Name: The Body Keeps the Score
ISBN: 9780670785933

Bessel van der Kolk

A forefront expert on traumatic stress outlines his own take on healing, explaining how traumatic stress affects brain processes and how to use innovative treatments to reactivate the mind's abilities to trust, engage others and experience pleasure.

Brain, Mind, and Body in the Healing of Trauma

The Body Keeps the Score

Nienke Timmermans

Psychologists usually try to help people use insight and understanding to manage their behavior. However, neuroscience research shows that very few psychological problems are the result of defects in understanding; most originate in pressures from deeper regions in the brain that drive our perception and attention. When the alarm bell of the emotional brain keeps signaling that you are in danger, no amount of insight will silence it. I am reminded of the comedy in which a seven-time recidivist in an anger-management program extols the virtue of the techniques he's learned: 'They are great and work terrific - as long as you are not really angry.'

Katy Watkins

Basil

We have learned that trauma is not just an event that took place sometime in the past; it is also the imprint left by that experience on mind, brain, and body. This imprint has ongoing consequences for how the human organism manages to survive in the present.

Healing, he told us, depends on experiential knowledge: You can be fully in charge of your life only if you can acknowledge the reality of your body, in all its visceral dimensions.

Because drugs have become so profitable, major medical journals rarely publish studies on nondrug treatments of mental health problems. Practitioners who explore treatments are typically marginalized as "alternative." Studies of nondrug treatments are rarely funded unless they involve so-called manualized protocols, where patients and therapists go through narrowly prescribed sequences that allow little fine-tuning to individual patients' needs. Mainstream medicine is firmly committed to a better life through chemistry, and the fact that we can actually change our own physiology and inner equilibrium by means other than drugs is rarely considered.

For now I want to emphasize that emotion is not opposed to reason; our emotions assign value to experiences and thus are the foundation of reason. Our self-experience is the product of the balance between our rational and our emotional brains.

Our culture teaches us to focus on personal uniqueness, but at a deeper level we barely exist as individual organisms. Our brains are built to help us function as members of a tribe. We are part of that tribe even when we are by ourselves, whether listening to music (that other people created), watching a basketball game on television (our own muscles tensing as the players run and jump), or preparing a spreadsheet for a sales meeting (anticipating the boss's reactions). Most of our energy is devoted to connecting with others.

You cannot develop a treatment for a condition that does not exist. Not having a diagnosis now confronts therapists with a serious dilemma: How do we treat people who are coping with the fall-out of abuse, betrayal and abandonment when we are forced to diagnose them with depression, panic disorder, bipolar illness, or borderline personality, which do not really address what they are coping with?

The consequences of caretaker abuse and neglect are vastly more common and complex than the impact of hurricanes or motor vehicle accidents. Yet the decision makers who determined the shape of our diagnostic system decided not to recognize this evidence. To this day, after twenty years and four subsequent revisions, the DSM and the entire system based on it fail victims of child abuse and neglect—just as they ignored the plight of veterans before PTSD was introduced back in 1980.

Discussions of PTSD still tend to focus on recently returned soldiers, victims of terrorist bombings, or survivors of terrible accidents. But trauma remains a much larger public health issue, arguably the greatest threat to our national well-being. Since 2001 far more Americans have died at the hands of their partners or other family members than in the wars in Iraq and Afghanistan. American women are twice as likely to suffer domestic violence as breast cancer. The American Academy of Pediatrics estimates that firearms kill twice as many children as cancer does. All around Boston I see signs advertising the Jimmy Fund, which fights children's cancer, and for marches to fund research on breast cancer and leukemia, but we seem too embarrassed or discouraged to mount a massive effort to help children and adults learn to deal with the fear, rage, and collapse, the predictable consequences of having been traumatized.

I wish I could separate trauma from politics, but as long as we continue to live in denial and treat only trauma while ignoring its origins, we are bound to fail. In today's world your ZIP code, even more than your genetic code, determines whether you will lead a safe and healthy life. People's income, family structure, housing, employment, and educational opportunities affect not only their risk of developing traumatic stress but also their access to effective help to address it. Poverty, unemployment, inferior schools, social isolation, widespread availability of guns, and substandard housing all are breeding grounds for trauma. Trauma breeds further trauma; hurt people hurt other people.

