Trauma Therapy Quotes

“The ORDINARY RESPONSE TO ATROCITIES is to banish them from consciousness. Certain violations of the social compact are too terrible to utter aloud: this is the meaning of the word unspeakable.

Atrocities, however, refuse to be buried. Equally as powerful as the desire to deny atrocities is the conviction that denial does not work. Folk wisdom is filled with ghosts who refuse to rest in their graves until their stories are told. Murder will out. Remembering and telling the truth about terrible events are prerequisites both for the restoration of the social order and for the healing of individual victims.

The conflict between the will to deny horrible events and the will to proclaim them aloud is the central dialectic of psychological trauma. People who have survived atrocities often tell their stories in a highly emotional, contradictory, and fragmented manner that undermines their credibility and thereby serves the twin imperatives of truth-telling and secrecy. When the truth is finally recognized, survivors can begin their recovery. But far too often secrecy prevails, and the story of the traumatic event surfaces not as a verbal narrative but as a symptom.

The psychological distress symptoms of traumatized people simultaneously call attention to the existence of an unspeakable secret and deflect attention from it. This is most apparent in the way traumatized people alternate between feeling numb and reliving the event. The dialectic of trauma gives rise to complicated, sometimes uncanny alterations of consciousness, which George Orwell, one of the committed truth-tellers of our century, called "doublethink," and which mental health professionals, searching for calm, precise language, call "dissociation." It results in protean, dramatic, and often bizarre symptoms of hysteria which Freud recognized a century ago as disguised communications about sexual abuse in childhood. . . .”
― Judith Lewis Herman, Trauma and Recovery: The Aftermath of Violence - From Domestic Abuse to Political Terror

“First, the physiological symptoms of post-traumatic stress disorder have been brought within manageable limits. Second, the person is able to bear the feelings associated with traumatic memories. Third, the person has authority over her memories; she can elect both to remember the trauma and to put memory aside. Fourth, the memory of the traumatic event is a coherent narrative, linked with feeling. Fifth, the person's damaged self-esteem has been restored. Sixth, the person's important relationships have been reestablished. Seventh and finally, the person has reconstructed a coherent system of meaning and belief that encompasses the story of trauma.”
― Judith Lewis Herman, Trauma and Recovery: The Aftermath of Violence - From Domestic Abuse to Political Terror

“Generally the rational brain can override the emotional brain, as long as our fears don’t hijack us. (For example, your fear at being flagged down by the police can turn instantly to gratitude when the cop warns you that there’s an accident ahead.) But the moment we feel trapped, enraged, or rejected, we are vulnerable to activating old maps and to follow their directions. Change begins when we learn to "own" our emotional brains. That means learning to observe and tolerate the heartbreaking and gut-wrenching sensations that register misery and humiliation. Only after learning to bear what is going on inside can we start to befriend, rather than obliterate, the emotions that keep our maps fixed and immutable.”
― Bessel A. van der Kolk, The Body Keeps the Score: Brain, Mind, and Body in the Healing of Trauma

“While in principle groups for survivors are a good idea, in practice it soon becomes apparent that to organize a successful group is no simple matter. Groups that start out with hope and promise can dissolve acrimoniously, causing pain and disappointment to all involved. The destructive potential of groups is equal to their therapeutic promise. The role of the group leader carries with it a risk of the irresponsible exercise of authority.
Conflicts that erupt among group members can all too easily re-create the dynamics of the traumatic event, with group members assuming the roles of perpetrator, accomplice, bystander, victim, and rescuer. Such conflicts can be hurtful to individual participants and can lead to the group’s demise. In order to be successful, a group must have a clear and focused understanding of its therapeutic task and a structure that protects all participants adequately against the dangers of traumatic reenactment. Though groups may vary widely in composition and structure, these basic conditions must be fulfilled without exception.
Commonality with other people carries with it all the meanings of the word common. It means belonging to a society, having a public role, being part of that which is universal. It means having a feeling of familiarity, of being known, of communion. It means taking part in the customary, the commonplace, the ordinary, and the everyday. It also carries with it a feeling of smallness, or insignificance, a sense that one’s own troubles are ‘as a drop of rain in the sea.’ The survivor who has achieved commonality with others can rest from her labors. Her recovery is accomplished; all that remains before her is her life.”
― Judith Lewis Herman, Trauma and Recovery: The Aftermath of Violence - From Domestic Abuse to Political Terror

“Patients with complex trauma may at times develop extreme reactions to something the therapist has said or not said, done or not done. It is wise to anticipate this in advance, and perhaps to note this anticipation in initial communications with the patient. For example, one may say something like, "It is likely in our work together, there will be a time or times when you will feel angry with me, disappointed with me, or that I have failed you. We should except this and not be surprised if and when it happens, which it probably will." It is also vital to emphasize to the patient that despite the diagnosis and experience of dividedness, the whole person is responsible and will be held responsible for the acts of any part. p174”
― Elizabeth F. Howell, The Dissociative Mind

