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The fundamental problem in the aftermath of trauma is that people (more rarely, animals) remember not only that there was a trauma, but also very often that they were the one who caused it. Brain, mind, and body are all united in this situation within an inner narrative of trauma. It is the body of what has happened that also becomes the body of the trauma on which one focuses for the remainder of one’s life. The body of the event comes along with everything the person suffers over the course of his or her life. This body keeps the score. It does not fade away. Even though in certain cases, after a few months or years or a few decades, the memory of the original trauma may become distant and hazy, it is always held somewhere inside.

While the most extreme cases clearly have their place, less extreme cases occur many, and---not least in clinical practice---they are by no means rare. More common, in the aftermath of trauma, it is not uncommon for people to be diagnosed with mental illnesses as a consequence of strong emotions, physical problems, and changes in mood and behavior. When someone gets the diagnosis of “depression,” for example, this is usually accompanied by the assumption that this person has had a trauma. This assumption might also be valid, but can also be misleading.

Bessel van der Kolk has become an authority in the field of traumatic stress and recovery. He has been a leading researcher in this field for more than 40 years. Bessel has been fascinated by the theme of trauma for many years. He wants to provide an explanation of the changes in the brain, mind, and body that accompany psychological trauma. In the past, he has also gained a new understanding of affect regulation. Bessel studied vast amounts of information and in-depth studies of the clinical work done by others, combined with his own work.

The aim of the book’s presentation is not to present a precise technical description. In actual fact, there are not that many psychological disorders that can be seen as a consequence of trauma. Nor does the book discuss the treatment of minor traumas, such as the sensations of nervousness or the anxiety that may be experienced during an earthquake. d2c66b5586

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