How Childhood Trauma Can Make You A Sick Adult
The Adverse Childhood Study found that survivors of childhood trauma are up to 5,000 percent more likely to attempt suicide, have eating disorders, or become IV drug users. Dr. Vincent Felitti, the study's founder, details this remarkable and powerful connection.
A renowned physician and researcher, Dr. Vincent J. Felitti is one of the world’s foremost experts on childhood trauma. Leading the charge in research into how adverse childhood experiences affect adults, he is co-principal investigator of the internationally recognized Adverse Childhood Experiences (ACE) Study, a long-term, in-depth, analysis of over 17,000 adults. Defying conventional belief, this study famously revealed a powerful relationship between our emotional experiences as children and our physical and mental health as adults. In fact, the ACE study shows that humans convert childhood traumatic emotional experiences into organic disease later in life. Revolutionary at its inception, Felitti’s groundbreaking research remains extremely relevant to today’s healthcare models.
Founder of the Department of Preventive Medicine for Kaiser Permanente, Felitti served as the chief of preventive medicine for over 25 years. Under Dr. Felitti's leadership, his department provided comprehensive medical evaluations to 1.1 million individuals, becoming the largest single-site medical evaluation facility in the western world. During this time, Felitti’s revolutionary health risk abatement programs incorporated weight loss, smoking cessation, stress management, and a wide range of cutting-edge efforts to reduce patient risk factors. Dr. Felitti also has served on advisory committees at the Institute of Medicine and the American Psychiatric Association. A noted expert on the genetic disease hemochromatosis, as well as obesity, he educates audiences around the country on these two very common, deadly maladies.
An engaging speaker, Felitti has traveled the world speaking with audiences and various policy leaders about his research. A well-versed medical expert, Felitti also uses his knowledge to speak out against domestic violence and other forms of childhood trauma. Drawing on his years of experience, he has become an important voice advocating for the wellbeing of children everywhere. While time may not heal all wounds, Felitti helps show audiences how we can understand these physical and mental traumas, and ultimately, prevent them.
Vincent Felitti: What we found in the ACE study involving seventeen-and-a-half thousand middle-class adults was that life experiences in childhood that are lost in time and then further protected by shame and by secrecy and by social taboos against inquiry into certain realms of human experience — that those life experiences play out powerfully and proportionately a half century later, in terms of emotional state, in terms of biomedical disease, in terms of life expectancy. In 1985, I first became interested in developmental life experiences in early childhood really by accident. In the major obesity program we were running, a young woman came into the program. She was 28 years old, and weighed 408 pounds, and asked us if we could help her with her problem. And in 51 weeks, we took her from 408 to 132. And we thought, well my god, we’ve got this problem licked. This is going to be a world-famous department here! She maintained her weight at 132 for several weeks, and then in one three-week period regained 37 pounds in three weeks, which I had not previously conceived as being physiologically possible. That was triggered by being sexually propositioned at work by a much older man, as she described him. And in short order, she was back over 400 pounds faster than she had lost the weight. I remember asking her why the extreme response. After initially claiming not to have any understanding of why the extreme response, ultimately she told me of a lengthy incest history with her grandfather, from age 10 to age 21. Ultimately it turned out that 55 percent of the people in our obesity program acknowledged a history of childhood sexual abuse. I mean, that obviously is not the only issue going on, but it was where we began. And as we went down that trail, then we discovered other forms of abuse, also growing up in massively dysfunctional households, et cetera. The ACE study was really designed to see whether these things existed at all in the general population, and if so, how did they play out over time?
We studied 10 categories of adverse life experience that were chosen because of their prevalence in the weight program: childhood sexual abuse; heavy-duty childhood physical abuse — I’m not talking spanking — um; major emotional abuse (recurrent humiliation); two categories of neglect; growing up in a home where one of the members of the household, uh, was chronically depressed, suicidal, mentally ill, or in the state hospital; growing up in a home without both biological parents; growing up in a home where, um, one of the members of your household was alcoholic or a drug user; growing up in a home where mother was beaten; growing up in a home where one of the members of your household was imprisoned during your childhood or adolescence. Those were the 10 categories. In a middle-class population, one in 11 people has experienced six or more of those adverse life experiences in childhood. So this is very common. Totally unrecognized. It was difficult for us to accept their commonness. But on the other hand, these are issues that most people never touch. And so who would know without routinely asking? But at a so-called ACE score of six, experiencing any six of the 10 categories that we studied, that person was 4,600 percent more likely to become an IV drug user than a person who had experienced none of those 10 categories. Okay? Now, you know, you think, you read the newspaper, the latest cancer scare of the week, prostate cancer or breast cancer increases 30 percent, and everyone goes nuts. I’m talking 4,600 percent increase. The same ACE score of six produces a likelihood of attempting suicide that is between 3,100 percent and 5,000 percent greater than the likelihood of suicide attempts in someone with none of those life experiences. So the power of this relationship is enormous.
