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Complex PTSD

Complex PTSD

From Surviving to Thriving
作者 Pete Walker 2013 376 页数
4.55
11k+ 评分
Listen to Summary

重点摘要

1. 复杂性创伤后应激障碍:理解童年创伤的影响

复杂性创伤后应激障碍(CPTSD)是一种更严重的创伤后应激障碍形式。它与更为人知的创伤综合症不同,主要表现为五个常见且棘手的特征:情感闪回、有毒的羞耻感、自我抛弃、恶性内在批评者和社交焦虑。

童年创伤的持久影响: 复杂性创伤后应激障碍(CPTSD)是由于童年时期长期暴露于创伤性经历而发展的一种状况,通常由虐待、忽视或遗弃引起。与单一事件的创伤后应激障碍不同,CPTSD影响一个人生活的多个方面,包括:

  • 情感调节
  • 自我认知
  • 与他人的关系
  • 对世界的信念体系

主要症状和挑战: 患有CPTSD的人通常面临以下困难:

  • 情感闪回:由当下经历触发的突然、强烈的情感反应
  • 有毒的羞耻感:一种根本上有缺陷或不值得的普遍感觉
  • 自我抛弃:忽视自己的需求和感受
  • 内在批评者:严厉的自我批评内心声音
  • 社交焦虑:对社交场合的强烈恐惧和回避

理解CPTSD对于幸存者及其亲人开始愈合过程和发展有效的应对策略至关重要。

2. 识别情感闪回及其触发因素

情感闪回是突然且常常持续的退回到被虐待/遗弃儿童的压倒性情感状态。这些情感状态可能包括压倒性的恐惧、羞耻、疏离、愤怒、悲伤和抑郁。

识别闪回: 情感闪回是CPTSD的核心症状,通常表现为对日常情况的强烈、看似不合理的情感反应。与PTSD闪回不同,它们通常不涉及视觉记忆,而是过去的压倒性情感。

情感闪回的关键特征:

  • 突然出现的强烈情感(恐惧、羞耻、愤怒等)
  • 感觉渺小、无助或无力
  • 与当前现实的脱节
  • 理性思考或决策困难

管理触发因素: 识别和理解触发因素对于管理闪回至关重要。常见的触发因素包括:

  • 人际冲突
  • 感知到的拒绝或遗弃
  • 压力或不堪重负
  • 让人想起过去创伤的特定声音、气味或环境

制定个性化的闪回管理计划,包括地面技术和自我安抚策略,可以帮助幸存者应对这些挑战性经历,并逐渐减少其频率和强度。

3. 内在批评者:摆脱自我毁灭性思维

内在批评者是失控的超我。内在批评者是超我过度运转,拼命想赢得父母的认可。

理解内在批评者: 内在批评者是内化的批评和自我怀疑的声音,通常作为对童年创伤的生存机制而发展。这种严厉的内心对话可能是压倒性的,导致:

  • 完美主义和不切实际的期望
  • 持续的不足感和不值得感
  • 自我破坏行为
  • 追求目标或冒险的困难

消除批评者的策略:

  1. 识别和挑战消极自我对话
  2. 练习自我同情和积极自我肯定
  3. 将错误重新定义为成长的机会
  4. 发展对自己和他人更平衡、现实的看法

通过持续努力缩小内在批评者,幸存者可以逐渐重建自尊,并发展更有滋养性的内心对话。

4. 4F反应:战斗、逃跑、冻结和讨好

逃跑型的人通过不断忙碌的象征性逃跑来无情地逃避被遗弃的内心痛苦。

理解创伤反应: 4F反应是应对童年创伤而发展出的生存策略。每种类型代表了一种应对压倒性压力和恐惧的不同方式:

  1. 战斗:好斗、控制行为
  2. 逃跑:持续忙碌、完美主义
  3. 冻结:解离、情感麻木
  4. 讨好:取悦他人、失去个人界限

平衡反应: 虽然这些策略在童年时期可能是生存所必需的,但在成年后往往变得不适应。康复包括:

