Professional Documents
Culture Documents
Expository Writing
Dr. Evans
24 January 2017
Stigmata Non Grata
One of the most confusing and cryptic areas of study is the study of the human mind, also
generalize human behavior into certain categories, and thus psychologists can categorize what is
healthy and what is unhealthy. But Martha Stout, a clinical psychologist, discusses a topic that
touches on both sides with her piece, When I Woke Up Tuesday Morning, It Was Friday. Her
piece narrates the stories of multiple patients she encountered, explaining both their stories and
the physiological effects that occur when suffering from a condition known as dissociation,
usually brought upon by traumatic experiences. One of the main points she tries to clarify is how
dissociation is present in both normal and abnormal behavior, but distinguishes the difference
between healthy and unhealthy dissociation. Stout asks the reader to understand that when it
comes to those who have dealt with dissociation, they can be successful, well-mannered people
and can blend in well with everyday life. It is crucial to understand that those who suffer from
dissociative occurrences have aspects of normal psychological processes that are exacerbated
due to past trauma; a patients desire to face and overcome the trigger of such aggravation makes
him more heroic than the average person, as they must face their past demons head on.
One of Stouts main points is that many of those who are dissociated can blend in well
into society. Unlike mental disorders such as schizophrenia or bipolar disorder, the symptoms of
dissociation are not highly abnormal. Stout defines dissociation as continuing to act, but without
self-awareness (Stout 423). Through this definition, it can be assumed that one wouldnt be able
to determine if a person were dissociated or not just by looking at him or her. Stout first
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discusses a patient named Julia, a successful, well-respected member of the community. One of
Julias therapy sessions included a conversation pertaining to one of her dissociative events. She
laments the fact that none of her coworkers could tell that she was in a dissociative state, I dont
understand any of it, but the thing I understand the least is that apparently I go about my business
during these times, and nobody notices any difference in me. At least, no one ever says anything
(Stout 431). In this instance, the reader is forced to see reality from Julias perspective. It
portrays her loneness, because though Julia feels like its such an impacting change in her life, it
doesnt affect anyone elses in the slightest. Since the majority of people cannot notice or
experience such dissociation, they do not give it any thought. This forced perspective is Stouts
way of trying to make the reader understand just a fraction of Julias isolation and detachment
from the real world. Yet, this is only just a taste of what people with this affliction go through,
and cannot be easily read or imagined. The only way to recognize occurrences of dissociation is
only if one has actually experienced it for himself. This is further explained by Seth, another
patient of Stouts who saw someone in a dissociative state at a company soft ball game. Similar
to Julia, Seth is astonished at how everyone except for him cannot tell that his teammate is away
from reality, You mean, another person, besides you, might not have known she was
dissociated? Absolutely. Im sure someone else might not have known at all. Its just that I
looked at her, and I saw me. It was like talking to somebody who didnt have a soul (Stout
435). Stout is able to correlate this story with the term fugue, which is defined as a state where
one would continue to carry out day-to-day activities... [and] allows certain intellectually driven
functions to continue (Stout 432). Since a fugue is considered a more extreme type of
dissociation, it is interesting to note that still nobody was able to tell a difference of behavior.
Seth also mentions an interesting fact when he explains that it wasnt her actions that gave away
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her dissociated state, but her eyes. This reveals that to understand someone in a dissociative state,
we cant just look at others at face value. It is only a coincidence that those who are dissociative
act more towards the normal side of the spectrum. To understand the mentally ill means
delving into their past and their experiences. Only psychologists such as Stout can understand
this perfectly because her line of work requires an intricate reflection of a patients stories.
