Emotional inteligence
and dying—or for a teacher there, unable to stop thecarnage—that helplessness must have been palpable.PTSD AS A LIMBIC DISORDER392/661It had been months since a huge earthquake shook herout of bed and sent her yelling in panic through thedarkened house to find her four-year-old son. Theyhuddled for hours in the Los Angeles night cold under aprotective doorway, pinned there without food, water, orlight while wave after wave of aftershocks tumbled theground beneath them. Now, months later, she hadlargely recovered from the ready panic that gripped herfor the first few days afterward, when a door slammingcould start her shivering with fear. The one lingeringsymptom was her inability to sleep, a problem thatstruck only on those nights her husband was away—ashe had been the night of the quake.The main symptoms of such learned fearfulness—includingthe most intense kind, PTSD—can be accountedfor by changes in the limbic circuitry focusing on theamygdala. 7 Some of the key changes are in the locus ceruleus,a structure that regulates the brain's secretion oftwo substances called catecholamines: adrenaline andnoradrenaline. These neurochemicals mobilize the bodyfor an emergency; the same catecholamine surge stampsmemories with special strength. In PTSD this system
393/661becomes hyperreactive, secreting extra-large doses ofthese brain chemicals in response to situations that holdlittle or no threat but somehow are reminders of the originaltrauma, like the children at Cleveland ElementarySchool who panicked when they heard an ambulancesiren similar to those they had heard at their schoolafter the shooting.The locus ceruleus and the amygdala are closelylinked, along with other limbic structures such as thehippocampus and hypothalamus; the circuitry for thecatecholamines extends into the cortex. Changes inthese circuits are thought to underlie PTSD symptoms,which include anxiety, fear, hypervigilance, being easilyupset and aroused, readiness for fight or flight, and theindelible encoding of intense emotional memories. 8 Vietnamvets with PTSD, one study found, had 40 percentfewer catecholamine-stopping receptors than did menwithout the symptoms—suggesting that their brains hadundergone a lasting change, with their catecholaminesecretion poorly controlled. 9Other changes occur in the circuit linking the limbicbrain with the pituitary gland, which regulates release ofCRF, the main stress hormone the body secretes to mobilizethe emergency fight-or-flight response. Thechanges lead this hormone to be oversecreted—particularlyin the amygdala, hippocampus, and locus
- Page 342 and 343: 342/661One complication in treating
- Page 344 and 345: 344/661walk again. But depressed wo
- Page 346 and 347: 346/661Like its near cousin optimis
- Page 348 and 349: 348/661comforting than the same sma
- Page 350 and 351: relationships take their own toll.
- Page 352 and 353: 352/661Perhaps the most powerful de
- Page 354 and 355: 354/661As we were leaving the exam
- Page 356 and 357: 356/661home—a progressive step th
- Page 358 and 359: 358/661effects would be to impart m
- Page 360 and 361: patients to go elsewhere for care,
- Page 362 and 363: 12The Family CrucibleIt's a low-key
- Page 364 and 365: 364/661There are hundreds of studie
- Page 366 and 367: 366/661instance, use bargaining and
- Page 368 and 369: physiological indicators of emotion
- Page 370 and 371: 370/661The difference between the t
- Page 372 and 373: 4. Self-control. The ability to mod
- Page 374 and 375: 374/661efforts to get solace will m
- Page 376 and 377: opportunity at all, let alone equal
- Page 378 and 379: learned, and how grim the costs for
- Page 380 and 381: 380/661distress of a child nearby w
- Page 382 and 383: 382/661of the brain's limbic center
- Page 384 and 385: 384/661In ensuing months, the Purdy
- Page 386 and 387: 386/661disorder, or PTSD. At the co
- Page 388 and 389: endured semistarvation, the slaught
- Page 390 and 391: 390/661overwhelming terror. 4 While
- Page 394 and 395: 394/661ceruleus—alerting the body
- Page 396 and 397: All these neural changes offer shor
- Page 398 and 399: of calm—the amygdala never relear
- Page 400 and 401: 400/661better outcome: sometimes in
- Page 402 and 403: ex-lover. The man brought them to a
- Page 404 and 405: 404/661friends and family to form a
- Page 406 and 407: 406/661The therapist encourages the
- Page 408 and 409: 408/661Aftereffects or occasional r
- Page 410 and 411: 410/661cannot keep it from reacting
- Page 412 and 413: 412/661habits of the heart learned
- Page 414 and 415: 414/661different pattern of brain a
- Page 416 and 417: 416/661monsters. Though he has felt
- Page 418 and 419: 418/661five infants falls into the
- Page 420 and 421: 420/661These sensitive children are
- Page 422 and 423: 422/661to help her up, and as I did
- Page 424 and 425: 424/661or the other type, says Davi
- Page 426 and 427: 426/661parents, and so how they lea
- Page 428 and 429: 428/661When the encounter takes pla
- Page 430 and 431: 430/661spontaneously outgrew their
- Page 432 and 433: 432/661was reopened, the animal was
- Page 434 and 435: The remarkable finding, though, was
- Page 436 and 437: 436/661switch for distress. The inf
- Page 438 and 439: 438/661emotional habits are malleab
- Page 440 and 441: 15The Cost of Emotional IlliteracyI
and dying—or for a teacher there, unable to stop the
carnage—that helplessness must have been palpable.
PTSD AS A LIMBIC DISORDER
392/661
It had been months since a huge earthquake shook her
out of bed and sent her yelling in panic through the
darkened house to find her four-year-old son. They
huddled for hours in the Los Angeles night cold under a
protective doorway, pinned there without food, water, or
light while wave after wave of aftershocks tumbled the
ground beneath them. Now, months later, she had
largely recovered from the ready panic that gripped her
for the first few days afterward, when a door slamming
could start her shivering with fear. The one lingering
symptom was her inability to sleep, a problem that
struck only on those nights her husband was away—as
he had been the night of the quake.
The main symptoms of such learned fearfulness—including
the most intense kind, PTSD—can be accounted
for by changes in the limbic circuitry focusing on the
amygdala. 7 Some of the key changes are in the locus ceruleus,
a structure that regulates the brain's secretion of
two substances called catecholamines: adrenaline and
noradrenaline. These neurochemicals mobilize the body
for an emergency; the same catecholamine surge stamps
memories with special strength. In PTSD this system