. What is trauma?
The psychiatric definition of "trauma" is "an event outside normal human experience."
Trauma generally leaves you feeling powerless, helpless, paralysed. It tends to be
sudden and overwhelming; it "owns" you. You cannot think clearly during and after
a severe trauma; at the same time, you are forced to focus your consciousness in
an attempt to deal. One author defines trauma as "any sudden and potentially life-threatening
event."
This refers to one-time traumatic events, but most of it applies to prolonged, repeated
trauma as well.
Some instances of one-time trauma.
- natural disasters (earthquake, flood, hurricane, etc)
- rape
- assault
- muggings
- robbery
- accidents (automobile, airplane, train, etc)
- fires
- 3. Some instances of prolonged trauma.
- physical or sexual abuse as a child or spouse
- war
- life in a prison camp
- life as a refugee
- hostage situations
- life in a concentration camp
- life in some religious cults
What are the immediate effects of single-instance trauma?
Emotional
- Shock, including numbed emotions, questioning of perceptions, memory disturbances
- Denial, which helps reduce terror, helplessness, and fear of dying or being abandoned
to manageable levels
- Confusion and disorientation
- Numbness
- Panic
- Weeping
- Extreme anxiety and insecurity
- Inflexibility
- Dissociation, feelings of unreality
- Cognitive
- Disbelief, another protective device
- Disorientation and confusion
- Difficulty thinking and concentrating
- Unwanted thoughts -- traumatic memories may intrude on everyday living and in dreams,
leaving you feeling out of control.
- Perceptual problems
- The world may seem unsafe, unsteady, unpredictable, and unfair
- Traumatic memories -- intense, clear, vivid images
- Forgetfulness
- Hyperarousal
- Trouble sleeping
- Trouble concentrating
- Heightened vigilance
- Easily startling
- Being wary
- Sudden tears or anger or panic
- Increased alertness and anxiety
- Body
- Gastrointestinal symptoms
- Headaches
- Allergy symptoms
- Menstrual problems
The inevitable review
Trauma survivors spend a lot of time thinking about what they could have done differently.
Truth is, they couldn't have done it differently -- the body takes over. And the
important thing is not what you did -- it's that you survived.