Trauma is everywhere but so is resilience

[Music]

years ago

a woman came to see me for help with an

abusive marriage

she was an emt who worked for a local

ambulance service

she was smart and strong and emotionally

tough

as with other clients and violent

relationships i took her through the

standard services

a dangerousness assessment and a safety

plan

these always led to the same

recommendation

to leave everything behind and go to a

shelter

she didn’t like that idea few

victims did the closest shelter

was more than a 40-minute drive away and

she had to be able to

respond more quickly than that at her

job

she had a different plan a plan that

didn’t involve

losing her job and adding a financial

crisis

to her marital one her plan

involved money something still seldom

emphasized in counseling

she reckoned that in about six months

she could get her own apartment

and start divorce proceedings if she was

careful about saving her money

in the meantime she’d work as much as

possible

and steer clear of her husband as best

she could

and that’s what she did a very

impressive woman now

when i look back to my encounter with

her the surprising aspect is not her

pragmatic determination

nor her commitment to making her

community safer

even in the midst of her own crisis

rather the surprising part is how poorly

my psychology training prepared me

for that moment she found a course of

action that

even today few psychologists would

recommend

psychology still doesn’t recognize how

common such experiences are

or all the ways that people respond to

them

that’s resilience all the things we do

and all the help we get from others to

overcome

trauma i wrote those words over a year

ago

when this tedx university of the south

event

was originally scheduled for march 2020

before the pandemic interrupted it

in the original version of my talk i

next planned to gesture to the audience

and ask them to consider how many in the

room had experienced trauma

even before the pandemic i knew that the

answer

was probably all of us

now trauma is all around us with people

dying from covet every minute

and that doesn’t even include the trials

of health care workers

or the vulnerability and anxiety we’ve

all experienced the pandemic has added

to our dose of trauma

which is the cumulative lifetime burden

of all the adversities we’ve experienced

that dose will remain with us even when

the pandemic

is over it’s hard to talk about trauma

but now more than ever we need to

back when i was in graduate school the

only place i heard much about trauma was

the student lounge

the cliche shared there was that

everyone gets clinical training

to figure out their own families

that was certainly one of the reasons i

was there

i grew up in a home with depressed and

alcoholic parents

who likewise grew up in similar homes

where they too

experienced a lot of trauma even today

many in my extended family struggle with

substance abuse

and that often contributes to cascades

of other traumatic experiences

for a long time even years after grad

school

my past made me feel different from

other professionals

however thanks to better data i now know

i’m not unusual most people in the

united states

and around the world experience trauma

which includes not only

family dysfunction but also bullying

discrimination and other adverse

experiences

outside the family including pandemics

as a psychology professor i’ve been

studying these issues for more than 20

years

on and around this mountain my team and

i have interviewed more than 4

000 people and we found that more than 8

in 10 experienced victimization

which includes such things like child

abuse and community violence

if you count other losses such as the

death of a loved one

then the number was north of 98 percent

even before the pandemic sooner or later

everyone experiences trauma or

speaking as a parent the sometimes even

greater challenge of watching loved ones

suffer

even in countries with incredible social

safety nets

like canada and sweden you see similar

numbers

no society has figured out how to

eliminate trauma

now i’ve been told that’s a pretty

bummer message

but i think that that’s the wrong way to

look at it because if trauma is common

then so is resilience take that emt

i learned from her and so many others

that there is extensive untapped wisdom

about coping with trauma once you

realize how common trauma is

it seems even stranger that we avoid

talking about it

psychologists are as bad as anyone about

this maybe worse

my professors hardly ever spoke about

trauma

or if they did they talked about it as

if it was a rare and extreme

experience may be true for vietnam vets

but not the rest of us i can’t recall

a single professor or clinical

supervisor

ever disclosing a traumatic event from

their own past

and because they never talked about

anything bad happening to them

they also never shared what they did to

cope with the bad things

that must have happened even today

health professionals seldom publicly

acknowledge

their own trauma but i often wonder

what would therapy look like if it was

based on the ways

that therapists cope with their trauma

instead what i learned in my clinical

training is the importance of acting

like you have your life completely

together

now there are some good reasons for this

you don’t want to seek psychological

help

from someone who looks like they’re on

the verge of a breakdown

i totally get that you don’t even want

