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           Causes,  Hippocampus,  Brain,  Hormones,  Amygdala 

                       Research is continuing to reveal factors that may lead to PTSD.

 People who have been abused as children or who have had other previous traumatic experiences are more likely to develop the disorder. In addition, it used to be believed that people who tend to be emotionally numb after a trauma were showing a healthy response; but now some researchers suspect that people who experience this emotional distancing may be more prone to PTSD.

 

Studies in animals and humans have focused on pinpointing the specific brain areas and circuits involved in anxiety and fear, which are important for understanding anxiety disorders such as PTSD. Fear, an emotion that evolved to deal with danger, causes an automatic, rapid protective response in many systems of the body. It has been found that the fear response is coordinated by a small structure deep inside the brain, called the amygdala. The amygdala, although relatively small, is a very complicated structure, and recent research suggests that posttraumatic stress disorder may be associated with abnormal activation of the amygdala.

 

Once fear is conditioned in the amygdala, it is virtually indelible. However, the neural mechanisms from the amygdala to the hippocampus and to cortical regions, such as, the frontal lobes allow its suppression until triggered. Fear rapidly returns when the individual is re-exposed to the trauma related material. An increase in stressors seems to differentially affect the fear inducing and the fear inhibiting pathways. High stress levels decrease the capacity of the inhibitory pathway to suppress fear, and increase the ability of conditioned fear pathways to induce it. Thus, the fear induced by re-exposure of traumatic material indicates a failure of inhibition on the part of the hippocampus, and is evidence that the traumatic episode is not integrated as a narrative, spatio-temporal event in autobiographical memory. Furthermore, the heightened sensitivity of exposure of PTSD patients to trauma-related material, or traumatic imagery, results in an increase in fearfulness in response to stimuli which were not truly life threatening.

 

Studies using MRI in PTSD have measured volume of the hippocampus, a brain structure involved in learning and memory. This line of research was prompted by studies in animals showing that high levels of cortisol seen in stress are associated with damage to the hippocampus. Patients with combat-related PTSD had an 8 percent decrease in right hippocampal volume when compared with controls. Deficits in free verbal recall tasks were associated with this decrease. A decrease of 12 percent in left hippocampal volume was found in patients with a history of PTSD related to severe childhood physical and sexual abuse. Reduced hippocampal volume was associated with dissociative symptoms in women who had a history of childhood sexual abuse.

 

People with PTSD tend to have abnormal levels of key hormones involved in response to stress. When people are in danger, they produce high levels of natural opiates, which can temporarily mask

HARMONIOUS FUNCTIONING IS OUR MOST BASIC DRIVING FORCE

What is the most basic human motive? Many have attempted to answer that question. Freud thought that we had two basic motives--sex and aggression. Maslow thought that we began focusing on the biological lower needs--such as needs for food and sex, and gradually moved on to the higher needs--such as love, creativity, and ultimately self-actualization. I agree with Maslow's idea about the progression of needs to some extent, but think that there is a more basic human motive.

Growth is our strongest motivator. Does it seem strange to think that the most basic human motive might not be sex or aggression as Freud believed, but knowledge? After all, the brain is primarily a giant information processor. Estimates are that we have between 10 and 100 billion neurons with perhaps 20 quadrillion connections. Each of these connections is a potential storage unit of knowledge, and each cell is striving to be active and learn.

Why have our brains evolved so far beyond the lower animals? Clearly, there is evolutionary value to intelligence that gives humans advantages. Social evolutionary value also gives individuals, groups, and nations with greater knowledge advantages over those with less knowledge.

Our brains automatically strive to develop greater and better organized knowledge--to develop more elaborate cognitive systems. Our cognitive system tries to keep from being overwhelmed by too much information, on the one hand, and to keep from being deprived by too little on the other. Our cognitive system is functioning harmoniously during maximum learning and growth. Evolution has made this mental harmonious functioning state the most pleasant and desired state attainable, because knowledge has so much survival value. Harmonious functioning (happiness) is also the most rewarding and motivating force affecting our daily lives. 

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Reaching beyond the refugee trauma

Prof.Renos Popandopoulos ,Tavistock Clinic University Essex UK

Cutting from series of Lectures , Project :

PSYCHOSOCIAL AND TRAUMA RESPONSE IN SERBIA”, 2004.

