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The Body Keeps the Score: Brain, Mind, and Body in the Healing of Trauma Paperback – September 8, 2015

4.8 out of 5 stars 50,410 ratings

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Editorial Reviews

Review

“The trauma caused by childhood neglect, sexual or domestic abuse and war wreaks havoc in our bodies, says Bessel van der Kolk in The Body Keeps the Score. . . . Van der Kolk draws on thirty years of experience to argue powerfully that trauma is one of the West’s most urgent public health issues. . . . Packed with science and human stories, the book is an intense read. . . . [T]he struggle and resilience of his patients is very moving.”
—Shaoni Bhattacharya, New Scientist
 
“War zones may be nearer than you think, as the 25 percent of US citizens raised with alcoholic relatives might attest. Psychiatrist Bessel van der Kolk argues, moreover, that severe trauma is ‘encoded in the viscera’ and demands tailored approaches that enable people to experience deep relief from rage and helplessness. In a narrative packed with decades of findings and case studies, he traces the evolution of treatments from the ‘chemical coshes’ of the 1970s to neurofeedback, mindfulness and other nuanced techniques.”
Nature
 
“An astonishing amount of information on almost every aspect of trauma experience, research, interventions, and theories is brought together in this book, which . . . has a distinctly holistic feel to it. The title suggests that what will be explored is how the body retains the imprints of trauma. However, it delivers much more than this, delving into how the brain is impacted by overwhelming traumatic events, and is studded with sections on neuroscience which draw on the author’s own numerous studies as well as that of his peers. In addition, it investigates the effects of adverse childhood attachment patterns, child abuse, and chronic and long-term abuse. . . . [T]his book is a veritable goldmine of information.”
—European Journal of Psychotraumatology
 
“Dr. van der Kolk . . . has written a fascinating and empowering book about trauma and its effects. He uses modern neuroscience to demonstrate that trauma physically affects the brain and the body, causing anxiety, rage, and the inability to concentrate. Victims have problems remembering, trusting, and forming relationships. They have lost control. Although news reports and discussions tend to focus on war veterans, abused children, domestic violence victims, and victims of violent crime suffer as well. Using a combination of traditional therapy techniques and alternative treatments such as EMDR, yoga, neurofeedback, and theater, patients can regain control of their bodies and rewire their brains so that they can rebuild their lives. The author uses case histories to demonstrate the process. He includes a resource list, bibliography, and extensive notes. This accessible book offers hope and inspiration to those who suffer from trauma and those who care for them. It is an outstanding addition to all library collections.
—Medical Library Association, Consumer Connections
 
“[A] wonderful new book that everyone involved with trauma ought to read and have available. . . . [B]eautifully, compellingly and sweepingly written in its grand vision of integrating medical, psychological and mixed or alternative approaches, based on a careful reading of the client and a holistic mind-body view. . . . There are very few practitioners who could not learn from this book and become more effective, as well as inspired, by reading and studying it.”
Henry Strick van Linschoten, European Society For Trauma And Dissociation Newsletter
 
“Psychological trauma can befall anyone, not just soldiers, refugees, or victims of rape. . . . This important and helpful book makes sense of suffering and offers opportunity for healing.”
Booklist
 
“[C]omprehensive in scope. This valuable work . . . offers hope for the millions of sufferers and their families seeking meaningful treatment and relief from the ongoing pain of trauma.”
Library Journal (Starred Review)
 
“Dr. van der Kolk’s masterpiece combines the boundless curiosity of the scientist, the erudition of the scholar, and the passion of the truth teller.” 
—Judith Herman, M.D., clinical professor of psychiatry, Harvard Medical School; author of Trauma and Recovery
 
“This is an absolutely fascinating and clearly written book by one of the nation’s most experienced physicians in the field of emotional trauma.
The Body Keeps the Score helps us understand how life experiences play out in the function and the malfunction of our bodies, years later.”
—Vincent J. Felitti, M.D., chief of preventative medicine, emeritus, Kaiser Permanente San Diego; co-principal investigator, ACE study
 
