#notallmothers

I have been neglecting this blog, as I have been away and then once returned home, totally wiped out exhausted and behind on everything. There are so many blogs here that I wonder at times if I should continue to write them but something always appears that should be shared in this space. Today that something is by LINK>Tony Corsentino, an adoptee with his own Substack blog, from which I will borrow today as I try to get back into my normal routines (which are rarely normal anyway LOL). My blog title is his. His Substack is titled LINK>This Is Not A Legal Record.

He writes – “Mother’s Day is an occasion for breakfast in bed, a vase of flowers, brunch with mimosas. It is also an occasion to teach and reinforce a doctrine. It celebrates mothers who mother.” I remember when my sisters and I were children and we did the breakfast in bed for my own mother.

He shares many common expressions related to Mother’s Day but notes – “Cute, trite, sweet, banal, inoffensive—and no space for severed motherhood.” He goes on to note – “I asked my birth mother if she found my birthday a difficult date on the calendar. She replied that the date had become blurred in her memory. For her, the worst date on the calendar was Mother’s Day. It is an annual reminder to the severed mothers that they are the ones who were not there and therefore do not count.” Sadly, I can relate. I allowed my daughter to be raised by her father at the age of 3 because he was never going to pay me child support (and had told me so) but I could not financially, adequately, support us. So, he provided for her because he had to and no doubt he was happy to have her with him. However, when I would look for commercial birthday cards for my daughter, they never reflected what seemed to me the strange kind of relationship I had with her as an absentee mother.

Tony says – “Mother’s Day is a call for gratitude. Where gratitude is merited (not all mothers merit it), it is fitting to bestow it. But adopted people hear the call for gratitude differently. When I question why I am to call one woman ‘mother’ and not another, when I question why I was not even permitted to know the one I am not to call ‘mother’, I receive a question in return: Aren’t you grateful?”

“Thousands of women in this country have had their children disappeared, under a system that receives nearly universal praise—with a long waiting list of hopeful participants. Thousands of other women in this country have acquired the right, through this system, to the word ‘mother’ and, if they mothered well, to the expectation of cards, flowers, and morning cocktails this weekend.”

“Mother’s Day picks a side. To those severed from their children, it says ‘this is not your day.’ ”

In my case, learning about my adoptee parents (both were adopted children) genetic origins also made me aware of the minor miracle of my own childhood. Tony shares this funny greeting – “I’m so grateful you never put me up for adoption, though I’m sure there were times you were seriously tempted! Happy Mother’s Day!” I AM grateful that I was not put up for adoption because it is a wonder that my unwed, high school student, mother was not forced to do that to me. Thankfully, my dad left his university studies to marry her and support our family.

What Was Lost

From Alex Haley’s Roots – orally passed down family lineage and baby naming ritual

From an article about the series in LINK>The New Yorker that speaks to my heart, being the child of two adoptees who was robbed of knowing my genetic grandparents –

“The desire to know who we are helps to explain the second of two pulls we ordinarily feel toward grandparents. The first attraction, and the one that as children we understand more clearly, is toward something easeful, generous, and amusing about grandparents, and about the way they handle us when we are around. They can be a wonderful escape from the stringent regimes of parents, with their endless admonitions about how we should behave. Grandparents allow us to grow; they like to watch us obeying something inside ourselves—something that we know only vaguely but that is completely familiar to them. Long retired from the strenuous business of shaping their children, our parents, they are often ready to coddle and indulge us, to refresh themselves in our youthful curiosities, and to enjoy our affections. They are also ready to talk a lot—about the past, about when they were young, about their own parents and grandparents. At such times, they look at us with something mildly searching and wistful in their eyes, hoping, no doubt, to see some early and fugitive version of themselves. We understand this only later, when we become aware of the second pull that these old people were exerting upon us all along; we realize that in listening to their talk we, too, were listening for some earlier and fugitive echoes of ourselves. We were drawn to them for the odds and ends of their memory, without which we would be less whole, or, at the least, left to invent a greater portion of ourselves.”