The second argument Stout makes is that those with trauma related illnesses are results of
normal processes that were skewed due to the traumatic event or events they suffer through. One
of the main points Stout attempts to discuss is that the dissociative events that her patients
experience are due to some sort of stressor that was introduced. Connections to this stressor are
what cause these somewhat normal people to enter a real that causes the mind to linger from
reality. Stout gives an example of how traumatic events can be provoked from harmless
perceptions through Beverly, a woman who watched her sister die by a speeding car. If she hears
a blast from a train or something related to that speeding car, she starts to panic, Beverlys brain
contains, effectively, a broken warning device in its limbic system, (Stout 422). The key word
Stout uses is broken, because such a warning system is necessary for everyday life. Back when
humans were in a primitive stage, those who had fine-tuned warning systems were able to
survive, therefore reproduce. Since that still lingers today, it still gives us automatic drives to
avoid venomous snakes or poisonous spiders. But a traumatic situation like the one Beverly
witnessed stresses that alert system, and anything related to such an event causes the same
feelings that were displayed that day. Such trauma also causes imaginative processes to change
because we can almost always relate something to the traumatic event. An understanding of
symbolism and abstract concepts allows a stretching of such thinking so that one can connect, a
train blast for instance, to the noise of a speeding car. These concepts are able to stick with the
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mind into adolescence; the result is that childhood traumas can be triggered in the adult mind.
Though it may be more socially acceptable for children to act in a strange way, todays culture
demands that adults act through certain mores that must be followed. If there is fixation on
trauma that occurred in childhood, it creates a scenario in which the childhood trauma becomes
the present, and so the adult mind becomes lost. Intense stress on Beverlys mind molds the way
it works, and so a process that is innate can be molded into a way that causes her to act against
the norm.
Finally, Stout states that those who try to overcome their dissociation are exponentially
stronger and heroic than a regular person. As an introduction, Stout uses the analogy of living in
a house that is dark, and that to fix the electricity, one must sabotage the fuse box, but risks
burning the house down. She adds, The person who suffers from a severe trauma disorder must
decide between surviving in a barely sub-lethal misery of numbness and frustration, and taking a
chance that may well bring her a better life, but that feels like stupidly issuing an open invitation
to the unspeakable horror that waits to consume her alive. And in the manner of the true hero, she
must choose to take the risk (Stout 421). Stout is absolutely correct when explaining such an
ordeal, as not many are able to face the demons that lurk in the past. Usually, people are afraid of
physical creatures such as insects, clowns, or tiny spaces, and in most cases, the direct course of
action is to avoid or escape such things. But the story is different when it comes to trauma
survivors. One cannot run away from the pain that they endure, and to face it means suffering
through more misery as they risk becoming consumed by such a fear; its like getting sucked into
a black hole. There is no escape, only a path leading to pain and suffering. Such a feeling where
there is a palpable pain but no physical injury is considered shin pan, a pain of the heart that
does not involve the actual physical organ (Stout 435). Stout mentions this Eastern medicincal
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term because it is the best way to describe such a feeling. Science and facts cannot accurately
describe the thought process of the human mind. Conquering this sort of emotional agony is
much harder and arduous than healing a physical wound. Much strife is involved, and those who
confront past traumas run the risk of stumbling into a more dissociative state. But the only way
to truly conquer their trauma is to fight their fears, a feat only the courageous can achieve. With
the support of their peers and enough time, they can finally be able to find closure.
Stouts chapter is not only a piece that explains the physiology behind dissociation but it
also elaborates on how those who have faced trauma are individuals who experienced more than
many can imagine, and their ability to push through the hardships of daily life is what makes
them so admirable. Her analysis of dissociative patients displays how though they may seem
normal, their circumstances are truly abnormal. Stouts patients face such high levels of
separation from reality, yet it is astonishing that they are still able to function relatively well.
Though they were put through trying circumstances, they still stand resolute and ready to find the
necessary means in order to live happier and healthier lives. Those who suffer from trauma that
was wrongfully or unintentionally inflicted upon them should not suffer for the rest of their lives.
Just as every person does, they deserve the right to happiness and closure, and through the proper
process, they can be successful. It is evident that with the proper help, survivors of traumatic
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Works Cited
Stout, Martha. "When I Woke Up Tuesday Morning, It Was Friday." The New Humanities Reader.