“I think the essence of healing has been the effort to rewrite that narrative to something more loving, forgiving and kind. “My mother’s voice saying, ‘You’re worthless, you’re unlovable, you’re stupid,’ ” she said. As well as providing a more clearly defined diagnostic procedure, it lists pre-traumatic, peri-traumatic and post-traumatic factors (temperamental, environmental and genetic/physiological) that must be taken into account when considering a diagnosis. Similarly, there are likely cumulative psychological consequences resulting from traumatic experiences. Examples in medicine are carpal tunnel syndrome, low back pain, or tennis elbow ( 32 ).
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