134-491: A broken heart (also known as heartbreak or heartache ) is a metaphor for the intense emotional stress or pain one feels at experiencing great loss or deep longing . The concept is cross-cultural, often cited with reference to unreciprocated or lost love. Failed romantic love or unrequited love can be extremely painful; people suffering from a broken heart may succumb to depression , anxiety and, in more extreme cases, post-traumatic stress disorder . The intense pain of
268-598: A terrorist attack . Short-term reactions such as psychological shock and psychological denial are typically followed. Long-term reactions and effects include bipolar disorder , uncontrollable flashbacks , panic attacks , insomnia , nightmare disorder, difficulties with interpersonal relationships , and post-traumatic stress disorder (PTSD). Physical symptoms including migraines , hyperventilation, hyperhidrosis, and nausea are often developed. As subjective experiences differ between individuals, people react to similar events differently. Most people who experience
402-436: A "conduit metaphor." According to this view, a speaker can put ideas or objects into containers and then send them along a conduit to a listener, who removes the object from the container to make meaning of it. Thus, communication is conceptualized as something that ideas flow into, with the container being separate from the ideas themselves. Lakoff and Johnson provide several examples of daily metaphors in use, including "argument
536-441: A broader view of health problems than biomedical models. Evidence suggests that a minority of people who experience severe trauma in adulthood will experience enduring personality change. Personality changes include guilt, distrust, impulsiveness, aggression, avoidance, obsessive behaviour, emotional numbness, loss of interest, hopelessness and altered self-perception. A number of psychotherapy approaches have been designed with
670-553: A broken heart is believed to be part of the survival instinct. The " social-attachment system " uses the " pain system " to encourage humans to maintain their close social relationships by causing pain when those relationships are lost. Psychologists Geoff MacDonald of the University of Queensland and Mark Leary of Wake Forest University proposed in 2005 the evolution of common mechanisms for both physical and emotional pain responses and argue that such expressions are "more than just
804-707: A character, Enobarbus , who dies of a broken heart after betraying a friend. Lady Montague dies of a broken heart after the banishment of her son in Romeo and Juliet . Frida Kahlo 's 1937 painting Memory, the Heart portrays the artist's heartbreak during and after an affair between her husband and her sister . Metaphor A metaphor is a figure of speech that, for rhetorical effect, directly refers to one thing by mentioning another. It may provide (or obscure) clarity or identify hidden similarities between two different ideas. Metaphors are usually meant to create
938-481: A characteristic of speech and writing, metaphors can serve the poetic imagination. This allows Sylvia Plath , in her poem "Cut", to compare the blood issuing from her cut thumb to the running of a million soldiers, " redcoats , every one"; and enabling Robert Frost , in "The Road Not Taken", to compare a life to a journey. Metaphors can be implied and extended throughout pieces of literature. Sonja K. Foss characterizes metaphors as "nonliteral comparisons in which
1072-501: A client to experience and process through their trauma safely and effectively. As "trauma" adopted a more widely defined scope, traumatology as a field developed a more interdisciplinary approach. This is in part due to the field's diverse professional representation including: psychologists, medical professionals, and lawyers. As a result, findings in this field are adapted for various applications, from individual psychiatric treatments to sociological large-scale trauma management. While
1206-437: A common-type metaphor is generally considered more forceful than a simile . The metaphor category contains these specialized types: It is said that a metaphor is 'a condensed analogy' or 'analogical fusion' or that they 'operate in a similar fashion' or are 'based on the same mental process' or yet that 'the basic processes of analogy are at work in metaphor'. It is also pointed out that 'a border between metaphor and analogy
1340-415: A comparison that shows how two things, which are not alike in most ways, are similar in another important way. In this context, metaphors contribute to the creation of multiple meanings within polysemic complexes across different languages. Furthermore, Lakoff and Johnson explain that a metaphor is essentially the understanding and experiencing of one kind of thing in terms of another, which they refer to as
1474-904: A few common aspects. There is frequently a violation of the person's core assumptions about the world and their human rights , putting the person in a state of extreme confusion and insecurity. This is seen when institutions depended upon for survival violate, humiliate, betray , or cause major losses or separations instead of evoking aspects like positive self worth, safe boundaries and personal freedom. Psychologically traumatic experiences often involve physical trauma that threatens one's survival and sense of security. Typical causes and dangers of psychological trauma include harassment ; embarrassment ; abandonment; abusive relationships; rejection; co-dependence; physical assault; sexual abuse ; partner battery; employment discrimination ; police brutality ; judicial corruption and misconduct ; bullying ; paternalism ; domestic violence ; indoctrination ; being
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#17327901169291608-542: A full depressive episode. Major depression tends to be more pervasive and is characterized by significant difficulty in experiencing self-validating and positive feelings. Major depression is composed of a recognizable and stable cluster of debilitating symptoms, accompanied by a protracted, enduring low mood. It tends to be persistent and associated with poor work and social functioning, pathological immunological function, and other neurobiological changes unless treated. In relationship breakups, mourners may turn their anger over
1742-421: A general description of Freud's understanding of trauma, which varied significantly over the course of Freud's career: "An event in the subject's life, defined by its intensity, by the subject's incapacity to respond adequately to it and by the upheaval and long-lasting effects that it brings about in the psychical organization". The French psychoanalyst Jacques Lacan claimed that what he called " The Real " had
1876-459: A greater sense of belongingness. These outcomes are protective against the devastating impacts of psychological trauma. All psychological traumas originate from stress, a physiological response to an unpleasant stimulus. Long-term stress increases the risk of poor mental health and mental disorders, which can be attributed to secretion of glucocorticoids for a long period of time. Such prolonged exposure causes many physiological dysfunctions such as
2010-453: A hostage or being kidnapped can also cause psychological trauma. Long-term exposure to situations such as extreme poverty or other forms of abuse , such as verbal abuse , exist independently of physical trauma but still generate psychological trauma. Some theories suggest childhood trauma can increase one's risk for mental disorders including post-traumatic stress disorder (PTSD), depression, and substance abuse. Childhood adversity
2144-484: A likeness or an analogy. Analysts group metaphors with other types of figurative language, such as antithesis , hyperbole , metonymy , and simile . “Figurative language examples include “similes, metaphors, personification, hyperbole, allusions, and idioms.”” One of the most commonly cited examples of a metaphor in English literature comes from the " All the world's a stage " monologue from As You Like It : All
