The end of trauma How the new science of resilience is changing how we think about PTSD

George A. Bonanno

Book - 2021

"After 9/11, thousands of mental health professionals from across the country assembled in Manhattan to help handle the almost certain avalanche of traumatized New Yorkers. Curiously, it never came. While plenty of people did seek mental health counseling after 9/11, the numbers were nowhere near expected. As renowned psychologist George Bonanno argues, psychiatrists failed to predict the response to 9/11 because our model of trauma is wrong. Psychiatrists only study clinically traumatized people, and over time this skewed sample has led us to believe that trauma was the natural response to stress. But what about all the people who never come in for help? Bonanno has spent his career studying how people respond to potentially traumatic... events, whether or not they show symptoms of PTSD. In TK, he lays out a bold new model of the origins and trauma, and how we can more effectively treat it. Bonanno's research has shown that the natural response to stressful situations is not trauma but resilience. Most people are, by default, able to cope without suffering long-term consequences. This is important because assuming that people are traumatized when they aren't can actually risk traumatizing them. TK explains what makes us resilient, why people sometimes aren't, and what really helps us work through trauma. of the book draws on Bonanno's pioneering studies on trauma in war veterans, car crash victims, assault and abuse survivors, and even the victims of 9/11. His most crucial finding is that resilience does not come from one essential coping strategy, as other books argue. Resilience is actually a process in which we actively explore, assess, and adapt the strategies that allow us to engage with a situation. Trauma happens when our natural systems of resilience falter, and Bonanno develops a method for restoring resilience called the flexibility sequence, a series of strategies designed to help us find new coping strategies when we find ourselves at a loss. Bonanno's first book, The Other Side of Sadness, showed that the oft-touted notion that there are "five stages" of bereavement ignored how real people grieve. The book spoke not only to his fellow psychologists, but to thousands of people who needed to better understand their own experiences of loss. In the same tradition, TK reclaims the study of trauma from outdated theorizing and puts it in the context of people's real experiences, because we can only understand how to heal from trauma once we understand how humans actually deal with it"--

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Subjects
Published
New York, NY : Basic Books, Hachette Book Group 2021.
Language
English
Main Author
George A. Bonanno (author)
Edition
First edition
Physical Description
ix, 321 pages : illustrations ; 25 cm
Bibliography
Includes bibliographical references and index.
ISBN
9781541674363
Contents unavailable.
Review by Publisher's Weekly Review

Bonanno (The Other Side of Sadness), director of the Loss, Trauma, and Emotion Lab at Teachers College, proposes a new way to look at trauma in this hopeful examination. Arguing against the popular notion that "traumatic stress inevitably produces lasting trauma and PTSD," he instead posits that most people go through traumatic events without developing any long-lasting negative consequences--in other words, that people are more resilient than the general consensus considers. He further proposes that a "flexibility mindset" ("a conviction that we will be able to adapt ourselves to the challenge at hand") can explain why two-thirds of people who go through traumatic events eventually recover instead of developing PTSD. Bonanno masterfully conveys his extensive research on 9/11 survivors, and on people who suffered severe spinal cord injuries yet who didn't experience long-term traumatic effects. His resilience model is provocative, and Bonanno urges that there's "no single best way to cope" and calls for professionals to "adjust our behavior to fit whatever the situation is calling for, and... make sure whatever we are doing is working." Bold and accessible, this offers much to consider. Agent: Jim Levine, LGR. (Sept.)

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