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Traumatization and Its Aftermath

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Traumatization and Its Aftermath delves deep into the complexities of traumatization and is a practical, comprehensive guide to understanding and overcoming the impacts of adverse circumstances. In these pages, readers will gain valuable insights into trauma’s diverse forms and the importance of understanding traumatization on an individual level. This book answers questions including "Why don’t some people heal as easily as others?" "Why do some people experience trauma after ‘seemingly insignificant’ incidents?" and "Why does overdiagnosis fail so many people?" Readers can also find criteria for evaluating their own trauma, information on how to heal from a trauma disorder, and better ways for treating complex trauma. Traumatization and Its Aftermath guides readers through each element of the personalized struggle for survival and offers compassionate and patient explanations on how to shorten this struggle―and even prevent it. Packed with detailed resources and accessible storytelling, this book is a must read for clinicians and anyone looking to better understand the mind, body, and natural ability to heal.

376 pages, Hardcover

Published August 29, 2023

3 people are currently reading
41 people want to read

About the author

Antonieta Contreras

3 books4 followers
Antonieta Contreras, a former banker originally educated as a mathematician, is a trauma psychotherapist who graduated with a Master’s in Social Work from NYU. After forming her clinical skills as a gestalt therapist and training at agencies with highly traumatized people, she received a specialization in Trauma Studies from the Institute of Contemporary Psychotherapies (ICP) and in Human Sexuality from NYU School of Medicine. She maintains a private practice where she combines different trauma modalities, as well as the contemplative techniques that she learned from studying within Buddhist traditions. She has been a consultant, supervisor, and faculty at ICP, where she spent several years building and teaching the curriculum of a postgraduate program to train clinicians in becoming trauma therapists. She also teaches sexual trauma at NYU, runs EMDR groups toward certification, frequently interacts with followers who seek out her answers about traumatization online and has given talks in hospitals, agencies, and universities to create awareness about trauma.

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Displaying 1 - 8 of 8 reviews
Profile Image for Jesse Nyokabi.
90 reviews9 followers
November 26, 2024
Traumatization and Its Aftermath explores the complexities of trauma and serves as a practical, comprehensive guide for understanding and overcoming the effects of adverse experiences.

In this book, readers gain valuable insights into trauma’s diverse forms and the importance of understanding traumatization on an individual level.

This book answers questions including:
1. “Why don’t some people heal as easily as others?”
2. “Why do some people experience trauma after ‘seemingly insignificant’ incidents?” and
3. “Why does overdiagnosis fail so many people?”

Readers also find criteria for evaluating their trauma, information on how to heal from a trauma disorder, and better ways to treat complex trauma.

Traumatization and Its Aftermath guides readers through each element of the personalized struggle for survival and offers compassionate and patient explanations on how to shorten this struggle—and even prevent it.

Packed with detailed resources and accessible storytelling, this book is a must-read for clinicians and anyone looking to better understand the mind, body, and natural ability to heal.

Antonieta Contreras is a former banker and trained mathematician who works as a Gestalt and trauma psychotherapist in New York. She has spent a decade as a consultant and faculty member at the Institute of Contemporary Psychotherapies (ICP), lectures on sexual trauma at New York University, and oversees consultations for EMDR groups.

"Stronger than lover's love is lover's hate. Incurable, in each, the wounds they make." ~ Euripides

Trauma treatment suggests that (1) recounting traumatic memories can be counterproductive and (2) unhealthy behaviors stem from the nervous system's activity. Professionals faced challenges in unlearning established practices, adapting these new ideas slow and difficult, a common aspect of paradigm shifts.

Each chapter assists us in understanding traumatization:
1. Chapter 1 introduces you to the nuances of the trauma phenomena through a survey of the many concepts and constructs that fall under it. By the end of the chapter, you’ll have learned to differentiate when something is ‘traumatic’ from what is ‘traumatizing’ to facilitate the discovery of who is traumatized—and who is not. I will also introduce you to the different trauma disorders someone can develop so your vocabulary can expand beyond ‘trauma’ and ‘PTSD.’