2278-445: A metaphor as having two parts: the tenor and the vehicle. The tenor is the subject to which attributes are ascribed. The vehicle is the object whose attributes are borrowed. In the previous example, "the world" is compared to a stage, describing it with the attributes of "the stage"; "the world" is the tenor, and "a stage" is the vehicle; "men and women" is the secondary tenor, and "players" is the secondary vehicle. Other writers employ
2412-414: A metaphor for understanding. The audience does not need to visualize the action; dead metaphors normally go unnoticed. Some distinguish between a dead metaphor and a cliché . Others use "dead metaphor" to denote both. A mixed metaphor is a metaphor that leaps from one identification to a second inconsistent with the first, e.g.: I smell a rat [...] but I'll nip him in the bud" This form is often used as
2546-447: A metaphor is defined as a semantic change based on a similarity in form or function between the original concept and the target concept named by a word. For example, mouse : "small, gray rodent with a long tail" → "small, gray computer device with a long cord". Some recent linguistic theories hold that language evolved from the capability of the brain to create metaphors that link actions and sensations to sounds. Aristotle discusses
2680-429: A metaphor". The concept is believed to be universal, with many cultures using the same words to describe both physical pain and the feelings associated with relationship loss. The neurological process involved in the perception of heartache is not known, but is thought to involve the anterior cingulate cortex of the brain, which during stress may overstimulate the vagus nerve causing pain, nausea or muscle tightness in
2814-465: A metaphorically related area. Cognitive linguists emphasize that metaphors serve to facilitate the understanding of one conceptual domain—typically an abstraction such as "life", "theories" or "ideas"—through expressions that relate to another, more familiar conceptual domain—typically more concrete, such as "journey", "buildings" or "food". For example: one devours a book of raw facts, tries to digest them, stews over them, lets them simmer on
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#17327901169292948-487: A metonymy relies on pre-existent links within such domains. For example, in the phrase "lands belonging to the crown", the word crown is a metonymy because some monarchs do indeed wear a crown, physically. In other words, there is a pre-existent link between crown and monarchy . On the other hand, when Ghil'ad Zuckermann argues that the Israeli language is a "phoenicuckoo cross with some magpie characteristics", he
3082-404: A parody of metaphor itself: If we can hit that bull's-eye then the rest of the dominoes will fall like a house of cards... Checkmate . An extended metaphor, or conceit, sets up a principal subject with several subsidiary subjects or comparisons. In the above quote from As You Like It , the world is first described as a stage and then the subsidiary subjects men and women are further described in
3216-539: A person with a traumatic disorder to engage in disruptive behaviors or self-destructive coping mechanisms, often without being fully aware of the nature or causes of their own actions. Panic attacks are an example of a psychosomatic response to such emotional triggers. Consequently, intense feelings of anger may frequently surface, sometimes in inappropriate or unexpected situations, as danger may always seem to be present due to re-experiencing past events. Upsetting memories such as images, thoughts, or flashbacks may haunt
3350-414: A pioneer of modern psychodynamic perspective, also argues that social relations can help people recover from trauma, but specifically refers to attachment theory and the attachment dynamic of the therapeutic relationship. Fosha argues that the sense of emotional safety and co-regulation that occurs in a psychodynamically oriented therapeutic relationship acts as the secure attachment that is necessary to allow
3484-480: A potentially traumatic event do not become psychologically traumatized, though they may be distressed and experience suffering. Some will develop PTSD after exposure to a traumatic event, or series of events. This discrepancy in risk rate can be attributed to protective factors some individuals have, that enable them to cope with difficult events, including temperamental and environmental factors, such as resilience and willingness to seek help. Psychotraumatology
3618-439: A recording of an event, even if distressing, does not cause trauma; however, an exception is made to the diagnostic criteria for work-related exposures. Vicarious trauma affects workers who witness their clients' trauma. It is more likely to occur in situations where trauma-related work is the norm rather than the exception. Listening with empathy to the clients generates feeling, and seeing oneself in clients' trauma may compound
3752-460: A sociological, cultural, or philosophical perspective, one asks to what extent ideologies maintain and impose conceptual patterns of thought by introducing, supporting, and adapting fundamental patterns of thinking metaphorically. The question is to what extent the ideology fashion and refashion the idea of the nation as a container with borders, and how enemies and outsiders are represented. Some cognitive scholars have attempted to take on board
3886-456: A sustained type of stress that constitutes an emotional trauma which can be severe enough to leave an emotional imprint on individuals' psychobiological functioning, affecting future choices and responses to rejection, loss, or disconnection. A contributing factor to the trauma-producing event is that 'being left' can trigger primal separation fear – the fear of being left with no one to take care of one's vital needs. Mourners may also experience
4020-472: A tornado. Based on his analysis, Jaynes claims that metaphors not only enhance description, but "increase enormously our powers of perception...and our understanding of [the world], and literally create new objects". Metaphors are most frequently compared with similes . A metaphor asserts the objects in the comparison are identical on the point of comparison, while a simile merely asserts a similarity through use of words such as like or as . For this reason
4154-435: A trauma reminder, also called a trauma trigger . These can produce uncomfortable and even painful feelings. Re-experiencing can damage people's sense of safety, self, self-efficacy , as well as their ability to regulate emotions and navigate relationships. They may turn to psychoactive drugs , including alcohol , to try to escape or dampen the feelings. These triggers cause flashbacks, which are dissociative experiences where
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4288-426: A traumatic quality external to symbolization. As an object of anxiety, Lacan maintained that The Real is "the essential object which isn't an object any longer, but this something faced with which all words cease and all categories fail, the object of anxiety par excellence ". Fred Alford, citing the work of object relations theorist Donald Winnicott , uses the concept of inner other, and internal representation of
4422-544: A triggering mechanism resulting in an individual's inability to cope with the stress of certain events." Often, psychological aspects of trauma are overlooked even by health professionals: "If clinicians fail to look through a trauma lens and to conceptualize client problems as related possibly to current or past trauma, they may fail to see that trauma victims, young and old, organize much of their lives around repetitive patterns of reliving and warding off traumatic memories, reminders, and affects." Biopsychosocial models offer
