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Christine Ahh's avatar

Another Substackinicity, Linnea- this morning I wrote the scene in my novel of my original dissociative trauma. event. My soul is commenting as the Freeze happens, and I got curious what you would say about that? now you’ve written this piece, as if for me, today. thank you.

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Frank Sterle Jr's avatar

The following are observations (about dissociative responses/behaviour) made by Dr. Bruce D. Perry, which are included in the book he co-authored with Oprah Winfrey, titled What Happened To You?: Conversations on Trauma, Resilience, and Healing. ...

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“Most people are familiar with the term ‘fight or flight’. This refers to a set of responses that can kick in when we are afraid. Your brain will focus your attention on the potential threat, shutting down unnecessary mental processes (like reflecting on the meaning of life or daydreaming about an upcoming vacation). Your sense of time collapses to the moment. Your heart rate goes up, sending blood to your muscles in preparation, potentially, for fleeing or fighting. Adrenaline pumps through your body. This response is activating your body.

As we’ll talk more about later, this ‘arousal’ response is not the only way we can respond to a threat.

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“The dissociative response is used when there is inescapable, unavoidable distress or pain. Your mind and body protect you. Because you cannot physically flee, and fighting is futile, you psychologically flee to your inner world. So going back to the infant with the disengaged parent, the infant’s fight or flight response is to cry. But if no one comes-or they come and are angry-the helpless infant will dissociative to survive this inescapable distressing situation. The same if true for children, youth, and adults faced with any inescapable, unavoidable pain and distress-they dissociate. And a whole set of neurophysiological changes helps you do that, including the release of your body’s own opiates.”

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“Imagine a situation where you are too small to win a fight and unable to run away. In this case, the brain and the rest of the body prepare for injury. Your heart rate goes down. You release your body’s own painkiller—opioids. You disengage from the external world and psychologically flee into your inner world. Time seems to slow. You may feel like you are in a movie, or floating and watching things happen to you. This is all part of another adaptive capability, called dissociation. For babies and very young children, dissociation is a very common adaptive strategy; fighting or fleeing won’t protect you, but “disappearing” might. You learn to escape into your inner world. You dissociate. And over time, your capacity to retreat to that inner world—safe, free, in control—increases. A key part of that sensitized ability to dissociate is to be a people pleaser. You comply with what others want. You find yourself doing things to avoid conflict, to ensure that the other person in the interaction is pleased, as well as gravitating toward various regulating, but dissociative, activities. Finding balance can be an exhausting challenge for anyone with trauma-altered stress-response systems. The search to avoid the pain of distress can lead to extreme, ultimately destructive, methods of regulation.”

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“One of the common behaviors seen with a desensitized dissociative response is cutting. ... Cutting can be very confusing from the outside. We’ve talked about how your stress response systems can become overly reactive, how anyone experiencing inescapable and unavoidable trauma will dissociate-and how, if the pattern of this trauma is prolonged or extreme, the dissociative response becomes sensitized, overactive, and overly reactive. Remember that dissociation releases opioids (enkephalins and endorphins), your own painkillers. If a person with a sensitized dissociative response cuts themselves, their body releases a little bit of these opioids so that they can tolerate the cut; the amount released would be pretty small and proportional to the little cut. But when someone with a desensitized-overly reactive-dissociative response cuts themselves, they release a lot of opioid. It’s almost like taking a little bit of heroin or morphine.”

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“Remember that dissociation releases opioids (enkephalins and endorphins), your own painkillers. If a person without a sensitized dissociative response cuts themselves, their body releases a little bit of these opioids so that they can tolerate the cut; the amount released would be pretty small and proportional to the little cut. But when someone with a sensitized—overly reactive—dissociative response cuts themselves, they release a lot of opioid. It’s almost like taking a little hit of heroin or morphine.”

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“What you are pointing out is how adaptive it is to dissociate in many situations. If a soldier in combat simply went down the arousal continuum-and got to the flee and then fight stages-he would jump up and get shot. In order to maintain access to parts of his cortex-to think and behave in the ways he was trained to keep him alive in combat-he needs to dissociate to a certain degree.”

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