2. In Chapter 2, you’ll learn about the basics of neurobiology and trauma. I’ll explain that trauma disorders unfold from the set of processes called survival mechanisms that are prompted to operate when we are in danger. The chapter includes descriptions of our brain’s characteristics that can hurt but also heal our nervous system. The chapter ends with a description of danger and threat, two important external traumatizing agents (elements that contribute to amplifying the activation of the survival circuits, and therefore, the alterations in the functioning of the nervous system).

3. In Chapter 3 I will go deeper into traumatization, a process that is best understood by deconstructing it. I’ll review, one by one, how preventive and protective mechanisms get activated when we encounter danger. I will also explain what tools are available for diagnosing a trauma disorder, including how the misinformation of pop psychology can have a negative influence on the industry and our psyche.


4. Chapter 4 expands on the systemic cost of traumatization. Here you’ll learn about each of the affected areas of the person’s internal system. I call them ‘trauma domains’ to emphasize the systemic nature of the alterations suffered during the struggle for survival. Healing a trauma disorder goes beyond processing traumatic memories; trauma treatment needs to attend to all the domains affected. This chapter breaks down how the domains function in ordinary conditions and contrasts that with how they become modified. There are nine domains; the first five are part of Chapter 4: emotions, dysregulation, memory, cognition & perception, and self. The other four are incorporated in the chapters where their importance is more relevant.

5. Chapter 5 starts with the narration of a date rape by the book’s protagonist: Michaela. Her case will illustrate three key processes: (1) How PTSD unfolds after an identifiable event. (2) How PTSD evolves into dysfunction and (3) How to diagnose PTSD using the diagnosis manual with an expanded view of its criteria? This chapter also expands on the traumatizing agent shame (and related self-conscious emotions).


6. Chapter 6 covers prolonged traumatization. Using the allostatic model for maintaining internal equilibrium, you’ll learn how a complex presentation of PTSD can evolve when the destabilization of the system happens gradually, not all at once. I expand on stress as the main internal traumatizing agent at this level of complexity, and on abuse as the external traumatizing agent that affects adult relationships. Michaela talks about her romances in this section to illustrate how the system can suffer alterations due to mental undermining and gaslighting without anyone noticing. I offer the available diagnostic tools and a method to be able to identify the symptoms that can reflect this type of complication.

7. Chapter 7 covers the type of disorder that can unfold when traumatization occurs during the years when the brain is still forming (Developmental Trauma Disorder). The anatomy of brain development is clearly described as a preamble to being able to understand how deep the effects of these occurrences can be. Neglect and adversity are the external traumatizing agents covered in this chapter. I include a bio-psycho-social model to assist in conceptualizing this level of damage.


8. Chapter 8 discusses key findings of attachment theory, highlighting how failing to attach to the mother at birth or even during pregnancy can lead to serious consequences. It illustrates that this early lack of connection can independently create trauma syndromes, regardless of life threats. The book compassionately addresses personal struggles without assigning blame, using Michaela’s mother’s trauma history to show its impact on her children. Rejection is portrayed as a key traumatizing factor, with ‘rejection sensitivity’ exacerbating the effects of failed attachments. Adversity further complicates attachment issues, leading to disorganization and various impairments.

9. In Chapter 9, the greatest complexity in the trauma phenomena occurs when it is not only the individual who is traumatized but when the traumatization occurs to a whole group of people. The external traumatizing factor in this chapter is systemic adversity, which includes the transmission of trauma from previous generations, and anger/hatred are described as the internal traumatizing agents that increase the damage. The chapter proposes a classification for this type of injury as ‘aggregated trauma.’


10. The last chapter presents a systemic approach to resolving traumatization and healing trauma disorders. The chapter introduces healing agents and the idea of shifting from ‘survival mode’ to ‘living mode.’ The chapter includes a new model to treat traumatization and its aftermath using a multidimensional dynamic methodology that assists in the journey to repossess one’s life.

Traumatization is an arduous activity undergone mainly by the body during the period when one feels threatened and the whole system—ruled by the autonomic nervous system (ANS)—works at keeping the individual afloat. Since the evaluation of risk is as subjective as each person’s perception, the length of the struggle can be short, or it can last ‘forever.’ What does it depend on?