“In this inspirational work which seamlessly weaves keen clinical observation, neuroscience, historical analysis, the arts, and personal narrative, Dr. van der Kolk has created an authoritative guide to the effects of trauma, and pathways to recovery. The book is full of wisdom, humanity, compassion and scientific insight, gleaned from a lifetime of clinical service, research and scholarship in the field of traumatic stress. A must read for mental health and other health care professionals, trauma survivors, their loved ones, and those who seek clinical, social, or political solutions to the cycle of trauma and violence in our society.”
—Rachel Yehuda, Ph.D., professor of psychiatry and neuroscience; director of the Traumatic Stress Studies Division at the Mount Sinai School of Medicine, New York, NY
 
“Breathtaking in its scope and breadth,
The Body Keeps the Score is a seminal work by one of the preeminent pioneers in trauma research and treatment. This essential book unites the evolving neuroscience of trauma research with an emergent wave of body-oriented therapies and traditional mind/body practices that go beyond symptom relief and connect us with our vital energy and here-and-now presence.” 
—Peter A. Levine, Ph.D., author of In an Unspoken Voice: How the Body Releases Trauma and Restores Goodness
 
“In
The Body Keeps the Score we share the author’s courageous journey into the parallel dissociative worlds of trauma victims and the medical and psychological disciplines that are meant to provide relief. In this compelling book we learn that as our minds desperately try to leave trauma behind, our bodies keep us trapped in the past with wordless emotions and feelings. These inner disconnections cascade into ruptures in social relationships with disastrous effects on marriages, families, and friendships. Van der Kolk offers hope by describing treatments and strategies that have successfully helped his patients reconnect their thoughts with their bodies. We leave this shared journey understanding that only through fostering self-awareness and gaining an inner sense of safety will we, as a species, fully experience the richness of life.
—Stephen W. Porges, Ph.D., professor of psychiatry, University of North Carolina at Chapel Hill; author of The Polyvagal Theory: Neurophysiological Foundations of Emotions, Attachment, Communication, and Self-Regulation
 
“This exceptional book will be a classic of modern psychiatric thought. The impact of overwhelming experience can only be truly understood when many disparate domains of knowledge, such as neuroscience, developmental psychopathology, and interpersonal neurobiology are integrated, as this work uniquely does. There is no other volume in the field of traumatic stress that has distilled these domains of science with such rich historical and clinical perspectives, and arrived at such innovative treatment approaches. The clarity of vision and breadth of wisdom of this unique but highly accessible work is remarkable. This book is essential reading for anyone interested in understanding and treating traumatic stress and the scope of its impact on society.”
—Alexander McFarlane AO, MB BS (Hons) MD FRANZCP, director of the Centre for Traumatic Stress Studies, The University of Adelaide, South Australia.

“This book is a tour de force. Its deeply empathic, insightful, and compassionate perspective promises to further humanize the treatment of trauma victims, dramatically expand their repertoire of self-regulatory healing practices and therapeutic options, and also stimulate greater creative thinking and research on trauma and its effective treatment. The body does keep the score, and van der Kolk’s ability to demonstrate this through compelling descriptions of the work of others, his own pioneering trajectory and experience as the field evolved and him along with it, and above all, his discovery of ways to work skillfully with people by bringing mindfulness to the body (as well as to their thoughts and emotions) through yoga, movement, and theater are a wonderful and welcome breath of fresh air and possibility in the therapy world.”
—Jon Kabat-Zinn, professor of medicine emeritus, UMass Medical School; author of Full Catastrophe Living.
 
“This is an amazing accomplishment from the neuroscientist most responsible for the contemporary revolution in mental health toward the recognition that so many mental problems are the product of trauma. With the compelling writing of a good novelist, van der Kolk revisits his fascinating journey of discovery that has challenged established wisdom in psychiatry. Interspersed with that narrative are clear and understandable: descriptions of the neurobiology of trauma; explanations of the ineffectiveness of traditional approaches to treating trauma; and introductions to the approaches that take patients beneath their cognitive minds to heal the parts of them that remained frozen in the past. All this is illustrated vividly with dramatic case histories and substantiated with convincing research. This is a watershed book that will be remembered as tipping the scales within psychiatry and the culture at large toward the recognition of the toll traumatic events and our attempts to deny their impact take on us all.”
—Richard Schwartz, originator, Internal Family Systems Therapy

