article/Healing-exhibition-deals-with-abuse-2653680.php" target="_blank">MySanAntonio.com</a>, she calls her show &#8220;a healing exhibition.&#8221;</p>
<p style="text-align: justify;">Debora Kuetzpal Vasquez also teaches art that heals. From the article by <a href="http://www.mysanantonio.com/default/article/Healing-exhibition-deals-with-abuse-2653680.php" target="_blank">Elda Silva</a><em style="text-align: justify;"></em>:</p>
<blockquote>
<p style="text-align: justify;"><em>In an art class she teaches, Debora Kuetzpal Vasquez asks students to write down a bad memory in a journal, then paint over it in white. The last step of the exercise is to</em> &#8220;paint something beautiful over it,&#8221; <em>Vasquez says. The idea is not to gloss over the past, but</em> &#8220;to try to move that memory into something different.&#8221;</p>
</blockquote>
<p style="text-align: justify;">Keutzpal Vasquez takes a similar approach to her multimedia show at Bihl Haus Arts. The exhibit was inspired by interviews with women about their experiences of domestic abuse. The installation makes up different rooms of a house. Like the art her students create, abusive words inscribed on walls leave traces in the paint that covers them.</p>
<p style="text-align: justify;">Keutzpal Vasquez describes her exhibit as a &#8220;safe place,&#8221; and adds in her interview with Silva, &#8220;I always say if there&#8217;s anywhere in the world that you should be safe, it&#8217;s in your home.&#8221;</p>
<p style="text-align: justify;">So true.</p>
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		<title>Project Unbreakable</title>
		<link>http://www.laurakkerr.com/2012/01/20/project-unbreakable/</link>
		<comments>http://www.laurakkerr.com/2012/01/20/project-unbreakable/#comments</comments>
		<pubDate>Sat, 21 Jan 2012 01:46:08 +0000</pubDate>
		<dc:creator>Laura K Kerr</dc:creator>
				<category><![CDATA[Creativity]]></category>
		<category><![CDATA[Healing Trauma]]></category>

		<guid isPermaLink="false">http://www.laurakkerr.com/?p=1623</guid>
		<description><![CDATA[<p><a href="http://projectunbreakable.tumblr.com/"></a></p> <p style="text-align: center;">The photographer, Grace Brown, also accepts submissions for her <a href="http://projectunbreakable.tumblr.com/">website</a>.</p>]]></description>
			<content:encoded><![CDATA[<p><a href="http://projectunbreakable.tumblr.com/"><img class="aligncenter size-large wp-image-1629" title="Project Unbreakable" src="http://www.laurakkerr.com/wp-content/uploads/2012/01/tumblr_lxg2vpJlO71r65rll1-1024x791.jpg" alt="" width="695" height="536" /></a></p>
<p style="text-align: center;">The photographer, Grace Brown, also accepts submissions for her <a href="http://projectunbreakable.tumblr.com/">website</a>.</p>
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		<title>Art Heals</title>
		<link>http://www.laurakkerr.com/2012/01/20/art-heals/</link>
		<comments>http://www.laurakkerr.com/2012/01/20/art-heals/#comments</comments>
		<pubDate>Fri, 20 Jan 2012 16:21:47 +0000</pubDate>
		<dc:creator>Laura K Kerr</dc:creator>
				<category><![CDATA[Creativity]]></category>
		<category><![CDATA[Healing Trauma]]></category>

		<guid isPermaLink="false">http://www.laurakkerr.com/?p=1610</guid>
		<description><![CDATA[<p style="text-align: justify;">Last spring I reviewed research conducted by Robert Miller and David Johnson that showed <a href="http://www.laurakkerr.com/2011/03/13/does-trauma-increase-creativity/" target="_blank">PTSD correlated with higher levels of creativity</a>. Recently the New York Times shared the story of <a href="http://www.nytimes.com/2012/01/02/us/acting-helps-soldier-cope-with-post-traumatic-stress-disorder.html?pagewanted=1&#38;_r=2" target="_blank">Sgt. Matthew Pennington</a>, who is healing PTSD in part through acting in a film.  You can learn about the film, [...]]]></description>
			<content:encoded><![CDATA[<p style="text-align: justify;">Last spring I reviewed research conducted by Robert Miller and David Johnson that showed <a href="http://www.laurakkerr.com/2011/03/13/does-trauma-increase-creativity/" target="_blank">PTSD correlated with higher levels of creativity</a>. Recently the New York Times shared the story of <a href="http://www.nytimes.com/2012/01/02/us/acting-helps-soldier-cope-with-post-traumatic-stress-disorder.html?pagewanted=1&amp;_r=2" target="_blank">Sgt. Matthew Pennington</a>, who is healing PTSD in part through acting in a film.  You can learn about the film, &#8220;A Marine&#8217;s Guide to Fishing,&#8221; <a href="http://amarinesguide.com/" target="_blank">here</a>. The NYT article about Pennington begins a series of profiles of wounded Veterans.</p>
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		<title>The Nature of &#8220;Healing&#8221;</title>
		<link>http://www.laurakkerr.com/2012/01/12/stephen-dunn-where-he-found-himself/</link>
		<comments>http://www.laurakkerr.com/2012/01/12/stephen-dunn-where-he-found-himself/#comments</comments>
		<pubDate>Thu, 12 Jan 2012 08:08:37 +0000</pubDate>
		<dc:creator>Laura K Kerr</dc:creator>
				<category><![CDATA[Healing Trauma]]></category>