It is standard practice in many schools to punish children for tantrums, spacing out, or aggressive outbursts—all of which are often symptoms of traumatic stress. When that happens, the school, instead of offering a safe haven, becomes yet another traumatic trigger.

Rina

Miyamoto Musashi

Whenever we feel threatened, we instinctively turn to the first level, social engagement. We call out for help, support, and comfort from the people around us. But if no one comes to our aid, or we’re in immediate danger, the organism reverts to a more primitive way to survive: fight or flight. We fight off our attacker, or we run to a safe place. However, if this fails—we can’t get away, we’re held down or trapped— the organism tries to preserve itself by shutting down and expending as little energy as possible. We are then in a state of freeze or collapse.

Emma Wolfe

Trauma affects not only those who are directly exposed to it, but also those around them. 

We now know that their behaviors are not the result of moral failings or signs of lack of willpower or bad character they are caused by actual changes in the brain.

“I will have abandoned my friends, and their deaths will have been in vain. I need to be a living memorial to my friends who died in Vietnam."

Five years after the last American soldier left Vietnam, the issue of wartime trauma was still not on anybody's agenda. 

In other words, post- traumatic stress isn't "all in one's head," as some people supposed, but has a physiological basis. 

I love how this book doesn't shy away from the science and mechanics of the brain. It was devastating to read about his clients and what they went through 

Haley Park

some good insights but found the writing a bit strange and dense

Nicole Elora

Went into this book with the understanding that it could provide methods and strategies for me to only further improve my communication and connection skills with my patients, not realizing that the very book that discusses unhealed trauma in the body would be the deep personal trigger of my own suppressed experiences. A book for growth in my profession turned into a long-winded therapy session I didn’t know I needed. 

As a bit of a science nerd, I thoroughly enjoyed how the book reads—the author correlates traumatic human events of his patients with studies that show how the brain physically changes and adapts to seek a constant sense of safety and equilibrium whether it be considered healthy or not for that individual—its the comfort they know and are familiar with, so the body  gravitates towards it. It is absolutely fascinating and also very personally validating for someone who may be having difficulty physically balancing their nervous system because of their traumatic unhealed experiences. 

The verbiage and scientific studies sampled throughout this book could make it a difficult read to stick with, but if you are patient with it and yourself, it may be just the words you need to understand others while also giving yourself the same grace. 

Went into this book with the understanding that it could provide methods and strategies for me to only further improve my communication and connection skills with my patients, not realizing that the very book that discusses unhealed trauma in the body would be the deep personal trigger of my own suppressed experiences. A book for growth in my profession turned into a long-winded therapy session I didn’t know I needed. 

As a bit of a science nerd, I thoroughly enjoyed how the book reads—the author correlates traumatic human events of his patients with studies that show how the brain physically changes and adapts to seek a constant sense of safety and equilibrium whether it be considered healthy or not for that individual—its the comfort they know and are familiar with, so the body  gravitates towards it. It is absolutely fascinating and also very personally validating for someone who may be having difficulty physically balancing their nervous system because of their traumatic unhealed experiences. 

The verbiage and scientific studies sampled throughout this book could make it a difficult read to stick with, but if you are patient with it and yourself, it may be just the words you need to understand others while also giving yourself the same grace. 

absolutely phenomenal but emotionally devastating 

Keila Rico 

nobody should bear so much pain by themselves indeed. eternally grateful & proud of those who’ve come forward to share their stories with dr van der kolk, thus contributing to this text n trauma research. it was a truly insightful read about the various psychological disciplines (& their successes ofc!!!) available. i bawled between chapters, but one sentence in particular stuck out — all parts of my internal system, even those suicidal or destructive, were formed in an attempt to protect myself. no matter how threatening they seemed. i have long been ashamed of them, but its time to plant flowers in these graves. Also, would love to try out emdr ngl

Bessel van der Kolk, M.D.