4556-653: A word or phrase from one domain of experience is applied to another domain". She argues that since reality is mediated by the language we use to describe it, the metaphors we use shape the world and our interactions to it. The term metaphor is used to describe more basic or general aspects of experience and cognition: Some theorists have suggested that metaphors are not merely stylistic, but are also cognitively important.In Metaphors We Live By , George Lakoff and Mark Johnson argue that metaphors are pervasive in everyday life, not only in language but also in thought and action. A common definition of metaphor can be described as
4690-421: Is a metaphor, coming from a Greek term meaning 'transference (of ownership)'. The user of a metaphor alters the reference of the word, "carrying" it from one semantic "realm" to another. The new meaning of the word might derive from an analogy between the two semantic realms, but also from other reasons such as the distortion of the semantic realm - for example in sarcasm. The English word metaphor derives from
4824-464: Is aimed more at correcting or minimizing the damage of a stressful event. A passive response is often characterized by an emotional numbness or ignorance of a stressor. There is also a distinction between trauma induced by recent situations and long-term trauma which may have been buried in the unconscious from past situations such as child abuse . Trauma is sometimes overcome through healing; in some cases this can be achieved by recreating or revisiting
4958-574: Is an emotional response caused by severe distressing events that are outside the normal range of human experiences. It must be understood by the affected person as directly threatening the affected person or their loved ones generally with death , severe bodily injury , or sexual violence ; indirect exposure, such as from watching television news, may be extremely distressing and can produce an involuntary and possibly overwhelming physiological stress response , but does not produce trauma per se . Examples of distressing events include violence , rape , or
5092-415: Is an open question whether synesthesia experiences are a sensory version of metaphor, the "source" domain being the presented stimulus, such as a musical tone, and the target domain, being the experience in another modality, such as color. Art theorist Robert Vischer argued that when we look at a painting, we "feel ourselves into it" by imagining our body in the posture of a nonhuman or inanimate object in
5226-611: Is another mental health disorder with symptoms similar to that of psychological trauma, such as hyper-vigilance and intrusive thoughts . Research has indicated that individuals who have experienced a traumatic event have been known to use symptoms of obsessive- compulsive disorder, such as compulsive checking of safety, as a way to mitigate the symptoms associated with trauma. In time, emotional exhaustion may set in, leading to distraction, and clear thinking may be difficult or impossible. Emotional detachment , as well as dissociation or "numbing out" can frequently occur. Dissociating from
5360-492: Is another type of cognitive behavioral therapy that focuses on learning safe coping skills for co-occurring PTSD and substance use problems. While some sources highlight Seeking Safety as effective with strong research support, others have suggested that it did not lead to improvements beyond usual treatment. A review from 2014 showed that a combination of treatments involving dialectical behavior therapy (DBT), often used for borderline personality disorder, and exposure therapy
5494-459: Is any coherent organization of experience. For example, we have coherently organized knowledge about journeys that we rely on in understanding life. Lakoff and Johnson greatly contributed to establishing the importance of conceptual metaphor as a framework for thinking in language, leading scholars to investigate the original ways in which writers used novel metaphors and question the fundamental frameworks of thinking in conceptual metaphors. From
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5628-482: Is associated with neuroticism during adulthood. Parts of the brain in a growing child are developing in a sequential and hierarchical order, from least complex to most complex. The brain's neurons change in response to the constant external signals and stimulation, receiving and storing new information. This allows the brain to continually respond to its surroundings and promote survival. The five traditional signals (sight, hearing, taste, smell, and touch) contribute to
5762-449: Is commonly described as a physical pain in the chest or heart or stomach area, which is due to the emotional stress caused by a traumatic breakup or the death of a loved one. Broken heart syndrome mimics symptoms of a heart attack, but it is clinically different from a heart attack because the patients have few risk factors for heart disease and were previously healthy prior to the heart muscles weakening. Some echocardiograms expressed how
5896-403: Is effective in reducing PTSD and depression symptoms, and it increases the likelihood of patients no longer meeting the criteria for PTSD. There is a large body of empirical support for the use of cognitive behavioral therapy for the treatment of trauma-related symptoms, including post-traumatic stress disorder . Institute of Medicine guidelines identify cognitive behavioral therapies as
6030-500: Is fuzzy' and 'the difference between them might be described (metaphorically) as the distance between things being compared'. Metaphor is distinct from metonymy , as the two concepts embody different fundamental modes of thought . Metaphor works by bringing together concepts from different conceptual domains, whereas metonymy uses one element from a given domain to refer to another closely related element. A metaphor creates new links between otherwise distinct conceptual domains, whereas
6164-495: Is highly effective in treating psychological trauma. If, however, psychological trauma has caused dissociative disorders or complex PTSD , the trauma model approach (also known as phase-oriented treatment of structural dissociation) has been proven to work better than the simple cognitive approach. Studies funded by pharmaceuticals have also shown that medications such as the new anti-depressants are effective when used in combination with other psychological approaches. At present,
6298-690: Is important to note the presence of possible avoidance responses. Avoidance responses may involve the absence of expected activation or emotional reactivity as well as the use of avoidance mechanisms (e.g., substance use, effortful avoidance of cues associated with the event, dissociation). In addition to monitoring activation and avoidance responses, clinicians carefully observe the individual's strengths or difficulties with affect regulation (i.e., affect tolerance and affect modulation). Such difficulties may be evidenced by mood swings, brief yet intense depressive episodes , or self-mutilation . The information gathered through observation of affect regulation will guide
6432-458: Is in the best interests of both the child and the parent(s). Trauma is hard to speak of by those that experience it. The event in question might recur to them in a dream or another medium, but it is rare for them to speak of it. Trauma can be caused by human-made, technological and natural disasters, including war, abuse, violence, vehicle collisions, or medical emergencies. An individual's response to psychological trauma can be varied based on
6566-407: Is its own egg. Furthermore, the metaphor magpie is employed because, according to Zuckermann, hybridic Israeli displays the characteristics of a magpie, "stealing" from languages such as Arabic and English . A dead metaphor is a metaphor in which the sense of a transferred image has become absent. The phrases "to grasp a concept" and "to gather what you've understood" use physical action as