to watch a ted talk from someone who

looks like they’re on the verge of a

breakdown

so here i am today practicing many of

the skills i learned

i look pretty put together don’t you

think i did my hair

and this is a new dress but you can take

that too far

if you pretend that you’ve never had a

hair out of place in your whole life

you can lose empathy for those who are

in crisis

they become the other even worse

our perfect professional personas make

it harder for our clients to see

pathways to resilience

because it looks like you must avoid

adversity to create a good life

perhaps because of this pretending

psychologists used to treat resilient

people

like unicorns remarkable and rare

but it turns out that resilient people

are like squirrels

we’re everywhere any group includes

people who have overcome trauma

and many of the most accomplished people

in the world

have significant trauma histories

instead of pretending

that our lives are perfect we should be

wearing the traumas we survive like

badges of honor there’s so much we can

learn

from people who have experienced high

doses of trauma

but still manage to create good lives

so i shifted the focus of my work to

understanding the wisdom of resilient

people

by this time i had come to this mountain

not far from where my parents grew up

rural appalachians like trauma victims

are often described in highly negative

and stereotyped terms

but as far as i was concerned i thought

this mountain was a great place to study

surviving

and even thriving after trauma many

communities in this region

don’t have a lot of financial wealth but

they have

other more important kinds of wealth

using focus groups interviews and

surveys

my team and i work to identify the

underappreciated strengths of resilient

people

if you create a safe space then people

are willing

and even eager to share their stories

i met a 16 year old boy who was bullied

a lot when he was younger

his solution was to join the football

team

where he eventually rose to be a

co-captain

work work work is what he told me day in

and day out

when i met him he and his teammates were

at the weight room on a hot summer’s day

the rest of the school was deserted but

there they were

working together no one bullies him

anymore

and he found his purpose mentoring other

students

i found that a sense of purpose is the

most

important ingredient for resilience he

also found two other

important ingredients a healthy routine

and a supportive group of peers people

around here

also use humor to cope one focused group

of parents

joked so much about mistreating their

kids

that i worried that an outsider reading

the transcript would think they were

disclosing

real child abuse but they were laughing

so hard

along with my interns and me that i

didn’t have the heart to ask them to

stop

those parents had all experienced a lot

of childhood trauma

and they could have bragged that they

were proud to break the cycle

instead they cracked jokes that

powerfully communicated

the contrast between their own

childhoods

and the lives they had created for their

families

thanks to them we now ask about humor

and have found that is another

key resilience skill save money

exercise join an organization

crack jokes to lighten the dark times

connect to something larger than

yourself whether it’s parenting

supporting peers or making your

community safer

perhaps these are familiar to you

because they’re what many people do to

overcome trauma

these are the kinds of things i did to

overcome my own traumatic experiences

including being here today where i’m

working on my purpose

to help reduce the burden of trauma the

science is finally starting to catch up

to this community wisdom

showing that exercise volunteering and

many other activities

help with depression and anxiety just as

much as psychotherapy and drugs

purpose and stability and connection

can help us create good lives despite

all the unavoidable pain

think about the people you know yes

those are faces who’ve suffered trauma

but those are also faces of resilience

our traumatic experiences are important

parts of who we are

they never really go away and we must

come to terms with acknowledging them

however trauma is not the most important

thing about you

the most important thing is what

happened next

what you did to make it to today

it took scientists a long time to

appreciate the importance

of trauma dose the wear and tear on our

bodies and minds

that happens when bad things pile on and

add up now science is finally starting

to realize

the dose is important for resilience too

you can pile on and add up the good

stuff

whether it’s your own strengths or the

help you get

from family friends and community

the latest science suggests that higher

doses of good things

can counteract even large doses of

trauma

in the post-pandemic era this insight

will be more

important than ever when i look out on

this room today

i see strength resilient fellow speakers

and organizers who helped make this

event happen

despite the pandemic if you are watching

this

i hope you appreciate what you’ve done

to make it to today

and that you will take a chance and find

a safe space to share your story

because i believe that only sharing the

truth about trauma

and the ways we overcome trauma is the

path to a better world

there are a lot of your fellow squirrels

out there and i think they would be glad

to meet

the whole you thank you

[音乐]