#1 New York Times bestseller “Essential reading for anyone interested in understanding and treating traumatic stress and the scope of its impact on society.” —Alexander McFarlane, Director of the Centre for Traumatic Stress Studies A pioneering researcher transforms our understanding of trauma and offers a bold new paradigm for healing in this New York Times bestseller Trauma is a fact of life. Veterans and their families deal with the painful aftermath of combat; one in five Americans has been molested; one in four grew up with alcoholics; one in three couples have engaged in physical violence. Dr. Bessel van der Kolk, one of the world’s foremost experts on trauma, has spent over three decades working with survivors. In The Body Keeps the Score, he uses recent scientific advances to show how trauma literally reshapes both body and brain, compromising sufferers’ capacities for pleasure, engagement, self-control, and trust. He explores innovative treatments—from neurofeedback and meditation to sports, drama, and yoga—that offer new paths to recovery by activating the brain’s natural neuroplasticity. Based on Dr. van der Kolk’s own research and that of other leading specialists, The Body Keeps the Score exposes the tremendous power of our relationships both to hurt and to heal—and offers new hope for reclaiming lives.

Gelaine Trinidad

“The brain-disease model overlooks four fundamental truths: (1) our capacity to destroy one another is matched by our capacity to heal one another. Restoring relationships and community is central to restoring well-being; (2) language gives us the power to change ourselves and others by communicating our experiences, helping us to define what we know, and finding a common sense of meaning; (3) we have the ability to regulate our own physiology, including some of the so-called involuntary functions of the body and brain, through such basic activities as breathing, moving, and touching; and (4) we can change social conditions to create environments in which children and adults can feel safe and where they can thrive.

When we ignore these quintessential dimensions of humanity, we deprive people of ways to heal from trauma and restore their autonomy. Being a patient, rather than a participant in one’s healing process, separates suffering people from their community and alienates them from an inner sense of self.”

The use of complex scientific terminology can make it hard to stay focused. I had to skim through the last few chapters because it became difficult to stay engaged. However, the detailed professional and anatomical perspectives enhance the psychological insights, making the information more comprehensive. My favorite sections are the personal experiences shared by individuals, illustrating the healing process from trauma. These accounts are often heart-wrenching but deeply moving. It’s a worthwhile read but a challenging one for someone without expertise in psychology.

🏹

An expert on traumatic stress outlines an approach to healing, explaining how traumatic stress affects brain processes and how to use innovative treatments to reactivate the mind's abilities to trust, engage others, and experience pleasure--

Draws upon a lot of theoretical frameworks that you may encounter in therapy to talk about trauma and how it manifests physically in the body. I like this because it is broad and comprehensive while being about the single important topic of trauma. The thesis that trauma is in the body is a needed reminder to think about your own and others body and behavior. We often mentally or emotionally feel "fine" but ignore our bodies that's telling us things are not fine. The book focuses on cases of obvious trauma, but I found it useful to think about even how more minor cases may affect us, or how attachment trauma relates.

Kevin Juneos Mei Le

Genuinely excellent. Some of the anecdotes and stories were hard hitting and probably could be a bit triggering. But the data and information and practical advice throughout made it one of the best things I've read in a while. I recommend if you're interested in therapy, why we make certain decisions, the role of social/economic experience on our mental health and trauma survival. 

I plan to buy the physical copy to read it again with a highlighter and pen to hand. 

Anisah Osman Britton

Genuinely excellent. Some of the anecdotes and stories were hard hitting and probably could be a bit triggering. But the data and information and practical advice throughout made it one of the best things I've read in a while. I recommend if you're interested in therapy, why we make certain decisions, the role of social/economic experience on our mental health and trauma survival. 

I plan to buy the physical copy to read it again with a highlighter and pen to hand. 

Amazing book. Very nuanced views of therapy, medication and other treatments for psychological problems and trauma. Can be difficult to read but I think it is respectful to hear the traumatic experiences of survivors who are willing to share them. This book changes your understanding of psychology for sure

Nina 

ahmed

This is my first book closely related to psychology
The information is way way too valuable.
The book provides a valuable analysis for various PTSD cases that shows how obvious symptoms or physical behaviour can be related to traumatic events, and how diagnosis similar to ADHD is not always the root cause for such behaviour.
Also highlights how childhood traumatic events can cause extremely long term effects even without us knowing.
I will have to keep thinking about this book for sometime.

