Blame is a Defense Against PowerlessnessBetrayal trauma changes you. You have endured a life-altering shock, and are likely living with PTSD symptoms— hypervigilance, flashbacks and bewilderment—with broken trust, with the inability to cope with many situations, and with the complete shut down of parts of your mind, including your ability to focus and regulate your emotions.Nevertheless, if you are unable to recognize the higher purpose in your pain, to forgive and forget and move on, you clearly have chosen to be addicted to your pain and must enjoy playing the victim.And the worst is, we are only too ready to agree with this assessment! Trauma victims commonly blame themselves. Blaming oneself for the shame of being a victim is recognized by trauma specialists as a defense against the extreme powerlessness we feel in the wake of a traumatic event. Self-blame continues the illusion of control shock destroys, but prevents us from the necessary working through of the traumatic feelings and memories to heal and recover.

Persons Are Turned against Themselves Evil also turns a person against herself so that self is used against self. The case of the woman who received a dismissal letter from her pastor comes to mind again. The psychological decompensation she suffered was successfully used by her husband to intercede with a psychiatrist of his choosing to commit her to the mental unit of a hospital for an extended involuntary stay, which further worsened her condition. Additional examples abound. Some patients report cults using induced hypnotic states to encourage a subject's dissociated hands and arms to do something hurtful to someone else. In such cases, the subject is encouraged to watch the hand that is hers but not hers (because it is dissociated from her). The end result is often extreme guilt. self-loathing, and distrust of one's self and motives.An incestuous parent may use a child's own natural bodily responses to repeated sexual stimulation to make the point that the child really "wants and enjoys“ what is being forced upon her.

The current ruling ontology denies any possibility of a social causation of mental illness. The chemico-biologization of mental illness is of course strictly commensurate with its depoliticization. Considering mental illness an individual chemico-biological problem has enormous benefits for capitalism. First, it reinforces Capital’s drive towards atomistic individualization (you are sick because of your brain chemistry). Second, it provides an enormously lucrative market in which multinational pharmaceutical companies can peddle their pharmaceuticals (we can cure you with our SSRls). It goes without saying that all mental illnesses are neurologically instantiated, but this says nothing about their causation. If it is true, for instance, that depression is constituted by low serotonin levels, what still needs to be explained is why particular individuals have low levels of serotonin. This requires a social and political explanation; and the task of repoliticizing mental illness is an urgent one if the left wants to challenge capitalist realism.

So, what role does memory play in the understanding and treatment of trauma? There is a form of implicit memory that is profoundly unconscious and forms the basis for the imprint trauma leaves on the body/mind. The type of memory utilized in learning most physical activities (walking, riding a bike, skiing, etc.) is a form of implicit memory called procedural memory. Procedural or "body memories" are learned sequences of coordinated "motor acts" chained together into meaningful actions. You may not remember explicitly how and when you learned them, but, at the appropriate moment, they are (implicitly) "recalled" and mobilized (acted out) simultaneously. These memories (action patterns) are formed and orchestrated largely by involuntary structures in the cerebellum and basal ganglia.When a person is exposed to overwhelming stress, threat or injury, they develop a procedural memory. Trauma occurs when these implicit procedures are not neutralized. The failure to restore homeostasis is at the basis for the maladaptive and debilitating symptoms of trauma.

Logan looked at her and wondered how someone so beautiful could be so oblivious to their own beauty, how someone so smart could be so foolish to the extent of their own intellect and how someone so loving and compassionate could ever think she wasn’t worthy of love? It was like watching a blind man trapped and wandering aimlessly and helplessly in a scorching hot desert unable to see the small puddle of water that lay just a foot away. The only difference was that she had eyes. Two beautiful ones, yet she could not see. Is that what madness was? Was it to be able to view and appreciate every form of beauty but to be blind to the value and exquisiteness of one’s own? Logan believed in many forms of insanity but he knew in that instant watching her trembling frame on the train tracks that hers, that her illness, surpassed any clinical or psychological term known. Maybe she did suffer from depression or bipolar or schizophrenia. Who knew? All he was certain of in that moment that she suffered from no greater illness than the blindness of the heart.

