Facebook Pixel
Searching...
简体中文
EnglishEnglish
EspañolSpanish
简体中文Chinese
FrançaisFrench
DeutschGerman
日本語Japanese
PortuguêsPortuguese
ItalianoItalian
한국어Korean
РусскийRussian
NederlandsDutch
العربيةArabic
PolskiPolish
हिन्दीHindi
Tiếng ViệtVietnamese
SvenskaSwedish
ΕλληνικάGreek
TürkçeTurkish
ไทยThai
ČeštinaCzech
RomânăRomanian
MagyarHungarian
УкраїнськаUkrainian
Bahasa IndonesiaIndonesian
DanskDanish
SuomiFinnish
БългарскиBulgarian
עבריתHebrew
NorskNorwegian
HrvatskiCroatian
CatalàCatalan
SlovenčinaSlovak
LietuviųLithuanian
SlovenščinaSlovenian
СрпскиSerbian
EestiEstonian
LatviešuLatvian
فارسیPersian
മലയാളംMalayalam
தமிழ்Tamil
اردوUrdu
The Body Keeps the Score

The Body Keeps the Score

Brain, Mind, and Body in the Healing of Trauma
作者 Bessel van der Kolk 2014 464 页数
4.38
200k+ 评分
10 分钟

重点摘要

1. 创伤扰乱了身体的自然平衡,在身体、心灵和大脑上留下印记

“创伤导致心灵和大脑管理感知方式的根本性重组。”

创伤的广泛影响。 创伤不仅影响心灵,还影响整个人体。它改变了人们处理感官信息的方式,常常使他们对潜在威胁保持高度警觉。这种持续的警觉状态可能导致:

  • 难以区分过去和现在的危险
  • 无法完全投入当下
  • 身体症状如慢性疼痛、疲劳和消化问题

神经生物学变化。 创伤可以重塑大脑,特别是影响以下区域:

  • 情绪调节
  • 记忆处理
  • 压力反应

这些变化解释了为什么创伤患者常常难以控制情绪、记忆碎片化以及持续的安全感缺失。

2. PTSD使人们在当下重温过去,影响整个身体

“被创伤影响意味着继续以创伤仍在进行的方式组织你的生活——不变且不可改变——每一次新的遭遇或事件都被过去污染。”

困在生存模式中。 PTSD患者在生理上仍然准备面对原始威胁,即使危险早已过去。这种持续的警觉状态表现为:

  • 侵入性记忆或闪回
  • 噩梦和睡眠障碍
  • 惊吓反应增强
  • 情感麻木或解离

全身影响。 PTSD不仅影响心灵,还影响整个身体。患者常常经历:

  • 慢性肌肉紧张
  • 消化问题
  • 免疫系统功能障碍
  • 心血管问题

这些身体症状强化了心理上的持续危险感,形成一个难以打破的恶性循环,除非进行有针对性的干预。

3. 早期关系塑造大脑发育和未来的压力反应

“童年时期的创伤成为孩子存在的默认状态,是他们看待所有未来经历的透镜。”

依恋模式。 早期的照顾者关系深刻影响孩子的大脑发育,特别是在以下区域:

  • 情绪调节
  • 压力反应
  • 社会联结

经历一致、敏感照顾的孩子会发展出韧性和自我安抚的能力。相反,那些被忽视或虐待的孩子可能会面临:

  • 情绪失调
  • 难以形成健康关系
  • 对未来创伤的高度脆弱性

长期后果。 早期创伤可能导致终生的困难:

  • 信任和亲密关系
  • 自我价值和身份认同
  • 应对压力的能力

这些早期经历为个体如何感知和与世界互动奠定了模板,除非通过有针对性的干预,否则这种模式会持续到成年。

4. 童年创伤可能导致终生的身体和心理健康问题

“儿童虐待是我们国家最大的公共健康问题。”

ACE研究。 不良童年经历(ACE)研究揭示了童年创伤对成年健康的深远影响。主要发现包括:

  • 较高的ACE评分与以下风险增加相关:

    • 慢性疾病(心脏病、癌症等)
    • 精神健康障碍
    • 物质滥用
    • 早逝
  • 即使没有高风险行为,童年创伤也可能导致不良健康结果

代际传递。 创伤的影响可以通过以下方式代代相传:

  • 表观遗传变化
  • 由未解决的创伤塑造的育儿方式
  • 社会和环境因素

解决童年创伤不仅对个体康复至关重要,还能打破代际创伤循环,改善公共健康结果。

5. 身体记住创伤:创伤以身体感觉的形式被记住

“身体记住创伤:如果创伤的记忆被编码在内脏中,在令人心碎和肠胃不适的情感中,在自身免疫性疾病和骨骼/肌肉问题中,这就要求我们对治疗假设进行根本性的转变。”