So ultimately the question arises: How do life experiences in childhood end up with disease states a half century later? There are at least two big categories to account for that. One is through the use of various coping devices. One smokes to feel better; one overeats to feel better; one drinks to relax, et cetera. And those things carried out in heavy amounts have major destructive patterns, even though they may be immediately beneficial. The other broad category has to do with the effect of chronic major unrelieved stress on the workings of one’s brain and central nervous system. In recent years, this is relatively new; it’s become clear that chronic major unrelieved stress can produce the release of pro-inflammatory chemicals in a person’s body, and also can suppress immune system function. Of the 10 categories that we studied, any six of them produces a shortening in life expectancy of almost 20 years. The magnitude of this problem is so huge, and the complexity of dealing with it after the fact is so huge, that realistically, the only serious approach is going to have to involve primary prevention. No one knows how to do that, but it’s the right question to focus on.
The Adverse Childhood Study found that survivors of childhood trauma are up to 5,000 percent more likely to attempt suicide, have eating disorders, or become IV drug users. Dr. Vincent Felitti, the study's founder, details this remarkable and powerful connection.
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For some reason, the bodies of deceased monks stay "fresh" for a long time.
- The bodies of some Tibetan monks remain "fresh" after what appears to be their death.
- Their fellow monks say they're not dead yet but in a deep, final meditative state called "thukdam."
- Science has not found any evidence of lingering EEG activity after death in thukdam monks.
It's definitely happening, and it's definitely weird. After the apparent death of some monks, their bodies remain in a meditating position without decaying for an extraordinary length of time, often as long as two or three weeks.
Tibetan Buddhists, who view death as a process rather than an event, might assert that the spirit has not yet finished with the physical body. For them, thukdam begins with a "clear light" meditation that allows the mind to gradually unspool, eventually dissipating into a state of universal consciousness no longer attached to the body. Only at that time is the body free to die.
Whether you believe this or not, it is a fascinating phenomenon: the fact remains that their bodies don't decompose like other bodies. (There have been a handful of other unexplained instances of delayed decomposition elsewhere in the world.)
The scientific inquiry into just what is going on with thukdam has attracted the attention and support of the Dalai Lama, the highest monk in Tibetan Buddhism. He has reportedly been looking for scientists to solve the riddle for about 20 years. He is a supporter of science, writing, "Buddhism and science are not conflicting perspectives on the world, but rather differing approaches to the same end: seeking the truth."
The most serious study of the phenomenon so far is being undertaken by The Thukdam Project of the University of Wisconsin-Madison's Center for Healthy Minds. Neuroscientist Richard Davidson is one of the founders of the center and has published hundreds of articles about mindfulness.
Davidson first encountered thukdam after his Tibetan monk friend Geshe Lhundub Sopa died, officially on August 28, 2014. Davidson last saw him five days later: "There was absolutely no change. It was really quite remarkable."
The science so far
Credit: GrafiStart / Adobe Stock
The Thukdam Project published its first annual report this winter. It discussed a recent study in which electroencephalograms failed to detect any brain activity in 13 monks who had practiced thukdam and had been dead for at least 26 hours. Davidson was senior author of the study.
While some might be inclined to say, well, that's that, Davidson sees the research as just a first step on a longer road. Philosopher Evan Thompson, who is not involved in The Thukdam Project, tells Tricycle, "If the thinking was that thukdam is something we can measure in the brain, this study suggests that's not the right place to look."
In any event, the question remains: why are these apparently deceased monks so slow to begin decomposition? While environmental factors can slow or speed up the process a bit, usually decomposition begins about four minutes after death and becomes quite obvious over the course of the next day or so.
As the Dalai Lama said:
"What science finds to be nonexistent we should all accept as nonexistent, but what science merely does not find is a completely different matter. An example is consciousness itself. Although sentient beings, including humans, have experienced consciousness for centuries, we still do not know what consciousness actually is: its complete nature and how it functions."
