Trauma: Get Over It

Every life has at least one crisis — an avalanche that reshapes
its emotional landscape. For Hector Aristiz?bal, this cataclysm
came in 1982. At the time, Aristiz?bal was a passionate student at
Universidad de Antioquia in Medell?n, Colombia, consumed by the
innocuous diversions and immersions of a collegian: He was working
toward a psychology degree, studying theater, and frequently
marching for political causes.

In Colombia, though, behaving like a ‘typical’ student is
perilous. This is a country where the days are often punctuated by
gunfire; where over the past four decades billions in U.S. aid and
countless acres of coca plants have funded a well-armed, violent
conflict among guerrilla factions, drug cartels, and U.S.-backed
shock troops. Violence, paranoia, and fear are, by design, daily
companions for everyone. ‘In my community of intellectuals and my
family, we knew that when you dissent, the police can capture you
and disappear you and torture you,’ Aristiz?bal says.

A zealous priest, suspicious of the family’s progressive
politics, tipped off the army. Soldiers raided their home and found
literature that landed Aristiz?bal and his brother in jail. After
the arrest, Aristiz?bal spent three days and three nights in a
torture chamber. Members of the Colombian army beat him and held
his head underwater until he was on the brink of passing out. They
applied electric shocks to his genitals. Hog-tied him and hung him
from a pole. They also subjected him to sadistic mind games,
including a mock execution.

Like most acts of war, torture is not random. ‘Torture is a
political tool, and its effects are intentional,’ explains clinical
psychologist Andrea Northwood, acting director of client services
at the Center for Victims of Torture in Minneapolis. ‘There’s a
general psychology to torture wherever it is practiced. It’s
designed to destroy the person’s sense of integrity and
identity.’

Torture manipulates the mechanisms in the brain and body in a
way that results in trauma. And while it is an extreme act,
unthinkable to most of us, the physiological effects can be
virtually identical in people who face less dramatic situations.
Even witnessing something ugly or frightening can trigger the same
physical mechanisms. In fact, while the word trauma (or
traumatic) is often used to describe an event like a car
crash or a beating, psychiatrists and social scientists use the
term to describe what takes place inside after these moments pass
— a physically taxing, soul-wrenching process. Most of us seek to
avoid this sort of pain at all costs, but if we learn how to live
with and learn from trauma, there’s a good chance that in the
process we will better understand both what it is to be human and
how to gain access to our best selves.

The human brain developed in layers, like a
pearl, over thousands of generations. The outermost layer is the
neocortex, where language and abstract thought take place. Nestled
inside the neocortex is the much older limbic brain, which governs
emotion and memory. Seated in the front of the limbic brain, in the
temporal lobe, is the amygdala, a sensitive, almond-shaped region
that sounds a warning note when we experience a threat. The source
of our ‘fight or flight’ instinct, the amygdala is an organ of
fear.

These layers are in constant communication. Suppose a fist
hammering on the door startles you from an afternoon reverie. You
are not expecting guests. But the hammering continues, and with it
you hear shouting. Immediately, the amygdala takes control of your
body. (In fact, it might even take action before the neocortex
registers sound. Studies show that the amygdala can make emotional
judgments using sensory data long before our minds can make
rational judgments.) Your heart rate and respiration automatically
increase, tensing your muscles to attack or flee.

Only then does the neocortex get involved. If you open the door
to find your husband who forgot his keys and is late to work, the
neocortex orders your amygdala to stand down; if you find masked
soldiers with rifles cocked, the amygdala stays hyperactive. Among
other things, it will signal the hippocampus, the structure in the
limbic brain where memories are processed and stored, to stab this
moment deep into the tissue of your brain. You will never answer a
knock on the door in quite the same way again.

It is these ‘flashbulb memories,’ as Northwood explains, that
contribute to the powerful effects of trauma on memory.
Theoretically, remembering the cause of a threat can help you avoid
it in the future — a useful trick when you’re avoiding predators.
Unlike animals, which can literally shake off the physical response
to fear, however, humans accumulate their fears. Our hippocampus
can become so illuminated by flashbulb memories, in fact, that we
become blinded to the difference between real and imagined threats.
As a result, we tend to see predators everywhere we look.