The Body Keeps the Score is clear, fascinating, hard to put down, and filled with powerful case histories. Van der Kolk, the eminent impresario of trauma treatment, who has spent a career bringing together diverse trauma scientists and clinicians and their ideas, while making his own pivotal contributions, describes what is arguably the most important series of breakthroughs in mental health in the last thirty years. We’ve known that psychological trauma fragments the mind. Here we see not only how psychological trauma also breaks connections within the brain, but also between mind and body, and learn about the exciting new approaches that allow people with the severest forms of trauma to put all the parts back together again.”
—Norman Doidge, author of The Brain That Changes Itself
 
“Every once in a while, a book comes along that fundamentally changes the way we look at the world. Bessel van der Kolk has written such a book. The arc of van der Kolk’s story is vast and comprehensive, but he is such a skillful storyteller that he keeps us riveted to the page. I could not put this book down. It is, simply put, a great work.” 
—Stephen Cope, founder and director, Kripalu Institute for Extraordinary Living; author of Yoga and the Quest for the True Self

“Bessel van der Kolk is unequaled in his ability to synthesize the stunning developments in the field of psychological trauma over the past few decades. Thanks in part to his work, psychological trauma—ranging from chronic child abuse and neglect, to war trauma and natural disasters—is now generally recognized as a major cause of individual, social and cultural breakdown. In this masterfully lucid and engaging tour de force, van der Kolk takes us —both specialists and the general public— on his personal journey and shows what he has learned from his research, from his colleagues and students, and, most importantly, from his patients.
The Body Keeps the Score is, simply put, brilliant.”
—Onno van der Hart, Ph.D., Utrecht University, The Netherlands; senior author, The Haunted Self: Structural Dissociation and the Treatment of Chronic Traumatization

“The Body Keeps the Score articulates new and better therapies for toxic stress based on a deep understanding of the effects of trauma on brain development and attachment systems. This volume provides a moving summary of what is currently known about the effects of trauma on individuals and societies, and introduces the healing potential of both age old and novel approaches to help traumatized children and adults to fully engage in the present.”
—Jessica Stern, policy consultant on terrorism; author of Denial: A Memoir of Terror

“A book about understanding the impact of trauma by one of the true pioneers in the field. It is a rare book that integrates cutting edge neuroscience with wisdom and understanding about the experience and meaning of trauma, for people who have suffered from it. Like its author, this book is wise and compassionate, occasionally quite provocative, and always interesting.”
—Glenn N. Saxe, M.D., Arnold Simon Professor and chairman, Department of Child and Adolescent Psychiatry; director, NYU Child Study Center, New York University School of Medicine

“A fascinating exploration of a wide range of therapeutic treatments shows readers how to take charge of the healing process, gain a sense of safety, and find their way out of the morass of suffering.”
—Francine Shapiro, Ph.D., originator of EMDR therapy, senior research fellow, Emeritus Mental Research Institute, author of Getting Past Your Past

“As an attachment researcher I know that infants are psychobiological beings. They are as much the body as they are of the brain. Without language or symbols infants use every one of their biological systems to make meaning of their self in relation to the world of things and people. Van der Kolk shows that those very same systems continue to operate at every age, and that traumatic experiences, especially chronic toxic experience during early development, produce psychic devastation. With this understanding he provides insight and guidance for survivors, researchers and clinicians alike. Bessel van der Kolk may focus on the body and trauma, but what a mind he must have to have written this book.”
—Ed Tronick, distinguished professor, University of Massachusetts, Boston, author of Neurobehavior and Social Emotional Development of Infants and Young Children

The Body Keeps the Score eloquently articulates how overwhelming experiences affect the development of brain, mind, and body awareness, all of which are closely intertwined. The resulting derailments have a profound impact on the capacity for love and work. This rich integration of clinical case examples with ground breaking scientific studies provides us with a new understanding of trauma, which inevitably leads to the exploration of novel therapeutic approaches that ‘rewire’ the brain, and help traumatized people to (re)-engage in the present. This book will provide traumatized individuals with a guide to healing and permanently change how psychologists and psychiatrists think about trauma and recovery.”
—Ruth A. Lanius, M.D., Ph.D., Harris-Woodman chair in Psyche and Soma, professor of psychiatry, and director PTSD research at the University of Western Ontario; author of The Impact of Early Life Trauma on Health and Disease