I actually have no memory of my adoptive grandparents trying to talk with me when I was a child about their own past, their youth and families. There was once though after I was well into my adulthood, when my adoptive maternal grandmother came to visit me in Missouri. She grew up here and we found her childhood home in Eugene and our great luck was that the owner allowed us to come inside. My grandmother shared with me what had changed in the house and me told stories about what it was like growing up there. We went by the cemetery where many of her own relations were buried. Memorable was a story about traveling by wagon over the Gasconade River to buy supplies in some larger town.

I certainly invented stories about my own “roots” as we knew nothing. My dad was half Mexican, left on the doorstep of the Salvation Army. True, my adoptive paternal “Granny” did obtain him there. His birth mother was working there but the Salvation Army had taken legal possession of him (as shown in his adoption papers). Thanking that wonderful Granny of mine for writing his birth mother’s name in the margin of her request for Texas to issue a new birth certificate for him. That amended birth certificate had to come from California, as he was born at the Door of Hope home for unwed mothers in Ocean Beach (near San Diego).

Turns out his dark complexion came from his Danish immigrant father who was not yet a citizen and was a married man. Sadly, he never knew he had a son. I did hear stories from my dad about how he almost starved to death in Magdalena New Mexico where his adoptive parents and an aunt and uncle (she was one of my Granny’s sisters) were trying to strike it rich by digging a mine there. About the time the adults went to town for supplies and my dad brought the cow into the cabin to milk it as it was very cold and snowing. My dad shot rabbits for food.

My invented story about my mom was that she was half Black. Not true at all, though she did have a smidgeon of Mali genes in her, most likely from the paternal line’s ownership of a few slaves. I saw that detail in a will. The deceased deeded the slaves by name to surviving family members. It was found in a binder lent to me by a family historian that I met near Memphis TN, where my mom was adopted. Neither her mom nor her dad were Black.

My heart sorrows for what my genetic grandparents might have been able to tell me.

Certainly, my adoptive grandparents had a HUGE influence on me. Their culture became some part of my parents (the adoptees); and through my parents, my self as well. Not minimizing how important our close relationships with these people during our growing up years was. Just so much was also lost and there is truly no way to fully recover that.

The Weird Joy of Reunion

Sharing the current state of reunion that one adoptee has experienced.

Change. Change can be so beautiful, but very difficult. The past six months, I started my journey to find my birth family. Not only did I find both my mother and father. I found many other family members.

When I found my parents it was extremely exciting, but honestly, it brought up so many different emotions I didn’t expect to be brought up. It was weird talking for hours with these strangers that somewhere weren’t strangers. It was even weirder loving these two people that I’ve never even met. It confused me how it could be possible. How can I love two people that I don’t know. Looking at it now, it’s so beautiful. God intended natural family to be together. It wasn’t intended for adoption to be a thing. That love I have for them is wired in me. I didn’t know I would feel that way from the start. I thought that maybe I wouldn’t even like them. Thankfully, that love just comes naturally with parents and their children.

I am lucky enough to be building a relationship with them. It has been all I wanted for almost nineteen years and now I have it. It still blows my mind that I know them. Not only do I know them, but they want to know everything about me. I couldn’t be more blessed with who they are.

So yeah, you could say my life has changed. This change has brought sadness, happiness, confusion, and about any other emotion you could think of. Memories good and bad have been brought back to life. I am so glad God chose my adoptive and biological family to love me. Through all of this, I have seen just how lucky I am to have so many people rooting for me. I am even luckier that my biological mom chose my family. I get to tell the people who made me about the people who raised me and be so proud. Although this journey has been hard for my parents, birth parents, and everyone else involved, I am so excited for my future with my entire family.