“ : Reaching beyond the refugee trauma”

Activating growthful potentialities Refugees (Asylum seekers)

§    Refugees are people ‘taking refuge, especially in a foreign country from war or persecution or natural disaster’ (OED)

§    Refugees are persons who have ‘well-founded fear of being persecuted for reasons of race, religion, nationality, membership of a particular social group or political opinion’ (International Refugee Convention, 1951, article 1A.2)

 

Key themes:  

§  Home (Loss of Home)

§  Trauma

§  Refugee trauma (phases)

§  Adversity Activated Development (AAD)

 

                     Central characteristic of refugees

 

 

‘Involuntary’ loss

of Home

 

§     A village, a town, a collection of dwellings’ (OED)

 - Personal

 - Collective

§     ‘The seat of domestic life’, as well as ‘the place of one's dwelling or nurturing, with conditions, circumstances, and feelings which naturally and properly attach to it, and are associated with it’ (OED)

    Physical

    Psychological

§     A place, region or state to which one properly belongs, in which one's affections centre, or where one finds refuge, rest or satisfaction’ (OED)

–    Cultural ;Social

-    Familiarity /safety

        -   Home- space – continuity relationship

 

    

     1. Physical, social, cultural, historical, psychological, spiritual (religious) dimensions

     2. Seat of family life (relationships) and  experiences

     3. Locus of identity

     4. A most potent and resilient cluster of       

     psychological dynamics

 

         Loss of home

§    Essentialist’ perspective: multiplicity of actual and concrete losses and exposure to many actual adverse situations

   Multidimensional matrix of needs: financial, medical, educational, social, psychological, etc

§    ‘Constructivist’ perspective: refugees’ needs, identities, and even their experiences are affected (shaped, constructed) by themselves and others (e.g. aid and mental health workers) in the context of numerous constructs

   Multidifaceted matrix of constructs: wider socio-political, historical, cultural, religious, and other relevant parameters

 

Homecoming – Nostalgia

‘But Odysseus,

Longing to see even the smoke curling up

From his land, simply wants to die’

Homer The Odyssey (translated by Stanley

Prof.Renos Popandopoulos ,Tavistock Clinic University Essex UK

LECTURER for TRAUMA Issue in Belgrade 2004. Institute for Menthale Health ,Tavistock Clinic , Chapter in the book

Therapeutic Care for Refugees. “No Place Like Home”

Edited by Renos K. Papadopoulos

Tavistock Clinic Series

London: Karnac, 2002.

 

 Human Urban Net-Project with Homeless -2005

 

Returning to T. E. Lawrence, we may wonder whether his own turbulent and homeless life was connected with his choice of the word ‘home’ instead of ‘land’. Lawrence had no land of his own – either in terms of owning a house (at the time of writing this translation) or in terms of feeling strongly connected with one country. Born in Ireland, grown up in England and committed to Arabia, he did not have any land but, evidently, had a strong yearning for a home. It may be more of a passing interest to note that T. E. Lawrence (then called T. E. Shaw [1932]) began translating ‘The Odyssey’ while in military service in Afghanistan in 1928.

Taking this theme further, we note that Alexander Pope (1688 - 1744) renders the same verses as follows:

 

‘To see the smoke from his loved palace rise,

While the dear isle in distant prospect rise,

With what contentment could he close his eyes!’

 

 Pope, settled in his genteel villa in Twickenham, understands gaia as palace and gives the yearning for home a distinct romantic character, inventing even a ‘contentment’ in Odysseus. Evidently, for Pope, the pursuit of home could not have had the dramatic and gutsy feel that T.E. Lawrence gave it.

It is interesting to consider three additional translations which are closer to the original Greek with reference to their rendering of gaia. Rieu (1946) renders these verses as

 

‘and Odysseus, who would give anything for the mere sight of the smoke rising up from his own land, can only yearn for death’,

[Fagles (1996) as]

‘But he, straining for no more than a glimpse

of hearth-smoke drifting up from his own land,

Odysseus longs to die …’

[and Lombardo (2000) as]

‘But Odysseus,

Longing to see even the smoke curling up

From his land, simply wants to die’.

 

 Although all three translations are closer to the Homeric original in so far as they all use ‘land’ for gaia, still they differ in the overall feel they give to this important passage. These discrepancies and idiosyncratic renderings of home reflect the inevitably unique, distinctive and personal approach to the nostalgic yearning for home that the refugees have. Each person experiences and expresses his or her state of homelessness in a highly personalized way which then is understood and rendered differently and equally idiosyncratically (i.e. closely related to their own personal, professional, socio-economic and historic-cultural contexts) by all those who attempt to understand the needs of that particular refugee.

 

Moreover, using this Homeric passage, it could be said that home is constituted by two opposites: a most tangible and grounded element, the earth, the land, and the most tangible image of an intangible form of home – smoke. This powerful combination of the tangible and intangible, concrete and ethereal, physical and imaginary, inflexible / immovable and flexible / mobile, substantial and indefinable make the image of home a most potent and resilient cluster of psychological dynamics.