‘When people are in this state of hyperarousal, we encode
memories very differently,’ Northwood says. This is why the
emotional memories of an extreme experience such as torture, not
the actual physical pain of the moment, often leave the most
stubborn and crippling wounds.

Some of the torture survivors Northwood counsels replay their
flashbulb memories in nightmares, flashbacks, and unbidden thoughts
triggered by, for example, seeing someone in uniform, or entering a
closed-in space. People often internalize the messages the
torturers have fed them. Victims also might avoid reminders of the
traumatic experience, or ‘dissociate,’ shutting down key aspects of
their personality, such as emotional function. Together, these
experiences manifest themselves in what has come to be called
posttraumatic stress disorder (PTSD).

If you’re searching your hippocampus for a
flashbulb memory, dig yourself out from beneath the wars and
elections, the rhetoric and cant, and the ossified political
posturing of the past five years, and try to pull up an image of
the World Trade Center on September 11, 2001. If you’re like most
Americans, it will be surprisingly easy to return to the blistering
reality of that morning.

The shock waves of the terrorist attacks rippled out from those
who stood below the towers and watched them turn to dust, to people
who saw desperate people jump to their deaths on live television,
to the tens of millions who watched the entire episode replayed
over and over during the week that followed. And to varying
degrees, all three groups experienced trauma. (One research study
found the same level of PTSD among those who saw the attacks
firsthand and those who watched them on television.) The warnings
of further violence, along with rhetoric about retribution heard in
the days following the attacks, were also deeply implanted in our
collective memory.

Remembering the numbness and shock of those days and weeks in
late 2001, imagine how that horrifying parade of death and
disfiguration known as the nightly news affects us. Smoke over
Baghdad, gunfire in Darfur, anti-American protesters chanting in
Pakistan, leaving us awash in fear.

‘We’re a frozen culture,’ says author and neurologist Robert
Scaer. ‘The country is traumatized and dissociated.’

While Scaer was working as the medical director of
rehabilitation services at Boulder (Colorado) Community Hospital,
he discovered that people suffering from persistent physical
diseases like chronic fatigue syndrome and fibromyalgia, which are
notoriously difficult to heal, respond well to treatment methods
normally reserved for those who suffer from trauma. A patient who
had been in a car accident and was suffering from whiplash, for
instance, finally found relief after Scaer reenacted the accident.
His radical conclusion, articulated in his books The Body Bears
the Burden
(Haworth Medical, 2001) and The Trauma
Spectrum
(Norton, 2005), is that all chronic ailments and most
mental illness can be traced to trauma, and that virtually everyone
in a modern society is traumatized.

Scaer goes on to argue that the very institutions of our culture
— schools, courts, and government, even the medical establishment
— are traumatizing. ‘In the legal system, for example, if you’re
deposed, you come out in a shambles. You come out shaken and
traumatized because it’s so adversarial,’ he explains. ‘The
physiology of that experience is identical to a car crash.
Identical. It’s the flight-fight-freeze response.’

Our problem, Scaer says, is that we keep our fears, anxieties,
and sadness bottled up inside us: ‘We don’t throw ourselves on the
coffin of our loved one or tear our clothes and wail, or really do
anything to discharge our losses. So they stay in our unconscious
and our bodies.’

The good news is that trauma could be a powerful untapped force
of cultural transformation. ‘When a woman is in childbirth she goes
through excruciating pains, but after, there’s a hormone that
erases the memory of the pain,’ says psychotherapist Gina Ross,
founder of the International Trauma-Healing Institute. ‘I have
thought, ‘Why didn’t God do that for trauma?’ But you need the pain
and you need the screams and you need the cries to be able to work
on fixing what created the trauma. The Jewish mitzvah tikkun olam
calls on us to repair the world [through social action]. Trauma
helps us to focus on that work of repair.’