  • 识别你的主要反应类型
  • 发展对这些反应何时被触发的意识
  • 学习平衡和整合所有四种反应
  • 培养更健康的应对机制和关系模式

通过理解和处理他们的4F反应,幸存者可以发展出更灵活、适应性更强的应对生活挑战的方法。

5. 哀悼:从童年创伤中愈合的关键步骤

哀悼是重新连接我们被压抑的情感智慧的关键过程。哀悼使我们重新连接到我们完整的情感。

哀悼的重要性: 未解决的童年创伤常常使幸存者与他们的情感脱节,无法完全处理他们的过去经历。哀悼是愈合的关键步骤,使幸存者能够:

  • 承认和验证他们过去的痛苦
  • 释放积压的情感和能量
  • 重新连接到他们真实的自我
  • 发展更大的情感智慧和韧性

哀悼的四个过程:

  1. 愤怒:表达对过去不公的愤怒和愤慨
  2. 哭泣:通过泪水释放悲伤和伤害
  3. 语言宣泄:谈论痛苦的经历和情感
  4. 感受:允许自己充分体验和处理情感

通过参与这些哀悼过程,幸存者可以逐渐处理他们未解决的创伤,并发展出更大的情感健康能力。

6. 培养自我同情和情感智慧

自我同情是康复的住所,自我保护是其基础。

培养自我同情: 自我同情是从CPTSD中愈合的关键组成部分,涉及以善意、理解和接受对待自己。关键方面包括:

  • 认识到痛苦中的共同人性
  • 练习自我善待而非自我评判
  • 发展对自己思想和感受的正念意识

增强情感智慧: 情感智慧涉及识别、理解和管理自己的情感,以及对他人产生共鸣。对于CPTSD幸存者来说,发展情感智慧可以导致:

  • 改善自我意识和自我调节
  • 更好的人际关系和沟通技巧
  • 在面对压力和挑战时增加韧性
  • 更大的整体幸福感和生活满意度

通过培养自我同情和情感智慧,幸存者可以为愈合和个人成长创造更坚实的基础。

7. 建立健康关系和获得安全依恋

获得安全依恋是一种新近认可的健康依恋类别。许多依恋治疗师相信,经过有效治疗,幸存者可以“获得”至少一个真正亲密的关系。

理解依恋模式: CPTSD通常导致不安全的依恋模式,使幸存者难以形成和维持健康的关系。常见的挑战包括:

  • 对亲密和脆弱的恐惧
  • 难以信任他人
  • 关系中的共依赖或回避

发展安全依恋: 通过治疗和个人成长工作,幸存者可以发展获得的安全依恋,其特征是:

  • 能够形成和维持健康、亲密的关系
  • 在自主性和连接之间取得平衡
  • 有效的沟通和界限设定技巧
  • 在面对关系挑战时的韧性

建立健康关系的关键策略包括:

  1. 练习真实的脆弱性和自我披露
  2. 发展有效的沟通技巧
  3. 学习设定和尊重界限
  4. 培养同理心和情感调谐

通过努力获得安全依恋,幸存者可以体验到真正连接和亲密的治愈力量。

8. 正念和身体意识在康复中的作用

正念是一种将自我观察能力与自我同情本能结合的视角。

正念的力量: 正念是管理CPTSD症状和促进整体健康的强大工具。主要好处包括:

  • 增强对思想、情感和身体感觉的意识
  • 改善识别和管理触发因素的能力
  • 更大的自我调节和情感平衡能力
  • 增强的自我同情和自我接受

身体意识技术: 专注于身体感觉可以帮助幸存者:

  • 重新连接到他们的身体自我
  • 处理被困的创伤能量
  • 发展更大的情感调节技能
  • 培养安全感和扎根感

实用的正念和身体意识练习:

  1. 身体扫描
  2. 正念呼吸
  3. 渐进性肌肉放松
  4. 正念运动(如瑜伽、太极)

通过将正念和身体意识融入日常生活,幸存者可以发展更大的韧性和更强的自我意识。

9. 管理遗弃性抑郁

遗弃性抑郁本身是困扰创伤儿童的无助和绝望的麻木感觉。

理解遗弃性抑郁: 遗弃性抑郁是CPTSD的核心方面,其特征是无望、无助和情感麻木的感觉。它通常源于童年时期的忽视或遗弃经历。

遗弃性抑郁的关键特征:

  • 强烈的空虚和脱节感
  • 难以体验快乐或动力
  • 压倒性的无价值感和羞耻感
  • 倾向于自我抛弃和自我忽视

管理遗弃性抑郁的策略:

  1. 识别和验证这些感觉的起源
  2. 练习自我同情和自我关怀
  3. 参与促进自我滋养和自我连接的活动
  4. 寻求可信赖他人或治疗师的支持
  5. 逐渐挑战关于无价值和不可爱的信念

通过学习管理遗弃性抑郁,幸存者可以开始重拾他们的主动权,并培养更充实的生活。

10. 在愈合中真实脆弱性的力量

真实的脆弱性是亲密关系的第二个特质。真实的脆弱性通常始于与客户的情感共鸣。

拥抱脆弱性: 真实的脆弱性对于从CPTSD中愈合和发展有意义的关系至关重要。它包括:

  • 诚实地面对自己的思想、感受和经历
  • 允许自己被他人看到和了解
  • 在关系中承担情感风险

真实脆弱性的好处:

  • 与他人更深层次、更充实的连接
  • 增强的自我接受和自尊
  • 更大的情感亲密和支持
  • 通过共享经历获得成长和愈合的机会

练习真实脆弱性:

  1. 从小处开始,与可信赖的人
  2. 逐渐分享感受和经历
  3. 学会忍受被看到的不适
  4. 庆祝展现脆弱所需的勇气

通过拥抱真实的脆弱性,幸存者可以摆脱创伤的孤立,体验到真正人际连接的治愈力量。

最后更新日期:

FAQ

What's Complex PTSD: From Surviving to Thriving about?

  • Focus on Recovery: The book is a comprehensive guide for individuals recovering from Complex PTSD (CPTSD), particularly from childhood trauma. It emphasizes understanding symptoms and origins to facilitate healing.
  • Multimodal Approach: Author Pete Walker integrates cognitive, emotional, spiritual, and somatic healing methods, offering a holistic perspective to address various trauma dimensions.
  • Practical Tools: It includes practical tools like the "13 Steps for Managing Flashbacks," helping readers navigate their recovery journey effectively.

Why should I read Complex PTSD: From Surviving to Thriving?

  • Empowerment Through Understanding: The book provides clarity on experiences and symptoms associated with CPTSD, empowering individuals by demystifying emotional flashbacks and toxic shame.
  • Real-Life Testimonials: It features testimonials from readers who found solace and validation in Walker's insights, indicating its real-life impact.
  • Comprehensive Resource: It serves as a valuable resource for both survivors and therapists, enhancing therapeutic practices and personal recovery efforts.

What are the key takeaways of Complex PTSD: From Surviving to Thriving?

  • Understanding CPTSD: The book defines CPTSD and its symptoms, such as emotional flashbacks and toxic shame, crucial for recognizing and addressing trauma.
  • Healing is Multifaceted: Recovery involves cognitive, emotional, spiritual, and somatic healing, each playing a vital role in holistic recovery.
  • Importance of Relationships: Healthy relationships are significant in recovery, with "reparenting by committee" fostering supportive connections.

How does Pete Walker define emotional flashbacks in Complex PTSD: From Surviving to Thriving?

  • Definition of Emotional Flashbacks: They are sudden regressions to overwhelming childhood trauma feelings, often lacking a visual component, evoking fear, shame, and helplessness.
  • Triggers and Symptoms: Triggered by various stimuli, they lead to intense emotional responses, feeling small, fragile, and overwhelmed, often with toxic shame.
  • Management Techniques: Strategies include recognizing them as past memories and employing grounding techniques to regain safety.

What is the "inner critic" in Complex PTSD: From Surviving to Thriving?

  • Definition of Inner Critic: An internalized voice perpetuating shame and self-loathing, mirroring negative caregiver messages, dominating thoughts and feelings.
  • Impact on Recovery: It hinders recovery by reinforcing toxic beliefs, making self-compassion and healing difficult, often leading to perfectionism and self-abandonment.
  • Strategies to Shrink the Critic: Techniques include thought-stopping and perspective-shifting exercises, replacing negative self-talk with supportive affirmations.

How does Complex PTSD: From Surviving to Thriving define toxic shame?

  • Understanding Toxic Shame: Described as an overwhelming sense of being loathsome or defective, often from childhood abuse or neglect, obliterating self-esteem.
  • Connection to Flashbacks: Resurfaces during emotional flashbacks, exacerbating fear and helplessness, creating a cycle of self-criticism and isolation.
  • Healing from Toxic Shame: Involves recognizing and addressing it through grieving and self-compassion, reclaiming self-worth, and understanding shame isn't one's true value.