6700-404: Is powerfully destructive' through the paraphrand of physical and emotional destruction; another person might understand the metaphor as 'Pat can spin out of control'. In the latter case, the paraphier of 'spinning motion' has become the paraphrand 'psychological spin', suggesting an entirely new metaphor for emotional unpredictability, a possibly apt description for a human being hardly applicable to
6834-505: Is that insecure attachments in childhood have shown to predispose the individuals to difficulties in forming secure attachments in adulthood and to having heightened responses to rejection and loss. There is also variation in individuals' neurochemical systems that govern the stress regulation. Depending on the severity of the stress response induced in an individual by an event (i.e. a romantic breakup), certain concentrations of stress hormones including CRF, ACTH, and cortisol work to intensify
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#17327901169296968-488: Is the stress of losing someone with whom the mourner has come to rely in ways they did not realize. For instance, in time, couples can become external regulators for one another, attuned on many levels: pupils dilated in synchrony, echoing one another's speech patterns, movements, and even cardiac and EEG rhythms. Couples can function like a mutual bio-feedback system, stimulating and modulating each other's bio rhythms, responding to one another's pheromones, and be addicted due to
7102-420: Is the study of psychological trauma. People who experience trauma often have problems and difficulties afterwards. The severity of these symptoms depends on the person, the types of trauma involved, and the support and treatment they receive from others. The range of reactions to trauma can be wide and varied, and differ in severity from person to person. After a traumatic experience, a person may re-experience
7236-405: Is using metaphor . There is no physical link between a language and a bird. The reason the metaphors phoenix and cuckoo are used is that on the one hand hybridic Israeli is based on Hebrew , which, like a phoenix, rises from the ashes; and on the other hand, hybridic Israeli is based on Yiddish , which like a cuckoo, lays its egg in the nest of another bird, tricking it to believe that it
7370-426: Is war" and "time is money." These metaphors are widely used in various contexts to describe personal meaning. In addition, the authors suggest that communication can be viewed as a machine: "Communication is not what one does with the machine, but is the machine itself." Moreover, experimental evidence shows that "priming" people with material from one area can influence how they perform tasks and interpret language in
7504-569: The secondary somatosensory cortex and the dorsal posterior insula . For most bereaved individuals, the journey through grief will ultimately culminate in an acceptable level of adjustment to a life without their loved one. The Kübler-Ross model postulates that there are five stages of grief after the loss of a loved-one: denial, anger, bargaining, depression and acceptance. And while it is recognized that mourners go through initial period of numbness leading to depression and finally to reorganization and recovery, most modern grief specialists recognize
7638-563: The 16th-century Old French word métaphore , which comes from the Latin metaphora , 'carrying over', and in turn from the Greek μεταφορά ( metaphorá ), 'transference (of ownership)', from μεταφέρω ( metapherō ), 'to carry over, to transfer' and that from μετά ( meta ), 'behind, along with, across' + φέρω ( pherō ), 'to bear, to carry'. The Philosophy of Rhetoric (1936) by rhetorician I. A. Richards describes
7772-450: The 1890s that psychological trauma was the origin of all instances of the mental illness known as hysteria . Charcot's "traumatic hysteria" often manifested as paralysis that followed a physical trauma, typically years later after what Charcot described as a period of "incubation". Sigmund Freud , Charcot's student and the father of psychoanalysis , examined the concept of psychological trauma throughout his career. Jean Laplanche has given
7906-566: The Brain", takes on board the dual problem of conceptual metaphor as a framework implicit in the language as a system and the way individuals and ideologies negotiate conceptual metaphors. Neural biological research suggests some metaphors are innate, as demonstrated by reduced metaphorical understanding in psychopathy. James W. Underhill, in Creating Worldviews: Ideology, Metaphor & Language (Edinburgh UP), considers
8040-678: The Non-Moral Sense . Some sociologists have found his essay useful for thinking about metaphors used in society and for reflecting on their own use of metaphor. Sociologists of religion note the importance of metaphor in religious worldviews, and that it is impossible to think sociologically about religion without metaphor. Archived 19 August 2014 at the Wayback Machine Psychological trauma Psychological trauma (also known as mental trauma , psychiatric trauma , emotional damage , or psychotrauma )
8174-460: The activities are play genogram, sand worlds, coloring feelings, self and kinetic family drawing, symbol work, dramatic-puppet play, story telling, Briere's TSCC, etc. The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) defines trauma as the symptoms that occur following exposure to an event (i.e., traumatic event) that involves actual or threatened death, serious injury, or sexual violence. This exposure could come in
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#17327901169298308-552: The actual efficacy of yoga in reducing the effects of trauma needs more exploration. In health and social care settings, a trauma informed approach means that care is underpinned by understandings of trauma and its far-reaching implications. Trauma is widespread. For example, 26% of participants in the Adverse Childhood Experiences (ACEs) study were survivors of one ACE and 12.5% were survivors of four or more ACEs. A trauma-informed approach acknowledges
8442-483: The assessing clinician may proceed by inquiring about both the traumatic event and the outcomes experienced (e.g., post-traumatic symptoms, dissociation, substance abuse , somatic symptoms, psychotic reactions). Such inquiry occurs within the context of established rapport and is completed in an empathic, sensitive, and supportive manner. The clinician may also inquire about possible relational disturbance, such as alertness to interpersonal danger, abandonment issues , and
8576-433: The back-burner , regurgitates them in discussions, and cooks up explanations, hoping they do not seem half-baked . A convenient short-hand way of capturing this view of metaphor is the following: Conceptual Domain (A) is Conceptual Domain (B), which is what is called a conceptual metaphor . A conceptual metaphor consists of two conceptual domains, in which one domain is understood in terms of another. A conceptual domain
8710-417: The chest. Research by Naomi Eisenberger and Matthew Lieberman of the University of California from 2008 showed that rejection is associated with activation of the dorsal anterior cingulate cortex and right-ventral pre-frontal cortex , areas established as being involved in processing of pain, including empathizing with pain experienced by others. The same researchers mention effect of social stressors on
8844-696: The clinician's decisions regarding the individual's readiness to partake in various therapeutic activities. Though assessment of psychological trauma may be conducted in an unstructured manner, assessment may also involve the use of a structured interview. Such interviews might include the Clinician-Administered PTSD Scale , Acute Stress Disorder Interview, Structured Interview for Disorders of Extreme Stress, Structured Clinical Interview for DSM-IV Dissociative Disorders - Revised, and Brief Interview for post-traumatic Disorders. Lastly, assessment of psychological trauma might include