“When it comes to understanding the impact of trauma and being able to continue to grow despite overwhelming life experiences, Bessel van der Kolk leads the way in his comprehensive knowledge, clinical courage, and creative strategies to help us heal.
The Body Keeps the Score is a cutting-edge offering for the general reader to comprehend the complex effects of trauma, and a guide to a wide array of scientifically informed approaches to not only reduce suffering, but to move beyond mere survival—and to thrive.”
—Daniel J. Siegel, M.D., clinical professor, UCLA School of Medicine, author of Brainstorm: The Power and Purpose of the Teenage Brain; Mindsight: The New Science of Personal Transformation; and The Developing Mind: How Relationships and the Brain Interact to Shape Who We Are

“In this magnificent book, Bessel van der Kolk takes the reader on a captivating journey that is chock full of riveting stories of patients and their struggles interpreted through history, research, and neuroscience made accessible in the words of a gifted storyteller. We are privy to the author’s own courageous efforts to understand and treat trauma over the past 40 years, the results of which have broken new ground and challenged the status quo of psychiatry and psychotherapy.
The Body Keeps the Score leaves us with both a profound appreciation for and a felt sense of, the debilitating effects of trauma, along with hope for the future through fascinating descriptions of novel approaches to treatment. This outstanding volume is absolutely essential reading not only for therapists but for all who seek to understand, prevent, or treat the immense suffering caused by trauma.”
—Pat Ogden Ph.D., Founder/Educational Director of the Sensorimotor Psychotherapy Institute; author of Sensorimotor Psychotherapy: Interventions for Trauma and Attachment
 
“This is masterpiece of powerful understanding and brave heartedness, one of the most intelligent and helpful works on trauma I have ever read. Dr. van der Kolk offers a brilliant synthesis of clinical cases, neuroscience, powerful tools and caring humanity, offering a whole new level of healing for the traumas carried by so many.”
—Jack Kornfied, author of A Path with Heart

The Body Keeps the Score is masterful in bringing together science and humanism to clearly explain how trauma affects the whole person. Bessel van der Kolk brings deep understanding to the pain and chaos of the trauma experience. The treatment approaches he recommends heal the body and the mind, restoring hope and the possibility of joy. One reads this book with profound gratitude for its wisdom.”
—Alicia Lieberman, Ph.D., Professor of Medical Psychology UCSF, Director of the Child Trauma Research Project, San Francisco General Hospital; author of The Emotional Life of the Toddler

About the Author

Bessel van der Kolk, M.D., is the founder and medical director of the Trauma Center in Brookline, Massachusetts. He is also a professor of psychiatry at Boston University School of Medicine and director of the National Complex Trauma Treatment Network. When he is not teaching around the world, Dr. van der Kolk works and lives Boston.

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Product details

  • Publisher ‏ : ‎ Penguin Publishing Group; Reprint edition (September 8, 2015)
  • Language ‏ : ‎ English
  • Paperback ‏ : ‎ 464 pages
  • ISBN-10 ‏ : ‎ 0143127748
  • ISBN-13 ‏ : ‎ 978-0143127741
  • Reading age ‏ : ‎ 18 years and up
  • Item Weight ‏ : ‎ 12.8 ounces
  • Dimensions ‏ : ‎ 1.1 x 5.4 x 8.4 inches
  • Customer Reviews:
    4.8 out of 5 stars 50,410 ratings

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Bessel van der Kolk (born 1943) is a Boston based psychiatrist noted for his research in the area of post-traumatic stress since the 1970s. His work focuses on the interaction of attachment, neurobiology, and developmental aspects of trauma’s effects on people. His major publication, the New York Times bestseller, 'The Body keeps the Score', talks about how the role of trauma in psychiatric illness has changed over the past 20 years; what we have learned about the ways the brain is shaped by traumatic experiences; how traumatic stress is a response of the entire organism and how that knowledge needs be integrated into healing practices.

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Customer reviews

4.8 out of 5 stars
4.8 out of 5
50,410 global ratings

Top reviews from the United States

Reviewed in the United States on September 24, 2016
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5.0 out of 5 stars A Trauma Survivor Must Read
Reviewed in the United States on April 24, 2017
It was the title “The Body Keeps the Score Brain, Mind, and Body in the Healing of Trauma” that caught my attention. Having been a survivor of childhood onset trauma who has been striving to live a life beyond my past, this book really resonated with me.