What are the "Four F's" in Complex PTSD: From Surviving to Thriving?

  • Definition of the Four F's: Instinctive responses to trauma: Fight, Flight, Freeze, and Fawn, each representing a survival strategy developed in response to childhood trauma.
  • Impact on Behavior: These responses can become entrenched patterns affecting adult behavior and relationships, like aggression or codependency.
  • Recovery Focus: Identifying dominant responses and working towards balanced use of all Four F's is essential for healthy relationships and self-protection.

What is the significance of grieving in Complex PTSD: From Surviving to Thriving?

  • Role of Grieving: Portrayed as crucial for reconnecting with repressed emotions and healing from childhood trauma, allowing individuals to process pain and validate experiences.
  • Types of Grieving: Includes crying, verbal ventilation, and expressing anger, each serving to release pent-up emotions and facilitate healing.
  • Connection to Recovery: Leads to increased self-compassion and a healthier emotional state, vital for overcoming CPTSD effects and reclaiming one's sense of self.

What steps does Complex PTSD: From Surviving to Thriving suggest for managing flashbacks?

  • Recognize the Flashback: Acknowledge experiencing a flashback by saying, “I am having a flashback,” to ground yourself in the present.
  • Self-Reassurance: Remind yourself of safety and that feelings are remnants of past trauma, reducing emotional response intensity.
  • Grieving and Emotional Release: Engage in grieving practices to process emotions associated with flashbacks, allowing crying or anger expression for emotional release.

What techniques does Complex PTSD: From Surviving to Thriving recommend for self-soothing?

  • Grounding Exercises: Suggests deep breathing and focusing on physical sensations to manage anxiety and emotional distress, bringing awareness to the present.
  • Mindfulness Practices: Encourages mindfulness to cultivate self-awareness and acceptance, reducing the inner critic's impact and promoting emotional regulation.
  • Creating Safe Spaces: Advises creating safe spaces for retreat when overwhelmed, engaging in comforting activities, or seeking support from trusted friends.

How can I find a therapist who understands the concepts in Complex PTSD: From Surviving to Thriving?

  • Research and Referrals: Suggests researching therapists specializing in trauma and CPTSD, using resources like www.creativegrowth.com for referrals.
  • Interview Potential Therapists: Important to assess their approach and compatibility, asking about experience with CPTSD and therapeutic methods.
  • Look for Empathy and Understanding: Choose a therapist demonstrating empathy and understanding, crucial for effective healing and recovery.

What are the best quotes from Complex PTSD: From Surviving to Thriving and what do they mean?

  • "The journey of recovering from CPTSD is complex.": Emphasizes the multifaceted nature of healing, involving various life aspects and experiences.
  • "Emotional flashbacks are a call from our psyche to address important developmental arrests.": Highlights flashbacks as signals for unresolved childhood issues needing attention and healing.
  • "Mistakes do not make me a mistake.": Encourages self-acceptance, understanding imperfection as part of being human, letting go of perfectionism, and embracing flaws.

评论

4.55 满分 5
平均评分来自 11k+ 来自Goodreads和亚马逊的评分.

《复杂性创伤后应激障碍:从生存到繁荣》因其对童年创伤的深刻见解和富有同情心的方法而备受赞誉。读者认为这本书改变了生活,提供了实用的康复和理解工具。许多人欣赏沃克的个人经历和富有同情心的语调。该书因其易于理解和对复杂性创伤后应激障碍症状及康复的全面覆盖而受到称赞。一些批评意见包括过时的性别规范和潜在的触发因素。总体而言,这被认为是创伤幸存者和治疗师的宝贵资源,为那些与复杂创伤斗争的人提供了希望和肯定。

Your rating:

关于作者

皮特·沃克是一位在加利福尼亚州伯克利市拥有私人诊所的心理治疗师。他在咨询、讲座、写作和团体领导方面拥有超过三十年的经验。沃克专注于帮助那些在童年时期经历过创伤的成年人,特别是那些具有复杂性创伤后应激障碍(C-PTSD)症状的人。他的方法受到他个人C-PTSD经历的启发,使他能够在工作中带来独特的见解和同理心。沃克的专业知识还包括培训和监督其他治疗师,通过他的写作和实践,他已成为创伤恢复领域备受尊敬的声音。

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