Both Genders Drive Adoption

For some time now, my husband has been making use of old photos to create slide shows as a screen saver. I enjoy looking at these . . . memories. One of my current favorites is of my husband lying on his chest looking at our oldest son as a 3 month old infant lying on the bed. They are both smiling at one another. Clearly, there is a real connection between them, an energy. And it is true, while my husband does honestly love both of his sons, he does a lot of work around our farm with the older boy. They seem to be in-sync so well. Of course, the older one, now 21 years old, is more mature but over the last several years, they have replaced roofs, planted trees and both worked for the 2020 Census and could share stories each night when they got home. Just as I saw with my in-laws respect for my husband’s opinions, there is a respect on my husband’s part for each of his sons’ perspectives. It is a beautiful thing to see. For my part, I am inspired by both of them and who and how they are developing into maturity.

Becoming a father came at the right time for my husband in his own maturity. When we first married (my second marriage), he was not interested in having children. He was glad I had been there and done that – so no pressure on him. And it is also true that because I gave birth to my daughter at the age of 19, I had already known motherhood. Indeed, she has made me a grandmother twice. She was there for me each time one of my parents died (only 4 months apart) and through the challenges of being the executor of their estate, including giving me the benefit of her expertise in real estate selling and negotiating the final contract with a buyer.

Even though my early motherhood was a good experience for me, I was totally blown away when after 10 years of marriage, my husband did a 180 on me and wanted to become a father. Unfortunately, it turned out that age had produced in me secondary infertility and we had to turn to assisted reproduction and an egg donor to have our sons. 20 years ago, no one saw inexpensive DNA testing and the matching sites 23 and Me as well as Ancestry becoming so popular in use. Fortunately, we have handled the situation of having two donor conceived sons as well as any ignorant parents could (both had the same genetic sources and so, are true genetic and biological siblings). By handling the situation, I mean we have always been honest about their conceptions with our sons. They really did need to become older to understand the details. Getting their DNA tested at 23 and Me (where their egg donor also had her DNA tested) gave us the opening to fully describe the details, which does not seem to have troubled them at all. Before we had theirs tested, I also gifted my husband with a kit from 23 and Me.

For me, having lost the privilege of actually raising my daughter when she was 3 years old due to my own poverty and her father’s unwillingness to pay child support (and even so, he ended up paying for her support by raising her himself) – these second chance opportunities to prove I could mother children throughout their growing up years has been a true blessing for me. Experiencing motherhood now has healed much – including a decision to have an abortion after my daughter’s birth and the subsequent discovery that I carried the hep C virus – thanks to pre-treatment testing related to my oldest son’s conception. (BTW, this week I will finally complete, after living with this virus for over 20 years, a very expensive treatment regime which required a grant for the co-pay as well as Medicare Part D because otherwise, I still could not have afforded to have that virus treated).

All this just to share that this morning, I was reading an accusation about infertile women driving adoptions. One woman noted this – “we seem to be letting the guys off scot-free. The dudes who want a Daddy’s Little Girl or to play football with their own Mini-Me. I am not saying that childless woman are not a huge factor in the adoption industry, but I am saying that we live in a patriarchy and men also have a macho thing going on from birth … carrying on the family name, the stereotypical being the breadwinner for their very own brood instead of watching other guys’ families from the sidelines as a failure. And sometimes it isn’t the woman’s inability but the guys’ faulty minnows and that is definitely a macho & emasculating situation that they can rectify by sheer force (IVF or adoption are ways no one else will really be the wiser if they keep these secrets). They can be saviors and still be Daddy Dearest at the same time win-win.”

I know that in the case of infertility, the “blame” is statistically equal – one-third of infertility cases are caused by male reproductive issues, one-third by female reproductive issues, and one-third by both male and female reproductive issues or by unknown factors according to the National Institutes of Health. Clearly in our case, because 50% of each of our son’s DNA clearly establishes that their father’s sperm did the deed, the problem was my age. We didn’t start our efforts until I was already 46 years old.

Parallels – Adoption & Abduction

A chart created by The Bumbling Adoptee on Facebook caught my attention – “the loss and trauma associated with infant abduction and infant adoption run parallel.”