Last summer, the day after a tornado touched
down in the small town of Viola, Wisconsin, my friends and I drove
out to see if we could help with the cleanup. When we arrived, we
discovered that folks from all over the county had had the same
thought. Clumps of people gathered to tell stories and shake their
heads. Guys brought their trucks and bulldozers to help drag trees
off the streets; someone on a four-wheeler drove around with a
cooler handing out bottled water.
Even as outsiders, we all felt the charged emotional atmosphere of
the town: grief at lives disrupted, awe at the power of the storm,
relief at having escaped, and an almost euphoric excitement at a
world turned upside down. We went home to dinners that tasted just
a little better, with families that seemed just a little more dear
than they had the day before.

These conflicting emotions point to one of the central paradoxes
of trauma: In the midst of the deepest suffering lie the seeds of
growth, change, and hope. In 1995 psychologists Richard Tedeschi
and Lawrence Calhoun coined the term ‘posttraumatic growth’ to
describe the flowers of hope and renewal that can grow from the
ruins of a catastrophic event.

Their work suggests that trauma upends our psyches in much the
same way that the tornado tore up Viola. When an accident or
disaster strikes, to say nothing of a deliberate act like torture,
the old ways in which we saw the world no longer make sense. We
ask, ‘How could this happen?’ and ‘Where was God?’ And by slowly
struggling to answer such questions, we develop a new and deeper
understanding. We grow.

‘Trauma turns the internal world upside down, and afterward a
new worldview is built,’ explains Amy Ai, an associate professor at
the University of Washington who studies the interactions among
faith, optimism, and trauma. By way of example, Ai describes a
friend and colleague — a renowned doctor who had built a
successful private practice and earned a prestigious appointment to
a medical school. At the age of 62, he suffered a heart attack
followed by a stroke. ‘He lost the capacity to drive; he couldn’t
handle his practice. He had lost his purpose. He felt like a
useless person. He had a broken heart and a broken mind,’ Ai says.
Eventually he was placed in a psychiatric unit under suicide
watch.

The former healer found himself swept up in an existential
crisis. His identity fell away and left him with no choice but to
dig deep within. It was then that he bumped into a spiritual core
that had long been dormant, rediscovered his faith, began going to
church, and regained his desire to live. He turned his energies
toward mentoring youth in faith and writing a book on spirituality.
‘This is a typical example of posttraumatic growth,’ Ai says. ‘He
has found a new meaning and purpose in life.’

This sort of clarity in the wake of trauma is widespread.
Tedeschi and Calhoun show that people who have survived an
astonishing range of trauma-triggered by events such as a death in
the family, being held hostage, sexual assault, or medical
emergency — all report coming out of the experience with positive
results. Matthew Sanford, who at 13 was paralyzed in a car crash
that killed his father and sister, puts it this way: ‘I think that
I’m a better person than I would have been.’

It’s tempting to think of posttraumatic growth and posttraumatic
stress as two opposite ways of coping with a crisis. But the truth
is more complicated than that. Some behaviors fit both conditions.
For example, some friends of mine who lived through the Viola
tornado told their story over and over again — they couldn’t stop
talking about it. Psychologists call this ‘rumination,’ and it has
long been linked to depression. It’s also linked to posttraumatic
growth. ‘You can have high levels of PTSD and still have signs of
growth,’ explains Ai.

The bottom line is that trying to separate ‘positive’ growth
from ‘negative’ stress is like trying to extract the yeast from the
bread: What causes spiritual renewal is struggling with the effects
of trauma. Gina Ross, in fact, calls trauma one of the ‘four paths
to spirituality,’ along with prayer, meditation, and sexuality.

Yet most of us don’t look at a tornado or a car crash and see
spiritual renewal — our culture, and especially our medical
establishment, focus almost exclusively on the negative side of
trauma. According to the New Scientist (Dec. 3, 2005)
psychiatrists at Harvard are even working on a drug to selectively
erase flashbulb memories. Currently, doctors ‘pathologize’ the
victims of trauma, says Ai, as if the mental suffering that results
from a sexual assault or a car crash were some kind of illness.
Instead, she argues, ‘We should facilitate their growth. And
spiritual growth is part of it.’