 

 Staying with the Odyssey, it is worth making another relevant observation (Papadopoulos 1987). The logical sequence of the poem would be that Odysseus arrives home, to the island of Ithaca, at the end of the poem. Yet there is something very curious in the structure of the poem, which consists of 24 chapters (called ‘books’). Homer has Odysseus arriving in Ithaca right in the center of the epic. At the very beginning of book 13 Odysseus finally arrives home. Or does he? He certainly arrives on the shores of Ithaca but he is not even aware where he is. He does not recognize his ‘home’ to begin with. So, whereas objectively, he had reached home, in effect he was not yet at home. This magnificent irony should not be forgotten. It is as if Homer keeps pressing us with painful questions as to how to define home.

 

 What then happens in the second half of ‘The Odyssey’ if Odysseus is already home? Evidently, his physical arrival in Ithaca does not end his odyssey, and does not amount to homecoming because not only does he not recognize his homeland but also nobody recognizes him, either. Home, therefore, cannot be experienced without mutual recognition. Moreover, most importantly, once physically at home, Odysseus had to feel at home. Even after he understood that he had finally landed on his beloved homeland, he still did not arrive home. He had to re-encounter and re-connect with all members of his family, enter his palace, fight the suitors, and regain his royal position. ‘Homecoming is not only about external arrivals and the creation of established homes defined by legal contracts and delineated by geographical boundaries’ (Papadopoulos 1987, p.15). Homecoming is also about the re-establishment of all meaningful connections within one’s own family and own self. These re-connections cannot be taken for granted and are, by no means, easy. Homer makes this point very clearly in so far as it takes another odyssey for Odysseus to re-establish himself in his own home. Odysseus does not slip back into the position, place, role and identity he had left behind, but he has to fight ferociously if not even more so than when on his way to Ithaca. Homecoming is not just a retrospective exercise but also includes a prospective direction. Thus, Homer demonstrates most eloquently that the complete odyssey is not about regression, a passive return to the past, but it includes the totality of the duality of meanings of home - the return and a reintegration, the going back and arrival as well as the achievement of future goals. Moreover, he leads us to experience that the second phase of homecoming can be even more hazardous than the first one. Psychologically, it is subtler and trickier to re-connect with one’s own family members and to risk losing everything, after all the heroic efforts to arrive home in the first place.

 

 Following Homer, it could be argued that we could distinguish two kinds of successive moments in the homecoming process: the first is about external dimensions, about the physical arrival where navigation skills, diplomacy, strength, persistence are required to negotiate the external dangers and obstacles. The second moment is of a more internal and psychological nature, requiring more internal resources, stamina, containment, insightfulness and resilience. If the first is about arriving home, the second is about reconnecting with one’s sense of self and accessing the dismembered parts of one’s personality.

Refugees, home and trauma1, Reno’s K. Papadopoulos

Choose and Cutting by Human Urban Net:

 

 

    Analysis of Suffering for ‘Home’, NOSTALGIA

Approximately 750 000 to one million Internally replaces people in Serbia live a difficult lifes . They are called sometimes Serbian refugees from Bosnia, refugees from Croatia and refugees from Kosovo and Metohia .

Is any refugee was leaving the home voluntary or involuntary. Is One left Home by free will or not? 

 

Renos Papandopoulos calls the feeling ‘Nostalgic disorientation’ and ‘mosaic substratum of identity’. Why? Where and when we, you, they feel nostalgic?

Is it possible to confirm ethnic or national identity without claiming a recoverable history, which supports a fixed identity?

What alternatives are there to cementing identity in essential certainty? Is identity fluid or changing and can such an understanding of them sustain political commitment?

These questions address the tensions between social constructionist and essentialist conception of identity.

 

Wars, crises of former Yugoslavia can be observed through the power of representation and how and why some meanings are preferred?

All signifying practices that produce meaning involve relations of power, including the power to define who is included and who is excluded. Who is good gay, who is bad gay ? Bias?

Culture shapes identity though giving meaning to psychological experience.

 

Nostalgia, in fact, may depend precisely on the irrecoverable nature of the past for its emotional impact and appeal. It is the very pastness of the past, its inaccessibility, that likely accounts for a large part of nostalgia's power--for both conservatives and radicals alike. This is rarely the past as actually experienced, of course; it is the past as imagined, as idealized through memory and desire. The simple, pure, ordered, easy, beautiful, or harmonious past is constructed and then experienced emotionally in conjunction with the present--which, in turn, is constructed as complicated, contaminated, anarchic, difficult, ugly, and confrontational.

Nostalgic distancing sanitizes as it selects, making the past feel complete, stable, coherent, safe from "the unexpected and the untoward, from accident or betrayal" in other words, making it so very unlike the present.

The aesthetics of nostalgia might, therefore, be less a matter of simple memory than of complex projection; the invocation of a partial, idealized history merges with dissatisfaction with the present. And it can do so with great force!

 

Human Urban Net  mobile Team