The author shows in graphic form the vast differences regarding societal expectations in each situation as regards the outcomes. The similarities are in the loss of the child’s original family and the fact that the child is then raised by genetic strangers.

Within adoption – most of the time the child’s original name is changed. Some are not even told they were adopted, only to discover it later in life with a heavy emotional cost. Many adoptees will never be able to find out anything about who their original family was.

A lack of important medical information is a major issue for a lot of adoptees – it was for my parents (mom and dad were both adoptees) and has been for me as their child too.

It is now being acknowledged more frequently, though sometimes minimized by profit motivated interests, that there is trauma whenever a child is separated from their original family.

In the case of adoptions by one race of another race, there is often a loss of culture and native language.

The child never had a choice but was thrust into the situation.

How is an infant abduction viewed differently in society ?

Their original identity will always be considered their real identity. The law will side against the abductor. There will be an attempt to reunify the child with their original family. It is seen by society as a tragedy instead of a blessing or even God’s plan. The child is considered a victim.

In adoption, the outcome is far different with loyalty to the adoptive parents expected along with gratitude. Often society does not acknowledge the trauma that the adoptee experienced.

To simply this – An abducted child is expected to retain fond memories of, and long for reunification with, their “real” families of birth, and reject the abductor raising them, while adoptees are expected to bond unquestioningly to non-related strangers, and in some cases are expected or encouraged to abandon any thoughts or talk of seeking out their roots.

A longer article is available from The Huffington Post – Adoption and Abduction: Legal Differences, Emotional Similarities by Mirah Riben.

Believe It Or Not – I Do

Today’s story –

I wanted to share a little story as I believe we retain memories from when we were in the womb and I’m tired of people saying infants don’t experience trauma being separated from their mom or that we were too young to remember. I’m a domestic infant adoption. I was adopted before I was born and it was finalized 3 months after. My mom never saw me or held me outside her body. They wouldn’t let her because they were afraid she’d change her mind. When I was a kid, I tried to get everyone to call me Storm. I wanted to change my name. I felt, deeply, that I was Storm. Nobody would call me that, and some made fun of me, so I stopped, but I still called myself that on the inside. Fast forward many years. I met my biological mom when I was 21. I immediately recognized her and even recognized her smell. I asked her if she’d named me. She said yes, I named you Stormy.

Here’s my personal version. On my mom’s original birth certificate that I received with her adoption file from the state of Tennessee, her mom’s name is listed as Lizzie Lou Stark (her maiden name which is common on birth certificates, she was married, her married surname was Moore). I have referred to my original maternal grandmother as Lizzie Lou ever since I knew her name. Finally, met some of my mom’s maternal line cousins (my mom died in 2015 knowing nothing except that her parents were Mr & Mrs J C Moore – not a lot to go on, so common and vague), they refer to her as Aunt Lou. Well, my middle sister, born 13 mos after me was named Lou Anne. There was a sister in law of my dad’s adoptive mother we called Aunt Anne as children. But the “Lou” part ? My husband has theorized that as my mom wasn’t separated from her mother until she was about 8 months old and was physically present with her until she was 6 months old, deep in my mom’s infant memory was the name “Lou”. Therefore, this story this morning made me smile and I read it to my husband.

Another adoptee shares – I have a similar story, though not nearly as amazing because I wasn’t adopted until I was 13 months old. But I wasn’t talking yet, and in 1978, my parents were told I’d have no memories of my first year of life. Once I could speak, I asked what had happened to my dog, and about my yellow house with a fence. Both of those memories were accurate I found out when I found my biological family. Also, anytime I pretended to be someone else with my friends, I picked a name similar to Nicole. It turns out my first name was Tiffany Nicole, and I was called Nikki.

And one more for Foster Care Awareness Month – I was put in a temporary foster home from birth to two months when I was placed with my adoptive parents. From the time I could speak, every baby doll I ever had I named Amy. I found out at age 20 that my name in foster care was Amy.