8978-411: The complexity of the interaction between traumatic event occurrence and trauma symptomatology, a person's distress response to aversive details of a traumatic event may involve intense fear or helplessness, but ranges according to the context. In children, trauma symptoms can be manifested in the form of disorganized or agitative behaviors. Trauma can be caused by a wide variety of events, but there are
9112-425: The context of any language system which claims to embody richness and depth of understanding. In addition, he clarifies the limitations associated with a literal interpretation of the mechanistic Cartesian and Newtonian depictions of the universe as little more than a "machine" – a concept which continues to underlie much of the scientific materialism which prevails in the modern Western world. He argues further that
9246-587: The course of creating fictions through the use of metaphor we can also perceive and manipulate props into new improvised representations of something entirely different in a game of "make-believe". Suddenly the properties of the props themselves take on primary importance. In the process the participants in the game may be only partially conscious of the "prop oriented" nature of the game itself. Metaphors can map experience between two nonlinguistic realms. Musicologist Leonard B. Meyer demonstrated how purely rhythmic and harmonic events can express human emotions. It
9380-427: The creation of metaphors at the end of his Poetics : "But the greatest thing by far is to be a master of metaphor. It is the one thing that cannot be learnt from others; and it is also a sign of genius, since a good metaphor implies an intuitive perception of the similarity in dissimilars." Baroque literary theorist Emanuele Tesauro defines the metaphor "the most witty and acute, the most strange and marvelous,
9514-410: The developing brain structure and its function. Infants and children begin to create internal representations of their external environment, and in particular, key attachment relationships, shortly after birth. Violent and victimizing attachment figures impact infants' and young children's internal representations. The more frequently a specific pattern of brain neurons is activated, the more permanent
9648-440: The development of various imaginative ends. In "content oriented" games, users derive value from such props as a result of the intrinsic fictional content which they help to create through their participation in the game. As familiar examples of such content oriented games, Walton points to putting on a play of Hamlet or "playing cops and robbers". Walton further argues, however, that not all games conform to this characteristic. In
9782-529: The environment for danger). Research shows that about 60% of the US population reported as having experienced at least one traumatic symptom in their lives, but only a small proportion actually develops PTSD. There is a correlation between the risk of PTSD and whether or not the act was inflicted deliberately by the offender. Psychological trauma is treated with therapy and, if indicated, psychotropic medications. The term continuous posttraumatic stress disorder (CTSD)
9916-437: The event. Because individuals may not yet be capable of managing this distress, it is necessary to determine how the event can be discussed in such a way that will not "retraumatize" the individual. It is also important to take note of such responses, as these responses may aid the clinician in determining the intensity and severity of possible post traumatic stress as well as the ease with which responses are triggered. Further, it
10050-509: The field has adopted a number of diverse methodological approaches, many pose their own limitations in practical application. The experience and outcomes of psychological trauma can be assessed in a number of ways. Within the context of a clinical interview, the risk of imminent danger to the self or others is important to address but is not the focus of assessment. In most cases, it will not be necessary to involve contacting emergency services (e.g., medical, psychiatric, law enforcement) to ensure
10184-451: The form of experiencing the event or witnessing the event, or learning that an extreme violent or accidental event was experienced by a loved one. Trauma symptoms may come in the form of intrusive memories, dreams, or flashbacks; avoidance of reminders of the traumatic event; negative thoughts and feelings; or increased alertness or reactivity. Memories associated with trauma are typically explicit, coherent, and difficult to forget. Due to
10318-432: The formulation of metaphors at the center of a "Game of Make Believe," which is regulated by tacit norms and rules. These "principles of generation" serve to determine several aspects of the game which include: what is considered to be fictional or imaginary, as well as the fixed function which is assumed by both objects and people who interact in the game. Walton refers to such generators as "props" which can serve as means to
10452-403: The general terms ground and figure to denote the tenor and the vehicle. Cognitive linguistics uses the terms target and source , respectively. Psychologist Julian Jaynes coined the terms metaphrand and metaphier , plus two new concepts, paraphrand and paraphier . Metaphrand is equivalent to the metaphor-theory terms tenor , target , and ground . Metaphier is equivalent to
10586-436: The genus, since both old age and stubble are [species of the genus of] things that have lost their bloom." Metaphors, according to Aristotle, have "qualities of the exotic and the fascinating; but at the same time we recognize that strangers do not have the same rights as our fellow citizens". Educational psychologist Andrew Ortony gives more explicit detail: "Metaphors are necessary as a communicative device because they allow
10720-501: The heart is achieved within two months. Physiological and biochemical changes that contribute to higher physical illnesses and heart disease have been found in individuals that have high levels of anxiety and depression. Some individuals who have divorced have compromised immune systems because of inflammatory cytokines followed by a state of depression. The sentiment is expressed in a collection of Sumerian proverbs: May Inana pour oil on my heart that aches. Biblical references to
10854-449: The heart, and personality on perception of pain. A 2011 study showed that the same regions of the brain that become active in response to painful sensory experiences are activated during intense social rejection or social loss in general. Social psychologist Ethan Kross from University of Michigan , who was heavily involved in the study, said, "These results give new meaning to the idea that social rejection hurts". The research implicates
10988-528: The hippocampus, cognitive and affective impairment. This is significant in brain scan studies done regarding higher-order function assessment with children and youth who were in vulnerable environments. Some traumatized people may feel permanently damaged when trauma symptoms do not go away and they do not believe their situation will improve. This can lead to feelings of despair, transient paranoid ideation, loss of self-esteem , profound emptiness , suicidality, and frequently, depression . If important aspects of
11122-407: The horn of my salvation, my stronghold" and "The Lord is my shepherd, I shall not want". Some recent linguistic theories view all language in essence as metaphorical. The etymology of a word may uncover a metaphorical usage which has since become obscured with persistent use - such as for example the English word " window ", etymologically equivalent to "wind eye". The word metaphor itself
11256-542: The idea that different languages have evolved radically different concepts and conceptual metaphors, while others hold to the Sapir-Whorf hypothesis . German philologist Wilhelm von Humboldt contributed significantly to this debate on the relationship between culture, language, and linguistic communities. Humboldt remains, however, relatively unknown in English-speaking nations. Andrew Goatly , in "Washing