As thukdam researchers continue to seek a signal of post-mortem consciousness of some sort, it's fair to ask what — and where — consciousness is in the first place. It is a question with which Big Think readers are familiar. We write about new theories all the time: consciousness happens on a quantum level; consciousness is everywhere.
So far, though, says Tibetan medical doctor Tawni Tidwell, also a Thukdam Project member, searches beyond the brain for signs of consciousness have gone nowhere. She is encouraged, however, that a number of Tibetan monks have come to the U.S. for medical knowledge that they can take home. When they arrive back in Tibet, she says, "It's not the Westerners who are doing the measuring and poking and prodding. It's the monastics who trained at Emory."
When Olympic athletes perform dazzling feats of athletic prowess, they are using the same principles of physics that gave birth to stars and planets.
- Much of the beauty of gymnastics comes from the physics principle called the conservation of angular momentum.
- Conservation of angular momentum tells us that when a spinning object changes how its matter is distributed, it changes its rate of spin.
- Conservation of angular momentum links the formation of planets in star-forming clouds to the beauty of a gymnast's spinning dismount from the uneven bars.
It is that time again when we watch in awe as Olympic athletes perform dazzling feats of athletic prowess. But as we stare in rapt attention at the speed, grace, and strength they exhibit, it is also a good time to pay attention to how they embody, literally, fundamental principles that shape the entire universe. Yes, I'm talking about physics. On our screens, these athletes are giving us lessons in the principles that giants like Isaac Newton struggled mightily to articulate.
Naturally, there are many Olympic events from which we could learn some basic principles of physics. Swimming shows us hydrodynamic drag. Boxing teaches us about force and impulse. (Ouch!) But today, we will focus on gymnastics and the cosmic importance of the conservation of angular momentum.
The conservation of angular momentum
Much of the beauty of gymnastics comes from the spins and flips athletes perform as they launch themselves into the air from the vault or uneven bars. These are all examples of rotations — and so much of the structure and history of the universe, from planets to galaxies, comes down to the physics of rotating objects. And so much of the physics of rotating objects comes down to the conservation of angular momentum.
Let's start with the conservation of regular or "linear" momentum. Momentum is the product of mass and velocity. Way back in the age of Galileo and Newton, physicists came to understand that in the interactions between bodies, the sum of their momentums had to be conserved (which really means "does not change"). This is a familiar idea to anyone who has played billiards: when a moving pool ball strikes a stationary one, the first ball stops while the second scoots away. The total momentum of the system (the mass times velocity of both balls taken together) is conserved, leaving the originally moving ball unmoving and the originally stationary ball carrying all the system's momentum.
Credit: Sergey Nivens and Victoria VIAR PRO via Adobe Stock
Rotating objects also obey a conservation law, but now it is not just the mass of an object that matters. The distribution of mass — that is, where the mass is located relative to the center of the rotation — is also a factor. Conservation of angular momentum tells us that if a spinning object is not subject to any forces, then any changes in how its matter is distributed must lead to a change in its rate of spin. Comparing the conservation of angular momentum to the conservation of linear momentum, the "distribution of mass" is analogous to mass, and the "rate of spin" is analogous to velocity.
There are many places in cosmic physics where this conservation of angular momentum is key. My favorite example is the formation of stars. Every star begins its life as a giant cloud of slowly spinning interstellar gas. The clouds are usually supported against their own gravitational weight by gas pressure, but sometimes a small nudge from, say, a passing supernova blast wave will force the cloud to begin gravitational collapse. As the cloud begins to shrink, the conservation of angular momentum forces the spin rate of material in the cloud to speed up. As material is falling inward, it also rotates around the cloud's center at ever higher rates. Eventually, some of that gas is going so fast that a balance between the gravity of the newly forming star and what is called centrifugal force is achieved. That stuff then stops moving inward and goes into orbit around the young star, forming a disk, some material of which eventually becomes planets. So, the conservation of angular momentum is, literally, why we have planets in the universe!
Gymnastics, a cosmic sport
How does this appear in gymnastics? When athletes hurl themselves into the air to perform a flip, the only force acting on them is gravity. But since gravity only affects their "center of mass," it cannot apply forces in a way that changes the athlete's spin. But the gymnasts can do that for themselves by using the conservation of angular momentum.