We who were not so pathologically far out on the spectrum of self-involvement, we dwellers of the visible spectrum who could imagine how it felt to go beyond violet but were not ourselves beyond it, could see that David was wrong not to believe in his lovability and could imagine the pain of not believing in it. How easy and natural love is if you are well! And how gruesomely difficult--what a philosophically daunting contraption of self-interest and self-delusion love appears to be--if you are not! And yet ... the difference between well and not well is in more respects a difference of degree than of kind. Even though David laughed at my much milder addictions and liked to tell me that I couldn't even conceive of how moderate I was, I can still extrapolate from these addictions, and from the secretiveness and solipsism and radical isolation and raw animal craving that accompany them, to the extremity of his. I can imagine the sick mental pathways by which suicide comes to seem like the one consciousness-quenching substance that nobody can take away from you.

Several themes describe misconceptions about mental illness and corresponding stigmatizing attitudes. Media analyses of film and print have identified three: people with mental illness are homicidal maniacs who need to be feared; they have childlike perceptions of the world that should be marveled; or they are responsible for their illness because they have weak character (29-32). Results of two independent factor analyses of the survey responses of more than 2000 English and American citizens parallel these findings (19,33):- fear and exclusion: persons with severe mental illness should be feared and, therefore, be kept out of most communities;- authoritarianism: persons with severe mental illness are irresponsible, so life decisions should be made by others;- benevolence: persons with severe mental illness are childlike and need to be cared for.- Although stigmatizing attitudes are not limited to mental illness, the public seems to disapprove persons with psychiatric disabilities significantly more than persons with related conditions such as physical illness (34-36).

There is a particular kind of pain, elation, loneliness, and terror involved in this kind of madness. When you're high it's tremendous. The ideas and feelings are fast and frequent like shooting stars, and you follow them until you find better and brighter ones. Shyness goes, the right words and gestures are suddenly there, the power to captivate others a felt certainty. There are interests found in uninteresting people. Sensuality is pervasive and the desire to seduce and be seduced irresistible. Feelings of ease, intensity, power, well-being, financial omnipotence, and euphoria pervade one's marrow. But, somewhere, this changes. The fast ideas are far too fast, and there are far too many; overwhelming confusion replaces clarity. Memory goes. Humor and absorption on friends' faces are replaced by fear and concern. Everything previously moving with the grain is now against-- you are irritable, angry, frightened, uncontrollable, and enmeshed totally in the blackest caves of the mind. You never knew those caves were there. It will never end, for madness carves its own reality.

He was lovable the way a child is lovable, and he was capable of returning love with a childlike purity. If love is nevertheless excluded from his work, it's because he never quite felt that he deserved to receive it. He was a lifelong prisoner on the island of himself. What looked like gentle contours from a distance were in fact sheer cliffs. Sometimes only a little of him was crazy, sometimes nearly all of him, but, as an adult, he was never entirely not crazy. What he'd seen of his id while trying to escape his island prison by way of drugs and alcohol, only to find himself even more imprisoned by addiction, seems never to have ceased to be corrosive of his belief in his lovability. Even after he got clean, even decades after his late-adolescent suicide attempt, even after his slow and heroic construction of a life for himself, he felt undeserving. And this feeling was intertwined, ultimately to the point of indistinguishability, with the thought of suicide, which was the one sure way out of his imprisonment; surer than addiction, surer than fiction, and surer, finally, than love.

If the social stress is physical, sexual, or emotional abuse, the way to treat the depression is to stop the abuse. Unfortunately, advocates of the biochemical treatment of depression have gone along with the view of academic theory and popular culture that the problem is entirely within the skull of the victim. Enthusiasm for biochemical treatment and research is partly due to the fact that it helps perpetuate the myth that suicide and depression should be treated by changing the victim, not by changing ourselves. As long as we have a narrow view of the causes of biochemical imbalance, such as limiting it to innate genetic defects, we can practice denial on the social complicity in the causation of suicide. The narrow view does nothing to help reduce pain and increase resources for the millions of people whose problems do not respond to medications. It also deprives us of an opportunity for progress in a much broader area for social reform. The dynamics behind the oppression of the suicidal is similar to the dynamics of other forms of injustice; progress in one area can support progress in other areas.