Our cultural goal seems to be just the opposite: not to face
trauma and heal it, but to avoid it altogether. Failing to grasp
this element of renewal, we are increasingly ruled by fear and
anxiety. Signs of this anxiety are everywhere: the requirement that
we remove our shoes before boarding an airplane; hypervigilance
over our children (padded playground equipment, metal detectors in
schools); our overreliance on antidepressants. All these measures
share one thing in common: They do virtually nothing to prevent us
from experiencing trauma when things go wrong.

Underneath this anxiety lies a fundamental confusion about the
facts of life. We mistakenly think that happiness and personal
growth depend on a lack of threat, that safety equals a healthy
body and mind. What trauma teaches us is that the exact opposite is
true.

It’s a lesson that Sam Keen teaches at an unusual school he runs
on his Bay Area farm. Keen, whose 1991 book Fire in the
Belly
(Bantam) helped launch the men’s movement, has for many
years taught people — everyday people with no special gymnastic
ability — how to perform on the flying trapeze. It’s a skill that
simply requires you to climb a skinny ladder 25 feet into the air,
take a leap into space, and rely on the off chance that you’ll
catch hold of a little scrap of wood hung between two swinging
ropes. Not surprisingly, many of his students are paralyzed by
fear, even though there’s a net to catch them when they fall.

‘The object is not to conquer fear, but to become a connoisseur
of fear,’ he explains. ‘We teach our students to identify fear-to
be aware of the physical sensations of panic and fear. What happens
to them when they finally do go off the platform is that the
anxiety is translated into excitement. What was terror becomes
joy.’

It is precisely by sacrificing their safety, risking their
lives, and facing their fears that Keen’s students attain not just
the thrill of flying on the trapeze, but also a sense of mastery,
competence, and exhilaration.

As a nation, we are paralyzed on the trapeze platform, frozen by
fear, unwilling to take a risk in the name of exhilaration.

When the Colombian army released Hector
Aristiz?bal after three days of torture, he turned to family and
friends for support and eventually resumed his studies, acting, and
activism. ‘I was able to sustain myself because of theater and
political involvement,’ he says.

Eventually he moved to California, where he helped found a
branch of the Theater of the Oppressed, an artistic movement that
seeks to bring about social change through performance. Today, he
works with prisoners, with schoolchildren, and in hospice care with
the dying and their families.

Over the years, he has come to think of having been tortured as
an initiation ritual, a wounding that has marked his life purpose.
‘It’s one of my many efforts to create meaning out of such an
experience,’ he explains. ‘I was always interested in anthropology,
and in trying to understand traditional wisdom and healing, I’ve
come to see that trauma is an effort of the psyche to look for
meaning and find truth and enlightenment.’

In his work with young people in the poorest neighborhoods of
Los Angeles, Aristiz?bal has incorporated elements of ritual and
initiation to help them overcome their fears and transcend their
culturally imbedded inhibitions. Even the simplest ceremonies, like
passing an object around the group, or chanting words in unison,
show him ‘the joy of the kids and their desire for this kind of
experience.’

Ritual, Aristiz?bal suggests, is one way of understanding trauma
as a path to healing and renewal. ‘Most of us have lost our
connection to our roots, but the ancestral wisdom is in our bones,’
he says. In fact, considering that the experience of trauma itself
contains the possibility of renewal, it’s worth noting that many
traditional adolescent rites of passage include some form of
physical wounding.

‘No one says, ‘Tra-la-la, we’ll carry you around in a throne and
make you king of the May Day,” says clinical psychiatrist Vivian
Rakoff, who made a study of the ceremonies while he was at the
University of Toronto. ‘No: They cut you, perforate you, circumcise
you, bury you.’ In many of these traditions, the initiation is
looked upon as a ceremonial death and rebirth. ‘It’s got to be a
sacrifice, a giving up a part of the self. It’s a mimicking of the
pain of becoming,’ he says.

