Summary: Trauma is varied, but that variation in how trauma occurs or its treatment, does not mean that it is not important.
The Body Keeps Score is one of those books that I don’t know how to write a post about. Trauma is a difficult subject. Everyone knows someone that has lived through trauma, if you have not yourself lived through trauma. And trauma impacts different people differently and may impact the same person differently over time.
Dr van der Kolk started his medical career working for the Veteran’s Administration with Vietnam vets. There was virtually nothing really known about trauma at the time. The concept of shell shock or similar ideas was present, but not really understood. Although as the book points out, early psychologists have understood some of the impacts of trauma for over a century. Over the past 30 or 40 years, the medical and psychological research into trauma, its cause, and treatment has significantly expanded the understanding.
The Body Keeps Score tracks the growth of that knowledge, partially through van der Kolk’s own career and research, but also through the story of many trauma survivors. This is frequently a difficult book to read because in order to discuss trauma it is necessary to discuss traumatic events. And even in the first 200 pages that established the concept and history of the understanding of trauma, the stories of war, rape, molestation, neglect, abuse, and accidents can be difficult to process as and outsider, let alone for the person that they actually happened to.
Trauma is common. The Adverse Childhood Experiences (ACE) studies (fact sheet) I think are the easiest place for many people to think about the importance of studying and dealing with trauma. The initial big ACE study showed that a number of different traumatic events as children, when combined, are correlated with not just physical or psychological effects into adulthood, but also diverse effects in a range of areas such as life time income, potential for abusing or neglecting their own children, early death, having premature births, autoimmune diseases, drug or alcohol dependencies, and being a victim or perpetrator of violence, and more. 60 Minutes had a good 11 minute story on what treatment of ACE looks like and its importance.