By changing how their mass is arranged, gymnasts can change how fast they spin. You can see this in the dismount phase of the uneven bar competitions. When a gymnast comes off the bars and performs a flip by tucking their legs inward, they can quickly increase their rotation rate in midair. The sudden dramatic increase in the speed of their flip is what makes us gasp in astonishment. It is both scary and a beautiful testament to the athletes' ability to intuitively control the physics of their bodies. And it is also the exact same physics that controls the birth of planets.
"As above so below," goes the old saying. You should keep that in mind as you watch the glory that is the Olympics. That is because it is not just athletes that have this intuitive understanding of physics. We all have it, and we use it every day, from walking down the stairs to swinging a hammer. So, it is no exaggeration to claim that the first place we came to understand the deepest principles of physics was not in contemplating the heavens but moving through the world in our own earthbound flesh.
Scientists use new methods to discover what's inside drug containers used by ancient Mayan people.
- Archaeologists used new methods to identify contents of Mayan drug containers.
- They were able to discover a non-tobacco plant that was mixed in by the smoking Mayans.
- The approach promises to open up new frontiers in the knowledge of substances ancient people consumed.
Ancient Mayans have been a continuing source of inspiration for their monuments, knowledge, and mysterious demise. Now a new study discovers some of the drugs they used. For the first time, scientists found remnants of a non-tobacco plant in Mayan drug containers. They believe their analysis methods can allow them exciting new ways of investigating the different types of psychoactive and non-psychoactive plants used by the Maya and other pre-Colombian societies.
The research was carried out by a team from Washington State University, led by anthropology postdoc Mario Zimmermann. They spotted residue of the Mexican marigold (Tagetes lucida) in 14 tiny ceramic vessels that were buried over a 1,000 years ago on Mexico's Yucatan peninsula. The containers also exhibited chemical traces of two types of tobacco: Nicotiana tabacum and N. rustica. Scientists think the marigold was mixed in with the tobacco to make the experience more pleasant.
"While it has been established that tobacco was commonly used throughout the Americas before and after contact, evidence of other plants used for medicinal or religious purposes has remained largely unexplored," said Zimmermann. "The analysis methods developed in collaboration between the Department of Anthropology and the Institute of Biological Chemistry give us the ability to investigate drug use in the ancient world like never before."
The scientists used a new method based on metabolomics that is able to pinpoint thousands of plant compounds, or metabolites, in residue of archaeological artifacts like containers and pipes. This allows the researchers to figure out which specific plants were utilized. The way plant residue was identified before employed looking for specific biomarkers from nicotine, caffeine, and other such substances. That approach would not be able to spot what else was consumed outside of what biomarker was found. The new way gives much more information, showing the researchers a fuller picture of what the ancient people ingested.
PARME staff archaeologists excavating a burial site at the Tamanache site, Mérida, Yucatan.
The containers in the study were found by Zimmerman and a team of archaeologists in 2012.
"When you find something really interesting like an intact container it gives you a sense of joy," shared Zimmermann. "Normally, you are lucky if you find a jade bead. There are literally tons of pottery sherds but complete vessels are scarce and offer a lot of interesting research potential."
The researchers are negotiating with various Mexican institutions to be able to study more ancient containers for plant residues. They also aim to look at organic materials possibly preserved in the dental plaque of ancient remains.
Check out the study published in Scientific Reports.
How the British obsession with tea triggered wars, led to bizarre espionage, and changed the world — many times.
- Today, tea is the single most popular drink worldwide, with a global market that outstrips all the nearest rivals combined.
- The British Empire went to war over tea, ultimately losing its American colonies and twice beating the Chinese in the "Opium Wars."
- The British desire to secure homegrown tea resulted in their sending botanist Robert Fortune on a Hollywood-worthy mission to secure Chinese tea plants and steal horticultural secrets.
After water, tea is the most common drink in the world. It is more popular than coffee, soft drinks, and alcohol combined. 84 percent of Brits enjoy a daily "cuppa," but this is a mere bagatelle against the Turks, who drink on average three to four cups every day. The tea industry is worth $200 billion worldwide and is set to grow by half by 2025.
Tea is such a huge part of many cultures, that it even has origin myths. For instance, one involves the Buddha waking up after falling asleep during his meditation. Disgusted at his lack of self-discipline, he cut off his eyelids and threw them to the ground. These lids then grew into tea plants to help future meditators stay awake.
Tea really matters to a lot of people. And, it mattered so much to the British and their empire that it directed their entire foreign policy. It also inspired one of the most incredible and ridiculous tales of 19th century espionage.