“Although most psychotherapeutic approaches "agree that therapeutic work in the 'here and how' has the greatest power in bringing about change" (Stern, 2004, p. 3), talk therapy has limited direct impact on maladaptive procedural action tendencies as they occur in the present moment. Although telling "the story" provides crucial information about the client's past and current life experience, treatment must address the here-and-now experience of the traumatic past, rather than its content or narrative, in order to challenge and transform procedural learning. Because the physical and mental tendencies of procedural learning manifest in present-moment time, in-the-moment trauma-related emotional reactions, thoughts, images, body sensations, and movements that emerge spontaneously in the therapy hour become the focal points of exploration and change.”
― Pat Ogden, Trauma and the Body: A Sensorimotor Approach to Psychotherapy

“As connection to the therapist is established, the therapeutic relationship offers an opportunity for the client to experience a present attachment, but it also brings up transferential tendencies associated with past attach ment relationships (Sable, 2000). Informed by the experience of interperesonal trauma and betrayal, posttraumatic transferential relationships can be exceptionally potent and volatile. In response to the therapist, clients experience fear, anger, mistrust, and suspicion, as well as hope, vulnerability, and yearning, and they are acutely attuned to subtle signals of disinterest or interest, compassion or judgment, abandonment or consistency (Herman 1992; Pearlman & Saakvitne, 1995).”
― Pat Ogden, Trauma and the Body: A Sensorimotor Approach to Psychotherapy

“You must remember that your story matters. What you write has the power to save a life, sometimes that life is your own.”
― Stalina Goodwin, Make It Write!: Put Your Pain To Work Writing Journal

“It is now recognised that dissociation is a way of forgetting, for a time. The mind siphons off the bad memories into a separate part, and reclaiming those hidden-away memories us a complex process. So, when the memories resurface it does not feel as though they belong to you, it feels alien, more as if someone had told them to you, or you had seen the images in a film.”
― Carolyn Bramhall, Am I a Good Girl Yet?: Childhood Abuse had Shattered Her. What Would it Take to Make Her Whole?

“When clients are hyperaroused or overwhelmed emotionally, voluntarily narrowing their field of consciousness allows them to assimilate a limited amount of incoming information, thereby optimizing the chance for successful integration. For example, as one client began to report her traumatic experience, her arousal escalated: Her heart started to race, she felt afraid
and restless, and had trouble thinking. She was asked to stop talking and thinking about the trauma, to inhibit the images, thoughts, and emotions that were coming up, and orient instead to her physical sensation until her arousal returned to the window of tolerance. With the help of her therapist, she focused on her body and described how her legs felt, the phyisical feeling of anxiety in her chest, and the beating of her heart. These physical experiences gradually subsided, and only then was she encouraged to return to the narrative.”
― Pat Ogden, Trauma and the Body: A Sensorimotor Approach to Psychotherapy

“it felt increasingly, as I became more whole, that I had made it all up, and that I was a phoney. I had to come to some place of acceptance. If I made it all up, then I am an unspeakably evil person, leading so many wonderful, intelligent people astray. What a scheming mind I must have. I knowledge will be hard too live with. But harder still is the thought that perhaps, just perhaps it is all true; that I really was horribly, ritualistically abused in a satanic setting, over and over again and as a result my mind fragmented. The implications of that are completely overwhelming. It was me, my body, that they did those things to. No, I would rather believe I am an evil and deceitful person. At least the I can change, and say sorry, and live a better life from now on.”
― Carolyn Bramhall, Am I a Good Girl Yet?: Childhood Abuse had Shattered Her. What Would it Take to Make Her Whole?

“Top-down cortically mediated techniques typically use cognition to regulate affect and sensorimotor experience, focusing on meaning making and understanding. The entry point is the story, and the formulation of a coherent narrative is of prime importance. A linguistic sense of self is fostered this process, and experience changes through understanding”
― Pat Ogden, Trauma and the Body: A Sensorimotor Approach to Psychotherapy

“In bottom-up approaches [to processing trauma], the body's sensation and movement are the entry points and changes in sensorimotor experience are used to support self-regulation, memory processing, and success in daily life. Meaning and understanding emerge from new experiences rather than the other way around.
Through bottom-up interventions, a shift in the somatic sense of self in turn affects the linguistic sense of self.”
― Pat Ogden, Trauma and the Body: A Sensorimotor Approach to Psychotherapy