11390-430: The imprinting of an emotional memory of the event, indelibly inscribing its fears and other sensations in the amygdala (to serve as a warning for future events), while the same stress hormones can act to impede. In many legends and fictional tales, characters die after suffering a devastating loss; however, even in reality people die from what appears to be a broken heart. Takotsubo cardiomyopathy, or broken heart syndrome,
11524-418: The individual is less likely to resort to self harm. In these situations it is best to provide a supportive, caring environment and to communicate to the individual that no matter the circumstance, the individual will be taken seriously rather than being treated as delusional. It is vital for the assessor to understand that what is going on in the traumatized person's head is valid and real. If deemed appropriate,
11658-469: The individual to integrate upsetting-distressing material (thoughts, feelings and memories) and to resolve these internally. It also aids in the growth of personal skills like resilience, ego regulation, empathy, etc. Processes involved in trauma therapy are: A number of complementary approaches to trauma treatment have been implicated as well, including yoga and meditation. There has been recent interest in developing trauma-sensitive yoga practices, but
11792-429: The individuals safety; members of the individual's social support network are much more critical. Understanding and accepting the psychological state of an individual is paramount. There are many misconceptions of what it means for a traumatized individual to be in psychological crisis. These are times when an individual is in inordinate amounts of pain and incapable of self-comfort. If treated humanely and respectfully,
11926-401: The intense stress of helplessness. If they make repeated attempts to compel their loved one to return and are unsuccessful, they will feel helpless and inadequate to the task. Feeling one's "limited capacity" can produce a fault line in the psyche which renders the person prone to heightened emotional responses within primary relationships. Another factor contributing to the traumatic conditions
12060-629: The internal representation associated with the pattern becomes. This causes sensitization in the brain towards the specific neural network. Because of this sensitization, the neural pattern can be activated by decreasingly less external stimuli. Child abuse tends to have the most complications, with long-term effects out of all forms of trauma, because it occurs during the most sensitive and critical stages of psychological development. It could lead to violent behavior, possibly as extreme as serial murder. For example, Hickey's Trauma-Control Model suggests that " childhood trauma for serial murderers may serve as
12194-533: The label for this condition after the Vietnam War in which many veterans returned to their respective countries demoralized, and sometimes, addicted to psychoactive substances. The symptoms of PTSD must persist for at least one month for diagnosis to be made. The main symptoms of PTSD consist of four main categories: trauma (i.e. intense fear), reliving (i.e. flashbacks), avoidance behavior (i.e. emotional numbing), and hypervigilance (i.e. continuous scanning of
12328-415: The left ventricle , of people with the broken heart syndrome, was contracting normally but the middle and upper sides of the heart muscle had weaker contractions due to inverted T waves and longer Q-T intervals that are associated with stress . Magnetic resonance images suggested that the recovery rates for those with broken heart syndrome are faster than those who had heart attacks and complete recovery to
12462-464: The lives of children who have undergone a traumatic event. Moral injury is distress such as guilt or shame following a moral transgression. There are many other definitions some based on different models of causality. Moral injury is associated with post-traumatic stress disorder but is distinguished from it. Moral injury is associated with guilt and shame while PTSD is correlated with fear and anxiety . Normally, hearing about or seeing
12596-531: The lost individual. When rejection is involved, shame may also be involved – the painful feeling of being inherently unacceptable, disposable, unworthy. The physical signs of grieving include: A broken heart is a major stressor and has been found to precipitate episodes of major depression . In one study (death of a spouse), 24% of mourners were depressed at two months, 23% at seven months, 16% at 13 months and 14% at 25 months. Although there are overlapping symptoms, uncomplicated grief can be distinguished from
12730-445: The lost object" is about the anxiety and mounting frustration as the mourner remains lost, frequently sifting through memories of the departed, and perhaps fleeting perceptions of spectral visitations by the lost individual. When the loss involves "being left" or "unrequited love", in addition to the above, this mental searching is accompanied by obsessive thoughts about factors leading to the breakup , and possibilities for reuniting with
12864-407: The metaphor-theory terms vehicle , figure , and source . In a simple metaphor, an obvious attribute of the metaphier exactly characterizes the metaphrand (e.g. "the ship plowed the seas"). With an inexact metaphor, however, a metaphier might have associated attributes or nuances – its paraphiers – that enrich the metaphor because they "project back" to the metaphrand, potentially creating new ideas –
12998-524: The most effective treatments for PTSD. Two of these cognitive behavioral therapies, prolonged exposure and cognitive processing therapy , are being disseminated nationally by the Department of Veterans Affairs for the treatment of PTSD. A 2010 Cochrane review found that trauma-focused cognitive behavioral therapy was effective for individuals with acute traumatic stress symptoms when compared to waiting list and supportive counseling. Seeking Safety
13132-484: The most pleasant and useful, the most eloquent and fecund part of the human intellect ". There is, he suggests, something divine in metaphor: the world itself is God's poem and metaphor is not just a literary or rhetorical figure but an analytic tool that can penetrate the mysteries of God and His creation. Friedrich Nietzsche makes metaphor the conceptual center of his early theory of society in On Truth and Lies in
13266-420: The need for self-protection via interpersonal control. Through discussion of interpersonal relationships, the clinician is better able to assess the individual's ability to enter and sustain a clinical relationship. During assessment, individuals may exhibit activation responses in which reminders of the traumatic event trigger sudden feelings (e.g., distress , anxiety, anger ), memories, or thoughts relating to
13400-431: The next generation, thus making genetics one of the components of psychological trauma. However, some people are born with or later develop protective factors such as genetics that help lower their risk of psychological trauma. The person may not remember what actually happened, while emotions experienced during the trauma may be re-experienced without the person understanding why (see Repressed memory ). This can lead to
13534-485: The origin of the trauma under more psychologically safe circumstances, such as with a therapist . More recently, awareness of the consequences of climate change is seen as a source of trauma as individuals contemplate future events as well as experience climate change related disasters. Emotional experiences within these contexts are increasing, and collective processing and engagement with these emotions can lead to increased resilience and post-traumatic growth , as well as
