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Psychiatry Must Stop Ignoring Trauma, with Dr. Bessel van der Kolk
Acclaimed psychiatrist Bessel van der Kolk explores his field's long, complex, and stubborn history with traumatic experiences.
Bessel van der Kolk is a psychiatrist noted for his research in the area of post-traumatic stress since the 1970s. His work focuses on the interaction of attachment, neurobiology, and developmental aspects of trauma’s effects on people. His major publication, Traumatic Stress: The Effects of Overwhelming Experience on Mind, Body, and Society, talks about how the role of trauma in psychiatric illness has changed over the past 20 years.
Dr. van der Kolk is past President of the International Society for Traumatic Stress Studies, Professor of Psychiatry at Boston University Medical School, and Medical Director of the Trauma Center at JRI in Brookline, Massachusetts. He has taught at universities and hospitals across the United States and around the world, including Europe, Africa, Russia, Australia, Israel, and China.
His most recent book is The Body Keeps the Score: Brain, Mind, and Body in the Treatment of Trauma.
Bessel van der Kolk: Psychiatry has always had a complex relationship to trauma. It first started off as a discipline that looked at the bizarre symptoms that people have and then they uncovered way back in the late 1800s at the Salpêtrière in Paris particularly that people have very bizarre reactions to trauma and so that defines hysteria 150 years ago. So there was some interest in it. And then they put a kibosh on it; people are no longer allowed to study hysteria. The first World War breaks out; a huge number of traumatized guys have the same symptoms as these women. People come home from the first war, have a terrible experience. They're all being accused of malingering; very traumatized people; probably had a lot to do with the rise of Nazism.
And eventually the second World War, a lot effort the second World War. And then in 1947, the last book about war trauma gets published and there's nothing till 1982 or something. So it takes a long time. And even when I was a student my textbook said that incest is extremely rare and it is really good for people and it doesn't really cause any major damage because it gives women and girls permission to do something that is really forbidden, but eventually protects their mental health. And so there has been a long-term, complex relationship where psychiatry really doesn't want to see trauma and in occurrence DSM, what people call the Bible of Psychiatry, where my colleagues and I, at the National Child Traumatic Stress Network, worked very hard to get a diagnosis in to make room for the hundreds of thousands, if not millions, of kids who get abused and neglected, whose parents go off to jail, whose parents are drug addicts, whose parents are not there for them and them being grown up. We try to get a diagnosis called Developmental Trauma Disorder and the response was after submitting data on 20,000 children with this problem, they said, "Oh we don't really have enough evidence for this niche diagnosis." And in fact vast numbers of people who seek psychiatric care are in fact traumatized human beings.
So now we live with weird diagnosis like Oppositional Defiant Disorder where people don't ask why did these kids become defiant; or cold and dark disorder where these kids behave strangely; Bipolar Disorder; kids being mentally unstable; going up and down on their emotions. And people don't really—psychiatry doesn't really want to look at what's behind there. And as a consequence, instead of looking at social conditions as being at the origin of these disorders, these kids get drugged up. Last year in the U.S., kids got $18.1 billion worth of psychotropic drugs and these drugs actually do calm people down, but they also work on the reward system in the brain and decrease curiosity, openness, experimentation, engagement with people. And I am extremely concerned that all these medicated children in America are likely to grow up having a deficit in the capacity to engage, a deficit in the capacity to learn, to be original, to be engaged, to be a useful member of the workforce. So the neglect of the issue of trauma in the U.S., in particular, is a very serious public health issue.
Directed/Produced by Jonathan Fowler, Elizabeth Rodd, and Dillon Fitton
Acclaimed psychiatrist Bessel van der Kolk explores his field's long, complex, and stubborn history with traumatic experiences. Dr. van der Kolk explains how, for the better part of a century, psychiatry avoided progress by relying on outdated misdiagnoses. The results of trauma were deemed "hysteria" or, in the case of shell-shocked soldiers, "malingering." The experiences of abused women and children were more or less ignored, and they're still being ignored in the way diagnoses are given today. Psychiatry is still not cognizant enough of the traumatic experiences that lead to diagnoses. In a way, we're simply treating the symptoms, not the problem.
