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Section 22
Encapsulations
of Traumatic Memories
Along Developmental Domains
Question
22 found at the bottom of this page
Answer
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My developmental model of trauma and memory considers parallel distributed
systems as avenues for memorializing and making meaning of traumatic events within
the context of development. Under normal developmental conditions, the human information
processing system is an innervated one: it is a dynamic and integrated system
that allows fluid and recursive movement among development domains. When trauma
is experienced, however, this normally flexible system for processing information
is disrupted. Research has shown that even a single traumatic event can disrupt
normal information processing. In a study of disaster survivors Wilkinson found
that 36%o the victims reported an inability to feel deeply; 34% reported apathy,
and 29% had feelings of detachment. Valent reported that survivors of a fire in
Australia felt dazed or stunned, and Feinstein and Spiegel found that 41 % of
the survivors of an ambush Namibia showed diminished interest in normal activities
and 24% still felt detached 1 week after the attack. Madakasira and O'Brien studied
116 victims of a tornado 5 months after it ripped through their North Carolina
community. Fifty-nine percentof the victims fulfilled criteria for posttraumatic
stress disorder (PTSD). Symptoms included intrusive thinking, recurrent dreaming,
psychic numbing, cognitive disruption, and impaired memory and concentration.
Developmental
features play an important role in the formation of these sympto In a study
of children and adults exposed to a school shooting, Schwarz and Kowalsk found
that children more frequently suffered from avoidance symptoms than did adults,
including losing interest in significant activities, feeling detached from others,
and having a restricted range of affect. Avoidance symptoms in adults were associated
more strongly with the recall of intense sensory experiences, such as smelling
or touching the victim's blood. The authors suggest that the adults' more mature
neuropsychological cognitive, and affective capabilities may have enabled them
to better resist the formation of symptoms.
Noam proposes
the concept of overassimilation, in which particular experience even under
normal conditions, resist integration to higher-order systems. Overassimilation
is the process of incorporating an experience into a lower-level structure even
though higher levels already exist. The products of these overassimilations are
call encapsulations. I believe that the psyche has the ability to incorporate
traumatic experiences into different levels of development, metabolizing them
into higher and lowers levels and systems. Models of information-processing including
PDP systems and the' Boolean Hypercube, will be discussed later in this chapter,
and will provide a theoretical framework for describing the encapsulation process
along developmental domains.
Under conditions of prolonged
childhood trauma, aspects of the abuse victim's normal development are dissociated
from the whole; they are split off from higher and lower levels of development.
These fractured units become frozen, or encapsulated, along the seven developmental
domains listed above, creating rigid boundaries that defend the trauma victim
against the psychic pain of further assault. The encapsulat unit is thus isolated
from the developmental whole without the benefit of future learning. Higher stages
of human development embrace earlier periods of development, even under conditions
of severe trauma; there are thus an infinite number of possible biological, psychological,
and psychosocial interconnections from early to late stages of development and
from late to early stages. Implicit knowledge about a trauma can exist in multiple,
parallel systems. Encapsulated traumatic memories can therefore express themselves
through myriad linguistic, motor, behavioral, affective, and cognitive behaviors.
A young child who cannot verbalize her trauma may enact it over and over in her
play, for example (see Terr).
Every trauma does not necessarily
cause material to be encapsulated. Material related to the trauma may remain
available to implicit and explicit memory, and may be "metabolized"
fairly easily into the system. Traumatic events are encapsulated when the victim
does not have the ability to metabolize the trauma in a meaningful way; a child
who has been abused sexually over time, for example, is likely to dissociate and
to form multiple encapsulations along developmental domains. Children do not have
the ability to cope with the sensory, affective, and symbolic components of a
sexual assault. The material in this case may become less available to verbal
memory as the victim dissociates from the repeated attacks. A trauma victim may
retain more verbal memories of a sudden, one-time trauma such as a car accident.
Because of the speed and unexpectedness of this kind of trauma, there is little
time to defend against the horror of it. Depending on attentional resources, the
victim in the case of a single, unexpected traumatic event may encapsulate some
sensory and affective fragments of the trauma, but the cognitive, psychological,
and parallel information processing systems are able to metabolize these fragments
more successfully than in the case of repeated trauma occurring during critical
developmental periods. In the case of a car accident, the victim almost always
receives a great deal of posttrauma care and support from family, friends, and
medical personnel. Victims of chronic childhood abuse, however, suffer extensive
trauma without the normally soothing and protective external objects that help
young children to develop trust in the world. This kind of repeated trauma tears
away at normal development, moving the victim away from the external world and
toward self-preservation and internal vigilance. Abuse victims create their own
internal environment based on a lack of trust with the outside world. Because
severe trauma separates self-memory from the cognitive system, meaning cannot
be made of the experience. With no possibility for making meaning of events in
the external world, the victim remains focused internally, creating a cycle for
dissociation that can continue into adulthood. Memories have a mitosis-like quality
in that they can split into other memories; each remembrance of a traumatic event
may mutate as the trauma victim replays it in her hand, perpetuating an endless
cycle of memory distortion and mutation.
Consider the situation
of Virginia, the 43-year-old woman who was sexually abused by her father during
adolescence. Virginia represents an example of a child whose self-memory system
for many years was almost wholly dissociated from her cognitive system. Virginia
entered therapy with me suffering from intermittent attacks of right hemiparesis
and right ptosis to her eye and lip. An extensive neurological work-up could find
no medical explanation for her physical symptoms. Although she was able to function
in her professional career at a high cognitive level, Virginia's speech in therapy
was limited for many months to one-word answers, nonsequiturs, and verbal slips.
