+DEGREES-OF-WELL-BEING IS ABOUT SOCIAL HEALTH, NOT “MENTAL” OR “BEHAVIORAL”

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At the same time that I do not personally like the use of the words either ‘mental’ or ‘behavioral’ health in regard to the well-being of humans, I cannot fight the world on this point, but I sure can examine what is meant by the words themselves.  The human ‘mind’ is a nebulous, invisible, intangible nonexistent physical entity.  It is not a THING we can detect through our ordinary senses.  We are always forced to follow some magical ‘this is subjective but we’ll all pretend it isn’t” course in our thinking about the concept of MIND.

Dr. Daniel J. Siegel’s work and writings talk about how humans both develop a mind and the ability to have what he calls ‘Mind Sight’.   Siegel serves as the Executive Director of the Mindsight Institute, an educational organization that focuses on how the development of insight, compassion and empathy in individuals, families and communities can be enhanced by examining the interface of human relationships and basic biological processes.  His work accurately describes how the mind does not exist separately from the physiological body that comes to manifest it.

If we are going to continue to use the term ‘mental health’ it must be done within the context that Siegel presents.  ‘Behavioral health’ must also be firmly anchored into an accurate understanding that behavior, just like ‘mind’, stems from physiological processes within a person’s body and is completely open for subjective interpretation.

By using either one of these terms on a grand scale, either ‘mental health’ or ‘behavioral health’,  we are pretending that we are talking about a THING.  A thing is an object.  Humans are not objects.  We are living beings who exist in relationship with our environment, within our own body and to everyone and everything around us.  To try to define our well-being in the world in terms of our mind or our behavior as if they are separate THINGS that have nothing to do with our physiological body is STUPID!

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We CAN talk about human well-being at every stage of our existence from conception until death.  Before I would trust any individual national, state, regional, local or individual opinion on any topic of human health, I would want to know what our global ‘best of the best’ have to say about it.

The World Health Organization’s website has a page devoted to Mental Health, where they say:

Mental health is not just the absence of mental disorder. It is defined as a state of well-being in which every individual realizes his or her own potential, can cope with the normal stresses of life, can work productively and fruitfully, and is able to make a contribution to her or his community.”

The World Health Organization defines some specifics about “the early signs of mental disorders”:

A mental or behavioural disorder is characterized by a disturbance in thinking, mood, or behaviour, which is out of keeping with cultural beliefs and norms. In most cases the symptoms are associated with distress and interference with personal functions.

Mental disorders produce symptoms that sufferers or those close to them notice. These may include:

  • physical symptoms (e.g. aches and sleep disturbance)
  • emotional symptoms (e.g. feeling sad, scared, or anxious)
  • cognitive symptoms (e.g. difficulty thinking clearly, abnormal beliefs, memory disturbance)
  • behavioural symptoms (e.g. behaving in an aggressive manner, inability to perform routine daily functions, excessive use of substances)
  • perceptual symptoms (e.g. seeing or hearing things that others cannot)

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Well, I am getting nowhere here, so I am going back to look at the origins of the word ‘mind’ itself.  Interestingly, I have to continue to search for the actual date this word came into our modern English language.  My hard-copy dictionary gives the date as being before the 12th century.:

Main Entry: 1mind

Function: noun

Etymology: Middle English, from Old English gemynd; akin to Old High German gimunt memory, Latin ment-, mens mind, monEre to remind, warn, Greek menos spirit, mnasthai, mimnEskesthai to remember

1 : RECOLLECTION, MEMORY <keep that in mind> <time out of mind>
2 a : the element or complex of elements in an individual that feels, perceives, thinks, wills, and especially reasons b : the conscious mental events and capabilities in an organism c : the organized conscious and unconscious adaptive mental activity of an organism
3 : INTENTION, DESIRE <I changed my mind>
4 : the normal or healthy condition of the mental faculties
5 : OPINION, VIEW
6 : DISPOSITION, MOOD
7 a : a person or group embodying mental qualities <the public mind> b : intellectual ability
8 capitalized, Christian Science : GOD 1b
9 : a conscious substratum or factor in the universe
10 : ATTENTION <pay him no mind>

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Very interesting origins!  I looked up the word “mental” and found:

Main Entry: 1men·tal

Function: adjective

Etymology: Middle English, from Late Latin mentalis, from Latin ment-, mens mind — more at mind

Date: 15th century

1 a : of or relating to the mind; specifically : of or relating to the total emotional and intellectual response of an individual to external reality <mental health> b : of or relating to intellectual as contrasted with emotional activity c : of, relating to, or being intellectual as contrasted with overt physical activity d : occurring or experienced in the mind : inner <mental anguish> e : relating to the mind, its activity, or its products as an object of study : ideological f : relating to spirit or idea as opposed to matter
2 a (1) : of, relating to, or affected by a psychiatric disorder <a mental patient> (2) : mentally disordered : mad, crazy b : intended for the care or treatment of persons affected by psychiatric disorders <mental hospitals>
3 : of or relating to telepathic or mind-reading powers

Ah!  Here again, as with the word ‘symptom’ (see post on topic here) , we have a Renaissance-origin word:  ‘Mental’ as an adjective.