躯体记忆。 创伤不仅存储在心灵中,还存储在身体中。这表现为:

  • 慢性疼痛
  • 无法解释的医学症状
  • 生理唤醒增强

创伤患者常常难以用语言表达他们的经历,但他们的身体通过以下方式讲述了故事:

  • 肌肉紧张
  • 呼吸模式
  • 姿势和动作

身心脱节。 许多创伤幸存者经历:

  • 难以识别和表达情感(情感失认症)
  • 解离或感觉“出体”
  • 无法在自己的皮肤中感到安全

有效的创伤治疗必须同时解决创伤的心理和生理方面,帮助个体重新连接并在自己的身体中感到安全。

6. 传统的谈话疗法可能不足以治愈创伤的深层影响

“创伤不仅是过去某个时间发生的事件;它也是那次经历在心灵、大脑和身体上留下的印记。”

认知方法的局限性。 虽然谈话疗法可能有帮助,但它往往在处理创伤方面不足,因为:

  • 创伤影响大脑的区域无法通过语言单独访问
  • 通过语言重温创伤记忆可能会重新创伤
  • 许多创伤幸存者难以用语言表达他们的经历

需要自下而上的方法。 有效的创伤治疗通常需要:

  • 针对创伤身体表现的身体干预
  • 直接针对自主神经系统的技术
  • 帮助个体在身体中感到安全的方法

综合方法。 一个全面的创伤治疗计划可能包括:

  • 传统心理治疗
  • 躯体疗法(瑜伽、身体意识练习)
  • 神经反馈或其他大脑干预
  • 必要时的药物支持

通过在多个层面上解决创伤的影响,个体有更好的机会实现真正的康复和整合。

7. 有效的创伤治疗涉及重新获得身体的安全感

“关键问题是允许自己知道你所知道的。这需要巨大的勇气。”

恢复生理平衡。 创伤治疗的一个关键目标是帮助个体:

  • 调节他们的自主神经系统
  • 区分过去和现在的威胁
  • 在自己的身体中感到安全

这通常涉及:

  • 正念练习
  • 身体意识练习
  • 呼吸技巧

重新获得自主权。 创伤常常让个体感到无助。有效的治疗帮助他们:

  • 识别和回应身体的信号
  • 做出支持自己健康的选择
  • 在面对触发因素时采取有效行动

逐步暴露。 治疗必须平衡:

  • 处理创伤记忆
  • 建立资源和应对技能
  • 避免重新创伤

这通常涉及钟摆式的方法,在面对困难材料和回到安全和调节的地方之间交替进行。

8. EMDR、瑜伽和神经反馈提供了重新连接创伤反应的有前途的方法

“EMDR松动了心灵/大脑中的某些东西,使人们能够快速访问过去松散关联的记忆和图像。这似乎有助于他们将创伤经历置于更大的背景或视角中。”

创新疗法。 这些方法针对创伤的神经生物学基础:

EMDR(眼动脱敏与再处理):

  • 促进创伤记忆的处理
  • 帮助整合碎片化的感官体验
  • 可以迅速缓解症状

瑜伽:

  • 增加身体意识和内感受
  • 促进神经系统调节
  • 帮助个体在身体中感到安全

神经反馈:

  • 直接针对失调的大脑模式
  • 可以改善注意力、情绪调节和压力韧性
  • 提供一种非侵入性的方式来“重新训练”大脑

这些方法通常与传统心理治疗协同工作,提供更全面的创伤治疗方法。

9. 内在家庭系统疗法帮助整合自我的碎片化部分

“所有部分都有一个功能:保护自我免于感受到彻底毁灭的恐惧。”

理解部分。 IFS将心灵视为由各种“部分”或子人格组成:

  • 被流放者:承载创伤的负担
  • 管理者:试图保持系统运作
  • 消防员:从事冲动行为以麻木痛苦

自我领导。 IFS的目标是帮助个体:

  • 识别和理解他们的各种部分
  • 访问他们的核心“自我”——充满同情心和好奇心的本质
  • 治愈受伤的部分并创造内部和谐

整合过程。 IFS帮助创伤幸存者:

  • 认识到不同部分是如何为了应对创伤而被创造出来的
  • 对自己所有的部分发展同情心
  • 创造新的、更健康的方式来应对触发因素和压力

这种方法对那些有复杂创伤历史的人特别有帮助,提供了一种非病理化的方式来理解和治愈自我的碎片化部分。

10. 集体节奏和戏剧在创伤恢复中可以发挥强大的作用

“音乐将那些可能单独感到恐惧的人结合在一起,使他们集体成为自己和他人的强大倡导者。”

