Death by a Thousand Cuts: Complex Post Traumatic Stress Disorder.

#72 What is Survivor Guilt: The War Within

In this episode I talk about survivor guilt, which is a particular kind of guilt that develops in people who have survived a life-threatening situation when others have not survived. Or It can be guilt about what they did or did not do during the traumatic event and how this might have contributed to others deaths/injuries. Using interview clips from three different catastrophic events: Holocaust, HIV AIDS Epidemic, and US Veterans I offer examples that illustrate how this type of guilt shows itself.

Naparstek, Belleruth (2004). Invisible heroes : survivors of trauma and how they heal. New York, N.Y.: Bantam Books.

Boykin FF. ⁠⁠The AIDS crisis and gay male survivor guilt⁠⁠. Smith Coll Stud Soc Work. 1991;61(3):247-259. doi:10.1080/00377319109517367

Cobb S, Lindemann E. Neuropsychiatric observations. Annals of Surgery. 1947;177(1):814–824. [⁠⁠PMC free article⁠⁠] [⁠⁠PubMed⁠⁠] [⁠⁠Google Scholar⁠⁠]

Niederland WG. Clinical observations on the “survivor syndrome” The International Journal of Psychoanalysis. 1968;49:313–315. [

⁠⁠https://youtu.be/7be3O9ckZ1c?si=l6qO1OozKd2ADKCl⁠⁠

Rivera R.M. Coronavirus Pandemic: A Trigger for Survivor’s Guilt? Lat. Psychol. Today. 2020;7:27.

https://peterattiamd.com/estherperel/

# 71 Should I Give Up My Guilt or Bare It?

Understanding the type of guilt you are experiencing can inform you of whether or not to bare the guilt and move through the mourning process. If your guilt is not justified it can be helpful to identify this as neurotic guilt and realize it's self-serving nature and the unlikelihood of it leading to positive change.

Fairbairn, William Ronald Dodds (1952).Psychoanalytic Studies of the Personality. London: Routledge & Kegan Paul.

Kavaler-Adler S. From neurotic guilt to existential guilt as grief: the road to interiority, agency, and compassion through mourning. Part I. Am J Psychoanal. 2006 Sep;66(3):239-59. doi: 10.1007/s11231-006-9020-8. PMID: 16969702. Carveth,D.L.(2023).Guilt: A Contemporary Introduction.United Kingdom:Taylor & Francis.

Clear Clutter with the One Minute Rule and Nix the Multi-tasking

If a task takes you 60 seconds or less do it the moment and work your way to less clutter.

Gopher, D., Armony, L. & Greenspan, Y. (2000). Switching tasks and attention policies. Journal of Experimental Psychology: General, 129, 308-229.

Mayr, U. & Kliegl, R. (2000). Task-set switching and long-term memory retrieval. Journal of Experimental Psychology: Learning, Memory, and Cognition, 26, 1124-1140.

Rubin G.(2009). The Happiness Project. New York: Harper Collins Publishers. Jun 29, 2017

https://the-happiness-project.com/

Example of Complexity Trauma from song "I Hate Christmas (by CHXRL)."."

Discussing how lyrics match up with complex trauma disorder.

Death by a Thousand Cuts: Complex Post Traumatic Stress Disorder.

This episode is an expansion of a previous episode How to Choose a Therapist. In this episode, I discuss the 4th Wave of Psychotherapy Neuroscience and Trauma Informed Psychotherapy. I include definitions of trauma and examples of trauma informed therapy modalities. Highlighted in this episode is Complex Post Traumatic Stress Disorder, which is a frequent clinical presenting issue.

https://youtu.be/xSXciYo6Z_I?si=Nyo6eOnsYYKmnJ3J

https://open.spotify.com/track/5K0dqIdylxIoIZ5PHLthpX?si=fe983533647147f2