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It becomes immediately clear to me as soon as I try to discover the roots of human thinking behind a term like ‘mental health’ that we are evidently not willing to talk about what we are really talking about!

When the invisible unreal entity of MIND is considered independently from the human body that both HAS a mind and experiences life WITH this mind, what we are really talking about – as we can see from our consideration of the meaning of ‘mind’ and ‘mental’ in relationship to their origins —  is HOW A PERSON’S  SPIRIT REMEMBERS ITSELF in the world.

(If the treatment a developing infant receives from its mother is unsafe and insecure, that treatment is a warning to the infant that adjustments need to be made in order to survive within a malevolent world.  A mother’s treatment of her offspring ‘reminds’ it of the conditions of the environment.  All human ‘remembering’ (including how our DNA manifests itself) happens from conception within this framework.  Because we are a social species, all our ‘remembering’ happens through the body-brain we developed primarily before the age of one.)

No matter what the Renaissance thinkers intended as they began to talk about ‘mind’ and ‘mental’ the reality is that no consideration of mind is actually remotely scientific!  Just by making up a meaning and attaching it to a made-up word DOES NOT MAKE SOMETHING into a real, tangible THING.

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Are we really talking about something no less tangible than what one of my favorite words describes?

Main Entry: al·che·my

Function: noun

Etymology: Middle English alkamie, alquemie, from Middle French or Medieval Latin; Middle French alkimie, from Medieval Latin alchymia, from Arabic al-kīmiyā’, from al the + kīmiyā’ alchemy, from Late Greek chēmeia

Date: 14th century

1 : a medieval chemical science and speculative philosophy aiming to achieve the transmutation of the base metals into gold, the discovery of a universal cure for disease, and the discovery of a means of indefinitely prolonging life
2 : a power or process of transforming something common into something special
3 : an inexplicable or mysterious transmuting

al·chem·i·cal \-mi-kəl\ also al·chem·ic \al-ˈke-mik\ adjective

al·chem·i·cal·ly \-mi-k(ə-)lē\ adverb

There it is:  “an inexplicable or mysterious transmuting.”  We have transmuted the invisible process of how and who a human being is in the world into a tangible THING, giving the words ‘mind’ and ‘mental’ meaning AS IF we are talking about something REAL and tangible rather than something UNREAL and intangible.

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What happens if I turn my considerations toward ‘behavioral health’ instead of ‘mental health’?  Hummmmm – this search also is leading me toward the obvious – yet another Renaissance word:

Main Entry: be·have

Function: verb

Inflected Form(s): be·haved; be·hav·ing

Etymology: Middle English behaven, from be- + haven to have, hold

Date: 15th century

transitive verb 1 : to manage the actions of (oneself) in a particular way
2 : to conduct (oneself) in a proper mannerintransitive verb 1 : to act, function, or react in a particular way
2 : to conduct oneself properly

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If I make a gigantic leap and connect “to conduct oneself properly” in relationship to ‘behavioral health’ back through ‘mind’ as being a ‘remembering of the spirit’, and return full circle to the beginning of the post, I find in the World Health Organization’s discussion about the ‘symptoms’ of ‘mental illness’ and ‘mental disorders’ that they clearly present this qualifying statement:

A mental or behavioural disorder is characterized by a disturbance in thinking, mood, or behaviour, which is out of keeping with cultural beliefs and norms”

In other words, it is impossible to even begin to think even about ‘disorder’ itself, in relation to either a so-called ‘mental’ or a ‘behavioral’ one without first defining what any particular culture’s ‘beliefs and norms’ are.

Any consideration of ‘disorder’ has to be done within a consideration of the established social-cultural patterns of what’s considered to be ‘order’.  Disorder is itself another Renaissance word:

Main Entry: 1dis·or·der

Function: transitive verb

Date: 15th century

1 : to disturb the order of
2 : to disturb the regular or normal functions of

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Even if I try to place the IDEA of disorder within the larger context of what ORDER might mean, I find myself looking at an English word that is connected not in our history of Renaissance-period thinking, but to our Medieval-period, or Middle Age Millennium of thinking:

Main Entry: 1or·der

Function: verb

Inflected Form(s): or·dered; or·der·ing \ˈȯr-d(ə-)riŋ\

Etymology: Middle English, from ordre, noun

Date: 13th century

transitive verb 1 : to put in order : arrange
2 a : to give an order to : command b : destine, ordain <so ordered by the gods> c : to command to go or come to a specified place <ordered back to the base> d : to give an order for <order a meal>intransitive verb 1 : to bring about order : regulate
2 a : to issue orders : command b : to give or place an order

OR AS A NOUN:

Main Entry: 2order

Function: noun

Etymology: Middle English, from Anglo-French ordre, from Medieval Latin & Latin; Medieval Latin ordin-, ordo ecclesiastical order, from Latin, arrangement, group, class; akin to Latin ordiri to lay the warp, begin

Date: 14th century

1 a : a group of people united in a formal way: as (1) : a fraternal society <the Masonic Order> (2) : a community under a religious rule; especially : one requiring members to take solemn vows b : a badge or medal of such a society; also : a military decoration
2 a : any of the several grades of the Christian ministry b plural : the office of a person in the Christian ministry c plural : ordination
3 a : a rank, class, or special group in a community or society b : a class of persons or things grouped according to quality, value, or natural characteristics: as (1) : a category of taxonomic classification ranking above the family and below the class (2) : the broadest category in soil classification

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As a weaver, I find “akin to Latin ordiri to lay the warp, begin” fascinating!  That is exactly what a mother does for her infant — she lays the warp as her infant begins its life as a social being, and with that warp a person’s life is created.