A spot of tea
When the European powers of the 16th century first traded with, then militarily colonized, various East Asian nations, it was impossible not to come across tea. Since the 9th century, the Tang Dynasty of China had already popularized tea across the region. Tea was already firmly entrenched when the Portuguese became the first Europeans to sample it (in 1557), followed by the Dutch, who first shipped a batch back to mainland Europe.
Britain was relatively late to the tea party, not arriving until well into the 17th century. In fact, in Samuel Pepys' 1660 diaries, he makes reference to "a cup of tee (a China drink) of which I had never drunk before." It was only after King Charles II's Portuguese wife popularized it at court that tea became a fashionable societal drink.
After the Brits got going, there was no stopping them. Tea became a huge business. However, since tea was monopolized by the East India Company and the government imposed a whopping 120 percent tax on it, an army of smuggler gangs opened back channels to get tea to the poorer masses. Eventually, in 1784, Prime Minister William Pitt the Younger got wise to the popular cry for tea. To stamp out the black market, he slashed the tax on the leaf to just 12.5 percent. From then on, tea became the everyman's drink — marketed as medicinal, invigorating, and tasty.
A cup, a cup, my kingdom for a cup!
Tea became so important to the British that it even sparked wars across the empire.
Most famously, when the British imposed a three pennies per pound tax on all tea the East India Company exported to America, it led to the outraged destruction of an entire ship's tea cargo. The "Boston Tea Party" was the first major defiant act of the American colonies and led ultimately to ham-fisted and insensitive countermeasures from the London government. These, in turn, sparked the U.S. War of Independence.
Less well known is how Britain went to war with China over tea. Twice.
Credit: Ingo Doerrie via Unsplash
Back then, tea was only being grown and exported from China to British India and then around the empire. As such, it led to a massive trade imbalance, where the largely self-sufficient China only wanted British silver in return for their famous and delicious homegrown tea leaves. This sort of economic policy, known as mercantilism, made Britain really mad.
In retaliation, Britain grew opium and flooded China with the drug. When China (quite understandably) objected to this, Britain sent in the gunboats. The subsequent "Opium Wars" were only ever going to go one way, and when China sued for peace, they were lumped with $20 million worth of reparations — and had to cede Hong Kong to Britain (which only returned in 1997).
The tea spy: on her majesty's secret service
But even these wars did not resolve the trade deficit with China. The attempts to make tea in British India resulted in insipid rubbish, and the British needed the good stuff. So, they turned to a Scottish botanist named Robert Fortune, whose mission was simple: cross the border into China, integrate himself amongst Chinese tea farmers, and smuggle out both their expertise and preferably their tea plants.
Fortune accepted the mission, even though he could not speak a word of Chinese and had barely left his native Britain. (A forefather of 007 he was not.) But not one to let these details get in the way, he shaved his hair, plaited a pigtail that resembled those worn by the Chinese, and then set off on his adventure.
And what an adventure it was. He came under attack by bandits and brigands, his ship was bombarded by pirates, and he had to endure fever, tropical storms, and typhoons. In spite of all this, Fortune not only managed to learn Chinese and travel around the forbidden City of Suzhou and its surrounding tea-farming land, but he also integrated himself into secluded peasant communities. When the skeptical tea farmers challenged Fortune on why he was so tall, he fooled them by claiming that he was a very important state official — all of whom were tall, apparently.
An Indian speciali-tea
Amazingly, Fortune had good fortune and got away with it. Over the course of his three-year mission, he secreted out several shipments of new tea plants to Britain as well as the art of bonsai (previously, a closely held secret). Most of the smuggled tea leaves died from mold and moisture in transit, but Fortune persisted, and eventually the British began to cultivate their own tea plants using Chinese tea farming techniques in their colonial Indian soils.
It was not long until an Indian variant, almost indistinguishable from the stolen Chinese one, began to dominate the market, not least for Britain's huge and growing empire. Within 20 years of Fortune's remarkable mission, the East India Company had more than fifty contractors pumping out tea worldwide.
Today, things have reverted back. China now produces not only substantially more than India (in second place) but more than the top ten countries combined. In total, 40 percent of the world's tea comes from China. But it was British tea — and Robert Fortune's incredible and unlikely mission — which catalyzed the huge global market. Without this overly confident Scottish plant-lover, the world's love of tea might look very different.