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Railway Spine

Called PTSD since the Viet Nam War, this condition had a long and interesting history. This stress syndrome has been called many things in the 150 years since it was first recognized but every definition had several characteristics in common, including re-experiencing, numbing and physiological arousal. The process of Darwinian "natural selection" supported the evolution of people with highly developed stress responses; those pre-historic people with the most effective "fight or flight" reflexes became our ancestors. Curiously, during the 19th Century, what is known today as PTSD was called "Railway Spine" and was associated with what we would today call "hysterical" physical symptoms -- i.e. "anxiety" expressed as bodily complaints -- seen in people who had been involved in railway accidents but who suffered no bodily injuries.


It Becomes Part of the Person's Life

After a trauma which fully confronts people with their existential helplessness and vulnerability, life can never be exactly the same. Sorting out exactly what happened and sharing one's reactions with others can make a great deal of difference in one's eventual adaptation. Putting the feelings and cognitions related to the trauma into words is essential in the treatment of post traumatic reactions. After intense efforts to ward off reliving the trauma, therapists cannot expect that the resistances to remember will suddenly melt away under their empathic efforts. The trauma can only be worked through when a secure bond is established with another person; this then can be utilized to hold the psyche together when the threat of physical disintegration is re-experienced.

 
 

 


Need To Share

Failure to approach trauma related material gradually is likely to lead to intensification of posttraumatic symptomatology, leading to increased somatic, visual or behavioral reexperiences. Once the traumatic experiences have been located in time and place, a person can start making distinctions between current life stresses and past trauma, and decrease the impact of the trauma on present experience. Talking about the trauma is not enough: trauma survivors need to take some action that symbolizes triumph over helplessness and despair. 

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