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We cannot consider ‘mental’ or ‘behavioral’ ‘disorders’ outside of the context that gave birth not only to the words themselves, but to the cultural ideas and concepts that contain them.

It is clear to me that all of these words originated within a Christian mindset and cultural world view.  We continue to use these words AS IF (think alchemy again) we could transmute the concepts, values, beliefs, understandings and religious underpinnings beneath and behind them into something magically SCIENTIFIC.

Main Entry: sci·ence

Function: noun

Etymology: Middle English, from Anglo-French, from Latin scientia, from scient-, sciens having knowledge, from present participle of scire to know; perhaps akin to Sanskrit chyati he cuts off, Latin scindere to split — more at shed

Date: 14th century

1 : the state of knowing : knowledge as distinguished from ignorance or misunderstanding
2 a : a department of systematized knowledge as an object of study <the science of theology> b : something (as a sport or technique) that may be studied or learned like systematized knowledge <have it down to a science>
3 a : knowledge or a system of knowledge covering general truths or the operation of general laws especially as obtained and tested through scientific method b : such knowledge or such a system of knowledge concerned with the physical world and its phenomena : natural science
4 : a system or method reconciling practical ends with scientific laws <cooking is both a science and an art>

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“Scientific’ is supposedly “the state of knowing : knowledge as distinguished from ignorance or misunderstanding.”  We are all familiar in our culture with the other end of the ‘nonscientific’ spectrum, and the conflict that often arises between them:

Main Entry: re·li·gion

Function: noun

Etymology: Middle English religioun, from Anglo-French religiun, Latin religion-, religio supernatural constraint, sanction, religious practice, perhaps from religare to restrain, tie back — more at rely

Date: 13th century

1 a : the state of a religious <a nun in her 20th year of religion> b (1) : the service and worship of God or the supernatural (2) : commitment or devotion to religious faith or observance
2 : a personal set or institutionalized system of religious attitudes, beliefs, and practices
3 archaic : scrupulous conformity : conscientiousness
4 : a cause, principle, or system of beliefs held to with ardor and faith

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Yet if we are honest with ourselves as a species, this entire discussion and any consideration of what the terms ‘mental health’ and ‘behavioral health’, as well as ‘mental disorder’ and ‘behavioral disorder’ is really describing is how comfortably –or not — an individual fits into the social system of which they are a member.

At the point that so-called ‘science’ wanted to begin to establish itself separately from ‘religion’ words began to be used in our language that were supposed to take ‘how spirit remembers itself’ and transmute them magically into something else – something tangible, literal, measurable and real.

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As we accept these terms and use them to describe ourselves and/or others, we are continuing only to consider human beings in the context of the social environment they live within.  We are not REALLY concerning ourselves with the actual conditions of well-being or lack of well-being that a person experiences from within their own skin.  We are a social species, so it is not at all surprising that the formulas we use in our thinking about how we fit into the larger social context are all reducible down to social relationships.

And, again, it is the earliest mothering caregiver interactions we experience during our infant brain developmental stages that entirely build the foundation of our social brain that will regulate our interactions within our own self and within our social environment for the rest of our lives.  These experiences ‘order’ our brain.  It is at this level that we have to look for what happens to us the rest of our lives.

It is at this very real level of interaction between our social environment (our mothering experiences) and our growing and forming social brain’s foundation that we can NOW understand the science of social interaction.  It has nothing to do with ‘religion’ as we usually understand it as lying at the foundation of our culture, our social order, or the words, concepts and terms we use to consider our ‘invisible’ ideas.

The Latin conception of ‘religio’ as tying and binding together is, in its largest sense, what mothering an infant adequately is all about.  Social interaction is the way humans, as members of a social species, find themselves in the world from the building of our early-forming social-brain on up.  Neurons tie themselves together and form circuits, pathways, patterns in our early-forming brain that are SUPPOSED to link us harmoniously to our own SELF and to other selves in the world around us – beginning with our mothering early caregiver.  How our brain is ‘ordered’ and organized happens through social attachment.

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Looking at the roots of our word ‘social’ I find it related in its origins to ‘man, companion, ally’ (and also, interestingly, as it relates to ‘sue’).  We are a social species, and therefore the issue of companionship – companionship with our mother, companionship with our developing self, and companionship with other members of our species – forms the foundation of who we are through the social brain we built.

Our word ‘companion’ is fundamentally connected in its origins to FOOD, and for all the words I have considered today, it is only in this simple word – food – that I find an origin in our language that goes back before the 12th century.

