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The Body Bears the Burden: Trauma, Dissociation, and Disease [Paperback]

Robert C. Scaer (Author)
4.5 out of 5 stars  See all reviews (14 customer reviews)


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Book Description

April 15, 2001 0789012464 978-0789012463 1
Measure the neurophysiological changes associated with PTSD and whiplash!

Using the clinical model of the whiplash syndrome, this groundbreaking book describes the alterations in brain chemistry and function induced in individuals by what is known as traumatic stress or traumatization--experiencing a life-threatening event while in a state of helplessness. The Body Bears the Burden: Trauma, Dissociation, and Disease presents evidence of the resulting and relatively permanent alteration in neurophysiology, neurochemistry, and neuronal organization.

This book convincingly demonstrates that these changes create lasting effects on the emotional and physical well-being of the victim--changes correlated with many of the most common, yet poorly understood, physical complaints and diseases, including whiplash, migraines, fibromyalgia, irritable bowel syndrome, and other painful, difficult-to-treat conditions. Further, the causes and effects of retraumatization are explored, clarifying the reasons some patients suffer fresh trauma over relatively minor incidents while others handle major traumas more easily.

This groundbreaking volume backs up its new theory of PTSD neurophysiology with cogent theory and persuasive evidence, including:
  • case studies correlating clinical features of trauma and dissociation with compelling physiological rationales for the symptoms
  • solid documentation drawing from the medical and psychiatric literature of PTSD, whiplash, brain injury, epidemiology of trauma, and a variety of disease processes linked to trauma
  • in-depth discussions of medical traumatization of patients, including the results of pediatric procedures and ineffective anesthesia
  • demonstrations that somatization and conversion are not imagined symptoms but result from measurable autonomic physiological alteration of the affected organ
  • a well-documented exploration of the effect of prenatal and neonatal trauma on later emotional development, response to traumatic life events, and disease and mortality
This impressive empirical evidence that body, brain, and mind are a continuum offers a powerful new paradigm to medical and mental health professionals, as well as new hope to sufferers from trauma. With a foreword by Bessel van der Kolk and helpful figures, The Body Bears the Burden: Trauma, Dissociation, and Disease is an essential resource for the in-the-trenches professionals who confront the effects of trauma and resulting somatic consequences. It will be of compelling interest and usefulness to family practice physicians, nurses and nurse practitioners, speech and physical therapists, counselors and psychotherapists, and any medical or mental health professional who treats physical or emotional trauma.


Editorial Reviews

Review

REMARKABLE . . . provides clinically relevant descriptions of the mind/body dysfunctions of both the central and autonomic nervous systems of traumatized patients. Even more than a comprehensive overview, the author presents an integrated neuropsychobiological model of the underlying mechanisms of trauma pathology, which he demonstrates in numerous case histories and applies to various trauma therapies. A CREATIVE, CUTTING-EDGE WORK -- Allan N. Schore, PhD, Assistant Clinical Professor, Department of Psychiatry, University of California at Los Angeles School of Medicine --This text refers to the Hardcover edition.

About the Author

Robert C. Scaer, MD, received his BA in Psychology, and his MD degree at the University of Rochester. He is Board Certified in Neurology, and has been in practice for 36 years, twenty of those as Medical Director of Rehabilitation Services at the Mapleton Center in Boulder, CO. His primary areas of interest and expertise have been in the fields of traumatic brain injury and chronic pain, and more recently in the study of traumatic stress and its role in physical and emotional symptoms, and in diseases. He has lectured extensively on these topics, and has published several articles on posttraumatic stress disorder, the whiplash syndrome, and other somatic syndromes of traumatic stress. His books include The Body Bears the Burden: Trauma, Dissociation, and Disease, which presented a new theory of dissociation and its role in many diseases, and The Trauma Spectrum: Hidden Wounds and Human Resiliency, which addressed the broad and relatively unappreciated spectrum of cultural and societal trauma that shapes every aspect of our lives. He is currently retired from clinical medical practice, and continues to pursue a career in writing and lecturing in the field of traumatology. --This text refers to the Hardcover edition.

Product Details

  • Paperback: 250 pages
  • Publisher: The Haworth Medical Press; 1 edition (April 15, 2001)
  • Language: English
  • ISBN-10: 0789012464
  • ISBN-13: 978-0789012463
  • Product Dimensions: 8.4 x 5.8 x 0.8 inches
  • Shipping Weight: 15.2 ounces
  • Average Customer Review: 4.5 out of 5 stars  See all reviews (14 customer reviews)
  • Amazon Best Sellers Rank: #894,139 in Books (See Top 100 in Books)

More About the Author

Robert Scaer, M.D. received his B.A. in Psychology, and his M.D. degree at the University of Rochester. He is Board Certified in Neurology, and has been in practice for 36 years, twenty of those as Medical Director of Rehabilitation Services at the Mapleton Center in Boulder, CO. His primary areas of interest and expertise have been in the fields of traumatic brain injury and chronic pain, and more recently in the study of traumatic stress and its role in physical and emotional symptoms, and in diseases.