Well, to resolve traumatization our brain needs to be convinced that we are safe. Safety is key when we talk about trauma. But safety is not literal. Feeling unsafe—whether or not you are—is what makes it so difficult to live and heal after the overwhelming experience of being shocked or exposed to ‘extreme’ danger.

Traumatization is systemic, which means that the entire system—its organs and functions—gets affected, and once it is affected and is already traumatized, more risk exposure prolongs the survival mode and worsens or adds symptoms and dysfunction.

Since it’s common to equate trauma with memories, people assume that having new traumatic memories means more trauma; in that sense, someone could feel that more exposure to events that jeopardize their integrity puts them more on edge than fewer events. The disruption that memories create is a symptom and the more traumatic memories, the more possibility to experience flashbacks or nightmares, and more acute hyper-vigilance since there will be more triggers for survival. Even then, the person may not be traumatized yet; flashbacks are only one criterion among seven to meet PTSD diagnosis.

For those whose system has shifted the focus to survival (operating in survival mode), they get more easily startled, anxious, fearful, and reactive, because the need to survive seems higher and less probable, and therefore, more traumatic events will cause the dysregulation to continue escalating.
Profile Image for Prashanth Bhat.
2,054 reviews136 followers
November 30, 2024
This book perfectly tells us about trauma and what happens after it. How to handle that.
The structure of the book is perfect.
Each chapter builds the subject like a building brick by brick.

This is a good read for psychological students and a normal interested person also.

The language is simple .

The book gives us an exact description about trauma and what happens aftermath.

Very subjective non fiction book.
Recommended.
Profile Image for Augustine.
114 reviews5 followers
July 30, 2024
Traumatization and Its Aftermath by Antonieta Contreras explores the complexities of trauma, providing a comprehensive guide to understanding and addressing its impacts. The book examines various forms of trauma, explains why some individuals struggle to heal more than others, and offers criteria for evaluating personal trauma. Contreras, a Gestalt and trauma-trained psychotherapist, combines accessible storytelling with detailed resources, making this book an invaluable read for clinicians and those seeking to understand the healing process from trauma.

Reading Traumatization and Its Aftermath has been a deeply enlightening experience. As a psychology student, I found the book exceptionally well-written and informative, enhancing my understanding of the complex nature of trauma. Contreras's ability to break down complicated psychological concepts into digestible information is commendable, making the content accessible without losing its depth.

The book's structure is thoughtfully organized, with each chapter building on the previous one to provide a holistic view of trauma. The detailed exploration of trauma disorders and the systemic impact of traumatization were particularly enlightening. Contreras's compassionate approach to explaining how trauma affects individuals on multiple levels is both comforting and educational.

One of the book's standout features is its practical application. The inclusion of diagnostic tools and healing strategies provides readers with actionable steps to address trauma. Contreras's insights into the neurobiology of trauma and the role of survival mechanisms in perpetuating trauma responses were especially fascinating and aligned well with current psychological research.

The case studies and personal stories shared in the book add a human touch, making the theoretical aspects more relatable and engaging. Contreras's discussion on the importance of safety and the body's natural ability to heal offers hope and encouragement to those affected by trauma. Her emphasis on understanding trauma's personalized nature reinforces the need for individualized care in therapeutic settings.

