Does Stress Damage the Brain?: Understanding Trauma-related Disorders from a Mind-body Perspective

Front Cover
W. W. Norton & Company, 2002 - Medical - 311 pages
Why is it that we can remember exactly where we were when John Kennedy was shot, or when the Space Shuttle Challenger exploded, or on September 11, 2001? Does what we see, hear, feel, and in other ways experience, especially during times of stress, result in permanent changes to our brains? Is this one of the reasons stressful events become seared in our memories? These provocative questions, and many others, are answered here by J. Douglas Bremner, a leading scientist whose discoveries, and that of his colleagues, showed that extreme stress may result in lasting damage to the brain, especially a part of the brain involved in memory.

Readers will join Bremner as he recounts the harrowing stories of people under stress-from WWI soldiers to Vietnam combat veterans to survivors of the September 11 terrorist attacks-and gathers evidence for his intriguing proposition that stress actually damages the brain. As this book will explain, scientists now believe that stress-related brain damage may cause certain psychological disorders, such as posttraumatic stress disorder (PTSD). There are in fact a range psychological disorders related to stress, what we are now calling the 'trauma spectrum disorders, ' that may be manifestations of stress-induced changes in the brain.

This new understanding of trauma-related problems as essentially neurological disorders has many important implications. What a difference it would make if someone who experiences anxiety or depression realized that they were not at fault for these experiences, but rather these experiences were the result of brain-based changes as a result of stress? In certain cases, thinking about the effects of stress on the brain may help understand puzzling phenomena, like delayed recall of childhood abuse.

The scope and breadth of traumatic stress today make this book especially relevant. Our country will be sorting out the many patterns of response to recent traumatic events for years to come. If knowledge is power, then all readers will benefit from a greater knowledge of the potential effects of traumatic stress on mind, brain, body, and spirit. With over ten years of experience in researching the effects of stress on people, Douglas Bremner is uniquely qualified to help us make sense of the ways in which we experience stress.

From inside the book

Contents

The Lasting Effects of Stress on Mind and Brain
3
The Working Mind What It Does and Why
38
Evolving Concepts for the Biology of Stress
69
Effects of Stress on Memory and the Brain
100
THE WIDENING INFLUENCE OF TRAUMA IN THE WORLD TODAY
137
The Scope and Breadth of Traumatic Stress in Society Today
139
A Brief History of the Classification of StressInduced Psychiatric Illness
174
PTSD and Other StressRelated Psychiatric Disorders as Diseases of the Brain Caused by Stress
221
Treatments for PTSD and Other StressRelated Disorders May Act Through the Brain
249
The WholeBody Approach to Understanding Traumatic Stress
265
References
277
Index
301
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About the author (2002)

J. Douglas Bremner, M.D., is Associate Professor of Psychiatry and Radiology and Director of the Emory Center for Positron Emission Tomography at Emory University School of Medicine in Atlanta, Georgia, and Director of Mental Health Research at the Atlanta VAMC in Decatur, Georgia. He has authored over 150 publications, and written or edited three books, most recently Does Stress Damage the Brain? Understanding Trauma-Related Disorders from a Mind-Body Perspective.

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