Van der Kolk draws on 30 years of experience to argue powerfully that trauma is one of the West’s most urgent public health issues. And women have double the risk of domestic violence – with the health consequences that brings – as they do of breast cancer. Imagine the fallout for all who witnessed the murder or likely violence in the years preceding it. The number of Americans killed by family members exceeds the number that country lost in both wars. Excess stress can predispose us to everything from diabetes to heart disease, maybe even cancer. In his disturbing book, The Body Keeps the Score, he explains how trauma and its resulting stress harms us through physiological changes to body and brain, and that those harms can persist throughout life. The answer, claims psychiatrist Bessel van der Kolk, lies in what we now understand about trauma and its effects.
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