几年前,

一个女人来找我寻求帮助,解决一段

虐待婚姻

她是一名急救人员,在当地的

救护车服务

部门工作

危险性评估和安全

计划

这些总是导致相同的

建议

,即抛下一切并前往

她不喜欢

的避难所

能够

比她的工作更快地做出反应

她有一个不同的计划 一个

不涉及

失去工作和给她的婚姻增加财务

危机的

计划 她的计划

涉及金钱

在咨询中仍然很少强调的事情

她估计在大约六 几个月

她可以得到自己的公寓

并开始离婚诉讼,如果她

在此期间小心存钱,她会尽可能多

地工作

并避开o f 她的丈夫尽

她所能

,这就是她所做的,

现在

当我回顾与她的相遇时,

令人印象深刻的女人不是她

务实的决心,

也不是她即使在自己的危机中也致力于使她的

社区更安全的承诺

更令人惊讶的是,

我的心理学训练让我

为那一刻做好了多么糟糕的准备,她发现了一个

即使在今天很少有心理学家

推荐的行动方案

我们所做的所有事情

以及我们从他人那里获得的所有帮助以

克服

创伤我一年多以前写了这些话

,当时南方 tedx 大学的

活动

原定于 2020 年 3 月

举行,但大流行

在我的演讲的原始版本中中断了它 接下来我

计划向观众做个手势

,让他们考虑一下

房间里有多少人

甚至在潘德之前就经历过创伤 麦克风 我知道

答案可能是我们所有人,

现在创伤就在我们身边,

每分钟都有人死于贪婪

,这甚至不包括对医护人员的考验

或我们都经历过的脆弱性和焦虑

大流行已经 增加

了我们的创伤剂量,

这是

我们经历过的所有逆境的累积终生负担,

即使大流行结束,这一剂量仍会留在我们身边

,很难谈论创伤,

但现在我们比以往任何时候都更需要

支持 在研究生院,

我唯一听到很多关于创伤的地方

是学生

休息室,陈词滥调是

每个人都接受临床培训

以了解自己的家庭

,这当然是我在那里的原因之一

我在一个抑郁的家庭中长大,

酗酒的

父母同样在类似的家庭中长大,

即使在今天,他们也经历了很多创伤

s 到

很长一段时间内的其他创伤经历,甚至在研究生毕业后的几年里,

我的过去让我感觉与

其他专业人士不同,

但是感谢更好的数据,我现在知道

我并不罕见,

美国

和世界各地的大多数人都经历过创伤

这不仅包括

家庭功能障碍,还包括欺凌

歧视和其他

家庭以外的不良经历,包括流行病

作为心理学教授,我

在这座山上及其周围研究这些问题 20 多年,我和我的团队

采访了 4

000 多名 人们和我们发现,超过十分之八

的人遭受过伤害

,其中包括诸如

虐待儿童和社区暴力之类的事情,

如果算上其他损失,例如

亲人的死亡,

那么这个数字

早晚在大流行之前就超过了 98%

每个人都经历过创伤或

作为父母说话有时甚至

更大的挑战是看着亲人

受苦 r

即使在像加拿大和瑞典这样拥有令人难以置信的社会

安全网的国家,

你也会看到类似的

数字,现在

没有社会想出如何

消除创伤,

我被告知这是一个非常

糟糕的信息,

但我认为这是错误的

看待它的方式,因为 如果创伤很常见,

那么

复原力也

很普遍 因为任何关于

这件事的人可能更糟,

我的教授几乎从不谈论

创伤,

或者如果他们谈到了创伤,他们就

好像这是一种罕见和极端的

经历,对于越南兽医来说可能是真实的,

但我们其他人则不然,我不记得

有一个教授 或临床

主管

曾经披露过他们过去的创伤事件,

并且因为他们从未谈论

过发生在他们身上的任何不好的事情,

他们也从未分享过他们对 c 所做的事情

即使在今天,

健康专业人员也很少公开

承认

自己的创伤,但我经常

想知道如果治疗是

基于

治疗师应对创伤的方式,

而不是我在临床培训中学到的,那么治疗会是什么样

子 表现

得像你的生活完全

在一起的重要性

现在有一些很好的理由

你不想

从看起来像他们

处于崩溃边缘的人那里寻求心理帮助

我完全明白你没有 甚至

