Healing both requires and implies regaining the vulnerability that made us shut down emotionally in the first place. We are no longer helplessly dependent children; we no longer need fear emotional vulnerability. We can permit ourselves to honour the universally reciprocal human need for connection and to challenge the ingrained belief that unconsciously burdens so many people with chronic illness: that we are not lovable. Seeking connections is a necessity for healing. (p279)
Hungarian-Canadian physician (1944–)
Gabor Maté CM (born January 6, 1944) is a Hungarian-Canadian physician and author. He has a background in family practice and a special interest in childhood development, trauma and potential lifelong impacts on physical and mental health including autoimmune disease, cancer, attention deficit hyperactivity disorder (ADHD), addictions and a wide range of other conditions.
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In order to heal, it is essential to gather the strength to think negatively. Negative thinking is not a doleful, pessimistic view that masquerades as “realism.” Rather, it is a willingness to consider what is not working. What is not in balance? What have I ignored? What is my body saying no to? Without these questions, the stresses responsible for our lack of balance will remain hidden. (p244)
Emotions interpret the world for us. They have a signal function, telling us about our internal states as they are affected by input from the outside. Emotions are responses to present stimuli as filtered through the memory of past experience, and they anticipate the future based on our perception of the past. (p206)
As Selye pointed out, the salient stressors in the lives of most human beings today — at least in the industrialized world — are emotional. Just like laboratory animals unable to escape, people find themselves trapped in lifestyles and emotional patterns inimical to their health. The higher the level of economic development, it seems, the more anaesthetized we have become to our emotional realities. We no longer sense what is happening in our bodies and cannot therefore act in self-preserving ways. The physiology of stress eats away at our bodies not because it has outlived its usefulness but because we may no longer have the competence to recognize its signals. (p36)
The average physician, when they do their prenatal visit, they don’t ask about the woman’s emotional state or the stress in their lives... In British Columbia, the Caesarean section rate is almost 40 per cent now, which is incredibly high... that degree of intervention actually interferes with the natural bonding between mother and infant. So right from the beginning, we just don’t get it... At the University of British Columbia, where I was trained 40 years ago, the average medical student still doesn’t get a single, coherent lecture on the impact of emotional trauma on physical health, even though we know... that people with stress and trauma in their lives have an increased risk of rheumatoid arthritis, multiple sclerosis, depression, psychosis, ADHD, and so on. So, the first thing has to be at least the training of physicians in the unshakable unity of mind and body, of educators as well, because many of the troubled kids that educators are helpless to know what to do with are actually traumatized kids. And politicians, if their policies are trauma informed, are going to have a totally different legal system, we’d have a totally different approach to addiction and so on.
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Trauma and stress are so normal in society that we take them to be almost natural occurrences... We think this is normal. But actually, from the point of view of human needs and human evolution, the current way of living that we pursue is actually abnormal and is the cause of a lot of ailments of body and mind... a lot can be done as long as we recognize the problem. The issue is that my own profession, the medical profession, despite all the science that links the mind and body, emotions and physiology, doesn’t link them... physicians are not trained in understanding the whole human being and the unshakeable oneness of our existence.
Capitalism is the system that we live under... and for all its economic achievements and scientific breakthroughs — which are very unevenly distributed, with a lot of inequality, which itself is a source of illness — it’s a system that’s based on fundamental assumptions... that people are individualistic and competitive... In fact, from an evolutionary point of view, had we been individualistic and competitive, we never would have evolved. We evolved as communal creatures in close contact with each other, with a lot of mutual support. Now, if you develop a system that’s based on the opposite perspective... then you’re running roughshod over human needs. And so to understand what’s happening on an individual level, you really have to look at what’s happening on a macro level. And this trauma shows up, not only in the personalized, but of course in politics and other areas of our culture. So we really have to look at the larger picture, and not just think that illness is somehow an individual aberration. It’s really a manifestation of a system that is a toxic culture.