-Caveat Lector-

Hi !

Below please find an article from Bessel A. van der kolk pertaining to memory
and PTSD.

Sincerely, Neil Brick

excerpts from http://www.trauma-pages.com/vanderk4.htm

THE BODY KEEPS THE SCORE:

Memory and the evolving psychobiology of post traumatic stress by Bessel van
der Kolk,  Bessel A. van der Kolk, MD. , Harvard Medical School, HRI Trauma
Center,
227 Babcock Street, Boston, MA 02146

David Baldwin's Trauma Information Pages http://www.trauma-pages.com/
Eugene, Oregon USA  (541) 686 2598

For more than a century, ever since people's responses to overwhelming
experiences were first systematically explored, it has been noted that the
psychological effects of trauma are expressed as changes in the biological
stress response. In 1889, Pierre Janet (1), postulated that intense emotional
reactions make events traumatic by interfering with the integration of the
experience into existing memory schemes. Intense emotions, Janet thought,
cause memories of particular events to be dissociated from consciousness, and
to be stored, instead, as visceral sensations (anxiety and panic), or as
visual images (nightmares and flashbacks). Janet also observed that
traumatized patients seemed to react to reminders of the trauma with
emergency responses that had been relevant to the original threat, but that
had no bearing on current experience. He noted that victims had trouble
learning from experience: unable to put the trauma behind them, their
energies were absorbed by keeping their emotions under control at the expense
of paying attention to current exigencies. They became fixated upon the past,
in some cases by being obsessed with the trauma, but more often by behaving
and feeling like they were traumatized over and over again without being able
to locate the origins of these feelings (2,3).

One hundred years ago, Pierre Janet (1) suggested that the most fundamental
of mental activities is the storage and categorization of incoming sensations
into memory, and the retrieval of those memories under appropriate
circumstances. He, like contemporary memory researchers, understood that what
is now called semantic, or declarative, memory is an active and constructive
process and that remembering depends on existing mental schemata (3,80): once
an event or a particular bit of information is integrated into existing
mental schemes, it will no longer be accessible as a separate, immutable
entity, but be distorted both by prior experience, and by the emotional state
at the time of recall(3). PTSD, by definition, is accompanied by memory
disturbances, consisting of both hypermnesias and amnesias (9,10). Research
into the nature of traumatic memories (3) indicates that trauma interferes
with delarative memory, i.e. conscious recall of experience, but does not
inhibit implicit, or non-declarative memory, the memory system that controls
conditioned emotional responses, skills and habits, and sensorimotor
sensations related to experience. There now is enough information available
about the biology of memory storage and retrieval to start building coherent
hypotheses regarding the underlying psychobiological processes involved in
these memory disturbances (3,16,17,25).

Janet already noted that: "certain happenings ... leave indelible and
distressing memories-- memories to which the sufferer continually returns,
and by which he is tormented by day and by night" (81). Clinicians and
researchers dealing with traumatized patients have repeatedly made the
observation that the sensory experiences and visual images related to the
trauma seem not to fade over time, and appear to be less subject to
distortion than ordinary experiences (1,49,82). When people are traumatized,
they are said to experience "speechless terror": the emotional impact of the
event may interfere with the capacity to capture the experience in words or
symbols. Piaget (83) thought that under such circumstances, failure of
semantic memory leads to the organization of memory on a somatosensory or
iconic level (such as somatic sensations, behavioral enactments, nightmares
and flashbacks). He pointed out: "It is precisely because there is no
immediate accommodation that there is complete dissociation of the inner
activity from the external world. As the external world is solely represented
by images, it is assimilated without resistance (i.e. unattached to other
memories) to the unconscious ego".

Physiological arousal in general can trigger trauma-related memories, while,
conversely, trauma-related memories precipitate generalized physiological
arousal. It is likely that the frequent re-living of a traumatic event in
flashbacks or nightmares cause a re-release of stress hormones which further
kindle the strength of the memory trace (46). Such a positive feedback loop
could cause subclinical PTSD to escalate into clinical PTSD (16), in which
the strength of the memories appear so deeply engraved that Pitman and Orr
(17) have called it "the Black Hole" in the mental life of the PTSD patient,
that attracts all associations to it, and saps current life of its
significance.

In animals, high level stimulation of the amygdala interferes with
hippocampal functioning (107, 109). This implies that intense affect may
inhibit proper evaluation and categorization of experience. In mature animals
one-time intense stimulation of the amygdala will produce lasting changes in
neuronal excitability and enduring behavioral changes in the direction of
either fight or flight (118)

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