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The Body Bears the Burden: Trauma, Dissociation, and Disease, by Robert Scaer
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When The Body Bears the Burden made its debut in 2001, it changed the way people thought about trauma, PTSD, and the treatment of chronic stress disorders. Now in its third edition, this revered text offers a fully updated and revised analysis of the relationship between mind, body, and the processing of trauma. Here, clinicians will find detailed, thorough explorations of some of neurobiology’s fundamental tenets, the connections between mind, brain, and body, and the many and varied ways that symptoms of traumatic stress become visible to those who know to look for them.
- Sales Rank: #248234 in Books
- Published on: 2014-01-16
- Released on: 2014-02-28
- Original language: English
- Number of items: 1
- Dimensions: 9.00" h x .56" w x 6.00" l, .76 pounds
- Binding: Paperback
- 248 pages
Review
"In this groundbreaking integration of neurology, psychology, and evolutionary biology, Dr. Scaer sheds new light on the dynamics of psychological trauma and provides a way to understand and effectively treat its often misunderstood, intractable effects on the mind and body. This book is a must read for medical and mental-health professionals working with patients struggling with everything from anxiety and PTSD to chronic pain, gastrointestinal distress, and a host of other difficult-to-treat medical disorders."
―Ronald D. Siegel, PsyD, assistant clinical professor of psychology at Harvard Medical School and author of The Mindfulness Solution: Everyday Practices for Everyday Problems
"In The Body Bears the Burden, Dr. Scaer boldly demystifies the profoundly debilitating impact of trauma by forcing new conceptualizations that move treatment toward an integrated biobehavioral approach, emphasizing the adaptive functions of our nervous system as it communicates, often outside awareness, between brain and body."
―Stephen W. Porges, PhD, professor of psychiatry at the University of North Carolina and author of The Polyvagal Theory: Neurophysiological Foundations of Emotions, Attachment, Communication, and Self-regulation
"Dr. Scaer brings the best of medical science and scholarship to his study of trauma-related disease. He understands the effect of trauma to be its grip on the autonomic nervous system, which�alters blood flow, hormonal secretion, and neurotransmitter balances of the brain. This lasting disturbance underlies the majority of diseases listed in the DSM in addition to a large number of baffling medical conditions. This volume is great for the most up-to-date understanding of trauma."
―Louis Tinnin, MD, coauthor of The Instinctual Trauma Response and Dual Brain Dynamics: A Guide for Trauma Therapy
"A fascinating and informative book that has the potential to greatly expand awareness of pertinent issues when working with trauma."
―Liz Jeffries, Private Practice, Winter 2014
About the Author
Robert Scaer, MD, has practiced neurology and rehabilitation for 36 years. His three books, The Body Bears the Burden, The Trauma Spectrum, and 8 Keys to Brain–Body Balance, address the intimate relationship between life trauma and chronic disease, the ubiquitous association of modern society with intrinsic sources of trauma, and the role of somatic techniques for healing trauma.
Most helpful customer reviews
121 of 121 people found the following review helpful.
Explains PTSD Like Nothing Else
By B. Naparstek
Here finally is the neurological basis for the weirdly persistent, highly distressing, ever-cycling symptoms of posttraumatic stress. Don't let the medical terminology stop you from reading this book. It's a stunning revelation to see how physiologically based this syndrome really is, rooted as it is in the survival imperative of the freeze response and it's cognitive partner, dissociation. Makes those diagnostic categories which most of us therapists got trained on pretty irrelevant! I leaned heavily on the fabulous info in this book to write my own chapter on the physiology of PTSD. It's a must read for people with PTSD, their family, friends and counselors.
42 of 42 people found the following review helpful.
An exceptional eductional and reference work from a skilled neurolgist and trauma expert
By NH Doc 4385
By way of full disclosure, I am a plastic surgeon with an interest in patients troubled by disturbed body image and an addiction to cosmetic surgery. When I first wrote about that topic in my 2009 surgery textbook, I made the case from a few of my own patient studies that childhood trauma was one of the causes of an obsession for plastic surgery and postoperative dissatisfaction, but it was Dr. Scaer's work and that of others in the trauma field (Peter Levine, Bessel van der Kolk, Pia Mellody, Pat Ogden, Bernice Andrews, and others) that has subsequently helped me piece together a stronger theory and then provide evidence for it, some of which will be published in the journal Plastic and Reconstructive Surgery in October. Dr. Scaer and I have subsequently traded a few emails and he has encouraged my further research
Dr. Scaer is a physician but not a psychiatrist, which gives him the distinct advantage of being able to review the relevant mental health literature from the standpoint of another specialty. A neurologist with an obvious command of neuroanatomy and physiology and all of the abnormalities that developmental and accidental trauma produce, he can write compellingly to make the case, which I believe most physicians do not appreciate, that trauma is not universally perceived. The response to trauma depends upon its meaning to the victim and his or her sense of helplessness in a perceived life-threatening situation. It's like the lion chasing the antelope--the same physiological reactions are occurring--the pupils are dilated, the muscles are pumping, the adrenaline and cortisol are high--but the meaning to the lion is lunch and to the antelope it is survival.
Dr. Scaer has drawn the same link to whiplash and other disease of traumatic stress, and leads the reader through the relevant physiology, trauma and attunement theory, and the way traumatic reactions manifest themselves in a variety of common diseases. As a hand surgeon for many years, I saw the effects of trauma--dissociation, re-experiencing, and avoidance--displayed in many injured, depressed, and angry patients suffering from what is now called "complex regional pain syndrome" and struggled to treat it. All hand surgeons knew that these patients were "difficult", but even now more of them should read Dr. Scaer's work. "Tormented" would be a more accurate term.
The third edition is significantly improved and elaborated over the second, which itself was exceptional. I have read every word of both. There are new chapters on bonding and attunement. The whole text is more "dense", literature references updated and exhaustive. Yet somehow it is still smooth reading for a relative novice to the field. That is the author's skill.
Dr. Scaer seems aware that not all allopathic physicians will subscribe to his ideas, but in my opinion they should. These patients have lifelong afflictions that they did not cause, and until some compassionate physician recognizes it, too many will be discounted as "crazy." They deserve better, and it is pioneers like Dr. Scaer who will educate all of us.
63 of 67 people found the following review helpful.
The body does bear the burden
By Ronald A. Ruden
When a thoughtful individual takes the time to summarize 30 years of experience, I view this as a great gift. When his insights allow us to help in treatment, it is a blessing. His major thesis is that trauma, when it produces a chronic stress disorder, can manifest in peculair physical ways. This is the key insight and Dr. Scaer backs his observations with lots of clinical and research data. No doubt some will find this a rigorous read, but it is well worth the effort. I had the opportunity to try this theory. A teacher in a rough part of town ( I live in NYC) witnessed in his class a fight where a student viciously punched a girl in the head, when the teacher interevened, the next blow was to the back of his head sending him into the chalk board and breaking his glasses. He presented 5 days later with classic post concussion syndrome of impaired memory, inablility to read and other congnitve deficits. Before I read Dr. Scaer's book, I would have have not been able to treat him, for, from a medical point of view, it was all the brain banging aroung in his skull that caused this. However, Dr. Scaer made me think that this was instead a PTSD from having witnessed a vicious attack. I treated him with EFT and remarkably two days later he was normal! (This would have usually taken many weeks). We are all searching for ways to treat PTSD, but at least we can now view some mystifying symptoms in a model for which hopefully soon we will be able to fix. Kudos, Dr. Scaer.
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