The surgical resident interested in learning trauma will bypass a residency at a quiet community hospital for a residency at a fast-paced Level 1 trauma center treating a high volume of trauma patients. A Level 1 trauma center residency is far more rigorous—and not particularly glamorous—but the intensive culture of a dedicated trauma center will cultivate the decisive judgment and action required of a surgeon specializing in trauma. By choice or by chance, we must actively test our limits to know our capabilities.

I became skilled at covering my tracks, filling in the blanks. Sometimes the blanks were never filled. At other times, I would recall places where I had been or things I had done as if from a dream, which made the playback of my father and other men abusing me seem I even less real, fantasies conjured up from my imagination I not my memory. Perhaps somebody else’s memory. I didn’t think of myself as having mental-health problems. You don’t at sixteen. I thought of myself as being special, highly strung, moody.

He remembered the old-timers from his navy days. Grizzled lifers who could soundly sleep while two meters away their shipmates played a raucous game of poker or watched the vids with the volume all the way up. Back then he'd assumed it was just learned behavior, the body adapting so it could get enough rest in an environment that never really had downtime. Now he wondered if those vets found the constant noise preferable. A way to keep their lost shipmates away. They probably went home after their twenty and never slept again.

Changes in the Perception of Self:People who have been traumatized in childhood are often troubled by guilt, shame, and negative feelings about themselves, such as the belief they are unlikable, unlovable, stupid, inept, dirty, worthless, lazy, and so forth. In Complex Dissociative disorders there are typically particular parts that contain these negative feelings about the self while other parts may evaluate themselves quite differently. Alterations among parts thus may result in rather rapid and distinct changes in self perception.

Although psychology and pedagogy have always maintained the belief that a child is a happy being without any conflicts, and have assumed that the sufferings of adults are the results of the burdens and hardships of reality, it must be asserted that just the opposite is true. What we learn about the child and the adult through psychoanalysis shows that all the sufferings of later life are for the most part repetitions of these earlier ones, and that every child in the first years of life goes through and immeasurable degree of suffering.

Some people's lives seem to flow in a narrative; mine had many stops and starts. That's what trauma does. It interrupts the plot. You can't process it because it doesn't fit with what came before or what comes afterward. A friend of mine, a soldier, put it this way. In most of our lives, most of the time, you have a sense of what is to come. There is a steady narrative, a feeling of "lights, camera, action" when big events are imminent. But trauma isn't like that. It just happens, and then life goes on. No one prepares you for it.

As a therapist, I have many avenues in which to learn about DID, but I hear exactly the opposite from clients and others who are struggling to understand their own existence. When I talk to them about the need to let supportive people into their lives, I always get a variation of the same answer. "It is not safe. They won't understand." My goal here is to provide a small piece of that gigantic puzzle of understanding. If this book helps someone with DID start a conversation with a supportive friend or family member, understanding will be increased.

Lewis's mental map of reality had difficulty accommodating the trauma of the Great War. Like so many, he found the settled way of looking at the world, taken for granted by many in the Edwardian age, to have been shattered by the most brutal and devastating war yet known." (51) Part (McGrath suggests) of Lewis's well-documented search for truth and meaning, that search that ultimately led him to Christianity, emerges from the desire to make sense of his traumatic experience in ways that satisfied him spiritually, emotionally, and intellectually.

I had many things to say, I did not have the words to say them. Painfully aware of my limitations, I watched helplessly and language became an obstacle. It became clear that it would be necessary to invent a new language... I would pause at every sentence, and start over and over again. I would conjure up other verbs, other images, other silent cries. It still was not right. But what exactly was “it”? “It” was something elusive, darkly shrouded for fear of being usurped, profaned. All the dictionary had to offer seemed meager, pale, lifeless.

Early relational trauma results from the fact that we are often given more to experience in this life than we can bear to experience consciously. This problem has been around since the beginning of time, but it is especially acute in early childhood where, because of the immaturity of the psyche and/or brain, we are ill-equipped to metabolize our experience. An infant or young child who is abused, violated or seriously neglected by a caretaking adult is overwhelmed by intolerable affects that are impossible for it to metabolize, much less understand or even think about.

Traumatic events, by definition, overwhelm our ability to cope. When the mind becomes flooded with emotion, a circuit breaker is thrown that allows us to survive the experience fairly intact, that is, without becoming psychotic or frying out one of the brain centers. The cost of this blown circuit is emotion frozen within the body. In other words, we often unconsciously stop feeling our trauma partway into it, like a movie that is still going after the sound has been turned off. We cannot heal until we move fully through that trauma, including all the feelings of the event.

Those of us who work in the field of trauma and abuse, whether psychologists, psychoanalysts, social workers, doctors, counselors, or psychotherapists, have been provided with beautiful tools for understanding the impact of trauma. We become adept at understanding the dynamic of why the messenger is always shot and broadcast the Bionic insight of why the visionary is not bearable to the group.However, when it comes to military mind control, abuse within religious belief groups or cults, and deliberately created dissociative identity disorder, we enter the least resourced field of all.

Caring for others tends to be the first cut when we review our personal time budget. It does not necessarily fulfill the goals of my ambition; it will not pave the way for my success; it takes away from my own depleted emotional resources. It is an imposition in every way. To some of us, it is an inconvenience from which we unashamedly run. We have become experts in maintaining a grand scope of friendships and amateurs in genuine intimacy and care. Unwittingly, we have sacrificed everything on the altar of self-sufficiency—only to discover that we have sold our souls to isolation.

Some dissociative parts of the personality, living in trauma time, may experience the same emotion no matter the situation, such as fear, rage, shame, sadness, yearning and even some positive ones just as joy.* Other parts have a broader range of feeling. Because emotions are often held in certain parts of the personality, different parts can have highly contradictory perceptions, emotions, and reactions to the same situation.”*This explains many feelings, emotions, and doubts about the unknown haunting us at times.*Awareness and discovering the inner world may help, tremendously.

there's something about trauma to the mind, body and soul. One day your normal and the next your different; you don't know what changed but you know nothing's the same and all of a sudden you are learning to adapt yourself to the same environment with a whole new outlook. I guess you realise your not invisible and every aching bone bleeds it's sorrow through anguish in your movements. One day it'll get easier, because I'm telling myself it will and that's the difference between becoming a pioneer through this disaster when all thought I'd be a slave to pity.