FOOD

Etymology: Middle English fode, from Old English fōda; akin to Old High German fuotar food, fodder, Latin panis bread, pascere to feed

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NOW THIS IS TAKING US BACK TO WHAT MATTERS.  THIS WORD TAKES US BACK TO OUR HUMAN ROOTS.  THIS WORD IS ABOUT OUR ORIGINS.  With our mothers, beginning our human journey, we transition into the social ordering of our very foundational social brain through all the kinds and qualities of FEEDING that our earliest caregiver, our mother, gives to us.

This is the natural order of making a human being.  This is where our attachments in the world begin.  This is where all our feel-good physiological processes originate.

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If you are still reading this post, and have followed along this far, you will appreciate what a search through words in our language now gives us.  Mothering is about something both so simple and so profound that it lies at the basis of our species.  Mothers can either provide the best possible nourishment for her offspring or she cannot.

Main Entry: nour·ish

Pronunciation: \ˈnər-ish, ˈnə-rish\

Etymology: Middle English nurishen, from Anglo-French nuriss-, stem of nurrir, norrir, from Latin nutrire to suckle, nourish; akin to Greek nan to flow, noteros damp, Sanskrit snauti it drips

Date: 14th century

1 : nurture, rear
2 : to promote the growth of
3 a : to furnish or sustain with nutriment : feed b : maintain, support

nour·ish·er noun

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All of my thoughts, in fact all of anyone’s thoughts, always return in their origins to the mother who brought us into the world and who was then responsible for forming the foundations of our earliest social-emotional brain.  We find in one single word the essence of all that matters in our beginnings.

Main Entry: 1suck

Function: verb

Etymology: Middle English suken, from Old English sūcan; akin to Old High German sūgan to suck, Latin sugere

Date: before 12th century

transitive verb 1 a : to draw (as liquid) into the mouth through a suction force produced by movements of the lips and tongue <sucked milk from his mother’s breast> b : to draw something from or consume by such movements c : to apply the mouth to in order to or as if to suck out a liquid
2 a : to draw by or as if by suction b : to take in and consume by or as if by suction

We draw the world into ourselves in our beginnings through our interactions with our earliest caregiver, our earliest representation of humanity in our world – our mother.  We take in and consume what she provides for us and build a brain out of it, build a nervous system, an immune system, and entire body that has at its basis of operation in the world the signals her treatment of us communicates to us about the condition of the world:  Is it a safe and secure benevolent world or is it an unsafe, insecure malevolent one?

The resiliency factors available in our own DNA memory or our species allow us to adapt to and adjust within the quality of the world our mother presents to us from our conception.  How our developing body-brain is ordered is dependent upon the interactions we have with ALL of our earliest caregivers, but most centrally upon the interactions with the mother that suckles us – by feeding us information about the condition of the world that we adapt ourselves to in our earliest development.

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We have reached the heart of the matter.  We cannot separate either our mind or our behavior from the body we live within, this same body that was guided in its development by the suckling we received from our mothering caregiver that built us.

What we are actually talking about is our degree of SOCIAL HEALTH.  This is, in my opinion, the most accurate term we can use to talk about how we are in the world as members of a social species.

The problem with adopting Social Health as an accurate term related to our degrees of well-being is that it simply does not allow us to continue using stigma against one another.  Social Health and well-being is about ALL OF US.  It is about our entire body, not only individually, but about the health of the culture we live within and on the largest scale, of the entire quality of health for every single one of the members of our species on our planet.

Main Entry: stig·ma

Function: noun

Inflected Form(s): plural stig·ma·ta

\stig-ˈmä-tə, ˈstig-mə-tə\ or stig·mas

Etymology: Latin stigmat-, stigma mark, brand, from Greek, from stizein to tattoo — more at stick

Date: circa 1593

1 a archaic : a scar left by a hot iron : brand b : a mark of shame or discredit : stain <bore the stigma of cowardice> c : an identifying mark or characteristic; specifically : a specific diagnostic sign of a disease
2 a stigmata plural : bodily marks or pains resembling the wounds of the crucified Jesus and sometimes accompanying religious ecstasy

Once we are given a ‘diagnosis’, we are then the recipient of a ‘brand’ or a ‘mark’ that sticks to us and separates us from ‘the others’.

Main Entry: 1stickFunction: noun

Etymology: Middle English stik, from Old English sticca; akin to Old Norse stik stick, Old English stician to stick

Date: before 12th century

1 : a woody piece or part of a tree or shrub: as a : a usually dry or dead severed shoot, twig, or slender branch b : a cut or broken branch or piece of wood gathered for fuel or construction material
2 a : a long slender piece of wood or metal: as (1) : a club or staff used as a weapon (2) : walking stick b : an implement used for striking or propelling an object in a game c : something used to force compliance d : a baton symbolizing an office or dignity; also : a person entitled to bear such a baton

We are cast aside, as if we are cut off as a branch would be broken from the main tree of human life.  We are both ‘stuck’ with the stigma and ‘struck’ by it because stigmas hurt people.

Social Health is an inclusive rather than an exclusive term.  Using it would stop stigmatization dead in its tracks.  Everyone would then be included; nobody would be marked, cast off, stigmatized, judged, condemned or punished as being different from anybody else.  Everyone has some degree of social health.