That said, believing any narration of any writer because the writer said so, is not how we should read any book or a research.
Some points mentioned in the book are not what you can call hard evidence or easily reproducible results, which makes it hard to apply the same principle.
However I'm total stranger to the social science, it's possible that I don't get how the social science community discuss facts and details. 
But still the book makes a compelling case to always look out for traumatic events even when it's not always visible.

Erin Darlyn

An excellent read. I subtracted a star solely due to the profanity used in a couple of the quotes throughout. Otherwise, it would have been a 5-star book.

Mia Caven

I really loved this book. It was full of facts and some chapters are heavier than others but ultimately it made so much sense. I never underline things in books but I just had to with this one. It feels so nice to be understood when it comes to certain traumas. I defo recommend.

Really enjoyed this book, it has phenomenal insight and stories about the journey of trauma. The only thing that prevents me from giving it a five is I can't say I think it's for everyone. I really enjoyed it personally, but there could be long stretches where I was struggling to find personal interest in the material.

Regardless, this is expertly written and the decades of experience from the author really make it worthwhile. I would highly recommend this to anyone who has a remote interest in trauma, whether from a personal or a communal/societal perspective. And even if you have no connection to trauma, the lessons about how the body and mind work in this book are remarkably insightful and can help anyone navigate their interactions with themselves and with others.

Interesting, insightful and relevant with engaging anecdotes that bring to life the book's powerful lessons. I'd highly recommend this book to most people, even though it's not a personal favorite of mine.

Kay so Queso

Really enjoyed this book, it has phenomenal insight and stories about the journey of trauma. The only thing that prevents me from giving it a five is I can't say I think it's for everyone. I really enjoyed it personally, but there could be long stretches where I was struggling to find personal interest in the material.

Regardless, this is expertly written and the decades of experience from the author really make it worthwhile. I would highly recommend this to anyone who has a remote interest in trauma, whether from a personal or a communal/societal perspective. And even if you have no connection to trauma, the lessons about how the body and mind work in this book are remarkably insightful and can help anyone navigate their interactions with themselves and with others.

Interesting, insightful and relevant with engaging anecdotes that bring to life the book's powerful lessons. I'd highly recommend this book to most people, even though it's not a personal favorite of mine.

Sarah Schumacher

There’s so much packed in here I think I’d need to read it again in order to retain it all. Definitely recommended for those interested in the subject matter.

Faith Ho 

gasp reading science ??? rlly being a multihyphenate 

truly tho this was an extremely fascinating book - although it deals with a particularly heavy and what some would say, "niche" topic (trauma), it contained a lot of insight into the workings of the mind/body and shows how what might seem like a pretty esoteric subject actually involves all of us. the first few sections dealt with the explanation of trauma and how it occurs/manifests; very interesting bit of neuroscience; the last section deals with solutions for helping those who suffer from trauma recover. even if you don't have ptsd, it's very useful in better understanding our own minds and behaviors, and being more empathetic to others - knowing that a lot of what they are stems frm past experiences. 

while it's very scientific based (neuroscience) it's also interesting that the author brought in things like theatre as a solution (narrative therapy, etc), and kept a keen regard for the individual human. (it wasn't reductive in making everything a scientific fact, but in fact personally enhanced an appreciation for what it means to be human) anecdotal examples also made for a very engaging reading (though also heartbreaking - how have people gone through so much? how are they still alive?). 

part overview (again, for my own reference; this is not a book that can be summarised): 
- part 1 the rediscover of trauma - neuroscience discoveries and overreliance on drugs
- part 2 this is your brain on trauma - manifestation of trauma on the body (and body/mind disconnect), human basal instincts/conditioning, emotional engagement system instead of immediate "talk through" bcos it manifests physically in the brain 
- part 3 the minds of children - my fav part, definitely made me think abt my own childhood (lol) and how that has shaped me in certain ways (but also very grateful for a lot of things i had). child abuse is terrifying and awful and how is it so common in the US??? attachment styles (4 diff types), how a lot of our emotional brain is determined by our exp frm 1-7yo, and the scripts that we carry in our lives 
- part 4 the imprint of trauma - i hv a particular interest in memory so this was vv fascinating, also seeing how understanding how our minds work has impt real life applications like the testimony of traumatised individuals and the veracity of their testimony/memories. trauma as a dual reality (present and past that feels present). 
- part 5 paths to recovery - ie language, emdr, yoga, self leadership, structures, neuroscience rewiring, theatre 
- epilogue - understanding that it's not jst abt the scientific part but the political side; all needs to work together 