Pierre Janet, a French professor of psychology who became prominent in the early twentieth century, attempted to fully chronicle late- Victorian hysteria in his landmark work The Major Symptoms of Hysteria. His catalogue of symptoms was staggering, and included somnambulism (not sleepwalking as we think of it today, but a sort of amnesiac condition in which the patient functioned in a trance state, or "second state," and later remembered nothing); trances or fits of sleep that could last for days, and in which the patient sometimes appeared to be dead; contractures or other disturbances in the motor functions of the limbs; paralysis of various parts of the body; unexplained loss of the use of a sense such as sight or hearing; loss of speech; and disruptions in eating that could entail eventual refusal of food altogether. Janet's profile was sufficiently descriptive of Mollie Fancher that he mentioned her by name as someone who "seems to have had all possible hysterical accidents and attacks." In the face of such strange and often intractable "attacks," many doctors who treated cases of hysteria in the 1800s developed an ill-concealed exasperation.

Some people think mental illness is a matter of mood, a matter of personality. They think depression is simply a form of being sad, that OCD is a form of being uptight. They think the soul is sick, not the body. It is, they believe, something that you have some choice over.I know how wrong this is.When I was a child, I didn't understand. I would wake up in a new body and wouldn't comprehend why things felt muted, dimmer. Or the opposite--I'd be supercharged, unfocused, like a radio at top volume flipping quickly from station to station. Since I didn't have access to the body's emotions, I assumed the ones I was feeling were my own. Eventually, though, I realized these inclinations, these compulsions, were as much a part of the body as its eye color or its voice. Yes, the feelings themselves were intangible, amorphous, but the cause of the feelings was a matter of chemistry, biology.It is a hard cycle to conquer. The body is working against you. And because of this, you feel even more despair. Which only amplifies the imbalance. It takes uncommon strength to live with these things. But I have seen that strength over and over again.

Statistics say that a range of mental disorders affects more than one in four Americans in any given year. That means millions of Americans are totally batshit.but having perused the various tests available that they use to determine whether you're manic depressive. OCD, schizo-affective, schizophrenic, or whatever, I'm surprised the number is that low. So I have gone through a bunch of the available tests, and I've taken questions from each of them, and assembled my own psychological evaluation screening which I thought I'd share with you.So, here are some of the things that they ask to determine if you're mentally disordered1. In the last week, have you been feeling irritable?2. In the last week, have you gained a little weight?3. In the last week, have you felt like not talking to people?4. Do you no longer get as much pleasure doing certain things as you used to?5. In the last week, have you felt fatigued?6. Do you think about sex a lot?If you don't say yes to any of these questions either you're lying, or you don't speak English, or you're illiterate, in which case, I have the distinct impression that I may have lost you a few chapters ago.

Now his work-mates pitied him, although they tried not to show it, and it was generally arranged that he was given jobs which allowed him to work alone. The smell of ink, and the steady rhythm of the press, then induced in him a kind of peace - it was the peace he felt when he arrived early, at a time when he might be the only one to see the morning light as it filtered through the works or to hear the sound of his footsteps echoing through the old stone building. At such moments he was forgetful of himself and thus of others until he heard their voices, raised in argument or in greeting, and he would shrink into himself again. At other times he would stand slightly to one side and try to laugh at their jokes, but when they talked about sex he became uneasy and fell silent for it seemed to him to be a fearful thing. He still remembered how the girls in the schoolyard used to chant,Kiss me, kiss me if you canI will put you in my pan,Kiss me, kiss me as you saidI will fry you till you're deadAnd when he thought of sex, it was as of a process which could tear him limb from limb. He knew from his childhood reading that, if he ran into the forest, there would be a creature lying in wait for him.

Being Scared-off by EvilLastly, we deny the presence of evil because we are terrified by the horrendously hurtful, cruel, and bloody kinds of evil people tell us about—if we are willing to listen. This was poignantly brought home during an interdisciplinary case conference involving a resident who was counseling for the first time a woman who had been sexually abused. As we worked with him, it became clear that he was resisting entering what he called the 'psychic cave" of her sealed—off experience from which she was shouting for assistance. Because of his resistance, he was not providing her the support and guidance she so desperately needed, and he was not facilitating her working through the abuse and hurt that were continuing to impact her life. As he was confronted about this at one point in the conference, he stated tearfully: "I'm afraid if I help her move into her memories. I will have to go with her, and if I go with her, my view of the world as a basically good and safe place will be shattered. I'm not sure I can handle that for myself, or be able to think about the fact that my wife and kids may be more vulnerable living in this world than I can be comfortable believing" (Means 1995, 299).