“The redirection of orientation and attention can be as simple as asking clients to become aware of a "good" or "safe" feeling in the body instead of focusing on their physical pain or elevated heart rate. Or the therapist can ask clients to experiment with focusing attention away from the traumatic activation in their body and toward thoughts or images related to their positive experiences and competencies, such as success in their job. This shift is often difficult for clients who have habituated to feeling pulled back repetitively into the most negative somatic reminders of their traumatic experiences. However, if the therapist guides them to practice deeply immersing themselves in a positive somatic experience (i.e., noting the changes in posture, breath, and muscular tone that emerge as they remember their competence), clients will gain the ability to reorient toward their competencies.
They experience their ability to choose to what they pay attention and discover that it really is possible to resist the somatic claims of the past.”
― Pat Ogden, Trauma and the Body: A Sensorimotor Approach to Psychotherapy

“This reorienting is not an attempt to avoid or discount clients' pain and ongoing suffering. Rather, it is a means to help them observe, firsthand, how their chronic orienting tendencies toward reminders of the past recreate the trauma-related experience of danger and powerlessness, whereas choosing to orient to a good feeling can result in an experience of safety and mastery. As clients become able to do so the new objects of orientation often become more defined and & Goodman 1951). Rather than attention being drawn repeatedly to physical pain or traumatic activation, the good feeling becomes more prominent in the client's awareness. This exercise of reorienting toward a positive stimulus can surprise and reassure clients that they are not imprisoned indefinitely in an inner world of chronic traumatic reexperiencing, and that they have more possibilities and control than they had imagined. These orienting exercises need to be practiced again and again for mastery.”
― Pat Ogden, Trauma and the Body: A Sensorimotor Approach to Psychotherapy

“It is this honest connection behveen two human beings that, in the end, makes what we endured together understandable and meaningful.”
― Lynn I. Wilson, The Flock: The Autobiography of a Multiple Personality

“Although Megan "knew" she was not in danger, her body told her that she was. If sensorimotor habits are firmly entrenched, accurate cognitive interpretations may not exert much influence on changing bodily orgamzation and arousal responses. Instead, the traumatized person may experience the reality of the body rather than that of the mind. To be most effective, the sensorimotor psychotherapist works on both the cognitive and sensorimotor levels. With Megan, a purely cognitive approach might foster some change in her integrative capacity, but the change would be only momentary if the cowering response were reactivated each time she received feedback at work... However, if she is encouraged to remember to "stand tall" in the face of criticism, her body and her thoughts will be congruent with each other and with current reality.”
― Pat Ogden, Sensorimotor Psychotherapy: Interventions for Trauma and Attachment

“She hadn’t always been obsessed with babies. There was a time she believed she would change the world, lead a movement, follow Dolores Huerta and Sylvia Mendez, Ellen Ochoa and Sonia Sotomayor. Where her bisabuela had picked pecans and oranges in the orchards, climbing the tallest trees with her small girlbody, dropping the fruit to the baskets below where her tías and tíos and primos stooped to pick those that had fallen on the ground, where her abuela had sewn in the garment district in downtown Los Angeles with her bisabuela, both women taking the bus each morning and evening, making the beautiful dresses to be sold in Beverly Hills and maybe worn by a movie star, and where her mother had cared for the ill, had gone to their crumbling homes, those diabetic elderly dying in the heat in the Valley—Bianca would grow and tend to the broken world, would find where it ached and heal it, would locate its source of ugliness and make it beautiful.
Only, since she’d met Gabe and become La Llorona, she’d been growing the ugliness inside her. She could sense it warping the roots from within. The cactus flower had dropped from her when she should have been having a quinceañera, blooming across the dance floor in a bright, sequined dress, not spending the night at her boyfriend’s nana’s across town so that her mama wouldn’t know what she’d done, not taking a Tylenol for the cramping and eating the caldo de rez they’d made for her. They’d taken such good care of her.
Had they done it for her? Or for their son’s chance at a football scholarship?
She’d never know.
What she did know: She was blessed with a safe procedure. She was blessed with women to check her for bleeding. She was blessed with choice.
Only, she hadn’t chosen for herself.
She hadn’t.
Awareness must come. And it did. Too late.
If she’d chosen for herself, she would have chosen the cactus spines. She would’ve chosen the one night a year the night-blooming cereus uncoils its moon-white skirt, opens its opalescent throat, and allows the bats who’ve flown hundreds of miles with their young clutching to their fur as they swim through the air, half-starved from waiting, to drink their fill and feed their next generation of creatures who can see through the dark. She’d have been a Queen of the Night and taught her daughter to give her body to no Gabe.
She knew that, deep inside.
Where Anzaldúa and Castillo dwelled, where she fed on the nectar of their toughest blossoms.
These truths would moonstone in her palm and she would grasp her hand shut, hold it tight to her heart, and try to carry it with her toward the front door, out onto the walkway, into the world.
Until Gabe would bend her over. And call her gordita or cochina. Chubby girl. Dirty girl.
She’d open her palm, and the stone had turned to dust.
She swept it away on her jeans.
A daughter doesn’t solve anything; she needed her mama to tell her this.
But she makes the world a lot less lonely. A lot less ugly.
 ”
― Jennifer Givhan, Jubilee

