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Chapter V raises a sharp question that most people avoid asking: how much of our day is actually used with intention? It begins by drawing attention to our morning routines, especially during the commute. Many individuals fill this time with newspapers, not necessarily for insight, but out of habit. These moments pass quickly, often forgotten as soon as they occur. The author challenges the value of this ritual, pointing out that rushed news digestion offers little depth or lasting understanding. There’s…-
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Chapter
ACKNOWLEDGMENTS
ACKNOWLEDGMENTS This book is the fruit of thirty years of trying to understand how people deal with, survive, and heal from traumatic experiences. Thirty years of clinical work with traumatized men, women and children; innumerable discussions with colleagues and students, and participation in the evolving science about how mind, brain, and body deal with, and recover from, overwhelming experiences. Let me start with the people who helped me organize, and eventually publish, this book. Toni Burbank, my…-
360.1 K • Ongoing
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Chapter 1: Lessons from Vietnam Veterans. In the late 1970s, the author began their work as a psychiatrist at the Boston Veterans Administration Clinic, encountering a patient named Tom, a Vietnam War veteran. Tom's story unfolded over the course of his sessions, revealing a man deeply scarred by his experiences in Vietnam. He had joined the Marine Corps out of duty and idealism, rising quickly to the role of platoon leader. After surviving a harrowing experience during the war, where he witnessed the…
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Chapter
Breaking Old Agreements
Breaking Old Agreements EVERYONE TALKS ABOUT FREEDOM. ALL AROUND the world different people, different races, different countries are fighting for freedom. But what is freedom? In America we speak of living in a free country. But are we really free? Are we free to be who we really are? The answer is no, we are not free. True freedom has to do with the human spirit — it is the freedom to be who we really are. Who stops us from being free? We blame the government, we blame the weather, we blame our…-
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Chapter 12 delves into the profound and complex nature of trauma and its enduring effects on the mind and body. The historical perspective on trauma has evolved over the centuries, with medical and psychological communities initially reluctant to acknowledge the depth of its impact. Not until the horrors of World War I forced the issue into the limelight did society begin to confront the long-lasting physical and psychological effects of trauma, often termed "shell shock" at the time. Despite this, the…
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Chapter 16 underscores the essential role that sleep plays in mental clarity, emotional balance, and long-term physical well-being. The chapter opens with a gripping account of the author's personal experience during medical residency, where severe sleep deprivation led to dangerous lapses, including nearly falling asleep while driving. This alarming incident serves as a reminder that exhaustion is more than just a feeling—it has real-world consequences that can endanger lives. Many people assume they…-
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Chapter VI begins with a compelling invitation to reclaim time—not by adding more hours to the day, but by using the ones we already have with greater intent. The author doesn’t ask for a dramatic life overhaul. Instead, he proposes a modest challenge: devote just over an hour daily to nourishing the mind. This effort, though small in comparison to the day's total span, has the potential to unlock deeper engagement with life. It's a question of investment—one that promises immense return without any…
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APPENDIXCONSENSUS PROPOSED CRITERIA FOR DEVELOPMENTAL TRAUMA DISORDER The goal of introducing the diagnosis of Developmental Trauma Disorder is to capture the reality of the clinical presentations of children and adolescents exposed to chronic interpersonal trauma and thereby guide clinicians to develop and utilize effective interventions and for researchers to study the neurobiology and transmission of chronic interpersonal violence. Whether or not they exhibit symptoms of PTSD, children who have…
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Chapter 2: Revolutions in Understanding Mind and Brain. In the late 1960s, during a year off from medical school, the author had an eye-opening experience at the Massachusetts Mental Health Center (MMHC), a prestigious psychiatric hospital. The hospital had long been regarded as one of the finest in the country, and it was here that the author was introduced to the rapidly changing landscape of psychiatric care. The prevailing treatment for mental illness at MMHC was psychotherapy, stemming from Freudian…
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Chapter
Heaven on Earth
Heaven on Earth I WANT YOU TO FORGET EVERYTHING YOU HAVE learned in your whole life. This is the beginning of a new understanding, a new dream. The dream you are living is your creation. It is your perception of reality that you can change at any time. You have the power to create hell, and you have the power to create heaven. Why not dream a different dream? Why not use your mind, your imagination, and your emotions to dream heaven? Just use your imagination and a tremendous thing will happen. Imagine…-
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