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Oh, but in the U.S.A. we are such big fans of uniqueness and individuality.  Social Health smacks of ‘socialism’ and unwanted oppression over the rights of the individual!  We want to be ‘free’ to be ‘different’ from everyone else.  We do not want to accept that after all, we are human beings just like everyone else is.

When we are ‘free’ to be ‘unique individuals’ and ‘different’ from everyone else, we can feel superior or inferior, better-than or less-than other people.  We can keep our stigmas, our prejudices, our arrogance and our ignorance.  We do not want to admit or accept that these aspects to our ‘social ordering’ within our culture are fooling no one but ourselves.

We continue to keep our illusions intact, and believe in ‘manifest destiny’ and ‘the right of imminent domain’.  After all, in America anyone and everyone can ‘pull themselves up by their bootstraps’ if they only want to.  After all, we are all born ‘all men are equal before the law’.

Never mind that laws are not enforced equally.  Never mind that infant-children can be neglected, battered, abused and maltreated within our national boundaries, forcing these victim-survivors to grow a completely evolutionarily altered body and brain that will change how they are in the world for the rest of their lives.  What is happening to The Great Society?

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Our primary concern is with health – every kind of health related to the conditions of being human.  Because we are a species of social beings, all of our health concerns boil down to social ones.  The adjective we use to talk about how we are as social beings in the world, in relationship with our own self and with one another needs to be accurate.  Social Health uses the right adjective.

Main Entry: health

Function: noun

Usage: often attributive

Etymology: Middle English helthe, from Old English ̄lth, from hāl

Date: before 12th century

1 a : the condition of being sound in body, mind, or spirit; especially : freedom from physical disease or pain b : the general condition of the body <in poor health> <enjoys good health>
2 a : flourishing condition : well-being b : general condition or state <poor economic health>

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Please feel free to comment directly at the end of this post or on

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Your Page – Readers’ Responses

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+PTSD AND SEVERE ABUSE SURVIVORSHIP – PART TWO

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This second post about Posttraumatic Stress Disorder (PTSD) refers again to a book called Healing Trauma: Attachment, Mind, Body, and Brain – Hardcover (Jan 2003, W.W. Norton and Co.) by Daniel J. Siegel, Marion F. Solomon, and Marion Solomon, chapter 4 (pages 168-195) written by Bessel A. van der Kolk:  “Posttraumatic Stress Disorder and The Nature of Trauma.”

Today’s post follows the November 28, 2009 post

+PTSD AND SEVERE CHILD ABUSE SURVIVORSHIP – PART ONE

PLEASE NOTE:  Do not take anything I say as a reason to alter any ongoing treatment, therapy or medication you are receiving.  Consult with your provider if you find something in my writing that brings questions to your mind regarding your health and well-being.

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The following is taken from pages 172 of the above text.  I will consider this information in my writing below:

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It is now easier for me to work with this information because I have described my own version of an alternative way of thinking about the ongoing complications severe infant-child abuse and malevolent treatment survivors face as a direct result not only of the specifics of the actual horrific traumas they lived through, but also because of the very real physiological changes that surviving these traumas created in their infant-child growing and developing body.

(see yesterday’s November 29, 2009 post

+TRAUMA ALTERED DEVELOPMENT (TAD) – A NEW DESCRIPTIVE CONCEPT)

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An accurate primary and initial assessment of TAD for those of us who are Infant-Child Severe Maltreatment Survivors would allow us to know immediately how the changes our body-brain had to make created us to be different from ‘ordinary’ people who do not have the history of trauma that we do.

In this TAD assessment two critical resiliency factors would also need to be assessed because these two resiliency factors (one primary, the other secondary) are known to have the ability to nearly completely modify and modulate the power that early trauma has to change our developing body-brain.

The presence of safe and secure attachment to some early primary caregiver is the most basic and important resource an Infant-Child Severe Maltreatment Survivor had.  The current assessment tools available to assess adult secure and insecure attachment need to be simplified, refined and made accessible to the public.

Stemming from the degree of safety and security available through early caregiver attachment, the ability to play is a secondary but critical resiliency factor that impacts an Infant-Child Severe Maltreatment Survivor’s body-brain development.  I believe that assessment criteria and tools to measure this critical factor consistently and accurately can be developed and also made available to the public.

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NOTE:  In our new age of technology, the public has the right to be able to access critically important information about themselves and how their early infant and childhood experiences impacted their development.  At present this information remains ONLY available within ‘clinical’ settings, if even there.

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As far as I am concerned, anything and everything that is currently lumped under so-called ‘psychological’ categories belongs to the sinking Titanic of dark age medical model thinking that I referred to in yesterday’s post.

Until Trauma Altered Development (TAD) is assessed at the bedrock level of how Infant-Child Severe Maltreatment Survivors changed at their own bedrock (molecular) level, any attempt to moderate so-called ‘symptoms’ remains a crap shoot in the dark.

TAD assessment can connect the consequences of early trauma to altered physiological changes that an Infant-Child Severe Maltreatment Survivor’s body was forced to make to best ensure continued survival in early malevolent environments,

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Early caregiver attachment experiences from birth build the body-brain we will live with for the rest of our lives.