13668-443: The pain of a broken heart date back to 1015 BC. Insults have broken my heart and left me weak, I looked for sympathy but there was none; I found no one to comfort me Rudaki , regarded as the first great genius of Persian poetry , used broken heart imagery in his writing. Look at the cloud, how it cries like a grieving man Thunder moans like a lover with a broken heart. Shakespeare 's play Antony and Cleopatra features
13802-400: The painful emotion includes numbing all emotion, and the person may seem emotionally flat, preoccupied, distant, or cold. Dissociation includes depersonalisation disorder, dissociative amnesia, dissociative fugue, dissociative identity disorder, etc. Exposure to and re-experiencing trauma can cause neurophysiological changes like slowed myelination, abnormalities in synaptic pruning, shrinking of
13936-477: The painting. For example, the painting The Lonely Tree by Caspar David Friedrich shows a tree with contorted, barren limbs. Looking at the painting, some recipients may imagine their limbs in a similarly contorted and barren shape, evoking a feeling of strain and distress. Nonlinguistic metaphors may be the foundation of our experience of visual and musical art, as well as dance and other art forms. In historical onomasiology or in historical linguistics ,
14070-412: The paraphrands – associated thereafter with the metaphrand or even leading to a new metaphor. For example, in the metaphor "Pat is a tornado", the metaphrand is Pat ; the metaphier is tornado . As metaphier, tornado carries paraphiers such as power, storm and wind, counterclockwise motion, and danger, threat, destruction, etc. The metaphoric meaning of tornado is inexact: one might understand that 'Pat
14204-491: The person feels as though the events are recurring. Flashbacks can range from distraction to complete dissociation or loss of awareness of the current context. Re-experiencing of symptoms is a sign that the body and mind are actively struggling to cope with the traumatic experience. Triggers and cues act as reminders of the trauma and can cause anxiety and other associated emotions. Often the person can be completely unaware of what these triggers are. In many cases, this may lead
14338-470: The person's self and world understanding have been violated, the person may call their own identity into question. Often despite their best efforts, traumatized parents may have difficulty assisting their child with emotion regulation, attribution of meaning, and containment of post-traumatic fear in the wake of the child's traumatization, leading to adverse consequences for the child. In such instances, seeking counselling in appropriate mental health services
14472-426: The person, and nightmares may be frequent. Insomnia may occur as lurking fears and insecurity keep the person vigilant and on the lookout for danger, both day and night. A messy personal financial scene, as well as debt, are common features in trauma-affected people. Trauma does not only cause changes in one's daily functions, but could also lead to morphological changes. Such epigenetic changes can be passed on to
14606-547: The philosophical concept of "substance" or "substratum" has limited meaning at best and that physicalist theories of the universe depend upon mechanistic metaphors which are drawn from deductive logic in the development of their hypotheses. By interpreting such metaphors literally, Turbayne argues that modern man has unknowingly fallen victim to only one of several metaphorical models of the universe which may be more beneficial in nature. In his book In Other Shoes: Music, Metaphor, Empathy, Existence Kendall Walton also places
14740-411: The processes of treatment, confrontation with their sources of trauma plays a crucial role. While debriefing people immediately after a critical incident has not been shown to reduce incidence of PTSD, coming alongside people experiencing trauma in a supportive way has become standard practice. The impact of PTSD on children is to a degree unknown, but education on coping mechanisms have shown to improve
14874-417: The rejection toward themselves. This can deepen their depression and cause narcissistic wounding. The process of self-attack can range from mild self-doubt to scathing self-recrimination which leaves a lasting imprint on an individual's self-worth and causes them to doubt their lovability, personality-efficacy, and attachment worthiness going forward. In severe cases, the depression of a broken heart can create
15008-536: The risk for developing trauma symptoms. Trauma may also result if workers witness situations that happen in the course of their work (e.g. violence in the workplace, reviewing violent video tapes.) Risk increases with exposure and with the absence of help-seeking protective factors and pre-preparation of preventive strategies. Individuals who have a personal history of trauma are also at increased risk for developing vicarious trauma. Vicarious trauma can lead workers to develop more negative views of themselves, others, and
15142-419: The same context. An implicit metaphor has no specified tenor, although the vehicle is present. M. H. Abrams offers the following as an example of an implicit metaphor: "That reed was too frail to survive the storm of its sorrows". The reed is the vehicle for the implicit tenor, someone's death, and the storm is the vehicle for the person's sorrows. Metaphor can serve as a device for persuading an audience of
15276-730: The selective serotonin reuptake inhibitor (SSRI) antidepressants sertraline (Zoloft) and paroxetine (Paxil) are the only medications that have been approved by the Food and Drug Administration (FDA) in the United States to treat PTSD. Other options for pharmacotherapy include serotonin-norepinephrine reuptake inhibitor (SNRI) antidepressants and anti-psychotic medications, though none have been FDA approved. Trauma therapy allows processing trauma-related memories and allows growth towards more adaptive psychological functioning. It helps to develop positive coping instead of negative coping and allows
15410-551: The social world, with which one converses internally and which is generated through interactions with others. He posits that the inner other is damaged by trauma but can be repaired by conversations with others such as therapists. He relates the concept of the inner other to the work of Albert Camus viewing the inner other as that which removes the absurd . Alford notes how trauma damages trust in social relations due to fear of exploitation and argues that culture and social relations can help people recover from trauma. Diana Fosha ,
15544-681: The steady trickle of endogenous opiates induced by the relationship. Research has shown that in extreme cases, some who experience a broken heart go on to develop post-traumatic stress disorder (PTSD). There are various predisposing psycho-biological and environmental factors that determine whether one's earlier emotional trauma might lead to the development of a true clinical picture of posttraumatic stress disorder. This would lower their threshold for becoming aroused and make them more likely to become anxious when they encounter stresses in life that are reminiscent of childhood separations and fears, hence more prone to becoming posttraumatic. Another factor
15678-658: The suppression of the immune system and increase in blood pressure. Not only does it affect the body physiologically, but a morphological change in the hippocampus also takes place. Studies showed that extreme stress early in life can disrupt normal development of hippocampus and impact its functions in adulthood. Studies surely show a correlation between the size of hippocampus and one's susceptibility to stress disorders. In times of war, psychological trauma has been known as shell shock or combat stress reaction . Psychological trauma may cause an acute stress reaction which may lead to post-traumatic stress disorder (PTSD). PTSD emerged as