He has lectured extensively on these topics, and has published several articles on posttraumatic stress disorder, dissociation, the whiplash syndrome and other somatic syndromes of traumatic stress. He has published two books, the first The Body Bears the Burden: Trauma, Dissociation and Disease, presenting a new theory of dissociation and its role in many diseases. A second edition of this book was released in October, 2007. A second book, The Trauma Spectrum: Hidden Wounds and Human Resiliency, addresses the broad and relatively unappreciated spectrum of cultural and societal trauma that shapes every aspect of our lives. He is currently retired from clinical medical practice, and continues to pursue a career in writing and lecturing in the field of traumatology.

 

Customer Reviews

14 Reviews
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Average Customer Review
4.5 out of 5 stars (14 customer reviews)
 
 
 
 
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Most Helpful Customer Reviews

100 of 100 people found the following review helpful:
5.0 out of 5 stars Explains PTSD Like Nothing Else, June 13, 2003
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B. Naparstek (Cleveland Hts, OH United States) - See all my reviews
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This review is from: The Body Bears the Burden: Trauma, Dissociation, and Disease (Paperback)
Here finally is the neurological basis for the weirdly persistent, highly distressing, ever-cycling symptoms of posttraumatic stress. Don't let the medical terminology stop you from reading this book. It's a stunning revelation to see how physiologically based this syndrome really is, rooted as it is in the survival imperative of the freeze response and it's cognitive partner, dissociation. Makes those diagnostic categories which most of us therapists got trained on pretty irrelevant! I leaned heavily on the fabulous info in this book to write my own chapter on the physiology of PTSD. It's a must read for people with PTSD, their family, friends and counselors.
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46 of 49 people found the following review helpful:
5.0 out of 5 stars The body does bear the burden, January 30, 2006
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This review is from: The Body Bears the Burden: Trauma, Dissociation, and Disease (Paperback)
When a thoughtful individual takes the time to summarize 30 years of experience, I view this as a great gift. When his insights allow us to help in treatment, it is a blessing. His major thesis is that trauma, when it produces a chronic stress disorder, can manifest in peculair physical ways. This is the key insight and Dr. Scaer backs his observations with lots of clinical and research data. No doubt some will find this a rigorous read, but it is well worth the effort. I had the opportunity to try this theory. A teacher in a rough part of town ( I live in NYC) witnessed in his class a fight where a student viciously punched a girl in the head, when the teacher interevened, the next blow was to the back of his head sending him into the chalk board and breaking his glasses. He presented 5 days later with classic post concussion syndrome of impaired memory, inablility to read and other congnitve deficits. Before I read Dr. Scaer's book, I would have have not been able to treat him, for, from a medical point of view, it was all the brain banging aroung in his skull that caused this. However, Dr. Scaer made me think that this was instead a PTSD from having witnessed a vicious attack. I treated him with EFT and remarkably two days later he was normal! (This would have usually taken many weeks). We are all searching for ways to treat PTSD, but at least we can now view some mystifying symptoms in a model for which hopefully soon we will be able to fix. Kudos, Dr. Scaer.
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19 of 19 people found the following review helpful:
5.0 out of 5 stars Should be in the library of healthcare providers, April 1, 2008
I like the first edition and this edition is even better!

I work in OB and have seen so many people who have been traumatized by the birth experience- both patients and healthcare givers alike.

I speak on "When Birth Causes Trauma" alot and this is one of the books that I refer my audience to.

This book should be in the library of everyone who deals with patients who have had a traumatic experience and any healthcare giver who has had a traumatic experience.

Paulina Perez, RN, BSN
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Inside This Book (learn more)
First Sentence:
Jane came into my office clearly in a state of distraction and fear. Read the first page
Key Phrases - Statistically Improbable Phrases (SIPs): (learn more)
freeze discharge, somatic dissociation, lash syndrome, minor traumatic brain injury, prior life trauma, autonomic energy, traumatic arousal, whiplash patients, boundary rupture, freeze response, minor brain injury, trauma reenactment, somatic experiencing, whiplash victims, bracing patterns, immobility response, piriformis syndrome, myofascial pain, autonomic dysregulation, trauma therapy, stimulus sensitivity, dissociative response, postconcussion syndrome, preoperative anxiety, arousal symptoms
Key Phrases - Capitalized Phrases (CAPs): (learn more)
Vietnam War, World War, Future Directions, United States, Railroad Spine
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