集体体验的力量。 像戏剧和音乐这样的集体活动可以:

  • 对抗创伤幸存者常常经历的孤立感
  • 提供归属感和共同目标
  • 提供情感表达和宣泄的机会

具身疗愈。 戏剧技巧帮助创伤幸存者:

  • 在安全、充满乐趣的环境中重新连接他们的身体
  • 探索不同的存在和反应方式
  • 练习情绪调节和社交技能

文化和历史背景。 在历史上,集体仪式帮助社会处理集体创伤。例子包括:

  • 古希腊戏剧处理战争的影响
  • 民权运动歌曲培养勇气和团结
  • 爱沙尼亚的“歌唱革命”导致独立

这些方法利用了人类对连接、表达和意义建构的基本需求,为创伤恢复中的个体治疗提供了强有力的补充。

最后更新日期:

FAQ

What's "The Body Keeps the Score" about?

  • Exploration of trauma: "The Body Keeps the Score" by Bessel van der Kolk examines how trauma impacts the brain, mind, and body, highlighting both physiological and psychological effects.
  • Interdisciplinary approach: The book integrates neuroscience, developmental psychopathology, and interpersonal neurobiology to provide a comprehensive understanding of traumatic stress.
  • Healing focus: It discusses various therapeutic approaches and self-regulatory practices that can aid in healing from trauma.

Why should I read "The Body Keeps the Score"?

  • Understanding trauma: The book offers a deep understanding of trauma's effects on individuals and society, essential for anyone interested in mental health.
  • Innovative treatments: It introduces innovative treatment approaches that go beyond traditional methods, offering new possibilities for healing.
  • Empathy and compassion: Reading it fosters empathy and compassion for trauma survivors by humanizing their experiences and challenges.

What are the key takeaways of "The Body Keeps the Score"?

  • Lasting impact of trauma: Trauma leaves lasting imprints on the brain, mind, and body, affecting perceptions and interactions with the world.
  • Self-regulation importance: Developing self-regulatory practices is crucial for trauma survivors to regain control over their lives and emotions.
  • Holistic healing: Effective trauma treatment requires a holistic approach that addresses both physiological and psychological aspects.

How does Bessel van der Kolk define trauma in "The Body Keeps the Score"?

  • Pervasive issue: Trauma is defined as an experience that overwhelms an individual's ability to cope, leaving lasting imprints on the mind and body.
  • Beyond the event: It is not just the event itself but the body's response to it, which can persist long after the danger has passed.
  • Impact on self-regulation: Trauma affects the ability to regulate emotions and maintain a sense of safety and control over one's life.

How does trauma affect the brain according to "The Body Keeps the Score"?

  • Brain structure changes: Trauma can alter brain structures like the amygdala, hippocampus, and prefrontal cortex, affecting emotional regulation and memory processing.
  • Dysregulated stress response: Traumatic experiences can lead to a dysregulated stress response, resulting in heightened arousal and difficulty calming down.
  • Impaired self-awareness: Trauma can impair the brain's ability to integrate sensory information, leading to a disconnection from one's body and emotions.

What therapeutic methods does "The Body Keeps the Score" recommend for trauma recovery?

  • EMDR: Eye Movement Desensitization and Reprocessing helps process traumatic memories by using bilateral stimulation to reduce their emotional charge.
  • Yoga and mindfulness: These practices promote body awareness and help regulate the nervous system, making them effective tools for trauma recovery.
  • Neurofeedback: This technique trains the brain to produce healthier patterns of electrical activity, improving emotional regulation and cognitive function.

How does "The Body Keeps the Score" integrate neuroscience with trauma treatment?

  • Brain imaging studies: The book discusses studies that reveal how trauma affects brain function and structure, providing insights into the physiological basis of trauma.
  • Neuroplasticity and healing: It explores neuroplasticity, showing how the brain can change and heal through targeted therapeutic interventions.
  • Interdisciplinary approach: Van der Kolk integrates neuroscience findings with psychological and therapeutic practices for a comprehensive trauma treatment approach.

What role does attachment play in trauma, according to "The Body Keeps the Score"?

  • Attachment and safety: Secure attachment in early life provides a sense of safety and stability, which can protect against trauma effects.
  • Disorganized attachment: The book discusses how disorganized attachment, often from abuse or neglect, can lead to difficulties in self-regulation and relationships.
  • Healing through relationships: Healthy relationships and social support are crucial for healing from trauma, helping rebuild trust and security.

How does "The Body Keeps the Score" address the impact of childhood trauma?