想看一个

看起来像是处于崩溃边缘的人的 ted 演讲

所以我今天在这里练习

我学到的许多技能

我看起来很漂亮你不

认为我做了

头发吗? 一件新衣服,但

如果你假装你一生中从来没有头发不合适,你可能会走得太远,

你可能会失去对那些

处于危机中的人的同情

他们成为另一个更糟糕的是

我们的完美 专业的角色

让我们的客户更难看到

恢复能力的途径,

因为看起来你必须避免

逆境才能创造美好的生活,

也许是因为这个假装

心理学家过去常常把有弹性的

当作独角兽来对待,非凡而罕见,

但事实证明,有弹性的人

是 就像松鼠一样,

我们无处不在,任何群体都包括

克服创伤的

人,世界上许多最有成就的人

都有重要的创伤历史,

而不是

假装我们的生活很完美,我们应该

佩戴我们幸存下来的创伤,就像

荣誉徽章一样 我们可以

从那些经历过严重

创伤

但仍然设法创造美好生活的人身上学到很多东西,

所以我把工作重心转移到

了解有韧性的人的智慧上,

此时我来到了

离我父母不远的这座山

像创伤受害者一样长大的农村阿巴拉契亚

人经常被描述为高度消极

和刻板印象 d 术语,

但就我而言,我认为

这座山是学习

在创伤后幸存甚至繁荣的好地方

,该地区的许多社区

没有很多金融财富,但

他们有

其他更重要的财富

使用焦点 小组访谈和

调查

我和我的团队努力找出

有韧性的人被低估的优势

如果你创造一个安全的空间,那么人们

愿意甚至渴望分享他们的故事

我遇到了一个 16 岁的男孩,他年轻时经常被欺负

他的解决方案是加入足球队

,在那里他最终升职为

副队长

工作 工作是他日复一日地告诉我的

当我遇到他时,他和他的队友们

在一个炎热的夏天在举重室

学校的其他地方空无一人,

但他们

在一起工作,没有人再欺负他

,他找到了指导其他

学生

的目的,我发现目的感是

重要的成分 对于恢复力,他

还发现了另外两个

重要因素 健康的日常生活

和支持的同龄人

周围的人

也用幽默来应对 一群专注

的父母

开玩笑说虐待他们的

孩子

,我担心阅读成绩单的局外人

会认为他们

揭露了

真实的虐待儿童行为,但他们

和我的实习生和我一起笑得很厉害,以至于我

不忍心要求他们

阻止

那些父母都经历了

很多童年创伤

,他们本可以吹嘘他们

为自己感到自豪 打破循环

相反,他们讲的笑话

有力地传达

了他们自己的

童年

与他们为家人创造的生活之间的对比,

这要归功于他们

照亮黑暗的时代

连接到比自己更大的

东西 无论是育儿

支持同龄人 或者让你的

社区更安全

也许这些对你来说很熟悉,

因为它们是许多人为

克服创伤

所做的事情 这些是我为

克服自己的创伤经历所做的事情,

包括今天在这里我正在

努力帮助 减轻创伤负担

科学终于开始

赶上这个社区的智慧,

表明锻炼志愿和

许多其他活动

有助于抑郁和焦虑,

就像心理治疗和药物一样,

目的、稳定性和联系

可以帮助我们创造美好的生活,尽管

所有这些 不可避免的痛苦

想想你认识的人是的,

那些是遭受过创伤的面孔,

但那些也是复原力

的面孔我们的创伤经历是我们的重要

组成部分,

它们永远不会真正消失,我们

必须接受

承认 创伤不是

关于

你最重要的事情 最重要的是

接下来发生的

事情 你做了什么 直到今天

,科学家们花了很长时间

才认识到创伤的重要性 当坏事堆积起来并加起来时,我们的

身体和思想

会受到伤害

无论是您自己的优势还是

从家人朋友和

社区获得的帮助,都可以堆积并累积好东西 最新科学表明,在大流行后时代,更高

剂量的好东西

甚至可以抵消大剂量的

创伤,这一见解

当我今天看到这个房间时,比以往任何时候都更加重要

你会抓住机会找到

一个安全的空间来分享你的故事,

因为我相信只有分享

关于创伤的真相

以及我们克服创伤的方式才是

通往更美好世界的道路

那里有很多松鼠伙伴

,我想他们会很高兴

见到你,谢谢