Praise for The Love Trauma Syndrome "The Love Trauma Syndrome reaches out to the many who have suffered the heart-wrenching pain that accompanies the loss (or potential loss) of a significant relationship. Dr. Rosse's conceptualization of the aftermath of a broken heart and the road to recovery will be thought-provoking to both mental health practitioners and the lay reading public." —Jane Vogt Buongiorno, Ph.D., Licensed Clinical Psychologist, Virginia and North Carolina "I cannot imagine the book not being helpful to clients or professionals interested in learning about Love Trauma Syndrome. Dr. Rosse's wit, knowledge, and desire to help those in distress—characteristics well known to those close to him—come through in the text." —John Mastropaolo, Ph.D., Psychologist, Silver Spring, Maryland "By the end of this book, you will not only become an expert in recognizing Love Trauma Syndrome but also you will understand what to do and why you're doing it." — Regina Ottaviani, Ph.D., Cognitive Therapist, Chevy Chase, Maryland; Co-Author, Cognitive Therapy of Personality Disorders "A masterpiece of self-help and psychoeducational literature! This book should certainly be added to the list of good self-help books that contribute to the overall effectiveness of any psychological or psychiatric therapy." —Paul Buongiorno, M.D., Psychiatrist, Private Practice, Wilmington, North Carolina http://avaxhome.ws/blogs/ChrisRedfield The Love Tramua Syndrome Free Yourself From the Pain of a Broken Heart The Love Trauma Syndrome Free Yourself from the Pain of a Broken Heart Richard B. Rosse, M.D. PERSEUS PUBLISHING Cambridge, Massachusetts Library of Congress Cataloging-in-Publication Data Rosse, Richard B. The love trauma syndrome : free yourself from the pain of a broken heart / Richard B. Rosse, p. cm. Includes bibliographical references (p. ) and index. ISBN 0-306-46006-8 1. Lovesickness. 2. Separation (Psychology) 3, Grief therapy, I. Title. RC543.R67 1999 616.85'21--dc21 99-19372 CIP This book was written by Richard B. Rosse, M.D. in his private capacity, and the views expressed herein are entirely the author's and do not represent the views of the Department of Veterans Affairs or Georgetown University. Additionally, the treatment recommendations made in this book should never supersede those made by mental health workers or other clinicians directly involved in a patient's care. The ideas and suggestions contained in this book should not be regarded as an appropriate substitute for consulting with your physician or other trained health care workers. Furthermore, statements made by the author regarding specific medications do not constitute a recommendation or endorsement by the product manufacturer. The author and publisher disclaim any liability arising directly or indirectly from the use of this book, or any of the recommendations, procedures, products, medications, or devices described. With future advances in psychiatric and psychological research and practice, the diagnostic and therapeutic recommendations made in this book may change. Finally, in all the case histories in this book, the names of the patients, their circumstances, and any other identifying characteristics, have been altered to protect their confidentiality. Furthermore, certain facts in each case have been rearranged by the author to further protect patient privacy. ISBN 0-7382-0622-9 © 1999 Richard B. Rosse Published by Perseus Publishing, a Member of the Perseus Books Group. 10987654321 All rights reserved No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, microfilming, recording, or otherwise, without written permission from the Publisher Printed in the United States of America For those who read this book and know all too well what it is about This page intentionally left blank Contents Foreword ix Preface xv Acknowledgments XIX Figures and Tables xxi 1 Introduction 1 2 The Love Trauma Syndrome 7 3 Why Are Love Traumas So Traumatic? 37 4 When Depression Complicates Love Trauma Syndrome 53 5 The Varieties of Human Love Trauma Response 79 6 Looking for Relief in All the Wrong Places 101 7 When Love Trauma Syndrome Turns Violent 119 8 Self-Help Strategies for Overcoming Low Trauma Syndrome ., 137 9 Professional Antidotes to the Pain of Love Trauma Syndrome 189 10 Beware These Inconstant Lovers 229 11 Making Peace 245 12 Concluding Thoughts 263 Endnotes 269 Bibliography 277 Index 287 mi This page intentionally left blank Foreword I have spent much of my academic and professional life studying the effects of stress and trauma on the mammalian brain. The more severe the stress, the more an animal is overwhelmed and unable to "cope," or adapt. An emotional trauma is a type of severe stress that causes serious and long-lasting, unwanted emotional changes. When stress severity reaches the level of being a trauma, brain changes occur that are persistent (if not permanent). For instance, the structure, activity, and distribution of brain neurotransmitter receptors are altered by trauma events. Associated with these brain alterations are corresponding behavioral changes (e.g., in- creased arousal and vigilance for future threats). Research has shown that there are differences in the way different animals of the same species respond to the same stress. Whereas some an- imals respond to a particular stress with evidence of profound neurophys- iological and behavioral alteration, other animals of the same species might demonstrate trivial changes. Because of the wide range of genetic variation that exists in nature for a given population, and the probable large number of genes involved in conferring trauma "resistance" versus vulnerability, there is a wide spectrum of responses to a trauma. How a particular animal, or person, will respond to a trauma is not only depen- dent on the genes they happened to inherit from their parents, but also on the environmental support and protection they received during their early life experience. So an animal's responses to similar stresses is a function of both complex genetic and environmental influences (e.g., a nurturing ver- sus harsh upbringing). ix
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