Our great teacher [at the Massachusetts Mental Health Center], Elvin Semrad, actively discouraged us from reading psychiatry textbooks during our first year [of training]. Semrad did not want our perceptions of reality to become obscured by the pseudocertainties of psychiatric diagnoses.
I remember asking him once: “What would you call this patient — schizophrenic or schizoaffective?” He paused and stroked his chin, apparently deep in thought.
“I think I’d call him Michael McIntyre,” he replied.
from Van der Kolk, B. A. (2015). The Body Keeps the Score: Brain, Mind, and Body in the Healing of Trauma. Penguin Books.
Category: Trauma
Bessel van der Kolk on Imagination and Trauma

Imagination is absolutely critical to the quality of our lives. …Imagination gives us the opportunity to 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.
When people are compulsively and constantly pulled back into the past, to the last time they felt intense involvement and deep emotions, they suffer from a failure of imagination, a loss of mental flexibility. Without imagination there is no hope, no chance to envision a better future, no place to go, no goal to reach.
Van der Kolk, B. A. (2014). The Body Keeps the Score: Brain, Mind, and Body in the Healing of Trauma. Penguin Books.
The Ezra Klein Show: Bessel van der Kolk on Trauma

EZRA KLEIN: You have this very powerful line in the book from the writer Jessica Stern where she says, quote, “Some people’s lives seem to flow in a narrative. Mine had many stops and starts. That’s what trauma does — it interrupts the plot.” Tell me a bit about how trauma interrupts the plot.
BESSEL VAN DER KOLK: Well, trauma is really a wound that happens to your psyche, to your mind, to your brain. Suddenly you’re confronted with something that you are faced with horror and helplessness. That nothing prepares you for this and you go like, oh, my God.
And so something switches off at that point in your mind and your brain. And the nature of trauma is that you get stuck there. So instead of remembering something unpleasant, you keep reliving something very unpleasant.
So the job of overcoming trauma is to make it into a memory where your whole being knows this happened a long time ago, it’s not happening right now. But the nature of traumatic stress is that you keep reacting emotionally and physiologically as if these events are happening right now.
from The Ezra Klein Show – This Conversation Will Change How You Think About Trauma. (2021, August 24). The New York Times.