Spiritual Godmothers

When I was a child, we had godmothers. It was actually a religious thing, associated with the infant baptisms that were part of being raised Episcopalian. I never really knew my godparents. I got a gift or two early in my life but when I was old enough to actually know I received it and from whom.

However, today being Mother’s Day, it occurred to me that adoptive mothers are like godmothers who are present all the time. One could also put step-mothers in that category if the were the “good” kind and not the evil kind. For some people, aunts or even mother-in-laws are like godmothers (mine certainly was and treated me like a daughter the many years, decades really, we were together).

While the wound that adoptees suffer in being separated from their gestational mother is serious and primal, and while much not appreciative nor grateful can be said about any woman who takes a child in that they did not give birth to, I think that on a day like today, when mothering in general is celebrated, it is fair to take a step back from reform interests, just for today to acknowledge “god” mothers. These are mothers sent to us by the spiritual heart of Life itself to assist us in one way or another. Foster mothers fit into this category as well.

The all-pervading, all embracing, unchanging, and unceasing Love that evolves, supports, nurtures, protects, and provides space for its children to reach maturity. Some religions have made the effort to move away from concepts of a male god or they conceive a wholeness of the duality mother/father god. During my later adult years, for some extended period of time I entered into a practice called the Gaia Minute. In doing this practice, twice a day, I came to think of the Earth herself as my mother, the Sun as my father. Larger than the human entities that provided for us during our childhoods and for some time beyond that, indeed while we were made of these, this continues to be true throughout our human incarnation.

Sadly, some children lose their mother so early, they have no clear memories of her physically. That certainly happened to my paternal grandmother, who’s own mother died when she was only 3 mos old. That certainly happens to adoptees who are given to adoptive parents within hours or days of birth.

The maternal nurturing energy of the feminine is not bound by birth, nor even by gender (my husband is surprisingly nurturing as a human being). Our spiritual godmothers, however we obtain them, whenever we obtain them, help birth our soul’s journey by their grace. They encouraged us when we were down, they were they for us when our heart and soul ached (my own human mother could sense me in distress when I was in a different room).

The Divine Feminine of mothering energy is there to remind us that we are never alone in this thing called Life. Happy Mother’s Day to each and every person who has ever fulfilled that calling to serve another human being with the energy of Love, compassion, nurturing, safety, provision and presence.

There was something complete and nebulous

Which existed before the Heaven and Earth,

Silent, invisible

Unchanging, standing as One,

Unceasing, ever-revolving,

Able to be the Mother of the World.

~ Tao Te Ching

Dialectical Behavior Therapy

I came across the letters DBT in an adoption discussion group and as I had no idea what it stood for, I do what I often do in such cases, google it. It started with this comment by an adoptive parent –

“I just had it click in a deeper way yesterday that I put a lot of thought and effort and will into trying to heal my kids. As if I’m a savior. As if I can. But in DBT, it talks about creating a change ready environment for your kids. By the way, if you can find a child DBT therapist, do it! Its expensive and it involves individual and parent and group sessions, and its work and learning, but its SUPER effective. All kinds of stuff prove its effective. Back to my point, if I’m trying to create a change ready environment, a calm and consistent environment where mean words can roll off my back, and I’m working on me setting the example that self care is important and I’m working on me so that I can hold all the pain they send my way, that’s where I make the most beneficial impact for all of the family and that’s where I love my kids the best.”

DBT stands for Dialectical Behavior Therapy. Dialectical behavior therapy is an evidence-based psychotherapy that began with efforts to treat borderline personality disorder. There is evidence that DBT can be useful in treating mood disorders, suicidal ideation, and for change in behavioral patterns such as self-harm and substance abuse. Many of these issues are aspects experienced by adoptees due to the trauma of separation from their original mothers.

