This book is a detailed discussion of trauma between Oprah Winfrey and psychiatrist Bruce Perry. It can be difficult to read because it deals with a heavy and serious subject. There were some aspects of the book that I did not like. Oprah can sometimes get out of context and give cliché self-improvement talk that she's used to. Like finishing the book with "trauma makes you stronger." I don't think those children who experienced trauma wished to be a stronger person at the time. And there was nothing in the book that mentioned that. Also, I didn't like the figures of the book about the cortex, limbic system , diencephalon, brainstem, etc. Not because I didn't understand these terms, but because they seem boring and useless to me.
The most interesting part of the book was the discussions about connectedness. When a person is dysregulated, they try to reach for various things to regulate themselves, to seek comfort, and to fill their reward bucket . Like belief, friends and family, food, drugs, alcohol, etc. Everyone's bucket contains different things with different proportions. Dr. Perry says that the most powerful form of reward is relational - positive interactions with people. Having access to a number of caring people is a better predictor of good outcomes following trauma than having access to a therapist. But we live in a world where people see less people. They work in very intense and tiring jobs. They forget the importance of connectedness and become isolated. That's why in this modern times, people got become weaker and less resilient. Continuous social interactions provide a rich source of regulation, reward, and learning. I would rather work with people I can laugh and talk with in a very busy job than work with people I can't have a conversation with in