this book also prompted a lot of (pretty messy) thoughts: to what extent (or do we even hv) do we have free will, if our behavoirs, actions and perceptions are shaped by the literal shape of our brains which are literally "moulded" by our . is there a self (beyond the disparate selves we present to others - in the extreme case of dissociative disorder, but also "a man has as many social selves as there are individuals who recognise him"). can we go beyond ourselves? jst how rational are we, or shld we be? if much of what we do is shaped by our brains, then how much responsibility does one have for their actions, and what implications does that have for the way we interact with people, or our larger systems of justice and institutions?

Louise 

This book covers Trauma and PTSD; the cause, effect and possible cures. 

I really liked how it discussed big pharma and the impacts over-medicating mental illness' creates and what a huge part your physical body plays in your overall mental state/health. It also focuses on the importance of being part of a community, of being heard & supported.

As someone who has experienced trauma and also has an autoimmune disease I was very interested to hear the two are linked. I will be purchasing a physical copy of this book to take notes as this is definitely one to re-visit again & again.

I feel like this book could really help a lot of people 💜

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. 'Van der Kolk draws on thirty years of experience to argue powerfully that trauma is one of the West's most urgent public health issues ... Packed with science and human stories' New Scientist 'Breathtaking in its scope and breadth, a seminal work by one of the preeminent pioneers in trauma research and treatment' Peter A. Levine, author of In An Unspoken Voice '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

Mind, Brain and Body in the Transformation of Trauma

Keven Wang

Very eye opening. Hard to get through the examples.

Enlightening, made me question a lot of things which I’m grateful for :) 

Nawel

Arjun

Very interesting book but found it to gravitate more towards an audience related to Psychology in an academic manner. Did enjoy the book but could've gone about the same with a lesser in-depth analysis pertaining to each concept.

Jessica

One of the best books I've ever read. Learned a lot about myself and it gives a lot of hacks about getting out of PTSD. Totally recommend.

lily

Super dense read, took me way longer to read than usual for a book this length due to the difficult subject matter. 

That being said, the insight and knowledge this book has provided me for my own trauma and tools it’s given me to continue my road to recovery are invaluable, and I think this book is an absolute, nonnegotiable, must-read for anyone who seeks a career working with children (ie. teachers, caregivers, etc.), and I would highly recommend to anyone with a traumatic past, if you can make it through without being triggered too heavily. 

10/10.

Azalea Wolong 

Highly recommend this book. It is very informative and helpful. I feel like I have a better understanding on how trauma affects the quality of someone's life. I am more empathetic and compassionate after reading this book. I probably will read it again on the future.

Bessel A. Van der Kolk

What causes people to continually relive what they most want to forget, and what treatments could help restore them to a life with purpose and joy? Here, Dr Bessel van der Kolk offers a new paradigm for effectively treating traumatic stress. Neither talking nor drug therapies have proven entirely satisfactory. With stories of his own work and those of specialists around the globe, The Body Keeps the Score sheds new light on the routes away from trauma - which lie in the regulation and syncing of body and mind, using sport, drama, yoga, mindfulness, meditation and other routes to equilibrium.

This book has a reputation around it. It's at once a necessary tome for those working in almost any field in which they encounter and work with others and their difficult emotions in a support role. It's also at time problematic in its takes, voyeuristic at times (which it is self aware of in a narrative sense from the author at least) and also somewhat unnecessary if you're a person who knows others with PTSD or have experienced it yourself. 