		<guid isPermaLink="false">http://www.laurakkerr.com/?p=1531</guid>
		<description><![CDATA[<p style="text-align: center;"></p> <p style="text-align: justify;">Ideas about the nature of &#8220;healing&#8221; are regularly batted around the culture of psychotherapy. The word &#8221;transformation&#8221; also comes up, which feels sympathetic with a depth psychological perspective, but can also sound somewhat grand and mysterious, although not in the following poem by Stephen Dunn. I like how Dunn highlights the resistance [...]]]></description>
			<content:encoded><![CDATA[<p style="text-align: center;"><img class="aligncenter size-large wp-image-1532" title="© 2012 Laura K Kerr" src="http://www.laurakkerr.com/wp-content/uploads/2012/01/P1030653-Version-2-1024x731.jpg" alt="" width="695" height="496" /></p>
<p style="text-align: justify;">Ideas about the nature of &#8220;healing&#8221; are regularly batted around the culture of psychotherapy. The word &#8221;transformation&#8221; also comes up, which feels sympathetic with a depth psychological perspective, but can also sound somewhat grand and mysterious, although not in the following poem by Stephen Dunn. I like how Dunn highlights the resistance to change that is a regular part of psychotherapy, along with the felt sense of being on the other side, after the transformation, when we can see we have &#8220;healed.&#8221;</p>
<p>WHERE HE FOUND HIMSELF</p>
<address style="text-align: left;"> The new man unfolded a map and pointed</address>
<address style="text-align: left;">to a dark spot on it. &#8220;See, that&#8217;s how</address>
<address style="text-align: left;">far away I feel all the time, right here,</address>
<address style="text-align: left;">among all of you,&#8221; he said.</address>
<address style="text-align: left;">     &#8220;Yes,&#8221; John the gentle mule replied,</address>
<address style="text-align: left;">&#8220;alienation is clearly your happiness.&#8221;</address>
<address style="text-align: left;">But the group leader interrupted,</address>
<address style="text-align: left;">&#8220;Now, now, let&#8217;s hear him out,</address>
<address style="text-align: left;">let&#8217;s try to be fair.&#8221; The new man felt</address>
<address style="text-align: left;">the familiar comfort of everyone against him.</address>
<address style="text-align: left;">     He went on about the stupidities</address>
<address style="text-align: left;">of love, life itself as one long foreclosure,</address>
<address style="text-align: left;">until another man said, &#8220;I was a hog,</address>
<address style="text-align: left;">a terrible hog, and now I&#8217;m a llama.&#8221;</address>
<address style="text-align: left;">To which another added, &#8220;and me, I was a wolf.</address>
<address style="text-align: left;">Now children walk up to me, unafraid.&#8221;</address>
<address style="text-align: left;">     The group leader asked the new man,</address>
<address style="text-align: left;">&#8220;What kind of animal have you been?&#8221;</address>
<address style="text-align: left;">&#8220;A rat that wants to remain a rat,&#8221; he said,</address>
<address style="text-align: left;">and the group began to soften</address>
<address style="text-align: left;">as they remembered their own early days,</address>
<address style="text-align: left;">the pain before the transformation.</address>
<p style="text-align: left;">—Stephen Dunn, <a href="http://www.amazon.com/Everything-Else-World-Stephen-Dunn/dp/0393062392" target="_blank"><em>Everything Else in the World</em></a></p>
<p style="text-align: justify;">&#8220;Healing,&#8221; &#8220;transformation,&#8221; whatever we call it, can be profound or subtle. Sometimes it&#8217;s a small shift in how one is in the world or how one sees oneself. That&#8217;s all that&#8217;s needed to right that feeling of somehow being all wrong (or wronged). But sometimes a big change is required, like a hog turning into a llama. When this happens, there is usually a need to drop well-honed &#8220;human&#8221; defenses&#8211;the stonewalling, the addictions, the slick arguments, the sly manipulations and passive aggressions&#8211;and trust the need for love and play that resides in all of us&#8230;and simply let go. Pain is an inevitable part of the journey. The pain lasts the longest when we resist acknowledging to ourselves that the best we can do is get out of our own way. The reward is great when we finally stop defending against pain. We become more human, more compassionate with ourselves and others.</p>
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