“In therapy, to meet the needs of traumatized survivors of war and torture, the patient is requested to repeatedly talk about the worst traumatic event in detail while re-experiencing all emotions associated with the event. Traumatic memory, they say, is cleared by narration of whole life; from early childhood up to the present date ... this book is my therapy. I am awash with living memories.”
― Alfred Nestor, Uncle Hitler: A Child's Traumatic Journey Through Nazi Hell to the Safety of Britain

“[In a] recent PubMed and PsychAbstracts search... as we could not find a single reference for recovered memory therapy apart from those writing about its dangers. Our experience suggests that an overwhelming majority of clinicians do not assume or suggest to clients that they must have buried traumas from their past. It is also our experience that most clinicians are careful not to assume the literal veracity of reported traumatic memories, whether newly remembered or not."
Cameron, C., & Heber, A. (2006). Re: Troubles in Traumatology, and Debunking Myths about Trauma and Memory/Reply: Troubles in Traumatology and Debunking Myths about Trauma and Memory. Canadian journal of psychiatry, 51(6), 402.”
― Colin Cameron

“In sensorimotor treatment, traumatized clients are taught to become aware of trauma-related tendencies of orientation and to redirect their attention away from the past and toward the present moment. Repeatedly "shifting the client's attention to the various things going on outside of the flow of conversation [evokes] experiences which are informative and emotionally meaningful" (Kurtz, 2004, p. 40). Redirecting orientation and attention from conversation to present-moment experience-that is, from external awareness to internal awareness, and from the past to the present⎯engages exploration and curiosity, and clients can discover things about themselves that they did not know previously (Kurtz, 2004).”
― Pat Ogden, Trauma and the Body: A Sensorimotor Approach to Psychotherapy

“having clients orient to the stimulus on which they are very fixated helps them consciously and directly attend to reminders of past trauma. This provides the opportunity for the reactions to the trauma-related stimulus to change from involuntary and reflexive to reflective awareness and assimilation. The client's sense of control and efficacy is often enhanced, whereas simply orienting to new, neutral, or pleasurable stimuli may not accomplish this (Ford, personal communication, August 12, 2005).”
― Pat Ogden, Trauma and the Body: A Sensorimotor Approach to Psychotherapy

“Trauma survivors show us that human beings have a capacity to heal, to overcome enormous challenges, and to grow.”
― John N. Briere, Catherine Scott

“Ruby's far off voice asks me where I have gone, but she knows that it's the truth that has spooked me, the expanse of it, the starkness. It offers nowhere to hide.”
― Kate Elizabeth Russell, My Dark Vanessa

“[C]lients seen in public mental health centers and general clinical practices are often more complex and potentially more challenging to work with than those who are screened and selected to participate in randomized clinical trials (RCTs; Briere & Lanktree, 2011; Lanktree et al., 2013; Spinazzola, Blaustein, & van der Kolk, 2005; Westen, Novontny, & Thompson-Brenner, 2004) and may be less responsive to RCT-developed treatment methodologies (Zayfert et al., 2005).”
― John N. Briere, Catherine Scott

“Our own conclusion is that an event is traumatic if it is extremely upsetting, at least temporarily overwhelms the individual's internal resources, and produces lasting psychological symptoms.”
― John N. Briere, Catherine Scott

“Trauma can be defined in terms of the relationship you establish with an event.
Becoming traumatized depends on how your system responds to the way you perceive, interpret, and interact with the events you experience as overwhelming/shocking/threatening.
Trauma is not the event itself!”
― Antonieta Contreras, Traumatization and Its Aftermath: A Systemic Approach to Understanding and Treating Trauma Disorders

“Take the Intergenerational ACES Questionnaire.”
― Mariel Buqué, Break the Cycle: A Guide to Healing Intergenerational Trauma

“Take the Intergenerational ACES (Adverse Childhood Experiences) Questionnaire.”
― Mariel Buqué, Break the Cycle: A Guide to Healing Intergenerational Trauma

“Three core areas became the focus: (1) What happened to you? (2) What happened before you? and (3) What happened around you?”
― Mariel Buqué, Break the Cycle: A Guide to Healing Intergenerational Trauma