15812-438: The transfer of coherent chunks of characteristics -- perceptual, cognitive, emotional and experiential – from a vehicle which is known to a topic which is less so. In so doing they circumvent the problem of specifying one by one each of the often unnameable and innumerable characteristics; they avoid discretizing the perceived continuity of experience and are thus closer to experience and consequently more vivid and memorable." As
15946-420: The trauma mentally and physically. For example, the sound of a motorcycle engine may cause intrusive thoughts or a sense of re-experiencing a traumatic experience that involved a similar sound e.g. gunfire. Sometimes a benign stimulus (e.g. noise from a motorcycle) may get connected in the mind with the traumatic experience. This process is called traumatic coupling. In this process, the benign stimulus becomes
16080-567: The traumatic events being constantly experienced as if they were happening in the present, preventing the subject from gaining perspective on the experience. This can produce a pattern of prolonged periods of acute arousal punctuated by periods of physical and mental exhaustion . This can lead to mental health disorders like acute stress and anxiety disorder, prolonged grief disorder , somatic symptom disorder , conversion disorders , brief psychotic disorder , borderline personality disorder , adjustment disorder, etc. Obsessive- compulsive disorder
16214-466: The treatment of trauma in mind— EMDR , progressive counting , somatic experiencing , biofeedback , Internal Family Systems Therapy , and sensorimotor psychotherapy, and Emotional Freedom Technique (EFT) etc. Trauma informed care provides a framework for any person in any discipline or context to promote healing, or at least not re-traumatizing. A 2018 systematic review provided moderate evidence that Eye Movement Desensitization and Reprocessing (EMDR)
16348-403: The type of trauma, as well as socio-demographic and background factors. There are several behavioral responses commonly used towards stressors including the proactive, reactive, and passive responses. Proactive responses include attempts to address and correct a stressor before it has a noticeable effect on lifestyle. Reactive responses occur after the stress and possible trauma has occurred and
16482-485: The use of self-administered psychological tests. Individual scores on such tests are compared to normative data in order to determine how the individual's level of functioning compares to others in a sample representative of the general population. Psychological testing might include the use of generic tests (e.g., MMPI-2 , MCMI-III , SCL-90-R) to assess non-trauma-specific symptoms as well as difficulties related to personality. In addition, psychological testing might include
16616-431: The use of trauma-specific tests to assess post-traumatic outcomes. Such tests might include the post-traumatic Stress Diagnostic Scale, Davidson Trauma Scale, Detailed Assessment of post-traumatic Stress, Trauma Symptom Inventory, Trauma Symptom Checklist for Children, Traumatic Life Events Questionnaire, and Trauma-related Guilt Inventory. Children are assessed through activities and therapeutic relationship, some of
16750-540: The user's argument or thesis, the so-called rhetorical metaphor. Aristotle writes in his work the Rhetoric that metaphors make learning pleasant: "To learn easily is naturally pleasant to all people, and words signify something, so whatever words create knowledge in us are the pleasantest." When discussing Aristotle's Rhetoric , Jan Garret stated "metaphor most brings about learning; for when [Homer] calls old age "stubble", he creates understanding and knowledge through
16884-399: The variations and fluidity of grief experiences differ considerably in intensity and length among cultural groups, individually from person to person as well as depending on the amount of investment put into the relationship. Ruminating, or having intrusive thoughts that are continuous, uncontrollable, and distressing, is often a component of grieving. John Bowlby 's concept of "searching for
17018-470: The victim of an alcoholic parent; the threat or the witnessing of violence (particularly in childhood ); life-threatening medical conditions ; and medication-induced trauma. Catastrophic natural disasters such as earthquakes and volcanic eruptions ; large scale transportation accidents; house or domestic fire ; motor collision ; mass interpersonal violence like war ; terrorist attacks or other mass victimization like sex trafficking ; being taken as
17152-532: The view that metaphors may also be described as examples of a linguistic "category mistake" which have the potential of leading unsuspecting users into considerable obfuscation of thought within the realm of epistemology. Included among them is the Australian philosopher Colin Murray Turbayne . In his book The Myth of Metaphor , Turbayne argues that the use of metaphor is an essential component within
17286-733: The way individual speech adopts and reinforces certain metaphoric paradigms. This involves a critique of both communist and fascist discourse. Underhill's studies are situated in Czech and German, which allows him to demonstrate the ways individuals are thinking both within and resisting the modes by which ideologies seek to appropriate key concepts such as "the people", "the state", "history", and "struggle". Though metaphors can be considered to be "in" language, Underhill's chapter on French, English and ethnolinguistics demonstrates that language or languages cannot be conceived of in anything other than metaphoric terms. Several other philosophers have embraced
17420-548: The world and ourself. Once one has experienced such trauma, it is necessary for an individual to create new assumptions or modify their old ones to recover from the traumatic experience. Therefore, the negative effects of the trauma are simply related to our worldviews, and if we repair these views, we will recover from the trauma. Psychodynamic viewpoints are controversial, but have been shown to have utility therapeutically. French neurologist Jean-Martin Charcot argued in
17554-495: The world as a whole, which can compromise their quality of life and ability to work effectively. Janoff-Bulman, theorises that people generally hold three fundamental assumptions about the world that are built and confirmed over years of experience: the world is benevolent, the world is meaningful, and I am worthy. According to the shattered assumption theory, there are some extreme events that "shatter" an individual's worldviews by severely challenging and breaking assumptions about
17688-409: The world is a stage, Shakespeare uses points of comparison between the world and a stage to convey an understanding about the mechanics of the world and the behavior of the people within it. In the ancient Hebrew psalms (around 1000 B.C.), one finds vivid and poetic examples of metaphor such as, "The Lord is my rock, my fortress and my deliverer; my God is my rock, in whom I take refuge, my shield and
17822-428: The world's a stage, And all the men and women merely players; They have their exits and their entrances And one man in his time plays many parts, His Acts being seven ages. At first, the infant... — William Shakespeare , As You Like It , 2/7 This quotation expresses a metaphor because the world is not literally a stage, and most humans are not literally actors and actresses playing roles. By asserting that
17956-511: Was introduced into the trauma literature by Gill Straker (1987). It was originally used by South African clinicians to describe the effects of exposure to frequent, high levels of violence usually associated with civil conflict and political repression. The term is also applicable to the effects of exposure to contexts in which gang violence and crime are endemic as well as to the effects of ongoing exposure to life threats in high-risk occupations such as police, fire, and emergency services. As one of
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