Van der Kolk (scanned text above) writes that it is not usually the symptoms of PTSD itself that brings those seeking help to a clinical setting.  Rather, he says that it is “depression, outbursts of anger, self-destructive behaviors, and feelings of shame, self-blame and distrust that distinguished a treatment-seeking sample from a nontreatment-seeking community sample with PTSD.”

Through an accurate TAD assessment, any ongoing difficulty an Infant-Child Severe Maltreatment Survivor has with emotions and social interactions can be traced to inadequate early caregiver interactions in a malevolent environment that built for the survivor an entirely different early-forming right-limbic-emotional-social brain.

When the foundation of the early forming right brain is altered because of maltreatment, the Infant-Child Severe Maltreatment Survivor’s later developmental stages involving shame, guilt and embarrassment will also be off course from ‘ordinary and optimal’ and will cause altered patterns of development in the body-brain.

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Van der Kolk states:

The majority of people who seek treatment for trauma-related problems have histories of multiple traumas.”

OK, I can certainly understand this, but here again, as I mentioned above, I do not agree with applying so-called ‘psychological’ and ‘symptom based’ medical model diagnostic thinking used in the author’s next statements.  I absolutely disagree with ever using terms such as ‘character pathology’ in reference to Infant-Child Severe Maltreatment Survivors!

One recent treatment-seeking sample…suffered from a variety of other psychological problems which in most cases were the chief presenting complaints, in addition to their PTSD symptoms:  77% suffered from behavioral impulsivity, affect lability, and aggression against self and others; 84% suffered from depersonalization and other dissociative symptoms; 75% were plagued by chronic feelings of shame, self-blame and being permanently damaged and 93% complained of being unable to negotiate satisfactory relationships with others.  These problems contribute significantly to impairment and disability above and beyond the PTSD symptoms….Focusing exclusively either on PTSD or on the depression, dissociation and character pathology prevents adequate assessment and treatment of traumatized populations.”

TAD assessments will clearly show that ‘impulsivity’, ‘affect liability’, most aggression, and dissociation are directly connected to changes in how an Infant-Child Severe Maltreatment Survivor’s nervous system, including their brain – and here, particularly their right brain – formed differently from ‘ordinary’ due to growth and development in trauma.

Chronic feelings of shame, self-blame and being permanently damaged” are also directly connected to trauma through developmental changes an Infant-Child Severe Maltreatment Survivor’s nervous system, including their brain – and here, particularly their later forming (after age one) left brain – had to make while developing in an early malevolent, trauma-filled environment.

Rather than referring to these changes as ‘character pathologies’, which in my thinking is the maltreatment, abusive stance taken by the medical model toward Infant-Child Severe Maltreatment Survivors, a TAD assessment can accurately and specifically pinpoint the origin of these changes in the body-brain and describe the consequences of them.

Receiving an accurate TAD assessment will show us exactly how our body was forced to adapt during our development through trauma so that we could survive it.   Yes, I do believe we KNOW we are different from ‘ordinary,’ but we are not ‘permanently damaged’.   We ARE permanently changed.

The changes Infant-Child Severe Maltreatment Survivors experience are fundamental and profound!  Everything about us was subject to adjustment for our trauma survival – our body, our nervous system and brain, our immune system, our mind, and our connection between our self and our self and between our self and the entire world around us.  NOT facing the truth and discovering the facts through TAD assessment will NOT resolve the difficulties we face with our continued survival into adulthood.

The only long term solution societies have is to STOP Infant-Child Severe Maltreatment!!!  Part of that solution is to provide the kind of TAD assessment Infant-Child Severe Maltreatment Survivors need, and to make available to us the resources necessary for us to live the best life we can in spite of the changes we had to make in order to stay alive because nobody STOPPED the Infant-Child Severe Maltreatment that happened to us.

It is the pathological character of the society we were born into that allowed what happened to us to happen at all, let alone allowed it to continue to the degree that trauma changed our physiological development.  If there is any self blame to be had, it is on the level far beyond OURS as the Infant-Child Severe Maltreatment Survivors.

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That the grand sinking Titanic of the archaic dark age’s medical model about Infant-Child Severe Maltreatment Survivors has at least THOUGHT about throwing us a life boat becomes apparent in van der Kolk’s next words:

As part of the DSM IV field trial, members of the PTSD taskforce delineated a syndrome of psychological problems which have been shown to be frequently associated with histories of prolonged and severe personal abuse.  They call this Complex PTSD, or Disorders of Extreme Stress Not Otherwise Specified (DESNOS).”

Great!  A life boat full of holes!  Gee, why are we NOT thankful for that?

A syndrome of psychological problems” be damned!  Infant-Child Severe Maltreatment Survivors do not suffer from a ‘syndrome’, and ours are not ‘psychological problems’!  For all the reasons I have repeatedly described, we simply need a TAD assessment that will tell us HOW our little body adapted down to our molecular level during our development in the midst of, and in spite of, toxic malevolent trauma.  Then we need resources that inform us how to live NOW with these profound trauma-caused changes that happened to us THEN.