One woman commented – “DBT absolutely SAVED MY LIFE. The skills helped me stop with SI and I then went on to lose 140 pounds.” I had to google SI too. Introverted sensing (or Si for short) is one of the most misunderstood cognitive functions in the personality community. Introverted sensing is a perceiving (information-gathering) function. It focuses on the subjective, internal world of personal experience and compares and contrasts new experiences to past experiences and memories. Si-users tend to notice patterns repeating themselves and are quick to spot changes or inconsistencies in their environment. They trust personal experience and subjectively explore the impact of current events, choices, and consequences.

So back to DBT . . . .

Its main goals are to teach people how to live in the moment, develop healthy ways to cope with stress, regulate their emotions, and improve their relationships with others. DBT can help people who have difficulty with emotional regulation or are exhibiting self-destructive behaviors (eating disorders and substance use disorders). DBT is sometimes used to treat post-traumatic stress disorder (PTSD).

DBT incorporates a philosophical process called dialectics. Dialectics is based on the concept that everything is composed of opposites and that change occurs when there is a “dialogue” between opposing forces. The process makes three basic assumptions:

All things are interconnected.
Change is constant and inevitable.
Opposites can be integrated to form a closer approximation.

Mindfulness skills help you slow down and focus on using healthy coping skills when you are in the midst of emotional pain. The strategy can also help you stay calm and avoid engaging in automatic negative thought patterns and impulsive behavior. BTW, I am a BIG believer in mindfulness.

Distress tolerance techniques help prepare you for intense emotions and empower you to cope with them with a more positive long-term outlook. There are 4 techniques – distraction, improving the moment, self-soothing and thinking of the pros and cons of not tolerating distress.

Emotion regulation lets you navigate powerful feelings in a more effective way. The skills you learn will help you to identify, name, and change your emotions. When you are able to recognize and cope with intense negative emotions (for example, anger), it reduces your emotional vulnerability and helps you have more positive emotional experiences.

Interpersonal effectiveness helps you to become more assertive in a relationship (for example, expressing your needs and be able to say “no”) while still keeping a relationship positive and healthy. You will learn to listen and communicate more effectively, deal with challenging people, and respect yourself and others.

The Goldfinch

The Goldfinch by Carel Fabritius

Patterns speak to human beings. Watching the movie, The Goldfinch, built around a real painting by a Dutch artist who tragically lost his life at the age of 32 in an explosion in Delft in 1654, sent me on a journey through my own relationship with this bird and it connects to both my mom’s adoptive mother and my in-laws and this bird. Our Goldfinches are much more brightly colored than the one in this painting.

I didn’t know what those yellow blobs on the bushes were until my grandmother visited me and drew my attention to them. She had stayed the week hosted by my in-laws which provided her with more comfortable accommodations than I could. I was driving her to visit her friends in Joplin but we had stopped in Branson and she wanted to buy my in-laws a thank you gift. She selected a pair of Goldfinches and said they reminded her of the two lovebirds. She had seen expressions of love between my two in-law’s during her week stay. Interestingly, though I was already married to my husband, she bought a single Goldfinch to give to me. Strange that I do not at this moment know where my own is.

And so last night I was reflecting on why my grandmother only gave me a single bird but my in-laws a pair. It was as if she was giving them her seal of approval for in essence “adopting” me into their family. My in-laws, the parents of 3 boys treated me as the daughter they never had. They stood by me during a legal tussle with my ex-employer going with me to the sheriff’s office to help me retrieve the car (it wasn’t free and clear but had a lien on it making it officially not mine for my ex-employer to take). My dad was on the board of the credit union I had borrowed from. When I called my mom about my trouble, she could only say to me, “Don’t let your dad find out.” My in-laws also went with me to the hearing the in judge’s chamber. Just one example out of many of their kindness and support for me as their adopted daughter.

I reflect on my own mother. In the movie, all 3 of the main young people depicted had lost their mothers, just as both of my own natural grandmothers had. Like the bird in the painting, my mom was trapped by the fact of her adoption. Prevented from knowing the true details of what happened to her by the sealed adoption file the state of Tennessee refused to give her. Details that I now know, that would have done no harm at the time she asked for it because her natural mother and natural father were both dead but she could have known aunts and uncles who could have told her about her mother and half-siblings on her father’s side. Seeing the photo of her mother holding her for the last time would have brought her so much peace. My mom struggled with body image because she could not achieve her adoptive mother’s trim form but my mom had the genetic big boned body of her natural mother.