  • Developmental disruptions: Childhood trauma can disrupt normal development, leading to long-term psychological and physiological issues.
  • ACE study findings: It references the Adverse Childhood Experiences (ACE) study, linking childhood trauma to various health and social problems in adulthood.
  • Intervention and prevention: Van der Kolk advocates for early intervention and prevention strategies to mitigate childhood trauma's impact and promote resilience.

What is the "Polyvagal Theory" and its relevance in trauma treatment according to "The Body Keeps the Score"?

  • Understanding safety and danger: The Polyvagal Theory explains how the nervous system responds to safety and danger, influencing emotional and physiological states.
  • Social engagement system: It highlights the role of the social engagement system in regulating emotions and fostering connections, crucial for trauma recovery.
  • Therapeutic applications: The theory informs therapeutic practices that aim to restore a sense of safety and connection, helping trauma survivors regulate their nervous systems and emotions.

What are some of the best quotes from "The Body Keeps the Score" and what do they mean?

  • "The greatest sources of our suffering are the lies we tell ourselves." This quote highlights the importance of self-awareness and honesty in healing from trauma.
  • "Trauma results in a fundamental reorganization of the way mind and brain manage perceptions." It emphasizes how trauma can alter an individual's perception of reality and their ability to process experiences.
  • "The body keeps the score: If the memory of trauma is encoded in the viscera, in heartbreaking and gut-wrenching emotions..." This encapsulates the book's central theme that trauma is stored in the body and affects both physical and emotional well-being.

How does "The Body Keeps the Score" address the limitations of traditional talk therapy for trauma?

  • Beyond verbal processing: The book argues that traditional talk therapy may not be sufficient for trauma recovery, as it often focuses on verbal processing without addressing the body's role in storing trauma.
  • Need for somatic therapies: It emphasizes the importance of incorporating somatic therapies, such as yoga and EMDR, which engage the body and help release stored trauma.
  • Integration of mind and body: The book advocates for a holistic approach to therapy that integrates both mind and body, recognizing their interconnectedness in the healing process.

评论

4.38 满分 5
平均评分来自 200k+ 来自Goodreads和亚马逊的评分.

《身体从未忘记》获得了褒贬不一的评价。许多人称赞其对创伤的全面探讨、创新疗法以及作者的专业知识。读者认为这本书富有洞察力、充满同情心,并且可能改变生活。然而,也有一些人批评作者的写作风格、过于详细的描述以及潜在的偏见。批评者指出,这本书篇幅较长,学术性强,并且可能引发不适。尽管存在争议,许多读者仍然欣赏这本书在理解创伤及其对身心影响方面的贡献。

Your rating:

关于作者

贝塞尔·范德科尔克医学博士是创伤应激领域的著名专家,他毕生致力于研究个体如何适应创伤经历。1984年,他在美国建立了首批专注于平民创伤应激的临床研究中心之一。范德科尔克在创伤后应激障碍(PTSD)治疗、创伤对大脑影响的神经影像学研究以及早期儿童创伤与边缘性人格障碍之间的联系方面进行了开创性的研究。他的工作极大地促进了对儿童和成人创伤应激的理解和治疗。

0:00
-0:00
1x
Dan
Andrew
Michelle
Lauren
Select Speed
1.0×
+
200 words per minute
Create a free account to unlock:
Requests: Request new book summaries
Bookmarks: Save your favorite books
History: Revisit books later
Ratings: Rate books & see your ratings
Try Full Access for 7 Days
Listen, bookmark, and more
Compare Features Free Pro
📖 Read Summaries
All summaries are free to read in 40 languages
🎧 Listen to Summaries
Listen to unlimited summaries in 40 languages
❤️ Unlimited Bookmarks
Free users are limited to 10
📜 Unlimited History
Free users are limited to 10
Risk-Free Timeline
Today: Get Instant Access
Listen to full summaries of 73,530 books. That's 12,000+ hours of audio!
Day 4: Trial Reminder
We'll send you a notification that your trial is ending soon.
Day 7: Your subscription begins
You'll be charged on Mar 1,
cancel anytime before.
Consume 2.8x More Books
2.8x more books Listening Reading
Our users love us
50,000+ readers
"...I can 10x the number of books I can read..."
"...exceptionally accurate, engaging, and beautifully presented..."
"...better than any amazon review when I'm making a book-buying decision..."
Save 62%
Yearly
$119.88 $44.99/year
$3.75/mo
Monthly
$9.99/mo
Try Free & Unlock
7 days free, then $44.99/year. Cancel anytime.
Settings
Appearance
Black Friday Sale 🎉
$20 off Lifetime Access
$79.99 $59.99
Upgrade Now →