The author continues:

DESNOS delineated a complex of symptoms associated with early interpersonal trauma.”

Again, we don’t have ‘symptoms’.  We have a different body-brain-mind-self that adapted to survival in a malevolent world and caused us to have Trauma Altered Development (TAD).

We don’t have symptoms, we have consequences.  Every single item in the list of so-called ‘complex symptoms’ (see them in the page scan below) that van der Kolk describes are directly connected to our TAD.  EVERY SINGLE ONE OF THESE ITEMS exist within us because of changes our body-brain was forced to make.  They are consequences of the changes our body had to make through our TAD.

The only real progress in the right direction I can see – given to us like faulty patches to a sinking life boat thrown to us from a sinking ship – is that at least an association ‘with early interpersonal trauma’ is finally being considered in the current medical model thinking.

But this tiny droplet of hoped for healing balm offered by the creation of a construct named “Complex PTSD, or Disorders of Extreme Stress Not Otherwise Specified (DESNOS)” is not what we Infant-Child Severe Maltreatment Survivors need in my book.

We need our entire society to understand and accept the truth that the Infant-Child Severe Maltreatment that happened to me and others – and continues to happen to children around us today – is nothing short of a form of parental-selected genocide that did not fulfill its intent to completely destroy us.  We are Infant-Child Severe Maltreatment Survivors because we are still alive, and we ONLY SURVIVED because we were able to adapt our body throughout our Trauma Altered Development to and within the malevolent environments that formed us.

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The rest of van der Kolk’s words (below) simply bring into my mind the image of the author being like a modern day Paul Revere, whose horse’s hooves pound along the streets of our nation as he screams a warning.  I am certainly not convinced, however, that even this author knows which message it is that most needs to be delivered.

The Trauma Altered Development that Infant-Child Severe Maltreatment Survivors experienced had no choice but to build itself into every part of who we are BECAUSE we live in a body, and our body had no choice but to change so that we could stay alive.

To describe any aspect of what happened to us in terms of a ‘diagnosis’ or a ‘symptom’, ‘complex’ or not, to call us ‘maladjusted’ or to tell us we suffer from any form of a ‘character pathology’ or ‘psychological problem’ is to continue to condemn us with stigmas and stereotyped prejudice which makes as much sense as applying all of the above labels to someone who is tall versus short, or who has red hair rather than blond.

If we wish as a society to remain in the dark ages about the consequences of Trauma Altered Development for Infant-Child Severe Maltreatment Survivors then at least we should have enough honor and common sense to admit it.  If we are appalled by the ignorance that is still applied to our circumstances, today is the day we can enlighten ourselves and get on with the legitimate task of figuring out how to accurately assess Trauma Altered Development so that we can begin to live well as the changed, extraordinary Infant-Child Severe Maltreatment Survivors that we are.

Our Trauma Altered Development did not affect WHO we are in the world, but it absolutely changed HOW we are in the world.  It is up to all of us to learn what that means.

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The following is taken from pages 173 of the above text:

Again, it is not a picture of ‘long-term psychiatric impact’ nor a ‘diagnosis’ that Trauma Altered Development affected Infant-Child Severe Maltreatment Survivors need.  We need to understand the changes our body had to make to guarantee our survival and specifically how those changes affect us, and specifically how to improve our quality of life and well-being in the world in spite of our TAD.

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Please feel free to comment directly at the end of this post or on

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Your Page – Readers’ Responses

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+THE COMPLEXITIES OF SECURE AND INSECURE ATTACHMENT – DO-IT-YOURSELF STUDY LINKS

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One important point to realize about insecure attachment disorders is that in effect, our on-off switch governing our human relationships is not set right, or is nearly broken completely.  We rarely, if ever, truly feel safe, secure and connected to others.  This leaves us feeling pain and anxiety much of the time (Yes, we feel that Substance P).

A securely attached person does not have their attachment system ON all of the time.  It will turn on and off appropriately.  If an attachment system cannot turn itself on and off correctly, none of the other systems will work correctly, either (exploration, caregiving, sexuality).

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In our ‘modern era’ humans seem tempted to believe we are above the rules and laws of nature.  We are not, and if enough of these rules and laws are breached early enough in our development, the ensuing trajectory of all our future development will be sent off into an unhealthy, survival-only-based for the short term, direction.

Our species has evolved over millions of years in such a way that there is a narrow margin for what is most needed for our best development.  As we change how we raise our children from an extended family, tribal and community base, we are placing ourselves and our children at ever increasing risk for suffering from insecure attachment disorders with all their accompanying disruptions for the life span.

What happened to my mother and my father in their earliest beginnings set in motion a chain of predictable consequences that culminated in the 18-year torturous childhood I endured.  They both had insecure attachment early histories with resulting insecure attachment disorders.  Those disorders let the dark rather than the sunshine in to my childhood.

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There is nothing easy about writing this post.  I am tempted to offer a blanket apology for the disarrayed information I am going to post links for you today.  What I WANT is polished, completed perfection.  What I WANT to present to you would look like the information contained in my October 1, 2009 post +CHILDHOOD DISSOCIATION, DEPERSONALIZATION, DEREALIZATION – I NEVER HAD A CHOICE TO BE OR NOT TO BE about the symptoms of childhood dissociation.