Dr. Bessel Van Der Kolk, M.D., who has been in the field of psychiatry since the 1960’s, chronicles his experience working with veterans with PTSD, survivors of child sexual abuse, and adults with other body related trauma. From traditional talk therapy to medications for depression and anxiety, to yoga and neurofeedback, Dr. Bessel gives case study examples of the effectiveness of various types of treatment with the focus being on the nervous system, the brain, the mind, and the body combined.

Over the past 20 + years I have utilized many forms of therapy for the trauma I experienced with moderate success. Despite the time and energy I have applied, there have been areas that have proven to be resistant to letting go, and despite my best efforts, have been unresolved. I found myself feeling very frustrated until I read “The Body Keeps the Score”. At long last, I feel like someone heard me, understood my deepest inner conflicts, and could give me answers as to why I was thus far unable to let go and move on. In chapter 3 under the section “Speechless Horror,” Dr. Bessel describes an area in the left hemisphere called Broca’s area (speech center) that shuts down when trauma is experienced. In fact, according to Dr. Bessel, trauma shuts down most of the left hemisphere which controls out logic and being in the present while the right hemisphere where our emotions live, goes unchecked putting both hemispheres in conflict. It’s like walking several large dogs (the right hemisphere) whom all want to go a different direction at the same time while the dog walker (the left hemisphere) tries to maintain control; chaos ensues. Having this new understanding of how my brain was affected by the trauma, I now can consciously be aware of when the dogs won’t follow my commands.

In chapter 19 Dr. Bessel writes about neurofeedback. The type he refers to is different from the Low Energy Neurofeedback Sessions I have received. Traditional neurofeedback is interactive where LENS is passive, however, both are very effective for trauma, anxiety, and depression.

What a relief it has been to read this book and apply some of his suggestions. Dr. Bessel speaks about “top down and bottom up” regulation in Chapter 5 whereby focusing on breathing while engaging the left hemisphere of the brain, one can learn to consciously manage their anxiety. I have applied this concept with great success. That something so simple could have such a profound impact on me is wonderful. I have also incorporated yoga and neurofeedback. And again I have experienced tremendous results. I feel more aware and able to identify when my past neural patterns are influencing my present and then make a choice as to whether or not I want to follow the past or move forward into the present.

I highly recommend this book for therapists and survivors of trauma. The insights Dr. Bessel has put into this book are enlightening and helpful, especially to those who are not familiar with the persistent aspects of trauma.
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Reviewed in the United States on May 30, 2017
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Max M
5.0 out of 5 stars Transformative
Reviewed in the United Kingdom on September 5, 2018
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Cheese time
5.0 out of 5 stars brilliant
Reviewed in the United Kingdom on March 8, 2019
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Maggie
2.0 out of 5 stars 2 Stars only for tiny font size: unreadable!
Reviewed in the United Kingdom on November 27, 2019
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Maggie
2.0 out of 5 stars 2 Stars only for tiny font size: unreadable!
Reviewed in the United Kingdom on November 27, 2019
If I had not written my name in this book before trying to read it, I would have returned it.

The text is TINY and so I struggled to read it.

I have now ordered a hardback copy from elsewhere in the hope that I will be able to read it more comfortably.

If you are familiar with text sizes, it's looking about size 8 which is way below accessibility requirements today. These are either 11 or 12 on the basic fonts such as Times New Roman, which is what this seems to be.

The photo of the book cover probably illustrates the font size best: the line of text below the italics, beneath the graphic, in block capitals is similar in size to the text within the whole book.

Excluding the Index, the book comprises 421 pages; and I wonder if the reduced font was in order to reduce the number of pages...?

It's a shame, this book has been recommended to me by my counsellor; so I am rather disappointed and shocked, it has to be said, by my inability to see the text comfortably enough to read it.
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M. Fraser
5.0 out of 5 stars Experienced expert shares what works in overcoming trauma, and it works...
Reviewed in the United Kingdom on August 1, 2017
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Amazon Customer
5.0 out of 5 stars One of the best books I have ever read
Reviewed in the United Kingdom on March 4, 2018
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