These utterances can be understood as expressions of traumatic encapsulations
in the linguistic domain: during the incestuous attacks, Virginia tried not to
utter a sound or make cognitive meaning of the words her father was saying. She
also tried not to move a muscle and held all of her limbs as rigidly as possible.
Virginia's
self-memory system, unable to absorb the full affective and semantic horror
of being repeatedly abused by her father, had no choice but to separate itself
from her cognitive and linguistic systems. Because her cognitive system was disengaged,
Virginia's sensorimotor responses to the incest (i.e., holding herself as stiffly
as possible during the attacks) were directly incorporated into her self-memory
system, emerging many years later as paralysis. The very strategy that helped
to protect the adolescent Virginia from psychic pain during the long years of
abuse-separating her self-memory system from her motor and linguistic systems-disrupted
her development by blocking communication among the various developmental domains.
Not surprisingly, this severe disruption has led to numerous professional and
relationship problems during Virginia's adulthood. She sometimes becomes paralyzed
at work and falls to the floor, unable to speak. Keep in mind that the incest
began during Virginia's adolescent years, a time when normal developmental tasks
include learning about relationships and coming to terms with body image and sexuality.
During adolescence, Virginia was unable to focus on these important developmental
tasks; she had submerged herself (her self-memory system) in a deep and dark inner
world filled with depression, horror, and omnipotent fantasies.
Therapy
with Virginia has involved teaching her how to think about her inner experiences
and move toward integrating the levels of development that were disrupted during
the years the abuse took place. Therapists who work with trauma victims like Virginia
need to keep in mind that expressions of encapsulated developmental material may
shift, slide, and change as the trauma victim moves through the various developmental
stages that were missed during childhood or when encapsulated memories are brought
to consciousness during the therapeutic process." Patients in treatment may
regress to lower levels of ability and mood, and display considerable ambivalence
during the course of therapy.
In the same way that Thelen
is working to develop an interdisciplinary theory of motor development, I
believe that understanding how trauma is memorialized across developmental domains
requires an interdisciplinary synthesis of the following areas: the neurophysiology
of information processing; parallel distribution systems; the self-memory system;
and the process of placing therapy in a developmental context. Let me note at
this point that memory is more than neurochemical processes taking place in the
brain. Memory is individual and beautifully human, and a full understanding of
its role in trauma also requires us to draw from disciplines as diverse as philosophy,
history, I language, myth, religion, literature, and art. As Jeremy Campbell notes
in his book about information theory, Grammatical Man:
Like
the information system of language, memory can be explained in part by abstract
rules which underlie I, but only in part
.The passage from the abstractions
of structure to the rich products of the mind in its encounters with the world
is never simple, seldom direct, and always reflects the uniqueness of the event,
the richness of context and meaning, and the peculiarities of the human psyche
in action, because that, for better or worse, is the way we are. (p. 229)
My
model of the self-memory system, by providing a mechanism for exploring the
meaning making aspects of trauma, was designed to allow for discussion of these
individual aspects of trauma and memory. I argue that the human, experiential
plane must be incorporated into any and all theories of memory. I thus include
in this chapter an analysis of the writings and memoirs of Holocaust victims.
From the perspective of my developmental model, the initial encapsulation of Jewish
memory of the Holocaust was normal, healthy, instinctual, and necessary. Child
survivors of the Nazi Holocaust, unable at first to articulate their experiences,
roamed from town to town, organizing and participating in bizarre theatrical productions
that emphasized strange, acrobatic-like movements and grotesque plots. These children
also drew pictures and wrote fragments of poetry. Many adult survivors of the
Holocaust cut themselves off from the external world and surrounded themselves
with the silence of deep social isolation. In the first few years, adult survivors
limited the telling of their trauma to poetry, journal writing, and personal memoirs.
Many years had to pass before encapsulated memories of the Holocaust began to
loosen on both the personal and the social levels and before the full honors of
that time could be fully expressed in literature and art. Holocaust scholar Lawrence
Langer notes that recent books about the Holocaust have focused on a single theme:
that of memory. Langer speculates that perhaps "we have finally begun to
enter the second stage of Holocaust response, moving from what we know of the
event, (the province of historians), to how to remember it, which shifts the responsibility
to our own imaginations and what we are prepared to admit there" (p. 13).
The
metaphors and symbolic representations found in the recent Holocaust
writing about memory contain vivid metaphors for the encapsulation process. Time
and again, Holocaust survivors talk about the splitting of the self in response
to the atrocities they suffered. My hope in this chapter is to push current thinking
about trauma and memory beyond the clinical and the neurophysiological realm.
Dissociation is a natural process that provides protection against the pain of
atrocity. As Holocaust survivor Aharon Appelfeld writes,
[O]ne
took refuge in silence. If you read the many collections of testimony written
about the Holocaust, you would immediately see that they are actually repressions,
meant to put events in proper chronological order. They are neither introspection
nor anything resembling introspection, but rather the careful weaving together
of many external facts in order to unveil the inner truth. The survivor himself
was the first, in the weakness of his own hand and in the denial of his own experience,
to create the strong plural voice of the memorist, which is nothing but externalization
upon externalization, so that what is within will never be revealed. (p. 14)
The
ultimate goal of this chapter is to define memory as dynamically connected to
all areas of human existence, and trauma as having historical, moral, and political
dimensions.
- Appelbaum, Paul, Uyehara, Lisa, & Mark Elin, Trauma and
Memory: Clinical and Legal Controversies, Oxford University Press: New York, 1997.
=================================
Personal
Reflection Exercise #8
The preceding section contained information
about encapsulation of traumatic memories along developmental domains. Write three
case study examples regarding how you might use the content of this section in
your practice.
QUESTION
22
How do fractured experiences become frozen or encapsulated? Record
the letter of the correct answer the Answer
Booklet.
Answer
Booklet for this course
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