I was envious of those few succinct and perfectly chosen words that presented that information on Guidelines for the Evaluation and Treatment of Dissociative Symptoms in Children and Adolescents written by someone for the International Society for the Study of Dissociation.  Then I realized that these concepts were probably part of what could be called a White Paper.  They were no doubt an accumulation of multiple minds working on a problem that needed a solution, and what is presented is the result of a combined effort.

I had some friends when I lived in northern Minnesota who owned 40 acres of sugar maple trees.  Every spring when the sap began to run their entire family would participate in tapping the trees, collecting the sap, and boiling it down in huge vats until it turned into maple syrup.  It took 60 gallons of sap to create one gallon of syrup.

Thinking about secure and insecure attachment feels like a similar process to me.  I can’t begin to imagine the brilliant genius of the minds of the specialists who discover facts and write about the topic.  What I am presenting today is still — only — a collection of their words as I try to gather enough information, and go over it enough times, that I might begin to glimpse the critical significance of their work.

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Because the experiences of abuse and trauma I endured during the 18 years of my childhood were so extreme, my search of the ‘ordinary’ literature on ‘dysfunctional’ childhoods did not begin to answer my questions about what happened to me and why.  These links I present today contain what I KNOW is critical information about what put both of my parents at risk for turning into monsters.

In order to begin to understand the life of a tree I would not simply study the tip of the topmost and outermost branches.  To understand the bigger picture I would have to study the whole tree, down to the deepest roots that keep it standing in the sky.  I am not content to rely simply on such terms as ‘mental illness’ or ‘Borderline Personality Disorder’ to describe what I might be able to learn about my mother.  I am not content to simply label my father ‘an enabler’.  Who my parents were, why and how they operated the way that they did toward me, I will never actually know.

Attachment research gives me the clearest and most correct platform I have ever found from which I can begin to understand — and therefore begin to apply informed compassion — to the criminal actions my parents took against me.  It also helps me to understand the most important consequences caused by their actions toward me, and helps me learn how to transform them.

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Even a quick but dedicated quick scanning of the words contained in the following links will have the capacity to change how you look at yourself, your parents, your relationships.  These words are about how early caregiver interactions — good and bad — form the brain-mind.  It is from the foundation of these early beginnings that all future development of an individual arises, in the same way that all the future growth of a tree begins with the cracking of a fertile seed and the growth down of roots and up of its trunk and branches.

The very bare-bones layout of the information in the links covers the difference between secure attachment (about 55% of our population) and insecure attachment (the other 45%).  Most researchers use one set of words to describe the insecure attachment disorder in infants and another for adults related to the exact same patterns.  I see no reason to do this.  What exists in infancy as a disordered attachment remains for a lifetime unless some specific interventions and applied efforts are made toward trying to change the hard-wiring of the infant brain as it was built in the first place so that it becomes more ‘secure’ later in life.

There are breakdowns within the category of insecure attachment that cover what happens to the 45% of people who have less than an optimal early caregiver brain building interaction period in their infancy.  My guesstimate is that about one-third of this 45% fit into each of the following three main categories.

— There are two ‘organized’ insecure attachment disorders/patterns/systems = Avoidant-Dismissive Insecure Attachment and Preoccupied-Ambivalent Insecure Attachment.   The important word here is ORGANIZED, which is in contrast to the third insecure attachment disorder which is NOT organized.

— This is the disorganized  insecure attachment disorder/pattern/system known as the  – Disorganized-Disoriented Insecure Attachment.  Serious dissociation occurs within this group as well as many of the more serious so-called mental illnesses.

There are at least two other attachment categories that may or may not be recognized in the future as having enough merit on their own to remain distinguished from any of the above categories.  They are the ‘earned secure attachment‘ and the ‘cannot classify insecure attachment‘ groupings.

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I hope that readers will find something useful in these links.  I am a long, long way from coming up with my own version of a simple, clear and succinct ‘white’ paper. What appears in italics in these links are my own words as I processed these technical writings as I read them.

The main references you will find in these links are as follows as they match my codes for citation page numbers (you will also occasionally find a page number inserted in the middle of some paragraphs to note where in a sentence the page number changed):

Siegel/tdm = The Developing Mind: Toward a Neurobiology of Interpersonal Experience by Daniel J. Siegel

Schore/ad = Affect Dysregulation and Disorders of the Self by Allan N. Schore

Schore/ar = Affect Regulation and the Origin of the Self: The Neurobiology of Emotional Development by Allan N. Schore

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These writings contain many unfamiliar words.  If you are scanning only, skip them.  Or, do a quick Google search using “Webster define _____.”

I believe that the more traumatic a reader’s childhood was, the more they will benefit from gaining an understanding of this information.   It will improve understanding on a more profound level about what happened to their own self development and the development of their early caregivers.  (I need to specify here that I can make no assumptions about how sexual abuse fits into the picture of secure and insecure attachments.  That is not a part of my story, and I cannot and do not make any statements about it.)

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