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The Body Keeps the Score


Synopsis


THE INTERNATIONAL BESTSELLER - OVER 3 MILLION COPIES SOLD

'Dr. van der Kolk's masterpiece combines the boundless curiosity of the scientist, the erudition of the scholar, and the passion of the truth teller' Judith Herman, author of Trauma and Recovery

The effects of trauma can be devastating for sufferers, their families and future generations. Here one of the world's experts on traumatic stress offers a bold new paradigm for treatment, moving away from standard talking and drug therapies and towards an alternative approach that heals mind, brain and body.

'Fascinating, hard to put down, and filled with powerful case histories. . . . the most important series of breakthroughs in mental health in the last thirty years' Norman Doidge, author of The Brain that Changes Itself

'An astonishing and important book. The trauma Bible. I cannot recommend it enough for anyone struggling with...well...anything' Tara Westover


The Body Keeps Score has sold over 3 million copies since publication [Circana BookScan, April 2024]
Sunday Times (UK) and New York Times (USA) bestseller, March 2024

Bessel A. Van der Kolk

Summary

Chapter 1: The Body Remembers

* Summary: Trauma can have a profound impact on the body, leaving behind lasting physiological and psychological changes.
* Example: A veteran who experienced combat trauma may suffer from insomnia, flashbacks, and chronic pain.

Chapter 2: The Brain's Response to Trauma

* Summary: Trauma can impair the brain's ability to process and regulate emotions, leading to heightened stress responses and difficulty coping with adversity.
* Example: A child who witnessed parental abuse may have difficulty regulating their emotions and forming healthy relationships.

Chapter 3: The Window of Tolerance

* Summary: Trauma can disrupt the brain's "window of tolerance," making it difficult for individuals to cope with stress and emotions without becoming overwhelmed or shutting down.
* Example: A person who experienced emotional neglect may have a narrow window of tolerance, becoming easily flooded with emotions even in minor situations.

Chapter 4: The Neurobiology of Fear

* Summary: Trauma can alter the brain's fear response system, leading to hypervigilance, exaggerated startle reflexes, and difficulty distinguishing between real and perceived threats.
* Example: A victim of sexual assault may experience extreme fear and anxiety in situations where they feel vulnerable, even if there is no present threat.

Chapter 5: The Physiology of Trauma

* Summary: Trauma can trigger a cascade of physiological responses, including increased heart rate, muscle tension, and hormonal imbalances.
* Example: A person who experienced a car accident may have difficulty sleeping, experience muscle aches, and feel on edge for months after the event.

Chapter 6: The Traumatized Brain and the Body

* Summary: Trauma can lead to changes in the brain's structure and function, including decreased volume in certain brain regions and impaired connectivity.
* Example: A study of Holocaust survivors found that they had smaller hippocampuses, a brain region involved in memory and emotion.

Chapter 7: The Body's Innate Wisdom

* Summary: Despite the challenges posed by trauma, the body possesses an innate capacity for healing and resilience.
* Example: A person who experienced trauma may begin to notice subtle signs of recovery, such as increased relaxation, improved sleep, and a greater sense of safety.

Chapter 8: The Importance of Connection

* Summary: Relationships and social support can play a crucial role in healing from trauma by providing safety, empathy, and validation.
* Example: Joining a support group for trauma survivors can help individuals connect with others who understand their experiences and provide a sense of community.

Chapter 9: The Journey of Healing

* Summary: Healing from trauma is a gradual and iterative process that involves learning to regulate emotions, coping with triggers, and rediscovering safety and joy.
* Example: A person who experienced childhood trauma may gradually work through their emotions, learn new coping mechanisms, and begin to form healthy relationships.

Chapter 10: The Healing Power of the Mind

* Summary: Mindfulness, meditation, and other mind-body practices can help individuals regulate emotions, reduce stress, and cultivate a greater sense of well-being.
* Example: A person who suffered a traumatic loss may find solace in practicing mindfulness meditation to reduce anxiety and connect with the present moment.