There are other paths, of course. Matthew Sanford, although he
is paralyzed, practices and teaches yoga, and he says this work has
helped him heal. ‘With yoga, I’m not processing psychologically or
emotionally what happened to me, but I literally let the echoes of
the traumas come out of my body, and let go of them.’

The connections among emotion, body, and mind implicit in both
ritual and yoga are key components of healing. ‘People have been
using talk therapy to reach the trauma, and it is possible to do
that,’ says Gina Ross, ‘but it’s much harder. The reptilian part of
our brain does not respond very well to talk.’

Ultimately, the most terrifying result of our failure to embrace
trauma in spite of our fears is what Aristiz?bal calls the American
‘cult of death.’ He has witnessed the disconnected and unnatural
ways that people die — alone in the hospital, filled with tubes, a
doctor checking vital signs, their families gathered in the waiting
room. ‘Then you have two days to grieve. You read the five stages
of grief, so you understand it rationally, and then you go back to
work,’ Aristiz?bal says. ‘The absence of ritual around death has
led this society to see death as a failure of medicine, not a part
of life,’ Aristiz?bal says. Ignoring the trauma, we fail to grasp
its meaning.

‘It’s not only economics and capitalism that continue creating
war, but also the fact that our psyche is so wounded and we’re not
recognizing it,’ Aristiz?bal continues. Americans would do well to
promote national healing processes that face trauma head-on, like
the Truth and Reconciliation Commission in South Africa, as well as
rituals like those in Sierra Leone, where child soldiers have
received new names, along with forgiveness. Instead, he says, ‘We
were told, ‘Go to Disney World and we’ll take care of the rest,’
while the ashes of 9/11 were still falling on us.’

Five years later, there are some signs that as a culture we are,
as Robert Scaer puts it, beginning to wake up from the trauma of
9/11. But it’s one thing to wake up and something else again to
reach for the kind of spiritual growth that individuals like Hector
Aristiz?bal have achieved.

‘It’s in the entrails of the earth, not on its surface, that you
can find diamonds and gold,’ he concludes. ‘It’s in going into the
darkness that we find enlightenment.’


A Practical Guide to Getting Over It

We don’t have to be ruled by our fear or trapped by trauma.
Spiritual and emotional renewal lies on the other side of healing.
These organizations and resources can help:

International Trauma-Healing Institute
Promotes awareness of trauma and uses healing as a means to peace
and conflict resolution.
www.traumainstitute.org

Foundation for Human Enrichment
Provides information about the groundbreaking work of Peter
Levine, whose ‘somatic experiencing’ techniques attempt to heal
trauma with body work.
www.traumahealing.com

Instinct to Heal
A website that offers information and self-exam tips related to
the book by the same title (Rodale, 2004), which argues that each
of us has the capacity to heal our anxieties without drugs.
www.instincttoheal.org

Healing Sex: The Complete Guide to Sexual
Wholeness

Under the motto ‘You are more powerful than what happened to you,’
this film mixes documentary-style drama and mind-body exercises to
educate and help survivors of sexual abuse.
www.healingsexthemovie.com

EMDR Institute
Provides information about eye movement desensitization and
reprocessing, a trauma-healing technique that combines traditional
talk therapy with eye movements that mimic REM sleep.
www.emdr.com

Iraq and Afghanistan Veterans of America
The ‘first and largest group dedicated to the troops and veterans
of the wars in Iraq and Afghanistan, and [their] civilian
supporters,’ offers resources for coping with the trauma of
war.
www.optruth.org

Theatre of the Oppressed
Uses theater to turn oppression into political action
worldwide.
www.theatreoftheoppressed.org

National Coalition Against Domestic
Violence

Works for societal change to eliminate all forms of violence
against women and children.
www.ncadv.org

Survivors of Suicide
Offers support and healing for those whose loved ones have
committed suicide.
www.survivorsofsuicide.com

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