- Hardcover: 328 pages
- Publisher: W. W. Norton & Company; 1 edition (July 17, 2005)
- Language: English
- ISBN-10: 0393704661
- ISBN-13: 978-0393704662
- Product Dimensions: 6.5 x 1.3 x 9.6 inches
- Shipping Weight: 1.4 pounds (View shipping rates and policies)
- Average Customer Review: 4.8 out of 5 stars See all reviews (22 customer reviews)
- Amazon Best Sellers Rank: #553,384 in Books (See Top 100 in Books)
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The Trauma Spectrum: Hidden Wounds and Human Resiliency 1st Edition
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A powerful documentation of the wider-reaching nature of trauma than medical science would usually permit. -- California Bookwatch
A thought-provoking alternative to the conceptualization of trauma Redefines trauma as a continuum of variably negative life events Highly recommended. -- Choice, R. B. Stewart, Jr.
Rich clinical observations, systematic conceptualizations of real-life trauma cases, therapeutic expertise, encyclopedic knowledge, and professional integrity shine through this appealing book. -- PsycCritiques
About the Author
Robert Scaer, MD, a board-certified neurologist with forty years of clinical experience, lives in Louisville, Colorado.
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Top Customer Reviews
Scaer explains the origins of trauma as follows: when an organism faces a life threat situation and is unable to deal with the situation through the defensive responses of flying or fighting, the individual is left with no option but to freeze and dissociate. The state of freezing is a state of dissociation and immobility, a paradoxical state of simultaneous sympathetic and parasympathetic arousal, where the organism has been stopped on its track and was rendered unable to complete the defense response. The undischarged energy with its concomitant sensoriomotor responses, endocrinological states, and high levels of arousal become stored in implicit memory systems- unconscious processes. Scaer states that victims of unresolved emotional trauma are primed to respond to internal and external stimuli reminiscent of the original trauma which further traumatizes the individual: the traumatic memory becomes larger and stronger and the tendencies to dissociate and freeze becomes the first line of defense response.
Different biological systems including the ANS that are associated with the defense response work in a bimodal fashion in a cyclical manner within a window of tolerance so to speak. When a biological system reaches a low or high point a counter mechanism is activated to bring the organism back into a normal state --homeostasis. In patients with histories of unresolved trauma the biological systems oscillate in extreme ways exceeding the biological limits thus losing their regulatory capacities necessary to bring the organism back into a homeostatic state. Scaer states that many symptoms associated with a number of psychiatric disorders (e.g. somatization disorders, Axis II personality disorders, depression, addictions, anxiety related disorders, dissociative disorders, etc.) as well as medical chronic diseases (e.g., fibromyalgia, chronic fatigue, peptic ulcers, gastro esophageal reflux disease, migraine, tics, hypertension, atherosclerosis, heart disease, diabetes, obesity, etc.) are hence related to failures in self-regulatory capacities in a number of domains including cognition, emotion, and behavior, which ultimately dependent on those same neurobiological processes that are negatively affected by unresolved emotional trauma.
Most Recent Customer Reviews
This was a heavy book to read.Read more