Van der Kolk's latest book is titled "The Body Keeps the Score."
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The space tourism company Virgin Galactic teams up with Rolls Royce to create a new Mach 3 supersonic aircraft.
- Richard Branson's Virgin Galactic announces a partnership with Rolls Royce.
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Credit: Virgin Galactic
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Andy Samberg and Cristin Milioti get stuck in an infinite wedding time loop.
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China moves to Russia and India takes over Canada. The Swiss get Bangladesh, the Bangladeshi India. And the U.S.? It stays where it is.
What if the world were rearranged so that the inhabitants of the country with the largest population would move to the country with the largest area? And the second-largest population would migrate to the second-largest country, and so on?
Most of Stonehenge's megaliths, called sarens, came from West Woods, Wiltshire.
Discovering Stonehenge's signature<img type="lazy-image" data-runner-src="https://assets.rebelmouse.io/eyJhbGciOiJIUzI1NiIsInR5cCI6IkpXVCJ9.eyJpbWFnZSI6Imh0dHBzOi8vYXNzZXRzLnJibC5tcy8yMzUyOTYyMy9vcmlnaW4uanBnIiwiZXhwaXJlc19hdCI6MTY0MzQ2NDc3Nn0.zb-izy2gdpzY5RboUnWumoX1XqP7WgqqkfANYnMkRSA/img.jpg?width=1245&coordinates=0%2C726%2C0%2C-4&height=700" id="a041b" class="rm-shortcode" data-rm-shortcode-id="9872216ca30ec9e5628b8e91f32b5b6b" data-rm-shortcode-name="rebelmouse-image" />
In 1958, engineers undertook the task of re-erecting a Stonehenge trilithon that fell in 1797. Three cores drilled into a sarsen disappeared soon after.
For every answer, another question<img type="lazy-image" data-runner-src="https://assets.rebelmouse.io/eyJhbGciOiJIUzI1NiIsInR5cCI6IkpXVCJ9.eyJpbWFnZSI6Imh0dHBzOi8vYXNzZXRzLnJibC5tcy8yMzUyOTYyNy9vcmlnaW4uanBnIiwiZXhwaXJlc19hdCI6MTU5NzI5NDEzNX0.iNRlen_VApo2Hw6SPd_eiVodaG3UpEb00yD4GX_9JgU/img.jpg?width=1245&coordinates=0%2C164%2C0%2C1&height=700" id="e4fe1" class="rm-shortcode" data-rm-shortcode-id="157f21a6e304f7f50ebec55e2e53e505" data-rm-shortcode-name="rebelmouse-image" />
A view of Stonehenge during the Summer Solstice.
(Photo: Wikimedia Commons)<p>Thanks to Nash and his team, scientists now know the source of Stonehenge's sarsens. This clue can help them solve other Stonehenge mysteries. That most of the stones were sourced from one location, the study notes, suggests that they were erected at about the same time. It also reveals the routes the Neolithic builders had to traverse with their heavy loads.</p><p>But questions remain. Why did the builders choose West Woods when the Salisbury Plain is dense with sarsen? Why were two megaliths (Stones 26 and 160) sourced elsewhere? And were the missing stones gathered from West Woods or elsewhere? </p><p>These questions only touch on the sarsens. The question that intrigues so many of the monument's visitors remains hotly debated: Who built Stonehenge and why? Was it a <a href="https://www.theguardian.com/science/2013/mar/09/archaeology-stonehenge-bones-burial-ground#:~:text=Stonehenge%20may%20have%20been%20burial%20site%20for%20Stone%20Age%20elite%2C%20say%20archaeologists,-This%20article%20is&text=Centuries%20before%20the%20first%20massive,a%20theory%20disclosed%20on%20Saturday." target="_blank">burial site for the Stone age elite</a>? <a href="https://www.sciencedaily.com/releases/2012/06/120622163722.htm" target="_blank">A monument marking British unification</a>? <a href="https://www.theguardian.com/science/2015/mar/15/circular-thinking-stonehenges-origin-is-subject-to-new-theory" target="_blank">A Druid Mecca</a>? We don't know, but as scientific tools advance, we may be able to break the prehistoric silence that has laid over Stonehenge for so long.</p>