I believe my mom’s adoptive parents would have sent her off to have and give me up for adoption when she turned up pregnant, unwed, a high school student had my dad’s adoptive parents not intervened to get them married. In my own particularly defiant manner, I chose to be born on my mom’s adoptive parents’ wedding anniversary. My adoptive maternal grandmother was a painter. Today I have a painting of a large oak tree in Autumn hanging on our wall that my grandmother painted. She also painted an oval bust of my infant self and this hung on her own bedroom wall all the years I remember her living.

Therefore, I was close to my grandmother. She once took me to England with her. During the visit that caused her to buy the Goldfinch figurines, the Wild Azaleas were blooming. She decked herself out for a portrait of herself surrounded by them. She had grown up in rural Missouri and her visit here was a trip down the memory lane of her own origins. We even visited her childhood home as I drove her to visit her friends. That photo of my grandmother started my own tradition of taking photos on Mother’s Day and me and my boys.

Bernice Dittmer

Oh, the patterns of our lives and how these can inform our hearts at the most surprising kind of emotional trigger, like watching a movie . . . and then seeing the movie of our life reflected back to us.

With my boys in 2010

Healing Trauma

I’ve only just learned about this book and have not read it but didn’t want to wait for whenever, if ever, that might happen to pass it on to readers here.

Many adoptees and foster children have some degree of trauma. It is said that this is one of the best-known books about trauma, and in particular early life trauma (which especially applies to the topics I cover in this blog). 

It is not light weight reading, has almost 500 pages that includes a significant reference section. Someone who did read this (link at bottom of this essay) says – “It’s very in-depth, giving plenty of detail, but it’s not unnecessarily complicated. There’s some technical terminology used, particularly with respect to the functioning of the brain, but I thought this was explained well.”

Van der Kolk is a psychiatrist who initially began working with trauma while treating war veterans. There was a lot that wasn’t known about trauma then. He’s been an active researcher throughout his career and often considered at the forefront of new trauma-related knowledge.

In this book, he repeatedly stresses the importance of recognizing the changes that occur in the brains and nervous systems of people who’ve been through trauma, and targeting treatment accordingly with the goal of getting back the functioning they have lost. He is quoted as saying, “Trauma results in a fundamental reorganization of the way mind and brain manage perceptions. It changes not only how we think and what we think about, but also our very capacity to think.”

Imaging studies have produced some new understandings about flashbacks. There’s activation of the right brain along with a drop in activity in the brain structure called the thalamus, which prevents the events from being remembered as a coherent narrative, as would be the case with other kinds of memories.

Brain scans have also shown an impaired self-awareness. Van der Kolk explains that this is why it’s important to work on breathing, mindfulness, and recognizing the link between physical sensations and emotions. He writes further: “The body keeps the score: If the memory of trauma is encoded in the viscera, in heartbreaking and gut-wrenching emotions, in autoimmune disorders and skeletal/muscular problems, and if mind/brain/visceral communication is the royal road to emotion regulation, this demands a radical shift in our therapeutic assumptions.”

The book pays a lot of attention to early life trauma, including issues like attachment and attunement. The author explains that trauma increases the need for attachment, even when the only attachment figure available to the child is the abuser.

Van der Kolk championed adding complex PTSD as a separate diagnosis from PTSD. He was part of the working group that proposed C-PTSD for inclusion in the DSM-IV, and the group that proposed developmental trauma disorder for inclusion in the DSM-5. American Psychiatric Association did not approve any of these suggestions as new diagnoses.

I am indebted to Ashley of The Mental Health @ Home blog for her review which is the basis of my own blog today. You can read more about this book in her article.