Overall, Traumatization and Its Aftermath is a remarkable contribution to the field of psychology. It is a must-read for anyone interested in gaining a deeper understanding of trauma and its effects. The book not only expands knowledge but also provides practical guidance for healing, making it an essential resource for students, clinicians, and anyone impacted by trauma. I thoroughly enjoyed reading it and highly recommend it for its insightful and compassionate approach to a complex subject.
Profile Image for Sanja Rozman.
Author 9 books10 followers
June 11, 2024
My client wrote:
I am reading Traumatization and Its Aftermath and I must say that I have never read a better book about trauma. I gained insight into my life, my story, and why what happened to me happened to me. When the author explained the process of traumatization, I understood that this is a natural course of events when something constantly eats away at you and you cannot escape. I also understood when it had all started for me, which I was unable to pinpoint due to my severe dissociation.
When I started high school, I suddenly could not eat dairy anymore, and I read in this book for the first time that intolerance to dairy or gluten is a sign that changes are happening in the body. This explained to me the subsequent period I had when I was acting on the outside, but in reality, I was in allostasis. The thing that stayed with me the most is that it is by no means necessary that everything has to do with the outside world and that I’ve put too much emphasis on that. I understand this now as traumatic thinking when you're just trying to explain your symptoms to yourself, but not really understanding what is going on. It’s only now that I’ve realized that this is neither fair nor true. But that's how I explained it to myself, even though I was wrong. That's how I’ve experienced it, as a sort of default thinking, which is also explained in the book. It’s a very comforting book to read. It explained everything I wanted to know and what I was interested in, and everything is in line with my experiences. I realized it's really not okay to accuse myself of anything. For the longest time, I was without access to knowing for sure that there was nothing wrong with me. I look at it completely differently now and I am able to use this wisdom and calm down.
I was very pleased that the book made such a strong case for dissociation because I stopped feeling ashamed about it. It's completely logical. I just did this to help myself. I remember exactly why and how I did it and that I was proud of myself at the time. I felt strong.
I also understood there is no need to fear dissociation. In my case, I started to be very afraid of it. Mainly because I had forgotten why I was doing it, which confused and scared me.
This book taught me that everything is reversible. Or almost everything, if I understood correctly.
Profile Image for Courtnee Turner.
Author 13 books225 followers
September 14, 2023
Antonieta Contreras, a board-certified neurofeedback clinician, details the neurobiology of trauma in her book, Traumatization and Its Aftermath. Contreras differentiates between trauma and traumatization, giving examples to clarify the meaning. The author explores many topics, like why people develop trauma disorders and the ways they may surface in their daily lives, discusses traumatizing agents and how they can prolong a person’s reaction to an event, touches on actions a person may take when they perceive a threat of trauma after experiencing a similar situation, how certain self-conscious states can cast a shadow on the mind, and outlines a clear diagnosis of PTSD. The book covers trauma in adults and children and reveals markers for identifying it.

The text makes the psychological terms more understandable and is current with the knowledge of trauma and its repercussions. Without diminishing reactions to horrific events, Antonieta Contreras dissects traumatization and provides helpful diagrams for a more visual perspective. In one way or another, it’s possible that the material in the book will relate to almost everyone who reads it. I was intrigued by the stories Contreras shared and interested in shame as a “destructive emotional state” and the brain’s protective mechanisms and what can activate them. The author delivers up-to-date research, eliminating misinformation, and steering others away from mislabeling without alienating or shaming readers. Traumatization and Its Aftermath would be a great addition to a psychology class, a good reference book, and a thoughtful gift for readers who are fascinated by the brain’s protective abilities.
Profile Image for Kelly.
2,380 reviews110 followers
June 29, 2024
This book discusses trauma in detail. It explains what trauma is, and talks about different trauma disorders, diagnosis, treatment, and much more besides. It is very detailed; I found it quite an intense read, and quite challenging in some ways. Having said that, it was certainly an eye-opener, and I think it could be very useful, in terms of understanding trauma and its after effects. Even if this book isn't beneficial to you personally, it may help someone that you love or are close to.
Profile Image for Swati.
145 reviews5 followers
September 2, 2024
This book is very helpful for me, I don't know about others.. As a psychology student.. I could know about many terms... Which was very new to me..
It's especially helpful to clear the view of trumas.. It talks about many disorders like PTSD and DTD..etc
There are all neuro and psychological things which is truly helpful for me.. As a psychology student..
About nerves and parasympathetic and all..

So i genuinely suggest to everyone read this book.. Specifically psychology student
Author 1 book4 followers
October 24, 2024
This is such a useful book for anyone interested in the subject. It introduces a wealth of knowledge in an accessible way. It gives insight and recognition for those who want to learn more about their or their loved ones trauma, those who treat people with trauma issues, or just trauma in general. For such a misunderstood and poorly recognised subject, I appreciate how it's handled.
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