Qualifying that last statement, is the context for some of my main criticisms for the book, especially digested as an audio book. The author references different conditions and treatments in a back and forth manner, jumping around at times which to a listener makes you wonder if you're in the wrong part of the book. This is likely less of an issue if its being read. But if you're in a less emotionally intense part of the narrative and the author references something especially disturbing mentioned earlier, it can be difficult to hear. 

My other main criticism would be the perspective takes with some of the more triggering and troubling statistics regarding histories of SA as experienced by victims with a history of abuse. While the author doesn't seem to blame the victims per se, he does group it in as a pattern of learned behavior/replication of trauma/cycle of violence. This would not be especially helpful to hear for listeners or readers who have experienced this, and in some ways is almost too clinical of a take for a book that has found a lot of popularity in the general populace. It's also a troubling take, especially for a book that has some much more revelatory information regarding somatic practices, EMDR, and neuro feedback.  

The main thing that occurred to me as a listener now in near 2023 is what this book would be like if it had any concept of pandemic trauma, which is one of the reasons I sought it out. One of the more compelling points is the similarities of frontal lobe behavior between combat vets who've experienced PTSD and people who have ADHD, especially in the current context of Instagram pop psychology leading to massive self diagnosis (or at least that's the impression that Instagram creates likely from algorithm bias). 

One of the author's main points that agree with and take to heart, is that the disruptive nature of most mental illness and trauma responses in human behavior leads to isolation and the disruption of our social links. We are social animals and need one another to survive. The pandemic lockdown, political extremism, and the isolation of modern society in regards to work and social spheres, tends to reinforce this isolation, and by the author's thesis, social breakdown. This point also illustrates how these concurrent social issues feed off one another, creating different forms of isolation the reinforce the others. This is a bleak realization, and unintentional on the author's part (given that the book was written in 2016). However I feel this is the most relevant point given our current context. 

Would recommend but only if you're good at compartmentalization. It's a heavy read. 

Quentin Gibeau

This book has a reputation around it. It's at once a necessary tome for those working in almost any field in which they encounter and work with others and their difficult emotions in a support role. It's also at time problematic in its takes, voyeuristic at times (which it is self aware of in a narrative sense from the author at least) and also somewhat unnecessary if you're a person who knows others with PTSD or have experienced it yourself. 

Qualifying that last statement, is the context for some of my main criticisms for the book, especially digested as an audio book. The author references different conditions and treatments in a back and forth manner, jumping around at times which to a listener makes you wonder if you're in the wrong part of the book. This is likely less of an issue if its being read. But if you're in a less emotionally intense part of the narrative and the author references something especially disturbing mentioned earlier, it can be difficult to hear. 

My other main criticism would be the perspective takes with some of the more triggering and troubling statistics regarding histories of SA as experienced by victims with a history of abuse. While the author doesn't seem to blame the victims per se, he does group it in as a pattern of learned behavior/replication of trauma/cycle of violence. This would not be especially helpful to hear for listeners or readers who have experienced this, and in some ways is almost too clinical of a take for a book that has found a lot of popularity in the general populace. It's also a troubling take, especially for a book that has some much more revelatory information regarding somatic practices, EMDR, and neuro feedback.  

The main thing that occurred to me as a listener now in near 2023 is what this book would be like if it had any concept of pandemic trauma, which is one of the reasons I sought it out. One of the more compelling points is the similarities of frontal lobe behavior between combat vets who've experienced PTSD and people who have ADHD, especially in the current context of Instagram pop psychology leading to massive self diagnosis (or at least that's the impression that Instagram creates likely from algorithm bias). 

One of the author's main points that agree with and take to heart, is that the disruptive nature of most mental illness and trauma responses in human behavior leads to isolation and the disruption of our social links. We are social animals and need one another to survive. The pandemic lockdown, political extremism, and the isolation of modern society in regards to work and social spheres, tends to reinforce this isolation, and by the author's thesis, social breakdown. This point also illustrates how these concurrent social issues feed off one another, creating different forms of isolation the reinforce the others. This is a bleak realization, and unintentional on the author's part (given that the book was written in 2016). However I feel this is the most relevant point given our current context. 

Would recommend but only if you're good at compartmentalization. It's a heavy read. 



The Body Keeps the Score Brain, Mind, and Body in the Healing of Trauma

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